Senate Resolution 390 Printer's Number 2033

PENNSYLVANIA, October 13 - WHEREAS, Minnesota and California have been subject to

Medicaid deferrals over the Centers for Medicare and Medicaid

Services' concerns related to the states' respective oversight

of fraud, waste and abuse and all states have been notified of

additional obligations and Federal oversight; and

WHEREAS, The United States Department of Health and Human

Services Office of Inspector General reported that in 2025 the

Medicaid Fraud Control Section of the Commonwealth Attorney

General's Office ranked first nationally in criminal convictions

and third in charges filed against violators, demonstrating the

significance of fraud in the Commonwealth's programs; and

WHEREAS, Based upon known instances of fraud within the

Commonwealth's programs, reports of fraud, waste and abuse in

other states and the Federal Government's stance on addressing

fraud, the General Assembly, exercising our oversight power,

should determine if our participant-directed medical assistance

programs are operating safe from fraud, waste and abuse and

within the purposes and restrictions provided; and

WHEREAS, Preventing fraud, waste and abuse will work to

maximize the resources available to qualified recipients and

avoid adverse consequences from Federal oversight authorities;

therefore be it

RESOLVED, That the Senate direct the Legislative Budget and

Finance Committee to conduct a performance audit of the

participant-directed medical assistance programs of the

Commonwealth and provide a report to the General Assembly; and

be it further

RESOLVED, That the Legislative Budget and Finance Committee

be authorized to request any data or information that is

necessary to conduct the performance audit from the agencies and

20260SR0390PN2033 - 2 -

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