Starting in 2026, states would have to report fraud, waste, and abuse found in certain Medicaid home and community care programs. They would also have to explain what they did to prevent those problems.
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HCBS Anti-Fraud Reporting Act of 2026 is a House bill in committee. The latest recorded action: Referred to the House Committee on Energy and Commerce.
Latest action on H.R. 9126: Referred to the House Committee on Energy and Commerce.
Who this affects: This bill mainly affects state Medicaid agencies that run home and community-based services waivers. They would have to collect information and send a yearly report to federal health officials. It could also affect providers and program staff if states ask them for more records or review their billing more closely. People who receive services are not given new eligibility rules under this bill.
Why this matters: Medicaid home care programs spend public money across many providers and care settings, so billing mistakes and fraud can be hard to spot. This bill would give federal officials yearly state reports on problems found in certain waiver programs. It could help show patterns across states and push stronger prevention work. The bill does not say how federal officials must use the reports, so the real effect is uncertain.
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