2026年6月6日 美国东部时间下午2:54 / 福克斯新闻
据美国卫生与公众服务部（HHS）排名显示，周日领导的办公室在2025财年获得的欺诈定罪数超过全美任何其他州
作者：罗伯特·麦格里维，福克斯新闻
宾夕法尼亚州总检察长详述本州破获1200万美元医疗补助欺诈案
宾夕法尼亚州总检察长戴夫·周日详细介绍了费城一家药房的1200万美元医疗补助欺诈案，该药房涉嫌为从未配出的处方虚假申领数百万美元的医疗补助报销款。
宾夕法尼亚州共和党总检察长戴夫·周日在接受福克斯新闻数字频道独家采访时详细介绍了本州为何成为全美医疗补助欺诈定罪率最高的州。
“正如你所知，去年宾夕法尼亚州的医疗补助欺诈定罪数居全美之首。这背后的原因是我们对这类案件的调查和起诉力度极强，”周日告诉福克斯新闻数字频道。
“我们肩负着保护国内最弱势群体的绝对道义责任。而实现这一目标的途径之一，就是确保原本用于帮助他们的资源能够真正落到他们手中，”他继续说道。
在白宫推动全国范围内的欺诈调查和起诉工作的背景下——副总统JD·万斯领导的白宫消除欺诈专项工作组便是明证——医疗补助欺诈尤其成为焦点。
我是俄亥俄州审计员——医疗补助欺诈不只是华盛顿的问题
美国联邦贸易委员会主席安德鲁·弗格森与副总统万斯会面，讨论打击欺诈、加强社会福利项目问责制的工作。（奥利弗·孔特雷拉斯/法新社通过盖蒂图片社拍摄）
今年5月，万斯的专项工作组宣布起诉一起涉案金额达4660万美元的明尼苏达州医疗补助欺诈案，美国卫生与公众服务部部长小罗伯特·F·肯尼迪称这是“美国历史上最大规模的自闭症相关欺诈破获案”。
随着明尼苏达州、加利福尼亚州等蓝州涉及外国国民的高调欺诈破获案日益凸显社会服务诈骗的猖獗程度，周日在这个 purple 州（注：指政治立场摇摆的州）所做的努力尤为突出。
周日在接受福克斯新闻数字频道采访时表示，他领导的定罪率领跑全美，关键在于其办公室强调合作，包括与本州民主党州长乔希·夏皮罗的协作。
“我们在很多议题上都保持合作，而打击医疗补助欺诈便是我们携手合作的议题之一。州总检察长办公室与州监察长办公室通力协作，确保我们能够接获相关投诉，随后我们会接手并全力推进调查，”周日解释道。
2025年，美国卫生与公众服务部监察长办公室（OIG）将宾夕法尼亚州医疗补助欺诈控制单元在针对个人的欺诈指控总数上排名全美第一，而在2024财年的欺诈定罪总数上则位列第三。在2025财年，该办公室将宾夕法尼亚州的欺诈指控数排名第三，定罪总数排名第一，这表明定罪效率有了显著提升。
“我们之所以能取得成功，以及其他成功州之所以能做到的原因，在于我们作为一个团队协同作战。这远不止单个办公室的力量所能达成，”周日告诉福克斯新闻数字频道。
最终沃尔兹欺诈报告痛批“容忍文化”，明尼苏达州纳税人面临数十亿美元疑似损失
“作为一个办公室，你必须努力工作。你必须与联邦合作伙伴、地方合作伙伴、州内合作伙伴携手合作。你必须与不同的服务供应商开展合作。这必须是一场全员动员的行动，尽一切可能与所有人协作配合。这不仅是为了成功起诉案件，也是为了获取线索。民众必须清楚该留意什么，”他继续说道。
宾夕法尼亚州总检察长戴夫·周日，当时作为宾夕法尼亚州总检察长共和党候选人，于2024年4月25日周四在宾夕法尼亚州哈里斯堡的啤酒山羊啤酒厂为当时的共和党联邦参议院候选人戴夫·麦考密克的集会发表演讲。（汤姆·威廉姆斯/CQ-Roll Call, Inc.通过盖蒂图片社拍摄）
他的合作努力加上警惕性，使宾夕法尼亚州避免重蹈明尼苏达州的覆辙。根据HHS-OIG的数据，明尼苏达州2025年的欺诈定罪数排名第七。
“我们的目标是不让那些犯罪团伙扎根。这就是你必须采取的行动方式，以确保不会出现像明尼苏达州那样的情况。你必须这么做。你必须始终走在前面。在每一个环节都保持警惕。绝不能任由其发展壮大。一旦发现苗头就要立刻关注，并且必须优先处理这类案件，因为作为总检察长，你的时间和精力可以投入到无数个方面。但在宾夕法尼亚州，我们高度关注社区安全，”周日说道。
