Bills › 91st General Assembly
Relating to limitations on activities related to paid claims under the Medicaid program, and including effective date provisions
Sponsored by Rep. Jerome Amos Jr. (D), Rep. Timi M. Brown-Powers (D), Rep. Eric J. Gjerde (D), Rep. Daniel Gosa (D), Rep. Bob Kressig (D), Rep. Elinor A. Levin (D), Rep. Heather Matson (D), Rep. J.D. Scholten (D), Rep. Beth Wessel-Kroeschell (D), Rep. Ross Wilburn (D), Rep. Elizabeth Wilson (D)
Topics:Health careMedicaid
Where it is now
- Done: IntroducedJanuary 21, 2026
- Stopped: SubcommitteeDied when the General Assembly ended
- Next: House committeeFunnel: by February 20, 2026
- Next: Passes the House
- Next: Senate committeeFunnel: by March 20, 2026
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2026 session adjourned on May 3, 2026, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
AI summary Under this law, the state can only review Medicaid claims for mistakes if the payment happened within a certain number of months. If a review finds an overpayment after that time has passed, the provider does not have to pay the money back or have it taken from future payments. Providers can still fix any mistakes they find by submitting a claim adjustment.1
Read the official explanation
This bill relates to the limitations on activities related to paid claims under the Medicaid program. The bill provides that notwithstanding any provision of law to the contrary, any post-payment review of Medicaid provider claims paid under either Medicaid fee-for-service or managed care administration that do not involve fraud or misrepresentation shall be limited to a review of only those claims for which no more than months have elapsed since the date of payment of the claim. Additionally, any provider overpayment identified for which months or more have elapsed since the date of payment of the claim shall not be subject to repayment or to offset against future reimbursement of claims by the provider. Any improper payment identified through a review may be resubmitted by the provider as a claims adjustment. The bill takes effect upon enactment.
Family tree
91st General Assembly
Earlier and later bills are matched by wording or an identical title.
Tried before
This idea has been filed in 2 earlier General Assemblies. A version became law.
- HF 2268 Relating to limitations on activities related to paid claims under the Medicaid program, a…90th General Assembly · Approved by committee · same titleCleared committee
- HF 736 Relating to recovery of an overpayment to a provider based on specified grounds under the …89th General Assembly · Signed by Governor · nearly identicalBecame law
Matched by wording or an identical title.