Video & Transcript Research : 'reporting fraud'
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MN
Minnesota 2025 1st Special Session
House DFL Press Conference 5/6/25
Transcript Highlights:
- , both fraud on public programs and fraud more broadly.
- , both fraud on public programs and fraud more broadly.
- We heard a lot of audit reports in the fraud committee.
- that in the last year there's been a 25% reporting of fraud, what we know is that fraud is victim agnostic
- that in the last year there's been a 25% reporting of fraud, what we know is that fraud is victim agnostic
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 2/24/25
Fraud Prevention and State Agency Oversight Policy
MN
Minnesota 2025-2026 Regular Session
Press Conference: Republican Members Propose New Legislation Addressing Fraud - 02/19/26
Transcript Highlights:
- Over the summer and fall, the headlines were peppered with these fraud reports.
- Reports of disabled and vulnerable adults being left for hours, days at a time, even when fraud providers
- <00:00:35.840>
A <00:00:36.079>shuttered <00:00:36.559>housing these fraud reports - A shuttered housing these fraud reports.
- >> So, we've seen reports this summer that $9 billion of fraud have walked out the door.
Summary:
Senate Republican leaders held a press event to roll out a package of anti-fraud proposals focused on state welfare and human services programs. Mark Johnson opened by citing recent fraud scandals, including a shuttered housing program and reports of vulnerable adults being left without care while providers billed for full services, and said Republicans want top-down reform, stronger accountability, new technology, and tighter oversight of taxpayer dollars. Michael Kreun said Republicans support an independent Office of Inspector General and argued the Senate-passed bill should not be weakened in the House; he also said the Senate should restore its role in confirming agency commissioners, especially at DHS, which he described as central to the fraud problem.
Jordan Rasmusson outlined a plan to stop “blank checks” for DHS and DCYF services by requiring legislative audit review when a program exceeds budget by 5 percent and legislative approval for additional spending at 10 percent over budget. He also said DHS should adopt basic integrity tools such as electronic visit verification and client sign-off. Steve Drazkowski described two bills: a statewide “do-not-pay” list to block payments to ineligible people or entities, and an “I’m Not a Robot” proposal for Medicaid managed care that would require enrollee verification forms, with a 2 percent payment withhold used to encourage compliance and potentially fund county system upgrades. Mark Krueger said the state should improve technology and data use for eligibility determinations, citing other states’ rapid fraud-fighting systems, and proposed penalties for false reporting to the Legislative Auditor after a DHS audit found falsified site-visit records.
Steve Gruenhagen said his bill would require DHS and DCYF to resume annual fraud-prevention and oversight reports to the legislature, which he said had stopped after 2017 despite rising fraud cases. Michael Holmstrom proposed unannounced site visits for all DHS and DCYF providers before enrollment, reenrollment, and revalidation, funded through provider service fees, and cited a recent case involving a woman with autism who was billed for far more care than she received. In the Q&A, Kreun said House Democrats’ delete-everything amendment to the inspector general bill removed the law enforcement division and stripped the bill of its “teeth,” and he suggested the governor’s office may have been involved in efforts to replace the bill with a weaker coordination council model. No votes were taken in the press conference.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/9/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- So my question is, based upon your investigation, the report that you put together, were the fraud schemes
- We had plenty of OLA reports for decades, as your report points out.
- We had plenty of o LA reports for decades as your report points out.
- And so they reported in January in 2019 2020 those reports when your packet.
- The fraud right now are not fraud.
MN
Minnesota 2025 1st Special Session
House State Government Finance and Policy Committee 2/11/25
State Government Finance and Policy
Transcript Highlights:
- of waste Fraud protection for reporting of waste Fraud and<01:16:01.040>
Abuse <01:16:01.320>< - <01:20:55.400>
the <01:20:55.560>fraud fraud not the person reporting the fraud fraud - and mandatory fraud reporting in state agencies.
- Section 1 of the bill addresses agencies must report fraud.
- Section 1 of the bill addresses agencies must report fraud.
Summary:
The committee met on February 11 and began with introductions from members and staff, who shared brief personal and district facts. Chair Jim Nash then outlined the committee’s goals for the session, emphasizing bipartisan cooperation, the need to address a looming structural deficit, and the committee’s role in moving legislation forward. The committee also reviewed its rules for the year.
