DOJ-HHS False Claims Act Working Group

Source: United States Department of Justice Criminal Division

Healthcare fraud and abuse depletes taxpayer funds, corrodes public health and safety, and undermines the integrity of the federal healthcare system. The U.S. Department of Health and Human Services (HHS) and the U.S. Department of Justice (DOJ) have a long history of partnering to use one of the government’s most effective and successful tools — the False Claims Act (FCA) — to combat healthcare fraud. This Administration is fully committed to supporting such work. HHS and DOJ’s Civil Division are strengthening their ongoing collaboration to advance priority enforcement areas through the DOJ-HHS False Claims Act Working Group.

Membership in the DOJ-HHS False Claims Act Working Group will include leadership from the HHS Office of General Counsel, the Centers for Medicare & Medicaid Services Center for Program Integrity, the Office of Counsel to the HHS Office of Inspector General (HHS-OIG), and DOJ’s Civil Division, with designees representing U.S. Attorneys’ Offices. The group will be jointly led by the HHS General Counsel, Chief Counsel to HHS-OIG, and the Deputy Assistant Attorney General of the Commercial Litigation Branch.

As part of the Working Group’s coordination work:

  • HHS shall make referrals to DOJ of potential violations of the FCA that reflect Working Group priorities. In addition to priority FCA matters previously announced by the Assistant Attorney General of the Civil Division,[1] the Working Group is announcing the following priority enforcement areas:
    • Medicare Advantage
    • Drug, device or biologics pricing, including arrangements for discounts, rebates, service fees, and formulary placement and price reporting
    • Barriers to patient access to care, including violations of network adequacy requirements
    • Kickbacks related to drugs, medical devices, durable medical equipment, and other products paid for by federal healthcare programs
    • Materially defective medical devices that impact patient safety
    • Manipulation of Electronic Health Records systems to drive inappropriate utilization of Medicare covered products and services
  • The Working Group shall maximize cross-agency collaboration to expedite ongoing investigations in these priority areas and identify new leads, including by leveraging HHS resources through enhanced data mining and assessment of HHS and HHS-OIG report findings.
  • The Working Group shall discuss considerations bearing on whether HHS should implement a payment suspension pursuant to 42 U.S.C. § 405.370 et seq. or whether DOJ shall move to dismiss a qui tam complaint under 31 U.S.C. § 3730(c)(2)(A), consistent with Justice Manual Section 4-4.111.

The DOJ-HHS False Claims Act Working Group encourages whistleblowers to identify and report violations of the federal False Claims Act involving priority enforcement areas.  Tips and complaints from all sources about potential fraud, waste, abuse, and mismanagement can be reported to HHS at 800-HHS-TIPS (800-447-8477).  Similarly, the Working Group encourages healthcare companies to identify and report such violations consistent with Justice Manual Section 4-4.112.  

Note: Read a PDF version of the release here


[1] Brett A. Shumate, Assistant Attorney General, Civil Division Enforcement Priorities (June 11, 2025), available at www.justice.gov/civil/media/1404046/dl?inline.

Member of Transnational Terrorist Group Charged with Soliciting the Murder of Federal Officials in Connection with Hit List

Source: United States Department of Justice Criminal Division

The Justice Department announced today that Noah Lamb, 24, was charged in the Eastern District of California in an eight-count indictment for conspiracy, soliciting the murder of federal officials, and other offenses in connection with his work on a hit list of “high value targets” for assassination.

“Transnational criminal networks that promote extremist ideology and seek to commit targeted assassinations and cause terror obviously have no place in our society,” said Assistant Attorney General John A. Eisenberg of the Justice Department’s National Security Division. “These criminal charges reflect the Justice Department’s unwavering commitment to using the full force of the law to disrupt and prosecute those who use hate-driven violence to threaten public safety and national security.”

“The Justice Department’s Civil Rights Division is committed to aggressively pursuing those who engage in hate-fueled conspiracies and terrorist threats,” said Assistant Attorney General Harmeet K. Dhillon of the Justice Department’s Civil Rights Division. “We will use every tool available to protect the civil rights of all Americans and ensure justice for those targeted by such heinous acts.”

“The defendant collaborated with members of the online Terrorgram Collective to create a list of targets for assassination,” said Acting U.S. Attorney Michele Beckwith for the Eastern District of California. “Individuals on the list were targeted because of race, religion, national origin, sexual orientation, or gender identity, including federal officials. The U.S. Attorney’s Office will work tirelessly with our partners in law enforcement and in the U.S. Department of Justice to investigate and prosecute those who commit such violations of federal criminal law.”

“The FBI stands vigilant, protecting our homeland against individuals who seek to use violence to target the American people, our democracy, and the freedoms we stand for,” said Special Agent in Charge Sid Patel of the FBI Sacramento Field Office. “These charges send a clear message of zero tolerance to anyone who advocates the use of violence to promote their ideology.”

According to the indictment, which was unsealed today, Lamb was a member of the Terrorgram Collective, a transnational terrorist group that operates on the digital messaging platform Telegram, where it promotes racially or ethnically motivated violent extremism. Members of the Terrorgram Collective believe the white race is superior; that society is irreparably corrupt and cannot be saved by political action; and that violence and terrorism are necessary to ignite a race war and accelerate the collapse of the government and the rise of a white ethnostate.

The indictment alleges that Lamb conspired with other members of the Terrorgram Collective to create and disseminate a hit list of “high-value targets” for assassination that includes U.S. federal, state, and local officials, as well as leaders of private companies and non-governmental organizations, targeted because of race, religion, national origin, sexual orientation, or gender identity.

The indictment charges Lamb with a total of eight federal crimes, including one count of conspiracy, three counts of soliciting the murder of federal officials, three counts of doxing federal officials, and one count of threatening communications. If convicted, Lamb faces a maximum penalty of 85 years in prison.

The FBI Sacramento Field Office investigated the case.

The Justice Department’s Civil Rights Division, National Security Division, and U.S. Attorney’s Office for the Eastern District of California are prosecuting the case.

An indictment is merely an allegation. All defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law. 

Defense News in Brief: Continuing Promise 2025 Mission Update: Ecuador

Source: United States Navy

The USNS Comfort (T-AH 20) is now scheduled to conduct its Continuing Promise 2025 mission stop in Manta, Ecuador from July 4-10, instead of the previously planned July 12-19. Adjusting the mission dates allows the USNS Comfort to maintain readiness to support U.S. Navy global operations while delivering important humanitarian assistance. The U.S. Navy is committed to working with Ecuador to promote public health, security, and prosperity.

Suburban Chicago Businessman Convicted for Role in Bank Fraud and PPP Fraud Schemes

Source: United States Department of Justice Criminal Division

A federal jury convicted an Illinois businessman yesterday for his role in schemes to fraudulently obtain over $55 million in commercial loans and lines of credit and for submitting fraudulent applications to obtain COVID-19 relief money guaranteed by the U.S. Small Business Administration (SBA) through the Paycheck Protection Program (PPP).

According to court documents and evidence presented at trial, Rahul Shah, 56, of Evanston, the owner and operator of several information technology companies in the Chicago area, fraudulently obtained funds from loans and lines of credit for which he was not eligible from federally insured financial institutions and later defaulted on at least one such line of credit and one such loan. Shah submitted to federally insured financial institutions falsified bank statements that fraudulently inflated deposits, falsified balance sheets that overstated revenues, and fabricated audited financial statements with forged signatures. Shah also engaged in monetary transactions with proceeds from the bank fraud.

Shah also submitted to a federally insured bank an application for a $441,138 loan guaranteed by the SBA that significantly overstated the payroll expenses of a company he controlled. In support of the loan application, he submitted to the lender several fraudulent IRS documents, which falsely represented that the company made payments to multiple individuals who had not received such payments. He also used stolen identities to carry out the fraud, using the names and taxpayer identification numbers of individuals that he knew had not received payments from the company in the PPP loan applications.

In addition, Shah signed and caused to be submitted to the lender what purported to be IRS Forms 941 representing his company’s quarterly payroll expenses for 2019. A comparison between the documents submitted to the lender and the company’s IRS and state tax filings revealed that Shah’s company reported significantly lower payroll expenses to the tax authorities.

Shah was convicted of seven counts of bank fraud, five counts of making false statements to a financial institution, two counts of money laundering, and two counts of aggravated identity theft. He is scheduled to be sentenced on Nov. 13. Shah faces up to 30 years in prison on each count of bank fraud and false statements to a financial institution, up to 10 years in prison on each count of money laundering, and up to two years in prison for each aggravated identity theft count. A federal district court judge will determine the sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

Matthew R. Galeotti, Head of the Justice Department’s Criminal Division, U.S. Attorney Andrew S. Boutros for the Northern District of Illinois, Special Agent in Charge Douglas S. DePodesta of the FBI Chicago Field Office, and Special Agent in Charge Brady Ipock of the Small Business Administration Office of Inspector General (SBA OIG) Chicago Field Office made the announcement.

