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Governor Josh Shapiro, in his 2026-2027 Budget Address, urged the creation of a Pennsylvania False Claims Act to strengthen the state's defenses against fraud. An FCA would allow the state to seek enhanced damages from fraudsters and incentivize whistleblowers.

Shapiro noted bipartisan backing for the initiative, emphasizing Pennsylvania's vulnerability to Medicaid fraud. The state has not passed FCA legislation despite decades of proposals and resistance from lobbying groups. Currently, 30 states and territories have implemented their own FCAs, leaving Pennsylvania among the largest states without such a law, risking significant financial losses.