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A Burrito Stand Qualifies for Hospice Funding Under California’s Medicaid System

A Burrito Stand Qualifies for Hospice Funding Under California’s Medicaid System

Hint: Neither burrito nor real patients were being served — taxpayer dollars were.

We have been reporting on the astonishing levels of fraud in the Medicaid system, especially in hospice services.

The level of abuse in this system involving California services is mind-blowing.  Vice President JD Vance’s anti-fraud task force originally suspended 70 hospice and home health care businesses in Los Angeles at the start of his efforts.

The move came shortly after investigations by CBS News and Nick Shirley revealed a fraud scheme in California involving hospices.

Then Vance’s task force suspended over 400 more.

Subsequently, House of Representatives lawmakers convened on Capitol Hill to hold a hearing on Medicare fraud. The witness testimony regarding fiscal abuse and corruption is staggering.

Sheila Clark, president and CEO of the California Hospice and Palliative Care Association, focused on what advocates call “ground zero” for hospice fraud in LA County, telling lawmakers about empty offices with mail piled up, whose owners purport to be providing hospice services.

When someone is fraudulently enrolled in hospice care, it can be difficult to get unenrolled. Many victims spend hours trying to get someone to help them remove the care they do not need and were fraudulently signed up for. Hospice care enrollment also often disqualifies them from getting other medical care they do need through Medicare.

Clark recommended Congress create a mechanism for people to get out of a fraudulent hospice enrollment, so they’re not left trapped in the system unable to get other care.

“We need better enforcement on entry. We need better enforcement at licensure, at the state level. We need it at the certification, the accreditation agencies,” Clark said. “We’re not going to convict our way out of this. We have to stop them from entering the system.”

Clark described how one burrito stand was registered as a hospice.

You’d be amazed at how many hospices, the door you can walk up to in California and there is nobody there. There is five months worth of mail that you can see stacked up from CMS and nobody’s there. And that passed a survey. How did that happen?

How do you put a hospice in a burrito stand in California? How do you put a hospice in a tire store in California? That all had to be vetted through licensure and certification and accreditation.

One longtime psychotherapist testified she was locked out of her own medical care for months because of a fraudulent enrollment already existing in her name.

Among those who testified was Dr. Lynn Ianni, who is a licensed psychotherapist with nearly 40 years of clinical experience. She told lawmakers that she was locked out of her own medical care for months after a fraudster falsely enrolled her in hospice care.

Imagine being told, in effect, that you are at the end of your life when you are not and then being denied access to care because of that error. It was not just frustrating. It was terrifying,” Ianni said.

The efforts to combat this staggering amount of fraud in California is continuing. In the wake of the Centers for Medicare & Medicaid Services’ (CMS) “Fraud War Room”, Administrator Dr. Mehmet Oz recently noted he has not heard complaints from families after shutting down the 400 apparently fake facilities.

Shockingly, CMS received “zero” complaints over the “hundreds of millions” of dollars that have been cut off from those hospice programs, Oz claimed, blasting blue state policies for having weak guardrails.

“[During] the last 10 weeks we have shut down, stopped paying over 400 hospices in Los Angeles, in California,” Oz exclusively revealed to The Post’s Miranda Devine. “But here’s the better part of this. Guess how many have complained to us?

The TV doctor-turned CMS honcho estimated that there’s roughly $100 billion in annual fraud plaguing social services, contending that the federal government is too trusting of certain service providers.

Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr. made a similar point during his time in front of the Ways and Means committee.

“We’ve already shut down 500 hospices in Los Angeles, and incidentally we haven’t had one call from Congress or anybody else about complaining because clearly these were fraudulent.

A lot of these places—you’d say they would just invent addresses that would obtain patient identification, or they would pay people. They were going and giving people in poor neighborhoods flat-screen televisions—$600 bucks—and then they would enlist them and enroll them in the hospice, and we were paying them $6,000 dollars.”

