CAT Act of 2025

This bill changes the rules for when Medicare can stop paying a health care provider while it investigates a credible allegation of fraud. Payment suspensions and investigations could last more than 180 days only if the Secretary of Health and Human Services finds good cause. The Secretary would have to tell providers about the allegations at least 30 days before a suspension begins, unless doing so would harm the investigation, and give updates every 30 days; if these steps are not followed, withheld payments must be paid back with interest. Simple mistakes and human billing errors could not by themselves count as credible allegations of fraud, and the Secretary would have to create an independent appeals process and report yearly to Congress on suspensions.

Full text and official record on Congress.gov

Sponsors

• Josh Harder Democrat sponsor
• 1 cosponsors