HCBS Anti-Fraud Reporting Act of 2026

Bill Number

H.R. 9126

Origin Chamber

House

Congress

119th Congress, Session 2

Policy Area

Health

Status

Introduced

Latest Action

2026-06-03: Referred to the House Committee on Energy and Commerce.

Last Updated

2026-06-24T15:52:13Z

AI-Generated Summary

Purpose This legislation aims to enhance oversight of home and community-based services (HCBS) under the Medicaid program by requiring states to regularly report on detected waste, fraud, or abuse and on their prevention efforts.

Key Provisions

• The bill amends Section 1915(c)(2) of the Social Security Act, which outlines requirements for Medicaid waivers allowing HCBS.
• It adds a new subparagraph (F) mandating that, beginning in 2026 and for each following year, states must report to the Secretary of Health and Human Services on:
• Any waste, fraud, or abuse identified in services provided under the waiver.
• Actions taken by the state to prevent such waste, fraud, and abuse.
• The amendment adjusts existing subparagraphs (D) and (E) to accommodate the new requirement.

Significant Changes to Existing Law

• Prior to this bill, Section 1915(c)(2) did not include mandatory annual reporting on anti-fraud measures for HCBS waivers.
• The change introduces a new ongoing obligation for states to document and share information about waste, fraud, abuse detection, and prevention efforts with the federal government.

Potential Impacts

• Government agencies: Increases administrative reporting duties for state Medicaid agencies and requires the federal Secretary to receive and presumably review the reports.
• Citizens: May improve program integrity for individuals receiving HCBS through Medicaid, potentially reducing improper payments without directly altering eligibility or service delivery.
• International relations: No effects identified in the legislation.

Main Stakeholders Affected

• State Medicaid agencies responsible for HCBS waivers.
• The U.S. Department of Health and Human Services (via the Secretary).
• Medicaid beneficiaries and providers involved in home and community-based services.

Notable Legal, Constitutional, or Political Implications

• The bill represents a targeted expansion of federal reporting requirements on state-administered Medicaid programs, focusing on accountability for a specific service category.
• No direct constitutional challenges or major political provisions are outlined in the text; it follows standard procedures for amending the Social Security Act through congressional legislation.

This summary was generated by AI and may contain inaccuracies. Refer to the official source document for the authoritative text.

Sponsor

Rep. Latta, Robert E. [R-OH-5]

Cosponsors (4)

Rep. Taylor, David J. [R-OH-2], Rep. Barrett, Tom [R-MI-7], Rep. Arrington, Jodey C. [R-TX-19], Rep. Finstad, Brad [R-MN-1]

Recent Actions

• 2026-06-03: Referred to the House Committee on Energy and Commerce.
• 2026-06-03: Introduced in House
• 2026-06-03: Introduced in House

Bill Versions

• HCBS Anti-Fraud Reporting Act of 2026 — issued 2026-06-03 — PDF (2 pages)