The Trump administration announced on Tuesday that it is deferring over $1 billion in Medicaid payments to California and Minnesota, citing suspected fraud and noncompliance. The move includes approximately $867.5 million for California and $199 million for Minnesota.
Key Takeaways
The Trump administration deferred over $1 billion in Medicaid payments to California and Minnesota citing suspected fraud and noncompliance. The move includes approximately $867.5 million for California and $199 million for Minnesota.
- Trump administration defers $1B in Medicaid payments to California, Minnesota
- CMS cites suspected fraud and noncompliance as reasons for deferral
- California Governor Newsom calls the announcement a 'recycled political stunt'
- Administration launches anti-fraud task force targeting federal program abuses
Source Claims Check
1 Difference Found| Claim | Status | Reason | |
|---|---|---|---|
| Reason For Deferral | 1 Difference | Majority cites suspected fraud; The Guardian and Los Angeles Times suggest political motivation | ▼ |
| Amount Deferred | Broad Agreement | $867.5 million to California, $199 million to Minnesota | |
| States Affected | Broad Agreement | California and Minnesota |
Health Secretary Robert F. Kennedy Jr. stated that these actions are intended to stop fraud before it happens, rather than recovering problematic spending after the fact. The Centers for Medicare and Medicaid Services (CMS) identified claims in both states requiring further documentation before federal matching funds can be distributed.
The CMS reviewed claims for certain in-home care programs in California and found spending growth that outpaced national trends. In Minnesota, CMS is halting payments after reviewing claims in 14 high-risk service areas needing additional documentation. Both states have been informed that the funding will be released once they provide proof of the legitimacy of these claims.
CMS Administrator Dr. Mehmet Oz emphasized this deferral as part of a new approach to program integrity, aiming to prevent fraud before it occurs. The administration has launched an anti-fraud task force targeting potential abuses in federal programs across several states.
The announcement comes amid recent charges against more than 75 people for their alleged roles in a $250 million pandemic-era fraud scheme and other public assistance program frauds. The administration's focus on combating fraud has led to the expansion of exclusion authority, allowing CMS and the health department's Office of the Inspector General to remove 'bad actors' from federal healthcare programs.
California Governor Gavin Newsom's office called the announcement a “recycled political stunt” and stated that California is being targeted for political reasons. Newsom’s office also said that the state stands ready to collaborate with CMS in good faith efforts to combat fraud. The California Department of Healthcare Services noted that a 2020 state audit found no program integrity concerns and encouraged expansion of the in-home care program.
Minnesota Governor Tim Walz, a Democrat who ran alongside Kamala Harris in the 2024 presidential election, said the move 'isn’t about fraud - it’s about cutting your healthcare so that Trump can afford the tax cuts he gave to billionaires.' The White House has ramped up its public campaign against fraud, including creating the role of fraud czar and launching a government-wide initiative in February to 'crush fraud' in health care programs like Medicaid.
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