Govwatch

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 10633 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                               H. R. 10633

To amend title XIX of the Social Security Act to require each State to 
 designate a single agent responsible for certain fiscal duties under 
                         the Medicaid program.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                           September 28, 2026

Mr. Pfluger (for himself, Mr. Joyce of Pennsylvania, and Mr. Balderson) 
 introduced the following bill; which was referred to the Committee on 
                          Energy and Commerce

_______________________________________________________________________

                                 A BILL

 
To amend title XIX of the Social Security Act to require each State to 
 designate a single agent responsible for certain fiscal duties under 
                         the Medicaid program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicaid Integrity and Fiscal 
Accountability Act''.

SEC. 2. REQUIRING SINGLE FISCAL AGENTS UNDER MEDICAID.

    Section 1902 of the Social Security Act (42 U.S.C. 1396a) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (89), by striking ``and'' at the 
                end;
                    (B) in paragraph (90), by striking the period at 
                the end and inserting ``; and''; and
                    (C) by inserting after paragraph (90) the following 
                new paragraph:
            ``(91) provide that, beginning January 1, 2028, the State 
        shall designate an individual as the individual primarily 
        responsible for ensuring, through the establishment of 
        appropriate policies, procedures, monitoring systems, and 
        corrective actions, the following with respect to the State 
        plan (or waiver of such plan):
                    ``(A) The processing and adjudication of claims in 
                an accurate and timely manner.
                    ``(B) Payment integrity, including by--
                            ``(i) identifying and preventing fraud, 
                        waste, abuse, and improper payments;
                            ``(ii) overseeing program integrity 
                        activities; and
                            ``(iii) in the case that deficiencies are 
                        identified, implementing corrective actions.
                    ``(C) Appropriate financial reporting, including by 
                ensuring the accuracy, completeness, and timeliness 
                of--
                            ``(i) reporting of State expenditures under 
                        such plan or waiver;
                            ``(ii) reporting of such expenditures that 
                        are eligible for Federal financial 
                        participation; and
                            ``(iii) any other financial information 
                        submitted to the Secretary.
                    ``(D) The establishment and maintenance of controls 
                to ensure that expenditures under such plan or waiver 
                comply with all applicable Federal requirements.''.
                                 <all>
Medicaid Integrity and Fiscal Accountability Act

Full Text
