I am committed to finally holding these criminals accountable. ... As Chairman of the Ways and Means Committee, I’m committed to working with President Trump and his administration to tackle fraud wherever it is found.
Work with President Trump and his administration to tackle Medicare fraud wherever it is found and hold criminals accountable.
Occurrences
Evidence
"As Chairman of the Ways and Means Committee, I’m committed to working with President Trump and his administration to tackle fraud wherever it is found." Smith also said he is "committed to finally holding these criminals accountable."
Chairman Jason Smith announced a Ways and Means hearing on "Protecting Patients and Taxpayers: Cracking Down on Medicare Fraud" to examine fraud, waste, and abuse in Medicare and efforts to combat fraud.
The Justice Department reported a federal jury conviction for operating a "$1.6 million scheme to defraud Medicare" and noted that DOJ's work "supports President Trump’s Task Force to Eliminate Fraud" and that CMS and HHS-OIG are taking steps to hold providers accountable.
DOJ reported a Michigan home health care agency owner was convicted for operating a $1.6 million scheme to defraud Medicare. DOJ added that its fraud enforcement supports President Trump’s Task Force to Eliminate Fraud and that CMS and HHS-OIG are taking steps to hold providers accountable.
DOJ said a Brooklyn clinic owner was convicted for a $52 million health care fraud scheme, including billing Medicare and Medicaid for services that were never provided. The release again tied DOJ fraud work to the Trump administration’s anti-fraud effort and CMS/HHS-OIG accountability steps.
DOJ announced the 2026 National Health Care Fraud Takedown, charging 455 defendants, including 90 medical professionals, in alleged health care fraud and opioid schemes involving over $6.5 billion in false claims. The release also reported CMS suspensions or billing-privilege revocations for thousands of providers and HHS-OIG actions seeking more than $10 billion for the Medicare Trust Fund.
DOJ reported that Jean Wilson was sentenced to 120 months in prison and ordered to pay $66 million in restitution for a scheme to fraudulently bill Medicare for medically unnecessary durable medical equipment and prescription drugs. DOJ said the scheme involved over $136 million in false and fraudulent Medicare claims.
DOJ's 2026 takedown case summaries list multiple Medicare-related prosecutions, including alleged false Medicare allograft claims, hospice fraud, laboratory testing fraud, Medicare Advantage durable medical equipment fraud, and COVID-19 test billing schemes. The summaries identify federal prosecutors and alleged claim amounts across multiple districts.
Assessments
Smith took same-term congressional action aligned with the promise by using his Ways and Means chairmanship to hold a Medicare fraud oversight hearing and publicly commit to working with the Trump administration. DOJ and HHS/CMS enforcement during the same period produced concrete Medicare and health-care fraud prosecutions, convictions, sentences, and provider accountability actions. However, the strongest completed accountability outcomes were executive-branch enforcement actions, and the record does not show a distinct Smith-led enacted measure or direct personal role sufficient for full delivery.
Smith appears to have taken concrete same-term oversight action by using his Ways and Means chairmanship to spotlight Medicare fraud through a 2026 hearing and by publicly aligning with the Trump administration's anti-fraud effort. The record also shows contemporaneous DOJ Medicare-fraud convictions and accountability actions by CMS and HHS-OIG. But those enforcement outcomes were primarily carried out by executive agencies, and the evidence does not show that Smith personally authored, passed, or drove a distinct anti-fraud measure that can be credited as fully delivering the promise. Under federal office-context credit rules, that supports partial rather than full delivery.
Smith materially acted on the promise during the same federal term by using his Ways and Means chair role to convene Medicare fraud oversight and publicly align that work with the Trump administration. Federal Medicare fraud enforcement and convictions also occurred in the same period. However, the evidence shows oversight activity and administration enforcement rather than a completed Smith-led policy or enforcement outcome directly attributable to him. Because the promise was to work with the administration, this earns meaningful partial credit, but not full delivery.