Expand access to community health worker services by improving Medicare coverage and encouraging state Medicaid programs to cover those services.

Raul Ruiz · California · Democratic

policy impact 0.72 specificity 0.84 extraction confidence 92%

Commitment kind: outcome. Promised action: Introduce and support the Community Health Worker Access Act to improve Medicare coverage for community health worker services and encourage Medicaid coverage by states.. Promised outcome: Medicare beneficiaries would have improved coverage for community health worker services, and states would be encouraged to cover those services under Medicaid.. Deadline: unknown; not assumed expired. As U.S. Representative for California's 25th District, Raul Ruiz co-introduced federal legislation in the 2026 congressional term to expand community health worker service coverage under Medicare and Medicaid.

Occurrences

Today, Congresswoman Alma S. Adams, Ph.D. (NC-12), Congressman Raul Ruiz (CA-25) , and Senator Lisa Blunt Rochester (DE) introduced the Community Health Worker Access Act , legislation that would improve Medicare coverage for community health worker services and encourage states to cover these services under their Medicaid programs.

Ruiz joined the introduction of the Community Health Worker Access Act, which would expand Medicare coverage for community health worker services and encourage state Medicaid coverage of the same services.

Reps. Adams, Ruiz, Sen. Blunt Rochester Introduce Bill to Expand Access to Community Health Worker Services | Congresswoman Alma Adams
primary · press_release · model gpt-5.5

Evidence

verified · Source version 65479 · locator 1637

Bill Version Introduced in House (IH)

Fetched verbatim passage. AI summary (separate from source): GovInfo shows the Community Health Worker Access Act was only introduced and referred, so enactment has not occurred.

unresolved same_term A for effort

H.R. 10414 (IH) - Community Health Worker Access Act - BILLS-119hr10414ih | Content Details | GovInfo
primary · model gpt-5.5 · confidence 93%

verified · Source version 65479 · locator 1733

To amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs.

Fetched verbatim passage. AI summary (separate from source): The bill text directly matches the promise’s Medicare and Medicaid community-health-worker coverage objective.

unresolved same_term A for effort

H.R. 10414 (IH) - Community Health Worker Access Act - BILLS-119hr10414ih | Content Details | GovInfo
primary · model gpt-5.5 · confidence 94%

verified · Source version 65464 · locator 1823

legislation that would improve Medicare coverage for community health worker services and encourage states to cover these services under their Medicaid programs.

Fetched verbatim passage. AI summary (separate from source): The lookback window contains a new official congressional announcement naming Ruiz on legislation that mirrors the commitment, but it remains an attempt.

unresolved same_term A for effort

Reps. Adams, Ruiz, Sen. Blunt Rochester Introduce Bill to Expand Access to Community Health Worker Services | Congresswoman Alma Adams
primary · model gpt-5.5 · confidence 92%

verified · Source version 65481 · locator 1097

Your provider or their staff can give you the community health integration services or refer you to other trained personnel (including community health workers)

Fetched verbatim passage. AI summary (separate from source): Current Medicare materials show Part B coverage now includes community health integration services that may involve community health workers, supporting partial delivery on the Medicare side.

partial unknown

Medicare Community Health Services Coverage | Get Support
secondary · model gpt-5.5 · confidence 86%

verified · Source version 65483 · locator 5785

the first that are specifically designed to describe services involving community health workers, care navigators, and peer support specialists.

Fetched verbatim passage. AI summary (separate from source): CMS finalized Medicare payment codes specifically describing services involving community health workers, a partial administrative delivery of improved Medicare coverage.

partial unknown

Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule | CMS
secondary · model gpt-5.5 · confidence 88%

unverified · Source version 65485 · locator unknown

States and managed care plans can also design and implement managed care payment strategies to encourage managed care plans to consider specific CHW initiatives

Unverified model/legacy excerpt; not proof. AI summary (separate from source): CMS guidance identifies Medicaid managed-care strategies states can use for community health worker initiatives, supporting partial delivery of the state Medicaid encouragement component.

partial same_term

cib01152025.pdf
secondary · model gpt-5.5 · confidence 82%

Assessments

Public state: pending As of 2026-09-23 · verified · . Original AI recommendation (not independently established): unresolved. same_term A for effort

Ruiz is documented as introducing legislation intended to improve Medicare coverage for community health worker services and encourage state Medicaid coverage, and GovInfo shows the bill version is only Introduced in House. The verified evidence does not show enactment or an achieved coverage outcome attributable to Ruiz. Existing Medicare coverage evidence is not tied to Ruiz and predates this 2026 bill effort, so it cannot support delivery or partial credit for this occurrence.

provider codex_cli · model gpt-5.5 · confidence 92%