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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.
«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.
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.»
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.
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.
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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.
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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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.»
Sunday praised Vance’s task force as a valuable focal point to catalyze statewide anti-fraud efforts.
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)
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«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.
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.
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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.
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 taxpayers,» he told Fox News Digital.
In addition to busting blatant fraud schemes, Sunday’s office also prosecutes neglect and abuse cases that involve Medicaid claimants.
«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.
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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.
«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.
governors, investigations, pennsylvania, philadelphia, crime world
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As questions persist about Kentucky Republican Sen. Mitch McConnell’s condition, Sen. Josh Hawley, R-Mo., issued a blistering rebuke about his team’s handling of the crisis, reminding them of their «obligation to your constituents.»
The 84-year-old former Senate majority leader has been absent from the upper chamber for over a month now after a fall at his home left him hospitalized. His absence, coupled with the sudden death of late Sen. Lindsey Graham, leaves Senate Republicans down two crucial votes amid a dead sprint to wrap up key parts of President Donald Trump’s agenda.
Speaking with Fox News Digital, Hawley, a conservative populist, said he wishes McConnell and his family well and hopes for a recovery.
At the same time, however, Hawley said that «at a certain point you do have an obligation to your constituents and the country to tell them what’s going on.»
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Sen. Josh Hawley (right), R-Mo., called for transparency from Sen. Mitch McConnell (left), R-Ky., following his prolonged absence from the Senate. (Courtesy of Sen. Mitch McConnell’s office; Anna Moneymaker/Getty Images)
«To be down a vote,» Hawley continued, «We’ve got a slim majority; it’s not easy.»
While Hawley said he would «defer» to Senate Majority Leader John Thune, R-S.D., on how to handle McConnell’s situation, he noted that the lack of GOP votes is hurting priorities like the voter integrity measure, the SAVE America Act.
«I just hear a lot from leadership that, ‘Well, we don’t have the votes for this.’ Like the voter I.D., we don’t have the votes for that. Well, we might want to do something about that,» he said.
Hawley also said that he too has been «totally in the dark» about McConnell’s condition and said, «I never had any idea about any of his health stuff.»
«I hope he recovers, but I also hope that they get the transparency out there to help people know what the situation is,» he said.
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WASHINGTON, DC – FEBRUARY 20: Sen. Mitch McConnell (R-KY) is pushed in a wheelchair at the U.S. Capitol on February 20, 2025 in Washington, DC. McConnell, 83, the seven-term Senator from Kentucky who served 18 years as the Republican leader, announced he will not seek reelection and will retire after his current term. (Chip Somodevilla/Getty Images)
Asked whether he believes McConnell’s condition evidences a need for age limits to serve in office, Hawley quickly shot back, «Well, I’m a term-limit guy, so I’m all for that.»
«Nothing against colleagues who are older,» he continued. He pointed to 92-year-old Sen. Chuck Grassley, R-Iowa, saying, «Chuck is sharp as a tack and spry and all that stuff.»
«But I do think there needs to be term limits. People just come here and stay forever. And I think it’s what the founders intended; I don’t think it’s what people want. So, I’ve always been a big proponent of a constitutional amendment for term limits.»
McConnell is completing his seventh term in the Senate. He was first elected to the chamber in 1984. This June, he was hospitalized after a fall in his Washington, D.C., home. He later developed pneumonia while in the hospital.
After an extended period of silence, McConnell’s issued an open letter to Kentuckians in which the senator addressed his prolonged absence. McConnell attributed his fall to mobility issues left from his childhood fight with polio.
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Senate Majority Leader John Thune (R-SD) speaks at a press conference with other members of Senate Republican leadership following a policy luncheon in Washington, D.C. on October 28, 2025. (Nathan Posner/Anadolu via Getty Images)
He acknowledged that at the advice of his doctors he «won’t be able to return to the Senate floor to vote quite yet.»
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However, McConnell emphasized, «I have every intention of finishing the job you elected me to do» and said, «I’ll keep working hard to get back on the Senate floor as soon as possible.»
He also pledged to keep his constituents updated on the progress of his recovery.
mitch mcconnell, republicans, senate, john thune, politics
INTERNACIONAL
El jefe militar iraní amenazó a EEUU con una respuesta “devastadora” tras la octava ofensiva de Washington en Irán
El general Ali Abdollahi, comandante del Cuartel General Central Khatam al-Anbiya y uno de los principales mandos del Ejército de Irán, amenazó este domingo a Estados Unidos y afirmó que las Fuerzas Armadas iraníes responderán de forma “contundente y devastadora” ante cualquier nueva acción considerada una agresión contra el país. La advertencia se produce en plena escalada militar entre Washington y Teherán en Medio Oriente.
