United States 119th Congress Status: In Committee 10 R cosponsors

HR 5364 — STOP FRAUD in Medicaid Act

Last action — Referred to the House Committee on Energy and Commerce.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced September 15, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 26% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 10 sponsors

    1 primary, 9 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (10 R).

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

States Taking On Power For Redressing All Unlawful Deceits in Medicaid Act or the STOP FRAUD in Medicaid ActThis bill expands the scope of state Medicaid fraud control units to include investigating and prosecuting fraud in connection with the activities of individuals who apply for or receive Medicaid benefits. Currently, these units investigate and prosecute fraud in relation to Medicaid providers.

Bill Text

How this bill changes current law

4 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill directs State Medicaid fraud control units to investigate and prosecute beneficiary fraud by amending existing definitions relating to the provision of services.

  • 42 U.S.C. 1396b(q)(3)

    , application for, or receipt of

    The amendment broadens the scope of fraud investigations to include not just the provision of services, but also applications for and receipt of services.

  • 42 U.S.C. 1396b(q)(3)

    , and individuals applying for or receiving

    The amendment includes individuals applying for or receiving services as part of the definition of parties involved in Medicaid fraud.

  • 42 U.S.C. 1396b(q)(3)

    , and individuals applying for or receiving

    This change further clarifies that the investigation parameters include individuals who apply for or receive Medicaid services.

  • 42 U.S.C. 1396a(a)(61)

    , application for, and receipt of

    This amendment aligns the definition in the State plan to reflect the inclusion of applications for and receipt of services.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Energy and Commerce.

Sponsors

Sponsorship breakdown

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1 sponsors · 9 co-sponsors · 537 not signed on

Sponsors (1)

Co-sponsors (9)

Not signed on (537)

537 members have not signed on to this bill.

Show all 537 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Subjects

environment healthcare health-insurance
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Frequently asked questions

What does HR 5364 do?
States Taking On Power For Redressing All Unlawful Deceits in Medicaid Act or the STOP FRAUD in Medicaid ActThis bill expands the scope of state Medicaid fraud control units to include investigating and prosecuting fraud in connection with the activities of individuals who apply for or receive Medicaid benefits. Currently, these units investigate and prosecute fraud in relation to Medicaid providers.
Who sponsors HR 5364?
HR 5364 is sponsored by Schmidt, Derek (Republican), Fry, Russell (Republican), Mann, Tracey (Republican), Cline, Ben (Republican), Wilson, Joe (Republican), Jack, Brian (Republican), Haridopolos, Mike (Republican), Taylor, David J. (Republican), Moore, Tim (Republican), and Rouzer, David (Republican).
What is the current status of HR 5364?
This bill is in committee in the House. Introduced September 15, 2025. It must pass committee before a floor vote.
Where can I track HR 5364?
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Last checked for changes 3 months ago · updated continuously

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