The FBI Chicago Field Office and SBA OIG Chicago Field Office investigated the case.

Assistant Chief Patrick Mott and Trial Attorney Lindsey Carson of the Criminal Division’s Fraud Section and Assistant U.S. Attorney Jasmina Vajzovic for the Northern District of Illinois are prosecuting the case.

The Fraud Section leads the Criminal Division’s prosecution of fraud schemes that exploit the PPP. Since the enactment of the CARES Act, the Fraud Section has prosecuted over 200 defendants in more than 130 criminal cases and has seized over $78 million in cash proceeds derived from fraudulently obtained PPP funds, as well as numerous real estate properties and luxury items purchased with such proceeds. More information can be found at www.justice.gov/criminal/criminal-fraud/cares-act-fraud

Anyone with information about allegations of attempted fraud involving COVID-19 can report it by calling the Justice Department’s National Center for Disaster Fraud (NCDF) Hotline via the NCDF Web Complaint Form at www.justice.gov/disaster-fraud/ncdf-disaster-complaint-form.

Justice Department Files Statement of Interest in Wyoming Case to Defend Documentary Proof of Citizenship Requirement for Voter Registration

Source: United States Department of Justice Criminal Division

The Justice Department announced today that it has filed a Statement of Interest in the lawsuit Equality State Policy Center v. Chuck Gray, defending Wyoming’s legitimate interest securing its voting process from fraud by requiring documentary proof of citizenship to register to vote.

Longstanding Supreme Court precedent recognizes that states have a significant interest in preventing fraud and safeguarding voter confidence in the election process. Wyoming’s documentary proof of citizenship law is a mechanism to enforce laws that prohibit non-citizen voting and ensure that only eligible voters cast ballots.

“It is a crime for non-citizens to vote in federal elections, and it is important that the American people have confidence in the integrity of our elections.” said Deputy Assistant Attorney General Michael Gates of the Justice Department’s Civil Rights Division. “Requiring documentary proof of citizenship is common sense and ensures that only citizens vote.”

The Civil Rights Division’s Voting Section enforces the civil provisions of federal statutes that protect the integrity of the vote, including the Voting Rights Act, National Voter Registration Act, Help America Vote Act, and the Uniformed and Overseas Citizens Absentee Voting Act.

Security News: Justice Department Files Statement of Interest in Wyoming Case to Defend Documentary Proof of Citizenship Requirement for Voter Registration

Source: United States Department of Justice

The Justice Department announced today that it has filed a Statement of Interest in the lawsuit Equality State Policy Center v. Chuck Gray, defending Wyoming’s legitimate interest securing its voting process from fraud by requiring documentary proof of citizenship to register to vote.

Longstanding Supreme Court precedent recognizes that states have a significant interest in preventing fraud and safeguarding voter confidence in the election process. Wyoming’s documentary proof of citizenship law is a mechanism to enforce laws that prohibit non-citizen voting and ensure that only eligible voters cast ballots.

“It is a crime for non-citizens to vote in federal elections, and it is important that the American people have confidence in the integrity of our elections.” said Deputy Assistant Attorney General Michael Gates of the Justice Department’s Civil Rights Division. “Requiring documentary proof of citizenship is common sense and ensures that only citizens vote.”

The Civil Rights Division’s Voting Section enforces the civil provisions of federal statutes that protect the integrity of the vote, including the Voting Rights Act, National Voter Registration Act, Help America Vote Act, and the Uniformed and Overseas Citizens Absentee Voting Act.

Three Defendants Sentenced in Wide-Ranging Scheme to Monopolize International Transit Industry, Fix Prices, Extort Competitors, and Launder Money

Source: United States Department of Justice Criminal Division

The U.S. Department of Justice today announced that three additional defendants were sentenced in connection with a long-running and violent conspiracy to monopolize the transmigrante forwarding agency industry in the Los Indios, Texas, border region, located near Harlingen and Brownsville, Texas. The defendants controlled the transmigrate industry through fear, monopolization, and extortion of competitors, and laundered proceeds from the conspiracies.

Pedro Antonio Calvillo Hernandez, age 50 of McAllen, Texas, was sentenced to 37 months’ imprisonment, a three-year term of supervised release, and a $50,000 fine after pleading guilty to conspiracy to illegally fix prices and allocate the market for transmigrante forwarding agency services, conspiracy to monopolize the transmigrante market, and conspiracy to interfere with commerce by extortion.

