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HR 10636 119th Congress

Medicaid Fraud Prevention Act

To amend title XIX of the Social Security Act to require States to conduct fraud risk assessments under the Medicaid program.

Official Title as Introduced Congress.gov

Introduced Sep 28, 2026 Latest action Sep 28, 2026 Sponsor: Rep. Rulli, Michael A. [R-OH-6] Health
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Source: Congress.govUpdated 2026-10-28 11:07:02 UTC.

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Bill journey

5 dated records

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Congress.gov Recently refreshed U.S. Senate XML Latest available (refresh delayed)
Introduction 1 One supplied introduction date.
Official actions 3 3 dated action records.
Committees 1 1 undated relationship.
Amendments 0 No record is cached.
Text versions 1 1 dated, 0 without a supplied date.
House roll calls 0 No exact legislation-key match in the House-vote cache.
Senate roll calls 0 No exact document-key match in the Senate-vote cache.
Related measures 0 No related-measure relationship is cached.
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  1. Official action Congress.gov

    Referred to the House Committee on Energy and Commerce.

    IntroReferral · House floor actions · Code H11100

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    Official action Congress.gov

    Introduced in House

    IntroReferral · Library of Congress · Code Intro-H

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    Official action Congress.gov

    Introduced in House

    IntroReferral · Library of Congress · Code 1000

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    Text version Congress.gov

    Introduced in House

    A dated text-version record is available.

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Date and timeRecordOfficial detailSource
IntroductionIntroduced Introduced in the House. Congress.gov
Official actionReferred to the House Committee on Energy and Commerce. No additional detail supplied.IntroReferral · House floor actions · Code H11100 Congress.gov
Official actionIntroduced in House No additional detail supplied.IntroReferral · Library of Congress · Code Intro-H Congress.gov
Official actionIntroduced in House No additional detail supplied.IntroReferral · Library of Congress · Code 1000 Congress.gov
Text versionIntroduced in House A dated text-version record is available. Congress.gov

House roll calls join only on matching Congress, legislation type, and number. Senate roll calls join only on matching source-supplied document type and number, not question text. Committee and related-measure relationships have no date in their relationship records and therefore are counted above but never placed on the chronology.

Congressional Research Service

CRS summary

Introduced in House Sep 28, 2026

Medicaid Fraud Prevention ActThis bill requires state Medicaid programs to regularly assess their programs for fraud and take corrective actions. Specifically, states must complete a fraud risk assessment on at least an annual basis, implement a corrective action plan to address any identified vulnerabilities, and report on the results to the Centers for Medicare & Medicaid Services (CMS). The CMS must analyze this information and annually report the information to Congress.The fraud risk assessments must include a comprehensive assessment of the risks of fraud across the entirety of a state's Medicaid program, including with respect to managed care entities and eligibility and enrollment systems. The assessments must, to the extent practicable, utilize data from specified existing program integrity systems (e.g., Medicaid fraud control units). The CMS must issue guidelines on how states may identify areas that are at the highest risk of fraud.

Official documents

Text versions