Rep. Gabe Evans Introduces Bipartisan Medicare and Medicaid Fraud Prevention Act
Congressman Gabe Evans has co-introduced the bipartisan Medicare and Medicaid Fraud Prevention Act, a bill remove deceased people from Medicaid and Medicare rolls and cut down on fraud in the system.
The bill requires states to regularly check the Social Security Administration’s death file for deceased physicians. If deceased physicians remain in the program, their National Provider Identifier can be used by hackers to bill Medicaid or Medicare under the guise of the deceased physician. This is a commonsense bill that addresses a major problem in providing quality healthcare to Coloradans.
This bill comes as there’s a larger conversation on highlighting waste, fraud, and abuse in the Medicaid system. For example, in Colorado it was recently discovered the state has paid $7 million to dead Medicaid members.
“We must eliminate and be proactive against fraud within Medicaid and Medicare to protect the programs for those who truly need it. I’m proud to co-lead the bipartisan Medicare and Medicaid Fraud Prevention Act to advocate for access to quality health care for Americans who rely on these programs.” – Rep. Gabe Evans
“Fraud in Medicare and Medicaid hurts the rightful beneficiaries of those programs and all taxpayers. Our bipartisan bill will prevent one of the most egregious forms of fraud in our healthcare system. As we work to put our country on a better fiscal path and tackle our enormous debt, we must do everything we can to stop taxpayer dollars from being misspent.” – Rep. Scott Peters
This bipartisan bill is introduced with Rep. Scott Peters (D-CA). Read more about the bill in Fox News here and below.
New bipartisan proposal targets 'one of the most egregious' kinds of fraud ravaging healthcare industry
March 24, 2025
A Medicaid and Medicare fraud crackdown is anticipated with a bipartisan congressional proposal to check Social Security Administration death records.
The legislation, dubbed the Medicare and Medicaid Fraud Prevention Act, would mandate state governments to see if the Social Security Death Master Files show physicians who are still considered part of the government programs meant for seniors and low-income Americans. The check is meant to ensure that the doctor’s National Provider Identifier will not be used by bad actors to commit fraud.
"We must eliminate and be proactive against fraud within Medicaid and Medicare to protect the programs for those who truly need it. I’m proud to co-lead the bipartisan Medicare and Medicaid Fraud Prevention Act to advocate for access to quality health care for Americans who rely on these programs." Rep. Gabe Evans, R-Colo., who is running the bill with Rep. Scott Peters, D-Calif., said in a statement to Fox News Digital.
[…]
The legislation’s introduction comes as there is heightened scrutiny on the program at both the state and federal levels. In Evans’ home state of Colorado, $7.3 million was given to insurance companies to care for deceased Medicaid recipients, The Denver Post reported.
In fiscal year 2024, there were $54.3 billion in "improper payments" for Medicare and $31.1 billion for Medicaid, according to the Government Accountability Office.