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STOP FRAUD in Medicaid Act: New Powers to Prosecute Beneficiary Fraud

This bill expands the authority of state fraud control units to investigate and prosecute individuals who commit fraud when applying for or receiving Medicaid benefits. It shifts the focus to include beneficiary actions alongside healthcare provider misconduct.
Key points
State fraud units will now have the power to investigate individual applicants and recipients, not just providers.
Fraud detection will specifically cover the application process and the actual receipt of medical benefits.
The changes will take effect 180 days after the bill is officially enacted into law.
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Status:
Introduced
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Additional Information
STOP FRAUD in Medicaid Act
Print number: S 4176
Sponsor: Sen. Moody, Ashley [R-FL]
Process start date: 2026-03-24