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HR 5364

STOP FRAUD in Medicaid Act

119th Congress Introduced by Ben Cline and 8 co-sponsors

The STOP FRAUD in Medicaid Act empowers states to combat Medicaid fraud, ensuring funds are used properly and beneficiaries receive rightful services.

Introduced in House
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WeVote Research Nonpartisan
Bill Summary · HR 5364

Summary of HR 5364 - STOP FRAUD in Medicaid Act

Overview

The STOP FRAUD in Medicaid Act (HR 5364) was introduced in the House of Representatives on September 15, 2025. The primary aim of this legislation is to enhance the integrity of the Medicaid program by addressing and reducing fraudulent activities within the system.

Purpose and Intent

The bill is designed to empower states to take a more active role in combating fraud in Medicaid. By providing states with the necessary tools and authority, the legislation seeks to ensure that Medicaid funds are used appropriately and that beneficiaries receive the services they are entitled to without the interference of fraudulent practices.

Key Provisions

While the full text of the bill has not been detailed in the provided information, the title and intent suggest several potential provisions that may be included:

  • State Empowerment: The bill likely includes measures that grant states greater authority to investigate and prosecute Medicaid fraud.
  • Funding and Resources: It may propose allocating additional resources or funding to state Medicaid programs to enhance their fraud detection and prevention capabilities.
  • Collaboration: The legislation could encourage collaboration between state and federal agencies to share information and best practices in combating Medicaid fraud.

Affected Parties

The following groups may be significantly impacted by the STOP FRAUD in Medicaid Act:

  • State Governments: States will gain more power and responsibility in managing Medicaid fraud cases.
  • Medicaid Beneficiaries: Individuals relying on Medicaid services may benefit from improved program integrity and reduced fraud.
  • Healthcare Providers: Providers may face stricter scrutiny and oversight, which could affect their operations and compliance requirements.

Legislative Process

  • Introduced: The bill was introduced in the House on September 15, 2025.
  • Referred to Committee: Following its introduction, HR 5364 was referred to the House Committee on Energy and Commerce for further consideration.

Conclusion

The STOP FRAUD in Medicaid Act represents a legislative effort to strengthen the fight against fraud in the Medicaid program. By empowering states and potentially increasing resources for fraud prevention, the bill aims to protect both the integrity of Medicaid and the welfare of its beneficiaries. Further developments will be monitored as the bill progresses through the legislative process.

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

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