Medicare Fraud Detection and Deterrence Act of 2025
This bill has not become law. Status shown reflects the latest official action.
See what this could mean for your district
Save your district in Account to view district-specific context for this bill.
Bill details
Summary
Introduced in House
Medicare Fraud Detection and Deterrence Act of 2025 This bill requires the Centers for Medicare & Medicaid Services (CMS) to deactivate the standard unique health identifiers of health care providers that are excluded from federal health care programs because of fraud, waste, or abuse. The bill also requires (1) any data submitted by Medicare Advantage plans with respect to durable medical equipment, prosthetics or orthotics, laboratory tests, imaging tests, or home health services to include the standard unique health identifier of the associated provider or supplier; and (2) health care practitioners who are employed by or contract with telehealth companies to use a specialized claims modifier (developed by CMS) for Medicare telehealth services.
District impact notes
The Medicare Fraud Detection and Deterrence Act of 2025 aims to improve oversight of healthcare providers by deactivating identifiers for those excluded from federal health care programs due to fraud. • This policy could matter locally by potentially increasing accountability among healthcare providers participating in Medicare and Medicaid. • It may also impact local healthcare institutions that provide services under Medicare Advantage plans, as they will need to comply with new data submission requirements. • There could be questions about how effectively the new claims modifier for telehealth services will be implemented and whether it will create additional administrative burdens for providers. AI-generated from official bill summary and plain-English note; verify with official text.
Related votes
Roll calls that reference this bill in official data.
Primary sources
Official links to verify details. (No interpretation.)
About this data
- OurCongress is non-partisan by design. We do not add political interpretation or advocacy.
- Bill data and official summaries come from GovInfo and Congress.gov. Some bills do not have published summaries yet.
- District impact notes (when shown) are AI-generated from official bill metadata/summaries to improve readability. They are not official government language.
- This page updates automatically via a daily ingestion pipeline.