Medicaid Integrity Improvement Act

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 10625 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 10625 To amend title XIX of the Social Security Act to require State Medicaid fraud control units to conduct annual audits. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES September 28, 2026 Mr. Joyce of Pennsylvania (for himself, Mr. Bilirakis, Mr. Pfluger, Mr. Kennedy of Utah, Mr. Carter of Georgia, and Mr. Balderson) 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 State Medicaid fraud control units to conduct annual audits. 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 Integrity Improvement Act''. SEC. 2. REQUIRING STATE MEDICAID FRAUD CONTROL UNITS TO CONDUCT ANNUAL AUDITS. Section 1903(q) of the Social Security Act (42 U.S.C. 1396b(q)) is amended-- (1) in the matter preceding paragraph (1), by inserting ``, subject to paragraph (8)(C),'' before ``annually recertifies''; and (2) by adding at the end the following new paragraph: ``(8)(A) Beginning not later than the date that is 1 year after the date of the enactment of this paragraph, and not less frequently than annually thereafter, for purposes of conducting the statewide program under paragraph (3), the entity, in coordination with the Inspector General of the Department of Health and Human Services and the State agency responsible for administering the State plan under this title (as appropriate), audits a statistically valid sample of high-risk providers and suppliers for purposes of identifying potential fraud, waste, and abuse. ``(B) Beginning with respect to the first annual report submitted