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In an eight-hour committee hearing focused on fraud in social services programs, Texas lawmakers heard updates on how state agencies are responding to calls for stronger anti-fraud measures in programs like Medicaid and the Child Care Services program. The Wednesday hearing of the Senate Health and Human Services committee also included more than 50 Texans sharing concerns with state policymakers.

Texas Attorney General Ken Paxton's office said has launched investigations into "dozens" of Medicaid providers for alleged fraud — based on data released by the Department of Government Efficiency, or DOGE. In a statement released Tuesday, Paxton's office did not specify which providers, or how many, would be investigated.

A proposed rule would allow some children to qualify for the Medically Dependent Children Program — a Medicaid program that offers home- and community-based services to children with complex medical needs — without needing a nursing facility stay. But, advocates said the language is too “narrow" and could hinder providers.

Texas is leading a group of states that claim part of the Americans with Disabilities Act is unconstitutional, which disability advocates warn could lead more people into institutional care settings. Advocates said they want to put pressure on state policymakers to withdraw from the lawsuit.

The Texas Legislature at least partially implemented less than a third of recommendations from the state’s 2024 Children’s Behavioral Health Strategic Plan, according to a recent report. Many of the recommendations focus on increasing access to services that keep children in their homes or communities instead of institutional settings.

The Texas Health and Human Services Commission is proposing cuts to the reimbursement rates for certain services — like ventilators and wheelchairs. Providers told a public hearing Monday the new rates could hurt medical supply companies and their patients.

The new proposed ordinance would institute the need for boarding homes to obtain a permit and undergo annual inspections, along with creating standards for how the properties are maintained and run.

The Justice Department in June announced charges against more than 600 people responsible for more than $2 billion in health care fraud losses over a…