The main item was House File 3, authored by Chair Nash and referred to Ways and Means. The bill would require the Office of the Legislative Auditor to produce an annual report tracking whether agencies have implemented prior audit and evaluation recommendations, with the goal of improving internal controls, transparency, and accountability and helping legislators make funding decisions. Nash described the bill as a preventative measure to reduce waste, fraud, and abuse, and said it was modeled in part on practices used in Colorado. Legislative Auditor Judy Randall testified that the office already produces similar update reports but lacks resources to independently verify many agency responses; she said the bill would provide a framework for more regular reporting and discussion, not a “shame tool.”
Ranna Lee of Americans for Prosperity testified in support, saying the bill would increase accountability and transparency for how public agencies manage taxpayer resources. A letter from the Minnesota Council on Nonprofits was also noted in support. Representative Clardy offered the A7 amendment to add an appropriation matching the fiscal note; Nash accepted it, saying savings could be found later in the process. The committee approved the A7 amendment by voice vote. During discussion, Representative Quam supported the bill’s focus on accountability, and Representative Freiberg questioned the Legislative Auditor about the office’s expertise on a specific ambulance-services recommendation in the report. Randall responded that the office’s staff are policy research generalists who use standards, best practices, interviews, surveys, and site visits to develop recommendations, and that the goal is to prompt further discussion rather than require blind acceptance. The transcript ends during that exchange, with no final committee vote on House File 3 shown.
MN
Minnesota 2025-2026 Regular Session
House Committee OKs bill to strengthen whistleblower protections for reporting waste, fraud 2/11/25
Transcript Highlights:
- They can report on many other things and it's protected, but that exact category, waste, fraud, abuse
- on issues of for when they are reporting on issues of waste<00:03:12.959>
fraud <00:03:13.239> - of waste Fraud protection for reporting of waste Fraud and<00:04:47.759>
Abuse <00:04:48.080>< - There is a crime of fraud, but not a crime of reporting it.
- <00:09:42.079>
the <00:09:42.240>fraud fraud not the person reporting the fraud fraud
Summary:
House File 23, authored by Representative Robbins, was heard on a motion to advance it to the next committee. The bill, as amended by the A1 author’s amendment, would clarify the statutory definition of abuse, fraud, and waste and expand whistleblower protections for state employees who report those issues to legislators, the legislative auditor, or constitutional officers. Robbins said the measure is intended to protect state workers and align whistleblower language with existing Inspector General definitions; he also cited recent fraud investigations as the backdrop for the bill and noted a Senate companion, SF 475, with bipartisan support.
Devon Bruce of the Minnesota Association of Professional Employees testified in support of the bill’s protective intent but raised concerns that it only covers classified state employees, creating uneven treatment between classified and unclassified workers and between state and local public employees. Bruce also warned that the bill does not fully address data practices issues, including the handling of nonpublic, private, or proprietary information, and suggested broader privacy protections for whistleblowers’ identities. In response to questions, Robbins said the bill was not meant to change data practices law and that those issues should be addressed separately.
Members debated whether the bill was ready for further consideration and whether it should also go to the fraud oversight committee or Judiciary. Motions to lay the bill over and to re-refer it to the fraud prevention and state oversight committee both failed. After a roll call vote, the committee approved the bill 7-6 and sent House File 23 to Workforce, Labor, and Economic Development.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/10/25
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- It's a Medicaid fraud case, $2.6 million, not the biggest fraud on the list by any means.
- They have the Fraud Unit.
- that certainly wasn't true and the fraud that certainly wasn't true and the ola's<01:29:03.679>
report - for fraud in the state how much fraud for fraud in the state how much fraud have<01:35:59.360>
- That is fraud.
MN
Transcript Highlights:
- On the agenda today, we have the presentation around enrollment fraud working group report to the Legislature
- On the agenda today, we have the presentation around enrollment fraud working group report to the Legislature
- The presentation around the enrollment fraud working group report to the Legislature.
- This would be to require annual reporting to the Legislature on enrollment fraud trends, mitigation efforts
- Strengthening safeguards, the report appropriately centers equity considerations, noting that fraud prevention
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 4/28/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- suspected fraud and that they can report anonymously if desired.
- reported the fraud to. reported the fraud to.
- I said, people can report fraud to DHS. I said, people can report fraud to DHS.
- order to report all allegations of fraud order to report all allegations of fraud to<01:24:52.760
- fraud in the report based on DHS's review.
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Health & Family Services (2-26-25)
Transcript Highlights:
- <00:35:49.640>
the have reporting they report to us the have reporting they report to us the - reports.
- reports.
- reports.
- reports.
Summary:
The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations.
Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends.
Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/2/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- So, my first question is, when you reported your concerns to DHS and the Medicaid Fraud Control Unit,
- So, my understanding is that the MCO special investigation units report suspected fraud to DHS.
- What is the magnitude of the fraud that the MCOs are reporting to DHS?
- So, the fraud being reported by MCOs for NEMT is similar to what the folks from Prime West testified
- fraud being reported by MCOs for So, the fraud being reported by MCOs for for<00:58:45.200>
NEMT
Summary:
The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027.
DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units.
Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.
MN
Transcript Highlights:
- We have about $500 million in outstanding fraud, and when I look at the Human Services report and then
- We have about $500 million in outstanding fraud, and when I look at the Human Services report and then
- We have about $500 million in outstanding fraud, and when I look at the Human Services report and then
- We have about $500 million in outstanding fraud, and when I look at the Human Services report and then
- and when I look at the Human fraud and when I look at the Human Services<01:21:15.679>
report
Summary:
The Senate Finance Committee met on January 9, 2025, to focus on internal controls, fraud prevention, and legislative oversight of state agencies. Legislative Auditor Judy Randall explained Minnesota’s internal control framework, based on the GAO Green Book, and described five core controls: assigning responsibility, separating duties, restricting access, maintaining policies and procedures, and keeping records. She tied each control to examples from recent audits, including DHS’s Medicaid provider debt recovery, the Minnesota State Academies’ travel reimbursement issue, privileged access at the Minnesota State Lottery, missing mileage-verification procedures at the Board of Firefighter Training and Education, and weak documentation in the Board on Aging’s senior nutrition program.
Deputy Legislative Auditor Jod Mson Rodriguez then presented a new follow-up report on implementation of prior recommendations from 2022 through 2024, including special reviews. She said the office gathers agency documentation, evaluates progress, and categorizes recommendations from implemented to not applicable, while noting that some items require more work to verify and that this reflects OLA capacity rather than agency performance. Examples included the Department of Commerce, where some policy changes were verified but further work would be needed to confirm consistent investigator compliance, and the Metropolitan Council, where more data analysis would be needed to determine whether bonus payments were properly earned. She also noted that a legislature-directed recommendation to require grant manager training had not been implemented.
Overall, OLA reported that state agencies had implemented or partially implemented close to 70% of its recommendations, while the legislature had implemented or partially implemented about 40% of recommendations from the last three years. Members generally praised the office’s work and discussed how agencies respond after reports are issued. Senator Westrom raised concerns about a recent media report on alleged fraud in CCAP, and Randall said OLA was aware of the issue but could not discuss details. Senator Draheim asked about post-report agency engagement, and Randall and Rodriguez said follow-up varies, with some agencies seeking private meetings and others engaging less, but that the follow-up process often prompts further discussion and improvement.
MN
Transcript Highlights:
- fraud and feel comfortable reporting fraud internally.
- And so I know that reporting fraud can be scary.
- know how to report fraud and feel<01:35:18.480>
comfortable <01:35:19.199>reporting <01 - :35:19.679>
fraud feel comfortable reporting fraud feel comfortable reporting fraud internally - And avenues for people to report fraud.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Thursday, June 11, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- , wire fraud, securities fraud, tax fraud, bank fraud, healthcare fraud.
- fraud focus at odds with past pardons. fraud focus at odds with past pardons.
- Fraud was allowed to grow for...
- fraud, tax evasion, healthcare fraud, and public corruption.
- fraud... ...about fraud when there is massive fraud taking place in the majority says and does nothing
MN
Transcript Highlights:
- state's comprehensive financial report state's comprehensive financial report with<00:05:10.960>
- fraud that has come out of Minnesota fraud that has come out of Minnesota under<00:07:15.720>
the< - <00:07:57.759>
waste part um to cut down on the fraud waste part um to cut down on the fraud - <00:16:31.839>
and that because of the waste Fraud and that because of the waste Fraud and - Fraud, um, it's not fraud by your agency or any state agency.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, June 3, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- More reporting does not reduce fraud.
- report on recommendations to improve fraud prevention.
- report on recommendations to improve fraud prevention.
- report on recommendations to improve fraud prevention.
