H.R. 162: Medicaid Integrity Act of 2013

Introduced:
Jan 04, 2013 (113th Congress, 2013–2015)
Sponsor:
Rep. Michele Bachmann [R-MN6]
Status:
Referred to Committee

The bill’s title was written by the bill’s sponsor. H.R. stands for House of Representatives bill.

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Status

This bill was assigned to a congressional committee on January 4, 2013, which will consider it before possibly sending it on to the House or Senate as a whole.

Progress
Introduced Jan 04, 2013
Referred to Committee Jan 04, 2013
Reported by Committee ...
Passed House ...
Passed Senate ...
Signed by the President ...
Prognosis

2% chance of getting past committee.
0% chance of being enacted.

Only 11% of House bills made it past committee and only 3% were enacted in 2011–2013. [show factors | methodology]

Cosponsors
none
Committees

House Energy and Commerce

↪ Health

The committee chair determines whether a bill will move past the committee stage.

Full Title

To amend section 1932 of the Social Security Act to require independent audits and actuarial services under Medicaid managed care programs, and for other purposes.

Summary

No summaries available.

Text

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Last updated Jan 04, 2013.
20 pages

Primary Source

View on THOMAS (The Library of Congress)

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Citation

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GovTrack’s Bill Summary

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Library of Congress Summary

The summary below was written by the Congressional Research Service, which is a nonpartisan division of the Library of Congress.

1/4/2013--Introduced.
Medicaid Integrity Act of 2013 - Amends title XIX (Medicaid) of the Social Security Act with respect to a state's option to use Medicaid managed care organizations and primary care case managers.
Requires a state, acting through the state medical assistance agency or another state entity, in order to receive federal medical assistance percentage (FMAP) payments for expenditures under a contract with a managed care entity, to contract with an independent auditor to conduct biannual financial and performance-compliance audits of the entity.
Directs the Secretary of Health and Human Services (HHS) to set uniform audit standards according to specified requirements.
Requires the state to document for the Secretary its response to deficiencies reported in such audits.
Requires contracts between the state and managed care entities to require the managed care entity to give the independent auditor access to all necessary information.
Establishes sanctions for misrepresentation or falsification of information.
Prescribes requirements a state must meet to be allowed to enter into an agreement with an actuary with respect to the state's administration of a contract with a managed care entity.

House Republican Conference Summary

The summary below was written by the House Republican Conference, which is the caucus of Republicans in the House of Representatives.

No summary available.

House Democratic Caucus Summary

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The bill contains the following citations to other parts of U.S. law:

United States Code

The United States Code is the compilation of permanent laws enacted by Congress. Temporary and other non-permanent laws do not appear in the United States Code. (About half of the United States Code is the law itself, called positive law. The other half is merely a compilation of the laws but has no legal significance.)