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Promoting Work Over Welfare

Welfare reform is about independence and dignity.

When done properly, it means preserving resources for the truly needy, safeguarding taxpayer dollars, and encouraging work for able-bodied adults.

America spends more than $100 billion on food stamps alone each year, and without program integrity measures in place, our current course has only trapped people in government dependence and denied millions the opportunity to pursue the American Dream.

The Biden administration’s unlawful food stamp expansion made the situation even worse, keeping an estimated 2.4 million Americans from choosing employment. Meanwhile, many state bureaucracies have exploited federal loopholes to suspend work requirements without cause.

To reverse this damaging trend, policymakers should restore program integrity and the life-changing power of work in all major welfare programs: food stamps, Medicaid, public housing, and Temporary Assistance for Needy Families (TANF).

Medicaid Fraud: Tracking the Abuse Nationwide

In state after state, the truly needy and taxpayers are being fleeced.

Medicaid fraud is a nationwide problem, siphoning resources from vulnerable populations and costing taxpayers billions. The interactive tracker below highlights some of the most egregious examples.

FGA Fraud Tracker

Medicaid Fraud Cases

Exposed fraud, investigations & prosecutions nationwide

$2.8B+
Total Tracked
15
Cases
14
States
Sep 19, 2025 $9.5M
Louisiana woman accused of Medicaid fraud after buying Lamborghini
A woman in Slidell, Louisiana is facing felony charges after fraudulently obtaining Medicaid benefits while allegedly generating millions in business revenue. She allegedly underreported her income to qualify for Medicaid benefits under an alias.
Aug 17, 2025 $1.9M
Ohio healthcare workers accused of stealing $1.9 million in Medicaid dollars
Nine home health aides and one provider of home-delivered meals are facing felony charges of Medicaid fraud and theft for allegedly billing Medicaid for services they did not provide.
Aug 17, 2025 $1.15M
Michigan doctor charged with 23 counts of Medicaid fraud
A Michigan doctor has been charged with 23 counts of Medicaid fraud for allegedly billing Medicaid for phone consultations that never happened. If convicted, he faces up to 92 years in prison.
Aug 17, 2023 $315K
Mississippi couple repays $315,380 in Medicaid Claims
A Mississippi couple owning a palatial 8,000-square-foot home valued at $2.25 million agreed to repay $315,380 in Medicaid claims after falsifying income to unlawfully create eligibility.
Aug 14, 2025 $1.6M
Massachusetts woman pleads guilty to $1.6 million Medicaid fraud scam
A Massachusetts woman was found guilty of fraudulently enrolling people in a Medicaid-funded home health care program without getting services authorized and billing for services never provided.
Aug 12, 2025 $7.2M
Minnesota man convicted in multi-million-dollar Medicaid fraud scheme
A Minnesota man stole more than $7.2 million in Medicaid funds by falsely claiming that his healthcare company provided home and community-based services, overbilling, and providing kickbacks.
Jul 17, 2025 Millions
'Massive' Medicaid fraud uncovered in Minnesota housing program
A massive scheme to defraud Minnesota's Housing Stabilization Services program was uncovered. Companies fraudulently claimed to provide dozens of program service hours to clients while providing little or no actual services.
Jun 30, 2025 $13M
New York AG announces settlements with 25 transportation companies in Medicaid fraud cases
Fifty-four New York transportation companies have been charged or settled cases related to alleged schemes to defraud Medicaid including billing for trips that never occurred and inflated mileage claims.
Jun 24, 2025 $1.5M
Ex-doctor sentenced in $1.5 million Medicaid scheme
A former Ohio doctor was sentenced to 24 months in prison for fraudulently billing $1.5 million of Medicaid for medical equipment he never purchased, claiming reimbursement for over 5,100 pieces of equipment.
Jun 24, 2025 $30K
Wyoming clinic busted for Medicaid fraud
The CEO of a counseling clinic and a senior staff member were charged with felonies for allegedly billing Medicaid for thousands of dollars for sessions not covered under Wyoming Medicaid law.
Jun 4, 2025 $27K
Connecticut woman convicted of Medicaid fraud scheme
A licensed social worker and owner of a counseling and spa services business in Connecticut was convicted of falsely billing Medicaid for services that were never provided.
Jun 3, 2025 $1M
Nevada health company owners stole $1 million in Medicaid funds
A pair of behavioral health company owners in Las Vegas have been sentenced in a Medicaid fraud case for falsely billing Medicaid for healthcare services that were not provided.
May 13, 2025 $4.7M
North Carolina man ordered to pay $4.7 million in Medicaid fraud case
A North Carolina man was sentenced to 52 months in prison for his role in a health care fraud scheme in which his behavioral health company allegedly billed for physician home visits that never occurred.
May 2, 2025 $500K
South Dakota man accused of stealing $500,000 in Medicaid funds
A South Dakota man who owned a home health care business is accused of stealing more than $500,000 from the state's Medicaid program by billing for in-home nursing services that were not provided.
Apr 1, 2025 $2.8B
Massive Medicaid scheme uncovered in Arizona
A massive Medicaid fraud scheme was uncovered in Arizona costing approximately $2.8 billion involving sober living homes. The scheme involved thousands of mostly Native American people seeking addiction help.

WELFARE REFORM: THE PATH FORWARD FOR PROGRAM INTEGRITY

FEDERAL

  • Implement a universal work requirement at the federal level across all major welfare programs (food stamps, Medicaid, public housing, and TANF) to move nearly 10 million able-bodied adults into the workforce.
  • Save nearly $112 billion and preserve resources for the truly needy by closing the federal broad-based categorical eligibility (BBCE) loophole in food stamps, which is routinely abused by states to sidestep federal eligibility requirements.
  • Repeal the Biden administration’s unlawful expansion of the Thrifty Food Plan. It is estimated that this dramatic food stamp increase spiked grocery prices by 15 percent.
  • Enact commonsense program integrity measures in food stamps to curb waste, fraud, and abuse in the program.
  • Push back against any federal rules that would expand Medicaid beyond its intended purpose of serving the truly needy and further weaken program integrity.

 

STATES

  • Medicaid expansion under ObamaCare has led to busted budgets and skyrocketing enrollment in every state. It’s time for states to roll back this disaster—and for the remaining states to refuse to implement it altogether.
  • Improper Medicaid payments cost taxpayers nearly $81 billion in 2022. Practical reforms, including comprehensive data cross-checks to determine eligibility and temporary lockout periods for those abusing the system, should be implemented.
  • Require able-bodied adults without dependents (ABAWDs) receiving food stamps to participate in state Employment and Training (E&T) programs.
  • Eliminate bureaucratic “no good cause” exemptions that allow many able-bodied food stamp enrollees to avoid work requirements.
  • Enact a work requirement for public housing like Arkansas did in 2023, make a job search mandatory at the time of a TANF application, and require significant lottery winnings to be intercepted from welfare enrollees to help repay overpayments.

Have Questions? Reach out to our experts

Gregg Pfister

Senior Director of State Affairs

Jonathan Ingram

Vice President of Policy and Research

At FGA, we don’t just talk about changing policy—we make it happen.

By partnering with FGA through a gift, you can create more policy change that returns America to a country where entrepreneurship thrives, personal responsibility is rewarded, and paychecks replace welfare checks.