This bill requires state Medicaid programs to check, as part of the provider enrollment and reenrollment process, whether providers were terminated from participating in the Medicare program, any other state Medicaid program, or the Children's Health Insurance Program (CHIP) using certain databases (e.g., the Data EXchange system). The bill requires states to continue to check these databases on at least a monthly basis after providers are enrolled.
[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8112 Introduced in House (IH)]
<DOC>
118th CONGRESS
2d Session
H. R. 8112
To amend title XIX of the Social Security Act to further require
certain additional provider screening under the Medicaid program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
April 23, 2024
Mr. D'Esposito introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to further require
certain additional provider screening under the Medicaid program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. MEDICAID PROVIDER SCREENING REQUIREMENTS.
Section 1902(kk)(1) of the Social Security Act (42 U.S.C.
1396a(kk)(1)) is amended--
(1) by striking ``The State'' and inserting:
``(A) In general.--The State''; and
(2) by adding at the end the following new subparagraph:
``(B) Additional provider screening.--Beginning
January 1, 2025, as part of the enrollment (or
revalidation of enrollment) of a provider or supplier
under this title, and not less frequently than
quarterly during the period that such provider or
supplier is so enrolled, the State conducts a check of
any database or similar system developed pursuant to
section 6401(b)(2) of the Patient Protection and
Affordable Care Act to determine whether the Secretary
has terminated the participation of such provider or
supplier under title XVIII, any other State plan under
this title (or waiver of the plan), or any State child
health plan under title XXI (or waiver of the plan).''.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
Subcommittee Consideration and Mark-up Session Held
Forwarded by Subcommittee to Full Committee (Amended) by the Yeas and Nays: 23 - 0.
Committee Consideration and Mark-up Session Held
Ordered to be Reported (Amended) by the Yeas and Nays: 44 - 0.
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-606.
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-606.
Placed on the Union Calendar, Calendar No. 505.
Mrs. Rodgers (WA) moved to suspend the rules and pass the bill, as amended.
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Considered under suspension of the rules. (consideration: CR H5296-5297)
DEBATE - The House proceeded with forty minutes of debate on H.R. 8112.
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H5296)
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H5296)
Motion to reconsider laid on the table Agreed to without objection.
Received in the Senate and Read twice and referred to the Committee on Finance.