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COVID-19 Fraud Enforcement Task Force 2024 Report April 2024 - Council of the Inspecors General on Integrity and Efficiency

Issuer
Department of Justice
Document type
Report
Date
2024-04-09

Summary

The COVID-19 Fraud Enforcement Task Force 2024 Report, dated April 2024 and issued from the U.S. Department of Justice, compiling member agencies' work against pandemic fraud. The executive summary reports over 3,500 defendants criminally charged, over 400 civil settlements and judgments, and over $1.4 billion in fraudulently obtained CARES Act funds seized or forfeited. It states that legislation is required to extend the statute of limitations for COVID-19 fraud offenses and the PRAC's statutory authorization. The report states that as of December 31, 2023, approximately 2,005 defendants charged with pandemic-related fraud had pleaded guilty or been convicted at trial, and describes the COVID-19 Fraud Enforcement Strike Forces. The executive summary carries the signature blocks of Michael C. Galdo, Director of COVID-19 Fraud Enforcement, and two deputy directors.

Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used

Full text

U.S. Department of Justice
Washington, DC 20530




 COVID-19 FRAUD ENFORCEMENT TASK FORCE
               2024 REPORT
                                                                     APRIL 2024




                                 Council of the
                                 INSPECTORS GENERAL
                                 on INTEGRITY and EFFICIENCY



                                 OIG
                Office of Inspector General
                Board 01 Governors ol the Federal Reser...e System
                Consomef' Anendal Protection Bureau
I. Executive Summary                            since the pandemic’s peak, many of these
                                                programs were targeted by fraudsters and
     The COVID-19 Fraud Enforcement Task other criminals who sought to exploit the
Force (CFETF) is pleased to present in this government’s relief efforts for their
2024 report a compilation of its member personal gain.
agencies’ accomplishments to date to combat
pandemic fraud. While the CFETF has made              The Department of Justice has
significant progress to identify, investigate, worked closely with its law enforcement
and punish COVID-19 fraud, substantial partners, including multiple Offices of
work remains in the face of numerous Inspectors General, to mobilize a
challenges.                                     coordinated response to these illegal acts.
                                                The Attorney General established the
  Te CFETF’s coordinated approach has           CFETF in 2021, subsequently creating the
  resulted in:                                  position of Director of COVID-19 Fraud
  • Over 3,500 defendants criminally            Enforcement        and      launching      the
        charged                                 COVID-19            Fraud         Enforcement
  • Over 400 civil settlements and              Strike   Forces.
        judgments
  • Over $1.4 billion in fraudulently               This coordinated approach has led
        obtained CARES Act funds seized or      to    enforcement successes, including
        forfeited                               criminal charges against more than 3,500
  • A new, integrated, and data-driven          defendants, civil enforcement actions
        approach to investigate government      resulting in more than 400 civil settlements
        program fraud                           and judgments, and more than $1.4 billion in
                                                seizures and forfeitures. In doing so, the
                                                CFETF has disrupted transnational criminal
  To continue the CFETF’s work and ensure       networks and            domestic          violent
  COVID-19 fraudsters don’t get away with       offenders, making         communities       safer
  it, legislation is required to:               here     and abroad.         Importantly,     the
  • Extend the statute of limitations for all   CFETF has leveraged            its   interagency
        COVID-19 fraud-related ofenses          network to make strategic improvements
  • Extend the PRAC’s statutory                 in how the government investigates fraud,
        authorization                           using the wide array of skills from
  • Adequately resource COVID-19                its members to devise more effective
        fraud data sharing, lead development,   fraud fighting tactics.
        investigations, prosecutions, and asset
        recoveries                                    While      this    report     highlights
                                                these     accomplishments, much work
      The COVID-19 pandemic prompted remains in the fight against COVID-19
the United States government to establish fraud. CFETF members have seen their
and administer federal relief programs at a budgets cut, straining resources to develop
size and scope virtually unprecedented in investigations and prosecute offenders. The
our nation’s history. And while these relief first years of the pandemic fraud response
programs helped to mitigate some of the were dedicated to coordination, data
pandemic’s most devastating effects, they collection, and the establishment of
also came with a cost. As has become interagency data sharing to generate
increasingly clear in the months and years actionable leads.

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         But challenges loom. Four years         finish the job—losing the opportunity to
have passed since the pandemic began. In         recoup hundreds of millions of dollars in
the coming years, investigative targets          fraud proceeds and placing our citizens and
will increasingly argue that their conduct       government institutions at risk of future
falls outside          the     statute     of    criminal victimization.
limitations, threatening prosecutors’ ability
to      hold      wrongdoers      accountable.         The CFETF and its member
The Pandemic Response          Accountability    agencies have ongoing investigations into
Committee (PRAC), a body of 20                   hundreds of identity thieves, transnational
federal Inspectors General         overseeing    fraud and money laundering networks,
pandemic        relief spending, is due to       large-dollar individual fraudsters, and
sunset next year. And tightening                 the businesses that facilitated these
budgets across the federal government            crimes. Government employees who chose
make      it     increasingly    difficult to    to fraudulently obtain pandemic benefits are
adequately resource CFETF’s essential            also being investigated. Civil enforcement
work. But to address these issues,               tools are being utilized to recover
legislation is required.                         misappropriated funds from businesses
                                                 and individuals throughout the country.
        The time to act is now. Under            CFETF        member       agencies      have
                                                 improved their data analytics capabilities
current CFETF funding levels, the
                                                 and are using these new skills to investigate
government lacks sufficient resources to
                                                 fraud more efficiently and effectively. And
prosecute fraudsters who didn’t just
                                                 the lessons learned by law enforcement
commit pandemic fraud, but targeted
                                                 from investigating pandemic fraud are being
the elderly through romance fraud                used to improve our investigatory
schemes, U.S.       companies    through         efforts and passed on to the agencies
business    email    compromise (BEC)            tasked     with     administering     benefit
schemes, and government programs through         programs.
unemployment insurance fraud. DOJ
prosecutors in Baltimore and Detroit                 The Director of COVID-19 Fraud
have even taken down gang members and            Enforcement and staff will continue
violent criminals for pandemic fraud,            to     work    closely   with    relevant
securing prison sentences and recovering         Department of Justice components in the
weapons and narcotics.                           Criminal and Civil Divisions, our Strike
                                                 Forces and U.S. Attorney’s Offices, and
    If we fail to provide the necessary          our law enforcement partners to ensure
PRAC data to CFETF agencies or neglect to        that the government’s response to
extend the statute of limitations, our           COVID-19 fraud is effective, coordinated,
agents and prosecutors won’t be able to          and robust.


                                 ________________________
                                        Michael C. Galdo
                             Director, COVID-19 Fraud Enforcement


________________________                                         ________________________
     Amanda L. Riedel                                                 Colin Huntley
 Deputy Director, Criminal                                         Deputy Director, Civil
COVID-19 Fraud Enforcement                                      COVID-19 Fraud Enforcement
---------,02
                CRIMINAL, CIVIL, and ASSET RECOVERY ACTIONS

II. Department of Justice                         (PPP), and Economic Injury Disaster Loan
                                                  fraud (EIDL), but other types of CARES
    The Department of Justice continues to        Act fraud and health care fraud related to
prioritize the investigation and prosecution      the COVID-19 pandemic were also charged.
of individuals and entities that committed        The fraud loss associated with these cases
pandemic program fraud. The Department            was more than $2.1 billion.
has marshaled resources from U.S.
Attorneys’ Offices and the Criminal, Civil,
                                                   U.S. Attorneys’ Ofces have criminally
Tax, and Antitrust Divisions to bring
criminal, civil, and asset recovery actions
                                                   charged 3,500 defendants in pandemic
against perpetrators of COVID-19 fraud. The        fraud cases with associated losses of
Department supports a Director of COVID-19         more than $2B
Fraud Enforcement, two Deputy Directors
of COVID-19 Fraud Enforcement, a lead                 As of December 31, 2023, approximately
prosecutor for the National Unemployment          2,005 defendants charged with pandemic-
Insurance Task Force, a National COVID-19         related fraud have pleaded guilty or been
Fraud Forfeiture Coordinator, a National          convicted at trial. The fraud loss associated
COVID-19         Fraud    Coordinator,     and    with these completed cases is more than $1.2
COVID-19 Fraud Coordinators in each U.S.          billion. While the number of resolutions is
Attorneys’ Office. In 2023, the Department        impressive, U.S. Attorneys’ Offices have a
upscaled resources to address COVID-19            similar number of investigations open that
fraud by funding 50 term AUSA positions           are yet to be charged.
dedicated to COVID-19 fraud enforcement.
And DOJ has stood up five COVID-19 Fraud              Some examples of COVID-19 criminal
Enforcement Strike Forces across six federal      fraud cases prosecuted by U.S. Attorneys’
districts to pursue the most impactful criminal   Offices include:
COVID fraud cases – those involving large
amounts of loss, overseas actors, violent            • In the Southern District of Georgia, a
offenders, and perpetrators who defrauded            Florida-based attorney was convicted at
multiple pandemic-era aid programs.                  trial of conspiracy to fraudulently obtain
                                                     almost $800,000 in Economic Injury
   A. U.S. Attorneys’ Offices                        Disaster Loans for herself and others.

    As of December 31, 2023, U.S. Attorneys’         • In the Western District of Washington,
Offices criminally charged approximately             the ringleader of a $6.8 million pandemic
3,500 defendants in 2,388 pandemic fraud-            fraud ring was sentenced to five years in
related cases. Most of these cases involved          prison for fraudulently seeking funds
unemployment insurance benefits fraud                from various relief programs.
(UI), Paycheck Protection Program fraud


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 • In the Eastern District of Washington,            In addition to, or as part of COVID-19
 an Arkansas-based business owner                fraud criminal prosecutions, U.S. Attorneys’
 pleaded guilty to fraudulently receiving        Offices have pursued forfeitures and sought
 more than $16.5 million in SBApandemic          restitution orders in pandemic fraud matters.
 relief funds for himself and others.            To date, COVID-19 fraud investigations in
                                                 which the Department has been involved—
 • In the Eastern District of Virginia,          including but not limited to investigations led
 a former VA nurse was sentenced to              by the Department of Justice, Department of
 18 years in prison for conspiring to            Homeland Security, Department of Treasury,
 fraudulently obtain more than $3.5              United States Postal Inspection Service,
 million in UI benefits from at least five       Department of Labor-Office of Inspector
 states. She and her co-conspirators filed       General, and Small Business Administration-
 more than 220 false applications for            Office of Inspector General—have resulted
 unemployment insurance benefits using           in significant civil and criminal forfeitures,
 stolen identities and the identities of state   restitution orders, and collaboration with
 and federal prison inmates.                     private industry partners to combat fraud.

