HCBS Anti-Fraud Reporting Act of 2026
HB 9126, the HCBS Anti-Fraud Reporting Act of 2026, would amend the Medicaid statute governing home and community-based services (HCBS) waivers. Beginning with 2026 and each year thereafter, states seeking or operating a Section 1915(c) waiver would have to report to the Secretary of Health and Human Services on any waste, fraud, or abuse they detect in services furnished under the waiver, as well as the steps they are taking to prevent such misconduct.
The bill is focused on transparency and oversight rather than changing benefit eligibility or service delivery rules. It would add a new reporting condition to the existing waiver assurances states must make under the Social Security Act, thereby creating a federal reporting obligation tied to HCBS Medicaid programs. The practical effect would be to require states to track and disclose anti-fraud activity related to these long-term services and supports programs.
The bill would amend Section 1915(c)(2) of the Social Security Act, which governs state assurances for Medicaid HCBS waivers, by adding a new subparagraph requiring annual reporting on detected waste, fraud, and abuse and on prevention efforts. This would affect state Medicaid agencies administering HCBS waivers and would give the federal government more standardized information about fraud controls in a major Medicaid service category.
The available context shows no recorded committee debate or votes, so there is no documented opposition or support beyond the bill’s introduction. Based on the text and sponsorship, the measure appears to be a targeted oversight bill aimed at improving accountability in Medicaid HCBS programs, which suggests a generally neutral-to-supportive policy posture focused on anti-fraud enforcement.
No specific points of contention are captured in the available materials because there are no committee transcripts or votes. Potential areas of debate, if the bill advances, could include the administrative burden on states, the scope of what must be reported, and whether the new reporting requirement meaningfully improves fraud prevention without adding duplicative federal paperwork.