H.R. 5364 · Where this bill is now
In committee
Introduced in the House, sent to the Committee on Energy and Commerce, Sep 15, 2025
What this bill does
In plain words · AI-written from the official summaryMedicaid fraud control units gain broader investigative power
Right now, state Medicaid fraud control units focus on investigating fraudulent providers—doctors, hospitals, and other businesses billing Medicaid dishonestly. This bill would expand their authority to also investigate people who commit fraud when applying for or receiving Medicaid benefits. So these units could pursue cases where someone lies on an application or tries to wrongly claim benefits.
How it affects you
If you apply for or receive Medicaid, this could mean stricter enforcement of eligibility rules in your state. People who commit fraud in connection with their benefits might face investigation and prosecution. For most people using Medicaid legitimately, this change mainly affects the oversight system rather than how you access the program.
Read the official summary (Introduced in House, Sep 15, 2025)
States Taking On Power For Redressing All Unlawful Deceits in Medicaid Act or the STOP FRAUD in Medicaid Act
This bill expands the scope of state Medicaid fraud control units to include investigating and prosecuting fraud in connection with the activities of individuals who apply for or receive Medicaid benefits. Currently, these units investigate and prosecute fraud in relation to Medicaid providers.
Written by AI (Claude) using only the official summary by the Congressional Research Service, the Library of Congress’s nonpartisan research staff. It can miss nuance, so check the official summary and the bill text for details.
1st SessionH. R. 5364
A BILL
STOP FRAUD in Medicaid Act
Sponsor: Rep. Derek Schmidt (R-KS-2) · Introduced Sep 15, 2025 · Health · 1 version of the text
Sources: Congress.gov actions and votes · bill text from GovInfo · latest official action Sep 15, 2025: “Referred to the House Committee on Energy and Commerce.”