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United States · Bill · S

S. 1787 (113th)

Medicaid Managed Care Responsibility and Equity Act

referredUnited States· United States Congress· EN

Introduced

10 December 2013

Last action

10 December 2013 · Introduced

Status

Read twice and referred to the Committee on Finance.

Sponsors

Sen. Rockefeller, John D., IV [D-WV]

Subjects

Healthcare

Source updated

12 August 2025

Healthcare

Summary

Medicaid Managed Care Responsibility and Equity Act - Amends titles XIX (Medicaid) and XXI (Children's Health Insurance) (CHIP) of the Social Security Act (SSA) with respect to managed care requirements. Requires a minimum medical loss ratio of at least 85% for Medicaid and CHIP managed care plans under contracts between a state and a managed medical care entity (health maintenance organization), but a minimum ratio of only 80% for an entity in which at least 10% of the enrollees are optional targeted low-income children. Prescribes administrative penalties for failure to maintain such ratios. Applies the same minimum medical loss ratios to a state child health (CHIP) plan, except for a medical loss ratio of at least 80% for managed care organizations.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 10 December 2013

    Introduced

    Read twice and referred to the Committee on Finance.

    Source: IntroReferral

  2. 10 December 2013

    Introduced

    Introduced in Senate

    Source: IntroReferral

Votes

No vote records are attached yet.

Versions

Documents

3 official files

Introduced in Senate (text)

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  • Introduced in Senate (text)

    Introduced in Senate · EN · 10 December 2013

    ViewDownloadOpen at official source

  • Introduced in Senate (PDF)

    Introduced in Senate · EN · 10 December 2013

    ViewDownloadOpen at official source

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  • Introduced in Senate

    summary · EN · 10 December 2013

    Open at official source

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Sponsors

Related records

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Sources

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