Vice President JD Vance announced a sweeping crackdown on alleged Medicaid and Medicare fraud, accusing several Democratic-led states - particularly California, New York, and Hawaii - of failing to police abuse in federally funded healthcare programs.
Speaking at the White House alongside officials leading the administration's anti-fraud initiative on May 13, Vance said the federal government would defer $1.34 billion in Medicaid reimbursements to California while demanding stronger enforcement efforts from state authorities.
“The state of California has not taken fraud very seriously,” Vance said. “We want California to get serious about this fraud.” Vance said the administration was also sending letters to all 50 state Medicaid programmes requiring them to demonstrate that they were “effectively and aggressively prosecuting Medicaid fraud”. States failing to comply risk losing federal anti-fraud funding, he said.
The vice president repeatedly argued that fraud harmed both taxpayers and low-income Americans who rely on public healthcare programs. “How long are people gonna pay into programmes if they know that that money doesn't go to a low-income kid who needs healthcare, but that money goes into a fraudster getting rich,” Vance said.
Vance also linked fraud concerns to broader immigration and fiscal debates, alleging that undocumented immigrants were benefiting from taxpayer-funded healthcare in some states.