Niklas Kleinworth

@anSea2026 CA employed legalized money laundering schemes to draw-down additional federal money to fund Medi-Cal for illegals. These federal funds aren't like grant monies. Since they are part of the federal match, they become "state dollars." We all paid for this.

@NKleinworth Medi-cal for illegals is state funded bud. And CA is a donor states whose tax payer money goes to poor red maga states

California's enrollment-at-any-cost strategy caused Medicaid spending to explode--doubling the national average. Their expansive welfare state includes coverage for the wealthy and illegals at the expense of the truly vulnerable and the federal taxpayer. paragoninstitute.org/paragon-pic/th…

CMS believes there’s about $100 billion in definable fraud, waste, and abuse across our country. If we can remove the fraud, waste, and abuse in Medicare, we will double the life expectancy of the Medicare trust fund.

Printing money is like drinking It never ends well End the Fed

.@LoisKolkhorst has set a 4/8 interim hearing for the HHS committee to examine potential fraud and abuse in the state’s Medicaid an child care systems. #txlege

@brianalmon Congratulations you two! God has blessed you with a beautiful family to show for all that time. May you be blessed in the next 12 and beyond.

12 years ago today.

@HammondOnHealth Policymakers are starting to see that this old, tired doublespeak is counter to the basic economic law of supply and demand. CON laws reduce access and raise prices. It is time to move on from these damaging policies.

We have to keep hospitals open by preventing hospitals from opening!

CON laws are destructive, anti-competitive policies. They raise the cost of health care (roughly 10%) and reduce access for those who truly need it in the name of galvanizing monopolies. If lawmakers care about affordable healthcare, they must repeal market barriers like CON.

@SarahStoxy @Citizens_Idaho It would still work because they are still doubling their money. For every dollar a hospital puts in, they would get a dollar back from the federal government in a 50/50 scenario. You are right though, changing the match makes it less attractive. This could be a policy option.

@Citizens_Idaho @NKleinworth If the split went to 50/50 rather than 60/40 then surely it wouldn't work anymore?

You will never guess how easy it is to understand this money laundering scheme Idaho is engaged in with our big hospitals. Niklas Kleinworth joined Idaho Signal to walk us through it. @NKleinworth

Idaho has been doing these money laundering schemes ever since the Idaho Hospital Association engineered them in 2008 (H443). They are sold as a way to get "free" federal money. But we all pay for it in the form of inflation, higher hospital prices, and consolidation.

CON states have 30% fewer rural hospitals per capita than states without CON laws. Let that sink in. The very law sold as protecting rural hospitals is associated with fewer of them. @MarianneProc60 #RuralHealth #kyleg #CONreform

Great to be on Idaho Signal to talk about Medicaid money laundering and how it negatively impacts our country. Legislators beware: these schemes are sold as a way to help Medicaid and hospitals at no cost, but we all pay for it in the end. The national debt is now $38.56T

@gemstatechron If anyone wonders how this works, these are the federal funds that the state collected for hospitals by legalized money laundering. They deposit the "free" federal funds into the Hospital Assessment fund for use. Paragon created a great video on this: youtu.be/iHKr97EE0uA?si…

Here is how this cost shift will play out:

LSO analyst Alex Williamson presents the enhancement budget requests for the Division of Medicaid. The division is requesting a supplement for FY2026 as well as a large enhancement for FY2027.

Note to state legislators: It is not conservative to pursue Medicaid money laundering schemes to grow federal debt to channel money to powerful hospital systems. And it undermines a key part of the main legislative accomplishment of President Trump and Congress. @Paragon_Inst

Utah covers 83% of Medicaid enrollees using health insurers known as managed care organizations. Yet, we know little about MCO spending, errors, and claims. But the Beehive State is working to improve transparency in the system. Read more about MCOs: tinyurl.com/UT-MCO-transpa…

Indiana successfully passed strong legislation that enacts the provisions of the One Big Beautiful Bill. This new law will reserve the program for the truly needy and ensure good stewardship of taxpayer funds. Well done Hoosiers! paragoninstitute.org/bill-spotlight…

God bless the heroes who defend our nation every day. They do this without the expectation of recognition, but to ensure we all get to sleep safely at night in this great nation. Their sacrifice is more than we will ever know.

V.P. @JDVance announces temporary halt in Medicaid funding to Minnesota: "In order to ensure that the state of Minnesota takes its obligations seriously to be good stewards of the American peoples tax money."

The Hoosier State is doing terrific work to refocus Medicaid on the truly vulnerable, promote upward mobility, and reduce waste. This is a great first bill to highlight!