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We found a hotel in California where every room was the headquarters for a nursing group. They were all PO boxes, not actually providing nursing care. They were just collecting money. As we now know, a lot of the money that was going into the Somali community for autism care went to these phony autism care houses. A lot of it ended up with al Shabaab in Somalia.

California is repaying $1.6 billion previously charged to the federal government for health care services provided to illegal immigrants, and a larger program integrity issue is claimed to exist in the state’s health care system. The speaker instructs Governor Newsom to produce within three weeks a comprehensive program integrity action plan to address major fraud. Three examples of alleged embarrassing fraud in California are highlighted: 1) In-home supportive services (which California shares with Minnesota) include personal care such as bathing or grooming, household tasks, cleaning and cooking, shopping, and transportation. These are tasks that families could perform, but government funding is said to have generated significant cash for unethical people. California spending for these services increased from eight to twenty-eight billion dollars over the past decade, with a claim that federal taxpayers are paying 250% more for California, an affluent state, and that the program is still growing by double digits annually. 2) In 2024, spending for home health care in California purportedly rose by more than 21%, representing the largest growth rate for any major health category nationwide. The number of home health agencies in California reportedly almost doubled between 2019 and 2024. Los Angeles County alone is said to account for $1.4 billion, representing almost 9% of total fee-for-service home health spending for the entire country, despite having just 2% of national enrollment. The assertion is that this concentrates home health funds in L.A. County, limiting access for other Americans who could benefit from these services. 3) The 2022 California state auditor report is cited as showing that the number of hospice agents in Los Angeles County increased by 1,500% since 2010, a growth rate that allegedly far exceeds the 40% increase in the senior population over the same period. The speaker questions how a sevenfold increase in hospice could be defended, noting reports from seniors who claim they were duped by fraudsters and that California is not stopping these criminals. The speaker reiterates that Governor Newsom’s deadline for a comprehensive program integrity action plan is approaching and urges action to save American lives rather than enabling criminals.

The speaker claims there is $14 billion in fraud related to people wrongly enrolled in Medicaid in multiple states. They state that people living in one state may move to another, and both states collect Medicaid money from the federal government. The speaker adds that sometimes people are enrolled in both Medicaid and exchanges within the same state, contributing to the $14 billion figure.

The CDC and NVSS changed death certificate reporting in violation of federal law. Two days later, the HHS increased reimbursement for hospitals and doctors who listed everything as COVID, making it the most lucrative diagnosis. There are reports of patients being starved and denied water, possibly to increase the use of Remdesivir. The range of fraudulent death certificates is estimated to be between 88.6% and 94.0%. Reimbursement for a diabetic patient labeled as COVID is 3 to 6 times higher. Hospitals had to go along with this to stay in business. Doctors who spoke up were threatened with license revocation and faced censorship. This is seen as collusion and murder for profit.

Elizabeth describes a pattern she’s seeing in Portland, Maine that mirrors what’s been found in Minnesota: the use of zombie offices and large clusters of home health care businesses operating from a single location to defraud Medicaid. She notes that among the businesses registered in the Portland area, of the 20-something identified, about 10 are home health care providers. She cites specific examples, including Prestige Home Care, Bright Star Home Care, Atlanta Community Support, Five Stars Home Health Care, and Prime Home Care LLC, as part of this trend. Elizabeth emphasizes that this clustering is a tactic previously observed in Minnesota, where the Minnesota House Oversight Committee on Fraud described it as a giant red flag, pointing to large groups of health care providers located in one building as problematic. She points to a particular building in Portland as evidence: inside this building, 22 different home and community-based health care companies are registered, illustrating the concentration of providers within a single address. Ron Nevins, the building owner, agrees to speak with Elizabeth about what’s inside. He is asked about how many health care companies occupy the space. He responds, “I think I got 10 health care companies, which is probably about half, maybe a little less than half of this building.” He repeatedly references “health care, health care, health care, home health care,” underscoring the focus of the tenants. Elizabeth probes the legitimacy of these businesses, asking whether they are all legitimate. Ron Nevins replies partially: “Some, yes, but some I highly question.” His comment reflects uncertainty about the fidelity or legality of the operations housed in the building, aligning with the concerns raised by the Minnesota case. In summary, the reporting highlights a pattern of many home health care providers co-located in a single Portland building, mirroring Minnesota’s findings of clustered health care entities as a potential red flag for Medicaid fraud. The account cites specific companies and notes substantial occupancy by home health care firms, while also acknowledging doubts about the legitimacy of some of these businesses according to the building’s owner.

