Strikes the budget neutrality provision for Section 1115 waivers.
Strike the budget neutrality provision for Section 1115 Medicaid waivers.
Occurrences
Ms. PETTERSEN (for herself and Mr. VAN DREW) introduced the following bill ... To amend Public Law 119-21 to repeal the budget neutrality requirement for certain Medicaid demonstration projects.
introduced the following bill; which was referred to the Committee on Energy and Commerce
Evidence
legacy_unverified · Source version not recorded · locator unknown
The official homepage's latest visible news items are dated June 12 and June 9, 2026, and concern ICE detention, ICE funding, and other non-Medicaid issues; no Section 1115 Medicaid waiver or budget-neutrality action is visible in the current highlights.
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The U.S. Code text in effect on May 26, 2026 includes subsection (g), titled “Requirement of budget neutrality for Medicaid demonstration projects.” It requires CMS Chief Actuary certification that a Medicaid section 1115 project is not expected to increase federal expenditures, and the editorial notes say Pub. L. 119-21 added subsection (g) in 2025.
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GovInfo’s enacted public law text includes Section 71118, titled “Requiring budget neutrality for Medicaid demonstration projects under section 1115.” It amended Section 1115 to bar approval after January 1, 2027 unless CMS certifies no expected increase in federal Medicaid expenditures.
legacy_unverified · Source version not recorded · locator unknown
CMS states that Section 71118 of Public Law 119-21 adds budget neutrality for Medicaid section 1115 demonstration projects as a new statutory requirement at Section 1115(g), effective for approvals beginning January 1, 2027.
legacy_unverified · Source version not recorded · locator unknown
Medicaid.gov explains that section 1115 demonstrations must be budget neutral to the federal government, and notes that Section 71118 of the Working Families Tax Cut legislation adds budget neutrality as a statutory requirement in Section 1115(g).
legacy_unverified · Source version not recorded · locator unknown
The House Clerk records Roll Call 190 on H.R. 1 as passed, 218-214, on July 3, 2025. The roll call lists Representative Pettersen, Democrat of Colorado, voting “No.”
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CMS’s June 2024 budget-neutrality materials state that CMS has long required section 1115 demonstrations to be budget neutral, meaning federal Medicaid costs with the demonstration cannot exceed what would otherwise have been spent without it.
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The House Clerk profile identifies Brittany Pettersen as the Democratic representative for Colorado’s 7th district, with an oath of office on January 3, 2025, and lists her committee assignment as Financial Services.
Assessments
Pettersen has served in federal office since January 3, 2023, but the available official-record evidence does not show that she wrote, sponsored, or materially advanced a federal change eliminating budget neutrality for Section 1115 Medicaid waivers. Current visible items on her official House site do not show action on this promise, and no clear enactment or executive policy change ending the budget-neutrality requirement was established in the reviewed record. On this record, the promised outcome was not delivered, and there is not enough evidence of a substantial but unsuccessful push to award an effort badge.