{"format":1,"id":"117-hr-3894","congress":117,"number":"H.R. 3894","kind":"bill","group":"bills","title":"CARING for Social Determinants Act of 2021","title_source":"Short Title(s) as Passed House","official_title":"To require the Secretary of Health and Human Services to issue and disseminate guidance to States to clarify strategies to address social determinants of health under the Medicaid program and the Children's Health Insurance Program, and for other purposes.","titles":[{"type":"Official Title as Introduced","title":"To require the Secretary of Health and Human Services to issue and disseminate guidance to States to clarify strategies to address social determinants of health under the Medicaid program and the Children's Health Insurance Program, and for other purposes."},{"type":"Short Titles from RFS (Referred to Senate) bill text","title":"CARING for Social Determinants Act of 2021"},{"type":"Short Titles from RFS (Referred to Senate) bill text","title":"Collecting and Analyzing Resources Integral and Necessary for Guidance for Social Determinants Act of 2021"},{"type":"Display Title","title":"CARING for Social Determinants Act of 2021"},{"type":"Short Title(s) as Introduced","title":"Collecting and Analyzing Resources Integral and Necessary for Guidance for Social Determinants Act of 2021"},{"type":"Short Title(s) as Introduced","title":"CARING for Social Determinants Act of 2021"},{"type":"Short Title(s) as Passed House","title":"CARING for Social Determinants Act of 2021"},{"type":"Short Title(s) as Passed House","title":"Collecting and Analyzing Resources Integral and Necessary for Guidance for Social Determinants Act of 2021"},{"type":"Short Title(s) as Reported to House","title":"CARING for Social Determinants Act of 2021"},{"type":"Short Title(s) as Reported to House","title":"Collecting and Analyzing Resources Integral and Necessary for Guidance for Social Determinants Act of 2021"}],"outcome":"passed_house","law_number":null,"introduced":"2021-06-15","chambers":{"house":{"status":"roll_call","date":"2021-12-08","vote":{"id":"117-2021-h425","question":"On Motion to Suspend the Rules and Pass, as Amended","title":"CARING for Social Determinants Act","result":"Passed","yea":378,"nay":48,"present":0,"not_voting":7,"source":"https://clerk.house.gov/evs/2021/roll425.xml"}},"senate":{"status":"na","date":null,"vote":null}},"president":{"status":"na","date":null},"vice_president_tie_breaker":null,"latest_action":{"text":"Received in the Senate and Read twice and referred to the Committee on Finance.","date":"2021-12-09"},"nominees":null,"amendments":[],"other_votes":[],"crs_summary":{"date":"2021-12-08","stage":"Passed House","blocks":[{"k":"h","t":"Collecting and Analyzing Resources Integral and Necessary for Guidance for Social Determinants Act of 2021 or the CARING for Social Determinants Act of 2021"},{"k":"p","t":"This bill requires the Centers for Medicare & Medicaid Services to periodically update specified guidance to help states address social determinants of health (e.g., socioeconomic factors) under Medicaid and the Children's Health Insurance Program (CHIP)."}],"words":59},"summary":{"main_subject":{"text":"Requires the Secretary of Health and Human Services to update existing guidance to States on strategies to address social determinants of health under Medicaid and the Children's Health Insurance Program.","cites":[{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3894/text/eh#H4C66A4917F4B42168595FD70FE2C2426"}]},"core_areas":["Guidance to States on social determinants of health in Medicaid and the Children's Health Insurance Program"],"what_it_does":[{"text":"Requires the Secretary of Health and Human Services to update State Health Office letter 21-001, issued on January 7, 2021, not later than 3 years after the date of enactment.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3894/text/eh#H4C66A4917F4B42168595FD70FE2C2426"}},{"text":"Requires the Secretary to repeat the update at least once every 3 years after the first update.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3894/text/eh#H4C66A4917F4B42168595FD70FE2C2426"}},{"text":"Requires the update to give State Medicaid agencies guidance on strategies States can use under existing authorities in titles XIX and XXI and section 1115 of the Social Security Act to address social determinants of health in providing health care.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3894/text/eh#H4C66A4917F4B42168595FD70FE2C2426"}},{"text":"Requires the update to include strategies specifically targeting children who receive medical assistance under title XIX or child health assistance under title XXI of the Social Security Act.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3894/text/eh#H4C66A4917F4B42168595FD70FE2C2426"}},{"text":"Requires the update to give guidance on how States can encourage and incentivize managed care entities to address social determinants of health through contracts with those entities.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3894/text/eh#H4C66A4917F4B42168595FD70FE2C2426"}},{"text":"Requires the update to include updated State examples of how States address social determinants of health in Medicaid and the Children's Health Insurance Program, including through payment models.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3894/text/eh#H4C66A4917F4B42168595FD70FE2C2426"}}],"unexpected":[],"version":{"type":"Engrossed in House","date":"2021-12-08","rule":"passed","href":"https://www.congress.gov/bill/117th-congress/house-bill/3894/text/eh"},"current":true,"model":"claude-sonnet-5-5","approved":"2026-10-15","approved_by":"checks"},"sources":{"congress_gov":"https://www.congress.gov/bill/117th-congress/house-bill/3894","text":"https://www.congress.gov/bill/117th-congress/house-bill/3894/text"},"card":{"image":"card/item/117-hr-3894.png","v":"745df5af56a2","alt":"Votes on Record. H.R. 3894, 117th Congress: CARING for Social Determinants Act of 2021. House: 378 Yea, 48 Nay. Outcome: Passed House, 8 Dec 2021."}}