A documentary-style investigation in Minnesota accuses widespread government-funded fraud across childcare, elder care, and health care services, alleging that hundreds of millions (potentially billions) of taxpayer dollars were funneled to fraudulent businesses, many run by Somali-owned entities, with insufficient or no evidence of actual children or patients being served. Key figures and setup - David: An investigator whose office is in Minneapolis, claiming firsthand exposure to fraud. He frames the problem as deeply entrenched, involving billions of dollars and potentially ties to terrorist groups abroad. - Nick Shirley: The presenter and filmmaker, documenting the investigation, confronting daycare centers, health care providers, and government officials. Main fraud allegations and examples - Childcare and early learning centers: - Multiple Minneapolis daycares listed at the same addresses, licensed for large capacities (e.g., 120 children) but with no children present in long-running site visits. - Examples include Mako Childcare and Mini Childcare Center: combined licensing for 120 children, but vans never moving and no children observed over repeated visits; fiscal year payments ranged from about 714,000 to over 1.6 million dollars for the two centers in various years. - ABC Learning Center and other nearby facilities: windows blocked out, doors locked, no children observed despite licensing for dozens or hundreds of children; payments in the hundreds of thousands to millions per year. - Sweet Angel Childcare and others: similar patterns—license capacity reported, payments received, but no children seen; in one case, ongoing operation with no obvious play area or evidence of childcare. - The video notes cases where two daycares share addresses or switch names (e.g., Creative Minds Daycare reopens as Super Kids Daycare Center) yet continue to receive state funding, suggesting “fraudulent” billing. - Some locations claimed to be open long hours and to serve many children, yet on-site visits found no children, locked doors, or hostile responses when questioned. In one instance, a staffer refused to discuss the operation or provide paperwork. - Specific sums cited include ownership of facilities with payments like 1.26 million, 987 thousand, 714 thousand, 1.6 million, 1.3 million, 1.0–1.6 million in various fiscal years, totaling near several millions per site and aggregating toward millions across multiple centers. - Home health care and other services: - A building housing 14 Somali-owned home health care companies under many different names, all operating from the same location, raising concerns about service provision and billing. - A broader claim that in Minnesota, 14–22 Somali health care businesses at the same address are part of the same ecosystem; government money (state and federal CCAP funding) is disbursed to these entities, with a perception that services may not be rendered as billed. - A separate building contains numerous health care providers; the interviewee asserts that 50–60 million dollars per year could be fraudulently routed through this single building. - Overall scale and claims: - David asserts the fraud is “far worse than anybody can imagine” with estimates initially as high as 7 to 10 billion, later revised publicly to around 8 billion; in total, a major portion of the state budget is implicated. - A central claim is that funds from CCAP (a blend of federal and state money, taxpayer money) are written as checks to providers who may not deliver corresponding services; the state’s checks are allegedly not effectively cross-checked for actual service provision. - Political and procedural dimensions: - The investigation contends that Minnesota governor Tim Walz is responsible for allowing or failing to curb fraud, describing the state as “ground zero” for the issue and criticizing political and procedural inaction. - The documentary frames fraud as nonpartisan, noting Medicaid fraud occurs across parties and administrations nationwide, but then presents a partisan friction as they confront lawmakers at a state Capitol hearing. - At the Capitol hearing, Republicans and Democrats discuss fraud, with some speakers asserting the problem is nonpartisan and rooted in systemic issues across administrations, while others push to hold specific leaders accountable and emphasize the need for transparency and enforcement. Confrontations and outcomes - The team encounters resistance and hostility at several sites, including doors locked, hostile staff, and in one instance, a confrontation resulting in police involvement at a building housing healthcare providers. - The investigators claim to have faced intimidation and even threats; they describe instances of violence toward them for asking questions about child and elder care fraud. - The film documents a tense, complex landscape of allegations, aiming to connect misallocated funds to non-delivered services, with ongoing investigations, raids, and political debate as the state capital becomes a focal point for accountability discussions.

William Lajanes reports from Los Angeles on hospice fraud, describing it as costing taxpayers 200 million dollars a year, with the worst activity seen in LA. He cites ghost patients, sham companies, corrupt doctors, and hospitals billing for care never provided, including owners stealing Medicare numbers from seniors who don’t know they’re on hospice until they need real care and then can’t receive it because the hospice owns their Medicare number. He and others call it human trafficking of beneficiaries. A source labels hospice fraud in LA as “crazy,” noting hospice care has grown sevenfold in the last five years. They estimate about 3.5 billion dollars of fraud in LA County alone. They describe LA as ground zero for scammers. Sheila Clark states hundreds of LA hospices falsely bill the government for unnecessary care, often cycling patients from one provider to another. Another participant describes a “non ending benefit,” with patients allegedly receiving four thousand dollars a month indefinitely. Patients are said to be bought and sold like trading cards, and recruiters told to post at busy shopping centers or senior living addresses to knock on doors, offering walkers, wheelchairs, and promising recruiters earn 300 dollars for any senior aged 62 they sign up, sick or not. That patient data and Medicare numbers are then sold to providers. A speaker emphasizes that a Medicare MIB number is highly lucrative. When asked how much federal taxpayers are losing, the response is “Millions, billions.” The report asserts that Russian Armenian gangs and the mafia are leading many of these efforts, allegedly able to corrupt and work with doctors willing to lie. A doctor is cited who billed the government 120,000,000 dollars in a single year, claiming to oversee 1,900 patients. With almost 2,000 hospice agencies, LA County has more than 36 states combined, and 30 times more than Florida or New York. It is stated that 18 percent of the entire country’s home health care billing comes from Los Angeles County. A map shows a cluster of 287 hospice providers in a two-mile radius, including locations in strip malls, unmarked buildings, a wrecking yard, and a vacant lot. The problem is described as once a beneficiary’s number is assigned to a hospice, that patient cannot get care elsewhere, including in a hospital. There is a call to listen to people who say they’ve been scammed. Context is provided that Governor Newsom filed a civil rights complaint against Doctor Oz for unfairly targeting the Armenian community; auditors and prosecutors say Armenian organized crime is involved with Medicare fraud. California auditors four years ago warned that lax state controls created the mess, prompting a moratorium on new hospices and the revocation of about 280 licenses since then. Ayesha?

The stimulus bill intended to help hospitals overrun with COVID patients created an incentive to record something as COVID. Hospitals are in a bind because if a hospital is half full, it's hard to make ends meet. Checking a box can yield $8,000, and putting a patient on a ventilator for five minutes can bring $39,000. The alternative could be firing doctors. This situation presents a tough moral quandary.

A basic search of the Social Security database revealed 20 million dead people marked as alive. While it's unclear if they're directly receiving Social Security payments, their "alive" status allows them to fraudulently obtain disability, unemployment, and fake medical payments. The fraud occurs because government databases don't communicate well. For example, the Treasury's main payments computer, PAM, handles $5 trillion in payments annually, roughly a billion dollars an hour. We discovered payments lacked categorization codes and descriptions, essentially untraceable blank checks. If a public company operated this way, it would be delisted, and executives would face imprisonment.

Speaker 0: Massive fraud is going on here in the state of Minnesota, especially in Minneapolis. Explain to me what's going on with the day cares. Speaker 1: One of the things I've noticed is there’s an exceptional number of childcare centers set up mostly in Minneapolis, but also in Saint Paul. I wondered how many kids are there in the Twin Cities. I visited facilities near my office and saw there aren’t any kids there. I’d go to another one and there aren’t any kids there either. I spoke with someone outside who said, “We’re all full,” yet when I looked inside the door was open and there was a couch and a table with a couple chairs and no kids. I asked if the kids were outside playing or what kind of place this was, and the staffer said, “You go,” and followed me down the street to my car. That made me think something was going on, and this was maybe five years ago. Speaker 1: This fraud is so massive. When the dust settles on this, it’s going to be found to be the largest fraud in the history of the country and probably the world. The ones I’ve gotten data on average about $2,500,000 a year, and a lot of them will say they have anywhere from 80 to 120 children. Speaker 1: I’ve been to literally 40 or 50 of these childcare centers, and there never has been a single child at any one of them ever. Morning, afternoon, evening. Some say they’re open till 10:00 at night. I go there in the morning, I go there in the afternoon, I go there at 9:00 at night. Nobody. There are no kids there ever.

The Department of Justice announced the largest coordinated health care fraud takedown in its history, charging 324 defendants for alleged participation in health care fraud schemes involving approximately $14,660,000,000 in false claims submitted to Medicare, Medicaid, and other health care programs. Key points emphasized: - First, these health care fraud schemes affect every hardworking American family. The announcement states that criminals didn’t just steal money from others; they stole from taxpayers who fund these programs. Every fraudulent claim, fake billing, and kickback scheme represents money taken from American taxpayers, driving up the national deficit and threatening the long-term viability of health care for seniors, disabled Americans, and vulnerable citizens. The enforcement action involves seizure of cash as well as luxury vehicles and properties, returning real money to taxpayers and to government health care programs. - Second, there is a disturbing trend of transnational criminal organizations engaging in increasingly sophisticated schemes. The takedown identifies and charges defendants operating from Russia, Eastern Europe, Pakistan, and other foreign countries, who have infiltrated the U.S. health care system to steal taxpayer dollars. An example described involves a sophisticated operation run from Russia and Eastern Europe that bought dozens of medical supply companies in the United States and submitted more than $10,000,000,000 in fraudulent health care claims to Medicare. This operation used the stolen identities of more than 1,000,000 Americans spanning all 50 states. Federal agents intercepted and arrested key members of that organization at U.S. airports and the U.S.–Mexico border, cutting off their escape routes. The days of transnational criminal organizations using the American health care programs as their personal piggy bank are over. - Third, 74 defendants, including medical professionals, were charged, highlighting those who fueled America’s deadly opioid crisis for personal profit. Pill mill operators who prescribed unnecessary opioids were charged, and networks of corrupt pharmacies that distributed drugs to addicts and dealers were dismantled, feeding the addiction crisis that has devastated communities. This is described as a staggering breach of trust, and the Department’s Criminal Division will prosecute these criminals aggressively, equating them with drug dealers. - Fourth, some defendants targeted vulnerable citizens in nursing homes, individuals with disabilities, and those battling serious illnesses. Prosecutors charged seven defendants, including five medical professionals, in connection with approximately $1,000,000,000 in fraudulent claims to Medicare and other health care benefit programs for performing medically unnecessary skin grass on dying patients as they sought to spend their final days with dignity and peace. This conduct is described as callous and disturbing, reflecting a breach of trust between patients, families, and providers. The overall message: today’s enforcement action represents the largest health care fraud takedown in American history, signaling the beginning of a new era of aggressive prosecution and data-driven prevention.

The Doge report reveals that US healthcare corporations spent 95% of their income on shareholder payouts, totaling $2,600,000,000,000 over the last 20 years. US taxpayers reportedly pay about 70% of these fees. Additionally, $2,700,000,000,000 in taxpayer money has allegedly been improperly paid out in Medicare and Medicaid to people outside of the United States.

'the hospitalization and the death numbers were were almost a complete fiction because the government was paying hospitals to report that they had COVID hospitalizations and deaths.' 'The official number is one point two million, but secretary Kennedy's right.' 'If in order to be diagnosed with COVID, it was possible to have a prior test... and you entered the hospital for something else, and then you were still counted as a COVID case.' 'Most of the people who died from COVID had at least four comorbidities. That was according to CDC.' 'We paid hospitals tens of thousands of dollars per COVID patient.' 'COVID was obviously a deadly disease. It killed many people.'

Since 2012, the government has wasted nearly $3 trillion in taxpayer money. Last year alone, improper payments totaled $247 billion. This includes payments to deceased individuals; over $530 million in pension payments went to dead people. Medicare improperly paid out $47 billion, and Medicaid, $81 billion. Fraudulent payments under the Biden administration reached $764 billion in just three years. These improper payments add up to $2.8 trillion – enough to cover five years of US foreign aid. This amounts to $850 per person in the country.

