# 119-hr-1784: Medicare Fraud Detection and Deterrence Act of 2025

119-hr-1784, Medicare Fraud Detection and Deterrence Act of 2025, is a 119th Congress bill sponsored by Rep. Doggett, Lloyd [D-TX-37] (D-TX); status introduced; PRIA reads it as touching household money (as of 2026-10-28).

- Canonical: https://policyrisk.com/legislation/119-hr-1784
- As of: 2026-10-28
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1784
- Congress: 119
- Title: Medicare Fraud Detection and Deterrence Act of 2025
- Status: introduced
- Introduced: 2025-03-03
- Sponsor: Rep. Doggett, Lloyd [D-TX-37] (D-TX)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-28

## Summary

**Strengthen Medicare fraud detection and deterrence.** This bill would require deactivation of the National Provider Identifier (NPI) for providers excluded for fraud and tighten provider ID rules in Medicare Advantage and telehealth claims. - Medicare beneficiaries: Makes it easier to trace who ordered or supplied durable medical equipment, prosthetics, clinical laboratory tests, diagnostic imaging, and home health services. Encounter data that lack a valid, active provider NPI must be rejected. - Excluded providers: Requires CMS to deactivate NPIs for entities excluded from federal health programs. Deactivation begins on the date of exclusion and ends when the exclusion ends, and NPIs may be reactivated after exclusion terminates. - Telehealth clinicians and companies: Conditions payment for telehealth services furnished by clinicians employed or contracted by telehealth companies on use of a CMS claims modifier. The Secretary must establish that modifier within 180 days.

## Provisions PRIA read

- Deactivate provider IDs for excluded providers: benefit, low. If enacted, HHS would have to turn off a provider’s ID number (NPI) when that provider is excluded from any federal health program. Individual providers’ IDs would be shut off on the exclusion date and turned back on when the exclusion ends. Organization IDs would be turned off only if the Inspecto…
- Stricter Medicare IDs and telehealth billing: mixed, low. If enacted, Medicare Advantage plans would have to include the ordering or referring clinician’s NPI on encounter records for certain services, like durable medical equipment, lab tests, imaging, and some home health. HHS could reject records that miss this ID or use an inactive or invalid one. For…

## Related bills

- 119-hr-7977: Energy Bills Relief Act
- 119-hr-7973: Momnibus Act
- 119-hr-3971: Domestic Workers Bill of Rights Act
- 119-hr-3069: Medicare for All Act
- 119-hr-2913: Ukraine Support Act
- 119-hr-8839: Lainie Jones Comprehensive Cancer Survivorship Act of 2026

## Sources
- [119-hr-1784 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1784)

## Related
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-3971: Domestic Workers Bill of Rights Act](https://policyrisk.com/legislation/119-hr-3971)
- [119-hr-3069: Medicare for All Act](https://policyrisk.com/legislation/119-hr-3069)
- [119-hr-2913: Ukraine Support Act](https://policyrisk.com/legislation/119-hr-2913)
- [119-hr-8839: Lainie Jones Comprehensive Cancer Survivorship Act of 2026](https://policyrisk.com/legislation/119-hr-8839)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1784 (as of 2026-10-28).