H.R. 5871: We Want Our Healthcare Money Back Act of 2025

The bill, known as the We Want Our Healthcare Money Back Act of 2025, aims to enhance transparency and accountability regarding Medicare and Medicaid fraud. Here’s a breakdown of its key components:

Reporting Requirements

The bill requires the Inspector General of the Department of Health and Human Services (HHS) to prepare and submit a report on Medicare and Medicaid fraud. This report must be delivered:

• Within three months of the bill’s enactment.
• At least every three months thereafter for a period of two years.

The report is to be presented to specific Congressional committees, including:

• The Committee on Ways and Means of the House of Representatives.
• The Committee on Energy and Commerce of the House of Representatives.
• The Committee on Finance of the Senate.
• The Committee on Health, Education, Labor, and Pensions of the Senate.

Content of the Report

Each report must include certain information regarding Medicare and Medicaid fraud over the three-month period prior to the report. This includes:

• The number of investigations of Medicare and Medicaid fraud conducted by the Inspector General.
• The number of criminal prosecutions and civil actions initiated as a result of these investigations.
• The alleged dollar amount of fraud associated with each prosecution and action.
• The specific charges filed in each case.
• The number of individuals and entities barred from federal healthcare programs due to criminal convictions or fraudulent activities related to Medicare and Medicaid.

Definition of Medicare and Medicaid Fraud

For the purposes of the bill, “Medicare and Medicaid fraud” refers specifically to fraud linked to the Medicare and Medicaid programs as defined under the Social Security Act.

Funding Provisions

The bill states that no additional funds will be allocated for implementing its provisions. Instead, the report must be produced using existing budget appropriations for the HHS or its Inspector General.

Objective

The overall goal of the bill is to provide lawmakers with detailed and regular updates on the status of fraud investigations, prosecutions, and prevention efforts within the Medicare and Medicaid systems, thereby promoting greater oversight and integrity within these healthcare programs.

Relevant Companies

• None found