States would have to regularly check for Medicaid fraud and fix problems.
This bill would make states regularly check their Medicaid programs for fraud, waste, and abuse every year. They would have to create plans to fix any issues they find and report their progress to the federal government. This aims to make sure Medicaid funds are used properly and efficiently.
Today, federal law does not clearly require states to do full, yearly fraud checks for all parts of their Medicaid programs. States also do not have to send reports on these checks. If this bill becomes law, states would have to complete these yearly checks. They would also need to put corrective action plans in place for any problems found within 90 days. Finally, they would submit yearly reports to the Secretary of Health and Human Services.
HR 10636 · 119th Congress · AI Summary by gemini-2.5-flash · 10/10
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