HCBS Anti-Fraud Reporting Act of 2026

119th Congress Introduced by Jodey Arrington and 3 co-sponsors

Requires states to annually report HCBS waiver waste, fraud, abuse detected and prevention efforts to HHS beginning in 2026.

Introduced in House

Overview

Bill: HR 9126 — HCBS Anti-Fraud Reporting Act of 2026

Session: 119th Congress

Sponsor(s): Rep. Latta (Primary), with Reps. Taylor, Barrett, Arrington; additional co-sponsors include Brad Finstad

Introduction: June 3, 2026

Jurisdiction: United States; Referred to the House Committee on Energy and Commerce

Purpose: Amend title XIX of the Social Security Act to require states to report anti-fraud measures related to home and community-based services (HCBS) under Medicaid.

What the bill would do

Require States to report anti-fraud information for HCBS waivers under Medicaid beginning in 2026 and in each subsequent year.

Specifically, the State must report to the Secretary of Health and Human Services on: 1) Waste, fraud, or abuse detected by the State relating to HCBS furnished under such waivers. 2) Efforts undertaken by the State to prevent such waste, fraud, and abuse.

Key provisions and changes

Legislative change to existing statute: Amends Section 1915(c)(2) of the Social Security Act (42 U.S.C. 1396n(c)(2)).

New reporting requirement (subparagraph F):

Annual reporting starting with 2026 and each year thereafter.
Two components in the report:
Detection of waste, fraud, or abuse related to HCBS waivers.
Description of preventative measures and corrective actions implemented or taken by the State.

Who/what is affected

Affected Entity: States administering Medicaid waivers under 1915(c) waivers for HCBS.

Impacted stakeholders include:

State Medicaid agencies responsible for HCBS program integrity and fraud prevention.
Individuals and providers participating in HCBS waivers (indirectly affected by increased reporting and potential focus on fraud prevention).
The federal Department of Health and Human Services (HHS), particularly the Centers for Medicare & Medicaid Services (CMS), which would receive annual anti-fraud reports.

Procedural and timeline aspects

Effective date: The new reporting requirement applies to 2026 and to each subsequent year.

Reporting mechanism: States must submit reports to the Secretary (federal level; presumably CMS) detailing both detected fraud/waste/abuse and prevention efforts.

Implementation considerations (implied): States may need to establish or enhance internal fraud detection systems, data collection, and reporting protocols to comply with annual reporting.

Potential implications (informational)

Increased transparency: Regular federal reporting on HCBS fraud and prevention efforts could improve accountability and public visibility into HCBS program integrity.

Compliance burden: States may incur additional administrative workload to collect and document fraud data and prevention measures annually.

Policy focus: Could incentivize stronger anti-fraud controls and best practices within HCBS waivers.

If you’d like, I can compare this proposal to existing HCBS anti-fraud provisions or outline potential state-by-state implementation considerations in more detail.