H.R. 162: Medicaid Integrity Act of 2013

Jan 04, 2013
Referred to Committee
0% chance of being enacted
Track this bill
Michele Bachmann
Representative for Minnesota's 6th congressional district
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Last Updated
Jan 04, 2013
20 pages
Related Bills
H.R. 6498 (112th) was a previous version of this bill.

Referred to Committee
Last Action: Sep 21, 2012


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.

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

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

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

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.


No summaries available.


House Energy and Commerce


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

Primary Source

THOMAS.gov (The Library of Congress)

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H.R. stands for House of Representatives bill.

A bill must be passed by both the House and Senate in identical form and then be signed by the president to become law.

The bill’s title was written by its sponsor.

GovTrack’s Bill Summary

We don’t have a summary available yet.

Library of Congress Summary

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

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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So, yes, we display the House Republican Conference’s summaries when available even if we do not have a Democratic summary available. That’s because we feel it is better to give you as much information as possible, even if we cannot provide every viewpoint.

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