Catherine Cortez Masto (D-NV)
Health Care Fraud Prevention and Enforcement Act
A Democratic bill with 3 Republican cosponsors · See all 5 cosponsors
Last activity — Read twice and referred to the Committee on Finance.
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
This bill is called the Health Care Fraud Prevention and Enforcement Act. It gives more money to different government groups to help them catch and stop health care fraud and abuse. The bill also expands the types of programs that the Office of the Inspector General can look into. It clarifies definitions related to public and private health plans and delivery systems. Additionally, the bill requires the government to report to Congress every year and explain any delays in reporting. Finally, it asks the Government Accountability Office to do a study on how well these anti-fraud programs are working.
Yes· 3 of 12
- Scored +5
Does this put more money into Medicare, the health coverage for people over 65?
The bill provides significant new funding to strengthen the integrity of Medicare programs.
- Scored +5
Does this put more money into Medicaid, the health coverage for people on low incomes?
The bill increases resources for oversight and data matching within Medicaid and SCHIP.
- Scored +4
Would people over 65 be better off under this?
Strengthening Medicare integrity helps protect the funds used for senior healthcare.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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More Funding to Fight Fraud: Section 2(a) provides extra funding for fiscal years 2027, 2028, 2029, and beyond for the Department of Health and Human Services, the Department of Justice, the FBI, and the Medicare Integrity Program. This is good because it gives law enforcement more resources to stop people from stealing from health care programs.
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Better Oversight for Children's Health Insurance: Section 2(g) adds the State Children's Health Insurance Program into the Medicare-Medicaid data match program starting in 2027. This helps protect health care programs that kids rely on by catching billing errors and fraud.
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Keeping Officials Accountable: Section 2(e) requires the Secretary and the Attorney General to send a notice of delay to specific committees in Congress if their annual anti-fraud report is not submitted by April 1. This holds our elected and appointed officials accountable for getting their work done on time.
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Checking Program Effectiveness: Section 3(a) orders the Comptroller General to study how well the Health Care Fraud and Abuse Control Program is working. This is a positive step to make sure taxpayer dollars are actually being used effectively to stop fraud.
Potential Negative Impacts for People
- There are no explicitly stated negative impacts or burdens for individuals or groups of people found within the text of this bill.
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.
- Healthcare
- Does this put more money into Medicaid, the health coverage for people on low incomes? — The bill increases resources for oversight and data matching within Medicaid and SCHIP. Does this put more money into Medicare, the health coverage for people over 65? — The bill provides significant new funding to strengthen the integrity of Medicare programs. Does this strengthen the Affordable Care Act? — The bill expands the investigative authority of the OIG to include programs established under the ACA. Does this make health care easier to get in general? — Better oversight of fraud helps ensure that healthcare resources are used effectively for patient access.
- Demographic And Interest Groups
- Would retired people be better off under this? — The bill's focus on Medicare integrity directly benefits retirees relying on these programs. Would people over 65 be better off under this? — Strengthening Medicare integrity helps protect the funds used for senior healthcare. Would children be better off under this? — The bill includes the State Children's Health Insurance Program in the data match program to improve oversight. Would households on low incomes be better off under this? — Improved oversight of SCHIP and Medicaid helps protect resources for low-income families.
- Governance And Ideology
- Does this make what the government does easier for the public to see? — The bill mandates a GAO study and annual reporting to Congress to ensure program effectiveness and transparency. Does this give the federal government more power? — The bill increases federal investigative and oversight authority over health care programs.
- Economy And Finance
- Does this give people more protection from unfair business practices? — The bill protects consumers by strengthening oversight to prevent health care fraud. Does this make the government pay for what it commits to? — The bill enhances fiscal responsibility by increasing funding to combat fraud and abuse in government health programs.
- 9/23/2026
- 2 Cosponsors added.
- 8/6/2026
- Read twice and referred to the Committee on Finance.
- 3 Cosponsors added.
- Introduced in Senate
Marsha BlackburnRepublican · Tennessee
Mike CrapoRepublican · Idaho
Chuck GrassleyRepublican · Iowa
Amy KlobucharDemocrat · Minnesota
Ron WydenDemocrat · Oregon