# 119-hr-7778: Medicaid PNA Modernization Act

119-hr-7778, Medicaid PNA Modernization Act, is a 119th Congress bill sponsored by Rep. Subramanyam, Suhas [D-VA-10] (D-VA); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-7778
- 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-7778
- Congress: 119
- Title: Medicaid PNA Modernization Act
- Status: introduced
- Introduced: 2026-03-03
- Sponsor: Rep. Subramanyam, Suhas [D-VA-10] (D-VA)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Raises the Medicaid personal needs allowance and ties future increases to Social Security Title II benefit increases.** This bill would update the monthly minimum personal needs allowance for people living in Medicaid institutions and create an automatic indexing rule linked to Social Security Title II cost‑of‑living changes. - Institutionalized individuals and couples: People in nursing homes and similar Medicaid institutions would see the monthly minimum PNA rise to $60 for individuals and $120 for couples starting January 1, 2026. - Future adjustments: After November 2026, those dollar minimums would automatically increase by the same percentage as any Social Security Title II benefit increase for months after that date. - State Medicaid programs: States would apply the new PNA minimums under Title XIX of the Social Security Act as part of Medicaid rules.

## Provisions PRIA read

- Higher personal needs allowance for Medicaid recipients: benefit, medium. If enacted, the bill would raise the monthly personal needs allowance (PNA) for people in Medicaid nursing homes and tie future increases to Social Security. Starting January 1, 2026, the individual PNA minimum would increase from $30 to $60 per month and the couple PNA minimum would increase from…

## Related bills

- 119-hr-7977: Energy Bills Relief Act
- 119-hr-7481: Department of Homeland Security Appropriations Act, 2026
- 119-hr-7973: Momnibus Act
- 119-hr-2883: NO TIME TO Waste Act
- 119-hr-7853: PrEP Access and Coverage Act of 2026
- 119-hr-4317: PBM Reform Act of 2025

## Sources
- [119-hr-7778 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/7778)

## Related
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-7481: Department of Homeland Security Appropriations Act, 2026](https://policyrisk.com/legislation/119-hr-7481)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-2883: NO TIME TO Waste Act](https://policyrisk.com/legislation/119-hr-2883)
- [119-hr-7853: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-hr-7853)
- [119-hr-4317: PBM Reform Act of 2025](https://policyrisk.com/legislation/119-hr-4317)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-7778 (as of 2026-04-21).