Claims for listed items may be reviewed before payment
Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, section 6212, Sec. 6212.
Written by .
Claims for listed items may be reviewed before payment
The document says “can”Who acts: Secretary of Health and Human ServicesHow: statuteSec. 6212 in the PDF
What the document says
“``(B) Claim review.--With respect to items furnished on or after January 1, 2029, that are included on the Master List pursuant to subparagraph (A), if such an item is not subject to a determination of coverage in advance pursuant to paragraph (15)(C), the Secretary may conduct prepayment review of claims for payment for such item.''.”
The new paragraph lets the Secretary conduct prepayment review of claims for an item furnished on or after January 1, 2029 that is on the Master List under the new rule, where the item is not already subject to an advance coverage determination under paragraph (15)(C).
What the document actually says
“``(B) Claim review.--With respect to items furnished on or after January 1, 2029, that are included on the Master List pursuant to subparagraph (A), if such an item is not subject to a determination of coverage in advance pursuant to paragraph (15)(C), the Secretary may conduct prepayment review of claims for payment for such item.''.”
That sentence, in plain words
Say an item is on the list and is given on or after January 1, 2029. The health chief may check the claim before paying it.
What this is about
Most claims are paid first and checked later. A check before payment is slower. It is used where the risk looks higher.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
Consolidated Appropriations Act, 2026, Public Law 119-75, sec. 6212, 140 Stat. 652 (2026). https://www.govinfo.gov/content/pkg/PLAW-119publ75/html/PLAW-119publ75.htm
This page
“Claims for listed items may be reviewed before payment,” Consolidated Appropriations Act, 2026, section 6212, Sec. 6212. Read the Mandate, https://readthemandate.org/consolidated-appropriations-act-2026/proposal/sec6212-prepayment-review/ (retrieved August 26, 2026).
Cite the document when the claim is about what the document says. Cite this page when the indexing, the wording or the record of what has happened is what is being relied on.
How to Read This Page
The quotation is the document's own words, exactly as printed, and we check the page
number against the Act itself before publishing. The paragraph underneath is our summary,
not the document's words. So is the plain English version, which is why it sits beside the
quotation rather than replacing it.
