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House passes bill clarifying OIG duties for Medicaid oversight, emphasizing balance between enforcement and provider protections
Summary
First substitute HB 315 clarifies the Office of Inspector General’s role in Medicaid oversight — encouraging provider communication, differentiating honest mistakes from fraud, and authorizing recovery — and passed the House unanimously (68‑0).
The Utah House unanimously passed first substitute House Bill 315 on March 1, clarifying the duties and authority of the Office of Inspector General for Medicaid services.
Sponsor Representative Dunnigan said the bill is intended to balance the OIG’s duty to identify fraud, waste and abuse with protections for providers who comply with written guidance and to encourage consultation and communication. Among the provisions, the…
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