H.R. 7393 – Medicaid Quality Care Act

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Updated April 16, 2026 at 12:44 AM UTC

The Medicaid Quality Care Act directs the federal health department to set rules so that states overseeing Medicaid must develop and enforce quality‑control plans for care delivered by providers located outside the state. The goal is to improve oversight of out‑of‑state services for people enrolled in Medicaid, affecting state Medicaid agencies, out‑of‑state health providers, and Medicaid beneficiaries.

Key Provisions

Within one year of the law’s enactment, the Secretary of Health and Human Services must issue regulations that require each Medicaid‑participating state to create a written plan for quality control and oversight of medical services provided to its Medicaid enrollees by out‑of‑state providers.
States must implement the written plan (or obtain a waiver) to monitor and ensure the quality of out‑of‑state Medicaid care.

Legislative Activity

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1 earlier action

HouseIntro Referral Latest Action

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

December 21, 2018

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HouseIntro Referral

Introduced in House

December 21, 2018

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

December 21, 2018

Bill Text

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Introduced in HouseIssued December 21, 2018

I

115th CONGRESS

2d Session

H. R. 7393

IN THE HOUSE OF REPRESENTATIVES

December 21, 2018

Mr. Faso introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To require the Secretary of Health and Human Services to promulgate regulations with respect to quality control and oversight of out-of-State care under the Medicaid program.

1.

Short title

This Act may be cited as the Medicaid Quality Care Act.

2.

Regulations with respect to quality control and oversight of out-of-State care under Medicaid program

Not later than one year after the date of enactment of this Act, the Secretary of Health and Human Services shall promulgate regulations requiring each State with a State plan approved under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) to develop and implement a written plan providing for quality control and oversight by the State of medical assistance provided by out-of-State providers to individuals enrolled under the State plan (or a waiver of such plan).