Medicaid Provider Screening Accountability Act

Bill: 119-hr-1875
Sponsor: full_name: Rep. Langworthy, Nicholas A. [R-NY-23]
Introduced: 2025-03-05
Policy area: Health
Latest action: action_date: 2025-03-05
text: Referred to the House Committee on Energy and Commerce.

Summaries:
action_date: 2025-03-05
action_desc: Introduced in House
text: <p><strong>Medicaid Provider Screening Accountability Act</strong></p><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., 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>

tv_txt: I 119th CONGRESS 1st Session H. R. 1875 IN THE HOUSE OF REPRESENTATIVES March 5, 2025 Mr. Langworthy (for himself, Mr. Morelle , and Ms. Malliotakis ) 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.

1. Short title This Act may be cited as the Medicaid Provider Screening Accountability Act . 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, 2028, 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). .