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New Grant Rules Put Recipients Under the Microscope

Client Alert | less than 1 min read | 01.15.14

On December 26, OMB published new guidance designed to "streamline" the Federal government's guidance on Administrative Requirements, Cost Principles, and Audit Requirements for Federal grants, an effort led by the cross-agency Council on Financial Assistance Reform and OMB. The new guidance is intended in part to "strengthen oversight over Federal funds to reduce risks of waste, fraud, and abuse" and "increase the efficiency and effectiveness of Federal awards to ensure best use of the more than $500 billion expended annually," an effort which is likely to mean increased government scrutiny over institutions of higher education, nonprofit organizations, and other grant recipients.


Insights

Client Alert | 4 min read | 09.16.26

CMS Offers Guidance as Scrutiny Rises Over ABA Therapy in Medicaid

Between 2021 and 2025, Medicaid spending on ABA therapy grew six times faster than the number of children who received services, making it one of the fastest-growing areas of Medicaid expenditure, according to CMS. On August 4, 2026, CMS released a toolkit to help state Medicaid and CHIP agencies strengthen their programs and limit fraud, waste, and abuse tied to increased demand for ABA therapy. In 2025, Medicaid spent about $10 billion on ABA and related therapy services for children with ASD — a dramatic increase from the $2 billion spent in 2021. ...