A lawmaker announced administrative checks intended to save $2.2 billion in taxpayer funds by removing roughly 750,000 alleged improper Obamacare enrollments and initiating verification of about 419,000 enrollees.

DHHS officials told the Health and Human Services Oversight Committee that Medicaid program-integrity work relies on referrals and data analytics, that the unit was understaffed, and that 2025 referrals produced several investigations and over $945,000 in established overpayment claims across SNAP, cash and childcare programs.

DHS officials told the commission they back improving the assisted‑living report card methodology and favor additional data authority and closer coordination with MDH inspectors to reduce the risk of Medicaid payments for services not provided.

Department of Human Resources described a Conduent fraud-mitigation add-on and technical safeguards for EBT cards; agency reported an unofficial payment-error rate decline from 8.64% (FY26) to 4.97% in April and said it had recovered about $7.7 million last year through fraud claims work.

Staff proposed clarifications for Certificate of Restoration (COR) accommodations (crossbows, season extensions) to reduce alleged abuse and preserve access for bona fide hunters with disabilities. RAC agreed to tighter verification but divided on moving extensions from pre-season to post‑season.

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The legislature passed a resolution calling on New York State to delay two years and hold counties harmless for SNAP administrative and benefit cost shifts enacted under HR1, and separately passed a floor resolution urging the federal government to pay those costs; members debated whether counties should forward records to federal authorities and discussed using AI for program-integrity reviews.

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Officials described House Bill 26-14-29'driven restructuring, a statewide continuous quality improvement committee and a planned RFP to centralize program-integrity (fraud investigation/recoupment) work; staff warned current earmarked funds may be insufficient to operate a statewide contract.

DMS said CMS directed an off‑cycle revalidation of provider enrollment over the next 24 months to confirm provider eligibility; prioritized groups include high‑risk and atypical providers and those not revalidated in the prior 12 months.

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HHS OIG reported $5.56 billion in monetary impact, but the total combines receivables and potential savings rather than cash already collected.

The Michigan House on June 23 passed House Bill 5145 to amend the Social Welfare Act, requiring proof of identity, income and Michigan residency for certain public-assistance applications. Supporters said the measure strengthens program integrity; opponents said it will delay benefits for vulnerable families. The bill passed on a roll-call vote and was ordered to take immediate effect.

Members debated H.R.8872, which would require improper‑payment reporting, set spending deadlines and target TANF dollars to lower‑income families; Democrats warned it could empower the administration to withhold funds and fail to address primary fraud channels.

Dr. Oz said a new work‑requirement rule tied to the working families tax cut legislation aims to encourage workforce participation, and he described CMS efforts to audit eligibility, invest in tech, and pursue suspected fraud on ACA exchanges and state Medicaid plans.

The Senate passed House File 3629 on May 17, 2026, 67-0, after adopting an A5 amendment that expands agencies' payment-withholding authority, lowers the evidentiary standard to a "credible allegation of fraud," limits judicial appeal in favor of administrative reconsideration, and restores reporting by DHS inspector-general offices.

The Senate Finance Committee on May 7 recommended House File 3379, a sweeping human-services program-integrity package, to the floor after adopting multiple amendments that trimmed or reworked proposed enforcement tools, clarified provider-notice and continuity-of-care protections, and replaced an individual-provider enrollment mandate with an EVV-based solution.

The House Ways and Means Committee adopted an A21 amendment and voted to refer House File 43‑38, a human‑services finance bill focused on program integrity, to the general register. Sponsors said the bill tightens provider screening, site visits and claims review to reduce fraud while preserving continuity of care.

DCYF and its inspector general told a House committee they have increased oversight of the Child Care Assistance Program (CCAP), used stop-payment authority and opened an accelerated schedule of compliance visits; lawmakers pressed the agency about recent federal searches and a video alleging ongoing fraud at specific sites.

The Senate approved SF 4-76, the human services policy omnibus, after extended debate over whether an Optum contractor report on program vulnerabilities should be released to legislators or the public; floor votes modified access rules and required a public summary prepared with the legislative auditor.

The House Human Services Finance and Policy Committee amended and re‑referred House File 4338 to Ways and Means after approving a package of program‑integrity and technical changes. Two competing proposals to finance the state Medicaid Fraud Control Unit — a restitution account (A8) and base funding (A9) — failed in separate roll calls amid concerns about federal constraints, accountability and prosecutorial incentives.