Justice Department Secures Landmark Resolution to End Pediatric “Gender-Affirming Care” and Create Detransition Clinic

Source: United States Department of Justice Criminal Division

Texas Children’s Hospital agrees to pay millions and establish first-ever detransition clinic to provide care for victims

WASHINGTON – Today, the Department of Justice announced the first resolution secured under the Department’s ongoing national investigation into violations of federal law in connection with the provision of sex-rejecting procedures on minors (often euphemistically called “gender-affirming care”).  Texas Children’s Hospital (TCH) has entered into agreements with the Department and the Texas Attorney General that include commitments to not perform such procedures on children, which include the administration of puberty blockers and cross-sex hormones.  TCH has also agreed to collectively pay over $10 million in damages and civil penalties and to dedicate millions to the provision of medical care to children harmed by the provision of such procedures (i.e., “detransitioners”).

“The Justice Department will use every weapon at its disposal to end the destructive and discredited practice of so-called ‘gender-affirming care’ for children,” said Acting Attorney General Todd Blanche.  “Today’s resolution protects vulnerable children, holds providers accountable, and ensures those harmed receive the care they need.”

Under the terms of the agreements, which the Department of Justice reached in coordination with Texas Attorney General Ken Paxton, TCH will pay $10 million to resolve allegations that it submitted false billings to public and private payors to secure insurance coverage for pediatric sex-rejecting procedures.  The Department alleges this conduct violated the Federal Food, Drug, and Cosmetic Act, the False Claims Act, and federal fraud and conspiracy laws.  Critically, in addition to terminating these services, TCH has committed to establishing the first-of-its-kind clinic dedicated to restorative care for detransitioners.

In connection with the settlements, the United States acknowledged that TCH took significant steps entitling it to credit for cooperation with the Department in its investigation.  At all times during the investigation, TCH remained cooperative, proactive, and solution-driven, as highlighted by its multi-million-dollar commitment to providing care to the victims who most need it.

“The Department of Justice is committed to protecting America’s children,” said Associate Attorney General Stanley Woodward.  “Today’s resolution furthers that commitment and puts providers of so-called gender affirming care on notice that this Department will vigorously enforce federal law where children are put at risk.”

“I am grateful that Texas Children’s wants to be part of the solution and no longer the problem,” said Brett A. Shumate, Assistant Attorney General for the Civil Division. “Its commitment to providing detransitioner care is emblematic of just that. While the Department is satisfied with the resolution announced today, our division will continue to work tirelessly to protect America’s children and hold accountable pharmaceutical companies and medical providers who have taken advantage of vulnerable children under the guise of ‘care.’”

These matters and the investigations into sex-rejecting procedures on minors are being led by the Justice Department’s Civil Division Enforcement and Affirmative Litigation Branch and Commercial Litigation Branch, Fraud Section.

The claims resolved by the United States in the settlements are allegations only and there has been no determination of liability. Both entities have denied all allegations.

California Man Arrested for Violating Lacey Act for Plot to Illegally Export Trafficked Turtles

Source: United States Department of Justice Criminal Division

Defendant Purchased Illegal Turtles and Falsely Labeled Wild Turtles as Captive-Bred

This week, Donald Do, of Daly City, California, was arrested on federal wildlife trafficking charges. Do is charged with conspiracy and Lacey Act crimes related to submitting false paperwork to obtain a federal export permit and trying to ship protected turtles to Asia.

The indictment alleges that between December 2022 and May 2024, Do and a California accomplice attempted to export 292 loggerhead musk turtles to Taiwan. Do’s co-conspirator obtained an export permit from the U.S. Fish and Wildlife Service (USFWS) based on a false claim by Do that he hatched and raised the turtles when he had not.

After obtaining the export permit, Do allegedly bought musk turtles poached from the wild in Florida and elsewhere, and tried to obtain more. Do told sellers he was willing to take “wild caught” and sent instructions to ship turtles to San Francisco. Do and the co-conspirator also allegedly tried to obtain over 200 turtles from Albert Bazaar, of Louisiana, who was detained last week in Phoenix on turtle trafficking charges. After unsuccessfully exporting the turtles, Do allegedly tried to conceal his role by lying to his co-conspirator in California that he had sold the turtles to other domestic buyers.

It is illegal under the Lacey Act to provide false information about wildlife involved in international or interstate commerce or to sell or transport wildlife taken in violation of state law. The USFWS issues permits to import or export fish, wildlife, and plants protected by the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), of which the United States and 184 other governments are signatories. Loggerhead musk turtles were added to the list of protected species in November 2022. 

The judge scheduled a bond hearing for May 21 and a status conference for July 31. If convicted, Do faces a maximum penalty of five years in prison and a $250,000 fine on each of the conspiracy and Lacey Act charges. Any sentence following conviction would be imposed by the court after considering the U.S. Sentencing Guidelines and other factors.

Principal Deputy Assistant Attorney General Adam Gustafson of the Justice Department’s Environment and Natural Resources Division (ENRD), U.S. Attorney Craig Missakian for the Northern District of California, and Assistant Director Doug Ault, USFWS Office of Law Enforcement announced the arrest and charges.

