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Pennsylvania AG explains why state leads nation in Medicaid fraud convictions while others battle mass schemes

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Pennsylvania’s Republican Attorney General Dave Sunday detailed how his state has become number one in the country in convicting Medicaid fraudsters in an exclusive interview with Fox News Digital.

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«As you know, in Pennsylvania we had the most Medicaid fraud convictions in the entire country last year. And the reason for that is because of how aggressively we investigate and prosecute these cases,» Sunday told Fox News Digital.

«We have an absolute moral duty to protect the most vulnerable amongst us. And one of the ways we can do that is making sure that the resources that are meant to go to them actually get to them,» he continued.

Amid a strong push from the White House to investigate and prosecute fraud nationwide — demonstrated through Vice President JD Vance’s White House Task Force to Eliminate Fraud — Medicaid fraud in particular has come into the spotlight.

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I’M OHIO’S STATE AUDITOR — MEDICAID FRAUD IS NOT JUST A WASHINGTON PROBLEM

FTC Chair Andrew Ferguson and Vice President Vance meet to discuss efforts to combat fraud and enhance accountability in social welfare programs. (Photo by Oliver Contreras / AFP via Getty Images)

In May, Vance’s task force announced an indictment in a $46.6 million Minnesota Medicaid fraud scheme that Health and Human Services Secretary Robert F. Kennedy Jr. called the «largest autism fraud bust in American history.»

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And as high-profile fraud busts involving foreign nationals in Minnesota, California and other blue states increasingly highlight the prevalence of social service scams, Sunday’s efforts in a purple state stand out especially.

Key to Sunday’s nation-leading conviction rate, he told Fox News Digital, is the emphasis his office places on collaboration, including with his state’s Democratic governor, Josh Shapiro.

«We collaborate on a lot of issues, and this is one of those issues that our offices do collaborate on. The State Inspector General’s Office works with the Pennsylvania Office of Attorney General to make sure that we receive those complaints, and then we take them and we run with them,» Sunday explained.

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In 2025, HHS’s Office of the Inspector General (OIG) ranked Pennsylvania’s Medicaid Fraud Control Unit number one in total fraud charges filed against individuals, while ranking Pennsylvania number three in total fraud convictions for the fiscal year 2024. For fiscal year 2025, the OIG ranked Pennsylvania third in charges and first in total convictions, suggesting a marked improvement in conviction efficiency.

«The reason why we are so successful and the reason the states that are successful are is because they’re working as a team together. This is much greater than any individual office,» Sunday told Fox News Digital.

FINAL WALZ FRAUD REPORT RIPS ‘CULTURE OF TOLERANCE’ AS MINNESOTA TAXPAYERS FACE BILLIONS IN ALLEGED LOSSES

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«You have to work hard as an office. You have to collaborate with your federal partners, your local partners, your state partners. You have work with the different service providers. This has to be an all hands on deck effort where you collaborate and coordinate with everyone humanly possible. And that’s not just to get the successful prosecutions, but it’s to get their referrals. People have to know what to look for,» he continued.

Dave Sunday speaks in a vest

Pennsylvania Attorney General Dave Sunday, then the Republican candidate for Pennsylvania attorney general, speaks during a rally for Dave McCormick, then a Republican U.S. Senate candidate, at Beerded Goat Brewery in Harrisburg, Pa., on Thursday, April 25, 2024. (Tom Williams/CQ-Roll Call, Inc via Getty Images)

His collaborative efforts, combined with vigilance, have prevented Pennsylvania from falling into the same trap as Minnesota, which had the seventh most fraud convictions in 2025, according to the HHS-OIG.

«The goal is to not let those criminal enterprises take root. That is the way that you have to do this to make sure that it doesn’t turn into a Minnesota. That’s how you have do it. You have to stay ahead of it. Every step of the way. You can’t ever let it grow. You have to watch it when it happens. And you have to make sure that you prioritize these cases, because as an AG, your time and efforts could go to a million different places. But when you’re like here in Pennsylvania, we are hyper focused on community safety,» Sunday said.

