Monday, October 5, 2026

AG James Joins Lawsuit Against HHS for Stripping Seven Childhood Vaccines of Universal Recommendation

 

The Attorney General Coalition today announced a lawsuit against U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr., to restore the science-based childhood vaccine schedule that has protected American children for decades. In January, the Centers for Disease Control and Prevention (CDC) issued a new vaccine schedule that stopped recommending seven vaccines for all children, including vaccines that protect against hepatitis B, influenza, RSV, and meningitis. Now, Attorney General James is joining 15 other states in a lawsuit arguing that the new schedule ignored decades of scientific evidence, cut out the experts and public input required by law, and will leave more children sick, hospitalized, or worse. The coalition is also challenging Secretary Kennedy’s decision to abruptly fire all 17 voting members of the CDC’s Advisory Committee on Immunization Practices (ACIP), the expert federal panel that has guided U.S. vaccine policy for decades, and replace them with members who lack the necessary expertise or qualifications.

“Every parent wants their child to grow up healthy and protected from preventable diseases,” said Attorney General James. “For decades, these vaccines have kept millions of children out of the hospital and saved countless lives. Families deserve guidance grounded in science, and these abrupt changes put children's health at risk. I will keep fighting to protect our kids and make sure every family can trust the advice they get from their pediatrician.”

Secretary Kennedy is among the nation’s most prominent anti-vaccine activists and has significantly contributed to eroding trust in safe and effective vaccines. His views have proven to have zero basis in science and risk making the country less healthy. Among children born in the U.S. between 1994 and 2023, researchers estimate that routine childhood vaccinations prevented about 508 million cases of illness, 32 million hospitalizations, and over 1.1 million deaths, generating $2.7 trillion in societal savings.

In June 2025, despite promising Congress he would leave ACIP alone, Secretary Kennedy fired all 17 of its members and replaced them with his own appointees, many of them vaccine skeptics, without following the required vetting process. Internal HHS emails show that before the new members were even seated, Secretary Kennedy asked that their agenda include weakening the hepatitis B recommendation for healthy children. In December 2025, the new panel voted to end the recommendation that all babies receive a hepatitis B vaccination dose at birth, a recommendation that had been in place since 1991, even as members acknowledged there was no evidence the birth dose causes harm.

Weeks later, the administration bypassed the committee entirely. Three officials with no role in CDC vaccine policy – the heads of the National Institutes of Health, the Centers for Medicare and Medicaid Services, and the Food and Drug Administration – sent a memo to then-acting CDC Director Jim O'Neill urging him to implement Secretary Kennedy’s preferred vaccine schedule.

The updated schedule removed vaccines against rotavirus, meningococcal disease, hepatitis A, hepatitis B, influenza, COVID-19, and RSV from the list of vaccinations recommended for every child. Most were moved to a category called “shared clinical decision-making,” which was historically reserved for rare cases where science was genuinely uncertain. For more than 100 million Americans without regular access to a primary care provider, the new vaccine schedule creates yet another barrier to protecting their children. O'Neill, who has no medical or scientific training, signed it the same day without expert review, public notice, or opportunity for comment.

The stakes for children are severe. During the 2024-25 flu season, 289 children died from the flu, the highest number since reporting began outside of the 2009 pandemic. Nearly half had no underlying medical conditions, and 89 percent of those whose vaccination status was known were not fully vaccinated. RSV is the leading cause of hospitalization for infants in the U.S., sending up to 80,000 young children to the hospital each year. Researchers estimate that delaying the first hepatitis B dose by just two months could cause at least 1,400 new childhood infections every year, and could lead to nearly 300 cases of liver cancer and 480 hepatitis B-related deaths over time.

Attorney General James and the coalition argue that the changes force states to spend time and money cleaning up the confusion. For decades, states built school immunization requirements, insurance coverage rules, and Medicaid programs around the federal government’s expert recommendations. New York has already enacted two new laws so that insurance coverage, school immunization requirements, Medicaid coverage, and pharmacists’ authority to vaccinate no longer depend on the federal committee Secretary Kennedy took over.

The states argue that the Secretary’s changes are arbitrary and capricious and contrary to law, in violation of the Administrative Procedure Act. They are asking the court to declare the new vaccine schedule unlawful, to throw out Secretary Kennedy’s appointments to ACIP, and reverse the committee’s hepatitis B decision.

