Care That’s Fair Act

To amend title XIX of the Social Security Act to provide grants for support for States to identify and act on racial disparities, and for other purposes. 1. Short title This Act may be cited as the Care That’s Fair Act 2. Grants to support for States to identify and act on racial disparities under Medicaid Section 1946 of the Social Security Act (42 U.S.C. is amended by adding the following new subsection: (d) Support for States To identify and act on racial disparities (1) In general The Administrator is authorized to award grants to States in accordance with this section to analyze Medicaid claims and clinical data to study— (A) variation in Medicaid health outcomes and health care service utilization that are correlated to race and ethnicity for clinically similar patients; or (B) the contributing clinical and social factors to poor infant and maternal health outcomes in Medicaid. (2) State application A State seeking approval of a grant shall submit an application to the Administrator, after April 1, 2021, and prior to September 1, 2024, in such format as the Administrator requires. (3) Limitations No State shall receive— (A) more than one grant in any fiscal year; or (B) a grant that exceeds $500,000. (4) Action report Each State receiving a grant under this subsection must submit to the Administrator an action report no later than 2 fiscal years after being awarded the grant, which the Administrator must make public on the Centers for Medicare & Medicaid Services website and provide analysis comparing the results of the action reports across each grantee, taking into account variation in the demographics and clinical needs in each State. (5) Definitions For purposes of this section: (A) Administrator The term Administrator (B) State The term State (C) Clinically Similar The term clinically similar (D) Health Outcomes The term health outcomes (E) Health Care Service Utilization The term health care service utilization (F) Social Factors The term social factors (i) housing; (ii) transportation; (iii) food insecurity; (iv) environmental conditions; (v) economic insecurity; (vi) health literacy; (vii) family and community instability; and (viii) interpersonal violence. (G) Action Report The term action report (i) a summary at the aggregate level of the results from the State analysis performed under paragraph (1); (ii) a summary of the characteristics of the study, including population included, time period covered, methodologies used, and any limitations encountered; (iii) the actions the State plans to take or would like to take under the State Medicaid program in the next 5 years to address paragraph (1)(A) or (1)(B); and (iv) what regulatory barriers exist in enacting the steps under clause (ii). (6) Appropriations In general, there are appropriated, from any funds in the Treasury not otherwise appropriated, for grants to carry out this section— (A) $5,000,000 for fiscal year 2021; (B) $10,000,000 for fiscal year 2022; and (C) $10,000,000 for fiscal year 2023. .

Summary: Care That's Fair Act This bill authorizes and provides funds for a grant program to analyze racial and ethnic disparities or other factors that may affect health outcomes for Medicaid enrollees. Specifically, the Centers for Medicare & Medicaid Services may award grants to states to analyze (1) variations in health care outcomes and utilization that are related to race and ethnicity for clinically similar enrollees, or (2) clinical and social factors that contribute to poor infant and maternal health outcomes for enrollees.