119-hr1875

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Medicaid Provider Screening Accountability Act

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Introduced:
Mar 5, 2025
Policy Area:
Health

Bill Statistics

3
Actions
3
Cosponsors
1
Summaries
1
Subjects
1
Text Versions
Yes
Full Text

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Latest Action

Mar 5, 2025
Referred to the House Committee on Energy and Commerce.

Summaries (1)

Introduced in House - Mar 5, 2025 00
<p><strong>Medicaid Provider Screening Accountability Act</strong></p><p>This bill requires state Medicaid programs to check, as part of the provider enrollment and reenrollment process, whether providers were terminated from participating in the Medicare program, any other state Medicaid program, or the Children's Health Insurance Program (CHIP) using certain databases (e.g., the Data EXchange system). The bill requires states to continue to check these databases on at least a monthly basis after providers are enrolled.</p>

Actions (3)

Referred to the House Committee on Energy and Commerce.
Type: IntroReferral | Source: House floor actions | Code: H11100
Mar 5, 2025
Introduced in House
Type: IntroReferral | Source: Library of Congress | Code: Intro-H
Mar 5, 2025
Introduced in House
Type: IntroReferral | Source: Library of Congress | Code: 1000
Mar 5, 2025

Subjects (1)

Health (Policy Area)

Cosponsors (3)

Text Versions (1)

Introduced in House

Mar 5, 2025

Full Bill Text

Length: 2,209 characters Version: Introduced in House Version Date: Mar 5, 2025 Last Updated: Nov 11, 2025 6:17 AM
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1875 Introduced in House

(IH) ]

<DOC>

119th CONGRESS
1st Session
H. R. 1875

To amend title XIX of the Social Security Act to require certain
additional provider screening under the Medicaid program.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

March 5, 2025

Mr. Langworthy (for himself, Mr. Morelle, and Ms. Malliotakis)
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 certain
additional provider screening 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.

This Act may be cited as the ``Medicaid Provider Screening
Accountability Act''.
SEC. 2.
Section 1902 (kk) (1) of the Social Security Act (42 U.

(kk)

(1) of the Social Security Act (42 U.S.C.
1396a

(kk)

(1) ) is amended--

(1) by striking ``The State'' and inserting:
``
(A) In general.--The State''; and

(2) by adding at the end the following new subparagraph:
``
(B) Additional provider screening.--Beginning
January 1, 2028, as part of the enrollment (or
reenrollment or revalidation of enrollment) of a
provider or supplier under this title, and not less
frequently than monthly during the period that such
provider or supplier is so enrolled, the State conducts
a check of any database or similar system developed
pursuant to
section 6401 (b) (2) of the Patient Protection and Affordable Care Act to determine whether the Secretary has terminated the participation of such provider or supplier under title XVIII, or whether any other State has terminated the participation of such provider or supplier under such other State's State plan under this title (or waiver of the plan), or such other State's State child health plan under title XXI (or waiver of the plan).

(b)

(2) of the Patient
Protection and Affordable Care Act to determine whether
the Secretary has terminated the participation of such
provider or supplier under title XVIII, or whether any
other State has terminated the participation of such
provider or supplier under such other State's State
plan under this title (or waiver of the plan), or such
other State's State child health plan under title XXI
(or waiver of the plan).''.
<all>