H.R. 9422 · 119th Congress · pending
Medicaid RAC Improvement Act of 2026
Referred to the House Committee on Energy and Commerce.
Latest official action 2026-06-24 · Referred
The bill, briefly
Medicaid RAC Improvement Act of 2026 This bill establishes additional requirements for and expands the scope of Medicaid Recovery Audit Contractors (RACs). RACs identify improper Medicaid payments to providers, collect overpayments, and reimburse underpayments. Current law requires state Medicaid programs to establish a RAC program; however, states may apply to the Centers for Medicare & Medicaid Services (CMS) for an exception. The bill prohibits the CMS from granting exceptions after December 31, 2028. The CMS must inform states that have an approved RAC exception that the exception will not be renewed after this date, and it must also inform these states of the current expiration date of their excepted status. The bill also expands the scope of RACs to include a review of payments to Medicaid managed care organizations, prepaid inpatient health plans, and prepaid ambulatory health plans. In addition, the bill expands the period of review for RACs to include the four-year period prior to the fiscal year at issue. Finally, the bill establishes reporting requirements relating to the effectiveness of RACs, including annual reports with state-specific data on collected overpayments. The CMS must also conduct a study and establish a related demonstration program to increase the number of states with a RAC program.
Congressional Research Service · 2026-06-24
Who reported lobbying on this bill?
Amount spent specifically on this bill: not disclosed
The reports below name this bill and disclose an organization’s overall lobbying expenses or a firm’s client income for the period. They can cover many bills and issues. These amounts are not payments to the bill or its politicians.
No matching lobbying report is imported yet. This is not evidence that no lobbying occurred.
2,409 latest lobbying reports imported. Some source imports are still in progress.
Politicians behind the bill
Sponsors and cosponsors from the official source, limited to members currently in office. Campaign amounts are cycle-wide and are not payments for this bill.
Sponsor
Gus M. Bilirakis
House · FL District 12 · Republican
$935,244PAC receipts · 2025–2026
Cosponsor
Jodey C. Arrington
House · TX District 19 · Republican
$562,994PAC receipts · 2025–2026
Cosponsor
Kat Cammack
House · FL District 3 · Republican
$776,530PAC receipts · 2025–2026
Cosponsor
Earl L. "Buddy" Carter
House · GA District 1 · Republican
Not availablePAC receipts · 2025–2026
Cosponsor
Mariannette Miller-Meeks
House · IA District 1 · Republican
$2,222,989PAC receipts · 2025–2026
Cosponsor
Gary J. Palmer
House · AL District 6 · Republican
$475,994PAC receipts · 2025–2026
Cosponsor
Aaron Bean
House · FL District 4 · Republican
$1,207,644PAC receipts · 2025–2026
Cosponsor
Rick W. Allen
House · GA District 12 · Republican
$562,744PAC receipts · 2025–2026
Cosponsor
Lloyd Smucker
House · PA District 11 · Republican
$840,750PAC receipts · 2025–2026
Cosponsor
August Pfluger
House · TX District 11 · Republican
$1,033,819PAC receipts · 2025–2026
9 of 9 source cosponsor records retrieved; only current officials and unwithdrawn sponsorships appear.
PAC donors to the listed sponsors
These are all-cycle contributions to the listed sponsors’ and cosponsors’ campaigns. FEC does not attribute them to this bill. A donation plus sponsorship does not establish why a politician acted.
AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS POLITICAL ACTION COMMITTEE$77,500
Gus M. Bilirakis · Sponsor · $10,000
Jodey C. Arrington · Cosponsor · $5,000
Kat Cammack · Cosponsor · $10,000
Mariannette Miller-Meeks · Cosponsor · $10,000
Gary J. Palmer · Cosponsor · $5,000
Aaron Bean · Cosponsor · $10,000
Rick W. Allen · Cosponsor · $7,500
Lloyd Smucker · Cosponsor · $10,000
August Pfluger · Cosponsor · $10,000
Official PAC recordNATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION AMERICA'S ELECTRIC COOPERATIVES PAC$64,000
Gus M. Bilirakis · Sponsor · $7,500
Jodey C. Arrington · Cosponsor · $3,000
Kat Cammack · Cosponsor · $5,500
Mariannette Miller-Meeks · Cosponsor · $10,000
Gary J. Palmer · Cosponsor · $6,000
Aaron Bean · Cosponsor · $10,000
Rick W. Allen · Cosponsor · $7,000
Lloyd Smucker · Cosponsor · $5,000
August Pfluger · Cosponsor · $10,000
Official PAC recordAMERICAN BANKERS ASSOCIATION PAC (BANKPAC)$61,500
Gus M. Bilirakis · Sponsor · $2,500
Jodey C. Arrington · Cosponsor · $5,000
Kat Cammack · Cosponsor · $8,500
Mariannette Miller-Meeks · Cosponsor · $10,000
Gary J. Palmer · Cosponsor · $7,500
Aaron Bean · Cosponsor · $10,000
Rick W. Allen · Cosponsor · $3,000
Lloyd Smucker · Cosponsor · $7,500
August Pfluger · Cosponsor · $7,500
Official PAC recordNATIONAL AUTOMOBILE DEALERS ASSOCIATION POLITICAL ACTION COMMITTEE$57,500
Gus M. Bilirakis · Sponsor · $10,000
Jodey C. Arrington · Cosponsor · $2,500
Kat Cammack · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $5,000
Gary J. Palmer · Cosponsor · $5,000
Aaron Bean · Cosponsor · $5,000
Rick W. Allen · Cosponsor · $10,000
Lloyd Smucker · Cosponsor · $5,000
August Pfluger · Cosponsor · $10,000
Official PAC recordKOCH, INC. POLITICAL ACTION COMMITTEE (KOCHPAC)$56,000
Gus M. Bilirakis · Sponsor · $5,000
Jodey C. Arrington · Cosponsor · $2,500
Kat Cammack · Cosponsor · $10,000
Mariannette Miller-Meeks · Cosponsor · $6,500
Gary J. Palmer · Cosponsor · $7,500
Aaron Bean · Cosponsor · $2,500
Rick W. Allen · Cosponsor · $7,000
Lloyd Smucker · Cosponsor · $5,000
August Pfluger · Cosponsor · $10,000
Official PAC recordAMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE POLITICAL ACTION COMMITTEE$55,946
Gus M. Bilirakis · Sponsor · $9,994
Jodey C. Arrington · Cosponsor · -$6
Kat Cammack · Cosponsor · -$6
Mariannette Miller-Meeks · Cosponsor · $5,994
Gary J. Palmer · Cosponsor · $4,994
Aaron Bean · Cosponsor · $9,994
Rick W. Allen · Cosponsor · $4,994
Lloyd Smucker · Cosponsor · $9,994
August Pfluger · Cosponsor · $9,994
Official PAC recordAT&T INC. EMPLOYEE FEDERAL POLITICAL ACTION COMMITTEE (AT&T EMPLOYEE FEDERAL PAC)$54,000
Gus M. Bilirakis · Sponsor · $7,500
Jodey C. Arrington · Cosponsor · $2,500
Kat Cammack · Cosponsor · $9,000
Mariannette Miller-Meeks · Cosponsor · $6,000
Gary J. Palmer · Cosponsor · $1,000
Aaron Bean · Cosponsor · $5,000
Rick W. Allen · Cosponsor · $8,000
Lloyd Smucker · Cosponsor · $5,000
