HB110 Alabama 2013 Session

Summary

Primary Sponsor

Jim McClendon

Republican

Session

Regular Session 2013

Title

Medicaid fraud, crime further defined, criminal penalties, statute of limitation, Medicaid Agency, access to Health Department Controlled Substances Data Base, Secs. 20-2-214, 22-1-11 am'd.

Summary

HB110 creates The Medicaid Fraud Reduction Act of 2013 to broaden Medicaid fraud rules, raise penalties, extend the time to prosecute, allow investigators to access a controlled substances database, and fund enforcement efforts.

What This Bill Does

It broadens the list of fraudulent acts related to Medicaid benefits, including false statements, failure to disclose changes, misuse of Medicaid IDs, false or inflated claims, and kickbacks. It defines 'person' to include corporations, sets a five-year statute of limitations, and imposes felony charges for fraud of $500 or more and misdemeanor charges for smaller amounts, with providers potentially facing exclusion from Medicaid for any level of fraud. It allows authorized Medicaid Agency investigators to access the Controlled Substances Prescription Database to aid fraud investigations and provides funding for the Medicaid Fraud Control Unit and for agency compliance. It also requires providers to keep certain records for five years and outlines related penalties for failing to do so.

Who It Affects

• Medicaid providers and other entities that bill or supply services to Medicaid would face expanded fraud rules, higher penalties, mandatory recordkeeping, and potential exclusion from Medicaid for fraud.
• Medicaid beneficiaries and recipients could be charged under new provisions for false statements, misrepresentations, or other fraud-related actions to obtain or continue benefits, including improper use of Medicaid IDs.

Key Provisions

• Expanded fraud prohibitions and penalties, including classification of fraud amounts (felony for $500+ and misdemeanor for <$500), and mandatory provider exclusion from Medicaid for any level of fraud.
• Authorization for authorized Medicaid Agency investigators to access the Health Department's Controlled Substances Prescription Database to support fraud investigations.

AI-generated summary using openai/gpt-5-nano on Feb 24, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Health