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SEC SCOTT BESSENT: HOW TO STOP FRAUD IN MINNESOTA—AND ACROSS THE COUNTRY

He highlighted the need for collaboration, especially considering the cross-border and transnational efforts of many convicted fraudsters. The women convicted in the Minnesota autism fraud bust notably were sending millions of dollars in fraudulently obtained Medicaid payments back to their families in Kenya, prosecutors said.

«Remember, criminal enterprises, they don’t care about borders and they don’t pick and choose what jurisdiction that they’re only going to stick to. And so collaboration can’t know borders either. So we work with other states. We work across the country with other AG’s offices. We do everything we can to identify these cases and then hold these actors accountable because what’ll happen is a lot of times these cases will span multiple states. And so if you have an organization or a criminal enterprise that is operating in one state, there’s a good chance they’re operating in another state as well. And so when we can come together and work as a team, that allows us to be able to have even greater impact.»

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Sunday praised Vance’s task force as a valuable focal point to catalyze statewide anti-fraud efforts.

Vice President Vance

Vice President JD Vance joined by White House deputy chief of staff and Homeland Security advisor Stephen Miller and Federal Trade Commission (FTC) Chair Andrew Ferguson during a roundtable discussion on anti-fraud initiatives on May 26, 2026, in Washington, D.C. (Andrew Harnik/Getty Images)

JD VANCE’S TASK FORCE FLAGS NEARLY $6.3B IN GOVERNMENT CONTRACTS GOING TO POTENTIALLY FRAUDULENT BUSINESSES

«I’m very thankful for the Vice President. I’m thankful for Vice President Vance and for his efforts in bringing everyone together and to sort of create a hub and spoke model where we all can work together and collaborate because that’s the only way that these cases are gonna be solved,» Sunday said.

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He also highlighted cases his office had prosecuted in recent months as part of their efforts.

«We had a huge conviction this year with the Broad Street Family Pharmacy in Philadelphia. And these are individuals that were billing Medicaid up to $12 million for expensive medications that oftentimes they didn’t even obtain, let alone give to someone who needed that medication to stay alive. And so those are the type of cases we have to really go after, because when they are making that much money, if we don’t get involved, if we didn’t investigate it, they’re just gonna keep doing it,» he told Fox News Digital.

DR. OZ SAYS TAXPAYERS FOOTING $14 BILLION BILL FOR MEDICAID FRAUD WHILE ELIGIBLE PATIENTS STRUGGLE FOR CARE

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In that case, the state charged nine people in a sprawling alleged scheme that prosecutors say included fraudulent claims for HIV drugs and antipsychotic medications, as well as a pill purchasing kickback plot.

The alleged scheme’s ringleaders — Peter Dello Buono and Frank Bengermino — were sentenced to between 1.5 and five years in prison and ordered to pay $12.25 million in restitution. Five of the other seven plead guilty to various charges, while the remaining two have pending cases.

That $12.25 million is almost equal to the amount of federal funding that Pennsylvania’s Medicaid Fraud unit got in 2025. An HHS grant that composes three quarters of the state’s Medicaid fraud unit funding comes in at roughly $12.8 million.

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Sunday also revealed that the Medicaid fraud unit recovers over four times the amount of money it spends on investigations.

«For every dollar spent in our Medicaid section, we recover $4.64. So think about that investment. For every dollar we spend, we recover $4.64 through our investigations and convictions. And I go back to the convictions because you can obtain restitution through sentences and through convictions. And if you can’t get those convictions, then you’re gonna leave a lot of that money with the bad actors that you can get back to taxpayershe told Fox News Digital.

In addition to busting blatant fraud schemes, Sunday’s office also prosecutes neglect and abuse cases that involve Medicaid claimants.

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«Some of these cases, especially the abuse and neglect cases are some of the absolute most horrific cases that any prosecutor sees. I’m a career prosecutor. I’ve been doing this for a long time. And when you see services that are supposed to be rendered that aren’t and you see individuals that are seniors, that are suffering in pain as a result of it, those are cases that those individuals need to not just be charged, but they need to be convicted,» he said.

