SMART Act

This bill would require the federal Secretary of Health and Human Services to give every state standardized data analysis tools to find and prevent fraud, waste, and abuse in Medicaid, starting within 180 days after the law takes effect. The tools must work with state Medicaid claims, eligibility, and enrollment systems. The Secretary would use the tools to create risk indicators for providers and other entities that take part in more than one state's Medicaid program or in several federal health programs, and send states alerts based on those indicators. The Secretary would also train states to use the tools and report to Congress each year on state access, use, and the fraud and overpayments found.

Full text and official record on Congress.gov

Sponsors

• Troy Balderson Republican sponsor
• 4 cosponsors