August Pfluger · Cosponsor · $10,000
Official PAC recordAMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION POLITICAL ACTION COMMITTEE (SKINPAC)$53,000
Gus M. Bilirakis · Sponsor · $10,000
Kat Cammack · Cosponsor · $7,500
Mariannette Miller-Meeks · Cosponsor · $10,000
Aaron Bean · Cosponsor · $8,500
Rick W. Allen · Cosponsor · $7,500
Lloyd Smucker · Cosponsor · $5,000
August Pfluger · Cosponsor · $4,500
Official PAC recordNATIONAL ASSOCIATION OF REALTORS POLITICAL ACTION COMMITTEE$51,000
Gus M. Bilirakis · Sponsor · $5,000
Jodey C. Arrington · Cosponsor · $2,000
Kat Cammack · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $5,000
Gary J. Palmer · Cosponsor · $5,000
Aaron Bean · Cosponsor · $5,000
Rick W. Allen · Cosponsor · $9,000
Lloyd Smucker · Cosponsor · $5,000
August Pfluger · Cosponsor · $10,000
Official PAC recordNATIONAL BEER WHOLESALERS ASSOCIATION POLITICAL ACTION COMMITTEE$50,500
Gus M. Bilirakis · Sponsor · $3,000
Jodey C. Arrington · Cosponsor · $1,000
Kat Cammack · Cosponsor · $7,500
Mariannette Miller-Meeks · Cosponsor · $8,500
Gary J. Palmer · Cosponsor · $7,500
Aaron Bean · Cosponsor · $7,500
Rick W. Allen · Cosponsor · $5,500
Lloyd Smucker · Cosponsor · $5,000
August Pfluger · Cosponsor · $5,000
Official PAC recordVERIZON COMMUNICATIONS, INC. POLITICAL ACTION COMMITTEE (VERIZON PAC)$49,500
Gus M. Bilirakis · Sponsor · $7,000
Jodey C. Arrington · Cosponsor · $3,000
Kat Cammack · Cosponsor · $7,000
Mariannette Miller-Meeks · Cosponsor · $3,000
Gary J. Palmer · Cosponsor · $3,000
Aaron Bean · Cosponsor · $3,000
Rick W. Allen · Cosponsor · $10,000
Lloyd Smucker · Cosponsor · $4,000
August Pfluger · Cosponsor · $9,500
Official PAC recordASSOCIATED BUILDERS AND CONTRACTORS, INC. POLITICAL ACTION COMMITTEE (ABC PAC)$47,500
Gus M. Bilirakis · Sponsor · $5,000
Jodey C. Arrington · Cosponsor · $2,500
Kat Cammack · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $5,000
Gary J. Palmer · Cosponsor · $5,000
Aaron Bean · Cosponsor · $5,000
Rick W. Allen · Cosponsor · $10,000
Lloyd Smucker · Cosponsor · $10,000
August Pfluger · Cosponsor · $0
Official PAC recordINDEPENDENT INSURANCE AGENTS & BROKERS OF AMERICA, INC. POLITICAL ACTION COMMITTEE (INSURPAC)$47,500
Gus M. Bilirakis · Sponsor · $5,000
Jodey C. Arrington · Cosponsor · $1,000
Kat Cammack · Cosponsor · $7,500
Mariannette Miller-Meeks · Cosponsor · $10,000
Gary J. Palmer · Cosponsor · $1,500
Aaron Bean · Cosponsor · $10,000
Lloyd Smucker · Cosponsor · $7,500
August Pfluger · Cosponsor · $5,000
Official PAC recordSPACE EXPLORATION TECHNOLOGIES CORP. PAC$47,500
Gus M. Bilirakis · Sponsor · $10,000
Kat Cammack · Cosponsor · $10,000
Mariannette Miller-Meeks · Cosponsor · $5,000
Gary J. Palmer · Cosponsor · $5,000
Aaron Bean · Cosponsor · $7,500
Rick W. Allen · Cosponsor · $5,000
August Pfluger · Cosponsor · $5,000
Official PAC recordTHE HOME DEPOT INC. POLITICAL ACTION COMMITTEE$47,500
Gus M. Bilirakis · Sponsor · $5,000
