Install
DME Scammer Prevention Act of 2026
To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies.
- Introduced
- Committee
- Passed House
- Passed Senate
- To President
- Became law
Summary
DME Scammer Prevention Act of 2026
This bill establishes requirements relating to potentially fraudulent billing for certain durable medical equipment under Medicare.
Specifically, the bill establishes requirements relating to billing for items that are on the Master List of Durable Medical Equipment, Prosthetics, Orthotics and Supplies. (The master list includes items that the Centers for Medicare & Medicaid Services has identified as posing certain fiscal vulnerabilities and therefore require additional conditions for payments to be made, such as prior authorization.)
The bill requires claims for such items to be filed electronically and within 90 days of when the items were furnished. The Government Accountability Office must report on the technology used by Medicare administrative contractors to identify fraudulent claims with respect to such items.
Summary by the Congressional Research Service, Library of Congress.
Actions
- May 21, 2026 Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 19.
- May 21, 2026 Committee Consideration and Mark-up Session Held
- May 19, 2026 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- May 19, 2026 Introduced in House
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