This bill requires states to provide annual reports to the federal government about fraud prevention efforts in their Medicaid home and community-based services programs, beginning in 2026. States must report on any instances of waste, fraud, or abuse they discover in these services, as well as describe the steps they are taking to prevent such problems from occurring. Home and community-based services are alternatives to institutional care that help people with disabilities and elderly individuals receive support while living in their communities rather than in nursing homes or other facilities. The legislation does not specify new funding or create new programs, but instead establishes a reporting requirement to increase transparency and accountability in how states manage Medicaid funds for these services. This change applies to all states offering these services under their Medicaid waivers and continues indefinitely after 2026.