Hello John, Did you know that in 2024, 2.8 million individuals were enrolled in government health care programs illegally? That’s not a typo. Just the other day, federal officials revealed that 1.2 million individuals are enrolled in Medicaid plans in two or more states at the same time, while another 1.6 million are enrolled in both a Medicaid plan and an Obamacare plan. What does this illegal duplication cost taxpayers like you? $14 billion a year. This shameful waste is the result of the Biden administration’s policy of enrolling as many people as possible in government health care programs — even if they don’t qualify. Who benefits most from this fraud? One — health insurance companies that get higher government subsidies but receive no financial penalty for improper enrollments. Two — unscrupulous brokers that cheat to generate higher commissions. Here’s the bottom line: The One Big Beautiful Bill, recently passed by Congress, combats this waste and fraud by implementing modern reforms for detecting duplicate enrollments, removing deceased individuals from the rolls, verifying eligibility more frequently, and enhancing states’ tools to eliminate misuse. Importantly, this new law does not cut Medicaid funding. Instead, it restores Medicaid’s original purpose as a safety net for truly vulnerable populations — pregnant women, children, the elderly, and the disabled. How Medicaid drifted off course Medicaid’s original mission was to provide targeted assistance to help those most in need. But decades of political overreach have expanded the program far beyond its purpose, enrolling millions of individuals who do not qualify and putting an unsustainable burden on taxpayers. Without meaningful reform, Medicaid was increasingly at risk of failing the very people it was created to protect. The One Big Beautiful Bill marks an essential step toward correcting course, ensuring resources are directed where they are truly needed and eliminating systemic inefficiencies. Key features of the One Big Beautiful Bill - Prevents duplicate enrollment: Establishes robust new tools to identify and eliminate duplicate enrollments across states and programs.
- Deceased enrollee management: Ensures state Medicaid rolls are updated regularly to remove deceased individuals.
- Frequent eligibility verification: Requires periodic checks to verify recipients continue to meet eligibility standards.
- Enhanced state resources: Provides states with the tools and resources necessary to combat waste, fraud, and abuse.
Why these reforms matter - Safeguards for the vulnerable: By addressing duplicative and ineligible enrollments, Medicaid dollars can now go to the low-income families, the elderly, people with disabilities, and expectant mothers who genuinely rely on the program.
- Taxpayer protection: Taxpayer dollars should be spent efficiently and effectively. These reforms save $14 billion annually by stopping unlawful and duplicative payments.
- Program sustainability: Streamlined and refocused, Medicaid can now ensure long-term viability without requiring disruptive program cuts.
These changes have been the subject of a lot of misinformation, and many members of Congress who voted “Yes” are the subjects of unrelenting political attacks. These members need our support! So please take a moment to send a thank-you letter to your members of Congress! It’s important that these elected officials know we have their backs! |