Medicare and Medicaid Fraud Prevention Act
Sponsored By: Representative Peters
Introduced
Summary
Requires states to check the federal Death Master File to verify whether Medicaid providers and suppliers are deceased. The bill would add this check to enrollment and revalidation and require at least quarterly checks while a provider remains enrolled, beginning January 1, 2027.
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- Providers and suppliers would be checked for death status as part of initial enrollment, revalidation, and at least quarterly during their enrollment. These checks would use the Death Master File as the authoritative data source.
- State Medicaid agencies would be required to run these Death Master File checks during enrollment and revalidation and not less frequently than quarterly for all enrolled providers and suppliers.
- The enrollment and ongoing verification process would be formalized with a specified schedule and the Death Master File defined by federal statute as the source for death-status checks.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Quarterly death checks for Medicaid providers
Starting January 1, 2027, States would have to check the federal Death Master File when they enroll or revalidate any Medicaid provider or supplier. They would also need to run this check at least every three months while the provider stays enrolled. This could help stop payments tied to deceased providers and protect Medicaid funds for patients and taxpayers.
Sponsors & CoSponsors
Sponsor
Peters
CA • D
Cosponsors
Evans (CO)
CO • R
Sponsored 3/24/2025
Rep. Suozzi, Thomas R. [D-NY-3]
NY • D
Sponsored 3/24/2025
Rep. Malliotakis, Nicole [R-NY-11]
NY • R
Sponsored 3/24/2025
Rep. Kennedy, Mike [R-UT-3]
UT • R
Sponsored 3/24/2025
Cuellar
TX • D
Sponsored 7/15/2025
Rep. Fitzpatrick, Brian K. [R-PA-1]
PA • R
Sponsored 7/15/2025
Rep. Valadao, David G. [R-CA-22]
CA • R
Sponsored 2/17/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov