States must audit Medicaid providers for fraud each year.
H.R. 10615 — Medicaid Integrity Improvement Act · Filed by Troy Balderson (R-OH) · 3 cosponsors · Introduced Sep 28, 2026 · Referred to committee
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What it does
State Medicaid fraud control units must audit high-risk providers and suppliers every year. Audits start one year after the law passes. States must report findings to the federal government each year. States can make corrective action plans if audits fall short.
Who it affects
State Medicaid fraud control units must do the audits. High-risk healthcare providers and suppliers will be audited. Low-income Medicaid users may benefit if fraud is caught.
One thing to notice
The bill does not say if the federal government will pay states for these audits.
From the analysis of the bill text, linked under Primary records below.
Where it stands
3 cosponsors: 3 Republicans.
- Sep 28, 2026 — Introduced · Congress.gov: “Introduced in House”
- Sep 28, 2026 — Referred to House Committee on Energy and Commerce · Congress.gov: “Referred to the House Committee on Energy and Commerce”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Words to know
- Medicaid — A federal program that pays for healthcare for low-income people.
- fraud control units — State agencies that find and stop people from cheating Medicaid.
- high-risk — More likely to have problems based on past behavior or warning signs.
- corrective action plans — A written plan to fix problems and do better next time.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (2,439 characters) on Oct 3, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,222 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
As of — page rendered 2026-10-20.
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