Sponsors (2)
The bill increases congressional transparency into Medicare and Medicaid enforcement—helping detect and deter fraud and inform oversight—at the cost of diverting OIG resources and risking reputational or prosecutorial harms if sensitive information is released.
Medicare and Medicaid beneficiaries: receiving quarterly OIG reports on investigations and prosecutions for two years increases transparency and can reduce fraud risk and improve program integrity.
Taxpayers: disclosure of alleged dollar amounts and exclusions gives Congress clearer data to scrutinize program losses and target oversight, potentially reducing waste and recoverable losses.
Hospitals, providers, and state oversight bodies: more transparent enforcement data helps inform compliance efforts and state program adjustments.
HHS OIG staff and program oversight: requiring quarterly reports to be produced with existing funds could divert OIG resources away from investigations and enforcement activity.
Providers and entities named in reports: public listing of alleged dollar amounts and charges risks reputational harm before allegations are adjudicated.
Ongoing prosecutions and investigations: publishing detailed allegations and amounts could disclose sensitive information or interfere with prosecutions if not carefully redacted.
Based on analysis of 2 sections of legislative text.
Requires the HHS Inspector General to submit quarterly reports for two years on Medicare and Medicaid fraud investigations, prosecutions, alleged dollar amounts, charges, and exclusions.
Introduced October 31, 2025 by Aaron Bean · Last progress October 31, 2025
Requires the HHS Inspector General to begin producing regular reports on Medicare and Medicaid fraud within three months after the law is enacted and then at least quarterly for two years. Each report must cover the prior three-month period (ending one month before submission) and list investigations, prosecutions and civil actions, alleged dollar amounts of fraud, charges, and the number of individuals and entities excluded from federal health care programs. The reports must be produced using HHS/OIG existing funds and sent to four congressional committees.