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HR 5364119th CongressIntroduced

STOP FRAUD in Medicaid Act

Introduced: Sep 15, 2025
Healthcare
Standard Summary
Comprehensive overview in 1-2 paragraphs

The STOP FRAUD in Medicaid Act would broaden the authority of state Medicaid Fraud Control Units (MFCUs) to pursue fraud committed by Medicaid beneficiaries—i.e., applicants and recipients—as well as the existing focus on provider fraud and related abuses. By amending key provisions of the Social Security Act, the bill explicitly includes “application for, or receipt of” Medicaid benefits in the scope of MFCTU investigations and prosecutions. The changes are designed to ensure unscrupulous individuals who misrepresent, manipulate, or misuse eligibility or benefits can be investigated and charged. The amendments take effect 180 days after enactment. In short, the bill moves the fight against Medicaid fraud from primarily providers to include beneficiaries who fraudulently obtain or misuse benefits, expanding enforcement tools at the state level.

Key Points

  • 1Expands MFCTU authority to beneficiary fraud: State Medicaid Fraud Control Units would investigate and prosecute fraud by individuals applying for or receiving Medicaid benefits, not just providers.
  • 2Specific statutory amendments: The bill adds language requiring inclusion of “application for, or receipt of” in relevant sections of the Social Security Act (1903(q)(3) and 1902(a)(61)) to capture eligibility and benefit receipt in MFCTU cases.
  • 3Scope expansion: The change covers fraud in the application process and in the ongoing receipt of benefits, broadening the types of conduct MFCTUs can pursue.
  • 4Effective date: Provisions become operative 180 days after enactment of the bill.
  • 5Short/long title: It is named the STOP FRAUD in Medicaid Act (full title: States Taking On Power For Redressing All Unlawful Deceits in Medicaid Act).

Impact Areas

Primary group/area affected: Medicaid applicants and recipients (beneficiaries) and state Medicaid Fraud Control Units, which would have authority to investigate and prosecute beneficiary fraud.Secondary group/area affected: State Medicaid agencies (in terms of adjusting policies and procedures to cover beneficiary fraud), healthcare providers (through expanded enforcement and coordination with MFCUs), and law enforcement partners involved in Medicaid fraud cases.Additional impacts:- Resource and budget implications for states, as MFCTUs may need additional staffing and training to handle beneficiary fraud investigations.- Potential privacy and civil liberties considerations due to expanded review of applications and beneficiary information.- Possible deterrent effect on fraudulent activity in both eligibility determination and benefit receipt, with corresponding impacts on program integrity.
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