II 

118TH CONGRESS 

2D SESSION S. 5547 

To amend title XIX of the Social Security Act to require States to verify 

certain eligibility criteria for individuals enrolled for medical assistance 

quarterly, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

DECEMBER 17 (legislative day, DECEMBER 16), 2024 

Mr. SCOTT of Florida introduced the following bill; which was read twice and 

referred to the Committee on Finance 

A BILL 

To amend title XIX of the Social Security Act to require 

States to verify certain eligibility criteria for individuals 

enrolled for medical assistance quarterly, and for other 

purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Leveraging Integrity 

5 and Verification of Eligibility for Beneficiaries Act’’ or the 

6 ‘‘LIVE Beneficiaries Act’’. 


ssavage on LAPJG3WLY3PROD with BILLS
2 

•S 5547 IS

1 SEC. 2. VERIFICATION OF CERTAIN ELIGIBILITY CRITERIA 

2 FOR INDIVIDUALS ENROLLED FOR MEDICAL 

3 ASSISTANCE. 

4 Section 1902 of the Social Security Act (42 U.S.C. 

5 1396a) is amended— 

6 (1) in subsection (a)— 

7 (A) in paragraph (86), by striking ‘‘; and’’ 

8 and inserting a semicolon; 

9 (B) in paragraph (87)(D), by striking the 

10 period at the end and inserting ‘‘; and’’; and 

11 (C) by inserting after paragraph (87)(D) 

12 the following new paragraph: 

13 ‘‘(88) provide that the State shall comply with 

14 the eligibility verification requirements under sub15 section (uu), except that this paragraph shall apply 

16 only in the case of the 50 States and the District 

17 of Columbia.’’; and 

18 (2) by adding at the end the following new sub19 section: 

20 ‘‘(uu) VERIFICATION OF CERTAIN ELIGIBILITY CRI21 TERIA.— 

22 ‘‘(1) IN GENERAL.—For purposes of subsection 

23 (a)(88), the eligibility verification requirements, be24 ginning January 1, 2026, are as follows: 

25 ‘‘(A) QUARTERLY SCREENING TO VERIFY

26 ENROLLEE STATUS.—The State shall, not less 


ssavage on LAPJG3WLY3PROD with BILLS
3 

•S 5547 IS

1 frequently than quarterly, review the Death 

2 Master File (as such term is defined in section 

3 203(d) of the Bipartisan Budget Act of 2013) 

4 to determine whether any individuals enrolled 

5 for medical assistance under the State plan (or 

6 waiver of such plan) are deceased. 

7 ‘‘(B) DISENROLLMENT UNDER STATE

8 PLAN.—If the State determines, based on infor9 mation obtained from the Death Master File, 

10 that an individual enrolled for medical assist11 ance under the State plan (or waiver of such 

12 plan) is deceased, the State shall— 

13 ‘‘(i) treat such information as factual 

14 information confirming the death of a ben15 eficiary for purposes of section 431.213(a) 

16 of title 42, Code of Federal Regulations (or 

17 any successor regulation); 

18 ‘‘(ii) disenroll such individual from the 

19 State plan (or waiver of such plan); and 

20 ‘‘(iii) discontinue any payments for 

21 medical assistance under this title made on 

22 behalf of such individual (other than pay23 ments for any items or services furnished 

24 to such individual prior to the death of 

25 such individual). 


ssavage on LAPJG3WLY3PROD with BILLS
4 

•S 5547 IS

1 ‘‘(C) REINSTATEMENT OF COVERAGE IN

2 THE EVENT OF ERROR.—If a State determines 

3 that an individual was misidentified as deceased 

4 based on information obtained from the Death 

5 Master File, and was erroneously disenrolled 

6 from medical assistance under the State plan 

7 (or waiver of such plan) based on such 

8 misidentification, the State shall immediately 

9 reenroll such individual under the State plan 

10 (or waiver of such plan), retroactive to the date 

11 of such disenrollment. 

12 ‘‘(2) RULE OF CONSTRUCTION.—Nothing under 

13 this subsection shall be construed to preclude the 

14 ability of a State to use other electronic data sources 

15 to timely identify potentially deceased beneficiaries, 

16 so long as the State is also in compliance with the 

17 requirements of this subsection (and all other re18 quirements under this title relating to Medicaid eli19 gibility determination and redetermination).’’. 

Æ 


ssavage on LAPJG3WLY3PROD with BILLS