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To amend title XIX of the Social Security Act to direct State Medicaid fraud control units to investigate and prosecute instances of beneficiary fraud.
Summary
This bill would amend Medicaid law to direct State Medicaid fraud control units to investigate and prosecute fraud by Medicaid beneficiaries, in addition to their current focus on provider fraud. The bill expands the scope of fraud investigations to include instances where individuals fraudulently apply for or receive Medicaid benefits. Currently, State fraud control units primarily investigate fraud by healthcare providers, but this bill would also make them responsible for investigating and prosecuting fraud by individuals seeking or receiving Medicaid benefits. The changes would take effect 180 days after enactment.
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)
- Rep. Schmidt, Derek [R-KS-2] (R-KS)
9 cosponsors
- Rep. Cline, Ben [R-VA-6] (R-VA)
- Rep. Fry, Russell [R-SC-7] (R-SC)
- Rep. Haridopolos, Mike [R-FL-8] (R-FL)
- Rep. Jack, Brian [R-GA-3] (R-GA)
- Rep. Mann, Tracey [R-KS-1] (R-KS)
- Rep. Moore, Tim [R-NC-14] (R-NC)
- Rep. Rouzer, David [R-NC-7] (R-NC)
- Rep. Taylor, David J. [R-OH-2] (R-OH)
- Rep. Wilson, Joe [R-SC-2] (R-SC)
Money behind the sponsor
Top reported contributors to Derek Schmidt’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- WATCO COMPANIES $13,200
- MILLER'S PROFESSIONAL IMAGING $13,200
- WEALTH ALLIANCE ADVISORY GROUP, LLC $10,035
- SNK REAL PROPERTY HOLDINGS, LLC $9,900
- SILVER LAKE BANK $6,600
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Derek Schmidt → · Outside spending →
Actions (2)
- Sep 15, 2025 Referred to the House Committee on Energy and Commerce. · house
- Sep 15, 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
September 15, 2025
Mr. Schmidt 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 direct State Medicaid fraud control units to investigate and prosecute instances of beneficiary fraud.
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 “States Taking On Power For Redressing All Unlawful Deceits in Medicaid Act” or the “STOP FRAUD in Medicaid Act”.
SEC. 2. DIRECTING STATE MEDICAID FRAUD CONTROL UNITS TO INVESTIGATE AND PROSECUTE BENEFICIARY FRAUD.
(a) In General.—Section 1903(q)(3) of the Social Security Act (42 U.S.C. 1396b(q)(3)) is amended—
(1) by inserting “, application for, or receipt of” after “the provision of” each place it appears;
(2) by inserting “, and individuals applying for or receiving,” after “providers of”; and
(3) by inserting “, and individuals applying for or receiving,” before “such services”.
(b) Conforming Change.—Section 1902(a)(61) of the Social Security Act (42 U.S.C. 1396a(a)(61)) is amended by inserting “, application for, and receipt of” after “the provision of” each place it appears.
(c) Effective Date.—The amendments made by subsection (a) shall apply beginning on the date that is 180 days after the date of the enactment of this Act. <all>
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