No Medicare Clawbacks Act of 2026

The No Medicare Clawbacks Act of 2026 prevents group health plans from taking back money they have already paid for medical services if a patient later becomes eligible for Medicare benefits. This rule applies specifically when the medical care was provided during a period of retroactive Medicare coverage and the patient was current on their required health plan contributions at the time of service. By amending the Social Security Act, the bill ensures that individuals do not face financial penalties for receiving care before their Medicare eligibility is officially recognized. The legislation directly affects employers offering group health plans and their employees who might otherwise face recouped payments due to delayed Medicare enrollment.