Florida’s Medicaid program has been rapped by auditors who questioned what the state got for millions of dollars spent with a company whose lobbyists included two former Republican House speakers and a former top health care regulator.

State auditors additionally raised questions about how aggressive the Agency for Health Care Administration has been in trying to clamp down on fraud. The newly released audit said the agency’s Office of Medicaid Program Integrity never forwarded leads regarding potential fraudulent activity to 11 HMOs under contract with the state.

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