ms. yocom >> mr. chairman, ranking members and members of the subcommittee, i am pleased to be here to discuss the improper payments and fraud in the medicaid program. moly remarks today will focus on an important challenge as well as opportunities of cms given its expanded role in medicaid program integrity. in 2005, gao testified that cms needed to increase its commitment to help the state's fight medicaid fraud, waste and abuse. that year congress passed the deficit reduction act, which provided the creation of the medicaid integrity program and other provisions. the patient protection and affordable care act gave cms and states added responsibilities and new oversight tools. both cms's spending for and attention to medicaid program integrity activities has ground primarily through the creation of the medicaid integrity group. the mig heiberg stuff and contractors to implement its core activities such as reviewing and auditing medicaid provider claims and providing education to the state off