Kat Cammack · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $10,000
Aaron Bean · Cosponsor · $7,500
Rick W. Allen · Cosponsor · $10,000
Lloyd Smucker · Cosponsor · $0
August Pfluger · Cosponsor · $10,000
Official PAC recordCOMCAST CORPORATION & NBCUNIVERSAL POLITICAL ACTION COMMITTEE - FEDERAL$45,500
Gus M. Bilirakis · Sponsor · $8,000
Kat Cammack · Cosponsor · $2,500
Mariannette Miller-Meeks · Cosponsor · $5,000
Aaron Bean · Cosponsor · $10,000
Rick W. Allen · Cosponsor · $5,000
Lloyd Smucker · Cosponsor · $5,000
August Pfluger · Cosponsor · $10,000
Official PAC recordAMERICAN COUNCIL OF ENGINEERING COMPANIES (ACEC/PAC)$45,000
Gus M. Bilirakis · Sponsor · $5,000
Jodey C. Arrington · Cosponsor · $2,000
Mariannette Miller-Meeks · Cosponsor · $10,000
Gary J. Palmer · Cosponsor · $2,500
Aaron Bean · Cosponsor · $10,000
Rick W. Allen · Cosponsor · $3,000
Lloyd Smucker · Cosponsor · $10,000
August Pfluger · Cosponsor · $2,500
Official PAC recordCHARTER COMMUNICATIONS INC. POLITICAL ACTION COMMITTEE$45,000
Gus M. Bilirakis · Sponsor · $10,000
Kat Cammack · Cosponsor · $10,000
Mariannette Miller-Meeks · Cosponsor · $2,500
Aaron Bean · Cosponsor · $10,000
Rick W. Allen · Cosponsor · $2,500
August Pfluger · Cosponsor · $10,000
Official PAC recordMR. SOUTHERN MISSOURIAN IN THE HOUSE PAC$45,000
Gus M. Bilirakis · Sponsor · $5,000
Kat Cammack · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $10,000
Aaron Bean · Cosponsor · $10,000
Lloyd Smucker · Cosponsor · $10,000
August Pfluger · Cosponsor · $5,000
Official PAC recordNATIONAL ASSOCIATION OF BROADCASTERS POLITICAL ACTION COMMITTEE (NABPAC)$43,850
Gus M. Bilirakis · Sponsor · $11,850
Kat Cammack · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $11,000
Aaron Bean · Cosponsor · $1,000
Rick W. Allen · Cosponsor · $10,000
August Pfluger · Cosponsor · $5,000
Official PAC recordBUILD POLITICAL ACTION COMMITTEE OF THE NATIONAL ASSOCIATION OF HOME BUILDERS (BUILDPAC)$43,500
Gus M. Bilirakis · Sponsor · $3,500
Jodey C. Arrington · Cosponsor · $0
Kat Cammack · Cosponsor · $3,500
Mariannette Miller-Meeks · Cosponsor · $10,000
Gary J. Palmer · Cosponsor · $5,000
Aaron Bean · Cosponsor · $5,000
Rick W. Allen · Cosponsor · $7,000
Lloyd Smucker · Cosponsor · $3,500
August Pfluger · Cosponsor · $6,000
Official PAC recordNATIONAL CATTLEMEN'S BEEF ASSOCIATION POLITICAL ACTION COMMITTEE (NCBA-PAC)$42,500
Jodey C. Arrington · Cosponsor · $5,000
Kat Cammack · Cosponsor · $10,000
Mariannette Miller-Meeks · Cosponsor · $10,000
Aaron Bean · Cosponsor · $5,000
Lloyd Smucker · Cosponsor · $2,500
August Pfluger · Cosponsor · $10,000
Official PAC recordAMERICAN OPTOMETRIC ASSOCIATION POLITICAL ACTION COMMITTEE$41,000
Gus M. Bilirakis · Sponsor · $5,000
Kat Cammack · Cosponsor · $9,500
Mariannette Miller-Meeks · Cosponsor · $3,500
Gary J. Palmer · Cosponsor · $5,000
Aaron Bean · Cosponsor · $3,500
Rick W. Allen · Cosponsor · $7,000
August Pfluger · Cosponsor · $7,500
