To amend title XIX of the Social Security Act to allow for the deferral or disallowance of portions of payments for certain managed care violations under Medicaid.

HR 8115 amends Medicaid law to give the Secretary of Health and Human Services flexibility when states violate managed care requirements. Instead of automatically cutting off all Medicaid payments for violations (current "payment prohibition"), the Secretary may now defer or disallow only a portion of a payment, based on the severity of the violation. This change applies specifically to states that use Medicaid managed care programs under Section 1932. If a partial adjustment doesn't achieve compliance, the Secretary can later apply the full payment prohibition. The bill directly affects state Medicaid programs and their managed care contractors.