# 119-hr-10636: Medicaid Fraud Prevention Act

119-hr-10636, Medicaid Fraud Prevention Act, is a 119th Congress bill sponsored by Rep. Rulli, Michael A. [R-OH-6] (R-OH); status introduced; PRIA reads it as touching household money (as of 2026-10-04).

- Canonical: https://policyrisk.com/legislation/119-hr-10636
- As of: 2026-10-04
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10636
- Congress: 119
- Title: Medicaid Fraud Prevention Act
- Status: introduced
- Introduced: 2026-09-28
- Sponsor: Rep. Rulli, Michael A. [R-OH-6] (R-OH)
- Cosponsors: 6
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-04

## Summary

**Requires yearly, mandatory fraud risk assessments across every State Medicaid program.** This bill would force States to rank fraud, waste, and abuse risks, implement corrective action plans with measurable outcomes, and send annual reports to the HHS Secretary and to Congress. - States would have to finish an initial assessment within 1 year and then at least annually. Within 90 days after each assessment they must implement a corrective action plan with measurable outcomes and deadlines. - Assessments must cover fee-for-service, managed care, and eligibility and enrollment systems, and must estimate potential improper expenditures for each key vulnerability over at least a 12-month period. - The HHS Secretary must issue standard guidelines by January 1, 2027 to set risk categories, scoring criteria, and enable cross-State comparability. The Secretary will receive annual State reports and must send Congress an annual analysis of national fraud risk trends and recommendations. - Assessments should, to the extent practicable, rely on existing federal and State program integrity data and, beginning October 1, 2029, on a Secretary-established system to improve data comparability.

## Cosponsors (6)

- Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA), 2026-09-28T00:00:00.000Z
- Rep. Fischbach, Michelle [R-MN-7] (R-MN), 2026-09-28T00:00:00.000Z
- Rep. Taylor, David J. [R-OH-2] (R-OH), 2026-09-28T00:00:00.000Z
- Rep. Bentz, Cliff [R-OR-2] (R-OR), 2026-09-28T00:00:00.000Z
- Rep. Biggs, Andy [R-AZ-5] (R-AZ), 2026-09-28T00:00:00.000Z
- Rep. Finstad, Brad [R-MN-1] (R-MN), 2026-10-01T00:00:00.000Z

## Provisions PRIA read

- Annual state Medicaid fraud checks: benefit, high. This bill would require each State Medicaid agency to finish a fraud risk assessment within 1 year of enactment and at least once a year after. Assessments would cover fee-for-service, managed care, and eligibility and enrollment systems. States would identify and rank major fraud, waste, and abuse…
- HHS Medicaid fraud rules and report: benefit, medium. This bill would require the HHS Secretary to issue standardized fraud risk guidance by January 1, 2027. The guidance would set common risk categories and scoring rules so State assessments can be compared across States. The Secretary would also send Congress an annual report starting within one yea…

## Related bills

- 119-hr-8870: BUILD America 250 Act
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-740: Veterans’ ACCESS Act of 2025
- 119-hr-7: No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2025
- 119-hr-425: Repealing Big Brother Overreach Act
- 119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025

## Sources
- [119-hr-10636 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10636)

## Related
- [119-hr-8870: BUILD America 250 Act](https://policyrisk.com/legislation/119-hr-8870)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-740: Veterans’ ACCESS Act of 2025](https://policyrisk.com/legislation/119-hr-740)
- [119-hr-7: No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of…](https://policyrisk.com/legislation/119-hr-7)
- [119-hr-425: Repealing Big Brother Overreach Act](https://policyrisk.com/legislation/119-hr-425)
- [119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025](https://policyrisk.com/legislation/119-hr-38)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10636 (as of 2026-10-04).