Bill expands Medicaid audits to look back 4 years for overpayments.
S. 4898 — Medicaid RAC Improvement Act of 2026 · Filed by Rick Scott (R-FL) · Introduced Jun 24, 2026 · Referred to committee
Your members of Congress
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What it does
This bill strengthens how states audit Medicaid payments to find overpayments. States must report each year on their audit work. Insurance companies that manage Medicaid must take part in audits. Auditors can look back 4 years instead of shorter periods. The federal government will study why some states do not audit much. The federal government will test new ways to pay audit contractors.
Who it affects
Medicaid patients, healthcare providers, state offices, and insurance companies face changes. Patients may see better oversight of how Medicaid money is spent. Doctors and hospitals may face more audits. They may have to return money from years ago.
One thing to notice
The bill lets auditors look back 4 years to find overpayments. Healthcare providers could owe money for care they gave long ago.
From the analysis of the bill text, linked under Primary records below.
Where it stands
- Jun 24, 2026 — Introduced · Congress.gov: “Introduced in Senate”
- Jun 24, 2026 — Referred to Senate Committee on Finance · Congress.gov: “Read twice and referred to the Committee on Finance”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Money around this bill
1 groups reported lobbying about this bill. They filed 1 reports from Jun 2026 to Jun 2026.
Those reports show $40,000 in lobbying spending. Each report lists about 32 bills. So that money was not all for this bill.
More groups named this bill than 0% of bills with any report.
Rick Scott, who sponsored the bill, received $69,750 from PACs for the 2026 election.
- Clark County Nv (office of the County Manager) — $40,000 in 1 report
Lobbying is legal. These reports show who lobbied about this bill, not what changed.
Words to know
- Medicaid — A government health insurance program for people with low income.
- overpayments — Money paid to a doctor or hospital that was more than it should have been.
- audit — A careful check of records to find mistakes or fraud in payments.
- lobbying — Trying to influence lawmakers about a bill. Companies and groups pay people to do this.
- PACs — Groups that collect money and give it to candidates for office.
- sponsored — To sponsor a bill is to introduce it in Congress and put your name on it.
How this was measured
Analysis — Quorum's AI read the full bill text on Jul 9, 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.
Money — Senate Lobbying Disclosure Act filings whose specific-issue field names this bill for quarters ending Jun 2026 to Jun 2026. A filing's amount is reported whole beside the median number of bills a filing names; it is never divided across them. PAC receipts are FEC-reported contributions to the sponsor's candidate committee in the 2026 cycle.
As of — lobbying records through Jul 20, 2026 · page rendered 2026-09-23.
“Bill expands Medicaid audits to look back 4 years for overpayments.” QuorumCivic. https://share.quorumcivic.app/bill/119/s4898/simple Report an error