Congressman Mike Garcia (CA-27) announced his Medicare and Medicaid Fraud Prevention Act (H.R. 8089) was passed out of the House Committee on Energy and Commerce on Wednesday. 

This critical, bipartisan legislation will now advance to a vote on the House floor.

“Simply put, we need to stop paying dead people,” said Rep. Garcia. “This bill does that by implementing common-sense safeguards to prevent fraudsters from exploiting deceased providers. Taxpayer dollars are precious, and right now, we’re losing more than $100 billion every single year to this fraud and abuse in our healthcare system. There’s a lot of work to be done, but this bipartisan bill is an important step toward better protecting your healthcare. Millions of Californians rely on Medicare and Medicaid, and I’ll always fight to protect these critical programs and ensure these resources go to those who need it most.”

The Medicare and Medicaid programs jointly spend $1.6 trillion every year. Health and Human Services Inspector General Christi Grimm recently testified that her office now receives hundreds of fraudulent claims per year – this level of fraudulent activity cannot be allowed to continue. 

Earlier this year, Comptroller General Gene Dodaro also testified that greater collaboration between CMS and states on provider screening can help prevent fraud.

The Medicare and Medicaid Fraud Prevention Act works to improve that collaboration. The bill implements a U.S. Government Accountability Office recommendation that would require states to check with the Social Security Administration Death Master File before automatically reenrolling Medicaid providers. 

This would allow states to deactivate the National Provider Identifiers (NPI) of deceased providers and prevent bad actors from using those NPIs to defraud Medicaid or Medicare.

Ed. Note: The above information was provided to KHTS by Mike Garcia’s Office.

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