Federal government gives states tools to catch Medicaid fraud.
H.R. 10645 — SMART Act · Filed by Troy Balderson (R-OH) · 4 cosponsors · Introduced Oct 1, 2026 · Referred to committee
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What it does
The bill tells the federal government to give all states fraud-finding software. States must get it within 180 days. The software helps states find false billing and fake sign-ups. It looks at claims across states and federal programs. States get dashboards, alerts, training, and help. The head of Health and Human Services reports to Congress each year. The report covers fraud caught and money saved.
Who it affects
Medicaid members and taxpayers gain from fraud-finding. It helps protect the program and stops wrong payments. States that run Medicaid get new tools to catch doctor and hospital billing abuse.
One thing to notice
The bill does not say how states will pay for staff. It does not say how to keep data safe for doctors flagged by the software.
From the analysis of the bill text, linked under Primary records below.
Where it stands
4 cosponsors: 4 Republicans.
- Oct 1, 2026 — Introduced · Congress.gov: “Introduced in House”
- Oct 1, 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 and state program that pays for health care for low-income people.
- fraud — Dishonest or illegal activity, like false billing or fake claims.
- claims — Bills or requests for payment sent to an insurance program.
- dashboards — Screens that show data and alerts in one place.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (3,408 characters) on Oct 6, 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.
“Federal government gives states tools to catch Medicaid fraud.” QuorumCivic. https://share.quorumcivic.app/bill/119/hr10645/simple Report an error
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