# 119-s-2066: Medicare Transaction Fraud Prevention Act

119-s-2066, Medicare Transaction Fraud Prevention Act, is a 119th Congress bill sponsored by Sen. Sheehy, Tim [R-MT] (R-MT); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-s-2066
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-2066
- Congress: 119
- Title: Medicare Transaction Fraud Prevention Act
- Status: introduced
- Introduced: 2025-06-12
- Sponsor: Sen. Sheehy, Tim [R-MT] (R-MT)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**Tests predictive risk-scoring algorithms to oversee Medicare payments for durable medical equipment and clinical diagnostic laboratory tests.** The pilot would run for two years and rely on beneficiary opt‑in and electronic notices to flag and review suspect transactions. - Beneficiaries: People who opt in must receive electronic Medicare Summary Notices (MSNs) and would get an automatic alert if a flagged transaction is suspended. Follow-up MSNs would be sent every two weeks for three months and beneficiaries can confirm or correct charges. - Providers and suppliers: Durable medical equipment suppliers and clinical labs would see claims scored and may face human review and temporary suspension for high-risk transactions while the algorithm is evaluated. The Secretary must collaborate with industry in designing and implementing the pilot. - Program mechanics and oversight: Transactions would be scored from 1 (least risky) to 99 (most risky) and scores above a Secretary‑set threshold would trigger review, possible suspension, and coordination with the Office of the Inspector General. - Fraud prevention tools: The Secretary would have authority to terminate or reissue Medicare cards as a corrective measure to prevent fraud.

## Cosponsors (3)

- Sen. Hassan, Margaret Wood [D-NH] (D-NH), 2025-06-12T00:00:00.000Z
- Sen. Schmitt, Eric [R-MO] (R-MO), 2025-06-12T00:00:00.000Z
- Sen. Cassidy, Bill [R-LA] (R-LA), 2025-06-12T00:00:00.000Z

## Provisions PRIA read

- Medicare fraud scoring pilot for beneficiaries: mixed, low. If enacted, the bill would create a two-year Medicare pilot starting no later than January 1, 2026. If you have Medicare you could opt in and agree to get electronic Medicare Summary Notices to join. The pilot would test a predictive algorithm that scores durable medical equipment and lab test clai…

## Related bills

- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026
- 119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025
- 119-s-1462: Fix Our Forests Act
- 119-s-138: VA Home Loan Awareness Act of 2025
- 119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former United States Senator for the State of Kansas.

## Sources
- [119-s-2066 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/2066)

## Related
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026](https://policyrisk.com/legislation/119-s-3923)
- [119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-s-1816)
- [119-s-1462: Fix Our Forests Act](https://policyrisk.com/legislation/119-s-1462)
- [119-s-138: VA Home Loan Awareness Act of 2025](https://policyrisk.com/legislation/119-s-138)
- [119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former Uni…](https://policyrisk.com/legislation/119-sres-913)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-2066 (as of 2025-12-21).