HCBS Anti-Fraud Reporting Act of 2026

On June 3, 2026, Rep. Latta (R-OH) introduced HR9126, the HCBS Anti-Fraud Reporting Act of 2026, which was referred to the House Committee on Energy and Commerce. The bill amends Section 1915(c)(2) of the Social Security Act to require states receiving Medicaid waivers for home and community-based services to report annually on detected waste, fraud, or abuse and on prevention efforts. The bill is in the earliest legislative stage—introduced and referred to committee—with no hearings, markups, or companion legislation in the Senate. It authorizes zero dollars in federal spending; it imposes a reporting requirement on states, not on private companies. The three cosponsors are all House Republicans, but none hold committee leadership positions that would accelerate passage. The legislative path requires committee consideration, House floor vote, Senate passage, and presidential action—a multi-year process with low probability in the current session. No publicly traded company is directly affected by a state-level reporting mandate. Medicaid HCBS services are delivered by a mix of state agencies, non-profits, and private providers, but the bill does not alter reimbursement rates, eligibility, or service coverage. The only potential indirect effect is a modest increase in administrative compliance costs for state Medicaid agencies, which are not publicly traded entities. No tickers meet the confidence gate of 0.65 for inclusion.