Sponsor introductory remarks on measure. (CR S130)
Congressional Research Service
Official summary
Version 00 · Introduced in Senate · Jan 20, 2006
Medicare State Reimbursement Act of 2006 - Amends title XIX (Medicaid) of the Social Security Act with respect to required state reimbursements to the Secretary of Health and Human Services for federal assumption of Medicaid prescription drug costs for dual-eligible individuals (Medicaid clawback).
Requires an offset from the Medicaid clawback for state prescription drug expenditures for covered part D (Voluntary Prescription Drug Benefit Program) drugs for Medicare beneficiaries enrolled in a part D plan but unable to access on a timely basis benefits to which they were entitled.
Requires the Secretary to provide for recovery of payment reductions owing to such offset from those part D or Medicare Advantage-Prescription Drug (MA-PD) plans that would otherwise be responsible for the expenditures made by the states.
Sponsor introductory remarks on measure. (CR S130)
Read twice and referred, under authority of the order of the Senate of Jan. 18, 2006, to the Committee on Finance. (text of measure as introduced: CR 1/24/2006 S24)
Sponsor introductory remarks on measure. (CR 1/24/2006 S23-24)
Introduced in Senate
Primary sources
Bill text & related measures
Text links open the official source. We currently store references to these documents.
Source last updated: Feb 10, 2026. Consult Congress.gov for the current record.
AI Conversation Starters
Explore the bill from different angles
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.
Neutral evidence review
Objective
Analyze S.2181 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.
View full prompt & sources
Fairness and public impact
Progressive lens
Examine S.2181 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.
View full prompt & sources
Institutions and government scope
Conservative lens
Examine S.2181 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.
View full prompt & sources
Individual rights and government power
Liberty lens
Examine S.2181 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.