On September 11, 2015, the House Energy & Commerce Subcommittee on Health will hold a hearing to discuss legislative proposals intended to reduce Medicaid waste, fraud, and abuse.  Bills to be discussed include:

  • Draft legislation to encourage territories to create Medicaid Fraud Control Units.
  • Draft legislation addressing recent OIG findings that health care providers terminated from Medicaid in one state were still participating in Medicaid and CHIP programs in other states.
  • H.R. 1570, the Medicaid and CHIP Territory Transparency and Information Act, to require CMS to include on its website certain data regarding Medicaid and CHIP programs in the territories.
  • H.R. 1771, to count portions of income from annuities of a community spouse as income available to institutionalized spouses for purposes of determining Medicaid eligibility for long-term care services.
  • H.R. 2339, to allow states to consider monetary winnings from lotteries and other lump sum payments as if they were obtained over multiple months, even if they were obtained in a single month, for purposes of determining Modified Adjusted Gross Income for Medicaid and CHIP eligibility.
  • Amended language for H.R. 2446, which requires states to have in place an electronic visit verification system for personal care services.