This bill amends the Social Security Act to mandate that states report annually to the Secretary on anti-fraud measures related to home and community-based services (HCBS) furnished under the Medicaid program. Starting in 2026 , states must provide detailed information on any waste, fraud, or abuse detected within these services. The required reports must also outline the specific efforts taken by the State to prevent such financial irregularities. This legislation aims to increase transparency and accountability in the administration of Medicaid HCBS waivers by ensuring regular reporting on program integrity efforts.