The USFWS investigated the case as part of Operation Southern Hot Herps, which was a joint federal and state law enforcement operation to detect and deter turtle poachers in the southeastern United States. Homeland Security Investigations, California Department of Fish and Wildlife, and the Florida Fish and Wildlife Conservation Commission assisted with the investigation.

Senior Trial Attorney Ryan Connors of ENRD’s Environmental Crimes Section and Assistant U.S. Attorney Kenneth Chambers for the Northern District of California are prosecuting the case.

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

Challenge Dropped to Air Force’s Fighter Jet Training Operations in Eastern Oregon

Source: United States Department of Justice Criminal Division

Earlier this month, the Oregon Natural Desert Association voluntarily dismissed its suit that alleged that the Air Force was illegally discharging countermeasures — chaff and flares — into waterways as part of its fighter jet training operations over the Paradise North area of eastern Oregon. The suit alleged that these releases from aircraft entered waterways and violated the Clean Water Act because the Air Force did not have a permit to do so. The Air Force denied that its operations required a permit in light of an April 20 determination by President Donald J. Trump to exempt for one year the Air Force’s fighter jet training operations in Idaho, Oregon, and Nevada from federal, state, and local requirements respecting the control land abatement of water pollution. The dismissal will minimize any disruption of the Air Force’s training program and save significant time and resources that the litigation would have required.

“Given how critical the Air Force’s training operations are to the nation’s military readiness and national defense, we are gratified to see this case dismissed,” said Principal Deputy Assistant Attorney General Adam Gustafson of the Justice Department’s Environment and Natural Resources Division (ENRD). “Congress granted the President the authority to exempt certain military operations from Clean Water Act requirements, and doing so here ensures that our pilots continue to receive the best training in the world.”

Military aircraft have been training in eastern Oregon since Mountain Home Army Air Field opened in August 1942. The Air Force currently conducts aerial fighter training for aircraft — primarily F-15E Strike Eagle aircraft — and pilots stationed at the base. This aerial flight training takes place within six Military Operation Areas, including the Paradise North desert lands in southeastern Oregon, as part of the Air Force’s ongoing mission to train and equip America’s elite cadre of fighter pilots. The training occurs over an expansive area and may include fighter jets releasing chaff and flares into the atmosphere as practice for defending against RADAR-guided weapons and heat-seeking missiles. For several decades, the Air Force has, at times, used chaff and flares during aerial training at Mountain Home Air Force Base.

Attorneys with ENRD’s Natural Resources Section handled this matter.

U.S. Attorney’s Office Filed 108 Border-Related Cases This Week

Source: United States Department of Justice Criminal Division

SAN DIEGO – Federal prosecutors in the Southern District of California filed 108 border-related cases this week, including charges of bringing in aliens for financial gain, reentering the U.S. after deportation, and importation of controlled substances. The U.S. Attorney’s Office for the Southern District of California is the fourth-busiest federal district, largely due to a high volume of border-related crimes. This district, encompassing San Diego and Imperial counties, shares a 140-mile border with Mexico. It includes the San Ysidro Port of Entry, the world’s busiest land border crossing, connecting San Diego (America’s eighth largest city) and Tijuana (Mexico’s second largest city).

Maryland Tax Return Preparer Sentenced to Prison for Preparing False Returns

Source: United States Department of Justice Criminal Division

A Maryland woman was sentenced today to 12 months and one day in prison for preparing false tax returns for clients.

According to court documents and statements made in court, Zewdi Tsegay, of Burtonsville, Maryland, operated a tax preparation business initially called Taxes R Us LLC. From 2017 through 2023, Tsegay prepared and filed with the IRS false tax returns on behalf of clients. These tax returns included false business losses that resulted in either the clients receiving tax refunds that they were not entitled to receive or the clients’ tax liabilities being decreased. After Tsegay learned she was under investigation, she changed the name of the business to Taxes 4 You, LLC.

In March 2020, the IRS conducted an undercover operation at Tsegay’s return preparation business. Tsegay initially prepared the undercover agent’s tax return correctly, which reflected that the undercover agent owed taxes. Tsegay then added a fictitious business loss to the undercover agent’s tax return, which resulted in the return improperly claiming a refund. Following a search warrant at her tax preparation business, Tsegay continued to prepare and file false returns on behalf of clients under the name of another individual. Further, from 2021 to 2023, Tsegay was required to file tax returns for herself, but she willfully failed to do so by the statutory deadline.

In total, Tsegay caused a tax loss to the United States between $250,000 and $550,000.

Tsegay pleaded guilty to one count of aiding and assisting in the preparation and presentation of a false tax return. In addition to the term of imprisonment, U.S. District Judge Theodore D. Chuang ordered Tsegay to serve one year of supervised release and to pay $178,480 in restitution to the United States.

Assistant Attorney General Colin McDonald of the Justice Department’s National Fraud Enforcement Division made the announcement.

IRS Criminal Investigation investigated the case.

Trial Attorneys Catriona Coppler and Richard Kelley of the Criminal Division’s Tax Section prosecuted the case.

