I 

113TH CONGRESS 

2D SESSION H. R. 5841 

To establish a grant program to provide States with funds to detect fraud, 

waste, and abuse in the State Medicaid programs under title XIX of 

the Social Security Act and to recover improper payments resulting 

from such fraud, waste, and abuse. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 10, 2014 

Mr. ISRAEL introduced the following bill; which was referred to the Committee 

on Energy and Commerce 

A BILL 

To establish a grant program to provide States with funds 

to detect fraud, waste, and abuse in the State Medicaid 

programs under title XIX of the Social Security Act 

and to recover improper payments resulting from such 

fraud, waste, and abuse. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Local Medicaid En5 forcement Incentives Act of 2014’’. 


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1 SEC. 2. GRANT PROGRAM TO PROVIDE STATES WITH 

2 FUNDS TO DETECT MEDICAID FRAUD, WASTE, 

3 AND ABUSE AND RECOVER CERTAIN IM4 PROPER PAYMENTS. 

5 (a) IN GENERAL.—The Secretary of Health and 

6 Human Services shall establish a program to award 

7 grants, subject to subsection (c), to States to establish or 

8 expand a program described in subsection (b). 

9 (b) MEDICAID FRAUD CONTROL PROGRAM.—For 

10 purposes of subsection (a), a program described in this 

11 subsection is a program that— 

12 (1) is administered by a State official with re13 sponsibility for controlling provider fraud and abuse 

14 under the State plan under title XIX of the Social 

15 Security Act (42 U.S.C. 1396 et seq.); 

16 (2) detects and prevents fraud, waste, and 

17 abuse with respect to payments made under such 

18 State plan or under any waiver of such plan ap19 proved under section 1115 of the Social Security Act 

20 (42 U.S.C. 1315); 

21 (3) identifies and recovers overpayments to in22 dividuals or entities receiving funds under such 

23 State plan or waiver resulting from such fraud, 

24 waste, or abuse; and 

25 (4) shares with localities within the State that 

26 assist in the detection and prevention under paraVerDate Sep 11 2014 23:34 Dec 18, 2014 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H5841.IH H5841

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1 graph (2) or the identification and recovery under 

2 paragraph (3) at least 50 percent of the State’s 

3 share of the total amount of such funds so recovered 

4 during a period as overpayments under paragraph 

5 (3) minus any amount expended during such period 

6 on administrative costs to carry out the program. 

7 (c) FUNDING.— 

8 (1) AUTHORIZATION OF APPROPRIATIONS.—To 

9 carry out this section, there is authorized to be ap10 propriated to the Secretary of Health and Human 

11 Services $100,000,000 to remain available until ex12 pended. 

13 (2) LIMITATION.—Not more than 5 percent of 

14 the amount appropriated pursuant to paragraph (1) 

15 may be awarded to any State. 

16 (d) STATE DEFINED.—For purposes of this section, 

17 the term ‘‘State’’ has the meaning given such term for 

18 purposes of title XIX of the Social Security Act (42 U.S.C. 

19 1396 et seq.). 

Æ 


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