In Congress, several House committees have launched their own investigations, asking 10 states to provide answers on their fraud guardrails and examining California hospice fraud.

The looming question: Will the all-hands Republican fraud crackdown translate to votes at a time when Americans are laser-focused on the high cost of living, including hiked Obamacare premiums?

Republicans argue it will help shift the spotlight off complaints about health care affordability during Trump’s first year in office, as well as counter Democratic attacks over the more than $1 trillion in Medicaid cuts in last year’s One Big Beautiful Big Act, which polls show are also unpopular.

The Medicaid reforms, which include expanded work requirements, were “focused on … trying to address fraud, such as integrity checks,” said Energy & Commerce Chairman Brett Guthrie (R-Ky.) on March 17 after a contentious hearing on the issue. “We are seeing the fraud that we are trying to solve.”