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Medicare and Medicaid Fraud Prevention Act
To amend title XIX of the Social Security Act to require certain additional provider screening under the Medicaid program.
Summary
This bill amends the Medicaid program to require states to implement additional provider screening requirements. Beginning January 1, 2027, states must check the Death Master File (a federal database of deceased individuals) as part of provider enrollment and revalidation. States must also check the Death Master File at least quarterly while a provider remains enrolled in the Medicaid program. The provision is designed to prevent deceased providers or suppliers from continuing to bill the 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)
7 cosponsors
Money behind the sponsor
Top reported contributors to Scott H. Peters’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- RA CAPITAL MANAGEMENT $19,800
- BLACKSTONE $17,500
- GENERAL ATOMICS $15,400
- QUALCOMM $13,300
- RA CAPITAL $13,200
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Scott H. Peters → · Outside spending →
Actions (2)
- Mar 24, 2025 Referred to the House Committee on Energy and Commerce. · house
- Mar 24, 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)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
IN THE HOUSE OF REPRESENTATIVES
March 24, 2025
Mr. Peters (for himself, Mr. Evans of Colorado, Mr. Suozzi, Ms. Malliotakis, and Mr. Kennedy of Utah) 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 “Medicare and Medicaid Fraud Prevention 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, 2027, as part of the enrollment (or revalidation of enrollment) of a provider or supplier under this title, and not less frequently than quarterly during the period that such provider or supplier is so enrolled, the State conducts a check of the Death Master File (as such term is defined in section 203(d) of the Bipartisan Budget Act of 2013) to determine whether such provider or supplier is deceased.”. <all>
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