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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.

We've discovered $2.7 trillion in improper payments to Medicare, Medicaid, and overseas recipients who shouldn't have received them. This is just one example of the fraud, waste, and abuse we're identifying daily. Elon Musk highlighted Social Security payments being made to deceased individuals, which is clearly fraudulent. We're also finding contracts where, for instance, a million dollars was allocated, but only $500,000 was actually spent. Where did the remaining funds go? These are the issues we're addressing daily. This is exactly what President Trump promised to do during his campaign, and we are delivering on that promise.

Transnational fraud rings, terrorist organizations, and even nation-states like North Korea are being funded with our tax dollars. During the pandemic, a trillion dollars was stolen, with 70% going overseas. For example, one state had more unemployment claims than adults, and Romanian thieves used stolen funds for fentanyl and to undermine our democracy. While most public servants are honest, insider threats exist. Data and technology are crucial to identify them. Recently, in a Western state, criminals stole $50 million from Medicaid in under four months. These aren't individual acts; they're organized criminal groups, both domestic and transnational. Controls must be in place.

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.

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.

The Department of Justice announced a historic $2.3 billion settlement with Pfizer and its subsidiary Pharmacia and Upjohn, the largest health care fraud settlement in DOJ history. This settlement addresses civil and criminal allegations regarding Pfizer's illegal promotion of drugs, particularly Bextra, for off-label uses not approved by the FDA. The settlement includes a criminal fine of $1.195 billion, the largest criminal fine ever imposed. Off-label marketing poses risks to public health because medical providers may lack complete information about a drug's risks and benefits. The investigation, lasting four years, implicated Pfizer and identified senior managers responsible for the fraud.

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?

A Michigan doctor was sentenced to 45 years for falsely diagnosing over 550 patients with cancer, leading to unnecessary treatments. Victims expressed anger and disappointment, with one family member recalling the doctor's false promises. The doctor admitted to misusing his talents for greed, earning millions from the fraudulent diagnoses. Patients described the experience as stressful and emotional.

The transcript presents a long-form exposé-style investigation into what the speakers describe as widespread fraud in California’s caregiving sectors, focusing on hospice, home health care, and daycares, with emphasis on Los Angeles and Van Nuys. - Opening claim and context: - Speaker 0 asks why there is a thousand percent increase in hospice care in Los Angeles and whether paperwork exists to enroll a child named Joey. They claim California has the largest fraud risk, with Medi-Cal spending rising from 2022 to 2026 (from $108 billion to a proposed $222 billion) while population growth hasn’t matched spending growth. They allege “one out of every $10 of home health care in America is spent in Los Angeles.” They argue government-funded daycare programs are “filled with violations,” and that fraud could be “hundreds of billions of dollars.” - Daycare fraud focus: - The video claims daycares are used to receive government money (CalWORKS) by enrolling children on paper while not having real enrollments. They show various locations and describe conditions as suspicious or unsafe (graffiti, boarded-up buildings, dumpsters, a homeless person near a daycare). - Medina Learning Center is described as “now enrolling,” with “as their backup facility, the UMI Learning Center,” which was “convicted in federal court in 2024 of having a 150 ghost kids.” They seek paperwork to enroll a child named Joey. - Hayden Sarah Family Child Care is described as having “14 children enrolled” per state records but “zero present” when inspectors arrived; the facility roster and missing children records are cited as violations. - Jama Shukri Family Childcare is described as a daycare located in an apartment building (one-bedroom, eight capacity) with two children outside and no adult visible, raising concerns about supervision. - The video notes California allocates $6 billion to childcare, “over 39,000 facilities,” with a state audit error rate of 1.6%, and conservative estimates suggest “upwards of a $100,000,000 in fraud lost each and every single year.” - A recurring theme is “shell registrations” and unregistered CMS (Centers for Medicare and Medicaid Services) entities; seven of the four entities shown have “zero SMS data,” implying shell companies or fraud networks possibly connected to Armenian/Russian gangs. - Hospice and home health care fraud focus: - The group shifts to Van Nuys, California, claiming “home health care and hospice fraud” is pervasive there; they assert “one out of every $10 that goes towards home health care in the United States goes to a business here in LA.” They visit numerous hospice centers in a single plaza, naming Gardens of Angels Hospice and Blossom Hospice as examples of high billing with few services performed (e.g., Gardens of Angels: “billed $4,800,000 per beneficiary,” “$5,807 per claim,” 28.6 claims per patient, only two codes). Blossom Hospice is described as “$3,400,000” billed with “$927 per claim,” again with only one code and minimal services. - They claim “seven of the four entities have zero SMS data” and label some facilities as shell registrations; some locations appear “registering for hospice but not actually providing care,” with claims of “shell buildings” or storefronts that are empty or only used for billing. - The video notes the presence of luxury cars at these sites (Mercedes, Teslas, BMWs, a Cybertruck) and references a pattern of wealthy vehicles associated with hospice sites, suggesting profits from taxpayers’ dollars. - Miracle Healing Hospice is described as having billed $1,300,000 in 2023 with 38 beneficiaries: “$32,000 per beneficiary,” but the location was reported as an empty building when visited. - The presenters also describe finding a location that “received $19,000,000” over the past years for Healthy Life Adult Daycare, yet the building appears dilapidated and shows no adults present during visits. Phone lines and mailboxes are reported as failing to provide information or contacts. - Interviews and expert commentary: - A professional in the medical industry is interviewed to explain how fraud could occur: someone could obtain a Medicare number and use it to bill Medicare for hospice services; fraudsters reportedly can open a hospice license without being a physician, then bill the system and receive payments quickly. - The interview suggests Medicare numbers can be stolen or purchased; the speaker emphasizes that “anybody can get a hospice license,” and that the process enables easy billings to Medicare/Medicaid. - A participant describes a trend of these facilities opening and billing, with the implication that people exploit the system for swift returns. - Overall framing and conclusions presented: - The speakers argue that there is a thousand percent increase in hospice openings in California, a surge in fraudulent activity across daycares and hospice/hom e health facilities, and that tax dollars are funding these entities with little-to-no accountability. They juxtapose luxury cars and upscale appearances with empty or non-operational facilities to illustrate alleged misappropriation of funds. They advocate scrutiny, data-backed investigation, and accountability for what they describe as widespread fraud affecting taxpayers and vulnerable populations. - Closing sentiments: - The narrative closes with a call to action against fraud, emphasizing the impact on ordinary Americans who face rising costs and debt, and claiming that exposing fraud is essential to protecting taxpayer dollars and national financial health.

