Yesterday with Secretary Kennedy, I zeroed in on one of the ugliest fraud magnets in Medicaid. In New York, a program meant to care for the vulnerable has been twisted into a fraud-soaked jobs scheme, with roughly 250,000 enrollees, about 400,000 caregivers, and spending that exploded from $2.5 billion in 2019 to an estimated $12 billion in 2025. If New York’s Medicaid spending matched the national average, the savings would be almost $43 billion. That is why I introduced the Combating Deceptive Practices in Assistance Programs Act of 2026 to put real guardrails back in place.