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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.

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Governor Kathy Hochul awarded a $9 billion contract to Public Partnerships LLC (PPL), an out-of-state company, giving them control over medical services previously provided by 700 local businesses through the CDPAP Medicaid program. A lawsuit alleges the NY Department of Health preselected PPL before a sham bidding process. Multiple sources informed reporters and the Center for Disability Rights of PPL's preselection before bidding. The 1199 SEIU Health Care Workers Union announced PPL's contract win two months before submissions were due. Public Consulting Group (PCG), which advises Hochul on medical policy, owns over 25% of PPL, creating a conflict of interest. Hochul also allegedly received a $5,000 contribution in 2023 from PPL's VP of Government Relations. The DOH reportedly manipulated contract scoring and subcontractor qualifications, leading to PPL's higher score. Representative Richie Torres is calling for a full investigation, believing there is "something rotten in the state of New York" under Hochul's management.

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We are announcing today charges against 324 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. These criminals didn't just steal someone else's money. They stole from you. 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. This is not health care. It is a staggering breach of trust. Today's enforcement action represents the largest health care fraud takedown in American history, but it's not the end. It's the beginning of a new era of aggressive prosecution and data driven prevention.

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Governor Kathy Hochul awarded a $9 billion contract to Public Partnerships LLC (PPL), an out-of-state company, to monopolize a home care Medicaid program (CDPAP), impacting 700 local businesses and numerous New Yorkers. A lawsuit alleges the NY Department of Health preselected PPL before a sham bidding process, evidenced by prior knowledge from multiple sources and the SEIU Health Care Workers Union. Public Consulting Group (PCG), which advises Governor Hochul on medical policy, owns over 25% of PPL, creating a conflict of interest. Additionally, Hochul received a $5,000 contribution from PPL's VP of Government Relations in 2023. The Department of Health reportedly manipulated contract scoring to favor PPL. Representative Richie Torres is calling for a full investigation, suspecting corruption under Hochul's management.

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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.

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Charges have been filed against the state of New York, Kathy Hochul, Leticia James, and Mark Schroeder of the DMV. This action is being taken by a new DOJ to protect American citizens and angel moms. New York is accused of prioritizing illegal aliens over American citizens.

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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?

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There's a serious problem in New York with Governor Hochul's plan to overhaul the Consumer Directed Personal Assistance Program (CDPAP), which helps chronically ill and disabled individuals hire caregivers, often family members. Hochul wants to consolidate the $9 billion initiative under a single financial intermediary, Public Partnerships LLC (PPL), a Georgia-based company with no New York healthcare experience. PPL was allegedly chosen before the bidding process even began, despite numerous failed contracts and financial issues in other states like Pennsylvania, where it cost the state millions. This move could benefit union leader George Grisham by further unionizing home caregivers. It also threatens to shut down 600 companies and impact half a million New Yorkers. Even Democrats like Congressman Richie Torres are questioning this deal, especially given PPL's track record of failure.

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Governor Kathy Hochul awarded a $45 billion medical care contract to Public Partnerships LLC (PPL), potentially jeopardizing New York's home care Medicaid program (CDPAP) and nearly 700 businesses. The eleven ninety nine SEIU union allegedly knew of PPL's acquisition before public bidding, suggesting the contract was rigged. The union allegedly made a deal with PPL to unionize workers, potentially generating an additional $1 billion annually for the union. Helen Schwab of eleven ninety nine SEIU admitted to the deal. The union is also holding internal elections to build a coalition against President Trump, which would be funded by the federal government if the deal proceeds. Republicans and Democrats, including NY State Rep Richie Torres, are calling for an investigation into the apparent fraud. One individual is calling upon the Medicaid inspector general to conduct an independent investigation into the Hochul administration's handling of a contract for a $9 billion home care program. The deal is set to take effect on March 28.

