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President Donald Trump holds up a printout of a Breitbart article as Arkansas Gov. Sarah Huckabee Sanders, from left, Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, and Health and Human Services Secretary Robert F. Kennedy Jr., look on during an event about healthcare in the Oval Office of the White House, Friday Sept. 18, 2026, in Washington. (AP Photo/Jacquelyn Martin)

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President Donald Trump speaks as South Dakota Gov. Larry Rhoden, from left, Arkansas Gov. Sarah Huckabee Sanders, Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, Health and Human Services Secretary Robert F. Kennedy Jr., Mississippi Gov. Tate Reeves and Abe Sutton, director of the Center for Medicare and Medicaid Innovation, listen during an event about healthcare in the Oval Office of the White House, Friday Sept. 18, 2026, in Washington. (AP Photo/Jacquelyn Martin)

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President Donald Trump speaks as Health and Human Services Secretary Robert F. Kennedy Jr., right, and Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, listen during an event about healthcare in the Oval Office of the White House, Friday Sept. 18, 2026, in Washington. (AP Photo/Jacquelyn Martin)

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President Donald Trump speaks as Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services,, left, and Health and Human Services Secretary Robert F. Kennedy Jr. listen during an event about healthcare in the Oval Office of the White House, Friday Sept. 18, 2026, in Washington. (AP Photo/Jacquelyn Martin)

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President Donald Trump holds up a chart as Arkansas Gov. Sarah Huckabee Sanders, from left, Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, and Health and Human Services Secretary Robert F. Kennedy Jr. listen during an event about healthcare in the Oval Office of the White House, Friday Sept. 18, 2026, in Washington. (AP Photo/Jacquelyn Martin)

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Many California residents have fallen victim to hospice fraud, a widespread issue that exploits weak state and federal oversight and has generated millions in fraudulent claims to Medicare. The Trump administration has targeted the state, calling it a “kingdom of fraud” and deferring Medicaid payments. Fraud may start with identity theft, or robocallers and door-to-door tactics asking Medicare users to give away their personal information that is then used to enroll them in hospice. New state regulations took effect in June to combat the large number of fraudulent hospices in California, requiring stricter criteria for hospice licenses. Advocates welcome these changes and urge state and federal cooperation.