 • In the Middle District of Florida, a
 defendant was sentenced to eight years           DOJ and law enforcement partners
 and six months in prison for obtaining           have obtained fnal forfeitures of over
 more than $7.2 million in PPP loan funds,        $1B
 which he used to purchase Maserati and
 Mercedes-Benz cars and buy a 12-acre
 estate.                                             For example, as of the end of 2023,
                                                 forfeitures in civil administrative, civil
 • The District of Minnesota has brought         judicial, and criminal judicial cases resulted
 charges against more than 50 individuals        in the final forfeiture of more than $1 billion
 for their respective roles in a $250 million    in fraud proceeds. Although criminal cases
 fraud scheme that exploited a federally         and forfeitures serve as a key tool in the
 funded child nutrition program during           prosecutorial mission to address COVID-19
 the COVID-19 pandemic.                          fraud, in many instances, final forfeiture
                                                 via civil administrative and civil judicial
 • In the Eastern District of Michigan,          means facilitated the recovery of hundreds
 a man was sentenced to 15 years in              of millions of dollars when individual bad
 prison for his role as the ringleader of        actors could not be located or extradited
 conspiracies to use stolen identities           for criminal prosecution. Consistent with
 to fraudulently obtain $2.1 million             the Department’s goal of using forfeited
 in unemployment insurance benefits              assets to compensate victims, much of the
 from multiple states and to traffic in          finally forfeited money has been returned
 methamphetamine.                                to victimized federal and state agencies and



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            -------------
financial institutions or is currently being          • A Texas-based commercial roofing
processed for potential return to victims.            contractor and its nationwide network of
Yet other money remains seized, pending               roofing and disposal companies agreed
additional process.                                   to pay $9 million to resolve allegations
                                                      that they violated the False Claims Act
    Enforcement efforts as of the end of              (FCA) by falsely certifying that eight of
2023 in COVID-19 fraud-related criminal               their affiliates were eligible to receive
prosecutions for which statutes authorized            loans through the Small Business
restitution resulted in the issuance of over          Administration’s     (SBA)      Paycheck
$882 million in total restitution orders to           Protection Program (PPP).
both government and private victims.
                                                      • A Georgia urgent care chain agreed
    Finally, outside of formal forfeiture             to pay $1,600,000 to resolve allegations
seizure or restitution processes, federal law         that they violated the False Claims Act
enforcement regularly consults with financial         (FCA) by submitting improperly upcoded
institutions that have received fraudulently          Evaluation and Management claims to
obtained UI funds but now seek law                    Medicare for the testing and treatment
enforcement input on the voluntary return             of patients with suspected exposure
of those funds to defrauded state workforce           to COVID-19 during the Coronavirus
and unemployment agencies. Such informal              pandemic.
efforts, wherein private actors seek law
enforcement assistance in building bridges            • A       California-based       technology
among appropriate financial institution, state        services company agreed to resolve
agency, and DOL points of contact, have               allegations that it knowingly violated
resulted in the return of billions of dollars in      the False Claims Act when it applied
fraud proceeds outside of the forfeiture and          for, received, and retained two Paycheck
restitution framework.                                Protection Program (PPP) loans totaling
                                                      $400,000 in violation of PPP rules,
    As of April 1, 2024, USAOs, in                    falsely certifying that it met company
conjunction with the Civil Division, have             size restrictions for the loans, and that its
also opened over 1,200 civil pandemic                 revenue decreased in excess of 25% from
fraud matters, including more than 600 qui            2019 to 2020, a program requirement,
tam cases. Civil AUSAs and Civil Division             when its revenue increased.
attorneys obtained more than 400 judgments
or settlements totaling over $100M. These              In addition, USAOs, through the
cases include PPP, EIDL, health care fraud,        Executive Office for U.S. Attorneys
agricultural program fraud, and fraud on           (EOUSA), have partnered with the Civil
other pandemic-relief programs. Examples           Division to develop and roll out database
of these cases include:                            tools to detect and investigate fraud. This




            5
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includes the analysis of more than 225
million claims paid by the Health Resources       To date, strike force districts have
and Services Administration’s COVID-19            charged more than 250 defendants
Uninsured Program and approximately 15            with associated losses of over $339
million PPP and EIDL loans. EOUSA has             million
partnered with the Civil Division to provide
training on using the databases to investigate
fraud in these programs.                            1. California Strike Force

   B. COVID-19 Fraud Enforcement                     The Eastern and Central Districts of
      Strike Forces                              California joint COVID Fraud Strike Force
                                                 was formed in August 2022. As strike force
    In September 2022, DOJ announced             district, the Eastern and Central Districts
the establishment of three COVID-19 fraud        of California oversee agents, analysts, and
enforcement strike forces, which are housed      AUSAs to bring the most impactful criminal
in the U.S. Attorneys’ Offices for the District  pandemic fraud cases, often involving
of Maryland, Southern District of Florida,       multiple CARES Act programs, foreign
and a joint task force co-located in the         actors, violent perpetrators, or large loss
Eastern and Central Districts of California.     amounts.
In August 2023, two additional Strike Forces
were announced in the District of New Jersey    Since the inception of the Strike Force,
and District of Colorado. The strike forces the EDCA has criminally charged 17 cases
are comprised of dedicated prosecutors with associated actual losses of over $20
and agents from the Department of Labor million, including:
Office of Inspector General, Small Business
Administration Office of Inspector General,     • A defendant was sentenced to 81
Department of Homeland Security Office of       months in federal prison for using stolen
Inspector General, FBI, U.S. Secret Service,    identities to claim over $9 million in
Homeland Security Investigations, Internal      fraudulent UI and EIDL benefits.
Revenue Service Criminal Investigations,        • A defendant, who was an inmate at the
and U.S. Postal Inspection Service, with        time of the offenses, was sentenced to 84
assistance from the PRAC and the Special        months for participating in a conspiracy
Inspector General for Pandemic Recovery.        to use stolen identities to claim more than
The OCDETF Fusion Center and OCDETF’s           $1 million in UI payments, of which the
International Organized Crime Intelligence      conspirators fraudulently obtained over
and Operations Center, the Financial Crimes     $890,000.
Enforcement Network, and the National
Unemployment Insurance Fraud Task Force         • A former gang member and inmate at
provide key support to the strike forces        the time of the offenses was sentenced to
by providing leads, case intelligence, and      65 months in prison for his role in $25
deconfliction.                                  million UI fraud scheme.


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            -------------
                                                      toward achieving just results and significantly
 EDCA prosecuted a gang member                        deterring fraud involving taxpayer-funded
 for fraudulently claiming $25M in UI                 programs.
 benefts
                                                          In one CDCA prosecution, a jury
   • A woman was sentenced to 75 months               convicted a ring of defendants who
   in prison for using stolen identities to           fraudulently obtaining more than $20 million
   claim over $350,000 in UI and SBA                  in PPP and EDIL funds. The lead defendant
   benefits, of which she successfully                fled the U.S. and was sentenced in absentia
   obtained approximately $200,000.                   to 17 years in prison. In another matter, a
                                                      defendant pleaded guilty and was sentenced
    The EDCA has also successfully                    to 30 months’ imprisonment for fraudulently
forfeited funds derived from pandemic                 obtaining more than $500,000 in UI benefits
fraud. In one case, the government secured            using names of dozens of California state
an order of forfeiture for the lead defendant’s       prison inmates.
new condominium in Nigeria, which was
purchased with UI fraud proceeds.
                                                       CDCA convicted at trial a ring of
    The EDCA continues to investigate and              fraudsters who fraudulently obtained
prosecute all manner of pandemic fraud.                $20M in SBA loans
For example, in February 2024, the EDCA
charged several defendants in a case involving
the CARES Act Employee Retention Credit.                  In April 2023, CDCA participated in
The charged conduct, orchestrated from                a nationwide sweep to combat COVID
prison, involved defendants conspiring to             stimulus-related and health care fraud. In one
pursue over half a billion dollars in federal         case, a physician and two other individuals
tax credits that were meant to help struggling        were charged with submitting over 70
businesses during the COVID-19 pandemic.              fraudulent PPP and EIDL applications and
                                                      fraudulently obtained over $3 million. The
    The Central District of California has            physician was also charged with allegedly
joined with FBI, IRS CI, SBA-OIG, HHS-                submitting more than $200 million in
OIG, DOL-OIG, TIGTA, USSS, and several                false claims to the Health Resources and
local law enforcement agencies to initiate            Services Administration (HRSA) COVID-19
37 criminal cases involving 72 individuals            Uninsured Program, a program designed to
suspected of committing PPP, EIDL, UI,                prevent the further spread of the pandemic
and ERC fraud, with losses identified of              by providing access to uninsured patients for
more than approximately $126 million.                 testing and treatment.
Approximately 15 of the 35 cases involve
fraudulent UI claims with collective losses              CDCA and its law enforcement partners
of more than $53 million. CDCA’s cases                have seized and forfeited over $450,000 in
have covered a broad spectrum of criminal             UI-related cases and nearly $2 million in
activity in its diverse population with a view        SBA loan fraud cases.

--o~-                                             7
CDCA has continued to increase its staffing fraud cases from the Maryland Strike Force
to combat pandemic program-related fraud. include:
COVID fraud cases are worked by criminal
AUSAs across the district, in the Major           • The U.S. Attorney’s Office charged
Frauds, Violent and Organized Crime, and          six individuals, including two Maryland
General Crimes Sections. CDCA has also            State Department of Labor subcontractors,
hired an attorney from IRS CT Counsel’s           with participating in a conspiracy to
Office to fill a dedicated Covid Strike Force     fraudulently obtain approximately $3.5
SAUSA position to focus on tax-related            million in UI benefits. The lead defendant
pandemic fraud matters.                           faces separate narcotics and firearms
                                                  charges, including allegations that he
    2. District of Maryland Strike Force          unlawfully possessed a machine gun in
                                                  furtherance of a drug trafficking crime.
    Since the creation of Maryland’s
COVID-19 Strike Force, the U.S. Attorney’s        • Eleven individuals were charged
Office for the District of Maryland (USAO-        in connection with a $1.6M UI fraud
MD) has handled more than 80 criminal             conspiracy involving aggravated identity
investigations into COVID-19 fraud, with          theft. Five of the nine defendants have
overall potential losses totaling more than       pleaded guilty and two of the defendants
$100 million. At least 30 defendants have         have each been sentenced to more than
been criminally charged with COVID-19             four years in prison.
fraud-related offenses involving alleged loss
amounts exceeding $55 million. USAO-              The USAO-MD currently has more
MD currently dozens of open COVID-19 than 30 SBA loan fraud investigations
fraud investigations and prosecutions with and prosecutions, with anticipated losses
cumulative losses exceeding $70 million. exceeding $40 million. For example, a
In support of these efforts, the Maryland defendant pleaded guilty in October 2023,
Strike Force currently has five dedicated to submitting more than $17.9 million in
criminal AUSAs and a paralegal working on fraudulent CARES Act loan applications
pandemic fraud matters as well as criminal on behalf of himself and his coconspirators,
AUSAs outside of the strike force handling using the illicitly obtained funds to travel
significant COVID-related cases. The district internationally, purchase property in Egypt,
also has numerous active civil fraud cases and open a beachfront restaurant.
pending with tens of millions of dollars in
associated potential losses.                      The USAO-MD has targeted cases with
                                              connections between COVID-19 fraud
    In June 2021, the State of Maryland and individuals involved in violent crime,
flagged an astonishing 1.3 million UI claims organized criminal networks, business
as potentially fraudulent. Accordingly, UI email compromise schemes, and narcotics
fraud makes up a large portion of USAO-MD distribution. Using probable cause from the
Strike Force investigations. Some notable UI commission of COVID-19 fraud, agents


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            -------------
have conducted searches and seized illegal         law enforcement agents recovered four
firearms, narcotics, and stolen personally         firearms.
identifying information. The USAO-MD
Strike Force continues to investigate and          3. Southern District of Florida
charge violent and drug offenders who                  Strike Force
committed pandemic program fraud as
part of the U.S. Attorney’s “Al Capone”            Since the creation of the Southern District
strategy to get guns and violent criminals off of Florida’s COVID-19 Strike Force, the U.S.
Maryland’s streets. For example:               Attorney’s Office for the Southern District
                                               of Florida (SDFL) has charged more than
    • A convicted felon was charged with 50 defendants with COVID fraud-related
    CARES Act fraud as well as firearm offenses involving alleged loss amounts
    offenses and possession with the intent exceeding $76 million. In support of these
    to distribute fentanyl.                    efforts, SDFL currently has four dedicated
                                               criminal AUSAs working on criminal
                                               pandemic fraud cases and investigations, as
  D-Maryland defendant sentenced to            well as criminal AUSAs outside of the strike
  7 years in prison for COVID-19 fraud         force handling significant COVID-related
  found with an illegal machine gun            matters.

                                            Examples of SDFL’s Strike Force efforts
   • A defendant was sentenced to seven include:
   years in federal prison for committing
   PPP, EIDL, and UI fraud, with actual     • The SDFL indicted 17 employees
   losses of more than $1 million and       of the Broward Sheriff’s Office were
   attempted losses of $3 million. When the charged with obtaining fraudulent PPP/
   government executed search warrants      EIDL loans. One former deputy was
   in the case, agents recovered stolen     recently convicted at trial,       several
   identifying information and ghost guns,  employees have pleaded guilty, and other
   including one modified to function as a  defendants’ cases are still pending.
   machine gun.
                                                      17 Broward County Sherif ’s Ofce
   • A defendant pleaded guilty to                    employees charged with PPP fraud
   submitting more than $3.5 million in
   fraudulent COVID-19 PPP and EIDL
   applications and using fraudulently                 • A defendant was sentenced to
   obtained funds to pay for a vacation, a             71 months in prison for fraudulently
   Mercedes-Benz, jewelry, and luxury                  obtaining PPP and EIDL loans and
   goods, including items from Luis                    Shuttered Venue Operator Grants
   Vuitton, Neiman Marcus, Dior, Cartier,              (SVOG), using the stolen funds to buy
   Gucci, Chanel, and Hermes. During a                 two Tesla S models, a Lamborghini, a
   search of a residence at the time of arrest,        Porsche, a diamond Audemars Piguet

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       watch, a rose gold and diamond pendant       At present, the District of New Jersey
       with his company’s logo, a half-kilogram has four criminal AUSAs dedicated to
       gold chain with 70 carats of diamonds, prosecuting COVID-19 fraud cases on a
       and a 1-kilogram gold chain.             full-time basis. On January 25 and 26, 2024,
                                                the District of New Jersey hosted a two-day
       • A former contract detention officer strike force coordination meeting, which had
       at the federal Krome Detention facility over 60 participants. Currently, 12 partner
       who was the leader of a PPP fraud ring agencies participate in the New Jersey
       was sentenced to 32 months in prison for Strike Force, with 25 dedicated agents and
       preparing fraudulent PPP applications in investigators supporting the strike force’s
       return for kickbacks.                    efforts.
                                                   Since the inception of the COVID-19
       • A defendant was sentenced to 70       Fraud Strike Force in August 2023, the District
       months in prison for laundering the overof New Jersey has charged approximately 18
       $2 million in fraudulently obtained PPP individuals with COVID-19 loan fraud and
       and EIDL loans and using the funds to   fraud committed in connection with obtaining
       gamble and to pay for cosmetic surgery, unemployment benefits and tax stimulus
       a Cadillac Escalade, and a Pomeranian   payments. Approximately seven COVID-19
       puppy.                                  fraud defendants have been sentenced,
                                               resulting in restitution orders totaling more
    • A defendant was sentenced to 41 than $5 million. For example, co-defendants
    months1 in prison and ordered to pay indicted in a $3.75 million PPP fraud scheme
    $643,000 in restitution for his role in are set to be tried in July 2024.
    a conspiracy to use stolen identities
    to fraudulently obtain more than $1.1          The District of New Jersey currently
                                               has approximately 25 unresolved charged
    million in UI funds. His coconspirators
                                               COVID-19 fraud cases and is overseeing
    were each sentenced to 33 months in
                                               dozens of ongoing pandemic fraud
    prison.
                                               investigations. The District of New Jersey
                                               remains committed to prosecuting fraudsters
    4. District of New Jersey Strike Force in New Jersey and throughout the country
                                               who stole much-needed funds from small
    In August 2023, the District of New Jersey business and families during the pandemic.
launched its COVID-19 Fraud Strike Force,
which built upon the previously established        5. District of Colorado Strike Force
COVID-19 Fraud Task Force. Since the start
of the pandemic, the District of New Jersey        In August 2023, the District of Colorado
has charged approximately 104 defendants       launched  its COVID-19 Fraud Strike Force.
with COVID-19 fraud.                           Since the start of the pandemic, the District of
                                               Colorado and partner agencies participating
                                               in the strike force have devoted significant

1
    See p. 6.

- - - - - - - - - , 0 . 10
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resources to combatting COVID-19 fraud            The District of Colorado has also worked
committed in Colorado and around the          closely with law enforcement partners to seize
country. The District of Colorado has four    more than $1 billon in wrongfully obtained
criminal AUSAs working on its COVID-19        EIDL assets, as well as to forfeit houses,
Fraud Strike Force, including two term        vehicles, cryptocurrency, and bank accounts.
AUSAs hired in the first quarter of 2024.     The District of Colorado obtained a seizure
Additionally, the District of Colorado has    warrant that led to the seizure of over 15,000
ten civil AUSAs, along with support staff,    accounts and approximately $286 million in
working on False Claims Act investigations    fraudulently obtained EIDLs, which funds
involving COVID-19 fraud.                     the U.S. Secret Service ultimately returned
                                              to the SBA.
    To date, the District of Colorado has
charged more than 20 individuals with             C. Criminal Division
COVID-19 loan fraud and fraud committed in
connection with obtaining UI benefits and tax     1. Fraud Section
stimulus payments. Of those, 12 defendants
have been convicted and sentenced, resulting      The Fraud Section has continued to
in restitution orders totaling more than $14 expand its efforts to combat COVID-19-
million. Two additional defendants have related fraud both in the Market Integrity and
pleaded guilty and are awaiting sentencing.   Major Fraud (MIMF) Unit and the Health
                                              Care Fraud Unit (HCF). The Fraud Section
    For example, the District of Colorado maintains its focus on programs created or
charged four defendants with a wire fraud expanded by the CARES Act, including
and money laundering conspiracy. The PPP and EIDL programs, Provider Relief
indictment alleges that the conspirators Fund (PRF) programs, and Health Resources
fraudulently obtained more than $8 million and Services Administration’s COVID-19
in COVID-19 business loans, unemployment Uninsured Program (UIP). The HCF Unit
benefits, tax refunds, and tax stimulus has targeted individuals and entities that
payments using the names of identity-theft are took advantage of COVID-19 testing
victims. In another case, a defendant was programs, including CMS’s COVID-19 over-
sentenced to 51 months’ imprisonment and the-counter test kit demonstration. Since
ordered him to pay more than $1 million August 2022, the HCF Unit, in partnership
in restitution for preparing and submitting with various U.S. Attorney’s Offices and
fraudulent PPP loan applications.             law enforcement agencies, has charged 19
                                              defendants for COVID-19-related fraud
                                              involving more than $393 million in alleged
  D-Colorado and law enforcement              loss, while the MIMF Unit has charged
  partners seized over $1B in                 63 defendants involving more than $116
                                              million in intended loss. The MIMF Unit has
  fraudulently obtained EIDL funds
                                              continued its enforcement efforts through 11
                                              trials of COVID fraud cases in the last two


            11
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years. For example, the MIMF Unit and its        COVID-19 vaccination cards, and (d) the
U.S. Attorney’s Office partners prosecuted       submission of fraudulent loan agreements,
a total of 16 defendants, all of whom were       attestations, and other documentation to
convicted in the Southern District of Texas      obtain millions in PRF and EIDL funds. In
for engaging in a conspiracy to fraudulently     one such case from the Central District of
obtain more than $20 million in PPP loans.       California, the Fraud Section’s HCF Unit
The ringleader of the conspiracy was             secured a ten-year prison sentence for a man
sentenced to 15 years in prison.                 who operated a laboratory that fraudulently
                                                 billed Medicare for $234 million in lab tests,
 Since 2022, the Fraud Section and               including COVID-19 testing. The defendant
 USAO partners have criminally                   was also ordered to forfeit over $31 million
                                                 and ordered to pay more than $31 million in
 prosecuted 82 defendants for                    restitution.
 COVID-19 fraud with associated
 losses over $500M                                  2. Money Laundering and Asset
                                                       Recovery Section
    In April 2023, the HCF Unit, along
with its U.S. Attorney’s Office and law              The Money Laundering and Asset
enforcement partners, announced its largest      Recovery Section (MLARS) continues
Nationwide Coordinated Law Enforcement           to work in coordination with the CFETF,
Action to Combat COVID-19 Health Care            EOUSA, the Justice and Treasury asset
Fraud. Building on the success of prior          forfeiture funds, and law enforcement
years’ COVID-19 enforcement actions,             agencies, on forfeiture of the proceeds of
the HCF Unit announced criminal charges          CARES Act-related fraud and the return
against 18 defendants across nine federal        of forfeited funds to victim agencies and
districts for alleged participation in various   financial institutions. MLARS’ Program
fraud schemes involving health care services     Management and Training Unit (PMTU)
that exploited the COVID-19 pandemic and         will continue working with SBA, Labor, and
allegedly resulted in over $490 million in       other agencies and financial institutions to
COVID-19-related false billings to federal       return forfeited funds through the restoration
programs and theft from federally funded         and remission programs overseen by PMTU.
pandemic programs. The enforcement action
included seizures of more than $16 million.         3. Office of International Affairs
These charged schemes include: (a) the
submission of fraudulent claims to the UIP for       Since the start of the pandemic, the
services not provided and services that were     Office of International Affairs (OIA) has
not medically necessary, (b) the buying and      partnered with domestic prosecutors and
selling of Medicare beneficiary identification   agents, and with foreign authorities, to
numbers that were used to bill Medicare          combat transnational crimes flowing from
for COVID-19 over-the-counter test kits,         the pandemic. OIA is instrumental in
(c) the manufacture and distribution of fake     securing mutual legal assistance (MLA) and


