Witness testifies Medicaid home‑visiting program grew from $1 billion to $11 billion; calls scale "massive"

A witness told the Joint Economic Committee that a single Medicaid home‑visiting program had ballooned from about $1,000,000,000 to roughly $11,000,000,000 within a few years, and described the overall scale of improper payments in Medicaid as "massive." The witness said the growth and unusually high counts of home‑health aides in places like New York point to systemic problems in program administration and payment practices.