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Bill

Bill

S 915

Medicaid Provider and Recipient Fraud

2025-2026 Regular Session Introduced by Brian Adams and 17 co-sponsors

South Carolina bill establishing Medicaid fraud enforcement penalties and procedures for providers and recipients to prevent program abuse and protect taxpayer funds.

Referred to Committee on Judiciary
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WeVote Research Nonpartisan
Bill Summary · S 915

Legislative bill overview

S 915 addresses fraud within South Carolina's Medicaid system by establishing enforcement mechanisms and penalties for both providers and recipients who commit fraudulent acts. The bill was introduced in February 2026 and recently received a favorable committee report from the Judiciary Committee with amendments in April 2026.

Why is this important

Medicaid fraud increases costs to taxpayers and diverts resources from legitimate beneficiaries and healthcare services. By clarifying penalties and enforcement procedures, the legislation aims to deter fraudulent claims and improve program integrity, though the specific provisions remain unclear from the available action history.

Potential points of contention

  • Enforcement burden and due process: Stricter fraud penalties may require robust appeals processes to protect recipients from wrongful accusations, raising questions about implementation costs and procedural fairness
  • Provider compliance complexity: Healthcare providers may face increased administrative and documentation requirements to prove legitimacy, potentially creating barriers for small practices
  • Balancing fraud prevention with access: Aggressive enforcement could inadvertently discourage legitimate providers from participating in Medicaid or burden eligible recipients with additional verification requirements

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

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