Bill · H.R. 10348· House(119-HR-10348)
Health Care Fraud Prevention and Enforcement Act
- Introduced
- 9/10/2026
- Last activity
- 9/10/2026 — Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
- Sponsored by
- Thomas Suozzi
- Cosponsors
- - 0 - 1
- Introduced
- In Committee
What this bill would do
The Health Care Fraud Prevention and Enforcement Act aims to strengthen the oversight of the Health Care Fraud and Abuse Control Program. It provides specific funding increases from 2027 through 2029 for the Department of Health and Human Services, the Department of Justice, the FBI, and the Medicare integrity and data match programs. The bill expands the investigative authority of the HHS Office of the Inspector General and includes the Children's Health Insurance Program in data matching. It also requires the GAO to study the program's effectiveness and mandates stricter reporting timelines to Congress.
Yes· 3 of 10
Does this make what the government does easier for the public to see?+6
Mandates stricter reporting timelines and a GAO study on program effectiveness.
Would children be better off under this?+5
Includes the Children's Health Insurance Program in data matching to protect funds for children.
Would people over 65 be better off under this?+5
Strengthens Medicare integrity, protecting funds meant for senior care.
The opposite
Does this reduce what the federal government spends?-7
Allocates substantial new funding for HHS, DOJ, FBI, and Medicare integrity programs through 2029.
Does this reduce what the federal government owes?-3
Increases federal spending through significant new funding allocations for multiple agencies.
Would business owners be better off under this?-2
Increases oversight and fraud investigation for health plans and delivery systems.
Who it would affect, and how
Potential Positive Impacts for People
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Increased Fraud Detection: The bill provides significant additional funding for the Departments of Health and Human Services, Justice, and the FBI (Section 2(a)), which is intended to detect and prosecute health care fraud and abuse.
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Expanded Oversight: The Office of the Inspector General's investigative authority is expanded to include programs established under the Patient Protection and Affordable Care Act (Section 2(b)).
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Better Program Integration: Including the State Children's Health Insurance Program in the Medicare-Medicaid Data Match Program (Section 2(g)) may improve the identification of fraud across different health programs.
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Increased Accountability: The bill requires a notice of delay if the annual report is not submitted to Congress by April 1 (Section 2(e)) and mandates a GAO study to analyze the effectiveness of the program (Section 3).
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Public Awareness: The bill clarifies that funds can be used to communicate with the public regarding health care fraud (Section 2(d)).
Potential Negative Impacts for People
- Increased Government Spending: The bill allocates substantial new funding across multiple agencies and programs for fiscal years 2027, 2028, and 2029, as well as inflation-adjusted increases for subsequent years (Section 2(a)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Children+5Good For Retirees+5Good For Seniors+5Good For Low Income Households+4Good For Business Owners-2
- Governance And Ideology
- Improves Government Transparency+6Increases Federal Power+3
- Healthcare
- Increases Affordable Care Act Support+3Improves Healthcare Access+2
- Economy And Finance
- Improves Consumer Protection+4Improves Fiscal Responsibility+2Reduces Government Spending-7Reduces National Debt-3
- 9/10/2026
- Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
- 1 Cosponsor added.
- Introduced in House
Claudia TenneyRepublican · New York