0
Medicare Fraud Detection and Deterrence Act of 2025
3/27/2025, 3:18 PM
Summary of Bill HR 1784
The bill includes several key provisions. Firstly, it seeks to improve the detection and prevention of waste, fraud, and abuse in healthcare programs by requiring increased coordination and information sharing among federal agencies, state governments, and private entities. This would help to identify and address fraudulent activities more effectively.
Additionally, the bill proposes to enhance penalties for individuals and entities found guilty of healthcare fraud, waste, or abuse. This would serve as a deterrent to those who may be engaging in fraudulent activities and help to protect taxpayer dollars. Furthermore, the bill includes measures to improve the oversight and monitoring of healthcare providers and suppliers, particularly those who have a history of fraudulent behavior. This would help to ensure that only legitimate and qualified providers are participating in healthcare programs. Overall, the Strengthening Health Care Waste, Fraud, and Abuse Provisions Act aims to strengthen the integrity of healthcare programs and protect the interests of both patients and taxpayers. By implementing these changes, the bill seeks to improve the efficiency and effectiveness of healthcare delivery while reducing the financial burden of fraud and abuse on the healthcare system.
Congressional Summary of HR 1784
Medicare Fraud Detection and Deterrence Act of 2025
This bill requires the Centers for Medicare & Medicaid Services (CMS) to deactivate the standard unique health identifiers of health care providers that are excluded from federal health care programs because of fraud, waste, or abuse.
The bill also requires (1) any data submitted by Medicare Advantage plans with respect to durable medical equipment, prosthetics or orthotics, laboratory tests, imaging tests, or home health services to include the standard unique health identifier of the associated provider or supplier; and (2) health care practitioners who are employed by or contract with telehealth companies to use a specialized claims modifier (developed by CMS) for Medicare telehealth services.
Read the Full Bill
Current Status of Bill HR 1784
Bipartisan Support of Bill HR 1784
Total Number of Sponsors
4Democrat Sponsors
4Republican Sponsors
0Unaffiliated Sponsors
0Total Number of Cosponsors
0Democrat Cosponsors
0Republican Cosponsors
0Unaffiliated Cosponsors
0Policy Area and Potential Impact of Bill HR 1784
Primary Policy Focus
HealthAlternate Title(s) of Bill HR 1784
Comments
Mira Wall
8 months ago
I don't like this bill, it's gonna mess with my medicare and make things harder for me. Why they gotta do this to us? It's not fair. I don't trust it at all.
