This bill would increase federal Medicaid funding to states by providing 100 percent reimbursement for costs related to outreach and enrollment activities under the Medicaid program. Currently, the federal government shares these costs with states at a lower reimbursement rate. The legislation is motivated by concerns that recent changes to Medicaid rules, including new work requirements and more frequent eligibility reviews passed in 2025, have created administrative barriers that may cause eligible individuals to lose coverage or fail to enroll. The bill specifically aims to help states hire navigators and support staff to assist people in understanding and complying with these new requirements, particularly for vulnerable populations including children, working families, and older adults. The increased federal payments would begin immediately upon the bill's enactment and apply to all calendar quarters going forward, with no specified spending cap or sunset date.
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