Urban Institute Update
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Estimated 10-year spending effects of the DUALS Act of 2024
Federal spending on individuals dually enrolled in Medicare and Medicaid would increase by $41 billion over the next decade under the Delivering Unified Access to Lifesaving Services (DUALS) Act of 2024, Urban’s researchers find.


The DUALS Act, introduced by a bipartisan group of senators in March 2024, would require and provide support to states to establish comprehensive, fully integrated plans for dual enrollees. The proposed legislation would also require all states to offer Program of All-Inclusive Care for the Elderly services and expand its eligibility.



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