A Democratic bill with 1 Republican cosponsor · See the cosponsor
Last activity — 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.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- 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
- Scored +6
Does this make what the government does easier for the public to see?
Mandates stricter reporting timelines and a GAO study on program effectiveness.
- Scored +5
Would children be better off under this?
Includes the Children's Health Insurance Program in data matching to protect funds for children.
- Scored +5
Would people over 65 be better off under this?
Strengthens Medicare integrity, protecting funds meant for senior care.
The opposite
- Scored -7
Does this reduce what the federal government spends?
Allocates substantial new funding for HHS, DOJ, FBI, and Medicare integrity programs through 2029.
- Scored -3
Does this reduce what the federal government owes?
Increases federal spending through significant new funding allocations for multiple agencies.
- Scored -2
Would business owners be better off under this?
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. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would children be better off under this? — Includes the Children's Health Insurance Program in data matching to protect funds for children. Would retired people be better off under this? — Protects the integrity of Medicare funds utilized by retirees. Would people over 65 be better off under this? — Strengthens Medicare integrity, protecting funds meant for senior care. Would households on low incomes be better off under this? — Protects Medicaid and CHIP funding from fraud, ensuring availability for low-income residents. Would business owners be better off under this? — Increases oversight and fraud investigation for health plans and delivery systems.
- Governance And Ideology
- Does this make what the government does easier for the public to see? — Mandates stricter reporting timelines and a GAO study on program effectiveness. Does this give the federal government more power? — Increases the investigative and oversight authority of federal agencies like the OIG.
- Healthcare
- Does this strengthen the Affordable Care Act? — Expands OIG investigative authority to include programs established under the ACA. Does this make health care easier to get in general? — Reducing fraud helps ensure that healthcare program funds are available for legitimate patient care.
- Economy And Finance
- Does this give people more protection from unfair business practices? — Protects public health funds from fraud, ensuring resources are used for actual care. Does this make the government pay for what it commits to? — Aims to reduce wasteful spending by strengthening fraud detection and recovery in health programs. Does this reduce what the federal government spends? — Allocates substantial new funding for HHS, DOJ, FBI, and Medicare integrity programs through 2029. Does this reduce what the federal government owes? — Increases federal spending through significant new funding allocations for multiple agencies.
- 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