Protecting Patients from Medicaid Fraud Act

Bill: 117-hr-4701
Sponsor: full_name: Rep. Bergman, Jack [R-MI-1]
Introduced: 2021-07-27
Policy area: Health
Latest action: action_date: 2021-07-28
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2021-07-27
action_desc: Introduced in House
text: <p><b>Protecting Patients from Medicaid Fraud Act</b></p> <p>This bill requires state Medicaid programs to consult with the Centers for Medicare &amp; Medicaid Services (CMS) about provider screening and oversight requirements if they have not already opted to do so. Additionally, states that are not in compliance with these screening and oversight requirements must submit progress reports to the CMS annually.</p>

tv_txt: I 117th CONGRESS 1st Session H. R. 4701 IN THE HOUSE OF REPRESENTATIVES July 27, 2021 Mr. Bergman (for himself and Mrs. Axne ) 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 increase provider and supplier oversight under State Medicaid plans, and for other purposes.

1. Short title This Act may be cited as the Protecting Patients from Medicaid Fraud Act . 2. Increased provider and supplier oversight under State Medicaid plans Section 1902(kk) of the Social Security Act ( 42 U.S.C. 1936a(kk) ) is amended— (1) in paragraph (1), by adding at the end the following new sentence: In the case of a State which has not participated in an optional consultation with the Secretary with respect to the screening requirements under such section 1866(j)(2) as of the date of the enactment of this sentence, the Secretary shall notify each such State and such a State be required to consult with the Secretary with respect to such requirements for providers and suppliers under the State plan. ; (2) in paragraph (2), by adding at the end the following new sentence: In the case of a State which has not participated in an optional consultation with the Secretary with respect to the oversight requirements under such section 1866(j)(3) as of the date of the enactment of this sentence, the Secretary shall notify each such State and such a State be required to consult with the Secretary with respect to such requirements for providers and suppliers under the State plan. ; and (3) by adding at the end the following new paragraph: (10) Ensuring compliance with screening and oversight requirements for providers and suppliers In the case of any State which is not in compliance with the requirements under paragraphs (2) and (3) of section 1866(j)(2) with respect to providers and suppliers under the State plan, for the purpose of monitoring the progress of such a State in attaining compliance with such requirements, such State shall, on an annual basis, submit to the Secretary information the Secretary determines appropriate. .