- - - - - - - - - , 0 . 12
                        -------------
extradition in connection with investigations   to pandemic relief programs. In addition to
and prosecutions. Examples of OIA               combatting fraud in connection with SBA
assistance include over 80 incoming MLA         programs, CIV-Fraud continues to lead
requests from around the world seeking          investigations into virtually every aspect of
evidence for use in foreign investigations      the government’s pandemic relief efforts,
and prosecutions related to the pandemic.       including state and local governments
OIA has opened dozens of MLA matters            and tribal entities that received grants;
related to pandemic-based fraud to countries    government procurements for PPE and other
in Africa, Asia, Europe, and North America.     essential goods; and payment advances and
In February 2023, OIA assisted in the           grants to health care providers during the
extradition of a defendant from Germany to      pandemic. It also is investigating a wide
the Western District of Washington, where he    range of health care fraud matters, including
is charged with a multimillion-dollar scheme    those alleging misconduct in connection with
to defraud U.S. government programs of at       COVID-19 testing and treatment.
least US $2.4 million, the majority of which
constituted COVID-19 UI benefits. In April          The CIV-Fraud Section spearheaded the
2023, OIA assisted with the removal of a        creation, implementation, and expansion of
defendant from Thailand via deportation to      its customized data platforms to analyze and
face PPP-related fraud charges in the Central   detect fraud across approximately 15 million
District of California. Additionally, OIA has   PPP and EIDL loans and more than 225
made several outgoing extradition requests      million claims paid by the Health Resources
seeking multiple individuals wanted for         and Services Administration’s COVID-19
large-scale pandemic relief fraud.              Uninsured Program. These tools have been
                                                used by scores of attorneys, auditors, and
   D. Civil Division                            investigators across nearly all U.S. Attorneys’
                                                Offices, as well as the FBI and DOJ Asset
   1. Civil Fraud Section                       Forfeiture teams, to generate high-value
                                                investigative leads and to examine and
    The Commercial Litigation Branch,           prioritize voluminous referrals. In addition,
Fraud Section, has primary responsibility       the CIV-Fraud Section has continued to
for enforcing the False Claims Act (FCA),       provide training to U.S. Attorneys’ Offices,
the government’s primary civil tool to          Offices of Inspectors General, and external
redress fraud impacting federal funds, and      stakeholders on a wide range of pandemic
the Financial Institutions Reform Recovery      relief programs and civil enforcement tools.
and Enforcement Act of 1989 (FIRREA),
which provides for civil penalties for
                                                 CIV-Fraud and USAOs have obtained
certain financial crimes. Since the start of
the COVID-19 pandemic, CIV-Fraud has             more than 400 False Claims Act
partnered closely with U.S. Attorneys’           settlements and judgments totaling
Offices nationwide on an unprecedented           over $100M
surge in civil fraud investigations relating


            13
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    To date, CIV-Fraud has opened more than          The Department has seen a steady
1,200 new investigations relating to potential   increase in the number of new qui tam actions
fraud in connection with multiple pandemic       filed under the False Claims Act alleging
relief programs. These include investigations    fraud in connection with pandemic relief
implicating more than 6,000 individuals and      programs, with year-over-year increases
entities and billions of dollars in pandemic     from 2020 through 2023. Combined with
relief funds. As of April 1, 2024, USAOs,        the growing number of investigative leads
in conjunction with the Civil Division,          developed through data analytics, the Civil
have also opened over 1,200 civil pandemic       Fraud Section anticipates that civil pandemic
fraud matters, including more than 600 qui       fraud enforcement will continue to require
tam cases. Civil AUSAs and Civil Division        substantial resources for years to come.
attorneys obtained more than 400 judgments
and settlements totaling over $100M.                2. Consumer Protection Branch
Notable examples include:
                                                     The Consumer Protection Branch has
   • A        Florida-based       automotive     pursued actions against distributors of fake
   management company agreed to                  COVID-19 treatments and cures, as well
   pay more than $9 million to resolve           as other individuals and entities engaged
   allegations that it knowingly violated        in conduct that threatens the health of
   the FCA by providing false information        consumers. Throughout the pandemic, the
   relating to its corporate affiliations and    Branch brought civil and criminal cases,
   size in support of a PPP loan forgiveness     including actions against sellers of fraudulent
   application.                                  COVID treatments, purveyors of faulty
                                                 PPE, individuals who deliberately tampered
   • A New Jersey public relations firm          with COVID vaccines, and those selling
   paid $2.24 million to resolve allegations     fraudulent covid products online. Some of
   that it knowingly violated the FCA by         these actions were brought under the new
   falsely certifying its compliance with        COVID-19 Consumer Protection Act, which
   PPP requirements even though it was           was signed into law in December 2020. For
   ineligible for the loan due to its status     example, in August 2023 the Branch secured
   as a registrant under the Foreign Agent       a $1 million judgment against a company
   Registration Act.                             and individual that marketed vitamin
                                                 supplements as providing equal or better
   • A Georgia-based clinical laboratory,        protection against COVID-19 than vaccines.
   along with its owner, agreed to pay more      The Branch also pursued ongoing litigation
   than $13 million to resolve allegations       during 2023 against entities that allegedly
   that it sought to profit off the COVID-19     sold products such as tea or nasal spray as
   pandemic by paying independent                COVID-19 cures or treatments. Additionally,
   contractor sales representatives to           the Branch, along with USPIS and FBI,
   recommend expensive and medically             continues to lead an annual campaign to
   unnecessary       respiratory     pathogen    disrupt money mule networks—including
   panels to senior communities that were        those used to move stolen pandemic-relief
   interested only in COVID-19 tests.            funds.

- - - - - - - - - , 0 . 14
                        -------------
   E. Tax Division                                   Because the ERC was available for
                                                 relatively recent years (2020 and 2021) and
    The Tax Division has focused its efforts     given the complexity of identifying and
regarding COVID-19 fraud on combating            prosecuting these offenses, the Tax Division
abuse of the Employee Retention Credit           expects that prosecuting ERC-related
(“ERC”). A substantial part of this effort       crimes will continue to be a priority for the
involves providing training and guidance         foreseeable future.
about the topic to prosecutors throughout
the country. For example, the Division              F. Antitrust Division
presented a nationwide training through the
Executive Office of United States Attorneys          Since the start of the COVID-19
on how to investigate and charge ERC fraud.      pandemic, the Department of Justice’s
The Tax Division also published an article       Antitrust Division has fulfilled its mission—
in the DOJ’s Journal of Federal Law and          the promotion of economic competition
Practice, providing an overview of COVID-        through enforcement of antitrust laws and
related tax fraud, including the ERC. Tax        principles. The Antitrust Division adopted
Division attorneys have provided trainings       a multi-faceted COVID-19 response,
on ERC-related crimes to criminal and civil      particularly as it pertains to fraud and related
enforcement personnel at the IRS.                crimes impacting competition. The Antitrust
                                                 Division’s initial response to the pandemic,
                                                 which included widespread public messaging
 Tax Division and D-NJ charged a tax             about the intersection of competition law and
 preparer with fling thousands of tax            the whole-of-government response to the
 returns claiming fraudulent COVID               public health emergency, has matured into
 tax credits                                     more targeted outreach and enforcement.

                                                     The Antitrust Division’s response to
    Tax Division trial attorneys are directly    the COVID-19 pandemic also includes its
involved in the prosecution of ERC fraud.        continued leadership of the Department’s
The Division has assigned a trial attorney to    Procurement Collusion Strike Force
each of the COVID-19 fraud strike forces to      (“PCSF”) and an active program of outreach,
develop investigations into ERC schemes.         engagement, and training. The PCSF, which
Tax Division prosecutors have also added         is the Department’s coordinated, national,
ERC cases to their regular litigation dockets.   inter-agency answer to collusion and other
In one notable example, along with the U.S.      schemes targeting government spending
Attorney’s Office for the District of New        at all levels, continued its efforts in the
Jersey, the Tax Division charged a defendant     face of crisis-related disruptions. Since
with preparing more than a thousand false tax    August 2022, the PCSF has trained other
returns seeking tens of millions of dollars in   law enforcement agency partners, frontline
refunds based on the ERC and the COVID-          agencies responsible for disbursing and
related Sick and Family Leave Credit.            overseeing federal grants, state officials from


            15
- - - - - ~ o  ~ - - - - -
offices of attorneys general and procurement    dashboards with approximately twenty data
agencies, and private-sector groups in the      and law enforcement personnel from nearly
healthcare, compliance, education, and other    a dozen oversight agencies to aid in their
sectors.                                        proactive data analytics efforts. In 2024, the
                                                PCSF will distribute judicial district-specific
                                                dashboard results to PCSF representatives
 In an Antitrust case, seven companies          throughout the country to focus joint law
 agreed to pay over $681M in criminal           enforcement efforts on local high-risk
 penalties for illegally raising the price      contractors. In August 2023, the Antitrust
 COVID-19 drugs                                 Division announced the final resolutions
                                                in investigation into criminal conduct by
                                                generic pharmaceutical companies. The
    In 2022-2023, the PCSF collaborated with    Antitrust Division, the U.S. Attorney’s Office
the PRAC to develop a series of data analytic   for the Eastern District of Pennsylvania, the
dashboards that identify federal government     FBI, and the U.S. Postal Service Office of
contractors believed to be at a higher risk     Inspector General uncovered price-fixing,
for misusing pandemic relief funding. The       bid-rigging and market-allocation schemes
dashboards identified contractors who met       affecting many generic medicines, including
one of multiple sets of criteria. One set of    illegally raising the prices of prescription
criteria was developed using data obtained      drugs necessary to treat or reduce the risk of
by the Executive Office for the United States   conditions known to amplify or worsen the
Attorneys, and the others were developed        effects of a COVID-19 infection. All told,
using publicly- and non-publicly available      the seven generic drug company defendants
spending and identification data. Pursuant      collectively agreed to pay more than $681
to an agreement between the PRAC and the        million in criminal penalties.
Antitrust Division, the PCSF shared these




