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Medicaid Provider Screening Accountability Act
To amend title XIX of the Social Security Act to require certain additional provider screening under the Medicaid program.
Summary
This bill requires states to conduct additional screening of Medicaid providers beginning January 1, 2028. States must check federal and other state databases at least monthly to verify whether providers have been terminated from Medicare or from other states' Medicaid programs. These checks must occur when providers enroll, reenroll, or revalidate their enrollment in the state's Medicaid program.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
3 cosponsors
Actions (2)
- Mar 5, 2025 Referred to the House Committee on Energy and Commerce. · house
- Mar 5, 2025 Introduced in House
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Text versions (1)
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Full text
IN THE HOUSE OF REPRESENTATIVES
March 5, 2025
Mr. Langworthy (for himself, Mr. Morelle, and Ms. Malliotakis) introduced the following bill; which was referred to the Committee on Energy and Commerce
A BILL
To amend title XIX of the Social Security Act to require certain additional provider screening under the Medicaid program.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “Medicaid Provider Screening Accountability Act”.
SEC. 2. MEDICAID PROVIDER SCREENING REQUIREMENTS.
Section 1902(kk)(1) of the Social Security Act (42 U.S.C. 1396a(kk)(1)) is amended—
(1) by striking “The State” and inserting:
“(A) In general.—The State”; and
(2) by adding at the end the following new subparagraph:
“(B) Additional provider screening.—Beginning January 1, 2028, as part of the enrollment (or reenrollment or revalidation of enrollment) of a provider or supplier under this title, and not less frequently than monthly during the period that such provider or supplier is so enrolled, the State conducts a check of any database or similar system developed pursuant to section 6401(b)(2) of the Patient Protection and Affordable Care Act to determine whether the Secretary has terminated the participation of such provider or supplier under title XVIII, or whether any other State has terminated the participation of such provider or supplier under such other State’s State plan under this title (or waiver of the plan), or such other State’s State child health plan under title XXI (or waiver of the plan).”. <all>
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