119-hr-8650119th CongressWALLET

Medicaid Outreach and Assistance for Communities Act of 2026

Sponsored By: Representative Carter, Troy A. [D-LA-2]

Introduced

Summary

Guarantees 100% federal reimbursement for state outreach and enrollment spending for Medicaid and CHIP. This bill would rewrite the federal matching rule so the federal share equals the full cost of qualifying outreach and enrollment activities, including individuals described in section 1943(b)(1)(F).

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  • States would face a much smaller fiscal burden for outreach and enrollment because the federal share would cover those expenditures each quarter beginning after enactment.
  • People eligible for Medicaid and CHIP, including those named in section 1943(b)(1)(F), would receive more federally backed outreach and enrollment support tied to work-requirement and semi-annual renewal changes in Public Law 119-21.
  • The change applies specifically to title XIX (Medicaid) and title XXI (CHIP) outreach and enrollment costs for calendar quarters beginning on or after enactment and does not alter eligibility rules or benefits.

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Bill Overview

Analyzed Economic Effects

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

Full federal outreach payments for Medicaid, CHIP

If enacted, the federal government would reimburse States 100 percent of the sums they spend each calendar quarter on outreach and enrollment for Medicaid (title XIX) and CHIP (title XXI). Payments would apply to calendar quarters beginning on or after the date of enactment. The provision expressly includes outreach and enrollment costs for people described in section 1943(b)(1)(F). States would receive the payments. Households would not get direct checks, but more outreach would likely increase enrollment.

Sponsors & CoSponsors

Sponsor

Carter, Troy A. [D-LA-2]

LA • D

Cosponsors

  • Rep. McClellan, Jennifer L. [D-VA-4]

    VA • D

    Sponsored 5/4/2026

Roll Call Votes

No roll call votes available for this bill.

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