Medicaid Fraud Prevention Act
Latest action (28 Sep 2026): Introduced
What this bill does
H.R. 10636, the Medicaid Fraud Prevention Act, would require all states to conduct annual assessments of fraud risks within their Medicaid programs. These assessments would need to identify and rank significant fraud, waste, and abuse vulnerabilities, estimate potential improper expenditures, and evaluate existing program integrity tools. States would then be required to develop and implement corrective action plans addressing identified vulnerabilities within 90 days of completing an assessment.
This bill would affect all states administering Medicaid programs. They would be mandated to perform these fraud risk assessments, develop action plans, and submit annual reports to the Secretary of Health and Human Services detailing their findings and actions. The Secretary would, in turn, report to Congress on national trends and state implementation.
The bill was introduced in the House of Representatives on September 28, 2026, and has been referred to the Committee on Energy and Commerce. No further action has been taken on it as of the provided information. If passed by both the House and Senate, it would go to the President for signature into law.
Plain-English summary generated by Bill100 AI from the official record. Always verify against the source below.
Official summary
This bill is in the first stage of the legislative process. It was introduced into Congress on September 28, 2026. It will typically be considered by committee next before it is possibly sent on to the House or Senate as a whole.
Common questions
- What does H.R. 10636 do?
- H.R. 10636, the Medicaid Fraud Prevention Act, would require all states to conduct annual assessments of fraud risks within their Medicaid programs. These assessments would need to identify and rank significant fraud, waste, and abuse vulnerabilities, estimate potential improper expenditures, and evaluate existing program integrity tools. States would then be required to develop and implement corrective action plans addressing identified vulnerabilities within 90 days of completing an assessment. This bill would affect all states administering Medicaid programs. They would be mandated to perform these fraud risk assessments, develop action plans, and submit annual reports to the Secretary of Health and Human Services detailing their findings and actions. The Secretary would, in turn, report to Congress on national trends and state implementation. The bill was introduced in the House of Representatives on September 28, 2026, and has been referred to the Committee on Energy and Commerce. No further action has been taken on it as of the provided information. If passed by both the House and Senate, it would go to the President for signature into law.
- Has H.R. 10636 become law?
- Not yet. As of 28 Sep 2026, H.R. 10636 is introduced.
- Who sponsored H.R. 10636?
- H.R. 10636 was sponsored by Rep. Michael Rulli [R-OH6] (Republican-OH), with 0 cosponsors.
- What's the latest action on H.R. 10636?
- Introduced (28 Sep 2026).
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