- report on recommendations to improve fraud prevention.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 7/8/25
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- They're supposed to report to the Department of Human Services on the fraud detection prevention steps
- They're supposed to report to the Department of Human Services on the fraud detection prevention steps
- They're supposed to report to the Department of Human Services on the fraud detection prevention steps
- They're supposed to report to the Department of Human Services on the fraud detection prevention steps
- They're supposed to report to the Department of Human Services on the fraud detection prevention steps
MN
Minnesota 2025-2026 Regular Session
House/Senate Republican Media Availability 12/4/25
Minnesota House Floor Meeting
Transcript Highlights:
- We have seen reports, Carol 11, we've seen reports, Star Tribune has reported, um, where there are Somali
- That's what I support is getting to the bottom of the fraud, holding those causing fraud and doing fraud
- /c><00:13:16.560>
reported, <00:13:17.440>um, reports, Star Tribune has reported, um, reports - <00:13:27.360>
and fraud, holding those causing fraud and fraud, holding those causing fraud - conducting its fraud investigations? conducting its fraud investigations?
Summary:
Republican legislative leaders in Minnesota held a budget-focused press availability after the November forecast, thanking Minnesota Management and Budget staff while arguing the updated numbers show a much worse deficit outlook than expected. They said the state faces a structural spending problem, cited projected gaps in the 2028-29 biennium and over the four-year outlook, and blamed recent deficits on higher spending, tax increases, mandates, and what they described as fraud in state programs. They also criticized Governor Walz for focusing on federal issues and for not doing enough to control spending or address fraud.
Speaker Lisa Demuth, House Republican Leader Harry Niska, and Senate Finance lead Eric Pratt all said the forecast underscores the need for spending restraint, pro-growth policies, and stronger fraud prevention. They pointed to health care, long-term care, Medicaid-related programs, and local government mandates as major cost drivers, and said the legislature should examine those areas in the upcoming session. Demuth said the state should not ignore fraud and noted that the legislature had added staff to the Office of the Legislative Auditor and whistleblower protections, but had not passed an independent inspector general office.
A substantial portion of the exchange centered on fraud investigations and comments by President Trump about Somali Minnesotans. The Republican leaders said they disagreed with condemning any community as a whole, but also said they shared frustration over fraud and corruption and wanted accountability for those responsible. They said the state’s fraud problem is not about any one community, but about failures in administration and oversight. The lawmakers said they would return to session on February 17 and continue working on budget and fraud-related issues.
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2026-04-08
Human Services Finance and Policy
Transcript Highlights:
- It's a report from the Office of Legislative Auditor.
- report of our work, and there are high...
- turns out to... ...be fraud, waste, and abuse.
- We're getting to a credible allegation of fraud, not fraud itself.
- >> Ula report is not what's at issue here that what's at issue is your response to the report.
MN
Transcript Highlights:
- fraud the fraud can the intent to commit fraud the fraud can be<00:05:00.880>
very <00:05:01.400 - in these reports.
- <00:46:54.680>
to fraud our efforts including reporting to fraud our efforts including reporting - We've also strengthened our oversight by updating our fraud reporting policy and providing agency-wide
- under new fraud protection or new fraud under new fraud protection or new fraud prevention<01:10
Summary:
The Education Policy Committee met to hear a delayed presentation from the Office of the Legislative Auditor on MDE’s oversight of Feeding Our Future, a report released in June 2024. The chair framed the hearing as an oversight review of how the Minnesota Department of Education handled the nonprofit’s participation in the Child and Adult Care Food Program and the Summer Food Service Program, emphasizing that the hearing was not about criminal charges against agency staff. Legislative Auditor Judy Randall and Director of Special Reviews Katherine Tyson explained that their review focused on state oversight, not the underlying federal fraud case, which involved an alleged $250 million scheme and ongoing criminal proceedings.
The auditors concluded that MDE’s oversight was inadequate and created opportunities for fraud. They said MDE failed to act on warning signs before the pandemic, did not effectively use its authority to hold Feeding Our Future accountable, and was ill prepared to respond to problems. Examples included approving applications despite concerns about internal controls and staffing, failing to follow up on earlier review findings, not adequately investigating at least 30 complaints, and in one case referring a complaint back to Feeding Our Future for resolution rather than conducting an independent investigation. They also said MDE deferred serious deficiencies without enough evidence that problems had been fully corrected and approved meal claims despite records showing major inconsistencies.
Tyson said MDE had made progress on all eight recommendations in the report, though one recommendation to the legislature had not yet been addressed because the session had not convened since the report’s release. The auditors recommended that the legislature establish clearer statutory criteria or give MDE rulemaking authority for sponsor applications, and that MDE strengthen verification of sponsor information, focus more on high-risk sponsors, improve complaint procedures, and emphasize program integrity if waivers reduce oversight in the future. In response to member questions, the auditors said MDE’s reported progress was partial in some areas and that further review would be needed to fully confirm implementation. No votes or formal committee actions were taken during the hearing.