# 119-hr-9336: Better Care, Better Cost Act

119-hr-9336, Better Care, Better Cost Act, is a 119th Congress bill sponsored by Rep. Goldman, Craig A. [R-TX-12] (R-TX); status introduced; PRIA reads it as touching household money (as of 2026-07-23).

- Canonical: https://policyrisk.com/legislation/119-hr-9336
- As of: 2026-07-23
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-9336
- Congress: 119
- Title: Better Care, Better Cost Act
- Status: introduced
- Introduced: 2026-06-18
- Sponsor: Rep. Goldman, Craig A. [R-TX-12] (R-TX)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-23

## Summary

**This bill would require States to factor **managed care performance** into default Medicaid managed care assignments.** It would make States score plans on costs, avoidable hospital use, readmissions, emergency visits, and member satisfaction and publish an annual report on results. - Families and enrollees: Default plan assignments would be influenced by plan performance scores, which could steer more people to higher‑scoring plans and affect which plan people are placed in by default. - States: Would have to build a system to evaluate managed care entities, publish an annual report comparing actual default enrollments with hypothetical enrollments that ignore scores, and quantify any estimated expenditure reductions tied to using scores. - Managed care entities: Would receive annual performance scores based on costs, outcomes, and individual satisfaction. Scores would be used in default enrollment decisions and could change how many people are auto‑assigned to each entity. Effective date: Would apply to enrollments on or after January 1, 2028.

## Cosponsors (3)

- Rep. Pfluger, August [R-TX-11] (R-TX), 2026-06-18T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2026-07-20T00:00:00.000Z
- Rep. Norcross, Donald [D-NJ-1] (D-NJ), 2026-07-20T00:00:00.000Z

## Provisions PRIA read

- Medicaid plan quality scores for enrollment: benefit, low. This bill would require each State to score every Medicaid managed care plan on costs, outcomes, and member satisfaction. Beginning on January 1, 2028, States would have to use those scores when placing people who do not choose a plan into default managed care enrollments. States would publish a ye…

## Related bills

- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-9396: Prior Authorization Accountability Act
- 119-hr-1422: Enhanced Iran Sanctions Act of 2025
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-2102: Major Richard Star Act

## Sources
- [119-hr-9336 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/9336)

## Related
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-9396: Prior Authorization Accountability Act](https://policyrisk.com/legislation/119-hr-9396)
- [119-hr-1422: Enhanced Iran Sanctions Act of 2025](https://policyrisk.com/legislation/119-hr-1422)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-9336 (as of 2026-07-23).