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I recently awarded a $9 billion contract to Public Partnerships LLC (PPL), an out-of-state company, giving them control over medical services previously provided by 700 local businesses through the CDPAP Medicaid program. A lawsuit has been filed against the NYS Department of Health and PPL, alleging PPL was preselected before the bidding process. Evidence includes reports of PPL's preselection prior to bidding and an announcement by the SEIU Health Care Workers Union two months before submissions were due. Public Consulting Group, which advises me on medical policy, owns over 25% of PPL, creating a conflict of interest. I also received a $5,000 contribution from PPL's Vice President of Government Relations in 2023. The Department of Health manipulated contract scoring, leading to PPL scoring higher. Representative Richie Torres is calling for a full investigation into this scandal. New Yorkers deserve answers.

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The speaker describes a pattern of fraud concentrated in clusters rather than in isolated, large-scale operations. The fraud appears to occur within family groups or tightly connected networks, spreading across multiple small sites rather than a single, massive operation. These clusters involve using single apartments, single condos, or potentially a single-family home outside of Boston, effectively creating numerous small daycare facilities. The speaker notes that the capacity of these clusters is not as high as it might be in other regions (e.g., Minnesota). As a result, fraud operates at a large number of smaller sites rather than a few large ones. The implication is that there may be more individual perpetrators overall, but each site commits fraud on a smaller scale. This distributed approach contrasts with a hypothetical scenario in which one building or site would generate a multi-million-dollar fraud; instead, the speaker expects many buildings each contributing smaller amounts, culminating in a broader spread of fraudulent activity. A key factor driving this pattern is the very low barrier to entry for opening a daycare, which facilitates a large number of potential operators and, consequently, a higher overall opportunity for fraud. The speaker emphasizes that this low barrier makes it easier for fraudulent actors to multiply across numerous small locations, contributing to a wide but shallow trafficking of schemes. The speaker explains the financial impact and mechanism of the fraud: the state is subsidizing payments for these kids, but the fraud involves both the daycare and the parents allegedly claiming that children attend the daycare when they do not. In reality, the parents certify attendance, while the daycare providers and the parents are allegedly splitting the subsidized funds. As a result, taxpayers bear the burden of subsidizing services that are not actually being provided to the claimed attendees. In summary, the described fraud occurs in clustered groups, leveraging many small daycare operations (often housed in single residences) with a very low entry barrier, leading to widespread but not individually vast fraud. The purported scheme involves falsified attendance to obtain state subsidies, with the daycare operators and some parents allegedly sharing the ill-gotten funds.

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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.

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We may be witnessing one of the biggest Medicaid fraud schemes in U.S. history. New York Governor Kathy Hochul recently awarded a $45 billion medical care contract to Public Partnerships LLC (PPL). 50% of this contract is funded by the federal government. This contract will destroy nearly 700 businesses and jeopardize the home care Medicaid program. The eleven ninety nine SEIU union announced that PPL would be acquiring the contract before public bidding even started, providing clear evidence that PPL's acquisition of this government contract was rigged. The union knew because they made a deal with PPL to unionize all workers, resulting in the union taking in an additional $1 billion per year. Republicans and Democrats have called for investigation into this apparent fraud scheme. I am calling upon the Medicaid inspector general to conduct an independent investigation. Kathy Hochul, eleven ninety nine SEIU, and PPL are hoping to hold out until March 28 when the deal goes into effect. This fraud scheme must be investigated right now.

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Governor Hochul is facing criticism over a plan to consolidate New York's $9 billion Consumer Directed Personal Assistance Program (CDPAP) into a single financial intermediary, Public Partnerships LLC (PPL), a Georgia-based company. PPL was allegedly chosen before the bidding process began, with New York only reviewing 4 out of 136 bids. PPL has a history of failed contracts in other states like New Jersey, Washington, West Virginia, Virginia, Tennessee, and Pennsylvania, where it cost the state $7 million and left caregivers unpaid. The move is suspected to benefit George Grisham's union, 1199 SEIU, by enabling further unionization of 280,000 home caregivers. The change could shut down 600 companies in New York and impact half a million New Yorkers. The New York legislature and Congressman Richie Torres are questioning the deal, alleging a lack of transparency and expressing concerns that it will increase costs and burden families.

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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.

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The investigation into fraud in public daycare subsidies is described as massive and deeply obstructed. "Massive. They don't want a fraud unit to do anything. They want a fraud unit on paper." The discussion centers on Halicki, who was fired in 2013 while in the midst of a large probe. The county’s account of Halicki is that he was an insubordinate bully whose tactics hampered efforts to catch welfare cheats, while supporters call the firing part of a broader effort to suppress accountability. One side frames the situation as a cover up: “They don't wanna point fingers at various organizations and people. This is nothing but a giant cover up.” The reporting highlights deco daycare centers, with evidence that the company collected millions in public subsidies for providing bogus child care services to low income families. The overarching assertion is that, in essence, this scheme was a criminal enterprise. In December, Ramsey County charged the owner of Dico with fraud. The daycares shown are described as billing the county at rates over $100,000 a month. Halicki says that before his dismissal he was tracking a similar scheme in Hennepin County involving multiple child care centers. One building is noted as housing its third daycare center in as many years, with a new license granted despite concerns. The two previous centers had their public subsidies stopped by the county because of billing irregularities. Halicki recounts footage of centers with questionable visibility: “7AM to 6PM. There are no lights on.” He and the team visited centers that had no signs outside and, during posted business hours, no one answered. They checked state inspection records for each center on Halecki's tour, finding licensing violations—the kind that are red flags to the state's Department of Human Services. The core accusation is that this is a deliberate attempt by officials in Hennepin County to deceive taxpayers. Halicki claims to possess emails and documents proving knowledge of the wrongdoing and deliberate inaction. He cites an email to the supervisor of the fraud unit where the stated goal was to stop the bleeding quickly and protect taxpayer money from going out the door; the supervisor replies with a plan to tackle the centers, and Halicki reiterates, “It's nothing but a giant cover up.” Officials emphasize that the focus is on prevention, but they do investigate and take action with the county attorney when fraud occurs. In the two years since Halicki was fired, not one case has been prosecuted by the county. The report notes that most metro counties aren’t actively investigating daycare center fraud; instead, they’re handing those cases off to a DHS special team that was ramped up more than a year ago. Public frustration is voiced: “Nobody is more frustrated with the amount of time it's taking than we are.”

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There are serious issues in New York with Governor Hochul's plan to change the healthcare system. The Consumer Directed Personal Assistance Program (CDPAP), which allows chronically ill or disabled individuals to hire caregivers, is at risk. Hochul wants to consolidate this $9 billion initiative into one financial program with Public Partnerships LLC (PPL), a Georgia-based company with no New York healthcare experience. PPL has a history of failed contracts in other states, costing them millions. There are concerns about political favors, particularly with George Grisham's union potentially gaining influence, leading to the unionization of 280,000 caregivers and the shutdown of 600 companies. This deal, already failing in other states, risks costing New York more, burdening families, and harming the economy. Even Democrats are questioning this decision.

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Someone is allegedly going to be arrested for stealing 400,000 social security numbers and personal information from the Social Security database. This information was reportedly being sold to enable people to steal money from Social Security. The fraud is allegedly connected to illegal immigrants and voter fraud, as Social Security is the main way identification is established in the United States. Compromising the Social Security system can purportedly allow non-citizens to register to vote and obtain benefits. The speaker claims Democrats are using parts of the government to provide financial incentives for illegal immigrants to come to and remain in the United States, citing Social Security disability, Medicare, unemployment, and IRS refunds without income. FEMA funds meant for Americans in distress from natural disasters were allegedly diverted to pay for luxury hotels in New York for illegal immigrants, who are purportedly still there.

