Bill · H.R. 5364· House(119-HR-5364)
STOP FRAUD in Medicaid Act
- Introduced
- 9/15/2025
- Last activity
- 9/15/2025 — Referred to the House Committee on Energy and Commerce.
- Sponsored by
- Derek Schmidt
- Cosponsors
- - 10 - 0
- Introduced
- In Committee
What this bill would do
This bill, known as the "STOP FRAUD in Medicaid Act," seeks to amend title XIX of the Social Security Act. It directs State Medicaid fraud control units to investigate and prosecute instances of beneficiary fraud. The legislation expands the scope of these units to include individuals applying for or receiving services. Specific language changes are required in sections 1903(q)(3) and 1902(a)(61) of the Social Security Act. These amendments would take effect 180 days after the Act is enacted.
Yes· 3 of 6
Does this reduce what the federal government spends?+3
The bill targets the investigation and prosecution of beneficiary fraud to prevent the improper use of Medicaid funds.
Would households on low incomes be better off under this?+2
Ensuring Medicaid funds are not lost to fraud helps protect the program's capacity to serve low-income individuals.
Does this make what the government does easier for the public to see?+2
The bill expands the authority of fraud control units to investigate both providers and individual beneficiaries.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
- Increased accountability for beneficiary fraud: By directing State Medicaid fraud control units to investigate and prosecute instances where individuals are applying for or receiving services, the bill targets fraud at the beneficiary level (Section 2(a)).
Potential Negative Impacts for People
- No specific negative impacts are mentioned in the text: The provided text focuses on the directive to investigate and prosecute, but does not list specific negative consequences or burdens for any group of people.
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 Low Income Households+2Good For Seniors+1
- Economy And Finance
- Reduces Government Spending+3
- Governance And Ideology
- Improves Government Transparency+2
- Healthcare
- Increases Medicaid Funding+2
- Social Issues And Justice
- Improves Poverty Reduction+1
- 9/1/2026
- 1 Cosponsor added.
- 7/6/2026
- 1 Cosponsor added.
- 6/29/2026
- 2 Cosponsors added.
- 6/24/2026
- 2 Cosponsors added.
- 6/23/2026
- 1 Cosponsor added.
- 4/20/2026
- 1 Cosponsor added.
- 4/16/2026
- 2 Cosponsors added.
- 9/15/2025
- Referred to the House Committee on Energy and Commerce.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Ben ClineRepublican · Virginia
Russell FryRepublican · South Carolina
Mike HaridopolosRepublican · Florida
Brian JackRepublican · Georgia
Mike KennedyRepublican · Utah
Tracey MannRepublican · Kansas
Tim MooreRepublican · North Carolina
David RouzerRepublican · North Carolina
David TaylorRepublican · Ohio
Joe WilsonRepublican · South Carolina