H.R. 8391

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8391 Introduced in House (IH)]

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119th CONGRESS
2d Session
H. R. 8391

To amend titles XVIII and XIX of the Social Security Act to require 
coverage of certain food and nutrition services under the Medicare and 
Medicaid programs.

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IN THE HOUSE OF REPRESENTATIVES

April 20, 2026

Mr. Ruiz introduced the following bill; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, 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

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A BILL

To amend titles XVIII and XIX of the Social Security Act to require 
coverage of certain food and nutrition services under the Medicare and 
Medicaid programs.

Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. REQUIRING COVERAGE OF CERTAIN FOOD AND NUTRITION SERVICES 
UNDER MEDICARE AND MEDICAID.

(a) Coverage Under Medicare.--
(1) In general.--Section 1861(s)(2) of the Social Security 
Act (42 U.S.C. 1395x(s)(2)) is amended--
(A) in subparagraph (JJ), by striking ``and'' at 
the end;
(B) in subparagraph (KK), by adding ``and'' at the 
end; and
(C) by adding at the end the following new 
subparagraph:
``(LL) food and nutrition services meeting such 
requirements as the Secretary shall specify;''.
(2) Payment.--Section 1833(a)(1) of the Social Security Act 
(42 U.S.C. 1395l(a)(1)) is amended--
(A) by striking ``and'' before ``(HH)''; and
(B) by inserting before the semicolon at the end 
the following: ``, and (II) with respect to specified 
food and nutrition services under section 
1861(s)(2)(LL), the amounts paid shall be equal to 80 
percent of the actual charge for the services''.
(3) Effective date.--The amendments made by this subsection 
shall apply to items and services furnished on or after the 
date that is 180 days after the date of the enactment of this 
section.
(b) Coverage Under Medicaid.--
(1) In general.--Section 1905(a) of the Social Security Act 
(42 U.S.C. 1396d(a)) is amended--
(A) in paragraph (31), by striking ``and'' at the 
end;
(B) by redesignating paragraph (32) as paragraph 
(33); and
(C) by inserting after paragraph (31) the following 
new paragraph:
``(32) food and nutrition services meeting such 
requirements as the Secretary shall specify; and''.
(2) Mandatory benefit.--Section 1902(a)(10)(A) of the 
Social Security Act (42 U.S.C. 1396a(a)(10)(A)) is amended, in 
the matter preceding clause (i), by striking ``and (30)'' and 
inserting ``(30), and (32)''.
(3) Effective date.--The amendments made by this subsection 
shall apply to items and services furnished on or after the 
date that is 180 days after the date of the enactment of this 
section.
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