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H.R. 497 119th Congress House

Medicaid Third Party Liability Act

Official title: To amend title XIX of the Social Security Act to provide clarification with respect to the liability of third party payers for medical assistance paid under th… Show full official titleShow less

Official title: To amend title XIX of the Social Security Act to provide clarification with respect to the liability of third party payers for medical assistance paid under the Medicaid program, and for other purposes.

Introduced: January 16, 2025 Introduced by: Dan Crenshaw Republican · Texas See on congress.gov
Health Child healthHealth care costs and insuranceMedicaidState and local government operations
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 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jan 16, 2025
Referred to the House Committee on Energy and Commerce.
Jan 16, 2025
Introduced in House
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What's happening now January 16, 2025

Referred to the House Committee on Energy and Commerce.

 Plain-English summary Congressional Research Service

Medicaid Third Party Liability Act

This bill modifies requirements relating to Medicaid third-party liability.

Current law generally requires legally liable third parties (e.g., health insurers) to pay claims before Medicaid. However, Medicaid must pay first (and seek reimbursement from liable third parties) for claims for (1) preventive pediatric care, and (2) services for an individual for whom child support enforcement is being conducted by the state. The bill repeals these exceptions.

Current law also requires state Medicaid programs to take all reasonable measures to identify legally liable third parties. The bill specifically prohibits federal Medicaid payment for services to individuals for whom third-party insurance information was not obtained and verified by the state.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
 Lobbying activity 7

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APA
U.S. Congress. (2026). H.R. 497: Medicaid Third Party Liability Act. 119th Congress. Open America. https://openamerica.io/bill/119-HR-497/
MLA
"H.R. 497: Medicaid Third Party Liability Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-497/.
Bluebook (legal)
H.R. 497, 119th Cong. (2026), https://openamerica.io/bill/119-HR-497/.
Markdown link
[H.R. 497: Medicaid Third Party Liability Act](https://openamerica.io/bill/119-HR-497/)
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