To amend title XIX of the Social Security Act to require States to take into account performance when assigning individuals to managed care entities under the Medicaid program.
About This Bill
Committee
Latest Action · June 18, 2026
Referred to the House Committee on Energy and Commerce.
The Better Care, Better Cost Act would require states to consider the performance of managed care organizations when automatically assigning Medicaid patients to health plans. Currently, states can assign patients based on factors like geographic convenience, but this bill would mandate they use performance scores based on measures such as medical costs, hospital readmission rates, emergency department visits, and patient satisfaction. Each state would establish its own performance evaluation system and publish annual reports showing how performance-based assignments affect enrollment decisions and reduce overall Medicaid spending. The requirement would take effect on January 1, 2028, giving states time to develop their evaluation systems. The legislation aims to direct Medicaid enrollees toward better-performing plans, potentially improving care quality and controlling costs.
Take Action
Your position
Add a comment
to comment on this bill.
Annotate the text
Highlight any passage on the Summary or Full Text tab to attach a note. Annotations appear on the Annotations tab.