Encouraging the Prioritization of the Most Vulnerable Act

To amend title XIX of the Social Security Act to encourage the prioritization of the most vulnerable individuals under the Medicaid program. 1. Short title This Act may be cited as the Encouraging the Prioritization of the Most Vulnerable Act 2. Encouraging Medicaid demonstration projects to Focus on the most vulnerable patients (a) In general Section 1115 of the Social Security Act ( 42 U.S.C. 1315 (g) In making a determination using the authority under paragraph (2)(A) of subsection (a) (relating to treating costs that would not otherwise be included as expenditures under section 1903 and which are not included as part of the costs of projects under section 1110 as expenditures under the State plan or plans approved under title XIX) to approve an application or renewal of any experimental, pilot, or demonstration project undertaken under such subsection to promote the objectives of title XIX (referred to in this subsection as a Medicaid demonstration project (1) post on the website of the Centers for Medicare & Medicaid Services information regarding how any such approval prioritizes projects or programs have proven to be effective in improving the care or health outcomes of individuals who are uninsured, individuals eligible to receive medical assistance under a State plan under title XIX, or individuals whose household (2) collect from the State submitting such application or renewal, to the extent practicable, available data regarding the quality of care or health outcomes for the individuals served by such Medicaid demonstration project; (3) post on the website of the Centers for Medicare & Medicaid Services information regarding how such Medicaid demonstration project does not duplicate other Federal programs or Federal funding opportunities; and (4) collect from the State submitting such application or renewal, to the extent practicable, an analysis of the degree to which such Medicaid demonstration project, if at all, displaces efforts undertaken by private sector and charitable sector entities in such State to improve care and health outcomes for the individuals described in paragraph (1). . (b) Effective date The amendment made by subsection (a) shall apply with respect to applications or renewals submitted on or after January 1, 2021.

Summary: Encouraging the Prioritization of the Most Vulnerable Act This bill amend title XI (General Provisions) of the Social Security Act to require the Centers for Medicare & Medicaid Services (CMS), in approving Medicaid demonstration projects, to: post on its website information regarding how CMS prioritizes projects that have been proven effective in improving care and outcomes with respect to uninsured, Medicaid-eligible, or low-income individuals; collect, from a participating state, available data regarding the quality of care or health outcomes with respect to individuals served; post on its website information regarding how a project is not duplicative of any federal program or funding opportunity; and collect, from a participating state, an analysis of the degree to which such projects displace private and charitable sector efforts to improve care and outcomes with respect to uninsured, Medicaid-eligible, or low-income individuals.