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Proposed

Bill · 119th Congress · HR 8804

Medicare Payment Integrity Enhancement Act of 2026

Refreshed 5 h ago

Introduced 2026-05-13Topic: health care · governance ethics · budget

Summary

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This bill would allow Medicare to contract with recovery audit contractors to review payment claims before they are paid, not only after. Contractors doing these prepayment reviews would be paid using a method set by the Secretary of Health and Human Services, based on the amount of improper payments they prevented. The money to pay them would be transferred from the Medicare hospital and medical insurance trust funds. Contracts for prepayment review would have to be in place within 1 year of the law taking effect, and the Secretary would have to issue rules within 1 year describing how contractors are paid and how savings are calculated.

Full text and official record on Congress.gov

Sponsors

Action history

DateChamberActionStatus effect
2026-05-13HouseReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.refer
2026-05-13HouseReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.refer
2026-05-13Introduced in Houseintroduce
2026-05-13Introduced in Houseintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-09-20. Provisions and opinion polling arrive in a later release.