H.R. 1875

119th CONGRESS 1st Session

To amend title XIX of the Social Security Act to require certain additional provider screening under the Medicaid program.

IN THE HOUSE OF REPRESENTATIVES · March 5, 2025 · Sponsor: Mr. Langworthy · Committee: Committee on Energy and Commerce

Table of contents

• H.R. 1875
  • SEC. 1. Short title
  • SEC. 2. Medicaid provider screening requirements

SEC. 1. Short title

• This Act may be cited as the Medicaid Provider Screening Accountability Act.

SEC. 2. Medicaid provider screening requirements

• Section 1902(kk)(1) of the Social Security Act () is amended— 42 U.S.C. 1396a(kk)(1)
  • by striking and inserting:
    • (A) In general
      • The State
    • (B) Additional provider screening
      • Beginning January 1, 2028, as part of the enrollment (or reenrollment or revalidation of enrollment) of a provider or supplier under this title, and not less frequently than monthly during the period that such provider or supplier is so enrolled, the State conducts a check of any database or similar system developed pursuant to section 6401(b)(2) of the Patient Protection and Affordable Care Act to determine whether the Secretary has terminated the participation of such provider or supplier under title XVIII, or whether any other State has terminated the participation of such provider or supplier under such other State’s State plan under this title (or waiver of the plan), or such other State’s State child health plan under title XXI (or waiver of the plan).
  • by adding at the end the following new subparagraph: