Congress is leaving $450 million in deficit savings on the table by not fully funding the Health Care Fraud and Abuse Control (HCFAC) account, according to a recent report from the Office of Management and Budget. The HCFAC account hasn't received a cap adjustment in two years, which has cut the funds available to fight Medicare and Medicaid fraud.

The Budget Control Act of 2011 allowed the HCFAC account to qualify for an upward adjustment to its discretionary spending limit if an appropriations bill were enacted in excess of $311 million. However, the HCFAC account was appropriated $309 million in FY 2013 through the Consolidated and Further Continuing Appropriations Act, and while a Senate markup has provided for $329 million in funding for FY 2014, the House has yet to release a markup.