Bill expands Medicaid audits to look back four years.
H.R. 9422 — Medicaid RAC Improvement Act of 2026 · Filed by Gus Bilirakis (R-FL) · 9 cosponsors · Introduced Jun 24, 2026 · Referred to committee
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What it does
States must report each year on audits they run. These audits find overpayments to doctors and hospitals. Managed care companies must take part in audits. Auditors can now review four years back. The federal government will study why some states do not run audit programs.
Who it affects
Healthcare providers and managed care companies may face more audits. States that run Medicaid programs must do more reporting work. Medicaid patients could be affected if providers leave.
One thing to notice
Auditors can now look back four years to find overpayments. Doctors and hospitals could owe money for old claims.
From the analysis of the bill text, linked under Primary records below.
Where it stands
9 cosponsors: 9 Republicans.
- Jun 24, 2026 — Introduced · Congress.gov: “Introduced in House”
- Jun 24, 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 government program that pays for healthcare for people with low income.
- overpayments — Money paid to doctors or hospitals that was more than it should have been.
- audits — Reviews of past payments to check if the right amount was paid.
- managed care companies — Companies that handle healthcare plans and control costs for groups of patients.
How this was measured
Analysis — Quorum's AI read the full bill text on Jul 2, 2026; transparency and hidden-provision scores are compared against the median of 14,707 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 2026-09-23.
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