To amend title XIX of the Social Security Act to require certain additional provider screening under the Medicaid program.
Sponsors
Legislative Progress
ReportedReported with an amendment, committed to the Committee of the …
Mr. Mike Garcia of California (for himself and Mr. Peters) …
Summary
What This Bill Does
Requires state Medicaid programs to check the Death Master File to verify providers are alive at enrollment and quarterly thereafter. Prevents payments to deceased providers.
Who Benefits and How
Medicaid program integrity improves significantly. Taxpayers saved from improper payments. States gain fraud prevention tool.
Who Bears the Burden and How
States must implement quarterly death checks starting January 2027. Medicaid administrative costs increase slightly. Provider enrollment process adds verification step.
Key Provisions
- Mandates Death Master File check at enrollment and quarterly
- Effective January 1, 2027
- Applies to providers and suppliers
Evidence Chain:
This summary is derived from the structured analysis below. See "Detailed Analysis" for per-title beneficiaries/burden bearers with clause-level evidence links.
Primary Purpose
Requires Medicaid to check Death Master File quarterly to prevent payments to deceased providers
Policy Domains
Legislative Strategy
"Prevent deceased provider fraud through death verification"
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology