DME Scammer Prevention Act of 2026
Official title: To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies.
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Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 19.
DME Scammer Prevention Act of 2026
This bill establishes requirements relating to potentially fraudulent billing for certain durable medical equipment under Medicare.
Specifically, the bill establishes requirements relating to billing for items that are on the Master List of Durable Medical Equipment, Prosthetics, Orthotics and Supplies. (The master list includes items that the Centers for Medicare & Medicaid Services has identified as posing certain fiscal vulnerabilities and therefore require additional conditions for payments to be made, such as prior authorization.)
The bill requires claims for such items to be filed electronically and within 90 days of when the items were furnished. The Government Accountability Office must report on the technology used by Medicare administrative contractors to identify fraudulent claims with respect to such items.
- Introduced in House Formatted Text PDF Formatted XML
- BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.
- WILLIAMS AND JENSEN, PLLC
- BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
- BLUE CROSS AND BLUE SHIELD ASSOCIATION
- BLUE CROSS BLUE SHIELD OF MICHIGAN
- GUIDEWELL MUTUAL HOLDING CORPORATION
Bodies those filers lobbied
- HOUSE OF REPRESENTATIVES
- SENATE
- Centers For Medicare and Medicaid Services (CMS)
- Health & Human Services, Dept of (HHS)
- Executive Office of the President (EOP)
- Labor, Dept of (DOL)
- White House Office
- Office of Management & Budget (OMB)
Cite this page
U.S. Congress. (2026). H.R. 8871: DME Scammer Prevention Act of 2026. 119th Congress. Open America. https://openamerica.io/bill/119-HR-8871/
"H.R. 8871: DME Scammer Prevention Act of 2026." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-8871/.
H.R. 8871, 119th Cong. (2026), https://openamerica.io/bill/119-HR-8871/.
[H.R. 8871: DME Scammer Prevention Act of 2026](https://openamerica.io/bill/119-HR-8871/)