H.R. 10636
Requires states to check Medicaid for fraud risks
States would have to study where Medicaid fraud could happen every year, write a plan to fix the problems they find, and report results to the federal government.
- States must finish a fraud risk review within 1 year and repeat it each year after
- States must start a fix-it plan within 90 days of finding problems, with deadlines and goals
- The federal health agency must set shared guidelines for these reviews by January 1, 2027
- States report to the federal agency, which then reports findings and trends to Congress each year
In committee