- - - - - - - - - , 0 . 16
                        -------------
                                      TASK FORCES

III. National Unemployment                           The NUIFTF acts as a first-of-its-kind
Insurance Fraud Task Force                       lead generator for agents and prosecutors.
                                                 The task force focuses on criminal networks
    In late 2020, in response to massive         and using data analytics to identify foreign
pandemic UI fraud, the Office of the Deputy      actors who committed not just pandemic-
Attorney General created the National            era fraud, but routinely perpetrate romance
Unemployment Insurance Fraud Task Force          scams, BEC scams, and other types of cyber-
(NUIFTF). Although originally focused on         enabled fraud. To date, the NUIFTF initiated
UI fraud, the task force has expanded to         approximately 189 pandemic fraud leads
collect and analyze data related to all manner   and has transmitted more than 100 leads to
of CARES Act fraud. The NUIFTF is headed         agencies and USAOs, each with dozens, if
by a lead prosecutor and is comprised of         not hundreds, of associated fraudulent UI,
agents, analysts, and data scientists from       PPP, and EIDL claims. The NUIFTF also
DOL-OIG, FBI, HSI, USSS, IRS-CI, SBA-            developed intelligence to enhance ongoing
OIG, USPIS, SSA-OIG, DHS-OIG, and the            investigations to assist in the identification
PRAC. Among other things, the task force         of criminal conduct and actors. To date,
works closely with DOJ’s Organized Crime         the intelligence generated by the NUIFTF
Drug Enforcement Task Forces’ (OCDETF)           represents over $3.3B in suspected pandemic
International Organized Crime Intelligence       fraud.
and Operations Center (IOC-2) and DOL-
OIG to identify the largest perpetrators of          For example, the NUIFTF sent a lead
COVID-19 fraud, focusing on transnational        to the Western District of Washington
criminal networks. The NUIFTF and IOC-           involving approximately $25 million in
2 oversee the collection and sharing of          attempted COVID fraud, consisting of over
data related to unemployment insurance           1,700 fraudulent claims for UI benefits filed
claims and SBA loan information for an           in over 25 states, all of which involved the
intergovernmental approach to identifying        use of stolen identities. The lead led to the
patterns of fraud and sharing best practices     indictment of two defendants, one of which,
for data science and intelligence.               a Nigerian national, was sentenced to 42
                                                 months’ imprisonment after being extradited
 Te NUIFTF, a frst-of-its-kind task              from Germany. The second defendant, also
 force generating actionable leads               a Nigerian national, is awaiting extradition
 against foreign actors and crime                from Canada.
 syndicates committing cyber-enabled
                                                     The NUIFTF has several key functions,
 fraud, has disseminated over 100 leads          all of which are ongoing and remain crucial
 and intelligence associated with over           in the continued pursuit of COVID-19 fraud
 $3B in suspected pandemic fraud                 enforcement:



            17
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   • The NUIFTF assisted in the creation       and support oversight of the federal
   of the five Covid Fraud Strike Forces and   government’s COVID-19 pandemic response.
   provides high value leads to each Strike    The PRAC coordinates with 20 member
   Force, many of which involve foreign        Offices of Inspectors General (OIG) to
   targets.                                    oversee more than $5 trillion in COVID-19
                                               spending, identify major risks that cross
   • The NUIFTF provides investigators         program and agency boundaries, and detect
   with a central location where searches of   fraud, waste, abuse, and mismanagement of
   multiple pandemic relief data sets can be   relief funds. The PRAC also provides timely,
   conducted, rather than having to pursue     accessible, and comprehensive spending data
   data that was previously siloed within      on its website, Pandemic Oversight - Home |
   various state and federal agencies.         Pandemic Oversight.

   • The NUIFTF has provided COVID
   fraud investigation trainings to federal     Te PRAC’s eforts have led to 127
   law enforcement, local law enforcement,      investigations, over 60 defendants
   and USAOs across the country.                charged, 44 years in collective prison
                                                time, and $11M in restitution
   • The NUIFTF joined with the FBI’s
   Safe Streets Task Force and DOL-OIG
   to initiate and pursue a violent offender       The PRAC Fraud Task Force is a key
   pandemic fraud program in multiple          component of the organization’s cross-
   cities across the United States. That       cutting efforts. Comprised of more than 50
   ongoing initiative seeks to identify        agents from over a dozen member OIGs, the
   violent offenders under criminal            PRAC Fraud Task Force investigates cases
   investigation who also participated in      in pandemic programs with significant fraud,
   pandemic program fraud.                     such as SBA’s EIDL and PPP loans. As of
                                               January 2024, the PRAC Fraud Task Force’s
    The NUIFTF continues to regularly          efforts have resulted in 127 investigations
receive millions of new data points from       with over 60 individuals charged, 44 years
state workforce agencies and other sources     in collective prison time, and $11 million in
that will enable the refinement of existing    court-ordered restitution. In the PRAC Fraud
leads and the creation of new COVID-19         Task Force’s largest investigation to date,
fraud leads for the foreseeable future.        14 individuals were charged in an alleged
                                               $53 million PPP fraud scheme. Allegedly,
IV. Pandemic Response                          several of these individuals used a group of
Accountability Committee                       affiliated recycling companies to submit at
                                               least 29 fraudulent PPP loan applications that
   The 2020 CARES Act created the              included inflated payroll expenses, doctored
Pandemic     Response    Accountability        bank statements, and false tax forms to
Committee (PRAC) to promote transparency       financial institutions.


- - - - - - - - - , 0 . 18
                        -------------
    In addition to conducting investigations        In January 2023, the PRAC issued a
through the collective power of its OIG         Fraud Alert in which the PACE and its team
partners, the PRAC also provides robust         of data scientists identified more than 69,000
investigative support to law enforcement        questionable Social Security Numbers that
partners in a variety of ways. The Pandemic     were used to obtain $5.4 billion in potentially
Analytics Center of Excellence (PACE)           fraudulent pandemic loans.
offers    data     management,      advanced
analytic capabilities, and investigative lead       In February 2023, PRAC Chair Michael
generation for the PRAC Fraud Task Force,       E. Horowitz testified along with other
DOJ COVID-19 Fraud Enforcement Task             federal oversight leaders before the House
Force, and other OIG and law enforcement        Committee on Oversight and Accountability
organizations. As of January 2024, the          and the House Committee on Ways and
PACE has provided investigative support to      Means and shared the benefits of using
more than 45 federal law enforcement and        advanced data analytics to identify fraud
OIG partners in over 700 pandemic–related       in pandemic relief programs. In November
investigations—all in less than four years      2024, Chair Horowitz testified to the
since the PRAC’s inception. With over 8,000     Senate Subcommittee on Emerging Threats
subjects and an estimated fraud loss of $1.87   and Spending Oversight, Committee on
billion associated with these investigations,   Homeland Security and Governmental
the PACE has demonstrated a valuable return     Affairs. The Chair encouraged Congress to
on investment.                                  make the PACE permanent as a tool to help
                                                watchdogs oversee all federal spending,
    The PACE serves as a force multiplier including future emergency relief and
for the PRAC’s OIG and law enforcement recovery programs.
partners due to its ability to share data,
resolve entities (i.e., recipients) across data     Beyond partnerships with federal
sources, and detect potentially suspicious agencies, the PRAC supports and coordinates
networks across agencies and programs. with state and local law enforcement. The
The PACE has access to 47 government, PRAC continues to hold quarterly briefings
public, and non-public data sets, and has with state and local officials, including law
established Memorandums of Understanding enforcement and auditing professionals, to
with 47 OIGs and law enforcement agencies share valuable insights on fraud indicators,
to prevent and detect improper payments patterns, and evolving schemes. Additionally,
and fraud across federal benefits programs. the PRAC focuses on empowering
Additionally, the PRAC has recruited, hired, individuals and whistleblowers to report
and placed 28 employees across the OIG alleged wrongdoing using the hotline on
community through its Data Science Fellows PandemicOversight.gov. To date, the PRAC
Program, providing partners with specialized has received over 9,000 hotline complaints
talent to help them conduct data analytics that have been routed to relevant agencies for
within their pandemic programs.                 further action as appropriate.



            19
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                              INVESTIGATIVE AGENCIES

V. Department of Labor, Office of                    resources to the International Organized
Inspector General                                    Crime Intelligence and Operations
                                                     Center, and engaging with public/private
    The U.S. Department of Labor, Office             alliances, such as the National Cyber-
of Inspector General (DOL-OIG) focused               Forensics and Training Alliance.
on leveraging government partnerships and
private-sector relationships to: (i) bring         DOL-OIG’s oversight of the UI
early pandemic UI fraud investigations to
                                                   program has resulted in 1,128
successful resolutions; (ii) complete high
impact audits concerning systemic issues           criminal convictions with defendants
facing DOL and state workforce agencies            sentenced to a collective 24,850
(SWAs) regarding pandemic UI programs,             months in prison
and (iii) appropriately support the NUIFTF’s
and COVID-19 Fraud Enforcement                        Since the beginning of the pandemic,
Task Force’s (CFETF) efforts to identify          DOL-OIG’s investigative efforts in this
significant pandemic fraud leads focused on       space have continued to be unprecedented
complex criminal schemes; cases involving         and include opening over 205,000 matters
substantial loss; street-level enterprises; and   related to UI fraud, with approximately
transnational/international actors. To that       14,500 matters opened since August
end, DOL-OIG:                                     2022. Since April 1, 2020, the pandemic
                                                  UI investigative work by DOL-OIG has
   • Provided training to thousands of            yielded impressive results with the agency
   internal and external stakeholders, such       obtaining a total of 1,702 indictments/initial
   as state auditors/comptrollers/treasurers,     charges, executing over 850 search warrants,
   chief financial officers, state and            obtaining 1,128 convictions with over
   federal UI program representatives, the        24,850 months of incarceration ordered, and
   National Association of State Workforce        more than $1 billion in monetary recoveries.
   Agencies, the International Criminal           Even amidst budget constraints, DOL-OIG
   Police Organization, multi national law        continues to expend significant resources
   enforcement investigative teams, and           addressing considerable post pandemic UI
   foreign law enforcement partners;              fraud issues with DOL and SWAs. Between
                                                  August 2022 and December 31, 2023, this
   • Released multiple alerts and other           has resulted in 512 individuals being charged
   products to DOL, SWAs, and private-            and another 531 defendants convicted of
   sector partners; and                           crimes related to UI fraud. Between August
                                                  2022 and December 31, 2023, DOL-OIG’s
   • Continued to bolster multi-directional       UI investigations have resulted in more
   intelligence sharing and investigative         than $145 million in investigative monetary
   leadership by dedicating additional            results. DOL-OIG’s Offices of Investigation


