By Robert MattesonThe Center SquareFollowing the Trump Administration’s pause on Medicaid funds in the state of California fraud concerns, government watchdogs are saying that Medicaid in the state has become “fiscally unsustainable.” Fraud from Affordable Care ActPipes said she believes that the healthcare fraud in California started in March of 2010 when Medicaid eligibility expanded under the ACA. “He can continue treating Medi-Cal fraud as yesterday's headline and hope the problem fades from public view. In a press release, California Attorney General Rob Bonta challenged the Trump Administration’s decision to cut funding for California Medicaid. In 2025, the U.S. Department of Justice announced the creation of a West Coast Health Care Fraud Strike Force.