On July 2, 2025, the U.S. Department of Justice (DOJ) and the Department of Health and Human Services (HHS) jointly announced the reestablishment of the DOJ-HHS False Claims Act (FCA) Working Group. This move marks a significant step in reinforcing federal efforts to investigate and combat healthcare fraud, especially in areas with a high risk of noncompliance involving federal healthcare funding.
While the DOJ and HHS have historically worked together in addressing violations of the False Claims Act—legislation designed to penalize entities that submit fraudulent claims to the government—the formal relaunch of the Working Group signals a renewed commitment to coordinated enforcement.
The Working Group is expected to strengthen oversight and enforcement across sectors such as Medicare, Medicaid, and other federally funded healthcare programs. It will facilitate the sharing of information and streamline investigative processes between the two departments, allowing for more efficient and effective responses to fraud, waste, and abuse.
The announcement also suggests that organizations involved in federally funded healthcare should re-examine their compliance programs and internal auditing processes. Increased scrutiny from federal agencies could lead to more investigations, settlements, or legal actions under the False Claims Act.
Through this initiative, the DOJ and HHS aim to ensure accountability in the use of federal healthcare dollars, ultimately protecting both taxpayers and beneficiaries of government health programs.
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