弱势民主党人自家审计报告承认:全州大规模医保欺诈丑闻中,医疗补助监管存在失职


万斯称邓拉普应“被解雇,而非晋升”,他将在大选对决共和党人保罗·勒帕热
2026年8月31日 美国东部时间早上7:00 / 福克斯新闻

缅因州举报人克里斯托弗·贝尔纳尔迪尼指控该州医疗补助计划存在类似明尼苏达州的欺诈行为,并在《威尔·凯恩秀》节目中揭露了欺诈规模。

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缅因州州审计员马特·邓拉普目前正以民主党人身份竞选代表缅因州第二国会选区,他今年早些时候发布的一份报告敲响了警钟:该州负责缅因医疗计划的内部监督机构在使用控制方面存在严重漏洞。

“[项目诚信办公室]无法提供用于确定项目以及与根据州计划提供的所有医疗补助服务监督相关的事后审查所采用方法的文件,”报告中写道,此处提及的“PIU”即该计划的监督机构。

此次报告发布之际,联邦调查人员和一名当地举报人已披露缅因州存在医疗保健欺诈行为,这让人们重新关注邓拉普担任审计员期间的表现,并在这场美国竞争最激烈的国会选举之一中,引发了人们对缅因州过去欺诈检测系统的质疑。


万斯就医疗补助欺诈打击行动以联邦资金威胁向各州施压

2026年7月25日,缅因州第二选区民主党国会候选人、缅因州州审计员马特·邓拉普在缅因州班戈接受福克斯新闻数字频道采访。(保罗·斯坦豪瑟/福克斯新闻)

为确保州级项目符合联邦要求,监督机构PIU会选择一定数量的案件进行审查,并基于“数据分析”挑选这些案件。报告未详细说明这些分析方法,但指出了一个关键弱点。除了无法提供为何选择这些案件进行审查的文件外,该流程还未考虑到患者或向缅因医疗计划开票的公司可能存在的滥用行为。

用报告的话来说,监督机构PIU“未记录对受益人或服务提供者滥用行为的考量……[且]可能无法对所有医疗补助服务进行充分监控,从而导致潜在的违反联邦法规行为”。

邓拉普2026年的报告还承认,这一特定的报告问题此前从未被发现,并指出该问题此前的审计结果为“无”。

当被问及这一弱点以及这是否真的是首次在审计中被发现时,邓拉普的竞选团队强调,报告仅 narrowly 针对这一特定弱点,且邓拉普的工作曾受到赞扬——甚至包括当地共和党人对他发现其他财务责任问题的肯定。

“作为审计员,马特·邓拉普指出了许多可追溯至勒帕热政府时期的问题。他因提出保障纳税人资金的建议而受到当地媒体和共和党领导人的一致赞扬。保罗·勒帕热应该解释一下,在他担任州长期间,他的团队为何没有落实自己审计员提出的建议,”邓拉普竞选团队的发言人哈里·伯克在给福克斯新闻数字频道的评论中说道,他指的是此次选举中的共和党候选人、2011年至2019年担任缅因州前州长的勒帕热。

竞选团队还指出,邓拉普本人作为审计员,几乎无权落实他指出的存在问题的改革。纠正缅因州项目内问题的决策由各部门自行做出,尽管审计员可以提出具体的改革建议。

“审计员的工作就是充当火警报警器:找出问题,以便州机构能够采取行动。例如,去年,他的建议导致一名采购欺诈者被捕并被起诉,为纳税人节省了资金,”伯克补充道。

尽管邓拉普的竞选团队进行了反驳,但他因未能阻止引发全国关注的欺诈计划而遭到共和党人的抨击。


特朗普特别工作组正在打击2500亿美元政府欺诈,这只是开始

2026年5月13日,副总统JD·万斯在华盛顿特区艾森豪威尔行政办公楼印第安条约室举行的反欺诈举措新闻发布会上发言。特朗普政府警告各州,如果未能遵守联邦反欺诈法规,可能会失去医疗补助资金。(丹尼尔·霍伊尔/彭博社 via 盖蒂图片社)

邓拉普于2021年上任,尽管他并不具备成为审计师的资质。上任后,他因两次未能通过成为注册审计师所需的考试而被迫辞职。即便如此,邓拉普在通过必要的考试后,于2022年11月重新担任该职位。

