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HR 10636 - 119

Medicaid Fraud Prevention Act

Referred to the House Committee on Energy and Commerce.

Bill highlights

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Bill Text Stats

5
Analyzed sections
N/A
Detected dollar total
0
Tax signals
5
Deadlines

Signal counts

Tax density 0.0%
Spending density 0.0%
Deadline 5
Benefits 3
Statutory Reference 1
Studies 1

Top agencies

N/A

Statutory references

42 U.S.C. 1396a 1

House Votes

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Timeline

Sep 28, 2026

Introduced in House

Sep 28, 2026

Introduced in House

Sep 28, 2026

Referred to the House Committee on Energy and Commerce.

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Healthcare
6 evidence matches
Impact 100% Confidence 90%

Health

Health

iking and at the end; (B) in paragraph (90), by striking the period at the end and inserting evention Act. 2. Requiring Medicaid fraud risk assessments Section 1902 of the Social Security Act ( 42 U.S.C. 1396a ) is amended— (1) in subsectio

Energy
2 evidence matches
Impact 94% Confidence 85%

Energy and Commerce Committee Standing House

Medicaid Fraud Prevention Act Referred to the House Committee on Energy and Commerce. Health

Technology and data privacy
2 evidence matches
Impact 79% Confidence 70%

by or on behalf of the State for the purposes of eligibility verification and redetermination) under such plan (or waiver), that— (i) to the extent practicable, uses data from existing Federal and State program integrity systems, including—

y determination and enrollment systems (including systems operated by or on behalf of the State for the purposes of eligibility verification and redetermination) under such plan (or waiver), that-- ``(i) to the extent practicable, uses data

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Summary

00 Introduced in House Oct 2, 2026

Medicaid Fraud Prevention Act This bill requires state Medicaid programs to regularly assess their programs for fraud and take corrective actions. Specifically, states must complete a fraud risk assessment on at least an annual basis, implement a corrective action plan to address any identified vulnerabilities, and report on the results to the Centers for Medicare & Medicaid Services (CMS). The CMS must analyze this information and annually report the information to Congress. The fraud risk assessments must include a comprehensive assessment of the risks of fraud across the entirety of a state's Medicaid program, including with respect to managed care entities and eligibility and enrollment systems. The assessments must, to the extent practicable, utilize data from specified existing program integrity systems (e.g., Medicaid fraud control units). The CMS must issue guidelines on how states may identify areas that are at the highest risk of fraud.

Sponsors

Bentz, Cliff
Cosponsor

Bentz, Cliff

Republican · OR-2 · B000668

Joined Sep 28, 2026
Website
N/A
Office
409 Cannon House Office Building

Amendments

No amendment records are currently available for this bill.
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