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119-hr-10547119th CongressWALLET

PACE Access Improvement Act

Sponsored By: Representative Dingell, Debbie [D-MI-6]

Introduced

Summary

Would require states to offer PACE and speed access to the Program of All‑Inclusive Care for the Elderly while easing rules that slow new sites and providers. The bill focuses on expanding who can enroll, aligning payments with actual start dates, and cutting procedural delays for providers.

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Anytime PACE enrollment and payments

If enacted, you would be able to enroll in a PACE program any day of the month starting January 1, 2027. Your enrollment would be effective the day the PACE provider gets your signed enrollment form. If your enrollment starts mid-month, the provider would receive a prorated capitation payment for that first month instead of a full monthly payment. These rules would apply to Medicare and Medicaid PACE enrollments.

States must offer PACE services

If enacted, States would be required to provide Medicaid medical assistance for PACE services to PACE-eligible individuals. Repeal of numerical enrollment caps would take effect on enactment. Most States that already have at least one PACE provider would need to comply 180 days after enactment. States without a PACE provider would have three years to comply. If a State needs non-appropriation legislation to meet the new rule, the compliance date would delay until the first calendar quarter after that State's next regular legislative session ends.

Easier PACE provider expansion

If enacted, entities could apply at any time to start or expand PACE providers and add center sites beginning January 1, 2027. An application would be automatically approved unless the Secretary denies it or asks for more information within 45 days, and then would have 45 days after extra materials are sent. Experienced PACE providers that pass their first trial audit could add a site by filing a shorter "qualifying notice" with assurances about location, staffing, and contracts instead of a full application.

Sponsors & CoSponsors

Sponsor

Dingell, Debbie [D-MI-6]

MI • D

Cosponsors

  • Rep. Moolenaar, John R. [R-MI-2]

    MI • R

    Sponsored 9/24/2026

Roll Call Votes

No roll call votes available for this bill.

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