Attorney General James joins in this lawsuit with the attorneys general of Arizona, California, Colorado, Connecticut, Delaware, Maine, Maryland, Michigan, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, and Wisconsin, as well as the governor of Pennsylvania

Mayor Mamdani to Deliver Free Child Care to More Than 10,000 Low-Income Children

 

Administration moves 10,000 children ages 6 weeks to 13 years off the Child Care Assistance Program (CCAP) waitlist 

Mayor Mamdani and the NYC Administration for Children's Services (ACS) today announced that the city will deliver free child care to more than 10,000 children by moving them off the child care voucher waitlist. Supported by a $1.2 billion investment from Governor Kathy Hochul towards the city’s free child care initiatives, today’s announcement will support low-income children ages 6 weeks to 13 years, and through age 19 for children with special needs.

As part of today’s announcement, the City has added a new feature to its child care map and website - nyc.gov/childcare - which allows families, for the first time ever, to search for licensed child care programs and filter for which of them accept child care vouchers. This announcement comes on the heels of a $5.2 million investment by Mayor Mamdani to eliminate all out-of-pocket fees for families receiving child care vouchers in New York City and builds upon the launch of 2-K, the city’s first free, universal child care program for two-year-olds.

“For families struggling to make ends meet, and the providers who deliver them high-quality and consistent child care, access to vouchers is nothing short of transformational. Today’s voucher expansion is a critical step in ensuring no family is left behind in our movement towards universal childcare,” said Mayor Mamdani. “Raising a family in the wealthiest city in the wealthiest country should never be the source of fear, stress and worry. In partnership with Governor Hochul, we will work tirelessly to make sure New York City is a place families are proud to call home.”

"Today's historic free child care expansion will bring relief to thousands more families across New York City,” said Governor Hochul. “In partnership with Mayor Mamdani, we're building a child caresystem that lifts up every family, from launching 2-K and expanding 3-K to moving families off waitlists and into high-quality care. No family should struggle to afford the child care they need and deserve, and I'll keep fighting to deliver universal child care for every family across our city and state."

“Thanks to the commitment of Mayor Mamdani and Governor Hochul, over the coming months, ACS will be able to provide child care assistance to thousands more children.  This is a win for children and families; a win for providers; and a win for the City of New York,” said ACS Commissioner Rebecca Jones Gaston.

“For many of the City’s lowest-income families and the child care providers who serve their communities, the Child Care Assistance Program is a lifeline, providing access to subsidized care that can make the difference between whether a parent can go to work and afford to raise their family here,” said Emmy Liss, Executive Director of the Mayor's Office of Child Care and Early Childhood Education. “The Administration’s plan to expand access to care, enabled by the Governor’s investments, is a critical step in our overall commitment to deliver universal child care for all.”

The Child Care Assistance Program (CCAP) provides subsidized child care for eligible children ages 6 weeks through 13 years old, and through age 19 for children with special needs. On day eight of this Administration, Governor Kathy Hochul committed $1.2 billion towards child care in New York City, including $475 million specifically to child care vouchers. Today’s announcement is a culmination of significant work by the city to stabilize vouchers for existing recipients and identify funds for expansion.

Over the next few weeks, ACS will begin inviting families with children on the waitlist to apply for a voucher.  If they are eligible, they will receive a voucher to cover the cost of care at a provider of their choice. Families will be invited on a rolling basis over the next few months. As mandated by the federal government, ACS will prioritize families that have income under 300 percent of the federal poverty line, are unhoused, or have a child with special needs.

"By harnessing the power of technology and data, the Mamdani administration is making it easier for New Yorkers to access the government services they need,” said NYC Chief Technology Officer and Office of Technology and Innovation Commissioner Lisa Gelobter. "Our Child Care Map update means NYC families don't have to make phone calls to learn if the center they want accepts vouchers. For the first time, the City is providing this information directly to families in a single place at the click of a button — saving them valuable time and empowering better, more informed decisions.”

