| 1 | 1 | | I |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION H. R. 1875 |
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| 5 | 5 | | To amend title XIX of the Social Security Act to require certain additional |
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| 6 | 6 | | provider screening under the Medicaid program. |
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| 7 | 7 | | IN THE HOUSE OF REPRESENTATIVES |
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| 8 | 8 | | MARCH5, 2025 |
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| 9 | 9 | | Mr. L |
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| 10 | 10 | | ANGWORTHY(for himself, Mr. MORELLE, and Ms. MALLIOTAKIS) intro- |
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| 11 | 11 | | duced the following bill; which was referred to the Committee on Energy |
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| 12 | 12 | | and Commerce |
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| 13 | 13 | | A BILL |
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| 14 | 14 | | To amend title XIX of the Social Security Act to require |
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| 15 | 15 | | certain additional provider screening under the Medicaid |
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| 16 | 16 | | program. |
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| 17 | 17 | | Be it enacted by the Senate and House of Representa-1 |
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| 18 | 18 | | tives of the United States of America in Congress assembled, 2 |
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| 19 | 19 | | SECTION 1. SHORT TITLE. 3 |
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| 20 | 20 | | This Act may be cited as the ‘‘Medicaid Provider 4 |
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| 21 | 21 | | Screening Accountability Act’’. 5 |
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| 22 | 22 | | SEC. 2. MEDICAID PROVIDER SCREENING REQUIREMENTS. 6 |
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| 23 | 23 | | Section 1902(kk)(1) of the Social Security Act (42 7 |
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| 24 | 24 | | U.S.C. 1396a(kk)(1)) is amended— 8 |
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| 25 | 25 | | (1) by striking ‘‘The State’’ and inserting: 9 |
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| 26 | 26 | | VerDate Sep 11 2014 09:41 Mar 19, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1875.IH H1875 |
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| 27 | 27 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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| 28 | 28 | | •HR 1875 IH |
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| 29 | 29 | | ‘‘(A) IN GENERAL.—The State’’; and 1 |
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| 30 | 30 | | (2) by adding at the end the following new sub-2 |
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| 31 | 31 | | paragraph: 3 |
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| 32 | 32 | | ‘‘(B) A |
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| 33 | 33 | | DDITIONAL PROVIDER SCREEN -4 |
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| 34 | 34 | | ING.—Beginning January 1, 2028, as part of 5 |
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| 35 | 35 | | the enrollment (or reenrollment or revalidation 6 |
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| 36 | 36 | | of enrollment) of a provider or supplier under 7 |
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| 37 | 37 | | this title, and not less frequently than monthly 8 |
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| 38 | 38 | | during the period that such provider or supplier 9 |
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| 39 | 39 | | is so enrolled, the State conducts a check of any 10 |
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| 40 | 40 | | database or similar system developed pursuant 11 |
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| 41 | 41 | | to section 6401(b)(2) of the Patient Protection 12 |
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| 42 | 42 | | and Affordable Care Act to determine whether 13 |
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| 43 | 43 | | the Secretary has terminated the participation 14 |
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| 44 | 44 | | of such provider or supplier under title XVIII, 15 |
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| 45 | 45 | | or whether any other State has terminated the 16 |
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| 46 | 46 | | participation of such provider or supplier under 17 |
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| 47 | 47 | | such other State’s State plan under this title 18 |
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| 48 | 48 | | (or waiver of the plan), or such other State’s 19 |
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| 49 | 49 | | State child health plan under title XXI (or 20 |
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| 50 | 50 | | waiver of the plan).’’. 21 |
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| 51 | 51 | | Æ |
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| 52 | 52 | | VerDate Sep 11 2014 09:41 Mar 19, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6301 E:\BILLS\H1875.IH H1875 |
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| 53 | 53 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB |
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