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There's a serious issue in New York with Governor Hochul's plan to overhaul the Consumer Directed Personal Assistance Program (CDPAP), a $9 billion initiative that allows chronically ill or disabled individuals to hire caregivers, often family members. Hochul wants to consolidate the program under a single financial intermediary, Public Partnerships LLC (PPL), a Georgia-based company with no New York healthcare experience. PPL was selected before the bidding process even began, despite numerous failed contracts and financial setbacks in other states like Pennsylvania. This move appears to benefit union interests, specifically George Grisham and 1199 SEIU, who have donated to Democratic campaigns and stand to gain from unionizing 280,000 caregivers. The change threatens to shut down 600 existing New York companies, risks higher costs, and could force families into debt. Even Democrats like Congressman Richie Torres are questioning this decision, highlighting the widespread concerns over the implementation of PPL in New York.

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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.

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Governor Kathy Hochul is under scrutiny for awarding a $9 billion contract to Public Partnerships LLC (PPL), an out-of-state company, effectively monopolizing a home care Medicaid program (CDPAP) that previously supported 700 local businesses. A lawsuit alleges the NY Department of Health preselected PPL before a sham bidding process. Evidence includes reports of PPL's preselection prior to bidding and the 1199 SEIU Health Care Workers Union announcement of PPL obtaining the contract two months before submissions were due. Public Consulting Group (PCG), which advises Governor Hochul on medical policy and Medicaid reform, owns over 25% of PPL, creating a conflict of interest. Additionally, Hochul received a $5,000 contribution in 2023 from PPL's VP of Government Relations. The Department of Health reportedly manipulated contract scoring to favor PPL. Representative Richie Torres is calling for a full investigation into the scandal.

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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.

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Someone will be arrested for stealing 400,000 social security numbers and personal information from the Social Security database. This information was allegedly sold to enable people to steal money from Social Security, particularly for illegal immigrants and voter fraud. Compromising the Social Security system allows non-citizens to get registered to vote and receive benefits. Democrats are accused of bending parts of the government to provide financial incentives for illegal immigrants through Social Security disability, Medicare, unemployment, and IRS refunds without income. FEMA funds meant for Americans in distress from natural disasters were allegedly diverted to pay for luxury hotels in New York for illegal immigrants, who are reportedly still there.

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Two New Yorkers have pled guilty to a $68,000,000 fraud scheme tied to the state’s Medicaid home-care program, CDPAP. The two defendants were described as large-scale recruiters who bribed patients with laundered cash and billed Medicaid for services at Brooklyn-based adult daycares that never occurred. The case is part of a broader pattern of fraud targeting CDPAP, which is designed to help people who need care at home rather than in nursing homes by allowing them to hire their own caregiver through Medicaid, including friends or relatives chosen by the patient through the program’s process. News Nation reports that the guilty plea comes as another million-dollar-plus conviction was announced this week, involving fake billing and kickback schemes tied to Medicaid. Attorney John Flynn notes that while CDPAP is intended to ease care for loved ones, it has become a target for sophisticated scammers. The segment places these cases in a historical context of CDPAP-related fraud in New York. In 2018, a man organized payments to friends and family members as home caregivers for his ailing mother, only to discover she wasn’t in the country—living in Bangladesh—and investigators found that his brother impersonated her during home inspections to sustain the fraud. In 2024, Governor Kathy Hochul characterized CDPAP as a “racket” and one of the most abused programs in New York State’s history. News Nation reports that the governor’s office said she has “taken steps to fix the system by cutting out hundreds of middlemen.” The governor’s office also pointed to Letitia James’s actions against related scams as part of ongoing efforts to stop this kind of crime. The governor’s spokesperson cited actions such as busting related transportation-company schemes as examples of reform, while Republicans requested an audit of the CDPAP program, a request described by supporters as a political stunt, with proponents arguing that there are already measures in place. News Nation notes that President Donald Trump recently announced a new division to combat crimes like these, underscoring a broader national focus on Medicaid and CDPAP-related fraud. The segment closes with Lea Lando in New York tracking the evolving investigations and prosecutions tied to these programs.

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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.
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