On April 7, the Department of Justice announced the creation of the National Fraud Enforcement Division (“Fraud Division”). The Fraud Division is laser-focused on investigating and prosecuting those who commit fraud against the American people. The Department’s work to combat fraud supports President Trump’s Task Force to Eliminate Fraud, a whole-of-government effort chaired by Vice President J.D. Vance to eliminate fraud, waste, and abuse within Federal benefit programs.

Convicted Felon Charged with Drug & Gun Offenses

Source: United States Department of Justice Criminal Division

Gainesville, Florida – Quardarell Henry Robinson, 38, of Williston, Florida, has been indicted in federal court for manufacturing crack cocaine, possessing with the intent to distribute multiple controlled substances, possessing a firearm during a drug-trafficking crime, and possessing multiple firearms as a convicted felon. 

Michigan Home Health Care Agency Owner Convicted of $1.6M Medicare Fraud Scheme and Kickback Conspiracy

Source: United States Department of Justice Criminal Division

A federal jury in the Eastern District of Michigan convicted a Michigan nurse and home health care agency owner yesterday for operating a $1.6 million scheme to defraud Medicare.

According to court documents and evidence presented at trial, Ruby Scott, 55, of Farmington Hills, Michigan, owned and operated Delta Home Health Care LLC (Delta). From 2018 through 2021, Scott bribed a discharge nurse at a Detroit hospital to identify Medicare patients and fax their confidential records to Delta, unbeknownst to the patients. Scott had developed the kickback relationship with the hospital discharge nurse at a home health company she had previously co-owned, but she offered the nurse an additional $100 patient to induce her to refer patients to her new company. Scott paid the discharge nurse over $130,000 by CashApp, PayPal, check, and cash. Scott used these stolen profiles to bill Medicare for home health services, exploiting the diagnostic and personal information of patients who were unaware their data had been compromised.

The evidence at trial showed that Scott paid the discharge nurse approximately $300 for each patient Scott successfully billed to Medicare. In billing claims for patients who were obtained through kickbacks, as well as other claims between 2018 and 2024, Scott falsely represented to Medicare that a doctor had certified patients as meeting the Medicare requirements to receive home health services, including being homebound, when evidence proved no doctor had ever evaluated these patients for home health services. In many instances, Scott used the identities of real doctors to fabricate the existence of these evaluations when, in reality, these doctors had never even met the patients and did not know that Scott was using their information to fraudulently bill Medicare. A witness testified one patient for whom Delta received thousands of dollars in payments had never received services from Scott’s company. Delta failed to maintain patient files for over one-third of the patients for which it submitted claims to Medicare, for whom Medicare paid Delta over $1.2 million. Scott caused approximately $1.6 million in losses to Medicare, which a witness testified drains the Medicare trust fund and could make it difficult for Medicare to pay on claims that are true and accurate.

The jury convicted Scott of five counts of health care fraud, conspiracy to defraud the United States and pay illegal health care kickbacks, and four counts of paying illegal health care kickbacks. She is scheduled to be sentenced on Sept. 24 and faces a maximum penalty of 10 years in prison as to each health care fraud count, a maximum penalty of 10 years in prison as to each kickback count, and a maximum penalty of five years in prison as to the conspiracy count. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

Assistant Attorney General Colin M. McDonald of the Justice Department’s National Fraud Enforcement Division; Special Agent in Charge Reuben Coleman of the FBI Detroit Field Office; and Special Agent in Charge Thomas Ethridge of the Department of Health and Human Services Office of Inspector General (HHS-OIG) made the announcement.

The FBI Detroit Field Office and HHS-OIG investigated the case.

Trial Attorneys Kelly M. Warner and Ahmad Huda of the Criminal Division’s Fraud Section are prosecuting the case.

On April 7, the Department of Justice announced the creation of the National Fraud Enforcement Division (“Fraud Division”). The Fraud Division is laser-focused on investigating and prosecuting those who commit fraud against the American people. The Department’s work to combat fraud supports President Trump’s Task Force to Eliminate Fraud, a whole-of-government effort chaired by Vice President J.D. Vance to eliminate fraud, waste, and abuse within Federal benefit programs.

The Department of Justice’s Health Care Fraud Strike Force Program, currently comprised of nine strike forces operating in federal districts across the country, has charged more than 6,200 defendants who collectively billed federal health care programs and private insurers more than $45 billion since 2007. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the Office of the Inspector General for the Department of Health and Human Services, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit.

West Tennessee Man Sentenced to 17 Years in Prison for Federal Drug Offense

Source: United States Department of Justice Criminal Division

Jackson, TNJohn David Forrest, 36, of McKenzie, Tennessee, has been sentenced to 17 years in federal prison for distributing over 50 grams of actual methamphetamine. D. Michael Dunavant, United States Attorney for the Western District of Tennessee, announced the sentence today.According to information presented in court, in the spring of 2024, Forrest sold methamphetamine to confidential informants who were working for law enforcement on multiple occasions.  During the last controlled buy, Forrest sold an informant…