Medicaid was designed to serve the most vulnerable. But waste, fraud, and abuse within the Medicaid system cost taxpayers billions of dollars each year and rob the truly needy of limited resources. In 2018 alone, improper Medicaid spending reached $62 billion. Even though they have the data to crack down on this fraud and abuse, states often don’t require enrollees to report changes and don’t crosscheck data, allowing even lottery winners to collect benefits. By enacting measures to protect welfare integrity and lock fraudsters out of the system, states can help protect the truly needy, ensuring resources are available for those who need them the most.