Read today's The Hill article where it quotes Sen. Bob McDonnell (R. Va.) stating the Health Care Bill “shifts billions in unfunded mandates onto state governments . . . .”
From my perspective as a health care fraud fighter, the Bill included some useful tools (e.g., the Physician Payment Sunshine Law). However, it has yet to be seen whether the Bill will actually bend the Medicare cost curve down. And most people now forecast the States' Medicaid budgets are going to grow substantially--a real problem.
So even with more enforcement tools, I predict that the total amount of fraud (in total dollars) will actually increase over time. Bad news for taxpayers and the fiscal soundness of the States.