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 State officials can only review Medicaid claims for mistakes if the payment happened within the last 12 months, as long as there was no fraud involved. If a review finds an overpayment that is older than one year, the provider does not have to pay that money back. Providers can still fix errors by resubmitting them as claim adjustments.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 12 months have elapsed since the date of payment of the claim. Additionally, any provider overpayment identified for which 12 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.