I 
119TH CONGRESS 
1ST SESSION H. R. 2586 
To amend title XIX of the Social Security Act to allow States to make 
medical assistance available to inmates during the 30-day period pre-
ceding their release. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 1, 2025 
Mr. TONKO (for himself, Mr. TURNER of Ohio, Ms. PETTERSEN, Mr. RUTH-
ERFORD, Mr. AMO, Ms. ANSARI, Mr. BACON, Ms. BALINT, Ms. 
BARRAGA´N, Ms. BONAMICI, Ms. BROWNLEY, Mr. CAREY, Mr. CISCOMANI, 
Ms. CLARKE of New York, Mr. COSTA, Mr. CONNOLLY, Ms. CRAIG, Ms. 
CROCKETT, Ms. DAVIDS of Kansas, Ms. DEAN of Pennsylvania, Ms. 
DELBENE, Mr. DOGGETT, Mrs. FISCHBACH, Mr. FITZPATRICK, Mr. 
GOLDMAN of New York, Mr. HARDER of California, Mr. HORSFORD, Ms. 
JAYAPAL, Mr. KEATING, Mr. KRISHNAMOORTHI, Mr. LALOTA, Mr. 
LANDSMAN, Mr. LAWLER, Mr. LYNCH, Mr. MAGAZINER, Ms. MCCLEL-
LAN, Mr. MCGARVEY, Mr. MOULTON, Mr. NADLER, Mr. NORCROSS, Ms. 
NORTON, Ms. OCASIO-CORTEZ, Ms. PINGREE, Mr. QUIGLEY, Mrs. RAMI-
REZ, Ms. SALINAS, Ms. SCHAKOWSKY, Mr. SCHMIDT, Mr. SCHNEIDER, 
Ms. SCHRIER, Mr. SMITH of Washington, Ms. STANSBURY, Mr. THOMP-
SON of Pennsylvania, Mrs. TRAHAN, Ms. UNDERWOOD, Mr. VAN DREW, 
Ms. WASSERMAN SCHULTZ, Ms. WATERS, Mrs. WATSON COLEMAN, Ms. 
WILLIAMS of Georgia, Mr. YAKYM, and Mr. VEASEY) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce 
A BILL 
To amend title XIX of the Social Security Act to allow 
States to make medical assistance available to inmates 
during the 30-day period preceding their release. 
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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 ‘‘Reentry Act of 2025’’. 
SEC. 2. ALLOWING FOR MEDICAL ASSISTANCE UNDER MED-
ICAID FOR INMATES DURING 30-DAY PERIOD 
PRECEDING RELEASE. 
(a) IN GENERAL.—The subdivision (A) following the 
last numbered paragraph of section 1905(a) of the Social 
Security Act (42 U.S.C. 1396d(a)) is amended by insert-
ing ‘‘or in the case of any individual during the 30-day 
period preceding the date of release of such individual 
from such public institution’’ before ‘‘);’’. 
(b) REPORT.—Not later than 18 months after the 
date of enactment of this Act, the Medicaid and CHIP 
Payment and Access Commission shall submit a report to 
Congress on the Medicaid inmate exclusion under the sub-
division (A) following the last numbered paragraph of sec-
tion 1905(a) of the Social Security Act (42 U.S.C. 
1396d(a)). Such report shall, to the extent practicable, in-
clude the following information: 
(1) PROVISION
OF
CARE
IN
CORRECTIONAL 
SETTINGS.—An analysis and description of stand-
ards for health and safety for individuals who are in-
mates of correctional facilities, the health care pro-
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iting practices relevant to health care services 
provided by correctional facilities to individuals 
who are inmates of such facilities, in compari-
son to major community health care facility ac-
crediting bodies. 
(2) IMPACT
OF
THE
REENTRY
ACT; REC-
OMMENDATIONS FOR ADDITIONAL ACTION.— 
(A) The number of incarcerated individuals 
who would otherwise be eligible to enroll for 
medical assistance under a State plan approved 
under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) (or a waiver of such a 
plan). 
(B) An analysis of the preliminary impact 
of the amendment made by subsection (a) on 
health care coverage and the transition back 
into the community for individuals who are 
newly released from correctional facilities. 
(C) A description of current practices re-
lated to the discharge of incarcerated individ-
uals, including how correctional facilities inter-
act with State Medicaid agencies to ensure that 
such individuals who are eligible to enroll for 
medical assistance under a State plan or waiver 
described in subparagraph (A) are so enrolled. 
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(D) If determined appropriate by the Com-
mission, recommendations for Congress, the 
Department of Health and Human Services, or 
States on further legislative or administrative 
actions to— 
(i) ensure access to comprehensive 
health coverage for incarcerated and newly 
released individuals, including an assess-
ment of the impact of the Medicaid inmate 
exclusion; and 
(ii) better facilitate an effective transi-
tion to community services and addiction 
treatment for newly released individuals. 
(E) Any other information that the Com-
mission determines would be useful to Con-
gress. 
Æ 
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