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Increased Transparency for Medicare Payment Suspensions

This new law aims to improve transparency and fairness in the process of suspending Medicare payments to healthcare providers when fraud is suspected. It offers better protection for honest providers, reducing the risk of unjustified payment halts, which could impact citizens' access to healthcare.
Key points
Healthcare providers will receive detailed information about fraud allegations before payment suspension, allowing for earlier clarification.
Payment suspensions due to suspected fraud will be limited to 180 days, unless there is a justified reason for extension.
An independent appeals process will be introduced for providers whose payments are suspended, enhancing their right to challenge decisions.
If required information is not provided, payments will be immediately resumed with interest, protecting providers from unjustified losses.
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Additional Information
Print number: 118_HR_10006
Sponsor: Rep. Harder, Josh [D-CA-9]
Process start date: 2024-10-18
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

CAT Act of 2024

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_10006.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2024-10-18.

What are the main provisions?

Key points include:

  • Healthcare providers will receive detailed information about fraud allegations before payment suspension, allowing for earlier clarification.
  • Payment suspensions due to suspected fraud will be limited to 180 days, unless there is a justified reason for extension.
  • An independent appeals process will be introduced for providers whose payments are suspended, enhancing their right to challenge decisions.
  • If required information is not provided, payments will be immediately resumed with interest, protecting providers from unjustified losses.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Harder, Josh [D-CA-9].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-24.

CATEGORIES

Health Courts and Law