Medicare Fraud Prevention Pilot Program
Official: Medicare Transaction Fraud Prevention Act
IntroducedJune 12, 2025
Why This Matters
This bill sets up a two-year pilot program to test a system that helps monitor Medicare payments for medical equipment and lab tests. It aims to reduce fraud by scoring transactions based on risk factors.
If you are a Medicare beneficiary, you may be asked to join a program that helps prevent fraud in medical payments.
Affects: Medicare beneficiaries who choose to participate in the program.
What changes is this bill making?
1. This bill creates a pilot program to test a new system for monitoring Medicare payments. 2. The program will use a scoring system to identify potentially risky transactions. 3. It will last for two years and begin by January 1, 2026. 4. Beneficiaries can choose to participate and can opt out at any time. 5. The program aims to improve oversight of payments for medical equipment and lab tests.
Who is affected?
Medicare beneficiaries who choose to participate in the program.