I 
119TH CONGRESS 
1ST SESSION H. R. 1403 
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 HOUSE OF REPRESENTATIVES 
FEBRUARY 18, 2025 
Mr. BILIRAKIS (for himself and Ms. CRAIG) 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 require 
States to verify certain eligibility criteria for individuals 
enrolled for medical assistance quarterly, and for other 
purposes. 
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 ‘‘Leveraging Integrity 
and Verification of Eligibility for Beneficiaries Act’’ or the 
‘‘LIVE Beneficiaries Act’’. 
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SEC. 2. MODIFYING CERTAIN STATE REQUIREMENTS FOR 
ENSURING DECEASED INDIVIDUALS DO NOT 
REMAIN ENROLLED. 
Section 1902 of the Social Security Act (42 U.S.C. 
1396a) is amended— 
(1) in subsection (a)— 
(A) in paragraph (86), by striking ‘‘; and’’ 
and inserting a semicolon; 
(B) in paragraph (87)(D), by striking the 
period at the end and inserting ‘‘; and’’; and 
(C) by inserting after paragraph (87) the 
following new paragraph: 
‘‘(88) provide that the State shall comply with 
the eligibility verification requirements under sub-
section (uu), except that this paragraph shall apply 
only in the case of the 50 States and the District 
of Columbia.’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(uu) VERIFICATION OF CERTAIN ELIGIBILITY CRI-
TERIA.— 
‘‘(1) IN GENERAL.—For purposes of subsection 
(a)(88), the eligibility verification requirements, be-
ginning January 1, 2027, are as follows: 
‘‘(A) QUARTERLY SCREENING TO VERIFY 
ENROLLEE STATUS.—The State shall, not less 
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frequently than quarterly, review the Death 
Master File (as such term is defined in section 
203(d) of the Bipartisan Budget Act of 2013) 
to determine whether any individuals enrolled 
for medical assistance under the State plan (or 
waiver of such plan) are deceased. 
‘‘(B) 
DISENROLLMENT
UNDER
STATE 
PLAN.—If the State determines, based on infor-
mation obtained from the Death Master File, 
that an individual enrolled for medical assist-
ance under the State plan (or waiver of such 
plan) is deceased, the State shall— 
‘‘(i) treat such information as factual 
information confirming the death of a ben-
eficiary for purposes of section 431.213(a) 
of title 42, Code of Federal Regulations (or 
any successor regulation); 
‘‘(ii) disenroll such individual from the 
State plan (or waiver of such plan); and 
‘‘(iii) discontinue any payments for 
medical assistance under this title made on 
behalf of such individual (other than pay-
ments for any items or services furnished 
to such individual prior to the death of 
such individual). 
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‘‘(C) REINSTATEMENT
OF
COVERAGE
IN 
THE EVENT OF ERROR.—If a State determines 
that an individual was misidentified as deceased 
based on information obtained from the Death 
Master File, and was erroneously disenrolled 
from medical assistance under the State plan 
(or waiver of such plan) based on such 
misidentification, the State shall immediately 
re-enroll such individual under the State plan 
(or waiver of such plan), retroactive to the date 
of such disenrollment. 
‘‘(2) RULE OF CONSTRUCTION.—Nothing under 
this subsection shall be construed to preclude the 
ability of a State to use other electronic data sources 
to timely identify potentially deceased beneficiaries, 
so long as the State is also in compliance with the 
requirements of this subsection (and all other re-
quirements under this title relating to Medicaid eli-
gibility determination and redetermination).’’. 
Æ 
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