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Column: Minnesota’s Fraud Problem Is Bigger Than One Program

Monday, January 20, 2025

Minnesota’s Fraud Problem Is Bigger Than One Program

The recent Office of the Legislative Auditor (OLA) report examining fraud and oversight failures within the Behavioral Health Administration (BHA) at DHS confirms what many Minnesotans already believe: our state has a serious and ongoing problem when it comes to preventing fraud in public programs.

The OLA found that BHA lacked sufficient internal controls to detect and prevent fraud, even as risks became increasingly clear. Monitoring was inconsistent, responses were slow, and accountability often came only after significant taxpayer dollars had already been lost. Even worse, the culture of fraud within the department permitted and encouraged falsifying and backdating of records to support fund disbursement. These failures did not happen overnight, and they should not be dismissed as unavoidable.

What makes the situation more aggravating is that this pattern extends beyond behavioral health programs. Minnesota has also faced repeated fraud cases in childcare and adult day care assistance programs, where lax oversight and delayed enforcement created opportunities for abuse and ultimately, a network of fraud. These programs exist to support working families, seniors, and individuals with disabilities, yet weak controls have allowed bad actors to exploit them at the expense of both taxpayers and those who genuinely rely on these services.

Minnesotans understand that no system will ever be perfect, but they do expect government to learn from past failures and procedurally address the issues promptly. When fraud surfaces in multiple programs across different agencies, it signals a broader problem that cannot be addressed with isolated fixes or after-the-fact explanations. And, when convicted fraudsters from one program have businesses drawing funds from others, there should reasonably be a pause on the disbursement of funds while the specific entities are being investigated.

Families and small businesses must manage their finances carefully, making adjustments when something is not working, and acting quickly to prevent additional losses. It is reasonable to expect the state to apply the same discipline, especially when programs involve millions of dollars and serve vulnerable populations.

Addressing fraud is not about cutting off childcare assistance or reducing adult day care services for those who need them. In fact, protecting these programs requires strong oversight, clear eligibility standards, and timely enforcement. When fraud is allowed to persist, it diverts resources away from legitimate providers and families who depend on these services to maintain their current employment while supporting their loved ones as intended when the legislation was created for the specific program.

The OLA’s findings provide a clear warning and a clear opportunity. Stronger monitoring, better data sharing, and a culture that values accountability must become standard practice, not optional steps taken only after a crisis.

Fraud should never be treated as the cost of doing business. Each dollar lost is a dollar that cannot support families, caregivers, or those in need of these services. Minnesotans deserve a government that takes fraud prevention and enforcement seriously and acts decisively to protect both public funds and public trust.

Rep. Tom Sexton