Vice President JD Vance has directed the Trump administration's Fraud Task Force to immediately investigate and prosecute apparent Medicaid fraud in Columbus, Ohio, following a bombshell report from investigative journalist Luke Rosiak and The Daily Wire revealing a sprawling scheme in which home health care businesses — many operating out of a single office building — have been billing Medicaid for workers who are allegedly spending time with their own families rather than providing any legitimate health services.
"These shocking allegations, if true, show why the Fraud Task Force's work is so important," Vance said in response to Rosiak's reporting. "I'm directing the task force to look into it and take immediate action to prosecute any fraudsters involved and stop all further payments as appropriate."
The report that prompted Vance's response documented what Rosiak described in striking terms on social media: "94 Medicaid 'home health' companies purport to occupy this office building, taking more than $66 million of your money. They provide free butlers to immigrants. 'No windows on the outside hides the fact that there's no one on the inside.' There's an entire street of these."
What the Investigation Found
Rosiak's reporting painted a picture of an entire local economy built around the systematic exploitation of federal Medicaid dollars. In northeast Columbus, he found that the city's economy has effectively been "replaced by businesses that bill Medicaid" — most of them owned and operated by foreign nationals. The businesses exist largely on paper, billing the federal government for home health services that investigators say are not being meaningfully provided.
The scheme is straightforward in its mechanics and audacious in its scale. Home health aide companies are established, workers are placed on payroll, and those workers bill Medicaid for hours spent providing care — hours that are allegedly spent with their own families rather than with any legitimate patients. The federal government, operating a program built on trust and good faith reporting, pays out without the kind of verification infrastructure that would catch the fraud before the money flows.
Columbus has the second largest Somali population in the United States, and Rosiak's investigation identified that community as the center of the alleged fraud network. He told Human Events Daily host Jack Posobiec that the pattern is consistent with what has been documented in Minnesota and California — a systematic exploitation of federal social safety net programs at scale.
"That is what we're seeing Somalis in particular mastering," Rosiak said, "the art of exploiting federal programs at scale, and taking programs that were based on trust and good faith, and then just setting the country on the course for bankruptcy."
Ramaswamy Vows Aggressive Prosecution
Vivek Ramaswamy added his voice to the response, promising that Ohio will pursue the fraud aggressively and return the stolen money to taxpayers. "I refuse to tolerate this kind of waste, fraud, and abuse in Medicaid," Ramaswamy said. "We'll prosecute aggressively and put the money back in the pockets of law-abiding Ohioans. The dollar amount will be far greater than most people expect."
That last line — "the dollar amount will be far greater than most people expect" — suggests that what Rosiak's initial reporting documented is likely just the visible surface of a much larger problem. If 94 companies operating out of a single building have already been identified taking more than $66 million, the full scope of the fraud across northeast Columbus and potentially across the state could dwarf that figure many times over.
Part of a National Pattern
The Columbus revelations are the latest chapter in a nationwide fraud story that the Trump administration's War on Fraud initiative has been systematically uncovering. The Feeding Our Future scandal in Minnesota, where 85 individuals have been charged and 60 convictions secured in a scheme involving hundreds of millions in fraudulent federal food program spending, was the most prominent early example. Independent journalist Nick Shirley's investigation uncovered more than $170 million in alleged hospice, daycare, and home healthcare fraud in California. Acting Attorney General Todd Blanche has confirmed that the DOJ currently has more than 8,000 active fraud investigations open — representing, in Blanche's own words, only "a fraction of the fraud ripping off our country."
The common thread running through these cases — from Minnesota to California to now Ohio — is the exploitation of federal programs built on good-faith self-reporting, by networks of foreign nationals who have identified the gap between what the programs promise to pay and the oversight infrastructure available to verify whether services were actually provided.
President Trump formalized the response at his State of the Union address in February, officially announcing the War on Fraud and placing Vance in personal charge of the effort. The vice president's swift directive following Rosiak's Columbus reporting demonstrates that the task force is actively monitoring investigative journalism for leads — and that it intends to act quickly when credible allegations emerge.
For the American taxpayers funding Medicaid, the message from the administration is clear: the era of consequence-free exploitation of federal social programs is over, and Columbus is the latest front in a reckoning that is spreading state by state.
Vice President Vance's Fraud Task Force has been directed to immediately investigate the Columbus Medicaid fraud allegations. Prosecutorial action is expected to follow.