I 
118TH CONGRESS 
2D SESSION 
H. R. 7573 
To amend title XIX of the Social Security Act to repeal the requirement 
that States establish a Medicaid Estate Recovery Program and to limit 
the circumstances in which a State may place a lien on a Medicaid 
beneficiary’s property. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 6, 2024 
Ms. SCHAKOWSKY (for herself, Ms. MATSUI, Ms. CLARKE of New York, Mrs. 
DINGELL, Mr. QUIGLEY, Mr. POCAN, Ms. SCANLON, Mr. GARCI´A of Illi-
nois, Ms. PRESSLEY, Ms. BARRAGA´N, Mr. GRIJALVA, Mrs. TRAHAN, Mr. 
COHEN, and Ms. OMAR) introduced the following bill; which was referred 
to the Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to repeal 
the requirement that States establish a Medicaid Estate 
Recovery Program and to limit the circumstances in 
which a State may place a lien on a Medicaid bene-
ficiary’s property. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Stop Unfair Medicaid 
Recoveries Act’’. 
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SEC. 2. LIENS, ADJUSTMENTS, AND RECOVERIES FOR MED-
ICAL ASSISTANCE. 
(a) LIENS.—Section 1917(a) of the Social Security 
Act (42 U.S.C. 1396p(a)) is amended— 
(1) in paragraph (1)— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘plan, except—’’ and inserting 
‘‘plan, except, subject to paragraph (4)—’’; and 
(B) in subparagraph (B), by striking ‘‘in 
the case of’’ and inserting ‘‘with respect to liens 
imposed before the date of the enactment of the 
Stop Unfair Medicaid Recoveries Act, in the 
case of’’; and 
(2) by adding at the end the following: 
‘‘(4) Notwithstanding any preceding provision of this 
subsection, not later than 90 days after the date of the 
enactment of this paragraph, a State shall— 
‘‘(A) withdraw any lien imposed under para-
graph (1)(B) that is in effect as of such date; and 
‘‘(B) notify each individual (or legal representa-
tive of such individual (or of such individual’s es-
tate)) subject to such a lien so withdrawn of the 
withdrawal of such lien.’’. 
(b) 
ADJUSTMENTS
AND
RECOVERIES.—Section 
1917(b) of the Social Security Act (42 U.S.C. 1396p(b)) 
is amended— 
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(1) in paragraph (1), by striking ‘‘except that’’ 
and inserting ‘‘except that, subject to paragraph 
(6),’’; and 
(2) by adding at the end the following: 
‘‘(6) Notwithstanding any preceding provision of this 
subsection, no adjustment or recovery of any medical as-
sistance correctly paid on behalf of an individual under 
the State plan may be initiated, maintained, or collected 
on or after the date of the enactment of this paragraph. 
Not later than 90 days after such date, a State shall— 
‘‘(A) withdraw any lien in effect as of such date 
with respect to such medical assistance correctly 
paid; and 
‘‘(B) notify each individual (or legal representa-
tive of such individual (or of such individual’s es-
tate)) subject to such a lien so withdrawn of the 
withdrawal of such lien and the prohibition on ad-
justment or recovery under this paragraph.’’. 
Æ 
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