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Bill

A 6378

Reimburses counties who have purchased or will purchase Medicaid fraud detection software

2025 Regular Session Introduced by Karl Brabenec and 9 co-sponsors

Reimburses counties for Medicaid fraud-detection software purchases, helping them secure funding to curb improper payments and boost program integrity.

REFERRED TO SOCIAL SERVICES
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Bill Summary · A 6378

Summary of Assembly Bill A 6378

Overview

  • Bill Number: A 6378
  • Title: Reimburses counties who have purchased or will purchase Medicaid fraud detection software
  • Status: Referred to Social Services (as of introduction)
  • Introduced: March 4, 2025
  • Classification: Assembly bill

Purpose and Intent

  • The bill seeks to establish a program to reimburse counties for the costs they incur to purchase Medicaid fraud detection software. This aims to support county efforts to enhance program integrity and reduce improper Medicaid payments.

Key Provisions (as proposed in the bill text)

  • The bill would provide state-level reimbursement to counties for eligible expenditures on Medicaid fraud detection software.
  • Specific details such as which counties qualify, what software purchases are eligible, reimbursement amounts, and any caps or matching requirements would be defined in the bill’s text.
  • The bill would establish administration and oversight mechanisms for processing reimbursements, including application procedures, eligibility verification, and reporting requirements.
  • Provisions may address timing (start dates, spending periods), potential audits, and remedies for improper use of funds.
  • The bill could also define terms related to “Medicaid fraud detection software,” and set conditions for reimbursements to existing purchases or future purchases.

Note: The exact eligibility criteria, funding source, reimbursement formulas, reporting requirements, and sunset provisions will be specified in the full bill language. The summary reflects the bill’s stated objective and the typical components of a statewide reimbursement program.

Affected Parties

  • Primary beneficiaries: County governments that have already purchased or plan to purchase Medicaid fraud detection software.
  • State government entities responsible for administering the reimbursement program (likely the Department/Office of Social Services or a related agency, as indicated by the referral to the Social Services committee).
  • Potential indirect effects on software vendors and county budget planning.

Legislative Status and Related Legislation

  • Current action: Referred to the Social Services committee on March 4, 2025.
  • Related bills (prior-session and companion): A 5249, A 4744, A 3540, A 4876, A 5083 (prior sessions); S 1484 (companion, Senate). The presence of multiple related bills in prior sessions suggests recurring consideration of Medicaid fraud detection funding and county reimbursements.

Timelines and Process

  • Progress beyond referral not listed here. The bill would advance through committee review, potential amendments, and floor votes. Companion Senate bill S 1484 may track parallel proposals in the Senate.

If you’d like, I can tailor this summary once the full bill text is available, including explicit eligibility criteria, funding sources, reimbursement calculations, and reporting requirements.

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

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