Broad program-integrity amendment advances amid debate over nursing-home cuts and oversight
A sweeping amendment (A13) consolidating provider-enrollment recodification, sanctions, billing-error definitions and program-integrity tools was debated at length; the committee adopted select lines (including clarifying that billing errors are not automatically fraud) but members sharply contested nursing-home rate and prepayment provisions and a proposed termination-for-fraud amendment failed.
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Lawmakers spent much of the joint hearing on a large amendment package (A13) that bundles changes to provider enrollment, sanctions and program-integrity rules. Sponsors said A13 compiles proposals from multiple lawmakers and stakeholders; counsel summarized extensive recodification and new policy elements.
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