,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #dfba  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #h1 #bjai,ms4 
,blunt ,ro*e/] 7= h]self & ,mr4         
,bilirakis7 introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce  ,a ,,bill  ,to require !      
,secret>y ( ,heal? & ,human ,s]vices to 
issue & dissem9ate guidance to ,/ates to
 cl>ify /rategies to address social     
det]m9ants ( heal? "u ! ,m$icaid program
 & ! ,*ildr5's ,heal? ,insurance        
,program1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z !         
,collect+ & ,analyz+ ,res\rces ,integral
 & ,necess>y = ,guidance = ,social      
,det]m9ants ,act ( #bjai or ! ,,c>+ =   
,social ,det]m9ants ,act ( #bjai4  #b4  
,f9d+s2 purpose  7a7 ,f9d+s ,congress   
makes ! foll[+ f9d+s3 7#a7 ,social      
det]m9ants ( heal? are ! conditions 9   
:i* p are born1 gr[1 live1 play1 "w &   
age2 !y include factors l socioeconomic 
/atus1 education1 h\s+1 transportation1 
nutrition & lit]acy4  7#b7 ,rese>* has  

%[n t address+ social det]m9ants ( heal?
 is important = improv+ ov]all heal? &  
r$uc+ heal? inequities4  7#c7 ,social   
det]m9ants t negatively impact heal? c h
 h>mful neurodevelopm5tal & biological  
consequ5ces t develop 9 *ildhood &      
manife/ 9 adul?ood4  7#d7 ,!re is a gr[+
 body ( evid5ce sugge/+ t policies t    
specifically address social ne$s1       
includ+ policies t>get+ *ildr5 &        
families1 c improve community heal?     
outcomes & h ! pot5tial to r$uce heal?  
c>e sp5d+4  7#e7 ,"s ,/ate ,m$icaid     
programs h begun te/+ innovative deliv]y
 & paym5t models design$ to improve     
heal? outcomes & r$uce co/s by implem5t+
 /rategies to address social det]m9ants 
( heal? "u exi/+ ,m$icaid au?orities z  
well z ?r\gh ! use ( waiv]s1 ?\gh paym5t
 inc5tives l9k$ to social det]m9ant (   
heal? are n common4  7#f7 ,despite a    
gr[+ focus on social det]m9ants ( heal? 
9 ,/ate manag$ c>e contracts1 mo/ ,/ates
 d n provide necess>y guidance = manag$ 
c>e organizations z to h[ !y may use    

exi/+ au?ority "u ,f$]al law to provide 
pati5ts ) s]vices t c improve heal? by  
address+ social det]m9ants4  7#g7 ,c5t]s
 = ,m$ic>e  ,m$icaid ,s]vices guidance &
 te*nical assi/ance are critical tools t
 c\ld increase adoption ( /rategies to  
address social det]m9ants ( heal? among 
,/ate ,m$icaid ag5cies4  7b7 ,purposes  
,x is ! purpose ( ?is ,act to provide   
,/ates ) additional op]ational cl>ity & 
examples ( ! /rategies !y c lev]age     
?r\gh exi/+ au?ority & waiv]s to address
 social det]m9ants ( heal? = ! ,m$icaid 
population4  #c4 ,requirem5t to issue   
guidance to cl>ify /rategies to address 
social det]m9ants ( heal? 9 ! ,m$icaid  
program & ! ,*ildr5's ,heal? ,insurance 
,program  ,n lat] ?an #b ye>s aft] !    
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,heal? & ,human ,s]vices    
%all issue & dissem9ate guidance to     
,/ates to cl>ify /rategies to address   
social det]m9ants ( heal? "u ! ,m$icaid 
program & ! ,*ildr5's ,heal? ,insurance 
,program4 ,su* guidance %all include !  

foll[+3  7#a7 ,guidance & te*nical      
assi/ance to ,/ate ,m$icaid ag5cies     
reg>d+ ! /rategies t ,/ates c implem5t  
"u exi/+ au?orities "u title ,,xi1      
,,xix1 or ,,xxi ( ! ,social ,security   
,act1 or ?r\gh waiv]s1 to address social
 det]m9ants ( heal? 9 ! provision (     
heal? c>e1 includ+ /rategies            
specifically t>get+ ! p$iatric          
population4  7#b7 ,guidance & te*nical  
assi/ance on h[ ,/ates c enc\rage &     
inc5tivize manag$ c>e organizations to  
address social det]m9ants ( heal? ?r\gh 
contracts ) su* organizations4  7#c7 ,a 
comp5dium ( examples f ,/ates ) respect 
to h[ ,/ates are curr5tly address+      
social det]m9ants ( heal? 9 ! provision 
( heal? c>e "u ! ,m$icaid program & !   
,*ildr5's ,heal? ,insurance ,program1   
includ+ ?r\gh paym5t models4