This bill requires states to report annually to the federal government on fraud prevention efforts in their Medicaid home and community-based services programs, starting in 2026. States must document any waste, fraud, or abuse they detect in these services, which help elderly and disabled individuals live in their homes and communities rather than in institutions. The legislation amends the Medicaid statute to add this reporting requirement to existing state waiver obligations. No new funding is specified in the bill, though states will need to track and report this information as part of their regular Medicaid compliance. The reporting requirement begins in 2026 and continues indefinitely each year after that.
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