119th CONGRESS
1st Session
H. R. 5364


To amend title XIX of the Social Security Act to direct State Medicaid fraud control units to investigate and prosecute instances of beneficiary fraud.


IN THE HOUSE OF REPRESENTATIVES

September 15, 2025

Mr. Schmidt 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 direct State Medicaid fraud control units to investigate and prosecute instances of beneficiary fraud.

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 “States Taking On Power For Redressing All Unlawful Deceits in Medicaid Act” or the “STOP FRAUD in Medicaid Act”.

SEC. 2. Directing State Medicaid fraud control units to investigate and prosecute beneficiary fraud.

(a) In general.—Section 1903(q)(3) of the Social Security Act (42 U.S.C. 1396b(q)(3)) is amended—

(1) by inserting “, application for, or receipt of” after “the provision of” each place it appears;

(2) by inserting “, and individuals applying for or receiving,” after “providers of”; and

(3) by inserting “, and individuals applying for or receiving,” before “such services”.

(b) Conforming change.—Section 1902(a)(61) of the Social Security Act (42 U.S.C. 1396a(a)(61)) is amended by inserting “, application for, and receipt of” after “the provision of” each place it appears.

(c) Effective date.—The amendments made by subsection (a) shall apply beginning on the date that is 180 days after the date of the enactment of this Act.