Sponsor: Rep. Bilirakis, Gus M. (R-FL)9 cosponsorsIntroduced Jun 24, 2026
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In plain English
Rep. Gus Bilirakis (R-FL) sponsored this bill to strengthen Medicaid Recovery Audit Contractors (RACs), which identify and recover improper payments to healthcare providers. The bill prohibits the Centers for Medicare & Medicaid Services from granting exceptions to states' requirements to operate RAC programs after December 31, 2028, and requires CMS to notify states with current exceptions of this deadline. It expands RACs to review payments made to Medicaid managed care organizations and prepaid health plans, and extends the lookback period for payment reviews from three years to four years. The bill also requires annual reporting on RAC effectiveness by state and directs CMS to study and pilot ways to increase RAC program participation among states.
What’s in the bill (3 sections)
Sec. 2. Improving cms oversight and communication
Sec. 3. Requiring medicaid managed care plans to be included in
Sec. 4. Additional measures for improving medicaid payment integrity
Note: the official CRS summary for this bill was written on 2026-06-24, but the bill text was revised on 2026-06-24T04:00:00Z. Provisions may have been added since the summary was written — the section list above reflects the current text.
Where it is in the process
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Introduced
Jun 24
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House committee
Jun 24
3
House floor
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4
Senate
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5
Signed
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What happens next: Sits in committee. Needs a markup or favorable report to advance to the House floor.
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