Transnational fraud rings, terrorist organizations, and even nation-states are being funded by taxpayer dollars. During the pandemic, one trillion dollars was stolen, with 70% going overseas. For example, in one Western state, unemployment insurance applications exceeded the number of adults. Romanian criminals used stolen funds to facilitate fraud schemes involving fentanyl and attempts to undermine our democracy. While 99% of public sector employees are honest, some exploit the system. Data and technology are crucial to identifying these individuals. Recent examples include a breach of a Medicaid system in a Western state, resulting in $50 million stolen in under four months. These aren't individual thieves, but organized criminal groups, both domestic and transnational.

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.

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.

Transnational fraud rings, terrorist organizations, and even nation-states are being funded with taxpayer dollars. During the pandemic, one trillion dollars was stolen, with 70% going overseas. For example, one state had more unemployment claims than adults. Romanian criminals used stolen funds for fentanyl and to undermine our democracy. While most public servants are honest, some exploit the system. In one recent case, individuals stole $50 million from Medicaid in under four months. These aren't individual thefts, but organized criminal groups, both domestic and transnational, that we need data and technology to stop.

Two scammers pled guilty to a $68,000,000 fraud scheme tied to the state's Medicaid home care program. The crooks billed for millions in services that they never provided, in a case linked to the CDPAP program, which allows people who need care to hire their own caregiver through Medicaid, choosing a friend or relative as long as they go through the process. News Nation reports that two New Yorkers pled guilty to a involving large-scale recruiters who bribed patients with laundered cash and billed Medicaid over $68,000,000 for services that were not provided. This follows a separate million-dollar-plus conviction announced by New York Attorney General Letitia James this week, still tied to fake billing and kickback schemes within the state's Medicaid program. CDPAP, the Consumer Directed Personal Assistance Program, is described as meant to make care easier for loved ones at home rather than in nursing homes, but is targeted by sophisticated scammers. Attorney John Flynn explains that while CDPAP is for people who need care, it’s become a target for scammers; the program’s intent is good, but bad people are taking advantage of federal and state money. The article notes that fraud in the CDPAP program is not new. In 2018, a man arranged for friends and family members to be paid as home caregivers for his sick mom, only to discover his mom was living in Bangladesh; during home inspections, his brother impersonated her to keep the fraud going. In 2024, Governor Kathy Hochul called CDPAP a “racket” and described it as one of the most abused programs in New York’s history. News Nation asked the governor’s office for comment on the recent fraud charges; a spokesperson said she has taken steps to fix the system by cutting out hundreds of middlemen. The governor’s office also cited Letitia James’s transportation company bust as an example of efforts to stop this kind of crime. The report notes that when Republicans asked for an audit of the CDPAP program in New York, supporters called it a political stunt, arguing that measures are already in place. Amid ongoing fraud, the narrative references a broader effort, including President Donald Trump announcing a new division to combat crimes like this. Natasha and Lea Lando are reporting on this developing story from New York. Lea Lando is live in Manhattan with the latest.

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.

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.

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.

The speaker states there is a tremendous amount of fraud, waste, and abuse. Elon is thanked for his partnership in uncovering fraud in the government, and the speaker claims those who have committed fraud will be prosecuted. Thanks to President Trump's directive, the speaker says they are seeking the death penalty again for violent criminals. Drug dealers are told to leave, because the 94 US Attorneys around the country will prosecute everyone to the fullest extent of the law.

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.

The individual under investigation by the DOJ and SEC for $15.1 million in insider trading also paid $22 million in ransomware due to inadequate security in the healthcare sector. A lawsuit against UnitedHealthcare claims the company knowingly used faulty artificial intelligence to deny legitimate claims, prioritizing profitability. This AI tool, with a 90% inaccuracy rate, particularly affected elderly individuals in care homes, forcing them to liquidate assets for survival. This situation reveals a troubling side of UnitedHealthcare, suggesting a deliberate strategy that goes beyond typical corporate profit motives.

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.

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.

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.

We're uncovering massive fraud, waste, and abuse daily. Recently, it was discovered that there were $2.7 trillion in improper payments to Medicare, Medicaid, and overseas. Social Security payments are even going to deceased individuals. We're also seeing contracts where the full amount wasn't delivered. For example, a million-dollar contract might only see $500,000 distributed, and we're working to find where the rest of the money went. This is exactly what I campaigned on, and what 77 million people elected me to do.