# 114-hr-4077: Medicare Established Provider Act of 2015

114-hr-4077, Medicare Established Provider Act of 2015, is a 114th Congress bill sponsored by Rep. Williams, Roger [R-TX-25] (R-TX); status Referred to the Subcommittee on Health. (as of 2025-11-18).

- Canonical: https://policyrisk.com/legislation/114-hr-4077
- As of: 2025-11-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 114-hr-4077
- Congress: 114
- Title: Medicare Established Provider Act of 2015
- Status: Referred to the Subcommittee on Health.
- Introduced: 2015-11-18
- Sponsor: Rep. Williams, Roger [R-TX-25] (R-TX)
- Cosponsors: 6
- Policy area: Health
- Touches household money: no
- Last recorded action: 2025-11-18

## Summary

Medicare Established Provider Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services (HHS) to develop a system for designating providers that represent a low risk of submitting fraudulent Medicare claims as "established providers" for purposes of applying for special treatment in the claim review process. To qualify as an established provider, a provider must demonstrate that, within a specified timeframe: (1) at least 90% of Medicare claims submitted by the provider were determined to be eligible for full or partial payment, and (2) the provider appealed at least 90% of all Medicare claims that were not initially determined to be eligible for payment. HHS may withhold payment for a Medicare claim made by an established provider only if a final determination has been made that the claim is ineligible for payment. If such a final determination is made, the provider shall repay such payment electronically and within a specified timeframe.

## Cosponsors (6)

- Rep. Flores, Bill [R-TX-17] (R-TX), 2015-11-18T00:00:00.000Z
- Rep. Granger, Kay [R-TX-12] (R-TX), 2015-11-18T00:00:00.000Z
- WILLIAM THORNBERRY (R-TX), 2015-11-18T00:00:00.000Z
- Rep. Neugebauer, Randy [R-TX-19] (R-TX), 2015-11-18T00:00:00.000Z
- Rep. Olson, Pete [R-TX-22] (R-TX), 2015-11-18T00:00:00.000Z
- Rep. Scott, Austin [R-GA-8] (R-GA), 2015-11-18T00:00:00.000Z

## Related bills

- 114-hr-5180: Food and Fuel Consumer Protection Act of 2016
- 114-hr-4773: Protecting Workplace Advancement and Opportunity Act
- 114-hr-3516: Social Security Beneficiary 2nd Amendment Rights Protection Act
- 114-hr-2653: American Health Care Reform Act of 2015
- 114-hr-1309: Systemic Risk Designation Improvement Act of 2015
- 114-hr-1190: Protecting Seniors' Access to Medicare Act of 2015

## Sources
- [114-hr-4077 on Congress.gov](https://www.congress.gov/bill/114th-congress/house-bill/4077)

## Related
- [114-hr-5180: Food and Fuel Consumer Protection Act of 2016](https://policyrisk.com/legislation/114-hr-5180)
- [114-hr-4773: Protecting Workplace Advancement and Opportunity Act](https://policyrisk.com/legislation/114-hr-4773)
- [114-hr-3516: Social Security Beneficiary 2nd Amendment Rights Protection Act](https://policyrisk.com/legislation/114-hr-3516)
- [114-hr-2653: American Health Care Reform Act of 2015](https://policyrisk.com/legislation/114-hr-2653)
- [114-hr-1309: Systemic Risk Designation Improvement Act of 2015](https://policyrisk.com/legislation/114-hr-1309)
- [114-hr-1190: Protecting Seniors' Access to Medicare Act of 2015](https://policyrisk.com/legislation/114-hr-1190)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/114-hr-4077 (as of 2025-11-18).