- - - - - - - - - , 0 . 20
                        -------------
and Audit have conducted analyses and
audits of the UI program. During this time,       SBA-OIG’s oversight of the PPP and
they have identified: state disbursements         EIDL programs has resulted in 1,255
of $9.9 billion in pandemic UI benefits to        indictments and 683 convictions
individuals likely committing fraud; $30.9
billion in suspicious UI payouts in six high-      • A former reality television star was
risk categories; and continued activity by         sentenced to more than 17 years in
organized criminal groups that are exploiting      prison related to a Ponzi scheme and
UI programs by adapting their methods              charges involving fraudulent PPP loan
to bypass safeguards and target system             applications.
vulnerabilities. Additionally, DOL-OIG’s
criminal investigators, data scientists, and       • A Texas man was sentenced to nine
analysts have substantially assisted in the        years in prison for using fraudulently
generation and referral of approximately           obtained PPP loans to purchase a
30 high-impact pandemic fraud leads to             Lamborghini, Rolex, and other luxury
NUIFTF partner agencies across the United          goods.
States.
                                                   • Members of a California fraud ring
   Finally, the DOL Inspector General              were convicted for using fake or stolen
provided congressional testimony on                identities to submit approximately 150
multiple occasions, outlining the scope and        fraudulent federal pandemic relief loans
magnitude of the historic levels of fraud,         for sham businesses, for which they
waste, and abuse in pandemic UI programs.          received more than $20 million.
   More information related to DOL-OIG‘s            Since March 2020, SBA-OIG has
pandemic work can be found on DOL-OIG’s         initiated over 1,000 investigations involving
Pandemic Response website.                      complaints of fraud; received more than
                                                270,000 SBA-OIG Hotline complaints; and,
VI. Small Business Administration,              using data analytics, identified more than
Office of Inspector General                     104,000 actionable leads. Given the extension
                                                of the statute of limitations for SBA loan
    Since 2020, SBA-OIG’s oversight of          fraud related to the pandemic, SBA-OIG and
the PPP and EIDL programs has resulted in       its law enforcement partners anticipate that
approximately 1,255 criminal indictments,       the criminal and civil prosecution of these
985 arrests, and 683 convictions as of          leads will continue for the foreseeable future.
December 31, 2023. SBA-OIG has identified
over $1B in forfeitable COVID fraud         In addition to criminal and civil cases,
proceeds and more than $10B in disallowed SBA-OIG has worked to return more than
costs through audits and reviews. Some $28 billion in EIDL funds from financial
examples of SBA-OIG investigated fraud institutions and borrowers. And, because of
include:


            21
- - - - - ~ o  ~ - - - - -
our oversight work published in OIG Reports,      The FBI has initiated 364 COVID-19-
Report 23-16: Ending Active Collections on    related health care fraud investigations into
Delinquent COVID-19 Economic Injury           medical providers, laboratories, and others
Disaster Loans and Report 22-15 SBA’s         engaging in health care fraud schemes,
Guaranty Purchases for Paycheck Protection    including but not limited to overbilling
Program Loans, the agency has completed       or “upcoding” for services, billing for
a comprehensive cost benefit analyses to      services not rendered, performing and
substantiate the pursuit of collections on    billing for medically unnecessary services,
$30 billion in EIDL and PPP loans under       telemedicine/telehealth, fraud, kickback
                                              schemes, and identify theft. The FBI has
$100,000.
                                              also conducted industry-focused and public-
                                              facing awareness campaigns about health
    In June 2023, SBA-OIG published care fraud schemes related to the pandemic.
the COVID-19 Pandemic EIDL and PPP
Loan Fraud Landscape report due the
unprecedented levels of fraud in these          Te FBI has arrested over 500
pandemic relief programs. The report            defendants for PPP fraud and seized,
estimates that SBA disbursed over $200          recovered, forfeited, or prevented the
billion in potentially fraudulent COVID-19      loss of approximately $582.7M in PPP
EIDLs,      EIDL      Targeted    Advances,
                                                funds
Supplemental Targeted Advances, and PPP
loans.
                                                  The FBI launched initiatives to address
    SBA-OIG, together with its law            a  range   of fraudulent activity targeting
enforcement partners, continues to prioritize COVID-19 relief programs. As of September
the integrity, efficiency, and effectiveness 1, 2023, the FBI has opened approximately
of SBA programs. SBA-OIG’s response to 746 UI fraud-related cases and 481 EIDL
pandemic fraud to date demonstrates that investigations, seizing approximately $51
SBA-OIG, together with its law enforcement million in assets. As of the same date, the
                                              FBI has opened over 1,800 PPP related cases
partners, provides independent, objective,
                                              and arrested 518 individuals. The FBI has
and timely oversight of SBA while seeking
                                              seized, recovered, forfeited, or otherwise
to return funds to the taxpayers where prevented the loss of approximately $582.7
appropriate and punish wrongdoers.            million in PPP funds.
VII. Federal Bureau of Investigation                   For example, in 2022, a grand jury in
                                                   the Eastern District of Texas returned an
    The Federal Bureau of Investigation            indictment charging nineteen defendants with
continues to work in coordination with             conspiracy to commit wire fraud in a case
the DOJ and federal, state, and local law          jointly investigated by the FBI and IRS-CI.
enforcement and regulatory partners, as well       The indictment alleges that the conspirators
as partners in the private sector, to detect and   fraudulently applied for PPP and EIDL loans
disrupt COVID-19-related fraud. This work          and obtained more than $3.5 million in SBA
spans multiple FBI Divisions and programs.         pandemic relief funds.

- - - - - - - - - , 0 . 22
                        -------------
    In another criminal case jointly undertaken   million, and remitting over $400 million in
by the FBI and DOL-OIG, a defendant in the        pandemic relief funds to date. The USSS
Northern District of California was sentenced     partners with both the U.S. Department of
in July 2023 to 55 months in federal prison       Justice (DOJ) Money Laundering and Asset
for using more than 136 stolen identities to      Recovery Section (MLARS) and the U.S.
commit more than $2.6 million in UI fraud.        Treasury Executive Office of Asset Forfeiture
                                                  (TEOAF).
   In yet another pandemic fraud case jointly
investigated by the FBI, IRS-CI, and HSI,
a Texas man was sentenced to 180 months             USSS has seized over $1.4B, forfeited
imprisonment after pleading guilty in the           over $900M, and remitted over $400M
Northern District of Texas to fraudulently          in pandemic funds
obtaining $4 million worth of PPP loans.

    Throughout the pandemic, agents and             The USSS plays a key role in the DOJ-
professional staff from the FBI participated in led NUIFTF. The USSS and our partners
the National Unemployment Insurance Fraud       continue to investigate pandemic relief
Task Force (NUIFTF) and the International       fraud. Between March 2020 and November
Organized Crime Intelligence and Operations     2023, USSS personnel initiated over 1,500
Center (IOC-2). Professional staff also         investigations and over 2,500 investigative
assisted in processing complaints from the      inquiries related to SBA loan and UI fraud.
National Center for Disaster Fraud (NCDF).      For the same reporting period, USSS
The FBI has conducted numerous industry-        investigations led to arrests of over 650
focused and public-facing awareness             individuals for crimes related to SBA loan
campaigns about pandemic relief fraud.          and UI fraud. For example, three Miami
These efforts included fraud awareness and      residents were indicted in November 2023
training for financial institutions involved in in the Southern District of Florida for
SBA loans as well as agent-focused training     submitting fraudulent PPP loan applications
on UI fraud.                                    and obtaining $14.5 million in stolen funds
                                                in an investigation USSS jointly worked with
VIII. U.S. Secret Service                       SBA-OIG. And 19 defendants were charged
                                                in the Eastern District of Philadelphia for
    In its continued effort to combat pandemic- collectively defrauding the PPP, EIDL, and
related fraud, the U.S. Secret Service (USSS) UI programs of more than $14 million in a
maintains strong working relationships with case investigated by USSS and six partner
federal law enforcement partners, such as agencies.
SBA-OIG, DOL-OIG, and USPIS, as well
as with financial institutions. The USSS            In addition to investigations and asset
continues to use its administrative, civil- recovery, the USSS has provided insights on
judicial, and criminal forfeiture authorities lessons learned from the pandemic and fraud
seizing over $1.4 billion, forfeiting over $900 prevention. In February 2023, the Assistant


            23
- - - - - ~ o  ~ - - - - -
Director of the Office of Investigations for
USSS also provided written testimony to           IRS-CI has initiated ERC fraud
the House Committee on Oversight and              investigations involving $2.9B
Accountability in February 2023, to discuss
USSS’ response to pandemic fraud.
                                                     As of the end of calendar year 2023, CI has
IX. IRS Criminal Investigation                   initiated 352 investigations involving more
                                                 than $2.9 billion in potentially fraudulent
    Since the start of the of pandemic,
                                                 ERC claims in tax years 2020 through
IRS Criminal Investigation (IRS-CI) has
led and participated in COVID-19 fraud           2023. Eighteen of the 352 investigations
investigations covering a range of fraud         have resulted in federal charges, with 11
typologies, including SBA pandemic loan          convictions and four sentencings with an
fraud, counterfeit EIP checks, sale of           average sentence of 21 months.
fraudulent PPE, UI Fraud, and tax-related
schemes connected to the pandemic.        X. United States Postal Inspection
                                                 Service
    Starting in 2023, IRS-CI has seen an
increase in fraud related to the Employee           Between August 2022 and December
Retention Credit (ERC). Bad actors have          2023, the U.S. Postal Inspection Service
seized opportunities to personally benefit       (USPIS) generated investigations that have,
from ERC claims using IRS Forms of the           thus far, led to the arrest of more than 160
940 series (Employer’s Annual Federal            people for federal offenses including PPP,
Unemployment (FUTA) Tax Return), 941-X           EIDL, and UI fraud and involving losses of
(Amended Employer’s Quarterly Federal Tax        more than $283 million.
Return) series, and 7200 (Advance Payment
of Employer Credits Due to COVID-19). IRS-
CI has continued to conduct data analytics to     USPIS worked to bring charges
develop investigative leads focused on ERC        against 160 people for over $279M in
fraud.                                            pandemic fraud
    IRS-CI has been proactive in conducting
media and stakeholder outreach to inform
taxpayers and tax-professionals of COVID-            For example, in the Eastern District of
related fraud and scams. In February of          Virginia, a defendant was sentenced to 42
2024, IRS-CI began hosting a series of           months in prison in February 2024 for his
educational sessions geared specifically         role in receiving fraudulent EIDL loans using
to tax professionals about ERC at its field      the identities of others. In another case, three
offices across the country. These sessions are   individuals were sentenced for their roles in
part of a nationwide initiative to ensure that   fraudulently obtaining $3.5 million in PPP
tax professionals have the latest information    loans.
about ERC claims and understand ERC
eligibility criteria.

