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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.

DOSH has already saved $69 billion, and another $100 billion in Social Security fraud has been uncovered. It seems widespread government corruption is the norm, not the exception. Billions in USAID funds, misused by figures like George Soros, have been funneled into harmful projects. Chemtronics' $17 billion pharmaceutical shipments to Africa warrant investigation, as does the high rate of AIDS there. Our tax dollars fund global corruption, murder, and war. We need accountability. Like Caesar, who seized assets from corrupt Roman patricians and redistributed the wealth, we need to arrest and prosecute these criminals. This isn't just an election; it's a revolution. We’ve uncovered massive fraud; now we await justice. Welcome to the upswing, America. Long live the republic.

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.

Speaker 0 asks for examples of how taxpayer dollars are funding transnational fraud rings, terrorist organizations, and adversarial nations like North Korea, China, Nigeria, Iran, Romania, and Russia. Speaker 1 states that during the pandemic, one trillion dollars was stolen, with 70% going overseas. 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 impact democracy. While most public servants are honest, data and technology are needed to identify insider threats. Recent examples include a $50 million Medicaid theft in a Western state within four months. These thefts are attributed to organized criminal groups, both domestic and transnational.

These individuals have caused great harm to our nation. I personally led the investigation and recovered the stolen funds.

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.

We plan to address the massive amount of fraud in this country, including foreign fraud rings where foreign nationals use fake social security numbers and identities to steal billions in taxpayer benefits. Until we gain full access, we can't know the exact amount, but clamping down on this fraud in our tax and entitlement systems could save over a trillion dollars over a ten-year budget window. It's important to understand that we are subordinate staffers of the federal government, political appointees who serve and answer to the president. We're not an outside entity, but existing federal staff performing our statutory and constitutional duty.

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?

I'm nearly convinced that our entire national debt of $36 trillion is due to fraud, abuse, and waste. A staggering $2.7 trillion was improperly sent overseas as Medicare and Medicaid payments. How is this even possible? Is there any part of our government that isn't defrauding the American people? We've barely scratched the surface of this audit, and it already seems the answer is no. It feels like every branch of government has been robbing Americans blind while we struggle to make ends meet. People are still freezing. I want to see arrests, and I want the names of those responsible revealed.

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.

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.

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.

Individuals such as Chauncey Billups, Damon Jones, and Terry Rozier were taken into custody today. These individuals are former and current NBA players and coaches. What you don't know is that this is an illegal gambling operation and sports rigging operation that span the course of years. The FBI led a coordinated takedown across 11 states to arrest over 30 individuals today responsible for this case, which is very much ongoing. Not only did we crack into the fraud that these perpetrators committed on the grand stage of the NBA, but we also entered and executed a system of justice against La Casanosra to include the Bonanno, Gambino, Genovese, and Lucchese crime families.

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 speaker outlines several policy and oversight actions within HUD and related agencies. First, they assert that non-permanent residents are no longer eligible for FHA insured mortgages, and that public housing authorities are being audited to ensure taxpayer dollars do not support illegal aliens, insisting that “American dollars should benefit American citizens and American citizens only.” Despite these emphasis on restricting benefits, the speaker notes that HUD previously provided a pathway for home ownership and supported housing affordability for more than 1,000,000 Americans through FHA and Ginnie Mae, highlighting the agency’s impact in expanding access to housing and affordability. On stewardship and accountability, the speaker emphasizes a strong focus on cracking down on waste and fraud and abuse. They cite findings from the office of the chief financial officer (CFO) regarding potential financial issues: more than $5,000,000,000 in potential payment errors and over $50,000,000,000 in total rental assistance for fiscal year 2024. They also point to a specific problem within that broader amount: money that went to nearly 30,000 dead people. The speaker characterizes these financial findings as ludicrous and unacceptable, stating that such issues are a violation of the sacred trust with American taxpayers. They assert that the problem “has to end, and it will,” signaling a firm commitment to ending waste, fraud, and abuse and to restoring confidence in the management of housing programs and related federal dollars.

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.