Senate Bill Would Require Attendance Records, Audits to Combat Child Care and Health Care Fraud

Medicare, ACA marketplace, and Medicaid/CHIP fraud detection requirements take effect

HHS and state agencies would start monitoring zip codes and counties for suspicious spending spikes and must report doublings to the Inspector General within 60 days. This is the first step in catching fraud before it grows.

Child care providers must switch to attendance-based billing and begin keeping 7-year records

Child care providers receiving federal subsidies would only get paid for days children actually attend, not just for being enrolled. They'd also need to maintain attendance records for seven years and make them available for federal audits.

First mandatory Inspector General audit of programs with 400% spending growth

The HHS Inspector General must conduct its first comprehensive audit of any health care program or state plan where spending or provider counts quadrupled over a five-year period, with annual audits following thereafter.