独家首发（FOX新闻）：在一份重磅报告揭露数千亿美元纳税人资金可能每年正沦为欺诈目标之后，众议院共和党议员正推出一系列新法案。
FIRST ON FOX: House GOP lawmakers are rolling out a slew of new bills after a bombshell report found that hundreds of billions of taxpayer dollars are potentially being targeted by fraudsters every year.
正当全美民众都在艰难应对高昂的生活成本、勉强维持生计之际，众议院能源和商业委员会周二发布的一份报告发出警告，称联邦补贴的医疗保健计划充斥着欺诈和滥用行为——“以这样或那样的方式影响着每一位美国人”。报告指出，虽然目前尚无针对联邦医疗保险（Medicare）和联邦医疗补助（Medicaid）欺诈的具体估算数据，但政府问责局（Government Accountability Office）2024年的一项估算表明，每年流向联邦计划的纳税人资金中有2330亿至5210亿美元因欺诈而流失。
As people across the U.S. are battling high costs that make it hard to make ends meet, a report released Tuesday by the House Energy & Commerce Committee warns that federally subsidized healthcare programs are rife with fraud and abuse — "impacting every single American, in one way or another." While no estimate for Medicare and Medicaid fraud exists specifically, the report noted, a 2024 estimate by the Government Accountability Office said $233 billion to $521 billion taxpayer dollars going to federal programs are lost to fraud every year.
根据预算和政策优先事项中心（Center on Budget Policy and Priorities）的数据，24%的联邦支出用于联邦医疗保健计划。
Federal healthcare programs accounted for 24% of federal spending in 2024, according to the Center on Budget Policy and Priorities.
报告称，医疗补助计划尤其漏洞百出，极易遭受欺诈。正因如此，众议院共和党人推出了14项法案，旨在堵住系统中的漏洞，精简官僚机构，使各州更容易追回流失的资金，同时激励各州打击潜在的欺诈分子。
Medicaid specifically is rife with vulnerabilities making it susceptible to fraud, the report said, which is why House Republicans are rolling out 14 bills aimed at closing loopholes in the system, shrinking bureaucracy, and making it easier for states to recoup lost dollars while also incentivizing them to go after potential fraudsters.
委员会的报告指出：“使用联邦和州政府的税收资金来资助各种福利项目的纳税人，实际上遭到了欺诈行为的侵害；这些欺诈行为导致医疗成本不断上升，最终这些成本转嫁给了所有民众。从联邦医疗项目中被盗走的每一分钱，都本可以用于为最需要帮助的人提供高质量的医疗服务。”白宫正在推动国会通过一项具有重大意义的反欺诈改革措施。
众议院能源与商业委员会主席布雷特·古思里（Brett Guthrie）对福克斯新闻表示：“拜登-哈里斯政府对政府医疗项目中的欺诈行为听之任之，这种态度是不可接受的；任何被欺诈者盗走或因不当支付而浪费的资金，都无法用于帮助那些依赖这些项目的贫困家庭。”
"Taxpayers that fund benefit programs with federal and state taxpayer dollars are cheated by fraud, inflating healthcare costs that are passed along to everyone," the committee's report states. "Every dollar stolen from federal health care programs is a dollar that is not spent on high quality healthcare for those that need it most." WHITE HOUSE PUSHES 'WATERSHED' FRAUD-FIGHTING REFORM IN CONGRESS AS VANCE CONVENES TASK FORCE "The amount of fraud that the Biden-Harris Administration allowed to go unchecked in government health programs is unacceptable. Every dollar stolen by fraudsters or wasted on improper payments is a dollar that cannot be used to support families in need who rely on these programs," House Energy & Commerce Committee Chairman Brett Guthrie, R-Ky., told Fox News Digital.
共和党人宣布将对政府中的欺诈行为采取严厉打击措施。他们的新法案大致可分为三类：一类是旨在改进州和联邦医疗项目中欺诈行为识别机制的立法；另一类是旨在加强反欺诈法规执行的立法；还有一类是旨在追究那些纵容欺诈行为发生的州的责任的立法。
REPUBLICANS DECLARE WAR ON 'ORGANIZED THEFT' WITH GOVERNMENT FRAUD CRACKDOWN Republicans' new bills can be lumped into three categories: legislation aimed at improving identification of fraud in state and federal health programs, legislation aimed at enforcing anti-fraud rules, and legislation to hold states that allow fraud to run rampant accountable.
例如，由德克萨斯州共和党人奥古斯特·普夫卢格（August Pfluger）领导的法案要求各州为医疗补助计划（Medicaid）的内部财务监管工作指定专门的负责机构。俄亥俄州共和党人迈克·鲁利（Mike Rulli）提出的法案要求各州每年向联邦政府报告医疗补助项目中的潜在欺诈风险及其整改计划；而纽约州共和党人尼克·兰格沃西（Nick Langworthy）提出的法案则要求各州核实申请医疗补助的人是否同时还在享受其他由纳税人资助的医疗福利。
One bill led by Republican Study Committee Chairman August Pfluger, R-Texas, for example, would force states to designate a single role for internal financial controls of state Medicaid programs. READ: DR. OZ PUTS ALL 50 GOVERNORS ON NOTICE OVER BILLIONS LOST TO MEDICAID FRAUD A bill by Rep. Mike Rulli, R-Ohio, would force each state to annually report to the federal government on any potential Medicaid fraud vulnerabilities and their plan to fix it. And legislation by Rep. Nick Langworthy, R-N.Y., would require states to check whether someone enrolling for Medicaid was removed from another taxpayer-funded healthcare program.
周二发布的报告指出，医疗补助支出平均占各州预算的30.7%，且近年来这一支出呈指数级增长。报告称，纽约州和加利福尼亚州等地的成本预计也将飙升。
The report released on Tuesday said that Medicaid spending accounts for an average 30.7% of states' budgets, and that those outlays have increased exponentially in recent years. States like New York and California are also projected to see costs spike, the report said.
联邦高级检察官称加州为“诈骗者的天堂”，并警告该州官员可能面临指控 报告称，预计加州年度Medi-Cal（该州的医疗保健计划）支出将从2014年的每年830亿美元增至2027年的2197亿美元，并补充称：“预计纽约州在2027年从所有资金来源中对医疗白卡计划（Medicaid）的支出将增加11%，总额达到1240亿美元。”报告指出，由于联邦医疗保健规模庞大、结构复杂，且一直采用“先付款后追查”的传统执法模式（即依靠执法部门在虚假索赔已经结算后对诈骗嫌疑进行调查），因此极易滋生欺诈行为。
TOP FEDERAL PROSECUTOR CALLS CALIFORNIA A 'FRAUDSTER'S PARADISE,' WARNS STATE OFFICIALS COULD FACE CHARGES The Golden State is expected to see annual Medi-Cal spending, its state healthcare program, rise from $83 billion per year in 2014 to $219.7 billion by 2027, the report said, adding, "New York is projected to spend 11% more on Medicaid from all funding sources in 2027 — a total of $124 billion." The report noted that federal healthcare is ripe for fraud given its size and complexity, as well as the traditional enforcement model of "pay and chase," which relies on law enforcement to investigate fraud suspicions after a false claim has already been settled.
报告称，医疗服务提供者欺诈也是纳税资金流失的常见领域，众所周知，医疗服务提供者会针对单一服务重复提交索赔，或者为从未接诊过的患者申报服务和设备费用。
Provider fraud is also a common area of losing tax dollars, with healthcare providers being known to submit multiple claims for a single service or bill services and equipment for patients that they have never seen at all, the report said.
报告还指出，跨国犯罪集团也从中美医疗欺诈中牟取了暴利，并称辛勤工作的美国人的纳税钱不仅在国内遭遇欺诈损失，在海外也同样流失。
Transnational criminal groups have also profited from U.S. healthcare fraud, the report said, alleging that hardworking Americans are seeing their tax dollars not only lost to fraud at home but overseas as well.
特朗普政府打击欺诈行动将目标对准被控渗透美国联邦项目的外国人 报告称，司法部的“淘金行动”发现，俄罗斯有组织犯罪分子通过他们多年来收购的30家医疗用品公司，提出了总额超过1000万美元的虚假索赔。
TRUMP ADMIN’S FRAUD CRACKDOWN TARGETS FOREIGNERS ACCUSED OF INFILTRATING US FEDERAL PROGRAMS The Department of Justice's (DOJ) "Operation Gold Rush" uncovered that Russian organized crime actors billed over $10 million in false claims made via 30 medical supply companies they purchased in a years-long scheme, the report said.
报告重点介绍了其他涉外医疗欺诈计划，其中来自香港、格鲁吉亚、爱沙尼亚、巴基斯坦及其他地区的恶意分子企图窃取更多数十亿美元的美国纳税人资金。
It highlighted further foreign healthcare schemes that saw malign actors in Hong Kong, Georgia, Estonia, Pakistan and elsewhere attempt to steal billions more in U.S. taxpayer dollars.
这些欺诈报告出台之际，全国数以百万计的美国人正挣扎于高昂的生活成本之中，难以维持生计。
The fraud reports come at a time when millions of Americans across the country are struggling with high living costs that have made it a challenge to make ends meet.
古思里表示，众议院共和党提出的立法方案是一系列“合乎常识的措施”，旨在帮助各州追回因欺诈行为而损失的资金，并激励它们在未来堵住相关漏洞。
Guthrie said the House GOP legislative package amounted to "commonsense steps" to ensure states can recoup lost fraud dollars and incentivize them to close loopholes in the future.
与此同时，特朗普政府也在将打击医疗欺诈行为作为优先事项。上周，副总统J.D.万斯宣布，根据《平价医疗法案》（即奥巴马医改法案）注册的76万名患者将因欺诈指控而被取消医保资格。
It comes as the Trump administration is also prioritizing healthcare fraud crackdowns. Vice President JD Vance announced last week that 760,000 enrollees under the Affordable Care Act, also known as ObamaCare, would be removed over fraud claims.