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NY A06351

NY A06351
Creates incentives for counties to investigate and prosecute medicaid fraud.


summary

Introduced
03/04/2025
In Committee
03/04/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the social services law, in relation to creating incentives for counties to investigate and prosecute medicaid fraud

AI Summary

This bill creates financial incentives for counties and New York City to more actively investigate and prosecute Medicaid fraud by modifying how recovered funds are distributed. Specifically, when a county or New York City successfully prosecutes a Medicaid fraud case resulting in court-awarded restitution or civil forfeiture, they will now receive either 100% of the local share of funds or 10% of the total recovery, whichever amount is greater. The bill defines Medicaid fraud as knowingly committing a crime with intent to illegally receive benefits or reimbursement from the medical assistance program. The remaining funds from such recoveries will be deposited into the state's general fund. The legislation amends existing social services law to clarify that local districts can receive a more significant portion of civil damages collected related to medical assistance program violations, effectively providing a stronger financial motivation for local jurisdictions to pursue Medicaid fraud cases. The bill is designed to encourage more rigorous investigation and prosecution of fraudulent activities within the Medicaid system by making such efforts potentially more financially rewarding for local governments.

Committee Categories

Health and Social Services

Sponsors (9)

Last Action

referred to health (on 03/04/2025)

bill text


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