The discussion centers on alleged fraud in Maine’s elder care sector, framed as Somalian/African fraud in a state considered very white. Steve Robinson, editor in chief of the Maine Wire, and John Featherston, a Maine Wire columnist, assert that immigrant workers—many with limited English and little health-care experience—are involved in schemes that steal taxpayer dollars by billing for care that is often neglected or nonexistent. Robinson distinguishes multiple fraudulent operations: some home care agencies are essentially PO boxes that submit invoices to the Department of Health and Human Services; others are residential care facilities operating as homes where real adults are present but care is understaffed and substandard, with employees overworked and sometimes asleep on the job. A Department of Health and Human Services inspector general report is cited: in 2023, Maine improperly billed $46,000,000 in Medicaid payments to the federal government in one program (Section 28), and the state is seeking to claw back that money. John Featherston notes visits to the Portland area where they toured home health care centers during business hours and found no staff present. Mustafa Alamedy, described as a 25-year-old Maynard resident, reportedly billed over a million dollars from 2021 to 2024 with an audit error rate around 70%. The hosts recount visiting multiple home health care facilities, often finding no employees or furniture, indicating non-operational sites despite billing activity. A confrontation arises when a caller accuses the Maine Wire of propaganda and targets Somalis and immigrants. Steve Robinson responds by detailing alleged ties to Gateway Community Services, a organization accused of systemic Medicaid fraud over five and a half years by a former employee and under investigation by Homeland Security, the Department of Justice, and the state of Maine. Safiya Khalid, a former employee associated with Gateway, is named as making such accusations in the broadcast; her brother Mohammad Khalid runs another business from the same office complex. Robinson suggests Khalid should be sleepless at night if implicated in the fraud scheme, given ongoing investigations. The Portland-area investigation is reiterated: there are three home health care facilities inside a building, yet during daytime hours no one appears to be working, and there is no furniture or desktops visible. Governor Janet Mills is questioned about the $45,000,000+ in fraud findings, with the Maine Wire asserting that Mills’ administration did not actively support investigations into Gateway Community Services. They claim Mills’ attorney general later provided limited support and funding to Gateway with opioid settlement money after the outlet’s reporting, saying real investigation only gained traction after national media exposure. The discussion closes with praise for the Maine Wire’s reporting, urging continued local investigative journalism to draw national attention. The guests are Steve Robinson and John Featherston.

Modernizing American medicine will address waste, fraud, and abuse. Last year, 230,000 Americans on Obamacare plans were unaware of their enrollment; brokers profited by enrolling them without their knowledge. California has taken millions of dollars from the federal government to provide free health insurance for illegal immigrants. The government intends to recoup this money. Medicaid patients are also being enrolled in multiple states, resulting in the federal government paying multiple states for the same individual without ensuring they receive adequate healthcare.

My team at the Department of Government Efficiency (DOGE) uncovered $100 billion in wasted Medicare and Medicaid funds. Working with two senior CMS veterans, we had read-only access to their payment and contracting systems. Our mission was to find ways to use resources more effectively, but we discovered massive waste and potential fraud. CMS processes over a billion Medicare claims annually and manages billions in Medicaid funds. They recently suspended 850 agents for suspected fraud. The Department of Justice has also been prosecuting healthcare fraud cases, with billions of dollars in losses. This discovery highlights a massive scandal, potentially the biggest in US history, and is prompting calls for similar transparency initiatives in other countries. We need major reform, absolute transparency over tax spending, and human oversight to ensure this doesn't happen again.

California provides state Medicaid to all illegal migrants and has allegedly created a system to siphon Medicaid dollars. Governor Newsom initially estimated free healthcare for illegal immigrants would cost $6 billion, but it's now $10 billion. This incentivizes illegal immigration. The governor claimed the federal government would reimburse the cost, but it's hitting the general fund, with one in four Medi-Cal dollars going to illegal immigrants. Newsom admitted Medi-Cal is broke and can't pay healthcare providers. Providing free healthcare to illegal immigrants risks health insurance for the neediest. The Medi-Cal system should be audited. It is illegal for federal Medicaid dollars to cover illegal migrants.

