Contact Congress about H.R. 9422: Medicaid RAC Improvement Act of 2026

States would have to use stronger Medicaid audits to find and recover wrong payments. Managed care plans would face more review, and Congress would get yearly state-by-state reports.

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Medicaid RAC Improvement Act of 2026 is a House bill in committee. The latest recorded action: Referred to the House Committee on Energy and Commerce.

Latest action on H.R. 9422: Referred to the House Committee on Energy and Commerce.

Who this affects: This bill mainly affects state Medicaid agencies, Medicaid managed care plans, prepaid health plans, RAC auditors, and health care providers paid by Medicaid. States would have more reporting and audit duties. Plans and providers could face more payment reviews and possible repayment demands. Congress and CMS would get more data on where Medicaid payment mistakes happen.

Why this matters: Medicaid payment mistakes can waste public money or leave valid payments too low. This bill tries to find those mistakes more often and make state audit rules more consistent. It could help recover more overpaid money, but it could also create more paperwork and audit risk for states, plans, and providers. The effect would depend on how CMS writes the rules and how states run the audits.

Key provisions in H.R. 9422

• CMS must write rules within 180 days to track state Medicaid RAC exceptions. CMS must tell states when approvals end and cannot extend them after 2029.
• States with approved RAC exceptions must send yearly reports. The reports must explain how their Medicaid RAC programs work, including any audit limits or exclusions.
• CMS must send Congress yearly reports starting by December 31, 2027. The reports must show each state’s overpayments, underpayments, savings from reviews before payment, appeal results, and main error-reduction efforts.
• The bill limits federal power to grant Medicaid RAC exceptions. Those exceptions could last only through December 31, 2028.
• State Medicaid RAC programs must be strong enough to find, recover, or prevent a large share of overpayments. They must also review claims paid by Medicaid managed care plans and certain prepaid plans.

How Modern Action helps you take action on H.R. 9422

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about H.R. 9422

What is H.R. 9422?

States would have to use stronger Medicaid audits to find and recover wrong payments. Managed care plans would face more review, and Congress would get yearly state-by-state reports.

How do I support or oppose H.R. 9422?

Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.

Who should I contact about H.R. 9422?

Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.

How does Modern Action help me act on H.R. 9422?

Modern Action gives you bill-specific context, lets you choose support, opposition, or changes, and drafts a message from your position and reasons.