Federal prosecutors in California are intensifying their efforts to combat waste, fraud, and abuse in state-administered public programs, with the high-profile guilty plea of career fraudster Paul Richard Randall serving as a stark example. In a Fox Business interview aired this week, First Assistant U.S. Attorney Bill Essayli for the Central District of California directly linked the case to broader ongoing investigations.

Minnesota's Medicaid reimbursements for autism services have exploded from approximately $1.1 million in 2017 to $343 million in 2024, marking a staggering increase driven by expanded coverage, rising diagnoses, and widespread fraud allegations. Federal audits have uncovered up to $608 million in improper or potentially improper payments for autism services across multiple states.