H.R.9532

The No Medicare Clawbacks Act of 2026 prohibits group health plans from recouping payments for Medicare-covered services.

The No Medicare Clawbacks Act of 2026 amends title XVIII of the Social Security Act to prohibit group health plans from recouping payments for Medicare-covered services under specific conditions. This applies when an individual is entitled to Medicare benefits and is also enrolled in a group health plan. The bill ensures that if a group health plan initially pays for an item or service without considering the individual's Medicare entitlement, it cannot later recoup that payment if the service was provided during a period of retroactive coverage and the individual was not behind on any.