Sol On Park Breaks Ground At 3728 Park Avenue In Claremont Village, The Bronx

 


Construction is underway on Sol on Park, an 18-story affordable senior housing building at 3728 Park Avenue in Claremont Village, The Bronx. Designed by Magnusson Architecture and Planning and developed by The NRP Group, Selfhelp Realty Group, and Foxy Management in partnership with the New York City Housing Authority, the Department of Housing Preservation and Development, and the Housing Development Corporation, the 173,483-square-foot structure will yield 229 permanently affordable rental units for seniors.

The project will also include more than 8,000 square feet of community facility space, a pedestrian plaza, and a new fully accessible headquarters for the Morris Houses Resident Association. The property is located between St. Pauls Place and East 170th Street,

Rendering of Sol on Park. Designed by Magnusson Architecture and Planning.

Of the 229 apartments, 80 units will be reserved for current NYCHA residents living at Morris I and II through the Transfer of Assistance program, 69 units will serve formerly homeless seniors, and the remaining 79 units will be offered through the Housing Connect lottery to low- and middle-income seniors.

The transaction is the city’s largest use to date of Transfer of Assistance, a federal Rental Assistance Demonstration tool that shifts participating households from Section 9 to Project-Based Section 8 assistance while preserving their rent calculation and resident protections. In essence, the program allows longtime Morris Houses seniors to move into the new building while their vacated apartments open up for future residents.

Rendering of Sol on Park. Designed by Magnusson Architecture and Planning.

Renderings depict an angled massing, clad in prefabricated fiber-cement panels and culminating in a series of cascading roof terraces and gardens on the seventh, eighth, and ninth floors dedicated to wellness programming. The building is designed to LEED Platinum and Passive House standards.

Residential amenities will include exercise rooms, computer labs, bicycle storage, and laundry facilities. The community facility will house a health center operated with Union Community Health Center, an urban agriculture and nutrition education facility run with Green Bronx Machine’s National Health & Wellness Center, and an approximately 1,400-square-foot space for the tenant association.

Rendering of Sol on Park. Designed by Magnusson Architecture and Planning.


NYCHA and HPD issued a request for proposals for the roughly 13,000-square-foot parcel in 2019 under the Seniors First initiative and selected the development team in 2022, following years of resident engagement on the campus.

Sol on Park is The NRP Group’s first development in New York City. The Mamdani administration plans to expand the Transfer of Assistance model through its Block by Block housing plan, which targets 200,000 new affordable homes over the next decade.

Pre-leasing and early move-ins at Sol on Park are scheduled for early 2029, according to the mayor’s office.

Lexington County Man Caught Shipping Fentanyl Sentenced to 10 Years in Federal Prison

 

Gregory Hill, 41, of Lexington has been sentenced to 10 years in federal prison for distribution of fentanyl and cocaine.

On Oct. 4, 2024, investigators with the Drug Enforcement Administration and Lexington County Sheriff’s Department surveilled Hill leaving his residence in Lexington and traveling to a nearby business to ship two packages. Officers went to the business and located the packages, which were being sent out of state. Hill’s known aliases were listed as the sender of the packages. Law enforcement flagged the packages as suspicious. A K9 sniffed the packages and alerted to the presence of drugs. Thereafter, law enforcement obtained a warrant to search the packages. They found 984 grams of fentanyl powder in one package and 1,019 fentanyl pills in the other.

On Oct. 7, 2024, law enforcement executed a search warrant at Hill’s home and found 1,438 fentanyl pills, over $29,000 in cash, and packaging material. Law enforcement also searched Hill’s storage unit where they found a drug ledger. Further investigation revealed that Hill was responsible for trafficking 14 kilograms of cocaine, 984 grams of fentanyl powder, and 32,458 fentanyl pills to various drug traffickers.

United States District Judge Sherri A. Lydon sentenced Hill to 120 months’ imprisonment, to be followed by a five-year term of court-ordered supervision.  There is no parole in the federal system. 

This prosecution is part of the Homeland Security Task Force (HSTF) initiative established by Executive Order 14159, Protecting the American People Against Invasion. The HSTF is a whole-of-government partnership dedicated to eliminating criminal cartels, foreign gangs, transnational criminal organizations, and human smuggling and trafficking rings operating in the United States and abroad. Through historic interagency collaboration, the HSTF directs the full might of United States law enforcement towards identifying, investigating, and prosecuting the full spectrum of crimes committed by these organizations, which have long fueled violence and instability within our borders. In performing this work, the HSTF places special emphasis on investigating and prosecuting those engaged in child trafficking or other crimes involving children. The HSTF further utilizes all available tools to prosecute and remove the most violent criminal aliens from the United States.