Jose de Jesus Tapia Fernandez, age 47 of Brownsville, Texas was sentenced to time served, or 31 months in prison, and a three-year term of supervised release after pleading guilty to a money laundering conspiracy through which extortion proceeds were laundered.

Mireya Miranda, age 59 of San Antonio, Texas, was sentenced to 10 months of home detention, and a $75,000 fine after pleading guilty to conspiracy to illegally fix prices and allocate the market for transmigrante forwarding agency services; and conspiracy to monopolize the transmigrante market.

“The danger and the harm to the American people by the use of violence and extortion to fix prices and monopolize the market for an essential service in the Texas border region cannot be understated,” said Assistant Attorney General Abigail Slater of the Justice Department’s Antitrust Division. “Today’s sentences demonstrate the Antitrust Division’s commitment to pursuing incarceration for both white-collar and violent criminals who seek to exploit America’s free markets.”

“Price fixing is an attempt to distort the market in favor of the fixer and to the detriment of basically everyone else. Although such market manipulation is bad enough, it is even worse when brought about through threats and violence,” said U.S. Attorney Nicholas J. Ganjei for the Southern District of Texas. “The Southern District of Texas will work tirelessly to prosecute such criminal syndicates and to ensure markets along the Texas-Mexico border remain free, fair, and open.”

“The FBI is proud of the hard work and collaboration with partners that led to today’s sentencing,” said Assistant Director Joe Perez of the FBI’s Criminal Investigative Division. “We remain absolutely committed to thwarting criminal enterprises that function without regard for the rule of law and whose practices of market manipulation include the use of violence and intimidation.”

“These sentencings reaffirm our unwavering commitment to safeguarding economic integrity at our nation’s borders,” said Special Agent in Charge Craig Larrabee of ICE Homeland Security Investigations San Antonio. “By dismantling an enterprise that thrived on extortion and price fixing, we are ensuring that honest businesses can compete on a level playing field. This case exemplifies how corruption in niche industries can have far-reaching effects, and HSI will continue to pursue those who abuse the system for profit.”

Transmigrantes transport used vehicles and other goods from the United States through Mexico for resale in Central America. There are only a few locations where transmigrantes can legally cross from the United States into Mexico, one of those being the Los Indios Bridge in Texas. Transmigrante forwarding agencies are U.S.-based businesses that provide services to transmigrante clients, including helping those clients complete the customs paperwork required to export vehicles into Mexico.  

According to court documents and statements made in court, the co-defendants fixed prices for transmigrante forwarding agency services and created a centralized entity known as the “Pool” to collect and divide revenues among the conspirators, limit competition from other agencies, and increase prices for their services. Some co-defendants also conspired to force forwarding agencies to pay money to the Pool and to pay other extortion fees, including a “piso” for every transaction processed in the industry as well as a “fine” for operating in the market outside of Pool rules. The conspirators perpetrated acts of intimidation, coercion, and violence in furtherance of the antitrust and extortion conspiracies.  Co-defendants Carlos Martinez and Tapia also conspired to launder the extortion proceeds. 

Calvillo, Tapia, and Miranda must also pay restitution to the victims of the conspiracies. The Court will determine the final restitution amount owed to victims of the conspiracies at a hearing set for Sept. 3.   

Four co-defendants have previously been sentenced in this case. One other co-defendant has pleaded guilty and is awaiting sentencing. Three other defendants, Rigoberto Brown, Miguel Hipolito Caballero Aupart, and Diego Ceballos-Soto were also charged in the superseding indictment and remain fugitives. Anyone with information about their whereabouts is asked to contact the Antitrust Division’s Complaint Center at 888-647-3258, or visit  www.justice.gov/atr/report-violations.

The Justice Department’s Antitrust Division, the Criminal Division’s Violent Crime and Racketeering Section (VCRS), the U.S. Attorney’s Office for the Southern District of Texas, Department of Homeland Security – Homeland Security Investigations and the Federal Bureau of Investigation investigated the case. 

Trial Attorneys Anne Veldhuis, Brittany E. McClure, and Michael G. Lepage and Senior Litigation Counsel John Davis of the Antitrust Division; Trial Attorney Christina Taylor of the Criminal Division’s Violent Crime and Racketeering Section (VCRS); and Assistant U.S. Attorney Alexander L. Alum for the Southern District of Texas prosecuted the case. 

Anyone with information in connection with this investigation should contact the Antitrust Division’s Complaint Center at 888-647-3258, or visit www.justice.gov/atr/report-violations