在美国卫生与公众服务部监察长办公室今年1月披露该州已为自闭症服务支付至少4560万美元的不当医疗补助款项后,这一经历成为共和党人在国会选举中关注的焦点。

这些发现进一步加剧了一名举报人去年12月提出的担忧。

前Gateway社区服务公司雇员克里斯托弗·贝尔纳尔迪尼表示,他的公司一直在欺诈缅因州的医疗补助计划。据贝尔纳尔迪尼称,这家医疗服务承包商经常虚报客户就诊记录,向州政府索要从未提供过的服务费用。

这些接踵而至的欺诈事件引起了JD·万斯等人士的关注,他在本周一对缅因州的访问中强调了这些问题。

“缅因州是如何成为美国纳税人欺诈活动的主要中心之一的?”万斯在一场竞选活动中问道。

“其中一个答案是,你们不知何故雇佣了一名实际上并非审计师的审计员,他连审计师考试都没通过。这可以说是老派的常识,但如果你想让某人管理你的钱,或许他们应该真正满足该职位的宪法要求,”万斯说道。

万斯认为邓拉普的履历应该使其丧失资格。

“至于马特·邓拉普,如果你有一个无法保护你的税款免受欺诈者侵害的人,他将你的州变成了美利坚合众国的欺诈中心之一,或许你应该对马特·邓拉普说:‘你被解雇了,而不是晋升为美国国会议员’,”万斯说道。

邓拉普担任审计员之前的历年报道也让人质疑该办公室在揭露欺诈方面的积极性,暗示在他的任期内,该办公室的工作热情有所下降。

值得注意的是,在邓拉普2022年接手工作之前的六年里,该州发现其活跃的欺诈调查数量几乎过多。

“因潜在欺诈、滥用行为或可疑做法而开启的案件需要加强监督审查,”几份报告写道。

可追溯至2016年的审计报告指出,该办公室通常承接的案件数量超出了其资源和人员编制所能承受的范围,导致对单个案件的监控不足。


奥兹博士在打击欺诈行动中提及5个州,特朗普政府将目标对准医疗补助滥用行为

缅因州州审计员马特·邓拉普正在该州第二国会选区挑战民主党众议员贾里德·戈尔登。(马特·邓拉普竞选国会团队)

自邓拉普2022年重新担任该职位以来,审计员办公室并未重新提出这一担忧。

点击此处下载福克斯新闻应用程序

邓拉普在今年早些时候的州初选中赢得了本党提名,将于11月3日参加大选,他将与共和党候选人、前州长保罗·勒帕热展开对决。

利奥·布里塞尼奥是福克斯新闻数字频道国会团队的政治记者,此前曾在《世界杂志》担任记者。

Vulnerable Dem’s own audit admits Medicaid oversight failure amid massive statewide fraud scandal

Vance said Dunlap should be ‘fired, not promoted’ as he faces Republican Paul LePage in the general election

August 31, 2026 7:00am EDT / Fox News

Maine whistleblower Christopher Bernardini alleges Minnesota-like fraud within the state’s Medicaid program and explains its extent on ‘The Will Cain Show.’

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Maine’s state auditor Matt Dunlap, who is now pursuing a bid to represent Maine’s 2nd Congressional District as a Democrat, released a report earlier this year sounding the alarm that the state’s internal watchdog for its MaineCare program had a serious gap in utilization control.

“[The Program Integrity Unit] could not provide documentation of the methodology used to identify projects and post-payment reviews performed in relation to surveillance of all Medicaid services provided under the State plan,” the report reads, referring to the “PIU,” the program’s watchdog.

The report’s release, which comes after revelations of healthcare fraud in Maine from federal investigators and a local whistleblower, puts renewed focus on Dunlap’s tenure as auditor and raises questions about Maine’s past systems to detect fraud amid one of the country’s most competitive congressional races.

VANCE TURNS UP HEAT ON STATES WITH FEDERAL CASH THREAT OVER MEDICAID FRAUD CRACKDOWN

Maine state auditor Matt Dunlap, the Democratic congressional nominee in the state’s 2nd District, is interviewed by Fox News Digital, on July 25, 2026 in Bangor, Maine.(Paul Steinhauser/Fox News)

In order to ensure that state programs are complying with federal requirements, the PIU, the watchdog, selects a set number of cases for review, picking those cases based on “data analytics.” The report didn’t expand on those analytics —but noted a key weakness. In addition to being unable to provide documentation of why those cases had been chosen for review, the process also didn’t take into account possible misuse — by patients or by the companies that bill MaineCare.

In the report’s words, the PIU, the watchdog group, “does not document consideration of misutilization practices of beneficiaries or providers … [and] may not provide adequate monitoring of all Medicaid services, resulting in potential noncompliance with Federal regulations.”

