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Increased Scrutiny on Medicaid Fraud by Beneficiaries

New legislation expands the authority of State Medicaid fraud control units. They will now investigate and prosecute fraud committed not only by service providers but also by individuals applying for or receiving benefits. This aims to enhance fairness in the system and ensure better use of public funds.
Key points
State Medicaid fraud control units will now investigate and prosecute fraud committed by individuals applying for or receiving benefits, not just providers.
The changes aim to reduce abuse within the Medicaid program, potentially impacting the system's financial stability and benefit availability.
The new rules will take effect 180 days after the law is enacted.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HR_5364
Sponsor: Rep. Schmidt, Derek [R-KS-2]
Process start date: 2025-09-15
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

STOP FRAUD in Medicaid Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_HR_5364.

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 2025-09-15.

What are the main provisions?

Key points include:

  • State Medicaid fraud control units will now investigate and prosecute fraud committed by individuals applying for or receiving benefits, not just providers.
  • The changes aim to reduce abuse within the Medicaid program, potentially impacting the system's financial stability and benefit availability.
  • The new rules will take effect 180 days after the law is enacted.
What is the specific legal status?

The current status is Introduced.

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. Schmidt, Derek [R-KS-2].

What is the latest detailed status?

The latest detailed status is: Referred to the House Committee on Energy and Commerce.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-23.

CATEGORIES

Health Courts and Law Benefits