Bills · HR 1875
IN COMMITTEE· 119TH CONGRESS
House BillHR 1875Health
Medicaid Provider Screening Accountability Act
INTRO MAR 5· LAST ACTION MAR 5
READING
2MIN
COSPONSORS
3BIPARTISAN
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it aims to close a potential loophole in how healthcare providers are screened for participation in government health programs. Without comprehensive, regular cross-state and cross-program checks, a provider who committed fraud or delivered poor care and was kicked out of Medicare or one state's Medicaid program could potentially enroll in another state's Medicaid program.
If this bill becomes law, it could help prevent healthcare fraud, waste, and abuse within the Medicaid system by identifying and removing problematic providers more effectively. This could lead to better protection for patients and potentially save taxpayer money by preventing payments to unqualified or unethical providers. If it doesn't pass, the current system, with potentially less frequent and less comprehensive inter-state and inter-program screening, would continue, potentially leaving Medicaid programs vulnerable to such exploitation.
KEY PROVISIONS
4AI-extractedPROVISION 01
Requires states to conduct additional provider screening for Medicaid enrollment, reenrollment, or revalidation.
This ensures a more comprehensive background check when providers initially join or renew their participation in Medicaid.
PROVISION 02
Mandates monthly database checks for all currently enrolled Medicaid providers and suppliers.
This continuous monitoring helps identify problematic providers even after their initial enrollment.
PROVISION 03
Requires states to check a federal database to identify providers terminated from Medicare or other states' Medicaid/CHIP programs.
This prevents providers who have been removed from one federal program or state program from continuing to participate in Medicaid elsewhere.
PROVISION 04
Sets the effective date for these new screening requirements as January 1, 2028.
This provides states with a specific timeframe to prepare for and implement the new mandates.
SPONSORSHIP
1 + 3
R· New York
YRS IN OFFICE
3
BILLS LED
48
COSPONSOR BREAKDOWNBIPARTISAN · 66%
DEM 2 REP 1 IND 0
ACTION TIMELINE
2 EVENTSMAR 5
Introduced in House
MAR 5
Referred to the House Committee on Energy and Commerce.
BILL INFO
TypeHouse Bill
NumberHR 1875
Congress119th
StatusIn Committee
IntroducedMar 5, 2025
Last actionMar 5, 2025
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IN COMMITTEE· 119TH CONGRESS · ENERGY AND COMMERCE COMMITTEE · INTRODUCED MAR 5, 2025
House BillHR 1875Health
Medicaid Provider Screening Accountability Act
INTRODUCED MAR 5, 2025· LAST ACTION MAR 5, 2025
PASSAGE CHANCES
—%
READING
2 min
COSPONSORS
3
COMPLEXITY
Moderate
