Bill · H.R. 9532· House(119-HR-9532)
No Medicare Clawbacks Act of 2026
- Introduced
- 6/29/2026
- Last activity
- 6/29/2026 — Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- Sponsored by
- Ritchie Torres
- Cosponsors
- - 1 - 0
- Introduced
- In Committee
What this bill would do
This bill, known as the ``No Medicare Clawbacks Act of 2026'', aims to amend title XVIII of the Social Security Act. It seeks to prohibit certain group health plan payment clawbacks. Specifically, it targets situations where an individual is entitled to benefits under section 226(a) and is also enrolled in a group health plan. The legislation prevents plans from later recouping payments made for items or services provided during a period of retroactive coverage of part A benefits. This restriction applies if the individual was not behind on employee contributions at the time the item or service was furnished.
Yes· 3 of 4
Would people over 65 be better off under this?+5
The bill protects seniors from losing money to group health plan clawbacks during periods of retroactive Medicare Part A coverage.
Would retired people be better off under this?+5
The bill prevents health plans from recouping payments from retirees during periods of retroactive Medicare coverage.
Would middle-income households be better off under this?+3
The bill provides financial predictability for middle-income workers enrolled in group health plans who may later qualify for Medicare.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Protection against payment recoupment: The bill prevents group health plans from later seeking to take back all or part of a payment made for an item or service (Section 2. Subclause (II)). This is a benefit for individuals who are entitled to benefits and enrolled in a group health plan, provided the service happened during a period of retroactive coverage of part A benefits.
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Financial stability for individuals not behind on contributions: The prohibition on clawbacks applies if the individual was not behind on any employee contributions owed for their enrollment in the plan at the time the service was provided (Section 2. Subclause (II)(bb)).
Potential Negative Impacts for People
- No negative impacts are explicitly stated in the text: The provided text does not list any specific provisions that would result in negative consequences or burdens for individuals or groups.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Retirees+5Good For Seniors+5Good For Middle Class Households+3
- Healthcare
- Increases Medicare Funding+1
- 6/29/2026
- Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 1 Cosponsor added.
- Introduced in House
Yvette ClarkeDemocrat · New York