Recognizing the importance of protecting continuous Medicaid coverage for individuals undergoing active cancer treatment.
Sponsored By: Representative Dingell, Debbie [D-MI-6]
Introduced
Summary
Protect Medicaid coverage for people undergoing active cancer treatment. This resolution would urge states and the Centers for Medicare & Medicaid Services to reduce paperwork and make medical exemptions simpler so care is not interrupted during treatment.
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- Cancer patients and families: Would reduce coverage interruptions and treatment delays by letting states use existing health records or accept a short certification from a treating clinician. A study cited here found 75.5 percent of cancer patients reported delayed or foregone care because of administrative burdens.
- People with chronic illnesses: Encourages states to adopt the same streamlined exemption processes for other long‑term conditions so more patients keep needed care.
- State Medicaid programs: Would allow use of claims, encounter data, and other reliable health information to verify exemptions and requires clear notice and help before coverage is stopped.
- Health care providers: Permits a simple certification from an oncologist or other qualified clinician when records are insufficient, cutting paperwork for clinicians and patients.
- CMS and federal support: Directs CMS to issue guidance and technical assistance to help states make these procedures as simple and automatic as possible for eligible patients.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Protect Medicaid coverage for cancer patients
If adopted, this resolution would say no one getting active cancer treatment should have lifesaving Medicaid care stopped just because illness or treatment prevents meeting paperwork or community engagement rules. It would urge States to use claims, encounter data, and other records to identify and verify cancer treatment so patients do not repeatedly prove the same medical facts. If records are missing, it would allow a simple certification from the treating oncologist or other qualified clinician. It would urge States to give clear notice, reasonable help, and time to establish an exemption before suspending or ending coverage. It would ask CMS to give States guidance and technical help and to issue similar guidance for other chronic diseases.
Sponsors & CoSponsors
Sponsor
Dingell, Debbie [D-MI-6]
MI • D
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
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