What This Bill Does
This bill requires the Secretary of Health and Human Services to update guidance for states about how to address social determinants of health (factors like poverty, housing and education that affect health) through Medicaid and the Children's Health Insurance Program. The Secretary must issue this updated guidance within 3 years and update it again at least every 3 years after that.
Who It Affects
State Medicaid agencies, state health officials, managed care entities (private companies that provide health insurance), and children receiving health assistance through Medicaid or the Children's Health Insurance Program.
Key Provisions
• The Secretary of Health and Human Services must update guidance to clarify strategies states can use under existing federal law to address social determinants of health in Medicaid and the Children's Health Insurance Program (Sec. 2)
• The updated guidance must include advice to state Medicaid agencies about strategies to address social determinants of health, with specific focus on children receiving medical assistance (Sec. 2)
• The guidance must explain how states can encourage and incentivize managed care entities (private companies providing health insurance) to address social determinants of health through their contracts (Sec. 2)
• The guidance must include updated examples from states showing how they are already addressing social determinants of health through different payment models (Sec. 2)
What Changes
States will receive clearer federal guidance about existing strategies and authorities they can use to address social determinants of health in their Medicaid and Children's Health Insurance programs.
Important Definitions
None defined in bill text
Effective Date
Not specified in bill text
I
118TH CONGRESS
1ST SESSION H. R. 1066
To require the Secretary of Health and Human Services to issue and dissemi-
nate guidance to States to clarify strategies to address social deter-
minants of health under the Medicaid program and the Children’s Health
Insurance Program, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 17, 2023
Ms. BLUNT ROCHESTER (for herself and Mr. BILIRAKIS) introduced the
following bill; which was referred to the Committee on Energy and Commerce
A BILL
To require the Secretary of Health and Human Services
to issue and disseminate guidance to States to clarify
strategies to address social determinants of health under
the Medicaid program and the Children’s Health Insur-
ance Program, and for other purposes.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Collecting and Ana-
4
lyzing Resources Integral and Necessary for Guidance for
5
Social Determinants Act of 2023’’ or the ‘‘CARING for
6
Social Determinants Act of 2023’’.
7
VerDate Sep 11 2014
07:31 Mar 07, 2023
Jkt 039200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H1066.IH
H1066
kjohnson on DSK79L0C42PROD with BILLS
2
•HR 1066 IH
SEC. 2. REQUIREMENT TO ISSUE GUIDANCE TO CLARIFY
1
STRATEGIES TO ADDRESS SOCIAL DETER-
2
MINANTS OF HEALTH IN THE MEDICAID PRO-
3
GRAM AND THE CHILDREN’S HEALTH INSUR-
4
ANCE PROGRAM.
5
Not later than 3 years after the date of the enact-
6
ment of this Act, and not less frequently than once every
7
3 years thereafter, the Secretary of Health and Human
8
Services shall update the State Health Office letter 21–
9
001, issued on January 7, 2021, to clarify strategies to
10
address social determinants of health under the Medicaid
11
program and the Children’s Health Insurance Program.
12
Such update shall include the following:
13
(1) Guidance to State Medicaid agencies re-
14
garding the strategies that States can implement
15
under authorities in existence as of such update
16
under title XIX of the Social Security Act, title XXI
17
of such Act, or section 1115 of such Act to address
18
social determinants of health in the provision of
19
health care, including strategies specifically tar-
20
geting children receiving medical assistance under a
21
State plan under title XIX of such Act (or a waiver
22
of such plan) or child health assistance under a
23
State child health plan under title XXI of such Act.
24
(2) Guidance on how States can encourage and
25
incentivize managed care entities to address social
26
kjohnson on DSK79L0C42PROD with BILLS
3
•HR 1066 IH
determinants of health through contracts with such
1
entities.
2
(3) Updated examples from States with respect
3
to how States are addressing social determinants of
4
health in the provision of health care under the Med-
5
icaid program under title XIX of the Social Security
6
Act and the Children’s Health Insurance Program
7
under title XXI of such Act, including through pay-
8
ment models.
9
Æ
VerDate Sep 11 2014
07:31 Mar 07, 2023
Jkt 039200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6301
E:\BILLS\H1066.IH
H1066
kjohnson on DSK79L0C42PROD with BILLS