SEC斯科特·贝森特：如何阻止明尼苏达州——乃至全国——的欺诈行为
他强调了协作的必要性，尤其是考虑到许多已定罪欺诈分子的跨境和跨国作案行为。检察官表示，在明尼苏达州自闭症欺诈破获案中被定罪的几名女性将通过欺诈手段获得的数百万美元医疗补助款项汇回了她们在肯尼亚的家人。
“请记住，犯罪团伙并不在乎国界，也不会局限于某一个司法管辖区。因此，协作也不应受国界限制。所以我们会与其他州合作。我们会在全国范围内与其他总检察长办公室合作。我们会尽一切所能识别这些案件，随后将这些行为人绳之以法，因为很多时候这些案件会涉及多个州。如果一个犯罪组织在一个州作案，那么他们很有可能也在另一个州作案。因此，当我们能够携手合作、团队作战时，我们就能产生更大的影响力。”
周日称赞万斯的专项工作组是一个宝贵的枢纽，能够推动全国范围内的反欺诈工作。
副总统JD·万斯与白宫副幕僚长兼国土安全顾问斯蒂芬·米勒、联邦贸易委员会（FTC）主席安德鲁·弗格森一同出席2026年5月26日在华盛顿特区举行的反欺诈举措圆桌讨论。（安德鲁·哈尼克/盖蒂图片社拍摄）
JD·万斯专项工作组标记近63亿美元政府合同疑似流向欺诈企业
“我非常感谢副总统，感谢万斯副总统将大家凝聚在一起，打造一种枢纽联动模式，让我们所有人都能携手合作、协同配合，因为这是侦破这类案件的唯一途径，”周日说道。
他还介绍了其办公室近几个月来起诉的相关案件。
“今年我们在费城百老汇家庭药房破获了一起重大定罪案件。涉案人员为昂贵的药品向医疗补助系统申领高达1200万美元的费用，而这些药品他们往往根本没有采购，更不用说交给那些需要这些药物维持生命的患者了。这正是我们必须重点打击的案件类型，因为当他们能赚取如此巨额的利润时，如果我们不介入、不展开调查，他们就会继续作案，”他告诉福克斯新闻数字频道。
奥兹医生表示：纳税人承担140亿美元医疗补助欺诈账单，符合资格的患者却难以获得治疗
在这起案件中，州政府指控9人参与了一起大规模的疑似欺诈计划，检察官称该计划包括针对艾滋病药物和抗精神病药物的虚假索赔，以及一项药品采购回扣阴谋。
该疑似计划的主谋——彼得·德洛·布奥诺和弗兰克·本杰米诺——被判处1.5年至5年不等的监禁，并被责令支付1225万美元的赔偿金。其余7人中的5人对各项指控认罪，剩余2人的案件仍在审理中。
https://www.foxnews.com/video/6397752264112
这笔1225万美元的赔偿金几乎与宾夕法尼亚州医疗补助欺诈单元在2025年获得的联邦拨款总额相当。该州医疗补助欺诈单元四分之三的资金来自美国卫生与公众服务部的拨款，总额约为1280万美元。
周日还透露，医疗补助欺诈单元追回的资金是其调查支出的四倍多。
“我们在医疗补助部门每投入1美元，就能追回4.64美元。想想这笔投资。我们每花1美元，就能通过调查和定罪追回4.64美元。我之所以强调定罪，是因为你可以通过判决和定罪获得赔偿金。如果你无法成功定罪，那么你就无法将本应追回的钱款从不法分子手中拿回，返还给纳税人，”他告诉福克斯新闻数字频道。
除了打击明目张胆的欺诈计划，周日的办公室还起诉涉及医疗补助申领人的疏忽和虐待案件。
“其中一些案件，尤其是虐待和疏忽案件，是所有检察官都会遇到的最令人发指的案件之一。我是一名职业检察官，从事这项工作已经很长时间了。当你看到本该提供的服务没有提供，看到老年人因此遭受痛苦时，这些案件不仅需要被起诉，还需要被定罪，”他说道。
狗狗币的医疗补助数据曝光计划旨在揭露欺诈——但隐私和法律障碍迫在眉睫
他援引了凯利·R·冈萨雷斯的案件，这名个人护理管理员在2月份被陪审团判定两项重罪疏忽罪名成立，原因是她未能为一名养老院居民重新开具癫痫药物，导致该居民在2021年癫痫发作死亡。
“本案被告冈萨雷斯的职责是监督该养老院的药物开具工作。她的工作职责之一就是确保居民获得处方药物，”周日说道。“该养老院的一名受害者，也就是本案的被害人，没有收到处方的癫痫药物。而本案被告冈萨雷斯在得知这一情况后，仍然没有为他重新开具药物。”
