This was one program. Federal prosecutors described a wider pattern across fourteen high-risk Medicaid programs that billed eighteen billion dollars since 2018. First Assistant U.S. Attorney Joe Thompson stated, on the record, that when he examined the claims data he saw more red flags than legitimate providers, overwhelmingly so, and that a significant portion of that spending, on the order of half or more, carried the markers of fraud. Autism services alone exploded from hundreds of thousands of dollars to hundreds of millions. Operators recruited parents inside the Somali community, paid kickbacks for diagnoses and enrollment, billed for one-on-one therapy that never occurred, and hired unqualified relatives as technicians. Housing Stabilization Services, designed for modest annual costs, ballooned into a vehicle for fake records, some generated with artificial intelligence, and bills for help that was never provided. Child Care Assistance Program fraud carried documented warnings years earlier. Legislative auditors and investigators flagged patterns of billing for absent children, kickbacks to parents, and centers that closed under scrutiny only to reopen under new names at the same addresses. One investigator told the legislature that fraud concerns touched a large share of the highest-paid centers and that overall rates could reach half the disbursements. Those reports existed before Tim Walz took office and continued under him. The response was additional funding for investigators and continued payments...