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Congressional Research Service
Version 00 · Introduced in House · Feb 5, 2025
Medicaid Program Improvement Act
This bill provides statutory authority for the requirement that state Medicaid programs and the Children's Health Insurance Program (CHIP) have a process in place to obtain updated addresses for enrollees. It also requires contracted managed care plans to report addresses that have been directly verified by enrollees to states.
People & committees
Rep. Miller-Meeks, Mariannette [R-IA-1] · R–IA
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Referred to the House Committee on Energy and Commerce.
Introduced in House
Introduced in House
Primary sources
Text links open the official source. We also preserved the text version used in the PlainBill explanation below.
Source last updated: Aug 3, 2026. Consult Congress.gov for the current record.
AI Conversation Starters
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Analyze H.R.1019 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
Examine H.R.1019 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.
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PlainBill explanation
Based on the full Introduced in House · 2025-02-05 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.
H.R. 1019 would require the 50 states and the District of Columbia to regularly obtain reliable address information for Medicaid enrollees and respond to changes under referenced federal rules. It would extend that requirement to the Children’s Health Insurance Program (CHIP). It would also require Medicaid managed care contracts to ensure that organizations send states address information received directly from enrollees or verified directly with them.
(88) beginning January 1, 2026, provide for a process to regularly obtain address information for individuals enrolled under such plan (or a waiver of such plan) from reliable data sources (as described in section 435.919(f)(1)(iii) of title 42, Code of Federal Regulations (or a successor regulation)) and act on any changes to such an address based on such information in accordance with such section (or successor regulation), except that this paragraph shall only apply in the case of the 50 States and the District of Columbia.
(b) Application to CHIP Section 2107(e)(1) of the Social Security Act (42 U.S.C. 1397gg(e)(1)) is amended— (1) by redesignating subparagraphs (H) through (U) as subparagraphs (I) through (V), respectively; and (2) by inserting after subparagraph (G) the following new subparagraph: (H) Section 1902(a)(88) (relating to regularly obtaining address information for enrollees).
each contract under a State plan with a managed care entity under section 1903(m) shall provide that the entity transmits to the State any address information for an individual enrolled with the entity that is provided to such entity directly from, or verified by such entity directly with, such individual.
Beginning January 1, 2026, the proposal would require a process for regularly obtaining addresses for people enrolled under a Medicaid state plan or a waiver of that plan. Reliable sources and responses to address changes would be governed by the cited federal regulation or its successor. This requirement would apply only to the 50 states and the District of Columbia; the bill itself does not specify how often “regularly” means.
(88) beginning January 1, 2026, provide for a process to regularly obtain address information for individuals enrolled under such plan (or a waiver of such plan) from reliable data sources (as described in section 435.919(f)(1)(iii) of title 42, Code of Federal Regulations (or a successor regulation)) and act on any changes to such an address based on such information in accordance with such section (or successor regulation), except that this paragraph shall only apply in the case of the 50 States and the District of Columbia.
The proposal would apply the new address-information requirement to CHIP by adding a reference to the new Medicaid provision in CHIP’s governing statute.
(b) Application to CHIP Section 2107(e)(1) of the Social Security Act (42 U.S.C. 1397gg(e)(1)) is amended— (1) by redesignating subparagraphs (H) through (U) as subparagraphs (I) through (V), respectively; and (2) by inserting after subparagraph (G) the following new subparagraph: (H) Section 1902(a)(88) (relating to regularly obtaining address information for enrollees).
Beginning January 1, 2026, each state-plan contract with a managed care entity covered by section 1903(m) would have to require the entity to send the state any enrollee address information obtained directly from that enrollee or verified directly with them.
(j) Transmission of address information Beginning January 1, 2026, each contract under a State plan with a managed care entity under section 1903(m) shall provide that the entity transmits to the State any address information for an individual enrolled with the entity that is provided to such entity directly from, or verified by such entity directly with, such individual.
The supplied actions snapshot, updated August 3, 2026, records introduction in the House and referral to the House Committee on Energy and Commerce on February 5, 2025.
Source snapshot updated 2026-08-03T20:52:20Z. 2025-02-05: Referred to the House Committee on Energy and Commerce. 2025-02-05: Introduced in House
A closer look
Reviewed version: Introduced in House · 2025-02-05. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.
This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.
Provisions outside the bill’s main subject, or policy changes attached to appropriations.
None identified in the reviewed text
No unrelated provision or policy change attached to appropriations was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.
Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.
None identified in the reviewed text
No congressionally directed spending for particular recipients or places was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials or resolve formal earmark status beyond the supplied evidence.
Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.
Findings to examine
The complete supplied introduced text contains a geographic exemption from a new duty that warrants scrutiny as a targeted benefit. This classification does not imply impropriety.
Jurisdictions outside the 50 states and the District of Columbia are excluded from the new paragraph (88) duty to regularly obtain enrollee address information and act on address changes. Those jurisdictions are the beneficiaries of this geographic carve-out from the bill’s main address-information policy. The supplied text establishes the exclusion from this new duty; without the referenced law, it does not establish which jurisdictions would otherwise be covered or what address-information obligations they already have. The exception expressly applies to paragraph (88), so it does not establish an exemption from the separate managed care transmission requirement.
(88) beginning January 1, 2026, provide for a process to regularly obtain address information for individuals enrolled under such plan (or a waiver of such plan) from reliable data sources (as described in section 435.919(f)(1)(iii) of title 42, Code of Federal Regulations (or a successor regulation)) and act on any changes to such an address based on such information in accordance with such section (or successor regulation), except that this paragraph shall only apply in the case of the 50 States and the District of Columbia.
(j) Transmission of address information Beginning January 1, 2026, each contract under a State plan with a managed care entity under section 1903(m) shall provide that the entity transmits to the State any address information for an individual enrolled with the entity that is provided to such entity directly from, or verified by such entity directly with, such individual.
Full text preserved for this analysis. Legislative record snapshot: Aug 3, 2026. How PlainBill uses AI