En un mensaje difundido por medios oficiales iraníes, Abdullahian reafirmó el compromiso del estamento militar con el líder supremo, Mojtaba Khamenei, y aseguró que las fuerzas seguirán sus directrices para preservar “los ideales de la revolución”, la unidad nacional y la seguridad del país.
El general señaló que las Fuerzas Armadas emplearán “todo nuestro potencial y capacidad” para reforzar la cooperación entre los distintos cuerpos militares, la población y las instituciones del Estado, con el objetivo de “garantizar los intereses de la nación iraní, defender los derechos del pueblo y la seguridad nacional”.
Abdullahian dirigió una advertencia directa a Washington, al que calificó de “criminal, traidor y astuto”. “Cualquier intento de codicia, intimidación, totalitarismo y barbarie será respondido con contundencia y devastación por los valientes y poderosos combatientes creyentes de las fuerzas armadas”, afirmó, y añadió que Teherán impondrá a su adversario “costos aún más altos que las dos y tres guerras impuestas”.
El general defendió que las capacidades defensivas de Irán constituyen “un sólido respaldo para la paz y la seguridad” y permiten al Gobierno desarrollar sus políticas en favor de la población.
Por otra parte, acusó a Estados Unidos de intentar fomentar divisiones internas tras sufrir “una serie de derrotas en la guerra militar”. Afirmó que el “campamento enemigo” busca enfrentar a la población con las autoridades iraníes y reclamó mantener la cohesión nacional para frustrar lo que describió como “una siniestra conspiración”.
Abdullahian concluyó que las Fuerzas Armadas iraníes protegerán “con todo nuestro potencial y capacidad” la unidad del país bajo el liderazgo de Mojtaba Khamanei y reiteró su compromiso con la defensa de la República Islámica.
A su vez, el Ejército iraní anunció que a primera hora del domingo lanzó una nueva oleada de ataques con drones contra objetivos estadounidenses en Kuwait. Según el comunicado difundido, los ataques se dirigieron a un depósito de municiones en el campamento Al-Adairi y a instalaciones de personal y equipamiento en la base aérea Ali Al Salem. Las autoridades indicaron que los ataques formaron parte de la decimoséptima fase de la Operación Saegheh.
Por su parte, Estados Unidos concluyó esta madrugada la octava ronda de bombardeos contra Irán por orden del presidente Donald Trump, con el objetivo de reducir la capacidad de Teherán para amenazar el tráfico marítimo en el estrecho de Ormuz y en respuesta al ataque de la Guardia Revolucionaria Islámica (CGRI) que asesinó a dos militares estadounidenses en Jordania. Aún permanece un soldado desaparecido.
El Comando Central de Estados Unidos (CENTCOM) informó que los ataques aéreos comenzaron a las 18.00 horas de este sábado (hora local de la costa estadounidense). Horas después, el CENTCOM dio por concluida la ofensiva de la noche, la octava consecutiva, y aseguró que más de 50.000 uniformados estadounidenses continúan desplegados en la región, “en estado de máxima vigilancia, concentrados, letales y listos para la acción”.
En una actualización difundida en redes sociales, el CENTCOM comunicó que las fuerzas estadounidenses atacaron instalaciones de vigilancia costera y defensa aérea, capacidades marítimas, así como depósitos de misiles y drones iraníes, “continuando así el debilitamiento de las capacidades militares de Irán”.
Además, los recursos militares estadounidenses atacaron a las fuerzas de la Guardia Revolucionaria Islámica responsables de los ataques contra militares estadounidenses en Jordania el 17 de julio.
Middle East,Military Conflicts
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Liberal law professor breaks with Obama judge over Trump lawyer crackdown: ‘I refuse to teach’ it
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Legal minds across the political spectrum are admonishing an Obama-appointed federal judge for suggesting that bar associations should look into sanctioning lawyers working for the president or the Justice Department, and one liberal constitutional law professor is refusing to teach his students that such a move is acceptable.
U.S. District Judge Kathleen Williams formally referred Trump attorney Alejandro Brito to the Florida Bar in an opinion released Monday and ordered the ruling sent to authorities considering existing disciplinary complaints involving acting Attorney General Todd Blanche and Associate Attorney General Stanley Woodward.
The disciplinary actions stem from Williams’ ruling in a case involving a settlement that shielded Trump, members of his family and affiliated businesses from certain federal tax audits and claims.
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Bar associations have the ability to suspend the law licenses of individuals practicing law in their jurisdictions, giving them significant power over the ability of lawyers — including powerful DOJ officials — to do their work.
«The court would also have litigants believe that, in such a circumstance, it is not only appropriate to dismiss the case but also to sanction and deprive litigants and their counsel of their reputation, license or money,» constitutional law professor Christian Lee Gonzalez-Rivera, who identifies as a liberal, told Fox News Digital. «As a law professor, attorney and former judicial law clerk, I refuse to teach the former or accept the latter.»
