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Fraud Task Force, DOJ Prosecute Half-a-Billion Dollars in Health Care, COVID Schemes

  • Paul Richard Randall pleaded guilty to wire fraud for scheming to defraud California's Medi-Cal program of over $269 million by billing for unnecessary or undelivered drugs, exploiting a temporary rule change to avoid pre-approval, with sentencing scheduled for August and a maximum prison term of 30 years.
  • The In-Home Supportive Services Program in California costs nearly $30 billion annually and is estimated to suffer fraud rates between 20% and 40%, with alleged abuses facilitated by lax oversight and political ties between unions and Governor Gavin Newsom.
  • Two major unions representing IHSS caregivers collected over $149 million in dues in 2024, contributing millions to Democratic campaigns including Governor Newsom's, which critics argue creates political incentives against strong anti-fraud enforcement.
  • California's IHSS fraud investigations are limited; between 2023 and 2024, nearly 7,000 complaints resulted in only 39 prosecutions statewide, reflecting systemic challenges and resistance to accountability.
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“Thanks to President Donald Trump’s leadership, the Department, in close collaboration with the Fraud Elimination Task Force, is stepping up efforts to catch all scammers and bring them to justice,” said Acting Attorney General Todd Blanche.

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RedState broke the news in Washington, United States on Wednesday, April 8, 2026.
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