Putting an N to Learing about Fraud Act

This bill targets fraud prevention in federal child care and health care programs. It requires child care providers receiving federal funds to base payments on actual attendance records (not just enrollment) and retain those records for 7 years for audits. For health care, it triggers automatic reviews when total payments or provider numbers in a local area increase by over 100% in a single year, requiring the HHS Secretary to notify inspectors. The bill also mandates agencies to recover improper payments and report recovery amounts annually, with HHS conducting audits of high-risk programs after 5 years.