Medicare Transaction Fraud Prevention Act
The source supplies the latest action, but no lifecycle stage.
Latest action (12 Jun 2025): Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
What this bill does
H.R. 3996, the Medicare Transaction Fraud Prevention Act, proposes establishing a two-year pilot program to test a predictive risk-scoring algorithm. This algorithm would be used to oversee payments for durable medical equipment and clinical diagnostic laboratory tests under Medicare. The program would allow Medicare beneficiaries to voluntarily opt-in, requiring them to receive electronic Medicare Summary Notices and agree to participate.
The algorithm would learn from beneficiary data to assign risk scores to transactions, ranging from 1 (least risky) to 99 (most risky). If a transaction receives a high-risk score, it could be suspended pending a review. Beneficiaries would have an opportunity to respond to potential inaccuracies or confirm transactions. The Secretary of Health and Human Services would collaborate with industry representatives in developing and implementing the program.
This bill was introduced in the House of Representatives on June 12, 2025, by Representative David Schweikert. It has been referred to the House Committees on Energy and Commerce and Ways and Means for consideration. The bill's next steps depend on the actions taken by these committees.
Plain-English summary generated by Bill100 AI from the official record. Always verify against the source below.
Timeline
12 Jun 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Common questions
- What does H.R. 3996 do?
- H.R. 3996, the Medicare Transaction Fraud Prevention Act, proposes establishing a two-year pilot program to test a predictive risk-scoring algorithm. This algorithm would be used to oversee payments for durable medical equipment and clinical diagnostic laboratory tests under Medicare. The program would allow Medicare beneficiaries to voluntarily opt-in, requiring them to receive electronic Medicare Summary Notices and agree to participate. The algorithm would learn from beneficiary data to assign risk scores to transactions, ranging from 1 (least risky) to 99 (most risky). If a transaction receives a high-risk score, it could be suspended pending a review. Beneficiaries would have an opportunity to respond to potential inaccuracies or confirm transactions. The Secretary of Health and Human Services would collaborate with industry representatives in developing and implementing the program. This bill was introduced in the House of Representatives on June 12, 2025, by Representative David Schweikert. It has been referred to the House Committees on Energy and Commerce and Ways and Means for consideration. The bill's next steps depend on the actions taken by these committees.
- Has H.R. 3996 become law?
- The source does not supply a confirmed lifecycle stage for H.R. 3996. Check the latest action and official source below.
- Who sponsored H.R. 3996?
- H.R. 3996 was sponsored by Rep. Schweikert, David [R-AZ-1] (R-AZ), with 0 cosponsors.
- What's the latest action on H.R. 3996?
- Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. (12 Jun 2025).
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