Dunlap’s 2026 report also acknowledged that this particular reporting issue hadn’t been caught before, noting that it had a “prior year findings: none” designation.

When asked about the weakness and whether this was really the first time it had surfaced in an audit, Dunlap’s campaign stressed that the report only narrowly applied to that particular weakness and that Dunlap had recieved praise — even from local Republicans — on his work identifying other liabilities.

“As Auditor, Matt Dunlap has flagged many issues that date back to the LePage administration. He has been praised by local press and Republican leaders alike for his work to recommend ways to safeguard taxpayer dollars. Paul LePage should answer why his team didn’t implement the recommendations of his own Auditors from when he was governor,” Harry Burke, a spokesperson for the Dunlap campaign said in a comment to Fox News Digital, referring to the Republican nominee in the race, a former governor of Maine who served from 2011 to 2019.

The campaign also observed that, Dunlap himself, as an auditor, has little power to implement changes he flags as problematic. Decisions to remedy issues within Maine’s programs lie within the departments themselves, although auditors can recommend specific changes.

“The auditor’s job is to be a fire alarm: identify the problems so that state agencies can act. For example, last year, his recommendations led to the arrest and prosecution of a procurement fraudster saving taxpayer dollars,” Burke added.

Despite his campaign’s pushback, Dunlap has received backlash from Republicans for failing to stop fraud schemes that have caught national attention.

TRUMP TASK FORCE IS TACKLING $250 BILLION IN GOVERNMENT FRAUD. IT’S JUST GETTING STARTED

Vice President JD Vance spoke during a news conference on anti-fraud initiatives in the Indian Treaty Room of the Eisenhower Executive Office Building on May 13, 2026, in Washington, D.C. The Trump administration warned states they could lose Medicaid funding if they fail to comply with federal anti-fraud statutes.(Daniel Heuer/Bloomberg via Getty Images)

Dunlap first came into the role in 2021 despite lacking the credentials to become an auditor. After being installed, he had to resign after twice failing the needed tests to become a certified auditor. Even so, Dunlap returned to the role in November 2022 after passing the requisite exams.

That track record has become a focal point for Republicans in the congressional race after the U.S. Health and Human Services Office of Inspector General revealed in January that the state had paid out at least $45.6 million in improper Medicaid payments for autism services.

The findings only furthered concerns raised by a whistleblower in December.

Christopher Bernardini, a former employee of Gateway Community Services, said his company had been defrauding Maine’s Medicaid program. According to Bernardini, the health services contractor had routinely filed false records about client visits, billing the state for services that Gateway had never provided.

The compounding stories of fraud have captured the attention of figures like JD Vance, who highlighted them in a visit to the state on Monday.

“How did Maine become one of the main capitals of defrauding the American taxpayer?’” Vance asked at a campaign event.

“One of the answers is somehow you guys hired an auditor who is not actually an auditor and failed the auditor exam. Well, call it old-fashioned common sense, but if you want somebody managing your money, maybe they ought to actually meet the constitutional requirements to do the job,” Vance said.

Vance argued Dunlap’s track record should be disqualifying.

“And for Matt Dunlap, if you’ve got a guy who cannot protect your tax dollars from fraudsters, who has turned your state into one of the fraud capitals of the United States of America, maybe you should be saying to Matt Dunlap, ‘You’re fired, not promoted to the United States Congress,’” Vance said.

Previous years of reporting before Dunlap’s time as auditor also cast doubt on the office’s aggressiveness in uncovering fraud, hinting that the office’s zeal has declined under his watch.

Notably, in the six years before Dunlap took over the reins in 2022, the state had identified that it had almost too many active fraud investigations.

“Cases opened because of potential fraud, abuse, or questionable practices need improved supervisory review,” several reports state.

Audits going back to 2016 noted that the office had routinely taken on more cases than its resources and its staffing would allow for, leading to a lack of monitoring of individual cases.

DR. OZ NAMES 5 STATES IN FRAUD CRACKDOWN AS TRUMP ADMIN TARGETS MEDICAID ABUSE

Maine state auditor Matt Dunlap is primary challenging Democratic Rep. Jared Golden in the state’s Second Congressional District(Matt Dunlap for Congress)

Since Dunlap returned to the role in 2022, the auditor’s office has not resurfaced that concern.

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Having secured his party’s nomination in the state’s primaries earlier this year, Dunlap heads to the general election on Nov. 3, where he faces off against the Republican nominee, former Gov. Paul LePage.

Leo Briceno is a politics reporter for the congressional team at Fox News Digital. He was previously a reporter with World Magazine.

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