CAT Act of 2025

HR 6863, the CAT Act of 2025, requires the Centers for Medicare & Medicaid Services (CMS) to provide Medicare and Medicaid providers with greater transparency and due process when payments are suspended due to fraud allegations. The bill limits payment suspensions to 180 days unless "good cause" is shown, mandates CMS to explain the specific fraud allegations and evidence to providers within 30 days, and requires regular updates during suspensions. It also establishes a new appeals process for providers to challenge suspensions within 180 days of the law's enactment and requires annual reports to Congress on suspension statistics. This directly affects healthcare providers whose payments are suspended, aiming to prevent unnecessary financial harm to those acting in good faith.