Bill > S3727

This bill, titled the "Putting an N to Learing about Fraud Act," aims to combat fraud in federal programs by strengthening oversight and recovery of improper payments. Specifically, it amends the Child Care and Development Block Grant Act to require child care providers to be paid based on actual attendance rather than just enrollment, and mandates that payments are made after services are provided, not before. It also requires providers to keep attendance records for seven years and make them available for audits by federal officials. For health care services, the bill introduces new reporting requirements for the Medicare, Medicaid, and CHIP programs, as well as for qualified health plans offered through the American Health Benefit Exchanges (established by the Affordable Care Act). These requirements involve notifying the Inspector General of the Department of Health and Human Services if there's a significant increase (over 100%) in payments or the number of providers in a specific geographic area within a single year, which could indicate fraudulent activity. The Inspector General will then be required to audit programs showing substantial increases in payments or providers over a five-year period. Finally, the bill directs the Office of Management and Budget (OMB) to issue guidance to all federal agencies to ensure the recovery of all improper payments, and requires Inspectors General to report annually on the amounts of improper payments recovered by their agencies.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/3727/all-info