STOP Medicaid Fraud Act of 2026
Sponsored By: Representative Evans, Gabe [R-CO-8]
Introduced
Summary
Creates a federal requirement that Medicaid non-emergency transportation and applied behavior analysis services be tracked by an electronic verification system. The bill would use the existing electronic visit verification model, take effect for services on or after January 1, 2027, and preserve state systems that already require electronic verification.
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- States: States would have to require an electronic verification system for Medicaid NET and ABA services furnished under a state plan or waiver starting January 1, 2027.
- Compliance: If the Secretary finds a state out of compliance the state must be notified and submit a corrective action plan within 90 days. The state must achieve compliance within one year after that notification.
- Providers: Non-emergency transportation and applied behavior analysis providers would be subject to electronic verification rules modeled on current electronic visit verification for home health and personal care.
- Beneficiaries and billing: Medicaid NET and ABA services would be electronically verified which changes how those services are documented for claims and oversight.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Electronic verification for Medicaid NET and ABA
This bill would require States to use an electronic verification system for Medicaid non-emergency transportation (NET) and applied behavior analysis (ABA) services furnished under a State plan or waiver on or after January 1, 2027. The system would have to verify the same six service elements used by current electronic visit verification rules. States that already require an electronic verification system for those services as of enactment could keep using their system. If the Secretary finds a State noncompliant, the State would have 90 days to send a corrective action plan and one year to come into compliance after notice.
Sponsors & CoSponsors
Sponsor
Evans, Gabe [R-CO-8]
CO • R
Cosponsors
Rep. Crank, Jeff [R-CO-5]
CO • R
Sponsored 10/5/2026
Rep. Boebert, Lauren [R-CO-4]
CO • R
Sponsored 10/5/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov