Medicaid Integrity Improvement Act
Requires state Medicaid fraud control units to audit samples of high-risk providers and suppliers at least annually.
In the House Energy and Commerce Committee since Sept. 28, 2026, 8 days after it was introduced. Most bills never leave committee.
- INTRODUCEDINTROSEP 28, 2026
- COMMITTEECOMM.IN COMMITTEE
- HOUSEHOUSE—
- SENATESENATE—
- LAWLAW—
What the bill would do, and why it matters
State Medicaid programs need ways to identify improper payments and possible fraud. The bill would require state Medicaid fraud control units to audit a sample of high-risk providers and suppliers at least annually. It would also require reporting on audit results and allow a corrective action plan in some cases where a unit misses the audit requirement.
- INTRODUCED ONLY This bill has been introduced and possibly referred to a committee, but it has not passed any vote. Most introduced bills never become law — they die in committee without a hearing.
- DATA NOTE No Congressional Research Service summary was available.
- Require annual audits of high-risk providers
State Medicaid fraud control units would audit a statistically valid sample of high-risk providers and suppliers at least once a year. The audits would look for potential fraud, waste, and abuse.
- Define which providers are high-risk
High-risk providers and suppliers would include those designated as high categorical risk under federal screening rules or identified by a state fraud control unit. Risk factors could include abnormal billing, prior audits, payment anomalies, ownership concerns, or credible allegations of fraud.
- Report audit results and collections
State fraud control units would summarize the audits in their annual report to the Secretary of Health and Human Services, including whether overpayments were identified and collected or referred for collection.
- Allow corrective plans after missed audits
If the Secretary determines that a state fraud control unit did not meet the audit requirement, the Secretary could still certify or recertify the unit if it submits and carries out an acceptable corrective action plan.
The bill is aimed at identifying potential fraud, waste, and abuse in Medicaid and documenting whether overpayments are recovered or referred for collection. Its practical effect would be to make recurring audits of a sample of high-risk providers part of state fraud control units’ work.
Written from the bill text.
The path it took, step by step
- IntroducedSEP 28, 2026HOUSESEP 28, 2026By Rep. Joyce with 5 original cosponsorsReferred to Energy and Commerce
- SAME DAYNOWHouse committeeSEP 28, 2026ENERGY & COMMERCE NOWSEP 28, 2026In committee for 8 daysNo hearing yet
- 8 DAYS SO FARPassed the House—HOUSE FLOOR—Not scheduled
- Senate committee—SENATE—
- Passed the Senate—SENATE FLOOR—Not scheduled
- Resolve differencesONLY IF NEEDEDBOTH CHAMBERSONLY IF NEEDEDSkipped if the other chamber passes the same text
- Signed into law—PRESIDENT—10 days to sign or veto
- SEP 282026SEP 28, 2026REFERREDHOUSEReferred to the House Committee on Energy and Commerce.
- SEP 282026SEP 28, 2026INTRODUCEDHOUSEIntroduced in House
At day 8, this bill is already older than 3% of the laws passed this Congress were when they were signed.
Where your members stand on it
A coalition from 5 states
Plus the sponsor, a Republican. Every cosponsor is from one party.
Plus the sponsor, a Republican. Every cosponsor is from one party.
Rep. Joyce’s record: sponsored 26 bills this Congress. 3 passed the House; 1 became law.
- Troy BaldersonR-OH-12ORIGINAL
- Gus M. BilirakisR-FL-12ORIGINAL
- Buddy CarterR-GA-1ORIGINAL
- Mike KennedyR-UT-3ORIGINAL
- August PflugerR-TX-11ORIGINAL
What readers think
Discussion
Get an alert when it changes stage, gets a floor vote in the House, or is signed into law.