Official PAC recordAMGEN INC. POLITICAL ACTION COMMITTEE$41,000
Gus M. Bilirakis · Sponsor · $2,000
Jodey C. Arrington · Cosponsor · $2,500
Kat Cammack · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $7,500
Gary J. Palmer · Cosponsor · $2,000
Aaron Bean · Cosponsor · $6,000
Rick W. Allen · Cosponsor · $5,000
Lloyd Smucker · Cosponsor · $3,500
August Pfluger · Cosponsor · $7,500
Official PAC recordNATIONAL COTTON COUNCIL OF AMERICA COMMITTEE FOR THE ADVANCEMENT OF COTTON$40,500
Jodey C. Arrington · Cosponsor · $5,000
Kat Cammack · Cosponsor · $8,000
Mariannette Miller-Meeks · Cosponsor · $3,000
Aaron Bean · Cosponsor · $7,000
Rick W. Allen · Cosponsor · $7,500
August Pfluger · Cosponsor · $10,000
Official PAC recordAMERICAN HOSPITAL ASSOCIATION PAC$40,000
Gus M. Bilirakis · Sponsor · $4,000
Jodey C. Arrington · Cosponsor · $3,000
Kat Cammack · Cosponsor · $4,000
Gary J. Palmer · Cosponsor · $2,000
Aaron Bean · Cosponsor · $6,000
Rick W. Allen · Cosponsor · $1,000
Lloyd Smucker · Cosponsor · $10,000
August Pfluger · Cosponsor · $10,000
Official PAC recordNEW YORK LIFE INSURANCE COMPANY POLITICAL ACTION COMMITTEE$40,000
Jodey C. Arrington · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $10,000
Aaron Bean · Cosponsor · $10,000
Lloyd Smucker · Cosponsor · $10,000
August Pfluger · Cosponsor · $5,000
Official PAC recordAFLAC POLITICAL ACTION COMMITTEE (AFLAC PAC)$39,500
Gus M. Bilirakis · Sponsor · $1,500
Jodey C. Arrington · Cosponsor · $1,500
Kat Cammack · Cosponsor · $2,000
Mariannette Miller-Meeks · Cosponsor · $2,000
Gary J. Palmer · Cosponsor · $7,500
Aaron Bean · Cosponsor · $5,000
Rick W. Allen · Cosponsor · $10,000
Lloyd Smucker · Cosponsor · $5,000
August Pfluger · Cosponsor · $5,000
Official PAC recordTHE COUNCIL OF INSURANCE AGENTS & BROKERS POLITICAL ACTION COMMITTEE$39,500
Gus M. Bilirakis · Sponsor · $1,000
Jodey C. Arrington · Cosponsor · $1,000
Kat Cammack · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $5,000
Aaron Bean · Cosponsor · $10,000
Lloyd Smucker · Cosponsor · $10,000
August Pfluger · Cosponsor · $7,500
Official PAC recordUNITED PARCEL SERVICE, INC. PAC (UPSPAC)$39,500
Jodey C. Arrington · Cosponsor · $5,000
Kat Cammack · Cosponsor · $4,000
Mariannette Miller-Meeks · Cosponsor · $5,000
Aaron Bean · Cosponsor · $2,000
Rick W. Allen · Cosponsor · $3,500
Lloyd Smucker · Cosponsor · $10,000
August Pfluger · Cosponsor · $10,000
Official PAC recordNATIONAL MULTIFAMILY HOUSING COUNCIL AND REAL ESTATE TECHNOLOGY AND TRANSFORMATION CENTER POLITICAL ACTION COMMITTEE (NMHC PAC)$38,500
Jodey C. Arrington · Cosponsor · $5,000
Kat Cammack · Cosponsor · $3,000
Mariannette Miller-Meeks · Cosponsor · $6,000
Gary J. Palmer · Cosponsor · $2,500
Aaron Bean · Cosponsor · $5,000
Lloyd Smucker · Cosponsor · $10,000
August Pfluger · Cosponsor · $7,000
Official PAC recordCONSTELLATION ENERGY CORPORATION EMPLOYEE POLITICAL ACTION COMMITTEE (CEPAC)$36,000
Jodey C. Arrington · Cosponsor · $2,000
