Who it affects
- State Medicaid agencies
- People designated to oversee Medicaid finances
In committeeHealth careGovernment spending
Medicaid Integrity and Fiscal Accountability Act
H.R. 10633 · House bill · Introduced Sept. 28, 2026
The Medicaid Integrity and Fiscal Accountability Act would require each state to name one person responsible for overseeing Medicaid claims, payments, financial reports, and spending controls.
At a glance
Where it stands
In committee
How South Carolina voted
No recorded votes yet.
See each vote ↓Lobbying and money
No lobbying reported yet
Lobbyists report every three months, about 20 days after each quarter ends. We have January 2025 through September 2026 reports. Newer reports will be added once filed and published.
What it would do
- Starting January 1, 2028, each state would have to name one person primarily responsible for certain Medicaid financial duties.
- That person would oversee accurate, timely processing and decisions on claims.
- Duties would include identifying and preventing fraud, waste, abuse, and improper payments, and correcting identified problems.
- The person would oversee accurate, complete, and timely financial reports, including spending eligible for federal funding.
- The person would also oversee controls to ensure Medicaid spending follows federal requirements.
Written with AI from the official bill text, because no CRS summary is available. Read the bill text ↗
How South Carolina voted
No recorded roll-call vote on this bill yet.
Groups that lobbied on it and gave to SC's members
PAC, lobbyist campaign and qualifying employee money this election, shown separately and never added together. Lobbying reports name the bills a group worked on, not which side it took.
No lobbying reported yet. Lobbyists report every three months, about 20 days after each quarter ends. We have January 2025 through September 2026 reports. Newer reports will be added once filed and published.
Official record
Official title, sponsor and status
- Official title
- To amend title XIX of the Social Security Act to require each State to designate a single agent responsible for certain fiscal duties under the Medicaid program.
- Sponsor
- Rep. Pfluger, August (R-TX)
- Introduced
- Sept. 28, 2026
- Cosponsors
- 2
- Committees
- House Energy and Commerce Committee
- Latest action
- Sept. 28, 2026 · Referred to the House Committee on Energy and Commerce.
Official summary from the Congressional Research Service
Congress hasn't published an official summary.
Summary on Congress.gov ↗Everyone who lobbied on this bill (0 groups)
No lobbying report we have loaded names this bill. That doesn't mean no lobbying took place.
Lobbyists report every three months, about 20 days after each quarter ends. We have January 2025 through September 2026 reports. Newer reports will be added once filed and published. Reports for October through December 2026 are due January 20, 2027.