In a historic move, the Department of Justice announced Monday it is charging 324 individuals—including 96 healthcare professionals—in what it says is the largest healthcare fraud bust in U.S. history. The massive takedown, stretching across 50 federal districts, comes as the Trump administration ramps up its aggressive campaign against federal waste and fraud draining taxpayer dollars.

According to DOJ Criminal Division head Matthew R. Galeotti, the defendants are accused of orchestrating schemes totaling a staggering $14.6 billion in fraudulent claims to Medicare and Medicaid, with actual program losses hitting $2.9 billion. The crackdown wasn’t just about paperwork either—federal agents seized cash, luxury vehicles, and high-end properties tied to the criminal enterprises, clawing stolen funds back for American taxpayers.

“This enforcement action involves a seizure of cash, as well as luxury vehicles and properties, returning real money to American taxpayers and to our government healthcare programs,” Galeotti said during the press conference.

The fraud spanned transnational crime rings, fraudulent wound care claims, and even opioid trafficking tied to healthcare scams. Criminals used stolen Medicare and Medicaid numbers obtained through deceptive marketing and outright theft to rake in billions, draining critical healthcare resources meant for American seniors and low-income families.

Foreign actors reportedly played a significant role in the schemes, with the DOJ revealing that operatives from Russia, Eastern Europe, Pakistan, and other foreign countries used a network of fake owners to buy dozens of medical supply companies in the U.S., funneling billions in bogus claims back to foreign criminal networks.

“As just one example, we dismantled a scheme involving a sophisticated operation run from Russia and Eastern Europe that strategically bought dozens of medical supply companies in the United States and submitted more than $10 billion in fraudulent health care claims to Medicare,” Galeotti noted.

The massive crackdown is the latest in the Trump administration’s ongoing push to protect American taxpayers and clean up government programs plagued by fraud. Last month, the DOJ cracked down on widespread Supplemental Nutrition Assistance Program (SNAP) fraud, and federal investigators are currently zeroing in on Social Security fraud schemes draining billions from taxpayers.

The latest takedown serves as a warning to fraudsters, both domestic and foreign, that the Trump administration is serious about protecting American taxpayer dollars and ensuring government programs serve those who truly need them—not those looking to exploit loopholes and lax enforcement.