Justia White Collar Crime Opinion Summaries

Plaintiffs, business entities owning recovery rights assigned by health insurers and other third-party Medicare payors, alleged that Defendants, including a drug manufacturer, a specialty pharmacy, and healthcare nonprofits, colluded to inflate the price and quantity of the drug Xenazine. This alleged scheme purportedly violated the Racketeer Influenced and Corrupt Organizations Act (RICO) and various state laws, causing the Assignors to reimburse inflated Xenazine prescriptions at supra-competitive prices.The United States District Court for the Eastern District of Virginia dismissed the class-action complaint with prejudice, concluding that Plaintiffs failed to adequately allege that Defendants’ conduct proximately caused their injuries. The court emphasized that RICO’s proximate-causation requirement focuses on the directness of the harm, not its foreseeability. The court found the alleged causal chain too attenuated, involving numerous independent actors like physicians and pharmacists, and dismissed the state-law claims for similar reasons.The United States Court of Appeals for the Fourth Circuit affirmed the district court’s dismissal of the federal RICO claims, agreeing that Plaintiffs failed to establish proximate causation. The court noted that the alleged scheme had more direct victims, such as distributors and wholesalers, and that the volume of Xenazine prescriptions depended on the independent decisions of doctors. The court also affirmed the dismissal of the state-law consumer-protection and unjust-enrichment claims, finding them insufficiently pleaded.The Fourth Circuit reversed the district court’s conclusion that Plaintiffs had standing to bring claims on behalf of unidentified assignors, remanding those claims for dismissal without prejudice. The court upheld the district court’s denial of post-judgment relief and leave to amend the complaint, concluding that further amendment would be futile. View "MSP Recovery Claims, Series LLC v. Lundbeck LLC" on Justia Law

In 2019, the FBI and DEA, along with local law enforcement, investigated a Mexican drug trafficking organization operating in Mexico, California, Georgia, and North Carolina. Oscar Pliego-Pineda, based in Atlanta, Georgia, was identified as a key figure in coordinating methamphetamine deliveries and managing drug proceeds. He arranged multiple drug transactions and coordinated logistics for methamphetamine shipments, including converting liquid methamphetamine to crystal form.The United States District Court for the Middle District of North Carolina sentenced Pliego-Pineda to 120 months in prison after he pled guilty to conspiracy to distribute methamphetamine and conspiracy to commit money laundering. The court applied a three-level managerial role enhancement under the United States Sentencing Guidelines, which Pliego-Pineda contested, arguing that the district court erred in applying the enhancement and that his sentence was substantively unreasonable.The United States Court of Appeals for the Fourth Circuit reviewed the case. The court upheld the district court's application of the managerial role enhancement, finding that Pliego-Pineda exercised significant decision-making authority, participated extensively in the conspiracy, and managed the logistics of drug transactions. The court noted that the conspiracy involved at least ten individuals and large quantities of methamphetamine. Despite an error in considering Pliego-Pineda's supervision of an undercover officer, the court found sufficient evidence to support the enhancement.The Fourth Circuit also found Pliego-Pineda's sentence substantively reasonable, affirming the district court's decision. The court emphasized that the sentence was within the properly calculated Guidelines range and thus presumptively reasonable. The court concluded that the district court did not abuse its discretion in sentencing Pliego-Pineda. View "United States v. Pliego-Pineda" on Justia Law

Rojay Lawson was involved in a telemarketing sweepstakes scheme based in Jamaica that targeted elderly individuals in the United States. Lawson, operating from South Carolina, collected and laundered the fraudulent proceeds, keeping a portion for himself and sending the rest to his co-conspirators in Jamaica. The scheme defrauded at least 179 victims, most of whom were elderly, out of approximately $720,000. Lawson pleaded guilty to multiple counts, including wire fraud conspiracy, money laundering conspiracy, wire fraud, and mail fraud.The United States District Court for the District of South Carolina sentenced Lawson to 78 months in prison and ordered him to pay $405,401 in restitution. Lawson challenged his sentence, arguing against the application of a vulnerable victim enhancement, the denial of a minor role reduction, and the calculation of the loss amount. The district court overruled his objections, finding that the scheme specifically targeted elderly victims and that Lawson played a significant role in the conspiracy.The United States Court of Appeals for the Fourth Circuit reviewed the case and affirmed the district court's decision. The appellate court held that the vulnerable victim enhancement was appropriate because the elderly victims were particularly susceptible to the telemarketing fraud, and Lawson knew or should have known about their vulnerability. The court also upheld the denial of a minor role reduction, noting that Lawson's involvement in collecting and laundering the funds was substantial and essential to the scheme. Additionally, the court found no error in the calculation of the loss amount, which was based on actual losses suffered by the victims. The appellate court concluded that Lawson's sentence was both procedurally and substantively reasonable. View "United States v. Lawson" on Justia Law

