[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6051 Introduced in House (IH)]

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114th CONGRESS
  2d Session
                                H. R. 6051

  To establish a grant program to provide States with funds to detect 
fraud, waste, and abuse in the State Medicaid programs under title XIX 
 of the Social Security Act and to recover improper payments resulting 
                   from such fraud, waste, and abuse.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           September 15, 2016

  Mr. Israel introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
  To establish a grant program to provide States with funds to detect 
fraud, waste, and abuse in the State Medicaid programs under title XIX 
 of the Social Security Act and to recover improper payments resulting 
                   from such fraud, waste, and abuse.

    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 ``Local Medicaid Enforcement 
Incentives Act of 2016''.

SEC. 2. GRANT PROGRAM TO PROVIDE STATES WITH FUNDS TO DETECT MEDICAID 
              FRAUD, WASTE, AND ABUSE AND RECOVER CERTAIN IMPROPER 
              PAYMENTS.

    (a) In General.--The Secretary of Health and Human Services shall 
establish a program to award grants, subject to subsection (c), to 
States to establish or expand a program described in subsection (b).
    (b) Medicaid Fraud Control Program.--For purposes of subsection 
(a), a program described in this subsection is a program that--
            (1) is administered by a State official with responsibility 
        for controlling provider fraud and abuse under the State plan 
        under title XIX of the Social Security Act (42 U.S.C. 1396 et 
        seq.);
            (2) detects and prevents fraud, waste, and abuse with 
        respect to payments made under such State plan or under any 
        waiver of such plan approved under section 1115 of the Social 
        Security Act (42 U.S.C. 1315);
            (3) identifies and recovers overpayments to individuals or 
        entities receiving funds under such State plan or waiver 
        resulting from such fraud, waste, or abuse; and
            (4) shares with localities within the State that assist in 
        the detection and prevention under paragraph (2) or the 
        identification and recovery under paragraph (3) at least 50 
        percent of the State's share of the total amount of such funds 
        so recovered during a period as overpayments under paragraph 
        (3) minus any amount expended during such period on 
        administrative costs to carry out the program.
    (c) Funding.--
            (1) Authorization of appropriations.--To carry out this 
        section, there is authorized to be appropriated to the 
        Secretary of Health and Human Services $100,000,000 to remain 
        available until expended.
            (2) Limitation.--Not more than 5 percent of the amount 
        appropriated pursuant to paragraph (1) may be awarded to any 
        State.
    (d) State Defined.--For purposes of this section, the term 
``State'' has the meaning given such term for purposes of title XIX of 
the Social Security Act (42 U.S.C. 1396 et seq.).
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