Florida man convicted of defrauding Medicare of $58 million using the 340B program

Members of Congress are calling for increased oversight and reform after a Haitian citizen was convicted in Florida in a health care fraud case that prosecutors say involved more than $58 million in false claims against Medicare, Medicaid and private insurance companies using the federal drug reduction program.

Prosecutors accuse Jean Jethro Alexandre and his partner in 2025 of recruiting fake patients and offering them cash rewards if they accepted fake prescriptions — mostly HIV and AIDS drugs — written by nurses involved in surgeries, according to court documents reviewed by Fox News Digital. Alexandre then cashed in on the scheme by reimbursing his insurance for filling out these bogus prescriptions.

He used the money from his show to pay for a lavish lifestyle, including an array of luxury cars, a mansion near Miami and a string of investment properties.

The case is prompting a reexamination of the 340B Drug Pricing Program, a decades-old federal initiative designed to help safety-net providers serve low-income patients that has come under fire from lawmakers and industry groups who say lax oversight has allowed bad actors to exploit the system. Reform advocates may point to Alexandre’s case as evidence that the system needs to be reformed to reduce the risk of fraud.

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“The 340B program was created with good intentions to help vulnerable and underserved patients access care, but unfortunately, it has evolved into a large, poorly overseen program with clearly weak protections and accountability,” said Rep. Diana Harshbarger, also a pharmacist, told Fox News Digital. “Cases like this show how the current structure can create opportunities for bad actors to exploit deeply discounted drugs, dubious contract pharmacy arrangements and unclear reimbursement processes for profit.”

“With limited federal oversight, a lack of transparency in how 340B proceeds are spent, and a large financial spread between the costs of obtaining rebates and insurance reimbursements, it should surprise no one that fraudsters see the program as a target,” he said.

Alexandre used a non-profit health clinic he privately owned to purchase drugs at a discounted price using the federal 340B Drug Pricing Program and had prescriptions filled by pharmacies, which provided Alexandre’s clinic with reimbursements paid by insurance companies, including Medicare and Medicaid. This arrangement allowed Alexandre and his associates to pocket the difference between the money they were paid and the cost of the drugs through a rebate scheme.

Although this is a legal way for health care providers to receive money in general, according to the Government Accountability Office, Alexandre’s conduct was illegal because the underlying prescriptions were fraudulent. Prosecutors say, for example, that in some cases the drugs were simply destroyed after being given to fraudulent patients.

WOODSTOCK, ENGLAND – SEPTEMBER 01: The Bentley Flying Spur Hybrid is on display during Salon Prive 2023 at Blenheim Palace on September 01, 2023 in Woodstock, England. (Getty Images)

“Alexandre setting up a fake clinic and ignoring important safety programs, along with limited taxpayer dollars, shows the need for the Committee to continue its important work to end dangerous schemes like this one,” Rep. Morgan Griffith, R-Va., who sits on the Energy and Commerce Committee’s health subcommittee told the Fox News Digital Committee.

“Although I support the 340B Drug Pricing Program, this fraudulent incident is yet another example of how far this program has deviated from its original purpose and is something that my Health Committee will continue to monitor carefully,” the congressman added.

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Rep. Diana Harshbarger, R-Tenn., speaks during a Republican Study Committee news conference to introduce the “Women’s Bill of Rights” outside the Capitol on May 19, 2022.

Prosecutors said Alexandre used the proceeds of the health care fraud scheme for personal gain and tracked assets in the scheme to a collection of luxury cars that included a 2024 Mercedes-Benz S-Class, a 2023 Bentley Flying Spur, a Mercedes-Benz G-Class AMG and a six-seater golf cart.

Additionally, he purchased a $2.5 million 4,452-square-foot mansion on the south coast of Florida equipped with a custom pool and spa.

The Trump administration has launched a series of fraud investigations into all federal programs, including Medicaid and Medicare, as part of a broader program to eliminate waste, abuse and improper payments. That effort intensified in December 2025, shortly after Alexandre was indicted, reflecting the state of law enforcement.

Alexandre, a native and citizen of Haiti, will be handed over to ICE and processed for removal after serving less than 10 years in prison. You will be barred from re-entering the United States without written permission from the appropriate authorities.

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Rep. Morgan Griffith, R-Va., listens during a House Rules Committee hearing on the One Big Beautiful Bill Act at the US Capitol in Washington, DC, on May 21, 2025. (Anna Moneymaker/Getty Images)

“Anyone who comes to the United States to steal from American taxpayers should be deposed and deported, which is why I introduced the Fraud Accountability Act earlier this year,” Sen. Marsha Blackburn told Fox News Digital. “We are thankful that President Trump is focused on ending fraud across the government, including the 340B program. The Trump DOJ and HHS are working together to end health care fraud and hold every fraudster accountable.”

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In addition to prison time, Alexandre is on track to pay an estimated $14.3 million in restitution, according to the terms of his plea deal. Alexandre’s attorney did not respond to a request for comment.

“Every dollar that is stolen from these programs is a dollar that is taken from families that need it most,” Sen. Bill Cassidy, R-La., told Fox News Digital. “The 340B program was created to help patients get affordable health care, not to enrich criminals and fraudsters. I am working to strengthen transparency and accountability in 340B to ensure that the program lowers costs and improves care for American families.”