H.R. 10636: Medicaid Fraud Prevention Act

119th Congress · introduced 2026-09-28 · Health · Latest: Referred to the House Committee on Energy and Commerce.

federal

Official title

Medicaid Fraud Prevention Act

Plain summary

Medicaid Fraud Prevention Act This bill requires state Medicaid programs to regularly assess their programs for fraud and take corrective actions. Specifically, states must complete a fraud risk assessment on at least an annual basis, implement a corrective action plan to address any identified vulnerabilities, and report on the results to the Centers for Medicare & Medicaid Services (CMS). The CMS must analyze this information and annually report the information to Congress. The fraud risk assessments must include a comprehensive assessment of the risks of fraud across the entirety of a state's Medicaid program, including with respect to managed care entities and eligibility and enrollment systems. The assessments must, to the extent practicable, utilize data from specified existing program integrity systems (e.g., Medicaid fraud control units). The CMS must issue guidelines on how states may identify areas that are at the highest risk of fraud.

Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.

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Official text

Medicaid Fraud Prevention Act

Source: Congressional Research Service summary (Introduced in House)

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Officials and money

Sponsor: Rep. Rulli, Michael A. [R-OH-6] · 6 cosponsors

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Words on this page, explained (1)

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Sources

Congressional Research Service summary (Introduced in House)
Congress.gov
Data: GovInfo BILLSTATUS bulk data (Library of Congress), BILLSTATUS-119hr10636.xml <https://www.govinfo.gov/bulkdata/BILLSTATUS/119/hr>

Record fed-us-cong119-hr10636 · catalog fed-us-congress-bills-cong119 · updated 2026-11-03 by psicol fed-bills