This case was investigated by the Drug Enforcement Administration, the FBI Columbia Field Office, the South Carolina Law Enforcement Division, and the Lexington County Sheriff’s Department. 

Justice Department Files Complaint Against the State of Maryland, Prince George’s County, MD and Montgomery County, MD Challenging Mask Ban and Identification Requirements for Federal Officers

 

This lawsuit marks the eighth state the Department has sued over unlawful regulation of federal agents

The Department of Justice filed a lawsuit against the State of Maryland, Maryland Attorney General Anthony G. Brown, the Maryland Police Training and Standards Commission, Prince George’s County, and Montgomery County, challenging their unconstitutional attempt to regulate federal law enforcement officers by prohibiting federal officers from wearing masks and requiring they provide identification in the manner prescribed by Md. Code Ann., Pub. Safety §§ 3-207, 3-535, 3-536, Prince George’s Co., Md Code § 18-124, and Montgomery Co., Md. Code § 35-13E.

Not only are these laws illegal attempts to regulate the federal government, but, as alleged in the complaint, the laws threaten the safety of federal officers who have faced an unprecedent wave of harassment, doxing, and even violence. Threatening officers with prosecution for simply protecting their identities and their families also chills the enforcement of federal law and compromises sensitive law enforcement operations.

“Under the U.S. Constitution, the Supremacy Clause provides that states and localities do not have the authority to regulate the Federal Government,” said Associate Attorney General Stanley E. Woodward Jr. “And they certainly cannot enact laws that place the safety of federal law enforcement at risk and undermine federal operations. We will never tolerate the doxxing or harassment of federal officers, or any law like those in Maryland that enables violent behavior against federal law enforcement officers and their families.”

“These Maryland state and local laws are a direct regulation of federal law enforcement operations and threaten severe consequences for officers and public safety alike,” said Assistant Attorney General Brett A. Shumate of the Justice Department’s Civil Division. “The Federal Government, not state and local governments, gets to decide which equipment federal officers may or may not wear when performing their official duties.”

Attorney General Blanche has instructed  the Department’s Civil Division to identify state and local laws, policies, and practices that facilitate violations of federal laws or impede lawful federal operations. This lawsuit is the latest in a series of lawsuits brought by the Civil Division targeting illegal policies designed to thwart federal law enforcement across the country, including in New York, Virginia, Connecticut, New Jersey, California, Philadelphia, and Milwaukee. The United States has secured preliminary relief from each court to have ruled on mask ban / ID requirements so far.

Van Cortlandt Park Alliance - Fall treats in your local park


SPECIAL EVENT: Halloween: Wags to Witches
Sunday, October 25 - 1pm to 5pm
Van Cortlandt Park Alliance, Van Cortlandt House Museum, and the Urban Park Rangers invite you to a FREE fang-tastic afternoon of family and doggy fun. Get ready for creepy crafts, face painting, spine-chilling stories and more!

Join us at 3pm for our Fourth Annual Canine Costume Contest
Register your pup day-of between 2pm and 2:45pm, or pre-register here.
Van Cortlandt House Museum Lawn


Cultural and Family Programs

Rising NYRR
Tuesday, October 6 at 10am
Hosted by New York Road Runners. Perfect for both new and experienced runners, this fun three-event series is a great way for kids to stay active, build confidence, and experience the thrill of cross country!

Super Seedlings
Saturdays, October 11, 17, 24 - 10am to 12pm
Super Seedlings is a FREE, drop-in gardening program for kids ages 2-7 and their caregivers. Each session will have a fun seasonal theme to explore, crafts, plants to water, soil to dig into, and more!
VCPA Learning Garden

REIMAGINING: Fall Get-Together
Saturday, October 17 - 1pm to 4pm
The event will begin with a moving live performance by musician Juan Usera and The Sambuco Tribe, setting the tone and making space for remembrance and renewal. Following the music, Bronx-based artist Tijay Mohammed will lead an interactive chalk art project aptly named “Message to my Ancestors,” transforming the pathway into a vibrant canvas that honors history and sparks imagination for the future.
Enslaved Burial Ground


Wellness and Nature Programs

Van Cortlandt Nature Group Walks
Tuesday, October 6 at 2pm - Meets in Riverdale Stables parking lot
Take a slow walk in the park and learn about local flora and fauna with naturalist Debbi Dolan. Debbi has a wealth of knowledge about nature, plants, and wildlife that she enjoys sharing.

