What does Preamble of Better Care, Better Cost Act do?

This bill proposes to amend title XIX of the Social Security Act. The proposed amendment would require states to consider performance when assigning individuals to managed care entities within the Medicaid program.

What does SHORT TITLE. of Better Care, Better Cost Act do?

This bill is formally titled the Better Care, Better Cost Act.

What does REQUIRING STATES TO TAKE INTO ACCOUNT PERFORMANCE WHEN of Better Care, Better Cost Act do?

This section amends Section 1932(a)(4) of the Social Security Act to require states to consider the performance score of managed care entities when assigning individuals to those entities under the Medicaid program. States must establish a system to evaluate the performance of managed care entities participating in the state plan or waiver. States are required to annually publish a report evaluating differences in enrollment decisions considering performance scores and quantifying any resulting expenditure reductions. The performance score for each managed care entity will be based on cost, outcome, and individual satisfaction measures determined by the state. These measures may include expenditures for medical assistance, potentially avoidable hospital readmissions/emergency department visits/hospital admissions, and individual satisfaction/enrollment termination rates. The amendments will apply to enrollment of individuals in managed care entities on or after January 1, 2028.

Back to bills

Better Care, Better Cost Act

Last updated: 6/18/2026 · Introduced: 6/18/2026

Author: Craig Goldman (R-TX)

TL;DR (AI)

The bill mandates that states consider managed care entities' performance scores—based on cost, outcomes, and individual satisfaction—when assigning individuals within the Medicaid program.
States must establish and publicly report on a system evaluating managed care entity performance and the impact of performance scores on enrollment decisions and expenditures.
This legislation applies to new Medicaid managed care enrollments beginning on or after January 1, 2028.

119th Congressin committeeOfficial page

Verified Votes

No verified votes yet.

Community Votes

No community votes yet. Be the first!

Voting as guest · Sign in for verified votes

Other Sections

Includes provisions on preamble, short title., and 1 more.

3 sections

Click "Show details" to explore individual sections. Use the community vote above or visit All Sections to vote per section.

Read official text

Want the full experience?

Create a free account to cast verified votes on each section, get a personalized summary, and track your voting history.

Create Free Account