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New York designates state Medicaid fraud hotline and requires annual reporting on tip investigations

Original title: Relates to the handling of tips received through the office of the Medicaid inspector general's Medicaid fraud hotline

Last action · September 16, 2026: REFERRED TO HEALTHSponsors: Joe DeStefano and 4 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

New York designates the Office of the Medicaid Inspector General's hotline as the official state Medicaid fraud hotline and establishes mandatory timelines for sharing s with prosecutors and tracking investigation outcomes.

Why it matters

Law enforcement agencies and the Office of the Medicaid Inspector General face strict 30-day deadlines to decide who leads investigations into credible Medicaid fraud tips, creating formal reporting channels to state leadership.

Background
  • The Office of the Medicaid Inspector General operates within New York State to investigate fraud, waste, and abuse in the Medicaid program. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Office of the Medicaid Inspector General

The office must officially designate its hotline, follow mandatory information-sharing rules for credible tips, and compile an annual report for state leaders.

Directly affected

Medicaid Fraud Control Unit of the Office of the Attorney General

The unit receives shared information on credible fraud allegations and must participate in determining investigation jurisdiction within 30 days.

Key Facts

  • The Office of the Medicaid Inspector General's hotline is officially designated as the official Medicaid fraud hotline of the State of New York.
  • When a tip is determined to be a credible allegation, all information must be shared with the Medicaid Fraud Control Unit of the Office of the Attorney General and any prosecutor of competent jurisdiction.
  • Within 30 days of information being shared, a determination must be made as to whether the credible allegation will be investigated and which jurisdiction will lead.
  • Upon completion of an investigation into a credible allegation, the inspector must be notified of the outcome.
Show all 6 facts
  • At the end of each calendar year, the inspector must compile a report containing information on all tips received, how many were investigated, who conducted them, and their outcomes.
  • The annual report must be provided to the governor, the temporary president of the senate, the speaker of the assembly, the minority leaders, and the attorney general.

Frequently Asked Questions

What happens after the Medicaid Inspector General receives a fraud tip?
The inspector follows office procedures to determine if the tip is a . If deemed credible, all information is shared with the Attorney General's Medicaid Fraud Control Unit and any prosecutor of competent jurisdiction.
How quickly must law enforcement decide to investigate a referred fraud tip?
Within thirty days of the information being shared, there must be a determination regarding whether the will be investigated and which jurisdiction will lead.
Who receives the new annual report on Medicaid fraud tips?
The annual report is provided to the governor, the temporary president of the senate, the speaker of the assembly, the minority leaders of both houses, and the attorney general.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

1 action
  1. Sep 16, 2026HouseCommittee
    REFERRED TO HEALTH

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Formalized Inter-Agency Timelines

The bill introduces a rigid 30-day deadline for state prosecutors and the Attorney General to determine jurisdiction over credible Medicaid fraud tips.

Connected Entities

minority leader of the assembly, minority leader of the senate, temporary president of the senate and 5 more
Personminority leader of the assembly“Receives annual reports regarding hotline tips.”Map →
Personminority leader of the senate“Receives annual reports regarding hotline tips.”Map →
Persontemporary president of the senate“Receives annual reports regarding hotline tips.”Map →
Personspeaker of the assembly“Receives annual reports regarding hotline tips.”Map →
OrganizationOffice of the Medicaid Inspector General“Operates the state Medicaid fraud hotline and investigates fraud and abuse withi”Map →
Personattorney general“Receives annual reports and shared credible allegations of fraud.”Map →
OrganizationMedicaid Fraud Control Unit of the Office of the Attorney General“Receives shared information regarding credible allegations of Medicaid fraud.”Map →
PersonGovernor“Receives annual reports on Medicaid fraud hotline tips and periodic updates.”Map →

Sources

Open source document

www.nysenate.gov

Analysis Score

0–100
  • Significance50
    How much this matters to a regular citizen
  • Controversy10
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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