S2524119th CongressWALLET

Restoring Essential Healthcare Act

Sponsored By: Senator Smith, Tina [D-MN]

Introduced

Summary

Restores Medicaid payments to entities barred under a recent law and makes that restoration retroactive. This bill would repeal Section 71113 of Public Law 119-21 and require Medicaid to pay for items and services those 'prohibited' entities furnished during the period between the earlier law's enactment and this repeal.

Show full summary
  • Families and Medicaid enrollees: People who received care from these entities during the covered period would have those services treated as payable under a state Medicaid plan or waiver.
  • Providers labeled as "prohibited": Entities defined in subsection (b)(1) of Section 71113 would be eligible to receive Medicaid payment for covered items and services furnished during that period, processed as if the prohibition had not existed.
  • Scope and definition: The bill keeps the original definition of "prohibited entity" from Section 71113, so only entities meeting that definition are affected.

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Bill Overview

Analyzed Economic Effects

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

Restore Medicaid payments to providers

This bill would repeal a rule in Public Law 119-21 that blocked Medicaid payments to certain providers. If enacted, Medicaid would have to pay for items and services furnished as medical assistance under a State plan or an approved waiver that those "prohibited entities" provided during the past period. The period runs from when Public Law 119-21 took effect to when this bill is enacted. Providers who were labeled "prohibited entities" could be paid retroactively as if the earlier rule never existed. The bill does not add new funding or change other Medicaid rules.

Sponsors & CoSponsors

Sponsor

Smith, Tina [D-MN]

MN • D

Cosponsors

  • Sen. Murray, Patty [D-WA]

    WA • D

    Sponsored 7/29/2025

  • Sen. Baldwin, Tammy [D-WI]

    WI • D

    Sponsored 7/29/2025

  • Sen. Duckworth, Tammy [D-IL]

    IL • D

    Sponsored 7/29/2025

  • Sen. Durbin, Richard J. [D-IL]

    IL • D

    Sponsored 7/29/2025

  • Sen. Reed, Jack [D-RI]

    RI • D

    Sponsored 7/29/2025

  • Sen. Blumenthal, Richard [D-CT]

    CT • D

    Sponsored 7/29/2025

  • Sen. Schiff, Adam B. [D-CA]

    CA • D

    Sponsored 7/29/2025

  • Sen. Heinrich, Martin [D-NM]

    NM • D

    Sponsored 7/29/2025

  • Sen. Van Hollen, Chris [D-MD]

    MD • D

    Sponsored 7/29/2025

  • Amy Klobuchar

    MN • D

    Sponsored 7/29/2025

  • Sen. Coons, Christopher A. [D-DE]

    DE • D

    Sponsored 7/29/2025

  • Sen. Sanders, Bernard [I-VT]

    VT • I

    Sponsored 7/29/2025

  • Sen. Warren, Elizabeth [D-MA]

    MA • D

    Sponsored 7/29/2025

  • Sen. Whitehouse, Sheldon [D-RI]

    RI • D

    Sponsored 7/29/2025

  • Sen. Luján, Ben Ray [D-NM]

    NM • D

    Sponsored 7/29/2025

  • Sen. Merkley, Jeff [D-OR]

    OR • D

    Sponsored 7/29/2025

  • Sen. King, Angus S., Jr. [I-ME]

    ME • I

    Sponsored 7/29/2025

  • Sen. Booker, Cory A. [D-NJ]

    NJ • D

    Sponsored 7/29/2025

  • Sen. Hirono, Mazie K. [D-HI]

    HI • D

    Sponsored 7/29/2025

  • Sen. Padilla, Alex [D-CA]

    CA • D

    Sponsored 7/29/2025

  • Peter Welch

    VT • D

    Sponsored 7/29/2025

  • John Hickenlooper

    CO • D

    Sponsored 7/29/2025

  • Elissa Slotkin

    MI • D

    Sponsored 7/29/2025

  • Sen. Fetterman, John [D-PA]

    PA • D

    Sponsored 7/29/2025

  • Sen. Gillibrand, Kirsten E. [D-NY]

    NY • D

    Sponsored 7/29/2025

  • Sen. Markey, Edward J. [D-MA]

    MA • D

    Sponsored 7/29/2025

  • Sen. Murphy, Christopher [D-CT]

    CT • D

    Sponsored 7/29/2025

  • Sen. Cortez Masto, Catherine [D-NV]

    NV • D

    Sponsored 8/1/2025

  • Sen. Wyden, Ron [D-OR]

    OR • D

    Sponsored 8/1/2025

  • Sen. Alsobrooks, Angela D. [D-MD]

    MD • D

    Sponsored 8/1/2025

Roll Call Votes

No roll call votes available for this bill.

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