根据证人证词，冈萨雷斯的两名同事曾告知她她的病人需要重新开药，但她仍然没有为其重新配药。
点击此处下载福克斯新闻应用程序
“显然，本案被害人在10天内没有服用药物，而当你服用的是需要长期服用的救命药物时，断药10天会带来严重后果，”周日告诉福克斯新闻数字频道。
“因此，本案被害人最终不幸离世，”他总结道。
福克斯新闻数字频道已联系白宫和夏皮罗的办公室寻求进一步置评。
Pennsylvania AG explains why state leads nation in Medicaid fraud convictions while others battle mass schemes
June 6, 2026 2:54pm EDT / Fox News
Sunday’s office secured more convictions than any other state in fiscal year 2025, according to HHS rankings
By Robert McGreevy, Fox News
Pennsylvania Attorney General details his state’s $12 million Medicaid fraud bust
Pennsylvania Attorney General Dave Sunday explains a $12 million Medicaid bust of a Philadelphia pharmacy that allegedly fraudulently collected millions in Medicaid reimbursements for prescriptions it never fulfilled.
Pennsylvania’s Republican Attorney General Dave Sunday detailed how his state has become number one in the country in convicting Medicaid fraudsters in an exclusive interview with Fox News Digital.
“As you know, in Pennsylvania we had the most Medicaid fraud convictions in the entire country last year. And the reason for that is because of how aggressively we investigate and prosecute these cases,” Sunday told Fox News Digital.
“We have an absolute moral duty to protect the most vulnerable amongst us. And one of the ways we can do that is making sure that the resources that are meant to go to them actually get to them,” he continued.
Amid a strong push from the White House to investigate and prosecute fraud nationwide — demonstrated through Vice President JD Vance’s White House Task Force to Eliminate Fraud — Medicaid fraud in particular has come into the spotlight.
