US SB1720

Removes the Medicaid coverage exclusion for individuals in custody pending disposition of charges (pre-trial detainees), allowing them to receive federal Medicaid benefits while awaiting trial

Takes effect on the first day of the first calendar quarter beginning 60 days or more after enactment, with a conforming amendment effective January 2, 2026

Prohibits states from terminating Medicaid eligibility solely because an individual is an inmate of a public institution, though states may suspend coverage during incarceration

Authorizes $50 million for planning grants to help states implement the expanded coverage, including developing provider networks, electronic health record systems, and infrastructure for treating pre-trial detainees

Requires grant applicants to consult with stakeholders including Medicaid agencies, managed care plans, health care providers, law enforcement, jail officials, and beneficiary advocates when preparing implementation plans