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Story perspectives

Trump Targets $1 Billion Medicaid Misuse by States

11/2/2025

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Story summary
  • U.S. President Donald Trump plans to recover more than $1 billion in Medicaid funds misused for illegal immigrants, per CMS.
  • A CMS audit identified misuse in California, Washington, D.C., Colorado, Illinois, and Oregon totaling $1,351,204,127.
  • California accounted for more than $1 billion, while Illinois and Oregon spent $30 million and $5.5 million.
  • CMS spokesperson Emily Hilliard said protecting Medicaid from misuse is essential and that states will be held accountable.