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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.

Policy area
Issues
Healthcare

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)

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.

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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