I’M OHIO’S STATE AUDITOR — MEDICAID FRAUD IS NOT JUST A WASHINGTON PROBLEM
FTC Chair Andrew Ferguson and Vice President Vance meet to discuss efforts to combat fraud and enhance accountability in social welfare programs.(Photo by Oliver Contreras / AFP via Getty Images)
In May, Vance’s task force announced an indictment in a $46.6 million Minnesota Medicaid fraud scheme that Health and Human Services Secretary Robert F. Kennedy Jr. called the “largest autism fraud bust in American history.”
And as high-profile fraud busts involving foreign nationals in Minnesota, California and other blue states increasingly highlight the prevalence of social service scams, Sunday’s efforts in a purple state stand out especially.
Key to Sunday’s nation-leading conviction rate, he told Fox News Digital, is the emphasis his office places on collaboration, including with his state’s Democratic governor, Josh Shapiro.
“We collaborate on a lot of issues, and this is one of those issues that our offices do collaborate on. The State Inspector General’s Office works with the Pennsylvania Office of Attorney General to make sure that we receive those complaints, and then we take them and we run with them,” Sunday explained.
In 2025, HHS’s Office of the Inspector General (OIG) ranked Pennsylvania’s Medicaid Fraud Control Unit number one in total fraud charges filed against individuals, while ranking Pennsylvania number three in total fraud convictions for the fiscal year 2024. For fiscal year 2025, the OIG ranked Pennsylvania third in charges and first in total convictions, suggesting a marked improvement in conviction efficiency.
“The reason why we are so successful and the reason the states that are successful are is because they’re working as a team together. This is much greater than any individual office,” Sunday told Fox News Digital.
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“You have to work hard as an office. You have to collaborate with your federal partners, your local partners, your state partners. You have work with the different service providers. This has to be an all hands on deck effort where you collaborate and coordinate with everyone humanly possible. And that’s not just to get the successful prosecutions, but it’s to get their referrals. People have to know what to look for,” he continued.
Pennsylvania Attorney General Dave Sunday, then the Republican candidate for Pennsylvania attorney general, speaks during a rally for Dave McCormick, then a Republican U.S. Senate candidate, at Beerded Goat Brewery in Harrisburg, Pa., on Thursday, April 25, 2024.(Tom Williams/CQ-Roll Call, Inc via Getty Images)
His collaborative efforts, combined with vigilance, have prevented Pennsylvania from falling into the same trap as Minnesota, which had the seventh most fraud convictions in 2025, according to the HHS-OIG.
“The goal is to not let those criminal enterprises take root. That is the way that you have to do this to make sure that it doesn’t [turn into a Minnesota]. That’s how you have do it. You have to stay ahead of it. Every step of the way. You can’t ever let it grow. You have to watch it when it happens. And you have to make sure that you prioritize these cases, because as an AG, your time and efforts could go to a million different places. But when you’re like here in Pennsylvania, we are hyper focused on community safety,” Sunday said.
SEC SCOTT BESSENT: HOW TO STOP FRAUD IN MINNESOTA—AND ACROSS THE COUNTRY
He highlighted the need for collaboration, especially considering the cross-border and transnational efforts of many convicted fraudsters. The women convicted in the Minnesota autism fraud bust notably were sending millions of dollars in fraudulently obtained Medicaid payments back to their families in Kenya, prosecutors said.
“Remember, criminal enterprises, they don’t care about borders and they don’t pick and choose what jurisdiction that they’re only going to stick to. And so collaboration can’t know borders either. So we work with other states. We work across the country with other AG’s offices. We do everything we can to identify these cases and then hold these actors accountable because what’ll happen is a lot of times these cases will span multiple states. And so if you have an organization or a criminal enterprise that is operating in one state, there’s a good chance they’re operating in another state as well. And so when we can come together and work as a team, that allows us to be able to have even greater impact.”
Sunday praised Vance’s task force as a valuable focal point to catalyze statewide anti-fraud efforts.
