H.R. 9126House119th Congress (2025-2027)In Committee

HCBS Anti-Fraud Reporting Act of 2026

To amend title XIX of the Social Security Act to require States to report on anti-fraud measures relating to home and community-based services furnished under the Medicaid program.

Introduced June 3, 2026

AI-Generated Summary

Updated June 4, 2026 at 8:30 AM UTC

The HCBS Anti-Fraud Reporting Act of 2026 amends the Medicaid Home and Community-Based Services (HCBS) provisions to require each state to submit an annual report to the federal Secretary of Health and Human Services. Starting in 2026, states must detail any waste, fraud, or abuse they find in HCBS waivers and describe the steps they are taking to prevent such problems. This reporting requirement applies to all states that operate HCBS programs under Medicaid.

Key Provisions

  • Adds a new subparagraph (F) to Section 1915(c)(2) of the Social Security Act, mandating that for 2026 and each year thereafter, states must report to the Secretary:
  • — Any waste, fraud, or abuse detected in HCBS services provided under Medicaid waivers.
  • — The actions the state is taking to prevent waste, fraud, and abuse.

Legislative Activity

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HouseIntro Referral Latest Action

Referred to the House Committee on Energy and Commerce.

June 3, 2026

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HouseIntro Referral

Introduced in House

June 3, 2026

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

June 3, 2026

Bill Text

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Introduced in HouseIssued June 3, 2026

I

119th CONGRESS

2d Session

H. R. 9126

IN THE HOUSE OF REPRESENTATIVES

June 3, 2026

Mr. Latta (for himself, Mr. Taylor, Mr. Barrett, and Mr. Arrington) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend title XIX of the Social Security Act to require States to report on anti-fraud measures relating to home and community-based services furnished under the Medicaid program.

1.

Short title

This Act may be cited as the HCBS Anti-Fraud Reporting Act of 2026.

2.

Requiring States to report on anti-fraud measures relating to home and community-based services furnished under the Medicaid program

Section 1915(c)(2) of the Social Security Act (42 U.S.C. 1396n(c)(2)) is amended—

(1)

in subparagraph (D), by striking and at the end;

(2)

in subparagraph (E), by striking the period and inserting ; and; and

(3)

by adding at the end the following new subparagraph:

(F)

with respect to 2026 and each subsequent year, the State will report to the Secretary on—

(i)

any waste, fraud, or abuse detected by the State relating to services furnished under such waiver; and

(ii)

efforts taken by the State to prevent such waste, fraud, and abuse.

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