# 119-hr-6254: Medicaid Staffing Flexibility and Protection Act of 2025

119-hr-6254, Medicaid Staffing Flexibility and Protection Act of 2025, is a 119th Congress bill sponsored by Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-6254
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6254
- Congress: 119
- Title: Medicaid Staffing Flexibility and Protection Act of 2025
- Status: introduced
- Introduced: 2025-11-21
- Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA)
- Cosponsors: 4
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Would let states hire contractors to handle Medicaid eligibility checks and fair hearings while blocking contractor ties to managed care plans.** States could choose to have another State, a local agency, or a private contractor make eligibility determinations, redeterminations, and run fair hearings so long as contracts do not create incentives to delay decisions or wrongly deny coverage. - Medicaid enrollees: Eligibility decisions and appeals could be handled by nonstate contractors, but contracts may not pay based on delays or denials that would harm people who qualify for medical assistance. - State agencies: States would gain flexibility to outsource eligibility work and hearings to other states, local agencies, or private contractors as an option for administering their Medicaid program. - Conflict-of-interest protection: A contractor chosen for these duties cannot have a direct or indirect financial relationship with any Medicaid managed care organization or with network providers affiliated with such organizations.

## Cosponsors (4)

- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-11-21T00:00:00.000Z
- Rep. Dunn, Neal P. [R-FL-2] (R-FL), 2025-11-21T00:00:00.000Z
- Rep. Bacon, Don [R-NE-2] (R-NE), 2025-11-21T00:00:00.000Z
- Rep. Valadao, David G. [R-CA-22] (R-CA), 2025-11-21T00:00:00.000Z

## Provisions PRIA read

- States could hire firms for Medicaid decisions: benefit, low. If enacted, your state could hire another state, a local agency, or a private company to decide Medicaid eligibility and renewals, and to run fair hearings. Contracts would not be allowed to reward a contractor for delaying decisions or denying people who qualify. A state could only use this option…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-4669: FEMA Act of 2025
- 119-hr-6766: Essential Caregivers Act of 2025
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-1422: Enhanced Iran Sanctions Act of 2025
- 119-hr-9250: Great American Outdoors Act 250

## Sources
- [119-hr-6254 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6254)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-6766: Essential Caregivers Act of 2025](https://policyrisk.com/legislation/119-hr-6766)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-1422: Enhanced Iran Sanctions Act of 2025](https://policyrisk.com/legislation/119-hr-1422)
- [119-hr-9250: Great American Outdoors Act 250](https://policyrisk.com/legislation/119-hr-9250)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6254 (as of 2026-04-21).