I'm Matthew Galiotti, head of the Justice Department's Criminal Division. Today we announce the largest coordinated health care fraud takedown in the history of the Department of Justice. We are announcing charges against three twenty four defendants for their alleged participation in health care fraud schemes involving approximately $14,600,000,000 in false claims submitted to Medicare, Medicaid and other health care programs. In a takedown this large, I can't possibly describe all of the work that went into dismantling each scheme. But there are four key points that bear emphasizing. First, these health care fraud schemes mean for every hardworking American family. These criminals didn't just steal someone else's money. They stole from you. Every fraudulent claim, every fake billing, every kickback scheme represents money taken directly from the pockets of American taxpayers who fund these essential programs through their hard work and sacrifice. And when criminals defraud these programs, they're not just committing theft. They're driving up our national deficit and threatening the long term viability of health care for seniors, disabled Americans and our most vulnerable citizens. This enforcement action involves the seizure of cash as well as luxury vehicles and properties returning real money to American taxpayers and to our government health care programs. Second, we are seeing a disturbing trend of transnational criminal organizations engaging in increasingly sophisticated and complex criminal schemes that defraud the American health care system. As part of this takedown, we've identified and charged defendants operating from Russia, Eastern Europe, Pakistan and other foreign countries. As just one example, we dismantled a scheme involving a sophisticated operation run from Russia and Eastern Europe that strategically bought dozens of medical supply companies in The United States and submitted more than $10,000,000,000 in fraudulent health care claims to Medicare. To make matters worse, these perpetrators used the stolen identities of more than 1,000,000 Americans spanning all 50 states to perpetrate this scheme and submit these false claims. But I'm pleased to report that federal agents intercepted and arrested key members of that organization at US airports and The US Mexico border, cutting off their intended escape routes. The days of transnational criminal organizations using the American health care programs as their personal piggy bank are over. Third, this takedown resulted in criminal charges against 74 defendants, including medical professionals who fueled America's deadly opioid crisis for personal profit. These are not isolated instances of poor judgment. These are calculated schemes designed to exploit Americans struggling with addiction while enriching the very people who were duty bound to help them heal. We charged pill mill operators who prescribed unnecessary opioids. We dismantled networks of corrupt pharmacies that existed solely to distribute drugs to addicts and dealers, feeding the addiction crisis that has devastated so many American communities. Fourth, many of the defendants charged as part of this takedown specifically targeted our most vulnerable citizens, elderly Americans in nursing homes, individuals with disabilities, those battling illnesses, and more. For example, our prosecutors charged seven defendants, including five medical professionals, in connection with approximately $1,000,000,000 in fraudulent claims to Medicare and other health care benefit programs for performing medically unnecessary skin grass on dying patients as they were seeking to spend their final days with dignity and peace. That conduct is exactly as callous and disturbing as it sounds. Patients and their families trusted these providers with their lives. Instead of receiving care, they became victims of elaborate criminal schemes.

There is nothing more profitable in our society today than a sick child, with insurance companies, hospitals, the medical cartel, and pharmaceutical companies having lifetime annuities; the speaker says they want kids sick for the rest of their lives, creating a whole generation. When my uncle was president, six percent of Americans had chronic disease today at sixty percent. The annual cost of treating chronic disease was Zero back then; today it's about $4,300,000,000,000. For autism, in 1960 the rate was reportedly about one in twenty five hundred, one in fifteen hundred, one in twenty five hundred, one in ten thousand; today it's one in thirty four kids according to the CDC, with states like California, Utah, and New Jersey at one in 22. These kids should be healthy; these kids shouldn't be our highest performing kids.

Medicare was scammed out of $760,000,000. An investigation in Phoenix was opened after a complaint about suspicious billing to Arizona Medicaid. This led to a network of sober living homes, intended to help those struggling with addiction, many of whom were Native Americans. Instead, it was a massive fraud scheme that billed for services never provided. The sober living home facilities owned by ProMD received more than $560,000,000 for services that were not provided.

Big food, big pharma, big chemicals get super wealthy. Right? What is the product of health care? It's a healthy body. If we take The US population and compare it to the world, we're at the very bottom when it comes to health, yet we spend the most for health care. Over $4,100,000,000,000 every single year.

The Doge report reveals that US healthcare corporations spent 95% of their income on shareholder payouts, totaling $2,600,000,000,000 over the last 20 years. US taxpayers reportedly pay about 70% of these fees. Additionally, $2,700,000,000,000 in taxpayer money has been improperly paid out in Medicare and Medicaid to people outside of the United States.

In Los Angeles, there are 42 hospices within a four-block radius, with Cyrillic and Armenian/Russian writing on buildings and little visible patient care activity. A major case involved $16,000,000 stolen, with the main organizer going to jail for two years. The area had an apparently empty hospice center and claimed services for people at home that were not actually provided. The speaker asserts roughly $3.5 billion in fraud is taking place in Los Angeles hospice and home care, run largely by the Russian Armenian mafia. The narration notes the presence of language and dialect behind the speaker as indicative of this organized crime. The operation allegedly recruited hundreds of doctors to write false prescriptions and paid or tricked 100,000 patients into giving them their beneficiary numbers to perpetuate the fraud. Criminals allegedly run the organization and quickly evade when law enforcement prosecutes them. California has not given much attention to these problems, but that is changing, according to the speaker. The US attorney and FBI are now focused on the issue in a state with about $30,000,000,000 worth of home and community-based services, most of which, the speaker claims, might be fraudulent. The statement concludes that the President is not going to tolerate this anymore.