Medicaid Fraud Prevention Act

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.

Summary from the Congressional Research Service. How we handle summaries

Where it stands

Assigned to a committee for review.

House Committee on Energy and Commerce · U.S. House of Representatives

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Cosponsors

Full history

1. Sep 28, 2026

   Introduced

   Introduced in House

   U.S. House of Representatives

2. Sep 28, 2026

   Introduced

   Introduced in U.S. House

   U.S. House

3. Sep 28, 2026

   Referred to committee

   Referred to the House Committee on Energy and Commerce.

   U.S. House of Representatives

Read the record

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