Dr. Anita Jackson, an otolaryngologist, was convicted of various offenses related to her private medical practice in North Carolina. She was the leading Medicare biller for balloon sinuplasty surgery, a procedure treating chronic sinusitis. Jackson reused single-use medical devices, specifically the Entellus XprESS Multi-Sinus Dilation Tool, on multiple patients without proper sterilization, leading to potential contamination. She also incentivized employees to recruit Medicare patients for the procedure, often bypassing proper medical assessments. Additionally, Jackson falsified documents and patient signatures in response to Medicare audits.The United States District Court for the Eastern District of North Carolina convicted Jackson on all counts, including violating the Food, Drug, and Cosmetics Act (FDCA) by holding for resale adulterated medical devices, violating the federal anti-kickback statute, making materially false statements, committing aggravated identity theft, mail fraud, and conspiracy. Jackson was sentenced to twenty-five years in prison and ordered to pay over $5.7 million in restitution. She moved for a judgment of acquittal and a new trial, which the district court denied.The United States Court of Appeals for the Fourth Circuit reviewed the case. Jackson argued that the devices were not "held for sale" under the FDCA, that her actions were protected under 21 U.S.C. § 396, and that the Government relied on a defective theory of per se adulteration. She also challenged the exclusion of certain evidence and jury instructions. The Fourth Circuit found no reversible error in the district court's rulings, holding that the devices were indeed "held for sale," that § 396 did not protect her conduct, and that the Government's theory was valid. The court also upheld the exclusion of evidence and the jury instructions. Consequently, the Fourth Circuit affirmed all of Jackson's convictions. View "United States v. Jackson" on Justia Law

Defendant appealed the district court's order of restitution that was imposed after defendant was convicted of making a false statement in a matter within the jurisdiction of the executive branch of the federal government in violation of 18 U.S.C. 1001(a)(2). The Fourth Circuit affirmed and held that it was evident in this case that the district court ordered restitution pursuant to the Mandatory Victims Rights Act (MVRA), 18 U.S.C. 3663; the categorical approach has no role to play in determining whether a Title 18 offense is "an offense against property" that triggers mandatory restitution under the MVRA; given the specific circumstances of defendant's section 1001 conviction, the court had little trouble finding that his false statement on the HUD-1 form was an "offense against property" under the MVRA; and the district court did not err when it determined that defendant's false statement directly and proximately caused harm to Bank of America and thus the Bank was the "victim" within the meaning of the MVRA. The court also held that the district court did not err in awarding restitution to the Bank in the amount of $1,385,444.83. View "United States v. Ritchie" on Justia Law

The Fourth Circuit affirmed defendant's conviction of numerous charges stemming from her submission of fraudulent immigration and tax filings, concluding that the district court correctly admitted evidence obtained following a search of defendant's home pursuant to a validly issued warrant. In this case, the seizure of over $41,000 in cash did not exceed the scope of the warrant where the warrant and supporting affidavit made clear that investigators were authorized to seize evidence of perjury and marriage or immigration fraud during their search, and the seizure of the cash did not violate the Fourth Amendment. Defendant's contention that the government failed to meet its burden of proving the tax and wire fraud charges against defendant beyond a reasonable doubt lacked merit because defendant's argument misunderstands the nature of the government's charges and the evidence presented against her at trial. View "United States v. Kimble" on Justia Law

Social security survivors' benefits are a thing of value of the United States that can support a conviction under 18 U.S.C. 641. Viewed in the light most favorable to the government, the Fourth Circuit concluded that substantial evidence supported defendant's conviction for theft of government property beyond a reasonable doubt. In this case, the jury could reasonably infer from two denied benefits applications that defendant had a motive to file under a different benefits program to again attempt to obtain benefits to which he was not entitled. Finally, the district court's trial management was reasonable and far from an abuse of discretion. Accordingly, the court affirmed the judgment. View "United States v. Kiza" on Justia Law

Defendant appealed his convictions for conspiring to commit immigration fraud, and aiding and abetting fraud and misuse of immigration documents. The court concluded that there was no error in excluding the testimony of a witness that defendant argued was material and favorable to the defense; the court need not address the issue of whether bad faith was an element of a compulsory process claim because defendant failed to establish prejudice; and, to the extent that defendant styled his argument as a due process claim, the court likewise rejected it. The court also concluded that the district court did not abuse its discretion in admitting an email listing the names of customers who still wanted to obtain a green card over defendants Federal Rule of Evidence 901 objection; on the record, the district court did not abuse its discretion in admitting the April 24th email as a witness's statement, rather than hearsay from the translator; and the court rejected defendant's argument that the district court improperly interfered with his presentation of a defense by repeatedly interrupting counsel's questions to witnesses and interfering with counsel's closing argument to the jury, essentially taking on the role of a prosecutor. Accordingly, the court affirmed the judgment. View "United States v. Kaixiang Zhu" on Justia Law

Defendant appealed his conviction and sentence from various offenses arising from his leadership of schemes wherein fraud was systematically utilized to keep his real estate empire afloat. The court concluded that there was sufficient evidence to convict defendant of the thirteen charges stated in the indictment; the trial court acted well within its discretion by instructing the jury on willful blindness; and defendant's below-Guidelines sentence of 216 months in prison was substantively reasonable. Accordingly, the court affirmed the judgment. View "United States v. Vinson" on Justia Law

Defendant appeals her conviction for one count of conspiracy to commit bank fraud and mail fraud and ten counts of bank fraud for her role in originating and submitting fraudulent mortgage loan applications. Defendant raised several issues on appeal. The court concluded that defendant failed to establish any Sixth Amendment error where the district court allowed the government's pretrial seizure of defendant's assets where the seizure did not prevent defendant from being represented by her counsel of choice; the evidence was sufficient to support the conspiracy conviction; the court rejected defendant's evidentiary challenges; the evidence was sufficient to support the bank fraud convictions; the court rejected defendant's argument that the government constructively amended the indictment; the district court had jurisdiction to enter the preliminary and final forfeiture orders after the October 3 hearing; and the court rejected defendant's challenge to the district court’s substitute property order. Accordingly, the court affirmed the judgment. View "United States v. Chittenden" on Justia Law