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119-hr-8585119th CongressWALLET

Community Multi-Share Coverage Program Act of 2026

Sponsored By: Representative Moolenaar, John R. [R-MI-2]

Introduced

Summary

Affordable health coverage plus social and workforce supports. This bill would create a grant program for Community Multi-Share Coverage Programs to help hospitals and community partners offer integrated health coverage and services to workers at small businesses with limited income.

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  • Workers and families: Would be eligible if household income is above the State Medicaid threshold but at or below 400 percent of the federal poverty line. Enrollees would receive coverage that includes doctor visits, hospital care, behavioral health, preventive services, prescriptions, and emergency services with no deductible and limited in-network copays.
  • Small employers and workers: Would help small employers offer competitive, affordable coverage and support workers in transitioning off Medicaid by addressing psychosocial barriers to employment. Programs require health coaching, individualized plans, group classes, and links to job training.
  • Community hospitals and providers: HHS would award 3 to 5 grants for four-year programs that must have a local physical presence and coordinate with community-based entities. Direct costs are shared among public funds, hospitals, enrollees, and employers to move toward longer-term financing.

*This bill would authorize $36.0 million over fiscal years 2026–2029, increasing federal spending.*

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 4 benefits, 0 costs, 1 mixed.

Local plans must cover basic care

If enacted, each funded program would have to cover doctor visits, hospital inpatient and outpatient care, mental health and substance use treatment, preventive care, tests and x-rays, prescription drugs, ground ambulance, emergency services, and population health services. The plans would not charge a deductible for in-network care and would limit in-network copays so people can get care. Programs must have a local office, link to hospitals and community providers, do assessments and coaching, publish an enrollment policy if capacity is limited, and may drop people for long-term nonparticipation only after offering alternatives. Programs would also report effects on jobs, health, and income.

Who can enroll in local plans

If enacted, you could qualify for a local Community Multi-Share Coverage Program if you live or work in the hospital catchment area. Your household income must be above your State's Medicaid limit but at or below 400% of the federal poverty line. You must not have had a marketplace qualified health plan in the prior 180 days unless a qualifying event ended it. You must be ineligible for Federal health programs and work for a small employer that lacks affordable coverage by the bill's 7% premium-plus-deductible test.

Local plans must share program costs

If enacted, each program would be built to share costs among the federal government, state and local governments, hospitals, local providers, employers, and enrollees. Programs would avoid relying on one funding source and must show multi-year progress toward a stable mix of funding. That means families and small employers could pay some direct costs while programs aim to attract sustained community and hospital funding.

Federal grants to start local programs

If enacted, HHS would award 3 to 5 grants to start Community Multi-Share Coverage Programs within 180 days after enactment. Grants would run for four years and the Secretary would set maximum awards. At least one grant must go to a program already operating. The bill authorizes $4.8 million for FY2026, $7.2 million for FY2027, and $12.0 million for each of FY2028 and FY2029.

Key terms and definitions set

If enacted, the bill would define important words used in the program. Definitions include agency, Federal health care program, health coach, hospital, qualified health plan, Secretary, small employer, and health-related social needs. Clear definitions would help applicants and partners know who and what counts under the program rules.

Sponsors & CoSponsors

Sponsor

Moolenaar, John R. [R-MI-2]

MI • R

Cosponsors

  • Rep. Huizenga, Bill [R-MI-4]

    MI • R

    Sponsored 4/29/2026

Roll Call Votes

No roll call votes available for this bill.

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