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<BillSummaries>
<item congress="113" measure-type="hr" measure-number="162" measure-id="id113hr162" originChamber="HOUSE" orig-publish-date="2013-01-04" update-date="2013-01-17">
<title>Medicaid Integrity Act of 2013</title>
<summary summary-id="id113hr162v00" currentChamber="HOUSE" update-date="2013-01-17">
<action-date>2013-01-04</action-date>
<action-desc>Introduced in House</action-desc>
<summary-text><![CDATA[<p>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.</p> <p>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.</p> <p>Directs the Secretary of Health and Human Services (HHS) to set uniform audit standards according to specified requirements.</p> <p>Requires the state to document for the Secretary its response to deficiencies reported in such audits.</p> <p>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.</p> <p>Establishes sanctions for misrepresentation or falsification of information.</p> <p>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.</p>]]></summary-text>
</summary>
</item>
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<dc:language>EN</dc:language>
<dc:rights>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.</dc:rights>
<dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
<dc:description>This file contains bill summaries 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.</dc:description>
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