Bill · H.R. 10618· House(119-HR-10618)
STOP Medicaid Fraud Act of 2026
- Introduced
- 9/28/2026
- Last activity
- 9/28/2026 — Referred to the House Committee on Energy and Commerce.
- Sponsored by
- Gabe Evans
- Cosponsors
- - 2 - 0
- Introduced
- In Committee
What this bill would do
This bill is titled the Strengthening Tools for Oversight to Prevent Medicaid Fraud Act of 2026 or the STOP Medicaid Fraud Act of 2026. It amends title XIX of the Social Security Act to promote the electronic verification of certain services. Specifically, starting on January 1, 2027, states must require the use of an electronic verification system for specified services provided under a Medicaid state plan or waiver. If the Secretary determines that a state is not complying with this rule, the state must submit a corrective action plan within 90 days. States that already require an electronic verification system for these services as of the date of enactment are exempt from this new requirement. Specified services are defined under the bill as non-emergency transportation services and applied behavior analysis services.
Yes· 3 of 6
Does this make what the government does easier for the public to see?+3
The legislation promotes electronic verification for Medicaid services to improve oversight and prevent fraud.
Does this give the federal government more power?+2
The bill mandates states to implement electronic verification systems for certain Medicaid services and requires corrective action plans for non-compliance.
Does this reduce what the federal government spends?+2
The bill aims to prevent Medicaid fraud through electronic verification, which could reduce unnecessary government spending.
The opposite
Does this put more money into Medicaid, the health coverage for people on low incomes?-1
Adding administrative requirements like electronic verification systems could impose compliance costs on states operating Medicaid programs.
Who it would affect, and how
Potential Positive Impacts for People
- Section 2 (adding Section 1903(cc) to the Social Security Act): The bill requires states to implement an electronic verification system for non-emergency transportation services and applied behavior analysis services under Medicaid starting January 1, 2027. This could be considered positive because it promotes oversight and aims to prevent Medicaid fraud regarding these specific services.
Potential Negative Impacts for People
- Section 2 (adding Section 1903(cc) to the Social Security Act): The text does not explicitly mention potential negative outcomes or burdens for individuals or groups, but states not in compliance face notifications and the requirement to submit a corrective action plan within 90 days to demonstrate compliance within one year.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Governance And Ideology
- Improves Government Transparency+3Increases Federal Power+2
- Economy And Finance
- Improves Fiscal Responsibility+2Reduces Government Spending+2
- Demographic And Interest Groups
- Good For Low Income Households+1Good For People With Disabilities+1
- Healthcare
- Increases Medicaid Funding-1
- 10/5/2026
- 2 Cosponsors added.
- 9/28/2026
- Referred to the House Committee on Energy and Commerce.
- Introduced in House
Lauren BoebertRepublican · Colorado
Jeff CrankRepublican · Colorado