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Bill

A 6351

Creates incentives for counties to investigate and prosecute medicaid fraud

2025 Regular Session Introduced by Ken Blankenbush and 8 co-sponsors

Creates incentives for counties to investigate and prosecute Medicaid fraud, boosting program integrity and reducing improper Medicaid spending by empowering county prosecutors.

REFERRED TO HEALTH
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Bill Summary · A 6351

Bill A 6351 — Summary

Basic information

  • Bill number: A 6351
  • Title: Creates incentives for counties to investigate and prosecute Medicaid fraud
  • Status: Referred to Health
  • Introduced: March 4, 2025
  • Primary sponsor: Andrew Molitor

  • Cosponsors: Robert Smullen, John Lemondes, Jeff Gallahan, Joseph Sempolinski, Joe DeStefano, Jodi Giglio, Keith Brown, Kenneth Blankenbush

  • Related bills (prior sessions): A 5113, A 5042, A 9494, A 4281, A 5461, A 4880, A 6014

Purpose and intent

  • The bill aims to create incentives for counties to more actively investigate and prosecute Medicaid fraud. The underlying goal is to strengthen program integrity, reduce improper Medicaid expenditures, and enhance accountability in the administration and delivery of Medicaid at the county level.

Key provisions (as indicated by the bill’s title and status)

  • The exact mechanisms are not provided in the available information. The bill would establish some form of incentives for county-level action related to Medicaid fraud investigations and prosecutions.
  • Specific components likely to be addressed in the full text (subject to the bill’s language) may include:
    • Eligibility criteria for counties to qualify for incentives
    • Types of incentives (financial grants, reimbursements, staffing support, training, or technical assistance)
    • Performance metrics or reporting requirements to receive incentives
    • Administrative framework for administering incentives (state agencies, possible collaboration with district attorneys or county prosecutors)
    • Oversight, auditing, and accountability provisions
    • Effective dates and any sunset or renewal provisions

Note: The exact provisions, dollar amounts, timelines, and administrative details would be defined in the bill’s text.

Who would be affected

  • Directly affected: Counties and their prosecutorial offices (district attorneys), which would be eligible to receive incentives for Medicaid fraud investigations and prosecutions.
  • Indirectly affected: Medicaid program administrators at the state level, providers and beneficiaries who rely on Medicaid, and state/ county law-enforcement and health agencies responsible for program integrity and compliance.

Procedural and timeline aspects

  • Currently in the Health Committee stage (referred to Health on March 4, 2025).
  • If advanced, steps typically include committee hearings, potential amendments, floor votes in the chamber, and possible passage to the other house, followed by reconciliation if needed and a governor’s signature.
  • The bill’s text would specify any effective date(s) for the incentives and any interim implementation schedule.

Potential fiscal and policy considerations

  • Possible increase in county investigations and prosecutions, leading to improved fraud detection and savings in Medicaid expenditures.
  • Fiscal impact would depend on incentive design, funding sources, and administrative costs.
  • Key policy considerations include ensuring fair access to incentives, avoiding unintended perverse incentives, protecting due process, and coordinating with state Medicaid fraud enforcement efforts.

Next steps for readers

  • Review the full bill text to understand the precise incentive design, eligibility, funding, and implementation timeline.
  • Monitor committee hearings and any fiscal impact statements.
  • Consider how the bill interacts with existing Medicaid fraud enforcement programs at the state and county levels.

Compiled from official sources — confirm details with the bill’s official record.

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