DOGE’S MEDICAID DATA DUMP AIMS TO EXPOSE FRAUD — BUT PRIVACY AND LEGAL HURDLES LOOM

He pointed to the case of Kelly R. Gonzalez, a personal care administrator who a jury convicted on two counts of felony neglect in February when she failed to refill a care home resident’s seizure medication leading to his 2021 seizure death.

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«The defendant in this case, Gonzalez, was tasked with overseeing the prescribing of medication in this home. One of her jobs was making sure that residents received the prescribed medications,» Sunday said. «There was a resident in that home, the victim, who did not receive the prescribed seizure medication. And the defendant, in this case, Gonzales, found out about it and still didn’t provide the medication.»

According to witness testimony, two of Gonzalez’s colleagues informed her that her patient needed a refill, but she still failed to get his medication refilled.

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«Apparently the victim in that case went 10 days without medication, and obviously when you’re taking serious medication, life-saving medication and you go 10 days without it, then there can be serious ramifications,» Sunday told Fox News Digital.

«So as a result of that, the victim in this case died,» he concluded.

Fox News Digital contacted the White House and Shapiro’s office for additional comment.

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governors, investigations, pennsylvania, philadelphia, crime world

INTERNACIONAL

Keiko Fujimori recibió las credenciales de presidenta electa de Perú y prometió una «reconciliación» tras una década de crisis política

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La conservadora Keiko Fujimori recibió el miércoles sus credenciales de ganadora de las elecciones presidenciales de Perú en una ceremonia en la que prometió “gobernar para todos” aunque enfocando su gestión en la cuarta parte de la población en situación de pobreza, sobre todo en los Andes y la Amazonía.

En el acto celebrado en un teatro de Lima, el titular del Jurado Nacional de Elecciones le entregó un documento a la líder de Fuerza Popular que certifica su triunfo por casi 50.000 votos sobre el candidato progresista Roberto Sánchez, de Juntos por el Perú, en el balotaje del 7 de junio.

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La presidenta electa, de 51 años, hija del fallecido mandatario Alberto Fujimori (1990-2000), dijo que su gobierno estará integrado “por reconocidos técnicos, sin importar su militancia partidaria”, y resolverá los problemas urgentes del país. Asimismo señaló que su gestión rendirá cuentas de los recursos públicos.

Fujimori dijo que combatirá la desnutrición que afecta al 12,1% de menores de cinco años, así como la pobreza que golpea al 25,7% de la población, es decir casi 9 millones de personas a quienes no les alcanza para cubrir el costo de la canasta básica de consumo que incluye alimentos, bienes y servicios esenciales.

También indicó que cree «profundamente en la reconciliación». “He aprendido de mis errores y aciertos, de los momentos difíciles, de los momentos alegres, he aprendido a pedir perdón, pero sobre todo a perdonar”, dijo en medio de un coro de simpatizantes que gritaban “sí se pudo” y “Keiko valiente, aquí está tu gente”.

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Añadió que al final de su mandato rendirá “cuentas ante Dios y la historia y lo haré con la frente en alto porque tengan la certeza que habré puesto todo mi empeño y voluntad para sacar adelante a nuestro Perú”.

Más temprano Fujimori -vestida con traje sastre de color crema- había salido de su casa a diez cuadras del Gran Teatro Nacional acompañada de sus dos hijas de 18 y 17 años. Subieron a una camioneta blanca de una compañía de alquiler de autos. La dirigente saludó, pero no hizo declaraciones a la prensa.

Cuando asuma el poder el 28 de julio, Fujimori será la primera mujer en alcanzar la presidencia por unas elecciones en 205 años de república. La gestión presidencial es por cinco años.

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Perú fue gobernado antes por otra mujer Dina Boluarte (2022-2025)- que sucedió, por ser vicepresidenta, al ex presidente Pedro Castillo (2021-2022), quien fue removido por el Congreso. El gobierno de Boluarte fue el más impopular de Perú.

