3.0.0 162 2022-11-15T16:33:26Z 2022-11-15T16:33:26Z House H HR 2013-01-04 113 From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mrs. BACHMANN:H.R. 162.Congress has the power to enact this legislation pursuantto the following:Article 1 Section 8 Clause 18: To make all Laws which shallbe necessary and proper for carrying into Execution theforegoing Powers, and all other Powers vested by thisConstitution in the Government of the United States, or inany Department or Officer thereof.[Page H53]]]> hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Referred to 2013-01-04T21:19:06Z Referred to 2013-01-04T15:07:00Z 2013-01-04 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2013-01-04 Referred to the House Committee on Energy and Commerce. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2013-01-04 Introduced in House IntroReferral Intro-H 9 Library of Congress 2013-01-04 Introduced in House IntroReferral 1000 9 Library of Congress B001256 Rep. Bachmann, Michele [R-MN-6] Michele Bachmann R MN 6 N Health Accounting and auditing Business records Government information and archives Health care costs and insurance Medicaid Public contracts and procurement Health 00 2013-01-04 Introduced in House 2013-01-17T19:33:54Z Medicaid Integrity Act of 2013 - Amends title XIX (Medicaid) of the Social Security Act with respect to a state's option to use Medicaid managed care organizations and primary care case managers.

Requires a state, acting through the state medical assistance agency or another state entity, in order to receive federal medical assistance percentage (FMAP) payments for expenditures under a contract with a managed care entity, to contract with an independent auditor to conduct biannual financial and performance-compliance audits of the entity.

Directs the Secretary of Health and Human Services (HHS) to set uniform audit standards according to specified requirements.

Requires the state to document for the Secretary its response to deficiencies reported in such audits.

Requires contracts between the state and managed care entities to require the managed care entity to give the independent auditor access to all necessary information.

Establishes sanctions for misrepresentation or falsification of information.

Prescribes requirements a state must meet to be allowed to enter into an agreement with an actuary with respect to the state's administration of a contract with a managed care entity.

]]> Medicaid Integrity Act of 2013 Display Title Medicaid Integrity Act of 2013 Short Titles as Introduced Medicaid Integrity Act of 2013 Official Title as Introduced To amend section 1932 of the Social Security Act to require independent audits and actuarial services under Medicaid managed care programs, and for other purposes. Introduced in House 2013-01-04T05:00:00Z https://www.govinfo.gov/content/pkg/BILLS-113hr162ih/xml/BILLS-113hr162ih.xml 2013-01-04 Referred to the Subcommittee on Health. text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.