HR10633Referred to Committee

Medicaid Integrity and Fiscal Accountability Act

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Introduced
In Committee
3
Passed One Chamber
4
Passed Both
5
Signed into Law
119th
Congress
2026-09-28
Introduced
2
Cosponsors
HR
ⓘ
Type

Sponsor

August Pfluger
August Pfluger
Republican · TX · Representative
Votes with party: 98.9% (664 recorded votes)

Full profile: /officials/P000048

Source: Congress.gov · FEC

Cosponsors (2)

Members who have signed on to support this bill since introduction. Source: Congress.gov.

Latest Action

The most recent step in the bill's legislative path. Committee Activity below shows referrals and reports; the full action-by-action history including floor proceedings lives at Congress.gov →

Referred to the House Committee on Energy and Commerce.

2026-09-28

Source: Congress.gov

Committee Activity

Currently in

Plain-English Summary

Plain-English summary pending. Introduced on 2026-09-28. Check back soon — summaries are generated as bills progress through Congress.

Subjects

Health

Full Bill Text

Verbatim text published on Congress.gov via GovInfo. Use Cmd+F / Ctrl+F to search within this excerpt.

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 10633 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 10633 To amend title XIX of the Social Security Act to require each State to designate a single agent responsible for certain fiscal duties under the Medicaid program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES September 28, 2026 Mr. Pfluger (for himself, Mr. Joyce of Pennsylvania, and Mr. Balderson) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend title XIX of the Social Security Act to require each State to designate a single agent responsible for certain fiscal duties under the Medicaid program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Medicaid Integrity and Fiscal Accountability Act''. SEC. 2. REQUIRING SINGLE FISCAL AGENTS UNDER MEDICAID. Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended-- (1) in subsection (a)-- (A) in paragraph (89), by striking ``and'' at the end; (B) in paragraph (90), by striking the period at the end and inserting ``; and''; and (C) by inserting after paragraph (90) the following new paragraph: ``(91) provide that, beginning January 1, 2028, the State shall designate an individual as the individual primarily responsible for ensuring, through the establishment of appropriate policies, procedures, monitoring systems, and corrective actions, the following with respect to the State plan (or waiver of such plan): ``(A) The processing and adjudication of claims in an accurate and timely manner. ``(B) Payment integrity, including by-- ``(i) identifying and preventing fraud, waste, abuse, and improper payments; ``(ii) overseeing program integrity activities; and ``(iii) in the case that deficiencies are identified, implementing corrective actions. ``(C) Appropriate financial reporting, including by ensuring the accuracy, completeness, and timeliness of-- ``(i) reporting of State expenditures under such plan or waiver; ``(ii) reporting of such expenditures that are eligible for Federal financial participation; and ``(iii) any other financial information submitted to the Secretary. ``(D) The establishment and maintenance of controls to ensure that expenditures under such plan or waiver comply with all applicable Federal requirements.''. <all>
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