Relating to the review of claims and recovery of overpayments by Medicaid recovery audit contractors.

Added requirement that recovery audit contractors must obtain approval from the office of inspector general before initiating claim reviews, including a cost-effectiveness determination.

Added one-year time limit since claim receipt before a recovery audit contractor can initiate a review.

Added prohibition on initiating recovery efforts when a managed care organization has already notified the office of inspector general that it is auditing the claim.

Added requirement for the executive commissioner to adopt an appeals process for overpayments identified by recovery audit contractors.

Added requirement that the Health and Human Services Commission can only implement changes if the legislature appropriates specific funding, with optional use of other available funds if not appropriated.

Maintained September 1, 2025 effective date for the Act.

Added provision allowing the commission to contract with a third party to administer recovery efforts or the appeals process.