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American Focus > Blog > World News > Benefits fraud is long-standing in both blue and red states : NPR
World News

Benefits fraud is long-standing in both blue and red states : NPR

Last updated: January 9, 2026 6:50 pm
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Benefits fraud is long-standing in both blue and red states : NPR
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Child care advocates speak at a news conference last month in the Minnesota state capitol building in St. Paul.

Giovanna Dell’Orto/AP


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Giovanna Dell’Orto/AP

The Trump administration has intensified its efforts to combat alleged benefits fraud by suspending social services funding for five Democratic-led states and establishing a new anti-fraud position in the Justice Department. The administration has raised concerns about immigrants being involved in fraud, although no evidence has been provided to support these claims.

A federal judge in New York recently halted the funding freeze imposed by the administration. Experts suggest that while there may be instances of fraud in social safety-net programs, the administration’s unfounded accusations could erode public trust in the system.

The issue of benefit fraud gained attention following unsubstantiated claims by a right-wing media influencer, leading to political controversy. The focus on fraud also highlighted a long-standing benefits scandal in Minnesota.

Accusations of benefit fraud are as old as the programs themselves

Historically, social welfare programs have been associated with accusations of fraud. While some instances of actual fraud exist, the current politicization of fraud by the Trump administration is a cause for concern.

While the exact extent of benefits fraud is unknown, it is acknowledged that taxpayers lose billions of dollars annually to improper payments, including fraud. Most fraud is committed by providers or outside scammers rather than recipients.

See also  Eliminating Waste, Fraud, and Abuse in Medicaid My Administration has been relentlessly committed to rooting out waste, fraud, and abuse in Government programs to preserve and protect them for those who rely most on them. The Medicaid program was designed to be a program to compassionately provide taxpayer dollars to healthcare providers who offer care to the most vulnerable Americans. To keep payments reasonable, billable costs for such care were historically capped at the same level that healthcare providers could receive from Medicare. The State and Federal Governments jointly shared this cost burden to ensure those of lesser means did not go untreated. Under the Biden Administration, States and healthcare providers were permitted to game the system. For example, States "taxed" healthcare providers, but sent the same money back to them in the form of a "Medicaid payment," which automatically unlocked for healthcare providers an additional "burden-sharing" payment from the Federal Government. Through this gimmick, the State could avoid contributing money toward Medicaid services, meaning the State no longer had a reason to be prudent in the amount of reimbursement provided. Instead of paying Medicare rates, many States that utilize these arrangements now pay the same healthcare providers almost three times the Medicare amount, a practice encouraged by the Biden Administration. These State Directed Payments have rapidly accelerated, quadrupling in magnitude over the last 4 years and reaching $110 billion in 2024 alone. This trajectory threatens the Federal Treasury and Medicaid's long-term stability, and the imbalance between Medicaid and Medicare patients threatens to jeopardize access to care for our seniors. I pledged to protect and improve these important Government healthcare programs for those that rely on them. Seniors on Medicare and Medicaid recipients both deserve access to quality care in a system free from the fraud, waste, and abuse, that enriches the unscrupulous and jeopardizes the programs themselves. We will take action to continue to love and cherish the Medicare and Medicaid programs to ensure they are preserved for those who need them most. The Secretary of Health and Human Services shall therefore take appropriate action to eliminate waste, fraud, and abuse in Medicaid, including by ensuring Medicaid payments rates are not higher than Medicare, to the extent permitted by applicable law. This memorandum is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person. DONALD J. TRUMP

Various oversight measures are in place to prevent and investigate fraud, but the complex structure of the U.S. safety net programs creates opportunities for fraudulent activities.

Despite efforts to prevent fraud, the structure of the U.S. safety net, which involves state administration of federal programs, creates vulnerabilities. Additionally, the multitude of federal social service programs for low-income individuals complicates the system.

Democrats have criticized the Trump administration for targeting Democratic-led states in its anti-fraud campaign, suggesting that the administration’s actions are more about punishing political opponents than addressing actual fraud. The administration’s demands for data from states have sparked legal challenges.

Fraud is a widespread issue that transcends political boundaries, with instances reported in both Democratic and Republican-led states. The focus on combating fraud should not overshadow the need to protect vulnerable populations who rely on social services.

Recent cases of benefits scandal, such as the misspending of welfare funds in Mississippi, highlight the ongoing challenges in addressing fraud within the social safety net.

TAGGED:BenefitsBluefraudlongstandingNPRRedstates
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