H.R.1875 - Medicaid Provider Screening Accountability Act (119th Congress)
Summary
H.R.1875, the Medicaid Provider Screening Accountability Act, aims to amend Title XIX of the Social Security Act. The bill seeks to enhance provider screening within the Medicaid program by requiring states to check databases for terminated providers. This includes providers terminated under Title XVIII (Medicare) or by other states' Medicaid or CHIP programs.
Expected Effects
The bill's enactment would likely lead to stricter oversight of Medicaid providers. This could reduce fraud and abuse within the system. It mandates states to implement additional screening measures, potentially impacting state budgets and administrative processes.
Potential Benefits
- Reduced fraud and abuse in the Medicaid system.
- Increased accountability for healthcare providers.
- Improved quality of care for Medicaid beneficiaries.
- Prevention of payments to ineligible or terminated providers.
- Enhanced coordination between state and federal healthcare programs.
Most Benefited Areas:
Potential Disadvantages
- Increased administrative burden and costs for states.
- Potential delays in provider enrollment or revalidation.
- Possible challenges in database integration and maintenance.
- Risk of false positives or errors in provider screening.
- Could disproportionately affect smaller providers with limited resources.
Constitutional Alignment
The bill appears to align with the Constitution's general welfare clause (Preamble). Congress has the power to legislate for the general welfare of the United States. The bill also falls under Congress's power to regulate interstate commerce (Article I, Section 8) as it affects the flow of funds and services across state lines through the Medicaid program.
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).