Tex. Gov't Code § 544.0205 · Subchapter E. PREVENTION AND DETECTION OF FRAUD, WASTE, AND ABUSE
AWARD FOR REPORTING MEDICAID FRAUD, ABUSE, OR OVERCHARGES.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) The commission may grant an award to an individual who reports activity that constitutes fraud or abuse of Medicaid funds or who reports Medicaid overcharges if the commission determines that the disclosure results in the recovery of a remedy imposed under Section 32.039, Human Resources Code. The commission may not grant an award to an individual in connection with a report if the commission or attorney general had independent knowledge of the activity the individual reported.
(b) The commission shall determine the amount of an award. The award may not exceed five percent of the amount of the remedy imposed under Section 32.039, Human Resources Code, that resulted from the individual's disclosure. In determining the award amount, the commission:
(1) shall consider how important the disclosure is in ensuring the fiscal integrity of Medicaid; and
(2) may consider whether the individual participated in the fraud, abuse, or overcharge.
(c) A person who brings an action under Subchapter C, Chapter 36, Human Resources Code, is not eligible for an award under this section.
Notes and commentary — not statutory text
History
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.
Amended by:
Acts 2025, 89th Leg., R.S., Ch. 12 (S.B. 1038), Sec. 1, eff. September 1, 2025.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/GV/htm/GV.544.htm
- Text hash
- sha256 964af9dca3dba4c12d1a0e6eefbb5f7c7a568d0a26498015a217f0ac452eeb19
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
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