If a “hospice” can operate out of a burrito stand with no staff, piles of unopened mail, and zero actual patients receiving legitimate care, then we aren’t looking at a few bad actors. The reality is that we are staring at an abyss of abuse that is curated by corrupt people in the system and the toxic political leadership that supports that system.

The sheer scale of the fraud, combined with the complete absence of complaints when hundreds of these “providers” were shut down, tells us everything we need to know. Neither burrito nor real patients were being served — taxpayer dollars were.

At some point, California regulators will have to explain how burritos, tires, and phantom offices qualified for Medicaid healthcare funding while legitimate patients are locked out of care and citizens are being squeezed for every penny in taxes as they work hard to support their families.

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Comments


 
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 10
Peter Moss | April 23, 2026 at 1:12 pm

Ok, there was this one time that I got a bad burrito and thought that hospice might be necessary.

I got better though.

Hey, do you think Uncle Sam might give me a million or two?

💵 💵 💵


 
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 7
E Howard Hunt | April 23, 2026 at 1:18 pm

I heard that their burritos were to die for.

Wait-wouldn’t a burrito stand be more like euthanasia? 🙂


 
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 1
Whitewall | April 23, 2026 at 1:30 pm

I was going to say there must have been some awful burritos(: Gives a whole new meaning to the term ‘roach coach’.

It would be interesting to see what efforts the California AG is taking against this fraud.


     
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     1
    4fun in reply to Q. | April 23, 2026 at 1:35 pm

    The state is a one party system. The fraud is undoubtedly coming from top to bottom of that system.
    The democrap party is a criminal conspiracy and should be RICO’d into oblivion with a bunch of hard time prison sentences for those convicted should the rino’s every find the courage to actually take them on.


 
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 0
destroycommunism | April 23, 2026 at 1:37 pm

would like to see the cultural appropriation police go after their own for this debacle

how dare you impugn our culture with death!!

Hospice care would be useful in the senate. They have produced a lot of bills that were dead on arrival.


 
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destroycommunism | April 23, 2026 at 1:45 pm

and yet another ….they cant be guilty, scum

Clark said. “We’re not going to convict our way out of this. We have to stop them from entering the system.”


 
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 4
Treguard | April 23, 2026 at 2:03 pm

Mr. Shirley deserves a small slice of the fraud savings, or at least a medal.


 
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 1
henrybowman | April 23, 2026 at 2:26 pm

Nothihng to see here,
“Clerical error.”
Typo in the business application.
It was supposed to read, “HOME-SPICED BURRITOS.”


 
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 2
Ironclaw | April 23, 2026 at 2:43 pm

This doesn’t happen by accident, this is enabled.


 
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 2
ztakddot | April 23, 2026 at 2:51 pm

In a just world state officials should be held accountable for this defrauding of the tax paying public and subject to hefty finds and long prison sentences. They’re not and this just shows how mickey mouse our governments are on every level and I do mean every level.


     
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    CommoChief in reply to ztakddot. | April 23, 2026 at 4:57 pm

    Agreed. Build way more prison space. Frankly about 3% (+/-) of the population commits the lion’s share of crime. Lock them away,.sequestered from the rest of the mostly law abiding public and quality of life vastly improves. Add to this stop treating ‘white collar’ crimes less harshly. Maybe have a tie in to $ amounts proven to be stolen/defrauded so that there’s mandatory minimum sentences beginning in the 25 to life range for fraud rings.


 
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 1
diver64 | April 23, 2026 at 5:08 pm

Thankfully California is passing the Nick Shirley Act to put a stop to this

Do the Somalis have Chapati stands in MN? If they didn’t before, they will now.


 
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 0
kylelam | April 24, 2026 at 1:25 pm

California and LA pretty much just issued licences for the fees without any verification. Easy money.

Truthfully, when the time comes, I would like to end up at a burrito hospice. What an exit!

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