1. Short title This Act may be cited as the Incentivizing Dual-Eligible Alignment Act or the IDEAL Act . 2. Social determinants of health pilot program (a) In general The Secretary of Health and Human Services (in this section referred to as the Secretary ), acting through the Director of the Federal Coordinated Health Care Office established under section 2602 of Public Law 111–148 (in this section referred to as the Director ) shall conduct a pilot program (in this section referred to as the program ) to demonstrate improvements in patient outcomes through the provision of covered benefits (as described in subsection (c)) designed to address social determinants of health with respect to certain dual-eligible individuals. Under the program, the Director shall provide an add-on payment to 4 cohorts of safety net health plans (as defined in subsection (e)) to furnish such benefits to dual-eligible individuals enrolled in such plans. (b) Program requirements (1) In general For calendar year 2025 and each year thereafter through 2028, the Director shall enter into 5-year agreements with safety net health plans under which each such safety net health plan that qualifies for a rebate under section 1853(a)(1)(E) of the Social Security Act ( 42 U.S.C. 1395w–23(a)(1)(E) ) for a year during the agreement period shall receive the add-on payment described in paragraph (2) for such year, to provide one or more covered benefits to dual-eligible individuals enrolled in such plan. (2) Add-on payment (A) In general The amount of the add-on payment for each year for an safety net health plan participating in the pilot program shall be 5 percent of the amount paid under section 1853(a)(1)(E) of the Social Security Act ( 42 U.S.C. 1395w–23(a)(1)(E) ). (B) Supplement, not supplant The add-on payment described in paragraph (1) shall supplement, and not supplant, any other payments made to an safety net health plan under title XVIII or XIX of the Social Security Act ( 42 U.S.C. 1395 et seq. , 1396 et seq.). (c) Benefits To address