On September 11, 2015, the House Energy & Commerce Subcommittee on Health will hold a hearing to discuss legislative proposals intended to reduce Medicaid waste, fraud, and abuse. Bills to be discussed include:

  • Draft legislation to encourage territories to create Medicaid Fraud Control Units.
  • Draft legislation addressing recent OIG findings that health care providers terminated from Medicaid in one state were still participating in Medicaid and CHIP programs in other states.
  • H.R. 1570, the Medicaid and CHIP Territory Transparency and Information Act, to require CMS to include on its website certain data regarding Medicaid and CHIP programs in the territories.
  • H.R. 1771, to count portions of income from annuities of a community spouse as income available to institutionalized spouses for purposes of determining Medicaid eligibility for long-term care services.
  • H.R. 2339, to allow states to consider monetary winnings from lotteries and other lump sum payments as if they were obtained over multiple months, even if they were obtained in a single month, for purposes of determining Modified Adjusted Gross Income for Medicaid and CHIP eligibility.
  • Amended language for H.R. 2446, which requires states to have in place an electronic visit verification system for personal care services.

This article is presented for informational purposes only and is not intended to constitute legal advice.