STOP FRAUD in Medicaid Act

HR 5364, the STOP FRAUD in Medicaid Act, expands state Medicaid fraud control units' authority to investigate and prosecute fraud committed by Medicaid beneficiaries (people receiving benefits), not just healthcare providers. It amends federal law to explicitly include "individuals applying for or receiving" Medicaid services in fraud investigations, requiring states to cover both provider and beneficiary fraud. The bill directs states to investigate false applications or misuse of benefits, such as lying about income to qualify or using benefits for unauthorized services. These changes take effect 180 days after the bill becomes law, applying to all Medicaid programs nationwide. The law focuses on clarifying investigative scope without creating new penalties or funding.