Bill > HR5364

This bill, known as the "STOP FRAUD in Medicaid Act," aims to expand the responsibilities of State Medicaid Fraud Control Units (MFCUs) by explicitly directing them to investigate and prosecute instances of beneficiary fraud, in addition to their existing provider fraud investigations. Specifically, the bill amends two sections of the Social Security Act to broaden the language around MFCUs' investigative scope, adding phrases like "application for" and "receipt of" services to emphasize that these units should scrutinize not just healthcare providers, but also Medicaid recipients who might be committing fraudulent acts. The changes will take effect 180 days after the bill's enactment, giving state agencies time to adjust their procedures and understanding of their expanded investigative mandate. By clarifying and expanding the role of MFCUs, the bill seeks to more comprehensively address potential fraudulent activities within the Medicaid system, potentially reducing improper payments and ensuring that benefits are used as intended.

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https://www.congress.gov/bill/119th-congress/house-bill/5364/all-info