Federal officials are withholding over a billion dollars in Medicaid payments to Minnesota and California, accusing them of fraud and noncompliance — part of a new aggressive strategy to stop misuse before it happens. While the administration claims it’s protecting taxpayer dollars and launching a data-driven anti-fraud task force, state leaders call the move politically motivated and punitive, demanding transparency and partnership. Errors have already surfaced in the justification process, with both states questioning the lack of evidence. The federal government insists funding can be restored with proof of legitimacy and is expanding its power to exclude problematic providers.

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