What This Bill Does · Plain English
Summary · Congress.gov
Medicaid Provider Screening Accountability Act This bill requires state Medicaid programs to check, as part of the provider enrollment and reenrollment process, whether providers were terminated from participating in the Medicare program, any other state Medicaid program, or the Children's Health Insurance Program (CHIP) using certain databases (e.g., the Data EXchange system). The bill requires states to continue to check these databases on at least a monthly basis after providers are enrolled.
Action Timeline
2025-03-05
Referred to the House Committee on Energy and Commerce.
2025-03-05
Introduced in House
2025-03-05
Introduced in House
Frequently Asked Questions
Did HR.1875 pass?
HR.1875 is still alive. Current stage: COMMITTEE. Pass likelihood: 40%.
What does HR.1875 do?
Medicaid Provider Screening Accountability Act This bill requires state Medicaid programs to check, as part of the provider enrollment and reenrollment process, whether providers were terminated from participating in the Medicare program, any other state Medicaid program, or the Children's Health Insurance Program (CHIP) using certain databases (e.g., the Data EXchange system). The bill requires states to continue to check these databases on at least a monthly basis after providers are enrolled.
Who sponsored HR.1875?
HR.1875 was sponsored by Nicholas A. Langworthy (R-New York).
Full Bill Text
119 HR 1875 IH: Medicaid Provider Screening Accountability Act U.S. House of Representatives 2025-03-05 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I 119th CONGRESS 1st Session H. R. 1875 IN THE HOUSE OF REPRESENTATIVES March 5, 2025 Mr. Langworthy (for himself, Mr. Morelle , and Ms. Malliotakis ) 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 Medicaid Provider Screening Accountability 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, 2028, as part of the enrollment (or reenrollment or revalidation of enrollment) of a provider or supplier under this title, and not less frequently than monthly during the period that such provider or supplier is so enrolled, the State conducts a check of any database or similar system developed pursuant to section 6401(b)(2) of the Patient Protection and Affordable Care Act to determine whether the Secretary has terminated the participation of such provider or supplier under title XVIII, or whether any other State has terminated the participation of such provider or supplier under such other State’s State plan under this title (or waiver of the plan), or such other State’s State child health plan under title XXI (or waiver of the plan). .
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