Trump says he’s going after Medicaid fraud, but is mostly focusing on blue states

By: Shalina Chatlani

Outlets: Stateline

Published: April 16, 2026

Words: 1,661

Last Updated: 2 months ago

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The Trump administration is taking aim at what it calls rampant fraud in state Medicaid programs. But by focusing almost exclusively on Democratic-led states, it has handed ammunition to critics who say it mainly wants to embarrass its political enemies, not save taxpayer dollars.

In announcing earlier this month that Vice President JD Vance would lead the administration’s anti-fraud effort, President Donald Trump said on Truth Social that Vance would focus on fraud “‘EVERYWHERE,’ …

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