Acting Attorney General Todd Blanche listens during a news conference at the Justice Department July 1, 2026, in Washington. (Manuel Balce Ceneta/AP)
The existing complaint against Blanche alleges he mishandled evidence linked to the investigation into Jeffrey Epstein, used the DOJ to attack Trump’s personal enemies and failed to properly represent the interests of the United States during the negotiations that led to the creation of the now-defunct $1.8 billion weaponization compensation fund.
Woodward, meanwhile, faces a bar complaint alleging that his approval of the creation of the weaponization fund constituted a conflict of interest because he had previously represented Jan. 6 defendants and Trump associates who could potentially benefit from it.
Gonzalez-Rivera, who teaches law at a Catholic university in Florida, said that the judge’s order «effectively sanctions the bringing of debatable, if losing, arguments in high-stakes first impression cases,» arguing that it would have been ridiculous if judges recommended professional punishments for lawyers who were on the losing sides of other high-profile, historical court cases.
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Acting U.S. Attorney General Todd Blanche speaks during a news conference at the Department of Justice in Washington, D.C. (Graeme Sloan/Bloomberg via Getty Images)
Jeffrey Clark, a former DOJ official now serving as the vice president of litigation at a right-wing watchdog group, cautioned that Williams’ order — if allowed to become the norm — could damage the legal profession by empowering a small number of bar association insiders.
«This nonsense has to end. The State and local bars are not the superior officers of or the equivalent of a school-marmish national Principal’s Office that sits in supervision of two highest-ranking leaders of the Justice Department,» he wrote Monday.
«If this trend continues, no future Republican lawyer is going to agree to enter the U.S. Justice Department to carry out the President’s law enforcement orders as the Constitution intended,» Clark continued.
«Power will instead be monopolized and moved only to the Left … The Framers would be shocked to learn that the real boss of Executive Branch legal power is not the singular President of the United States, but instead committees of insular coastal elite lawyers purporting to wield the meta-power of legal ethics.»
MIKE DAVIS: WHY SENATE MUST IGNORE OBAMA JUDGE’S ATTACK ON AG NOMINEE TODD BLANCHE
Acting Attorney General Todd Blanche testifies during a Senate Appropriations Subcommittee on Commerce, Justice, Science, and Related Agencies hearing at the Dirksen Senate Office Building May 19, 2026, in Washington, D.C. (Nathan Posner/Anadolu via Getty Images)
Clark has also faced disciplinary proceedings in Washington, D.C., where a disciplinary board recommended he be disbarred over his role in a proposed DOJ letter to Georgia officials after the 2020 election, allegations he has denied and cast as politically motivated.
«DOJ has the power to put an end to this nonsense by issuing regulations preempting state/local bar weaponization,» he added.
While Williams ordered the clerk to forward her opinion to disciplinary authorities reviewing existing complaints involving Blanche and Woodward, she formally referred Brito to the Florida Bar after finding that he advanced the case in «bad faith.»
Williams said Trump’s lawsuit related to his tax immunity settlement was used to give judicial legitimacy to a legally baseless settlement; she flagged conflict concerns involving Blanche and Woodward’s prior clients and ordered the opinion sent to their bars, while formally referring Brito to the Florida Bar because he signed the complaint that launched the case.
«I find it absurd that federal judges continue to attack DOJ lawyers, to include and especially acting Attorney General Todd Blanche, with roots in nothing more than the political viewpoints of those supposed unbiased judges,» Jay Town, the former United States attorney for the Northern District of Alabama, told Fox News Digital.
Williams was appointed to the bench in 2011 by President Barack Obama. She previously issued a ruling against «Alligator Alcatraz,» a detention center operated by the state of Florida to house illegal immigrants awaiting deportation, but was overruled by the 11th Circuit Court of Appeals.
«On the bright side, this and the likely more orders like this one we may see out of other district courts nationwide … may nevertheless present higher courts — perhaps our highest one, too — with a chance to revisit judge-made doctrines like justiciability, which increasingly show their ability to be weaponized not only from outside but also from within the judiciary itself,» Gonzalez-Rivera told Fox News Digital.
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Conservative lawyer Mike Davis has called on the 11th Circuit Court of Appeals to overrule Williams’s ruling in this case.
«The federal judge in Florida clearly strategically timed her referral of acting Attorney General Todd Blanche to the New York Bar to come just before his confirmation hearing to be elevated to the attorney general’s office,» Clark told Fox News Digital. «This is flatly unconscionable non-judicial conduct.»
todd blanche, justice department, federal judges, politics, law
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