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Trump Administration Pauses More Than $1 Billion in Medicaid Payments to California, Minnesota

Officials said the freeze targets high-risk claims and can be lifted if California and Minnesota provide documentation proving services were legitimate.

  • The Trump administration is pausing over $1 billion in federal Medicaid payments to California and Minnesota, citing concerns over "suspected fraud and noncompliance".
  • The hold includes $867.5 million for California and $199 million for Minnesota. Health and Human Services Secretary Robert F. Kennedy Jr. stated the funds are deferred, not permanently cut, and will be released if state officials provide sufficient documentation to substantiate the legitimacy of the claims.
  • Federal officials cited high-risk categories identified through advanced analytics and AI, specifically pointing to in-home care services, personal care facilities, and durable medical equipment as key areas showing abnormal spending growth or documentation gaps.
  • Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz framed the action as a proactive strategy shift aimed at preventing fraudulent disbursements before federal funds leave government hands.
  • The deferral builds on the White House Anti-Fraud Task Force's broader crackdown on federal health program spending, following previous Medicaid payment freezes in Minnesota earlier this year.
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Reuters broke the news in London, United Kingdom on Tuesday, July 21, 2026.
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