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S. 5609Senate119th Congress (2025-2027)In Committee

HCBS Anti-Fraud Reporting Act of 2026

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.

Sponsored by Ashley MoodySen. Ashley Moody (R-FL)
Introduced September 30, 2026

AI-Generated Summary

Updated October 8, 2026 at 2:51 AM UTC

The HCBS Anti‑Fraud Reporting Act of 2026 amends the Medicaid Home and Community‑Based Services (HCBS) waiver provisions to require each state that runs an HCBS waiver to submit an annual report to the Secretary of Health and Human Services. The report must detail any waste, fraud, or abuse discovered in the services and describe the state's actions to prevent such problems. The requirement begins in 2026 and continues each year thereafter.

Key Provisions

  • Adds a new subparagraph (F) to the HCBS waiver rules, obligating states to report annually on waste, fraud, or abuse related to HCBS services.
  • States must also report on the steps they are taking to prevent waste, fraud, and abuse.
  • The reporting requirement starts with the 2026 fiscal year and repeats each subsequent year.
  • Minor textual edits are made to existing subparagraphs (D) and (E) to accommodate the new reporting language.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

Finance Committee

September 30, 2026

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SenateIntro Referral

Introduced in Senate

September 30, 2026

SenateIntro Referral

Read twice and referred to the Committee on Finance.

Finance Committee

September 30, 2026

Bill Text

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Introduced in SenateIssued September 30, 2026

II

119th CONGRESS

2d Session

S. 5609

IN THE SENATE OF THE UNITED STATES

September 30, 2026

Mrs. Moody introduced the following bill; which was read twice and referred to the Committee on Finance

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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