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GAO Flags Soaring Fraud in State-Run Benefits as Congress Weighs Crackdown

Watchdogs say stronger identity checks at enrollment are key to stopping losses.

Overview

  • House Oversight members and federal auditors, in a Wednesday hearing, detailed how weak front-end controls in Medicaid, SNAP and unemployment aid let thieves tap federal funds routed through states.
  • GAO testimony put government fraud losses at $233 billion to $521 billion a year across programs and estimated about $135 billion in pandemic unemployment insurance was stolen, with only cents on the dollar recovered.
  • Witnesses said criminals buy stolen identities for very little, use AI and online tutorials, and auto-file waves of claims across states, exploiting self-attestation, poor ID checks, duplicate records and payments to the deceased.
  • Enforcement has intensified as Vice President J.D. Vance’s task force suspended hundreds of hospice and home-health providers in a probe topping $600 million and California prosecutors charged 21 people in a $267 million hospice scheme.
  • Lawmakers floated tougher verification using data and AI, incentives that tie federal funds to lower fraud rates, a new anti-fraud bill, and even a national ID, while Democrats warned that tighter screens must not knock eligible families off benefits.