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Preventing Medicare Telefraud Act

12/21/2024, 9:05 AM

Summary of Bill HR 1746

Bill 118 hr 1746, also known as the Preventing Medicare Telefraud Act, aims to address the issue of fraudulent activity targeting Medicare beneficiaries through telecommunication methods. The bill was introduced in the House of Representatives on March 13, 2019, by Representative Peter Roskam.

The main purpose of this legislation is to enhance the ability of the Centers for Medicare & Medicaid Services (CMS) to prevent and combat fraudulent schemes that target Medicare beneficiaries through phone calls, emails, and other forms of telecommunication. The bill seeks to improve coordination between CMS and law enforcement agencies to identify and prosecute individuals and organizations engaged in telefraud.

Specifically, the Preventing Medicare Telefraud Act requires CMS to establish a pilot program to test innovative technologies and strategies for detecting and preventing telefraud. The bill also directs CMS to provide training and resources to Medicare beneficiaries to help them recognize and report fraudulent activity. Additionally, the legislation includes provisions to increase penalties for individuals found guilty of telefraud targeting Medicare beneficiaries. It also requires CMS to report to Congress on the effectiveness of the pilot program and any recommendations for further action. Overall, the Preventing Medicare Telefraud Act seeks to protect Medicare beneficiaries from falling victim to fraudulent schemes conducted through telecommunication methods and strengthen efforts to combat telefraud within the Medicare program.

Congressional Summary of HR 1746

Preventing Medicare Telefraud Act

This bill establishes conditions for payment of certain telehealth services, laboratory tests, and durable medical equipment under Medicare after the end of the COVID-19 public health emergency.

Specifically, after the emergency ends, the bill conditions payment for certain high-cost laboratory tests and durable medical equipment that are ordered via telehealth on at least one in-person visit during the preceding six-month period. Additionally, practitioners must submit claims for separately billable telehealth services under the practitioner's unique national provider identification number.

Current Status of Bill HR 1746

Bill HR 1746 is currently in the status of Bill Introduced since March 23, 2023. Bill HR 1746 was introduced during Congress 118 and was introduced to the House on March 23, 2023.  Bill HR 1746's most recent activity was Referred to the Subcommittee on Health. as of December 17, 2024

Bipartisan Support of Bill HR 1746

Total Number of Sponsors
2
Democrat Sponsors
2
Republican Sponsors
0
Unaffiliated Sponsors
0
Total Number of Cosponsors
0
Democrat Cosponsors
0
Republican Cosponsors
0
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 1746

Primary Policy Focus

Health

Potential Impact Areas

- Accounting and auditing
- Health care costs and insurance
- Health technology, devices, supplies
- Medical tests and diagnostic methods
- Medicare

Alternate Title(s) of Bill HR 1746

Preventing Medicare Telefraud Act
Preventing Medicare Telefraud Act
To amend title XVIII of the Social Security Act to establish requirements for the provision of certain high-cost durable medical equipment and laboratory testing, and for other purposes.

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