Fujimori ha prometido gobernar “por cinco años”, a diferencia de su padre quien inició su gobierno en 1990 pero buscó permanecer en poder y fue reelegido en 1995 y en 2000. Luego abandonó Perú a fines de 2000 en medio de escándalos de corrupción y huyó a Japón. Después fue extraditado desde Chile, a donde había llegado de forma sorpresiva, y luego fue condenado por corrupción y asesinato. Fue excarcelado tras un indulto presidencial en 2023 y murió en libertad en 2024.

Fuera del Gran Teatro Nacional llegaron más de 300 personas con banderas de Perú, algunos con chaquetas de color naranja, el color de Fuerza Popular, pero también el mismo que el ex presidente Fujimori usó desde su primera campaña presidencial en 1990 bajo el lema “honradez, tecnología y trabajo”.

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Consuelo Castellares, una abogada que llegó desde la región andina de Huancavelica, dijo a The Associated Press que la principal preocupación de Fujimori debería ser la educación. Indicó que en los últimos 25 años los maestros de escuela “han lavado el cerebro a los estudiantes”, por lo que ahora hay fuerte oposición a ella.

“Le diría Keiko no seas como tu papá porque él dejó agonizando a los terroristas que hoy están en el Estado, tienes que poner mano dura con esas personas que han lavado el cerebro y han generado polarización”, indicó Castellares, quien añadió que tras los gobiernos posteriores a Fujimori existe una fuerte “ausencia del Estado”.

Keiko Fujimori iniciará su gestión en medio de protestas de Sánchez, quien la semana pasada aceptó a regañadientes el triunfo de la conservadora en el balotaje donde se enfrentaron. Fujimori triunfó por los votos claves de los peruanos en el extranjero; dentro del territorio ganó el progresista, según datos oficiales.

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Sánchez convocó a una manifestación esta tarde por las calles de Lima exigiendo la liberación del expresidente Castillo, sentenciado a más de 11 años de cárcel por conspiración para la rebelión luego de ser detenido en diciembre de 2022.

Meses después hubo manifestaciones a su favor reprimidas por la policía y militares que dejaron 50 civiles asesinados.

Sánchez también pedirá justicia por esos manifestantes asesinados por las fuerzas de seguridad durante la gestión de Boluarte, un gobierno apoyado por el partido de Fujimori.

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Trump says Iran released American woman held since 2024 in ‘gesture of goodwill’

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President Donald Trump said Tuesday that Iran has released an American woman who he said was «wrongfully detained» in the country for the past year and a half.

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She was identified as Iranian-American citizen Dena Karari by her attorney Jared Genser, who confirmed her release to Fox News. She was reportedly accused of espionage over her work with an American nonprofit helping impoverished children.

In a post on Truth Social, Trump said the woman was detained in December 2024, during the Biden administration and was recently allowed to leave Iran. 

«Iran has allowed an American Citizen, who was wrongfully detained in December of 2024 under the ‘presidency’ of Sleepy Joe Biden, to leave the Country,» Trump wrote.

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TRUMP REVIVES HIS DECADES-OLD IRAN WARNING AS US RAMPS UP MILITARY PRESSURE: ‘REMARKABLY CONSISTENT’

In a post on Truth Social, President Trump said the woman was detained in December 2024.  (Chris Kleponis/CNP/Bloomberg via Getty Images, File)

Karari is reportedly now safely outside Iran and in good condition following her release, according to Trump.

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Her release marks the first time an American has been freed from Iranian custody since 2023, and represents a notable development amid ongoing military confrontations between Washington and Tehran.

Following her release, Trump thanked Iran for what he described as a «gesture of goodwill.»

«The United States of America appreciates this gesture of Goodwill by Iran!» he wrote.

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TRUMP SAYS IRAN CEASEFIRE IS ‘OVER’ AFTER IRANIAN ATTACKS TRIGGER MASSIVE US RESPONSE

Billboard shows Iran's three supreme leaders.

Dena Karari was targeted after Iranian authorities linked her to the Children of Mehr Foundation, a U.S.-registered nonprofit, her attorney said. (AFP/Via Getty Images)

Gesner released a statement shortly after Trump’s announcement, saying she had been «trapped in Iran on bogus charges of collaboration with a hostile state and espionage» but is now on her way back to the United States.

