Referred to the House Committee on Energy and Commerce.
The bill amends section 1915(c) of the Social Security Act to require States, beginning in 2026 and each year thereafter, to report to the HHS Secretary any waste, fraud, or abuse detected relating to services furnished under HCBS 1915(c) waivers and to describe efforts taken to prevent such waste, fraud, and abuse. The change adds an annual reporting obligation but does not specify enforcement, funding, or reporting format in the text provided.
Accountability vs administrative burden for states and providers
Relative to its intended legislative type, this bill establishes a clear, narrowly focused reporting obligation by adding an annual State report requirement to section 1915(c)(2) concerning detected waste, fraud, and abuse and prevention efforts for home and community-based services, but it leaves substantial implementation details unspecified.
The bill amends section 1915(c) of the Social Security Act to require States, beginning in 2026 and each year thereafter, to report to the HHS Secretary any waste, fraud, or abuse detected relating to services furnished under HCBS 1915(c) waivers and to describe efforts taken to prevent such waste, fraud, and abuse.
The change adds an annual reporting obligation but does not specify enforcement, funding, or reporting format in the text provided.
Modest, bipartisan-leaning reporting requirement gives reasonable chance, especially if included in a broader legislative vehicle; standalone passage less certain.
Relative to its intended legislative type, this bill establishes a clear, narrowly focused reporting obligation by adding an annual State report requirement to section 1915(c)(2) concerning detected waste, fraud, and abuse and prevention efforts for home and community-based services, but it leaves substantial implementation details unspecified.
Accountability vs administrative burden for states and providers
These are examples from the analysis, not a ranked list of the most-affected groups.
Accountability vs administrative burden for states and providers
Generally supportive of measures that protect public funds and beneficiaries, but cautious about added administrative burdens and potential chilling effects on access.
Will want safeguards for beneficiary privacy, clarity on definitions, and funding to avoid diverting resources from services.
Favors accountability for taxpayer-funded programs while seeking clarity on implementation.
Will press for standardized reporting formats, cost analyses, and measures that minimize duplication and preserve access to services.
Likely strongly supportive because the bill increases transparency and targets Medicaid fraud.
May nevertheless seek concrete enforcement mechanisms and streamlined reporting to avoid duplicative state work.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Modest, bipartisan-leaning reporting requirement gives reasonable chance, especially if included in a broader legislative vehicle; standalone passage less certain.
The bill has not accumulated any surfaced votes yet.
Accountability vs administrative burden for states and providers
Modest, bipartisan-leaning reporting requirement gives reasonable chance, especially if included in a broader legislative vehicle; standalo…
Relative to its intended legislative type, this bill establishes a clear, narrowly focused reporting obligation by adding an annual State report requirement to section 1915(c)(2) concerning detected waste, fraud, and ab…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.