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HR 1875
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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.

Introduced Mar 5, 2025

Latest action (Mar 5, 2025) Referred to the House Committee on Energy and Commerce.

Referred to
Energy and Commerce Committee
Policy area
Health
Issues
Healthcare

Summary
  • Requires states to conduct additional screening of Medicaid providers beginning January 1, 2028.
  • Mandates that states check federal databases at least monthly to determine whether providers have been terminated from Medicare or from other states' Medicaid or CHIP programs.
  • Applies the screening requirement to initial enrollment, reenrollment, and revalidation of provider and supplier enrollment in Medicaid.
  • Uses existing federal databases developed under the Affordable Care Act for conducting provider screening checks.

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

Money behind the sponsor

Top reported contributors to Nicholas A. Langworthy’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

  • BLACKSTONE $25,217
  • CORNING $15,255
  • FREY ELECTRIC CONSTRUCTION CO. $13,800
  • ST. PAULY TEXTILE $13,200
  • CRYSTAL WINDOW AND DOOR SYSTEMS, LTD $13,200

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Nicholas A. Langworthy → · Outside spending →

Actions (2)
  1. Mar 5, 2025 Referred to the House Committee on Energy and Commerce. · house
  2. Mar 5, 2025 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

  • HR 2309 — Medicare and Medicaid Fraud Prevention Act · Introduced Mar 24, 2025 · Cong. 119 83%
  • HR 1598 — Ensuring Access to Medicaid Buy-in Programs Act · Introduced Feb 26, 2025 · Cong. 119 81%
  • HR 1279 — To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program. · Introduced Feb 13, 2025 · Cong. 119 79%
  • HR 1195 — Protect Medicaid Act · Introduced Feb 11, 2025 · Cong. 119 79%
  • HR 1019 — Medicaid Program Improvement Act · Introduced Feb 5, 2025 · Cong. 119 77%
  • HR 497 — Medicaid Third Party Liability Act · Introduced Jan 16, 2025 · Cong. 119 77%

Text versions (1)
  • Introduced in House · Mar 5, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

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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