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Proposed Bill to Block Changes to Health Insurance Eligibility Rules

Original title: HR 5336: Bill to Block HHS Rule on Health Insurance Eligibility

Record date · December 17, 2024

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

This bill would prevent the U.S. Department of Health and Human Services (HHS) from finalizing or enforcing a proposed rule that would change how '' is determined for health insurance eligibility. If passed, the government would be prohibited from implementing the specific regulatory changes proposed by the Centers for Medicare & Medicaid Services (CMS) in April 2023.

Why it matters

The bill directly impacts the eligibility criteria for individuals seeking enrollment in s, Medicaid, and the Children's Health Insurance Program (CHIP) by freezing current standards and preventing the adoption of new federal definitions for .

Background
  • Mr. Pfluger is a member of the U.S. House of Representatives representing Texas's 11th congressional district. context
  • The Centers for Medicare & Medicaid Services (CMS) is an agency within the U.S. Department of Health and Human Services that administers federal health programs. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Department of Health and Human Services

The agency is legally barred from finalizing or enforcing the specified proposed rule.

Directly affected

Individuals seeking health insurance enrollment

The bill maintains existing standards for determining 'lawful presence' for eligibility in federal health programs.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What specific rule does this bill try to stop?
It targets a rule proposed by CMS on April 26, 2023, regarding how '' is determined for health insurance eligibility.
Which health programs would be affected if this rule were allowed to proceed?
The rule concerns eligibility for s, , , the , Medicaid, and the Children's Health Insurance Program.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently filed. The next step in the legislative lifecycle is Committee.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Regulatory Blocking

The bill uses a direct prohibition mechanism to halt a specific administrative rulemaking process initiated by CMS.

Connected Entities

Congress, 88 Fed. Reg., Mr. Pfluger and 9 more
OrganizationCongress“The legislative body that considered the bill.”Map →
other88 Fed. Reg.“The Federal Register publication number.”Map →
PersonMr. Pfluger“Introduced the bill in the House of Representatives.”Map →
OrganizationHouse of Representatives“The legislative body that considered the bill.”Map →
otherFederal Register“Where the proposed rule was published.”Map →
OrganizationHouse Ways and Means Committee“Committee that considered the bill.”Map →
OrganizationHouse Energy and Commerce Committee“Committee that considered the bill.”Map →
bill numberH.R. 5336“The official name of the bill.”Map →
OrganizationU.S. Government Publishing Office“Source of the document.”Map →
OrganizationHealth and Human Services“The agency responsible for implementing the rule.”Map →
OrganizationSenate“The legislative body that will consider the bill.”Map →
OrganizationCenters for Medicare & Medicaid Services“The agency that proposed the rule.”Map →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy75
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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