# 119-hr-10645: SMART Act

119-hr-10645, SMART Act, is a 119th Congress bill sponsored by Rep. Balderson, Troy [R-OH-12] (R-OH); status introduced; PRIA reads it as touching household money (as of 2026-10-11).

- Canonical: https://policyrisk.com/legislation/119-hr-10645
- As of: 2026-10-11
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10645
- Congress: 119
- Title: SMART Act
- Status: introduced
- Introduced: 2026-10-01
- Sponsor: Rep. Balderson, Troy [R-OH-12] (R-OH)
- Cosponsors: 4
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-11

## Summary

**This bill would make standardized data analytic technologies available to all States to detect and prevent Medicaid fraud, waste, and abuse.** It would also require those tools to work with State claims and enrollment systems and come with training and technical help. - States would get interoperable analytics they can plug into Medicaid Management Information Systems and eligibility systems, with technical assistance and training and a 180-day deadline to start access after enactment. - State program integrity teams would receive risk indicators, actionable alerts, dashboards, and datasets to find improper billing, unusual utilization, or enrollment patterns and to run State-specific analyses and reports. - Providers, suppliers, and other entities that operate in more than one State or in multiple Federal health programs could be flagged by cross-state risk indicators based on billing, utilization, and enrollment data. - The Department of Health and Human Services would report to Congress one year after enactment and then annually on State access, usage rates, instances of possible fraud, and estimated overpayments identified and collected.

## Cosponsors (4)

- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2026-10-01T00:00:00.000Z
- Rep. Harshbarger, Diana [R-TN-1] (R-TN), 2026-10-01T00:00:00.000Z
- Rep. Joyce, John [R-PA-13] (R-PA), 2026-10-01T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2026-10-01T00:00:00.000Z

## Provisions PRIA read

- Medicaid fraud detection tools for states: benefit, low. If enacted, this bill would require the HHS Secretary to give every State standardized data-analytics tools for Medicaid program integrity. The tools would be available no later than 180 days after enactment and must work with State claims, eligibility, enrollment, and other program systems. States…

## Related bills

- 119-hr-4669: FEMA Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-21: Born-Alive Abortion Survivors Protection Act
- 119-hr-987: Fair Access to Banking Act
- 119-hr-7: No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2025
- 119-hr-27: HALT Fentanyl Act

## Sources
- [119-hr-10645 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10645)

## Related
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [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-987: Fair Access to Banking Act](https://policyrisk.com/legislation/119-hr-987)
- [119-hr-7: No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of…](https://policyrisk.com/legislation/119-hr-7)
- [119-hr-27: HALT Fentanyl Act](https://policyrisk.com/legislation/119-hr-27)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10645 (as of 2026-10-11).