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The UNDERSTAND Act amends the Medicaid and CHIP programs to require states to collect and report standardized information about social determinants of health (such as housing instability, food insecurity, and educational barriers) for beneficiaries. The bill directs the Secretary of Health and Human Services to develop a uniform reporting system within 18 months, establish privacy and consent guidelines, and issue guidance on reducing duplicate screenings. States must ensure healthcare providers conduct social needs screenings and submit data with appropriate frequency as a condition of federal Medicaid and CHIP funding. The Secretary must report to Congress within 4 years on aggregate findings and trends from the collected data.
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