The Medicaid Equal Standards Act would require states to implement an asset test for people newly eligible under Medicaid expansion, meaning individuals would need to have resources below a certain threshold to qualify for coverage. Starting in 2029, the base asset limit would be set at $10,000 per person (or $20,000 for married couples), with this amount adjusted every four years based on inflation. States would have flexibility to set their own lower limits or count additional assets that are normally excluded from such tests, and these decisions would not require federal approval. The bill targets the expansion population—individuals who became eligible for Medicaid under the Affordable Care Act—and would not affect eligibility for other Medicaid groups or reduce federal matching payments to states based on asset test denials.
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