Bill > HR936

This bill modifies the Medicaid waiver process under Section 1115 of the Social Security Act, giving states more flexibility to create experimental healthcare programs. Specifically, states can now approve their own demonstration projects that allow enrolled individuals to receive an electronic benefits transfer (EBT) card with funds for primary care services and medications, with any unused funds returned to the participant at year's end. Participants would also be enrolled in a catastrophic insurance program to cover additional services. The bill includes important restrictions: federal expenditures must not increase, and the project cannot fund abortions except in cases of life-saving medical necessity, rape, or incest. This change essentially allows states to design more personalized Medicaid programs with more direct financial control given to participants, potentially introducing market-like dynamics into healthcare service delivery. The bill maintains federal oversight by requiring that total healthcare spending remains neutral or decreases, while giving states unprecedented autonomy in designing their Medicaid demonstration projects.

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https://www.congress.gov/bill/119th-congress/house-bill/936/all-info