Youth Run Farmstand
Wednesdays through October 28 - 2pm to 7pm
Stop by the Youth Run Farmstand, featuring fresh, local produce at affordable prices, healthy recipes, and a chance to chat with our awesome interns. 

NEW! Caribeando at the Farmstand
Wednesday, October 7 - 3 to 5pm. 

Caribeando features live music highlighting traditional Caribbean rhythms and dances including bomba, plena, guaracha, and changüí led by master percussionist Juan Usera,  an Afro-Puerto Rican artist. Join in to receive a $2 Health Buck to use at the farmstand!
Corner of Orloff Avenue and Gale Place.

Paper Making with Michelle Brody
Saturday, October 17 - 1pm to 4pm
Transform weeds into art! Using fibers sourced from nonnative and invasive plants such as abaca (a relative of the banana plant) and kozo (paper mulberry), sculpt handmade paper with artist Michele Brody. The resulting sculptures—impressions of tree trunks and roots—will be incorporated into the artist’s multi-media installation, to be shown at the Kingsbridge Historical Society at the end of the year. This workshop is for ages 15 and up.
VCPA Learning Garden


WANNA VOLUNTEER?  Look for our October Volunteer Events email!

26.2 in 26
Join the Challenge — hike, run, stroll, or skip your way to 26.2 miles in Van Cortlandt Park anytime in 2026.
You choose the trails. You choose the pace. You choose the timeline.

Make a Donation
The park is really big. Our staff is really small. Only with your help can we grow our capacity, hire more staff, and take on projects to improve Van Cortlandt Park… for YOU!  Please consider a gift to Van Cortlandt Park Alliance today.

VCPA Merch Shop!
Show your love for Van Cortlandt Park while supporting the Alliance!

Become a Member
Members get VCPA merch and invitations to member only hikes while supporting their favorite park!


 

Doctor Convicted for Conspiring to Distribute Over 2 Million Stimulant Pills


11th Defendant Convicted in Landmark Case Targeting Fraudulent Mental Health Technology Platform 

A federal jury in the Western District of Michigan convicted Jonathan Decker, 46, of Rockford, Michigan, for distributing over 2 million pills of Adderall and other stimulants over the Done ADHD platform. Decker provided prescriptions for methamphetamine and amphetamines to patients without examining them, including to patients with substance use disorders and with significant mental health diagnoses, symptoms of which were exacerbated by the drugs Decker prescribed. Decker was paid more than $1 million for his prescriptions.

“The Fraud Division is providing full-spectrum accountability for drug dealers who cloak their activities in online telemedicine platforms,” said Assistant Attorney General Colin M. McDonald of the Justice Department’s National Fraud Enforcement Division. “With this conviction — the eleventh in this landmark prosecution — we reaffirm that the Fraud Division will hold fully accountable anyone, whether in a boardroom or a doctor’s office, who abuses their medical license and novel technologies to flood communities with dangerous drugs and put vulnerable patients at risk.”

“Dr. Decker’s reckless abuse of his medical license put vulnerable patients at risk and fueled dangerous drug abuse,” said Acting Deputy Inspector General for Investigations Miranda L. Bennett of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). “HHS-OIG and our law enforcement partners will not tolerate such conduct — we will aggressively pursue and dismantle schemes that threaten public health and ensure those responsible face swift justice.”

Decker is now the 11th defendant convicted of participating in a $100 million dollar drug distribution and health care fraud scheme perpetrated by officers and employees of California-based digital health company Done Global, Inc.  The convicted defendants include Done Global’s CEO Ruthia He and Clinical President David Brody, who were ordered to forfeit over $90 million in company revenues and respectively sentenced to 72 months and 24 months in prison, as well as six other licensed prescribers and two other senior corporate employees.  In addition to these 11 convictions, Done Global is presently charged with conspiracies to illegally distribute controlled substances, commit health care fraud, and obstruct justice.