--0.----
       24 -------
    USPIS has conducted robust COVID-19-        Medicare Fraud Strike Force to make the
related fraud prevention activities through a   greatest possible impact, recover stolen
variety of mediums, including and not limited   dollars, and bring wrongdoers to justice.
to, social media postings, public service
announcements, and a dedicated COVID-19             HHS-OIG’s Division of Data Analytics
webpage that provides information and           has focused on proactive data analysis to
prevention tips on various COVID-19 related     identify potential fraud in the pandemic
fraud schemes. USPIS also created internal      space. Agents have also worked closely
informational messaging on recognizing and      with the Health Resources and Services
reporting fraud schemes, including those        Administration (HRSA) – which managed
stemming from COVID-19 related fraud,           the PRF and UIP programs – to highlight bad
for the U.S. Postal Service’s over 600,000      actors and provide subject matter experts to
employees nationwide.                           assist with investigations and prosecutions.

XI. Department of Health and                        These collaborative efforts have resulted
Human Services Office of                        in several impactful cases. For example:
Inspector General
                                                   • In March 2023, a Grand Jury in the
    The COVID-19 pandemic represented              Northern District of Illinois returned an
a unique opportunity for fraudsters to take        indictment charging a Chicago-area lab
advantage of federal health care benefit           owner with the fraudulent submission of
programs, including Medicare and Medicaid.         claims to HRSA for COVID-19 testing,
In response to the pandemic, HHS created           resulting in the receipt of over $83
two new benefit programs – the Provider            million.
Relief Fund (PRF) and Uninsured Program
(UIP) – both of which were targeted by             • In September 2023, a Los Angeles-
individuals and organized criminal groups          area doctor and his coconspirators
seeking to commit fraud.                           were charged with defrauding HRSA’s
                                                   COVID-19 Uninsured Program. The
 HHS-OIG’s investigations resulted                 indictment alleges that the conspirators
                                                   received approximately $150 million
 in 290 indictments, 135 criminal
                                                   in payments for services not covered or
 convictions, and $477M in monetary                never provided.
 recoveries
                                                   • In January 2024, a California man
   HHS-OIG has conducted COVID-19                  was sentenced to ten years in prison for
investigations resulting in 290 indictments,       his involvement in operating a laboratory
135 criminal convictions, and monetary             and billing Medicare approximately $234
recoveries of $477 million. Agents have            million for various lab tests, including
leveraged established relationships with           COVID-19 tests, despite being excluded
United States Attorneys’ Offices and DOJ’s         from Medicare.


            25
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    HHS-OIG has received thousands of               Between September 1, 2022, and
allegations of pandemic fraud through its       February 28, 2024, SIGPR’s investigations
Hotline (800-HHS-TIPS or https://tips.oig.      resulted in 21 arrests, 21 individuals
hhs.gov). Agents have conducted outreach        being charged, and four individuals being
to groups such as the Healthcare Fraud          sentenced to between one and seven years
Prevention Partnership and National Health      of incarceration. The sentencings included
Care Anti-Fraud Association to educate          restitution orders totaling more than $11
public and private insurers about pandemic      million and forfeiture orders totaling nearly
fraud schemes. HHS-OIG has also worked          $10 million. For example, SIGPR, together
closely with DOJ’s COVID-19 Fraud               with the FBI, IRS-CI, and Federal Reserve
Enforcement Task Force to bring all possible    Board OIG, investigated a convicted felon
resources to bear to combat health care fraud   who fraudulently obtained more than $2.6
involving government programs.                  million from the Main Street Lending, PPP,
                                                and EIDL programs. The defendant, who
XII. Department of the Treasury                 was prosecuted in the Middle District of
Special Inspector General for                   Florida, was sentenced to more than seven
Pandemic Recovery                               years in federal prison and ordered to pay
                                                over $2.617 million in restitution. SIGPR
     The Special Inspector General for          also partnered with FDIC-OIG and the FBI
Pandemic Recovery (SIGPR) is an IG created      to investigate several individuals for PPP
by the CARES ACT of 2020 to investigate         fraud in a matter initiated by the PRAC. The
matters arising from three types of CARES       investigation resulted in fourteen defendants
Act loans: (1) Treasury’s Direct Loans to air   being charged with fraud in the Northern
carriers and businesses critical to maintain    District of Texas for allegedly filing a total of
national security; (2) Treasury’s investments   29 fraudulent PPP and bank loan applications
into loans made as part of the Main Street      totaling more than $50 million.
Lending Program (MSLP); and (3) PPP
loans referred by the PRAC to SIGPR for             During the same period, SIGPR opened
investigation. Because no principal is due on   28 new investigations and referred 22
the Treasury Direct Loans until 2025, and the   individuals to Treasury’s Suspension and
first 15% principal payments were not due on    Debarment Office; seven of which have been
the MSLP loans until the latter part of 2023    debarred to date. SIGPR’s investigations
and early 2024, SIGPR developed more than       have also led to recoveries in the form of
85% of its case leads proactively.              early loan repayments totaling more than
                                                $21 million.

 SIGPR investigations led to 21 arrests,            SIGPR’s Inspector General, Brian Miller,
 $11M+ in restitution orders, and               has testified before Congress and engaged
                                                in outreach among accountants, lawyers,
 nearly $10M in forfeitures
                                                and other IGs concerning CARES Act
                                                fraud. On November 14, 2023, IG Miller


- - - - - - - - - , 0 . 26
                        -------------
testified before the Senate Subcommittee on 160 indictments, and 127 convictions while
Emerging Threats and Spending Oversight seizing approximately $7.5 million related to
hearing “Examining Federal COVID-Era COVID-19 fraud.
Spending and Preventing Future Fraud.”
                                                   Since August 2022, HSI has
XIII. Treasury Inspector General                   supported 127 convictions and seized
for Tax Administration                             approximately $7.5M related to
                                                   COVID-19 fraud
    The Treasury Inspector General for Tax
Administration (TIGTA) has been involved
in numerous Federal criminal investigations          HSI investigations have resulted in
since the beginning of the pandemic. During      indictments for pandemic relief benefit
fiscal year 2023, 269 individuals were charged   fraud, including PPP and EIDL, as well as
in connection with COVID-19 benefit fraud        UI fraud, counterfeit PPE, and seizures of
as a result of TIGTA investigations, bringing    fraudulent proceeds of those offenses. HSI
the total since March 2020 to 672. Of            agents are participating in pandemic relief
those individuals, 266 were sentenced and        fraud task forces across the country, as well
collectively received a total of more than       as the National Unemployment Insurance
754 years imprisonment and court-ordered         Fraud Task Force.
financial restitutions of almost $159 million.
For example, TIGTA investigated a case in        XV. Federal Deposit Insurance
the Northern District of Georgia that led to     Corporation Office of Inspector
22 people being indicted for a $3.8 million      General
PPP fraud scheme.
                                                     Since many pandemic-relief programs
XIV. Homeland Security                           are administered through Federal Deposit
Investigations                                   Insurance Corporation (FDIC) regulated
                                                 and insured institutions, the FDIC Office
    Since April 2020, Homeland Security          of Inspector General (OIG), Office of
Investigations (HSI) Cyber Crimes Center         Investigations (OI) has been actively involved
(C3), Intellectual Property Rights Center        in pandemic-related financial investigations
(IPRC), Financial Crimes Unit (FCU), and         that affect the institutions. The FDIC-OIG’s
HSI Office of Intelligence representatives       efforts related to the federal government’s
have been successfully targeting online fraud    COVID-19 pandemic response have
schemes and the sale of illicit COVID-19         resulted in approximately 196 investigations
vaccines and treatments using illicit websites   associated with fraud in pandemic relief
and dark net marketplaces as well as COVID-      programs. Such cases involve fraudulent
19-related financial fraud. From August          activity involving theft of funds from
1, 2022, through September 30, 2023, HSI         Government programs intended to provide
Special Agents have initiated 174 criminal       financial assistance during the pandemic.
investigations, made 175 arrests, secured        Since the beginning of the pandemic, the


            27
- - - - - ~ o  ~ - - - - -
FDIC-OIG’s collaborative work in this              for-profit, post-secondary school that closed
area has accounted for 77 complaints,              who closed returned more than $235,000
248 indictments or informations, 192               in HEERF. In another case, a for-profit
convictions, 257 arrests, and approximately        school was denied additional eligibility in
$271 million in fines/penalties, restitution       the Federal student aid programs because
ordered asset forfeitures, and asset seizures.     it improperly accounted for and disbursed
Some examples of FDIC-OIG-supported                HEERF awards to students and did not meet
matters include:                                   the standards of financial responsibility for
                                                   administering the programs.
    • Leader of $20M COVID-19 Relief
    Fraud Ring Sentenced to 15 Years                   The OIG also continues to distribute
                                                   fraud awareness materials aimed at helping
    • CFO, Controller, Corporate Officers          stakeholders identify and report suspected
    Charged in $53 Million Fraud Scheme            fraud involving pandemic relief aid. This
    Involving Pandemic Relief                      includes a digital booklet and a one-page
                                                   flyer. The materials highlight what education-
XVI. Department of Education                       related coronavirus fraud could look like and
Office of Inspector General                        provide information on free resources to help
                                                   identify and report fraud to the OIG. Further,
    The U.S. Department of Education Office        the OIG continues to participate in Federal-
of Inspector General has been working since        State COVID-19 task forces and work groups.
2020 to identify and stop fraud, waste, and        These task forces are a collective of Federal
abuse of pandemic aid. An investigation            and State law enforcement and prosecutive
with its law enforcement partners led to the       entities combining their investigative power
sentencing of a U.S. Army Chief Warrant            to quickly address fraud complaints and to
Officer for leading a “prolific fraud scheme”      identify, investigate, and prosecute fraud
in which she and others illegally raked in         related to the pandemic. Further, the OIG
millions of dollars from COVID-19 relief           continues to participate in the PRAC and
programs and federal student loan forgiveness.     other Federal-State COVID-19 task forces
The warrant officer submitted more than 150        and work groups.
fraudulent PPP loan applications to the Small
Business Administration for herself and            XVII. Department of Veterans
others, resulting in more than $3 million in       Affairs Office of Inspector
fraudulent disbursements. Conspirators paid        General
the defendant to submit falsified certifications
to discharge of more than a dozen student       The U.S. Department of Veterans Affairs
loans totaling more than $1 million.         Office of Inspector General (VA- OIG)
                                             continues to participate in multiple federal
   OIG efforts also led to schools returning criminal investigations related to pandemic
Higher Education Emergency Relief Fund fraud. From August 2022 through December
(HEERF) awards, including the owner of a 2023, VA-OIG investigations have resulted