Vice President JD Vance joined by White House deputy chief of staff and Homeland Security advisor Stephen Miller and Federal Trade Commission (FTC) Chair Andrew Ferguson during a roundtable discussion on anti-fraud initiatives on May 26, 2026, in Washington, D.C.(Andrew Harnik/Getty Images)
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“I’m very thankful for the Vice President. I’m thankful for Vice President Vance and for his efforts in bringing everyone together and to sort of create a hub and spoke model where we all can work together and collaborate because that’s the only way that these cases are gonna be solved,” Sunday said.
He also highlighted cases his office had prosecuted in recent months as part of their efforts.
“We had a huge conviction this year with the Broad Street Family Pharmacy in Philadelphia. And these are individuals that were billing Medicaid up to $12 million for expensive medications that oftentimes they didn’t even obtain, let alone give to someone who needed that medication to stay alive. And so those are the type of cases we have to really go after, because when they are making that much money, if we don’t get involved, if we didn’t investigate it, they’re just gonna keep doing it,” he told Fox News Digital.
DR. OZ SAYS TAXPAYERS FOOTING $14 BILLION BILL FOR MEDICAID FRAUD WHILE ELIGIBLE PATIENTS STRUGGLE FOR CARE
In that case, the state charged nine people in a sprawling alleged scheme that prosecutors say included fraudulent claims for HIV drugs and antipsychotic medications, as well as a pill purchasing kickback plot.
The alleged scheme’s ringleaders — Peter Dello Buono and Frank Bengermino — were sentenced to between 1.5 and five years in prison and ordered to pay $12.25 million in restitution. Five of the other seven plead guilty to various charges, while the remaining two have pending cases.
https://www.foxnews.com/video/6397752264112
That $12.25 million is almost equal to the amount of federal funding that Pennsylvania’s Medicaid Fraud unit got in 2025. An HHS grant that composes three quarters of the state’s Medicaid fraud unit funding comes in at roughly $12.8 million.
Sunday also revealed that the Medicaid fraud unit recovers over four times the amount of money it spends on investigations.
“For every dollar spent in our Medicaid section, we recover $4.64. So think about that investment. For every dollar we spend, we recover $4.64 through our investigations and convictions. And I go back to the convictions because you can obtain restitution through sentences and through convictions. And if you can’t get those convictions, then you’re gonna leave a lot of that money with the bad actors that you can get back to taxpayers _,” he told Fox News Digital.
In addition to busting blatant fraud schemes, Sunday’s office also prosecutes neglect and abuse cases that involve Medicaid claimants.
“Some of these cases, especially the abuse and neglect cases are some of the absolute most horrific cases that any prosecutor sees. I’m a career prosecutor. I’ve been doing this for a long time. And when you see services that are supposed to be rendered that aren’t and you see individuals that are seniors, that are suffering in pain as a result of it, those are cases that those individuals need to not just be charged, but they need to be convicted,” he said.
DOGE’S MEDICAID DATA DUMP AIMS TO EXPOSE FRAUD — BUT PRIVACY AND LEGAL HURDLES LOOM
He pointed to the case of Kelly R. Gonzalez, a personal care administrator who a jury convicted on two counts of felony neglect in February when she failed to refill a care home resident’s seizure medication leading to his 2021 seizure death.
“The defendant in this case, Gonzalez, was tasked with overseeing the prescribing of medication in this home. One of her jobs was making sure that residents received the prescribed medications,” Sunday said. “There was a resident in that home, the victim, who did not receive the prescribed seizure medication. And the defendant, in this case, Gonzales, found out about it and still didn’t provide the medication.”
According to witness testimony, two of Gonzalez’s colleagues informed her that her patient needed a refill, but she still failed to get his medication refilled.
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“Apparently the victim in that case went 10 days without medication, and obviously when you’re taking serious medication, life-saving medication and you go 10 days without it, then there can be serious ramifications,” Sunday told Fox News Digital.
“So as a result of that, the victim in this case died,” he concluded.
Fox News Digital contacted the White House and Shapiro’s office for additional comment.
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