Minnesota advances Medicaid fraud bill; nationwide fraud exceeds $37B, driven by providers and brokers.

Minnesota’s Medicaid fraud bill, the MAP Act, advances after passing the Judiciary Committee, aiming to expand the Attorney General’s fraud unit and boost penalties, amid a political divide over solutions. Meanwhile, a North Carolina fraud ring involving fake treatment centers led to 14-year sentences and millions in losses, highlighting systemic vulnerabilities in enrollment and billing. Nationally, improper Medicaid payments exceeded $37 billion in 2025, with fraud largely driven by providers and brokers, not beneficiaries. Despite new state efforts, most strategies remain reactive, focusing on recovery rather than prevention, leaving billions at risk.