Sponsors (5)
The bill increases required state reporting on HCBS fraud to strengthen federal oversight and protect program integrity, but it creates recurring state administrative costs and lacks standard reporting requirements that could undermine its effectiveness.
State governments will provide HHS annual information on detected waste, fraud, and abuse in Medicaid 1915(c) HCBS programs, improving federal oversight and enabling earlier corrective action.
Taxpayers and state governments may see reduced improper Medicaid payments if required reporting encourages stronger anti-fraud controls and prevention efforts.
Medicaid beneficiaries may benefit from greater transparency about fraud and prevention, which can help preserve program integrity and continuity of services.
The law sets no standard report formats, deadlines, or penalties, so state reporting could be inconsistent and limit HHS's ability to act uniformly across States.
If States underreport or provide low-quality reports, Medicaid beneficiaries and taxpayers may not receive timely protection from fraud, reducing the program-integrity benefits intended by the law.
State Medicaid agencies must allocate staff time and resources annually to prepare and submit reports, imposing administrative costs and diverting resources from other priorities.
Based on analysis of 2 sections of legislative text.
Requires States with 1915(c) HCBS waivers to annually report detected waste, fraud, or abuse and prevention efforts to the HHS Secretary beginning in 2026.
Requires States that operate Medicaid 1915(c) home-and-community-based services (HCBS) waivers to submit an annual report, beginning in 2026, to the HHS Secretary identifying any waste, fraud, or abuse the State detects in services furnished under the waiver and describing the State's efforts to prevent such waste, fraud, and abuse. The change is limited to adding this reporting duty; it does not set a report format, deadlines within the year, or penalties for failing to report.
Official title: To amend title XIX of the Social Security Act to require States to report on anti-fraud measures relating to home and community-based services furnished under the Medicaid program.
Introduced June 3, 2026 by Robert E. Latta · Last progress June 3, 2026