S4176119th CongressWALLET

STOP FRAUD in Medicaid Act

Sponsored By: Senator Ashley Moody

Introduced

Summary

This bill would expand Medicaid fraud powers to include beneficiaries and applicants. It changes Title XIX definitions so that applying for and receiving Medicaid are treated like providing services for fraud purposes.

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  • People who apply for or receive Medicaid would face possible investigation or prosecution by State Medicaid Fraud Control Units. The change specifically brings applications and benefit receipt within the fraud framework.
  • State Medicaid Fraud Control Units would be directed to investigate and prosecute beneficiary fraud using existing Title XIX enforcement authorities. This broadens the range of individuals and activities those units can pursue.
  • The change would take effect 180 days after enactment and relies on current enforcement mechanisms. The bill does not provide new federal funding or separate program authorizations.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 1 costs, 0 mixed.

Medicaid applicants and recipients face investigations

If enacted, this bill would let State Medicaid Fraud Control Units investigate and prosecute people who apply for or receive Medicaid benefits, not just providers. It would change federal law so applications for benefits and the receipt of benefits are treated alongside provider conduct under Medicaid fraud rules. The change would take effect 180 days after the law is enacted.

Sponsors & CoSponsors

Sponsor

Ashley Moody

FL • R

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

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