PlainBillCongress, translated.Legislation. Context. Public interest.Referred to the House Committee on Energy and Commerce.
Congressional Research Service
No official summary is available in the imported record yet.
People & committees
Rep. Evans, Gabe [R-CO-8] · R–CO
Legislative record
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Referred to the House Committee on Energy and Commerce.
Introduced in House
Introduced in House
Primary sources
Text links open the official source. We also preserved the text version used in the PlainBill explanation below.
No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Oct 9, 2026. Consult Congress.gov for the current record.
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PlainBill explanation
Based on the full Introduced in House · 2026-09-28 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.
This bill would require states to electronically verify Medicaid non-emergency transportation and applied behavior analysis services starting January 1, 2027. States found out of compliance would have 90 days after notification to submit a plan showing how they would comply within one year after notification. States already requiring electronic verification at enactment would be exempt while continuing that requirement. These are proposed requirements, not evidence of enacted law.
A State shall, with respect to medical assistance consisting of specified services furnished under the State plan (or waiver of such plan) of such State on or after January 1, 2027, require the use of an electronic verification system for such services.
the State shall submit to the Secretary, not later than 90 days after receiving such notification, a corrective action plan demonstrating how the State will come into compliance with such sentence by the date that is 1 year after the date of receipt of such notification.
Paragraphs (1) and (2) shall not apply in the case of a State that, as of the date of the enactment of this subsection, requires the use of any system for the electronic verification of the furnishing of specified services, so long as the State continues to require the use of such system with respect to the electronic verification of such services.
The term specified services means non-emergency transportation services and applied behavior analysis services.
2026-09-28: Introduced in House
Section 1 would name the bill the Strengthening Tools for Oversight to Prevent Medicaid Fraud Act of 2026, or STOP Medicaid Fraud Act of 2026.
This Act may be cited as the Strengthening Tools for Oversight to Prevent Medicaid Fraud Act of 2026 or the STOP Medicaid Fraud Act of 2026.
Section 2 would add an electronic verification requirement to Section 1903 of the Social Security Act. It would cover non-emergency transportation and applied behavior analysis services furnished on or after January 1, 2027, under a state's Medicaid plan or a waiver of that plan.
Section 1903 of the Social Security Act (42 U.S.C. 1396b) is amended by adding at the end the following new subsection:
A State shall, with respect to medical assistance consisting of specified services furnished under the State plan (or waiver of such plan) of such State on or after January 1, 2027, require the use of an electronic verification system for such services.
The term specified services means non-emergency transportation services and applied behavior analysis services.
If the Secretary determined that a state was not complying, the Secretary would have to notify it. The state would then have 90 days to submit a corrective action plan showing how it would comply within one year after receiving the notice.
In the case the Secretary determines that a State is not in compliance with the preceding sentence— (A) the Secretary shall notify such State of such determination; and (B) the State shall submit to the Secretary, not later than 90 days after receiving such notification, a corrective action plan demonstrating how the State will come into compliance with such sentence by the date that is 1 year after the date of receipt of such notification.
Subject to the exemption for states with existing systems, the bill would apply existing implementation provisions from subsection (l)(2). References to personal care and home health care would instead refer to the two newly covered services, and references to electronic visit verification systems would instead refer to electronic verification systems. The supplied text does not reproduce those existing implementation provisions.
Subject to paragraph (3), the provisions of subsection (l)(2) shall apply to a State’s implementation of the requirement for the use of an electronic verification system under paragraph (1) in the same manner as such provisions apply with respect to a State’s implementation of the requirement for the use of an electronic visit verification system under paragraph (1) of such subsection
(A) the references to personal care services, home health care services, or both and personal care services or home health care services shall be treated as references to specified services; and (B) the reference to electronic visit verification systems shall be treated as a reference to electronic verification systems.
States requiring any electronic system to verify the covered services as of enactment would be exempt from both the new requirement and its implementation provisions. That exemption would last only while the state continued requiring that system for those services.
Paragraphs (1) and (2) shall not apply in the case of a State that, as of the date of the enactment of this subsection, requires the use of any system for the electronic verification of the furnishing of specified services, so long as the State continues to require the use of such system with respect to the electronic verification of such services.
For states subject to the new requirement, electronic verification would have to cover all six elements referenced in existing subsection (l)(5)(A). The bill does not list those elements in the supplied text.
The term electronic verification system means, with respect to specified services, a system under which the furnishing of such services is electronically verified with respect to each element specified in clauses (i) through (vi) of subsection (l)(5)(A).
The supplied official-actions snapshot, updated October 9, 2026, records introduction in the House and referral to the House Committee on Energy and Commerce on September 28, 2026. It does not establish subsequent action or enactment.
Source snapshot updated 2026-10-09T16:49:39Z. 2026-09-28: Referred to the House Committee on Energy and Commerce. 2026-09-28: Introduced in House
A closer look
Reviewed version: Introduced in House · 2026-09-28. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.
This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.
Provisions outside the bill’s main subject, or policy changes attached to appropriations.
None identified in the reviewed text
No unrelated provision or policy change attached to appropriations was identified after reviewing the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials, or their attachment history.
Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.
None identified in the reviewed text
No congressionally directed spending for particular recipients or places was identified after reviewing the complete supplied introduced text. This conclusion is limited to that version and does not establish the absence of earmarks in accompanying materials or other versions.
Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.
Findings to examine
A targeted regulatory benefit is identified in the supplied introduced text. Classification is not a judgment about its justification.
States already requiring electronic verification of the covered services when the subsection is enacted would receive an exemption from the new mandate and implementation provisions while continuing their existing requirement. This is preferential regulatory treatment based on a state's preexisting system and directly relates to the bill's verification policy; the text does not identify qualifying states.
Paragraphs (1) and (2) shall not apply in the case of a State that, as of the date of the enactment of this subsection, requires the use of any system for the electronic verification of the furnishing of specified services, so long as the State continues to require the use of such system with respect to the electronic verification of such services.
Full text preserved for this analysis. Legislative record snapshot: Oct 9, 2026. How PlainBill uses AI