Medicaid Fraud Prevention Act

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 10636 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 10636 To amend title XIX of the Social Security Act to require States to conduct fraud risk assessments under the Medicaid program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES September 28, 2026 Mr. Rulli (for himself, Mr. Bentz, Mr. Carter of Georgia, Mrs. Fischbach, Mr. Taylor, and Mr. Biggs of Arizona) 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 States to conduct fraud risk assessments under the Medicaid program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Medicaid Fraud Prevention Act''. SEC. 2. REQUIRING MEDICAID FRAUD RISK ASSESSMENTS. Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended-- (1) in subsection (a)-- (A) in paragraph (89), by striking ``and'' at the end; (B) in paragraph (90), by striking the period at the end and inserting ``; and''; and (C) by inserting after paragraph (90) the following new paragraph: ``(91) provide that the State shall comply with the fraud risk assessment requirements under subsection (zz).''; and (2) by adding at the end the following new subsection: ``(zz) Fraud Risk Assessment Requirements.-- ``(1) In general.--For purposes of subsection (a)(91), the fraud risk assessment requirements under this subsection are that the State shall-- ``(A) not later than 1 year after the date of the enactment of this subsection and not less frequently than annually thereafter, complete a fraud risk assessment as described in paragraph (2); ``(B) not later than 90 days after completing such an assessment, impleme