Mariannette Miller-Meeks · Cosponsor · $10,000
Aaron Bean · Cosponsor · $5,000
Lloyd Smucker · Cosponsor · $10,000
August Pfluger · Cosponsor · $9,000
Official PAC recordHONEYWELL INTERNATIONAL INC. TECHNOLOGIES PUBLIC AFFAIRS COUNCIL (HONPAC)$35,500
Gus M. Bilirakis · Sponsor · $8,500
Kat Cammack · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $7,000
Gary J. Palmer · Cosponsor · $3,500
Aaron Bean · Cosponsor · $6,000
Lloyd Smucker · Cosponsor · $2,500
August Pfluger · Cosponsor · $3,000
Official PAC recordAMERICA'S CREDIT UNIONS PAC$35,000
Gus M. Bilirakis · Sponsor · $5,000
Jodey C. Arrington · Cosponsor · $5,000
Kat Cammack · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $1,500
Aaron Bean · Cosponsor · $5,000
Rick W. Allen · Cosponsor · $2,500
Lloyd Smucker · Cosponsor · $6,000
August Pfluger · Cosponsor · $5,000
Official PAC recordAMERICAN CRYSTAL SUGAR COMPANY POLITICAL ACTION COMMITTEE$35,000
Gus M. Bilirakis · Sponsor · $5,000
Jodey C. Arrington · Cosponsor · $5,000
Kat Cammack · Cosponsor · $10,000
Mariannette Miller-Meeks · Cosponsor · $5,000
Aaron Bean · Cosponsor · $5,000
Rick W. Allen · Cosponsor · $5,000
Official PAC recordBRINGING REPUBLICAN EXCELLENCE TO TOWN PAC$35,000
Gus M. Bilirakis · Sponsor · $2,500
Mariannette Miller-Meeks · Cosponsor · $10,000
Gary J. Palmer · Cosponsor · $12,500
Rick W. Allen · Cosponsor · $7,500
August Pfluger · Cosponsor · $2,500
Official PAC recordELECTING MAJORITY MAKING EFFECTIVE REPUBLICANS PAC$35,000
Gus M. Bilirakis · Sponsor · $5,000
Kat Cammack · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $5,000
Gary J. Palmer · Cosponsor · $5,000
Aaron Bean · Cosponsor · $5,000
Rick W. Allen · Cosponsor · $5,000
Lloyd Smucker · Cosponsor · $5,000
Official PAC recordERNST & YOUNG POLITICAL ACTION COMMITTEE$35,000
Jodey C. Arrington · Cosponsor · $5,000
Mariannette Miller-Meeks · Cosponsor · $5,000
Aaron Bean · Cosponsor · $10,000
Lloyd Smucker · Cosponsor · $10,000
August Pfluger · Cosponsor · $5,000
Official PAC recordMOLINA HEALTHCARE, INC. PAC$34,500
Gus M. Bilirakis · Sponsor · $4,500
Jodey C. Arrington · Cosponsor · $2,000
Kat Cammack · Cosponsor · $4,000
Mariannette Miller-Meeks · Cosponsor · $9,500
Aaron Bean · Cosponsor · $4,500
Rick W. Allen · Cosponsor · $2,000
August Pfluger · Cosponsor · $8,000
Official PAC recordNATIONAL ASSOCIATION OF CONVENIENCE STORES POLITICAL ACTION COMMITTEE$34,500
Gus M. Bilirakis · Sponsor · $5,000
Jodey C. Arrington · Cosponsor · $1,000
Kat Cammack · Cosponsor · $2,500
Mariannette Miller-Meeks · Cosponsor · $2,500
Gary J. Palmer · Cosponsor · $7,500
Aaron Bean · Cosponsor · $3,500
Rick W. Allen · Cosponsor · $2,500
Lloyd Smucker · Cosponsor · $2,500
August Pfluger · Cosponsor · $7,500
Official PAC recordThe largest 40 donor totals appear here. Open each politician for their complete, paginated PAC donor list.
What happened after enactment?
This bill is not enacted. Post-enactment results do not apply yet.