PlainBillCongress, translated.Legislation. Context. Public interest.Referred to the Subcommittee on Health.
Congressional Research Service
Version 00 · Introduced in House · Jun 25, 2008
Medicare Special Needs Plans Extension and Amendments Act of 2008 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSA) to extend the authority to restrict enrollment for specialized Medicare Advantage (MA) plans for special needs individuals.
Redefines “specialized MA plan for special needs individuals” to require targeted enrollment of high-risk groups.
Directs the Secretary of Health and Human Services to enter into agreements with states to coordinate the financing of specialized MA plans for special needs individuals for enrollees entitled to medical assistance under state Medicaid plans.
Showing the opening paragraphs of the official summary.
Establishes additional requirements for dual special needs plans (SNPs) as well as for severe or disabling chronic condition SNPs.
Directs the Secretary to evaluate for Congress the adequacy of the MA risk adjustment system for high-risk, high cost beneficiaries.
Authorizes the Secretary to modify rules, policies, and procedures under SSA titles XVIII and XIX (Medicaid) to provide for alignment of Medicare and Medicaid requirements for dual eligibles, particularly in the oversight of SNPs serving such dual eligibles.
Directs the Secretary to etablish or designate an Office on Medicare/Medicaid Integration to align Medicare and Medicaid policies and procedures and develop tools to support state integration efforts for dual eligible access to Medicare and Medicaid benefits and services.
People & committees
Rep. Kind, Ron [D-WI-3] · D–WI
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Referred to the Subcommittee on Health.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Introduced in House
Primary sources
Text links open the official source. We currently store references to these documents.
No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Aug 14, 2025. Consult Congress.gov for the current record.
AI Conversation Starters
Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.
Analyze H.R.6365 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.6365 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.
Examine H.R.6365 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.
Examine H.R.6365 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.