To amend title XIX of the Social Security Act to further require certain additional provider screening under the Medicaid program.

Bill: 118-hr-8112
Sponsor: full_name: Rep. D'Esposito, Anthony [R-NY-4]
Introduced: 2024-04-23
Policy area: Health
Subjects: Child health

Computers and information technology

Medicaid

Poverty and welfare assistance

State and local government operations
Latest action: action_date: 2024-09-18
text: Received in the Senate and Read twice and referred to the Committee on Finance.

Summaries:
action_date: 2024-04-23
action_desc: Introduced in House
text: <p>This bill requires state Medicaid programs to check, as part of the provider enrollment and reenrollment process, whether providers were terminated from participating in the Medicare program, any other state Medicaid program, or the Children's Health Insurance Program (CHIP) using certain databases (e.g.,&nbsp;the Data EXchange system). The bill requires states to continue to check these databases on at least a quarterly basis after providers are enrolled.</p><!--tinycomments|2.1|data:application/json;base64,eyJtY2UtY29udmVyc2F0aW9uXzE0NzEzMzQ4OTIxNzI2NTA5NTY4Njg5Ijp7InVpZCI6Im1jZS1jb252ZXJzYXRpb25fMTQ3MTMzNDg5MjE3MjY1MDk1Njg2ODkiLCJjb21tZW50cyI6W3sidWlkIjoibWNlLWNvbnZlcnNhdGlvbl8xNDcxMzM0ODkyMTcyNjUwOTU2ODY4OSIsImF1dGhvciI6InNzdWJyYW1hbmlhbUBsaWIubG9jLmdvdiIsImF1dGhvck5hbWUiOiJzc3VicmFtYW5pYW1AbGliLmxvYy5nb3YiLCJjb250ZW50IjoiaHR0cHM6Ly93d3cuZ2FvLmdvdi9hc3NldHMvZDIwOC5wZGYiLCJjcmVhdGVkQXQiOiIyMDI0LTA5LTE2VDE3OjU5OjI4LjY4OVoiLCJtb2RpZmllZEF0IjoiMjAyNC0wOS0xNlQxNzo1OToyOC42ODlaIn1dfX0=-->

action_date: 2024-07-23
action_desc: Reported to House
text: <p>This bill requires state Medicaid programs to check, as part of the provider enrollment and reenrollment process, whether providers were terminated from participating in the Medicare program, any other state Medicaid program, or the Children's Health Insurance Program (CHIP) using certain databases (e.g.,&nbsp;the Data EXchange system). The bill requires states to continue to check these databases on at least a monthly basis after providers are enrolled.</p><!--tinycomments|2.1|data:application/json;base64,eyJtY2UtY29udmVyc2F0aW9uXzE0NzEzMzQ4OTIxNzI2NTA5NTY4Njg5Ijp7InVpZCI6Im1jZS1jb252ZXJzYXRpb25fMTQ3MTMzNDg5MjE3MjY1MDk1Njg2ODkiLCJjb21tZW50cyI6W3sidWlkIjoibWNlLWNvbnZlcnNhdGlvbl8xNDcxMzM0ODkyMTcyNjUwOTU2ODY4OSIsImF1dGhvciI6InNzdWJyYW1hbmlhbUBsaWIubG9jLmdvdiIsImF1dGhvck5hbWUiOiJzc3VicmFtYW5pYW1AbGliLmxvYy5nb3YiLCJjb250ZW50IjoiaHR0cHM6Ly93d3cuZ2FvLmdvdi9hc3NldHMvZDIwOC5wZGYiLCJjcmVhdGVkQXQiOiIyMDI0LTA5LTE2VDE3OjU5OjI4LjY4OVoiLCJtb2RpZmllZEF0IjoiMjAyNC0wOS0xNlQxNzo1OToyOC42ODlaIn1dfX0=-->

tv_txt: IIB 118th CONGRESS 2d Session H. R. 8112 IN THE SENATE OF THE UNITED STATES September 18, 2024 Received; read twice and referred to the Committee on Finance AN ACT To amend title XIX of the Social Security Act to further require certain additional provider screening under the Medicaid program.

1. 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 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). .

Passed the House of Representatives September 17, 2024. Kevin F. McCumber, Clerk.

tv_txt: IB 118th CONGRESS 2d Session H. R. 8112 IN THE HOUSE OF REPRESENTATIVES AN ACT To amend title XIX of the Social Security Act to further require certain additional provider screening under the Medicaid program.

1. 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 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). .

Passed the House of Representatives September 17, 2024. Kevin F. McCumber, Clerk.

tv_txt: IB Union Calendar No. 505 118th CONGRESS 2d Session H. R. 8112 [Report No. 118–606] IN THE HOUSE OF REPRESENTATIVES April 23, 2024 Mr. D'Esposito introduced the following bill; which was referred to the Committee on Energy and Commerce July 23, 2024 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed Strike out all after the enacting clause and insert the part printed in italic For text of introduced bill, see copy of bill as introduced on April 13, 2024 A BILL To amend title XIX of the Social Security Act to further require certain additional provider screening under the Medicaid program.

1. 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 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). .

July 23, 2024 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed

tv_txt: I 118th CONGRESS 2d Session H. R. 8112 IN THE HOUSE OF REPRESENTATIVES April 23, 2024 Mr. D'Esposito 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 further require certain additional provider screening under the Medicaid program.

1. 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, 2025, 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 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, any other State plan under this title (or waiver of the plan), or any State child health plan under title XXI (or waiver of the plan). .