- - - - - - - - - , 0 . 28
                        -------------
in 14 federal indictments or informations,           loan fraud. Agents from OIGs across the
over $3 million in ordered restitution               federal government, including the DOJ-
and forfeiture from defendants, and                  OIG, have been detailed to work on task
approximately $95 million in cost savings            force cases. These agents have partnered
and avoidances. During this reporting period,        with prosecutors from the Department’s
VA-OIG COVID-19-related investigations               Criminal Division, Fraud Section, and
included alleged bribery and kickback                United States Attorney’s Offices across the
schemes related to fraudulent COVID-19               country. Since August 2022, the OIG has
testing, fraudulent procurement practices            actively investigated multiple PRAC Fraud
regarding personal protective equipment,             Task Force cases, which are in various stages
and fraudulent Paycheck Protection Program           of investigation and prosecution. Some of
(PPP) loans and Economic Injury Disaster             the subjects in these cases have already been
Loans (EIDL) received by VA employees.               sentenced. For example, on October 23,
For example, in the Western District of New          2023, a defendant in a PRAC Fraud Task
York, a man was sentenced to more than 20            Force case investigated by the OIG was
years engaging in multiple fraud schemes,            sentenced to 25 years’ imprisonment and
including obtaining $7.4 million by falsely          ordered pay $1,120,462 in restitution for
purporting to have N95 masks that he could           using stolen identities to fraudulently obtain
sell to various entities, including a VA             PPP and EIDL loans. In addition, DOJ OIG
hospital, during the height of the pandemic.         uses proactive data analytics to identify and
                                                     investigate pandemic-related contract fraud
XVIII. Department of Justice                         and fraudulent receipt of PPP and EIDL
Office of Inspector General                          loans by individuals within its jurisdiction.

    The DOJ-OIG has devoted a significant              DOJ-OIG-supported PRAC investigation
portion of its oversight work since March              resulted in defendant sentenced to 25 years’
2020 to assessing the DOJ’s readiness to               imprisonment for PPP fraud
respond to the COVID-19 pandemic. This
has included oversight of pandemic-related              The DOJ-OIG also has issued several
grant funding disbursed to state, local, and         oversight products related to the COVID-19
tribal organizations, as well as the release         pandemic, since August 2022. For example,
of a collection of interactive dashboards            in September 2022, DOJ-OIG issued an
with data on COVID-19 case trends, testing           Audit of the Management and Coordination
trends, and deaths due to COVID-19 in BOP-           of Pandemic-Related Fraud Allegations and
managed correctional facilities.                     Referrals Between the Criminal Division and
                                                     Executive Office for U.S. Attorneys, which
    In January 2021, PRAC stood up a Fraud           contained recommendations to improve the
Task Force to serve as a resource for the            DOJ’s efforts to combat COVID-19 fraud. In
Inspector General community by surging               addition, since August 2022, the DOJ-OIG
investigative resources in those areas where         has contributed to two joint products with the
the need is the greatest, currently pandemic         PRAC Health Care Subgroup.



--o~-                                           29
XIX. Department of Homeland                       Unemployment Assistance by using stolen
Security, Office of Inspector                     identities.
General
                                        XX. Department of Defense Office
   The Department of Homeland Security, of Inspector General
Office of Inspector General (DHS-OIG)
expanded its COVID-19 Fraud Unit,                     The DoD office of Inspector General
comprised of experienced special agents,          (DoD-OIG) is responsible for auditing,
program analysts and data scientists, to          evaluating, and investigating the programs
develop proactive initiatives to identify         and operations of the Department of Defense.
COVID-19 fraud and conduct COVID-19               Congress      appropriated    approximately
fraud investigations. The DHS-OIG and its         $10.6 billion for the DoD to respond to the
investigative partners focused on international   COVID-19 pandemic. The DoD-OIG’s
fraud rings, public trust employees, and          criminal investigative component, the
groups of already-incarcerated prison             Defense Criminal Investigative Service
inmates defrauding the government’s UI            (DCIS), initiated investigative projects
programs.                                         nationwide to identify fraud in DoD
                                                  acquisition and health care programs related
 DHS-OIG investigations have resulted             to the DoD’s response to the COVID-19
 in 87 criminal convictions and over              pandemic.
 $20M in recoveries
                                                      Since 2021, DCIS’s COVID-19 and
                                                  CARES ACT fraud investigations have led
    DHS OIG has opened over 553 high              to the arrest of 80 subjects, leading to the
impact investigations, including an inquiry       conviction of 66 individuals and resulting in
into a Nigerian fraud ring based in Maryland      approximately 2,300 months of confinement
that defrauded several State Workforce            and probation. From FY 2021 through 2023,
Agencies of over $3.2 million. To date,           combined civil and criminal penalties, fines
DHS-OIG investigations have resulted in           and restitutions totaled $68,812,391.
approximately 126 indictments, 30 criminal
informations, 87 convictions, and more than      DCIS continues to make strides and
$21.5 million in recoveries.                  advances investigating CARES ACT fraud.
                                              DCIS HQ components collaborated with
    In one DHS-OIG case, a Missouri experienced field agents to produce the
woman was sentenced to 30 months in “PPP/EIDL Investigative Guidebook.”
federal prison for facilitating the filing of The guidebook provides DCIS agents
false claims for unemployment benefits by suggestions and offers effective tips on how
using the stolen identities of incarcerated to conduct investigations into PPP and EIDL
individuals. In another case, a Connecticut fraud. During year two, DCIS continued
man was sentenced to four years in prison to work collaboratively with other federal
for fraudulently obtaining Pandemic law enforcement partners including, the


--0.----
       30 -------
Department of Justice, the Military Criminal    fraud related to the lending facilities that are
Investigative     Organizations     (MCIOs)     central to the Board’s pandemic response.
and with CIGIE, providing significantly         Since the start of the pandemic, our work
increased results.                              has resulted in 157 investigations, 93 arrests,
                                                83 convictions, and nearly $194 million
    The DoD encourages the use of the in criminal fines, restitution, and special
DoD Hotline (www.dodig.mil/hotline) to assessments.
report concerns related to fraud affecting
DoD equities, including responses to the XXII. INTERPOL Washington,
COVID-19 pandemic. The hotline provides
a confidential, reliable means to report fraud,
                                                the United States National
waste, abuse, and other violations of law that Central Bureau
involve the Department of Defense, without
fear of reprisal.                                   INTERPOL Washington, the United
                                                States National Central Bureau (USNCB),
XXI. Federal Reserve Board                      is actively supporting domestic and
                                                international efforts to combat COVID-19
    The Federal Reserve Board has played related fraud. Conducted in coordination with
a vital role in response to the pandemic law enforcement authorities in the U.S. and
by enforcing federal consumer protection the 195 other INTERPOL member countries,
laws and protecting consumers from abuse. the USNCB’s support activities include, but
FRB coordinates with U.S. Government are not limited to, sharing investigative leads
Accountability Office; the PRAC, SIGPR, and referrals, participation in multi-national
SBA-OIG, and other offices of inspector enforcement and interdiction operations,
general to ensure robust oversight of the and the production and dissemination
Board’s pandemic response activities, and of INTERPOL Notices alerting law
FRB oversees the CFPB’s pandemic response enforcement authorities to fraud arising from
activities through our reviews, to efficiently the pandemic.
deploy resources where they are most needed.
FRB’s Inspector General Bialek is a member          In October 2023, the USNCB participated
of the PRAC Financial Sector Oversight in Operation PANGEA XVI, an INTERPOL-
Subcommittee and serves as the vice chair coordinated operation intended to disrupt the
of the PRAC Investigations Subcommittee. activities of organized criminal networks
FRB’s Office of Investigations is dedicated distributing illicit and counterfeit COVID-19
to identifying and investigating potential pharmaceuticals and medical supplies online.




            31
- - - - - ~ o  ~ - - - - -
                                   LESSONS LEARNED

   Our Work is Not Over                               There are indicators that the domestic and
                                                  foreign networks who committed COVID-19
    The results of the government’s collective    fraud continue to attack federal and state
response to COVID-19 fraud detailed in this       programs, applying criminal skills and tools
report shows the tremendous results possible      they acquired during the pandemic to commit
when agencies work together, particularly         fraud. The government is also regularly a
given the limited upscaling of investigative      victim of cyber-enabled fraudsters in ways
and prosecutorial resources. But our work to      beyond identity theft, including by invoice or
punish wrongdoers and recoup fraudulently         payment fraud related to federal funds, such
obtained pandemic relief funds is far from        as impersonating contractors to fraudulently
over. State workforce agencies continue to        receive payments or business email
provide additional claims data that has yet       compromise. As evidenced by numerous
to be analyzed for leads. The NUIFTF data         examples around the country, some of which
scientists and analysts continue to make          are detailed in this report, domestic violent
connections from law enforcement data to          criminal groups are also turning to identity
identify perpetrators of fraud. Funds stolen      and government benefit theft. This both
from pandemic relief programs remain              heightens the need to improve our response
restrained in bank accounts and need to be        and demonstrates that thwarting government
forfeited. Accordingly, the CFETF strongly        benefit fraud can support efforts to reduce
supports an extension of the statute of           violent crime in our communities.
limitations for COVID-19 pandemic benefit
fraud, an extension of the data sharing and           Fraudsters are increasingly anonymous;
analysis facilitated by the PRAC, and the         detection of the perpetrators and tracing of
necessary resources for CFETF members             the money is impossible for a single agency
to continue their impressive work holding         or agent. The benefits from the relationships
fraudsters accountable and recovering stolen      and data sharing forged in response to
funds.                                            pandemic fraud are readily apparent.

   Explore Permanent Coordinated                      The members of the CFETF stand
   Efforts to Combat Government                   ready to engage with the relevant policy
   Benefits Fraud                                 makers to discuss ways to improve our
                                                  data sharing and a coordinated response to
    The response to COVID-19 fraud                government benefits fraud going forward,
has made the members of the CFETF                 including creating an ongoing data-sharing
keenly aware of the need for a permanent,         and analytics entity. CFETF members are
interagency body to respond to government         also eager to discuss the resources needed
benefits fraud. The use of stolen and             to address this growing threat; we must have
synthetic identities by criminal networks to      the agents, analysts, and prosecutors in place
defraud public benefits programs is a serious     to analyze data, generate actionable leads,
and evolving threat to the integrity of federal   and prosecute these complex cases.
programs and to the American people those
essential programs are intended to help.


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