# 119-hr-10633: Medicaid Integrity and Fiscal Accountability Act

119-hr-10633, Medicaid Integrity and Fiscal Accountability Act, is a 119th Congress bill sponsored by Rep. Pfluger, August [R-TX-11] (R-TX); status introduced; PRIA reads it as touching household money (as of 2026-10-10).

- Canonical: https://policyrisk.com/legislation/119-hr-10633
- As of: 2026-10-10
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10633
- Congress: 119
- Title: Medicaid Integrity and Fiscal Accountability Act
- Status: introduced
- Introduced: 2026-09-28
- Sponsor: Rep. Pfluger, August [R-TX-11] (R-TX)
- Cosponsors: 2
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-10

## Summary

**Centralizes State Medicaid fiscal responsibility in a single designated official.** This bill would require each State to designate one person by January 1, 2028 to be primarily responsible for fiscal administration of the State Medicaid plan and any waivers. - States and Medicaid agencies: Would have to name a single fiscal lead by January 1, 2028 and create policies, monitoring systems, and corrective actions to ensure accurate and timely claims processing, payment integrity, financial reporting, and internal controls. - Medicaid beneficiaries and providers: Would require systems to ensure claims are processed accurately and timely and to prevent fraud, waste, abuse, and improper payments, which could affect payment reliability and claim adjudication. - Federal oversight and reporting: Would standardize the duties and financial information States must provide to the Secretary and align State fiscal governance with federal program integrity expectations.

## Cosponsors (2)

- Rep. Joyce, John [R-PA-13] (R-PA), 2026-09-28T00:00:00.000Z
- Rep. Balderson, Troy [R-OH-12] (R-OH), 2026-09-28T00:00:00.000Z

## Provisions PRIA read

- One Medicaid fiscal officer per State: benefit, high. This bill would require each State to name one main Medicaid fiscal officer by January 1, 2028. That person would have to set up policies, monitoring, and corrective actions to keep claims processing accurate and timely. They would lead payment-integrity work to find and stop fraud, waste, abuse, a…

## Related bills

- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-21: Born-Alive Abortion Survivors Protection Act
- 119-hr-1227: Alternatives to PAIN Act
- 119-hr-987: Fair Access to Banking Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-4299: Protecting Patient Access to Cancer and Complex Therapies Act

## Sources
- [119-hr-10633 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10633)

## Related
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-21: Born-Alive Abortion Survivors Protection Act](https://policyrisk.com/legislation/119-hr-21)
- [119-hr-1227: Alternatives to PAIN Act](https://policyrisk.com/legislation/119-hr-1227)
- [119-hr-987: Fair Access to Banking Act](https://policyrisk.com/legislation/119-hr-987)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-4299: Protecting Patient Access to Cancer and Complex Therapies Act](https://policyrisk.com/legislation/119-hr-4299)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10633 (as of 2026-10-10).