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H.R. 10645

BillFederalHouseIn Committee
To amend title XIX of the Social Security Act to require the Secretary of Health and Human Services to make uniformly available to States certain standardized data analytic technologies to identify and prevent fraud, waste, and abuse under Medicaid.
About This Bill
Committee
Latest Action · October 1, 2026
Referred to the House Committee on Energy and Commerce.
Introduced
October 1, 2026
Cosponsors (4)
0D 4R
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Summary

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The SMART Act requires the federal Department of Health and Human Services to provide all states with standardized data analytics tools to detect and prevent fraud, waste, and abuse in Medicaid within 180 days of the law's enactment. These technologies must work seamlessly with states' existing Medicaid computer systems and give states the ability to review fraud risk indicators, access data for spotting improper billing patterns, use investigative dashboards, and generate state-level reports. The federal government will also use these tools to identify providers operating across multiple states or federal health programs who pose fraud risks and alert states accordingly. The law requires the Health and Human Services Department to provide technical training to states on using the technologies and submit annual reports to Congress on how many states have access to these tools, how often they use them, and how much fraud has been detected and recovered as a result. While no specific funding amount is mentioned in the legislation, the bill aims to protect Medicaid—the joint federal-state health insurance program for low-income Americans—from financial losses due to fraudulent activities.

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