Bill · H.R. 6863· House(119-HR-6863)
CAT Act of 2025
- Introduced
- 12/18/2025
- Last activity
- 12/18/2025 — 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.
- Sponsored by
- Josh Harder
- Cosponsors
- - 0 - 1
- Introduced
- In Committee
What this bill would do
The CAT Act of 2025 aims to improve transparency regarding the suspension of Medicare payments during fraud investigations. It seeks to amend the Social Security Act to provide better information to healthcare providers when their payments are halted. The bill introduces requirements for the Secretary to provide specific details about allegations and regular updates during an investigation. It also aims to limit the duration of these suspensions unless there is good cause. Finally, the bill mandates the creation of an independent appeals process for providers to challenge payment suspensions.
Yes· 3 of 6
Does this make what the government does easier for the public to see?+7
The bill mandates specific notifications to providers regarding the nature and basis of fraud allegations before payments are suspended.
Would business owners be better off under this?+6
The bill provides healthcare providers with much-needed due process, transparency, and an appeals process for payment suspensions.
Does this make health care easier to get in general?+4
By preventing the closure of healthcare providers caused by unfair payment suspensions, the bill helps maintain access to necessary care.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Increased Transparency for Providers: The bill requires the Secretary to provide information about the specific nature, date, and basis of a fraud allegation at least 30 days before a suspension begins (Section 3(a)(1)(A)).
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Consistent Communication: Providers would receive a detailed, up-to-date list of investigation findings and an anticipated timeline at least once every 30 days during a suspension (Section 3(a)(1)(A)(ii)).
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Financial Protection for Good Faith Providers: By requiring the Secretary to resume payments and pay interest if transparency requirements are not met, the bill helps protect the financial viability of providers acting in good faith (Section 3(a)(1)(A)(iii)).
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Due Process through Appeals: The bill mandates the creation of an independent process allowing providers to appeal a payment suspension and receive a timely resolution (Section 3(a)(1)(6)).
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Limiting Excessive Suspensions: Investigations and payment suspensions may only exceed 180 days if the Secretary determines there is good cause (Section 3(a)(1)(A)).
Potential Negative Impacts for People
- Potential Withholding of Information: The Secretary can elect not to provide specific information to a provider if it is determined that doing so would compromise the integrity of the investigation (Section 3(a)(1)(A)(B)).
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 Business Owners+6Good For Seniors+3
- Governance And Ideology
- Improves Government Transparency+7
- Healthcare
- Improves Healthcare Access+4Increases Medicare Funding+3
- Economy And Finance
- Improves Fiscal Responsibility+2
- 12/18/2025
- 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.
- 1 Cosponsor added.
- Introduced in House
Young KimRepublican · California