Bills of Congress by U.S. Congress

We Want Our Healthcare Money Back Act of 2025

Summary

The "We Want Our Healthcare Money Back Act of 2025" mandates the Inspector General of the Department of Health and Human Services (HHS) to submit recurring reports on Medicare and Medicaid fraud to specific congressional committees. These reports must include data on investigations, prosecutions, alleged fraud amounts, charges, and exclusions from federal healthcare programs. The goal is to increase transparency and accountability regarding fraud within these programs.

Expected Effects

The act will likely increase oversight of Medicare and Medicaid fraud. It will provide Congress with regular updates on the effectiveness of fraud prevention and enforcement efforts. No additional funds are authorized, so existing resources must be used.

Potential Benefits

  • Increased transparency in Medicare and Medicaid fraud detection and prosecution.
  • Provides Congress with regular data to inform policy decisions.
  • Potentially deters fraud by increasing the likelihood of detection.
  • Could lead to more efficient use of healthcare funds if fraud is reduced.
  • May improve public trust in government healthcare programs.

Potential Disadvantages

  • No additional funding is provided, potentially straining existing resources of the HHS Inspector General.
  • The reporting requirements could divert resources from active investigations.
  • The reports themselves may not lead to concrete actions to combat fraud.
  • Potential for political manipulation of the data presented in the reports.
  • The act does not address the root causes of Medicare and Medicaid fraud.

Constitutional Alignment

The act aligns with the constitutional principle of oversight and accountability. Article I, Section 8 grants Congress the power to collect taxes and provide for the general welfare, implying the power to oversee how those funds are spent. The reporting requirements serve to inform Congress in its duty to legislate effectively regarding healthcare programs. The Act does not appear to infringe on any specific constitutional right or protection.

Impact Assessment: Things You Care About

This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).