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STOP FRAUD in Medicaid Act

USA119th CongressHR-5364| House 
| Updated: 9/15/2025
Derek Schmidt

Derek Schmidt

Republican Representative

Kansas

Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill aims to strengthen efforts against Medicaid fraud by expanding the responsibilities of State Medicaid fraud control units. Currently, these units primarily focus on fraud committed by healthcare providers. The legislation seeks to broaden their mandate to include investigating and prosecuting instances of fraud perpetrated by individuals who apply for or receive Medicaid services. Specifically, the bill amends Section 1903(q)(3) and Section 1902(a)(61) of the Social Security Act. These amendments clarify that fraud control units must address fraud related to the application for , or receipt of , Medicaid services, ensuring beneficiary fraud falls within their investigative and prosecutorial scope, with the changes becoming effective 180 days post-enactment.
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Timeline
Sep 15, 2025
Introduced in House
Sep 15, 2025
Referred to the House Committee on Energy and Commerce.
  • September 15, 2025
    Introduced in House


  • September 15, 2025
    Referred to the House Committee on Energy and Commerce.

Health

STOP FRAUD in Medicaid Act

USA119th CongressHR-5364| House 
| Updated: 9/15/2025
This bill aims to strengthen efforts against Medicaid fraud by expanding the responsibilities of State Medicaid fraud control units. Currently, these units primarily focus on fraud committed by healthcare providers. The legislation seeks to broaden their mandate to include investigating and prosecuting instances of fraud perpetrated by individuals who apply for or receive Medicaid services. Specifically, the bill amends Section 1903(q)(3) and Section 1902(a)(61) of the Social Security Act. These amendments clarify that fraud control units must address fraud related to the application for , or receipt of , Medicaid services, ensuring beneficiary fraud falls within their investigative and prosecutorial scope, with the changes becoming effective 180 days post-enactment.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Sep 15, 2025
Introduced in House
Sep 15, 2025
Referred to the House Committee on Energy and Commerce.
  • September 15, 2025
    Introduced in House


  • September 15, 2025
    Referred to the House Committee on Energy and Commerce.
Derek Schmidt

Derek Schmidt

Republican Representative

Kansas

Energy and Commerce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted