H.R. 2309 – Medicare and Medicaid Fraud Prevention Act

AI-Generated Summary

Updated November 24, 2025 at 1:44 AM UTC

The Medicare and Medicaid Fraud Prevention Act changes Medicaid rules so that state Medicaid agencies must verify that providers and suppliers are not deceased. Starting in 2027, states must run a check against the federal Death Master File when a provider first enrolls or re‑validates enrollment, and then at least quarterly while the provider remains enrolled. This adds an extra screening step aimed at preventing fraud involving deceased individuals.

Key Provisions

Amends the Medicaid provider enrollment rules (Section 1902(kk)(1) of the Social Security Act) to add a new requirement that states must check the Death Master File for each provider or supplier when they first enroll or re‑validate enrollment.
Requires states to repeat this death‑file check at least every three months for as long as the provider or supplier remains enrolled in Medicaid, beginning January 1 2027.

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

March 24, 2025

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HouseIntro Referral

Introduced in House

March 24, 2025

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

March 24, 2025

Bill Text

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Introduced in HouseIssued March 24, 2025

I

119th CONGRESS

1st Session

H. R. 2309

IN THE HOUSE OF REPRESENTATIVES

March 24, 2025

Mr. Peters (for himself, Mr. Evans of Colorado, Mr. Suozzi, Ms. Malliotakis, and Mr. Kennedy of Utah) 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 require certain additional provider screening under the Medicaid program.

1.

Short title

This Act may be cited as the Medicare and Medicaid Fraud Prevention Act.

2.

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, 2027, 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 the Death Master File (as such term is defined in section 203(d) of the Bipartisan Budget Act of 2013) to determine whether such provider or supplier is deceased.

.