Medicaid State Flexibility Bill
Official: Medicaid Improvement and State Flexibility Act of 2025
This bill gives states more power to create and manage specific Medicaid projects, allowing for more tailored healthcare solutions. It aims to improve flexibility in how Medicaid funds are used while keeping costs in check.
Medicaid Improvement and State Flexibility Act of 2025This bill authorizes states to approve their own experimental, pilot, or demonstration project under Medicaid if the project provides certain benefits involving electronic benefits transfer (EBT) cards. (Currently, the Centers for Medicare & Medicaid Services approves Medicaid demonstration projects; such projects are also known as Section 1115 Demonstrations.) Specifically, the project must provide enrollees who elect to participate with an EBT card to purchase primary care services; enrollees must receive any remaining balance at the end of the year in the form of a cash payment and must also obtain catastrophic health insurance.
1. This bill allows states to approve special projects under the Medicaid program. 2. States can create projects that provide cash payments and benefits cards for healthcare. 3. These projects must not cost the federal government more than current Medicaid spending. 4. The bill restricts funding for abortions, allowing exceptions only for specific circumstances. 5. States have more control over how they implement Medicaid services.
Individuals enrolled in Medicaid who may benefit from new healthcare options.