This bill introduces measures to prevent fraud within the Child Care and Development Block Grant program. It amends the Child Care and Development Block Grant Act of 1990 to require state plans to ensure payments to child care providers are based on recorded attendance , rather than enrollment alone. Furthermore, it clarifies that payments should be made as reimbursements after services are provided, and mandates that providers maintain attendance records for seven years, making them available for federal audits. The legislation also establishes new requirements for identifying potential fraud in federal health care programs. It mandates that the Secretary of Health and Human Services notify the HHS Inspector General within 60 days if aggregate payments or the number of providers in Medicare or Qualified Health Plans increase by more than 100 percent in a single year within a specific geographic area. Similar notification requirements are extended to Medicaid and CHIP state agencies. Annually, the HHS Inspector General is tasked with identifying and auditing programs, state plans, or waivers where payments or provider numbers have increased by at least 400 percent over a five-year period . Finally, the bill addresses the recovery of improper payments across all federal agencies. It directs the Director of the Office of Management and Budget to issue guidance to ensure the recovery of all improper payments . Additionally, it amends existing law to require executive agencies to include the amount of improper payments recovered in their annual Inspector General reports, enhancing transparency and accountability in federal spending.