According to Genser, Karari was targeted after Iranian authorities linked her to the Children of Mehr Foundation, a U.S.-registered nonprofit that provides books, literacy programs and other humanitarian assistance to impoverished children in rural Iran.

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Under the regime, affiliations with U.S.-based organizations operating inside Iran are often viewed with heightened suspicion and can lead to accusations of security-related offenses.

Genser clarified that Karari was never formally imprisoned but was effectively held in Iran through a «coercive exit ban.» She was reportedly interrogated dozens of times by Iran’s Ministry of Intelligence and Security (MOIS) and «suffered enormous physical and psychological hardship.»

«We urge Iran to drop all the remaining charges against those who worked locally in support of the Children of Mehr Foundation, who are innocent and committed no crimes,» Genser said. «And I personally call on Iran to release both all wrongly imprisoned Americans and those subjected to coercive exit bans and all Iranian political prisoners.»

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PENCE COMMENDS TRUMP FOR WINNING FREEDOM OF BEIJING’S ZION CHURCH PASTOR EZRA JIN FROM CHINESE DETENTION

protesters chant and march in Tehran

Protesters chant slogans during an anti-government demonstration in Tehran, Iran, Jan. 8, 2026. (UGC via AP)

Sources previously told Fox News Digital in January 2026 that Iran may have been holding more than eight American citizens and residents in custody, exceeding publicly available data that listed five American hostages in Iran.

Two of the current hostages include Kamran Hekmati, a 61-year-old Jewish man held since May 2025, and Reza Valizadeh, a 49-year-old journalist and dual Iranian-American national held since March 2024.

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A U.S. State Department official previously told Fox News Digital that «President Trump is working to secure the release of detained Americans around the world.»

«The Iranian regime has a long history of unjustly and wrongfully detaining other countries’ citizens as hostages for use as political leverage. Iran should release these individuals immediately,» the official said.

US HOSTAGES IN IRAN FACE HEIGHTENED RISK AS PROTESTS SPREAD, EXPERTS SAY NUMBER HELD MAY EXCEED ESTIMATES

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Women holding Iranian flags and portraits of the late Supreme Leader Ali Khamenei at a mosque.

Women hold Iranian flags and pictures of the late Iranian Supreme Leader Ali Khamenei in Tehran, Iran, March 6, 2026. (Vahid Salemi/AP Photo)

According to United Against Nuclear Iran, Tehran detains foreign nationals on vague charges and uses them as «bargaining chips» to extract concessions from other countries, such as securing the release of frozen financial assets locked up by international sanctions.

Iran has frequently targeted individuals who hold both American and Iranian citizenship, as Tehran does not recognize dual nationality and often treats dual citizens solely as Iranian nationals, limiting their access to U.S. consular assistance, United Against Nuclear Iran said.

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During the most recent major prisoner exchange in September 2023, the U.S. secured the release of five Americans who had been detained in Iran for years. In exchange, the U.S. approved the transfer of $6 billion in frozen funds.

Fox News’ Benjamin Weinthal contributed to this report.

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iran, state department, war with iran, donald trump, sanctions, foreign affairs, politics

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Un enorme cartel con el presidente de EE.UU. en un ataúd fue colocado en pleno centro de Teherán: “Mataremos a Trump”

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En medio de una nueva escalada de la guerra en Medio Oriente, las autoridades iraníes colocaron un afiche gigante en pleno centro de Teherán que muestra al presidente estadounidense en un ataúd con un mensaje amenazante: “Mataremos a Trump”.

El cartel apareció en una de las vías más transitadas de la capital iraní, en momentos en que Estados Unidos bloqueó los puertos iraníes y se registró el cierre del estrecho de Ormuz, lo que desbarató el protocolo de acuerdo que debía poner fin al conflicto iniciada en febrero.

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Casi un mes después de que Estados Unidos e Irán firmaran un memorándum de entendimiento para poner fin a la guerra en Oriente Medio, ambas partes reanudaron los combates, con repercusiones en toda la región.

El ejército estadounidense confirmó una nueva “ola de ataques” este miércoles, que duró 90 minutos.

Una mujer iraní cruza una transitada avenida de Teherán. Detras se observa un cartel que dice «Mataremos a Trump» (Foto: EFE)

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Donald Trump amenaza con más ataques

El presidente estadounidense, Donald Trump, amenazó con extender los ataques la próxima semana para golpear centrales eléctricas y puentes si Teherán no vuelve a la mesa de negociaciones.

La disputa por el estrecho de Ormuz, una vía navegable crucial para el tránsito mundial de petróleo y gas, es el principal detonante de los nuevos combates y la reanudación del bloqueo naval el martes.

Leé también: Murió otro inmigrante durante un operativo de agentes del ICE en Estados Unidos: es el tercer caso en una semana

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Los enfrentamientos reanudados el 7 de julio, después de unos ataques a barcos en el Golfo atribuidos a Irán, socavan los esfuerzos diplomáticos para aplicar el protocolo de acuerdo firmado en junio, que ratificaba el alto el fuego concluido en abril.

De momento, los ataques no afectan a la capital, Teherán, ni a las instalaciones petroleras y de gas del Golfo.

Israel, que desató la guerra junto con Estados Unidos el 28 de febrero, no se unió a las nuevas hostilidades.

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“Sobreviviendo”

La ciudad portuaria de Bushehr, donde se encuentra la única central nuclear de Irán, fue nuevamente atacada por Estados Unidos el miércoles, según la agencia de noticias gubernamental Irna.

En el sureste del país murieron siete militares al ser alcanzados por misiles estadounidenses contra un cuartel situado cerca de la ciudad de Iranshahr, informó el ejército iraní.

Varios buques estacionados en el estrecho de Ormuz (Foto: Amirhosein Khorgooi/ISNA/via WANA (West Asia News Agency)via REUTERS)

Varios buques estacionados en el estrecho de Ormuz (Foto: Amirhosein Khorgooi/ISNA/via WANA (West Asia News Agency)via REUTERS)

Más de 30 civiles murierono desde que se reanudaron los enfrentamientos, según el gobierno iraní.

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Nadin, una iraní de 27 años, pide a Dios que ponga fin a la guerra y a las dificultades económicas.

“No estamos viviendo, estamos sobreviviendo”, dijo.

Leé también: Un esqueleto de tiranosaurio rex se vendió por más de US$50 millones y marcó un récord histórico en una subasta

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En respuesta a los bombardeos, Teherán volvió a atacar instalaciones estadounidenses en varios países del Golfo y en Jordania.

Baréin, Kuwait y Jordania fueron blanco de ataques iraníes durante la noche y por la mañana y la Guardia Revolucionaria Islámica, el ejército ideológico del régimen, afirmaron haber atacado instalaciones de la Quinta Flota de Estados Unidos en Baréin y el centro logístico de Mina Abdulá utilizado por el ejército estadounidense.

Irán amenaza con cerrar otras vías

Además del impacto en el comercio mundial de hidrocarburos, la ONU se alarmó por las “graves consecuencias socioeconómicas y humanitarias” del bloqueo de esta “ruta de paso esencial de la que dependen millones de personas” para la comida, los medicamentos y otros productos de primera necesidad.

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La Guardia Revolucionaria afirmó que el estrecho “permanecería cerrado hasta que Estados Unidos ponga fin a sus actos de agresión”, y mencionaron el posible cierre “de otras vías de exportación de petróleo y gas” que benefician a Estados Unidos y sus aliados.

Con la reimposición del bloqueo de los puertos iraníes, Trump quiere presionar al gobierno de Teherán por sus divergencias sobre el estrecho de Ormuz.

El gobierno teocrático lleva meses diciendo que quiere cobrar un peaje por el paso por esta vía.

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Esta semana, Trump sorprendió al asegurar que cobraría una tarifa a cambio de proteger Ormuz. Luego se desdijo. Según él, se trataría más bien de “acuerdos comerciales e inversiones” con las monarquías del Golfo.

(Con información de AFP)

Irán, Donald Trump

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