The members of the conspiracy leveraged Done’s technological platform to illegally distribute over 37 million pills of Adderall to paying subscribers in all fifty states, all in service of CEO Ruthia He’s ultimate goal to build a company with an over $1 billion valuation.  Members of the conspiracy targeted subscribers by paying over $40 million in social media advertisements designed to deceive viewers into believing that they had attention deficit hyperactivity disorder (ADHD), rather than a host of other conditions that can impact an individual’s attention and mood. Done Global advertised its services presenting easy access to plentiful pills.

Done Global Advertisement

Done Global Advertisement

Additional Done Global Advertisement

Additional Done Global Advertisement

“A medical license is a public trust, not a tool for flooding communities with dangerous controlled stimulants and exploiting vulnerable patients for profit,” said Acting Special Agent in Charge Pete Gizas of HSI New York. “This conviction brings accountability to a doctor who placed his own greed above patient safety and the law. As a co-leader of the Homeland Security Task Force New York, HSI New York contributed critical investigative expertise to exposing this conspiracy, and we will remain at the forefront of dismantling schemes that exploit health care systems, endanger vulnerable people and threaten the safety of our communities.”

“The evidence in this case revealed a shocking disregard for patient safety and the law,” said Executive Special Agent in Charge Harry T. Chavis Jr. of IRS-CI New York. “Jonathan Decker used his medical license as a license to profit, fueling addiction and putting vulnerable individuals at risk — all for personal gain. Our special agents followed the money, exposed the scheme, and worked relentlessly with our law enforcement partners to bring this defendant to justice. We will continue to pursue those who put greed above public health.”

Done providers including Decker then prescribed addictive stimulants to paying subscribers in order to keep them as members of the Done platform, even when warned that members were suffering from Adderall psychosis, bipolar disorder, depression, anxiety, and other mental health conditions that were worsened by stimulant prescriptions. For instance, Decker prescribed methamphetamine to a patient with an active substance use disorder. This patient actively sought the methamphetamine prescription from him, and after she received the prescription she described for Decker that pharmacy after pharmacy had refused to fill the prescription. Decker also prescribed Adderall to a patient he knew to have been diagnosed with schizophrenia. After the patient’s mother messaged Decker and Done informing them of the schizophrenia diagnosis and explaining that Adderall exacerbated her psychotic symptoms, Decker still prescribed Adderall.

When pharmacies began refusing to fill any of Decker’s stimulant prescriptions, Decker speculated that “running a meth lab seems like a pretty good idea.”

Decker recruited other medical professionals to the conspiracy through text messages in which he described his prescribing practices:

Text messages from Jonathan Decker describing his prescribing practices

Text messages from Jonathan Decker describing his prescribing practices

Decker earned thousands of dollars in referral bonuses for luring other medical professionals into the scheme.

The jury convicted Decker of conspiracy to distribute controlled substances and six counts of distribution of controlled substances. A sentencing date has not been set. Decker faces a maximum penalty of 140 years in prison. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

The Drug Enforcement Administration, Internal Revenue Service – Criminal Investigation, Department of Health and Human Services – Office of Inspector General, and Homeland Security Investigations are investigating the case.

Trial Attorneys Sara D. Woodward and Ryan K. Elsey of the Fraud Division’s Health Care Fraud Section are prosecuting the case.

On April 7, the Department of Justice announced the creation of the National Fraud Enforcement Division (Fraud Division). The Fraud Division is laser-focused on investigating and prosecuting those who commit fraud against the American people. The Department’s work to combat fraud supports President Trump’s Task Force to Eliminate Fraud, a whole-of-government effort chaired by Vice President J.D. Vance to eliminate fraud, waste, and abuse within Federal benefit programs.

The Fraud Division’s Health Care Fraud Strike Force Program, currently comprised of nine strike forces operating in federal districts across the country, has charged more than 6,200 defendants who collectively billed federal health care programs and private insurers more than $45 billion since 2007. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the Office of the Inspector General for the Department of Health and Human Services, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit.