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Birmingham-area doctors indicted for role in pill mill

Brandon Moseley

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Wednesday, federal authorities announced that Birmingham area doctors and their co-conspirators were indicted for $7.8 million in health care fraud, unlawful drug distribution and money laundering

The March indictments were unsealed Wednesday, charging four people in connection to a $7.8 million health care fraud conspiracy at a Birmingham clinic, and charges that the husband and wife physicians who operated the clinic used it, in part, as a “pill mill.”

U.S. Attorney Jay E. Town, FBI Special Agent in Charge Johnnie Sharp Jr. and Drug Enforcement Administration Assistant Special Agent in Charge Bret Hamilton announced the charges.

The 44-count indictments returned charges against Dr. Patrick Emeka Ifediba, 59, and his wife, Dr. Uchenna Grace Ifediba, 53. The Shoal Creek couple both had medical degrees from the University of Nigeria, Faculty of Medicine. They were licensed to practice medicine in Alabama, and each obtained a Drug Enforcement Administration registration number, which authorized them to issue controlled substance prescriptions. The Ifedibas were doctors of internal medicine. They were not pain management specialists or allergists.

Patrick Ifediba’s sister, Ngozi Justina Ozuligbo, 48, of Trussville, and Clement Essien Edio, 60 of Hoover, were also indicted in the health care fraud conspiracy. It brings other charges against the various defendants, including unlawful drug distribution conspiracy and money laundering conspiracy.

A federal judge unsealed the 44-count indictment following Patrick Ifediba’s arrest.

“The opioid crisis in the United States accounts for the deaths of tens of thousands of Americans every year,” Town said. “Physicians who pocket millions while taking advantage of patients, many of whom are addicted to opioids, and unnecessarily drive up health care costs for both patients and insurance providers, knowingly sacrifice the efficacy of care for greed.”

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Town said, “Physicians who engage in this illicit practice will soon be trading their white coats for prison stripes.”

“The FBI and our partners will continue to pursue and bring to justice those who violate their Hippocratic Oath for greed and needlessly destroy lives, families and communities,” Sharp said.

“DEA has dedicated an entire enforcement group to investigating drug dealers who hide behind medical degrees in the state of Alabama, and as long as we have doctors in this state who base their decisions on profits versus best medical care, we will continue to do so,” Hamilton said. “DEA agents and task force officers have been investigating the Ifedibas and their coconspirators for three years. This is a testament to the dedication and patience of these investigators and should be a warning to any medical providers who would resort to fraud and illegal prescribing.”

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“As alleged, the indictment describes schemes motivated by unbridled greed in which the doctors allegedly used their prescribing authority to force unwilling, but ultimately opioid-dependent, patients to submit to unnecessary allergy testing and treatment in exchange for narcotics prescriptions,” said Assistant U.S. Attorney Mohammad Khatib. “Such conduct is not only anti-medicine; it is a crime for which justice demands a serious response.”

The charges all stem from the defendants’ association with Care Complete Medical Clinic, a private clinic at 1300 Bessemer Road in Birmingham that provided allergy and pain management services. The indictment charges that the four defendants stole millions of dollars from health care programs by fraudulently billing for allergy treatments and services. Apart from the health care fraud conspiracy and scheme, Uchenna Ifediba is further charged with one count of false statements in connection with health care matters.

Drs. Patrick and Uchenna Ifediba also are charged as part of an unlawful drug distribution conspiracy. The husband and wife team churned out prescriptions for schedule II controlled substances – opioid painkillers – for no legitimate medical purpose in order to maximize personal financial gain, according to the indictment. The pair also faces one count of maintaining drug-involved premises for allegedly operating CCMC, in part, as a pill mill. Patrick Ifediba also faces 14 counts, and Uchena Ifediba, five counts, of unlawful distribution of controlled substances.

Patrick Ifediba and Ozuligbo are further charged as part of a money laundering conspiracy. Among other violations, the siblings moved the proceeds of CCMC’s unlawful health care fraud and pill mill scheme in order to hide the illicit nature of the funds, according to the indictment. Dr. Patrick Ifediba faces an additional three counts of concealment money laundering, and four counts of engaging in monetary transactions in criminally derived property valued at more than $10,000. The indictment charges Uchenna Ifediba and Ozuligbo with three counts and one count, respectively, of concealment money laundering.

The charges of conspiracy to commit health care fraud and health care fraud both carry maximum penalties of 10 years in prison and a $250,000 fine. Making false statements related to health care matters carries a maximum penalty of five years in prison and a $250,000 fine. Conspiracy to distribute controlled substances and distribution of controlled substances both carry a maximum penalty of 20 years in prison and a $1 million fine. Maintaining drug-involved premises carries a maximum penalty of 20 years in prison and a $500,000 fine. Money laundering conspiracy and laundering of monetary instruments both carry a maximum penalty of 20 years in prison and a $250,000 fine. Engaging in monetary transactions in criminally derived property worth more than $10,000 carries a maximum penalty of 10 years in prison and a fine of $250,000, or twice the amount of the criminally derived property involved.

The FBI and DEA investigated the case, which Assistant U.S. Attorneys Khatib and Jim Weil are prosecuting.

These 44 counts are merely indictments. Defendants are presumed innocent until proven guilty by a jury of their peers.

These are federal indictments. Under the Alabama criminal code, physicians are immune from being prosecuted for drug dealing so local police, district attorneys and the Alabama Attorney General’s office are powerless to stop drug dealing doctors. State Representative Christopher John England, D-Tuscaloosa, introduced legislation to end that criminal immunity for doctors in Alabama law. England’s bill passed the House; but was defeated in the Senate after the powerful Alabama Medical Association opposed the legislation.

Alabamians have the highest rates of opioid use in the entire world, according to a recent study.

If you have prescriptions from the Ifedibas or their clinic, you probably need to get a second medical opinion.

Brandon Moseley is a senior reporter with eight and a half years at Alabama Political Reporter. You can email him at [email protected] or follow him on Facebook. Brandon is a native of Moody, Alabama, a graduate of Auburn University, and a seventh generation Alabamian.

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Economy

New unemployment claims continued dropping last week

Micah Danney

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There were 8,679 new unemployment claims filed in Alabama last week, slightly fewer than the 8,848 filed the previous week, according to the Alabama Department of Labor.

Of the claims filed between Sept. 13 and Sept. 19, 4,465, or 51 percent, were related to COVID-19. That’s the same percentage as the previous week.

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Economy

Unemployment benefits could change for some Alabamians

ADOL will begin the review when the current quarter ends on Oct. 3. 

Eddie Burkhalter

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Some Alabamians receiving unemployment benefits could see changes in those benefits after the Alabama Department of Labor conducts a required quarterly review and redetermines eligibility, the department said Friday. 

The Alabama Department of Labor said in a press release Friday that no action is required by those receiving regular unemployment, Pandemic Unemployment Assistance or Pandemic Emergency Unemployment Compensation. 

ADOL will begin the review when the current quarter ends on Oct. 3. 

“Some may remain eligible for PUA or PEUC, OR they may be required to change to regular unemployment compensation. Weekly benefit amounts may also change. This depends on eligibility requirements,” ADOL said in the release. “Those claimants whose benefit year ends prior to October 3, 2020, will have their claims reevaluated.” 

After the review, if the claimant is determined not to be eligible for regular unemployment compensation, those who qualify may still be able to be paid under PUA or PEUC, and that determination will be made automatically and payment will be issued, the department said in the release. 

Claimants must also continue to certify their weeks.

Many claimants are not receiving benefits because they fail to file their weekly certifications, i.e. requests for payment. ADOL cannot pay benefits for weeks that have not been properly certified. Certifications can be done online at labor.alabama.gov or by calling the appropriate number:

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  • Montgomery – (334) 954-4094
  • Birmingham – (205) 458-2282
  • Not in Local Area – (800) 752-7389

PUA recipients must file their weekly certifications either by telephone or on the PUA app, at pua.labor.alabama.gov.

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Congress

Alabama Republicans praise President Trump’s SCOTUS nomination

“The confirmation process is already proving to be another brutal fight, but I am certain that this is the job for a strong, conservative woman,” Ivey said.

Brandon Moseley

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President Donald Trump, left, and his Supreme Court nominee, Judge Amy Coney Barrett. (WHITE HOUSE PHOTO)

President Donald Trump on Saturday nominated Judge Amy Coney Barrett to the United States Supreme Court, and, if confirmed, Barrett would fill the vacancy created by the death of Associate Justice Ruth Bader Ginsburg.

Trump’s nomination of Barrett was met with near universal praise among Alabama Republicans including Gov. Kay Ivey and a number of other elected officials.

“I commend President Trump’s nomination of Amy Coney Barrett to serve on the United States Supreme Court. Judge Barrett will be focused on interpreting the law, being an arbiter and not a lawmaker, as the Supreme Court demands of its justices,” Ivey said. “Based on her proven career and background, I am confident that Judge Barrett will be articulate and a fair supporter of issues important to Alabamians such as protecting the unborn and our Second Amendment rights, while applying the law impartially.”

Barrett has served as a judge on the U.S. Court of Appeals for the Seventh Circuit since 2017. Before becoming a judge, she was a law professor at Notre Dame Law School and previously clerked for Supreme Court Justice Antonin Scalia.

Ivey said Barrett will embody the precedent established by Ginsburg and further prove that a woman can be a wife, a mother, a person of faith and hold strong personal convictions while still effectively performing the duties required of a justice.

“The confirmation process is already proving to be another brutal fight, but I am certain that this is the job for a strong, conservative woman,” Ivey said. “The people of Alabama overwhelmingly supported President Trump in 2016, and I commend him for performing his constitutional duty of nominating to the Supreme Court and getting the job done that we elected him to do. The late Justice Ginsburg herself noted that even in an election year, ‘a president doesn’t stop being president.’”

Before her death, Ginsburg reportedly made a request that her replacement not be nominated or confirmed until a “new president is installed.” Last week, Ginsburg became the first woman and the first Jewish person to lie in state at the U.S. Capitol.

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President Donald J. Trump and First Lady Melania Trump pay their respects to Associate Justice Ruth Bader Ginsburg Thursday, Sept. 24, 2020, as she lies in repose at the U.S. Supreme Court in Washington, D.C. Justice Ginsburg passed away on Friday, Sept. 18, 2020. (Official White House Photo by Andrea Hanks)

“I eagerly anticipate Judge Barrett’s confirmation, and I look forward to continuing to forge a strong relationship between President Trump and the state of Alabama during his next term,” said Ivey.

Democratic Senators, though they do not appear to have the votes to stop Barrett’s nomination, are vociferously opposed to confirming a new justice before the Nov. 3 election determines whether Trump will serve as second term.

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Democrats point to what they say is the hypocritical position of Senate Majority Leader Mitch McConnell, who refused to hold hearings or a vote on President Barack Obama’s nominee, Judge Merrick Garland, in 2016.

All but two Republican senators appear prepared to vote for Barrett’s confirmation, all but assuring her a seat on the court and solidifying a 6-3 conservative majority.

“I am extremely pleased with President Trump’s selection in nominating Judge Barrett to the Supreme Court,” said Sen. Richard Shelby, R-Alabama. “From her clerkship for the late Justice Scalia to her tenure on the 7th Circuit, Judge Barrett has had a distinguished career and has proven her commitment to the rule of law. Our next Supreme Court Justice must be a steadfast supporter of upholding our nation’s Constitution. I have no doubt in Judge Barrett’s qualifications, and I look forward to supporting her nomination.”

Alabama Sen. Doug Jones, a Democrat, has said he will not vote for any nominee until the results of the Nov. 3 election are decided.

Alabama Republican Party Chairman Terry Lathan:

“President Trump has nominated a superior candidate for our nation’s highest court. Judge Amy Coney Barrett is a solid constitutional jurist who has distinguished herself both on the bench during her time on the 7th Circuit Court of Appeals, in academia as a law professor at the University Notre Dame and as a clerk for the late Supreme Court Justice Antonin Scalia,” Lathan said. “Judge Barrett’s focus on following the Constitution is apparent in her opinions, in cases ranging from the 2nd Amendment to immigration. Even three Democrat Senators – Joe Manchin of West Virginia, Tim Kaine of Virginia and Joe Donnelly crossed party lines in 2017 to support her first nomination to the bench.”

“A mother of seven, including two adopted children from Haiti, Supreme Court nominee Barrett has been called a ‘powerhouse’ constitutionalist,” Lathan continued. “Her consistent rulings on applying laws to the words of our U.S. Constitution is the exact example of what the justices are tasked with in implementing their rulings. Based on qualifications and experience alone, Judge Barrett’s nomination merits a vote by the full United States Senate.”

Congressman Gary Palmer:

“President Trump has made an excellent choice in nominating Judge Barrett to the Supreme Court, and I extend my heartfelt congratulations to her and her family,” Congressman Gary Palmer, R-Alabama, said. “Judge Barrett has a stellar record of faithfully interpreting the law, training young lawyers, producing brilliant scholarship, and upholding the Constitution. Her devotion to her family, and her dedication to her students during her years as a law professor, are also commendable. There is no question that she is highly qualified and will make a fantastic Justice. I urge the Senate to confirm her quickly.”

Senate candidate Tommy Tuberville:

“I am so excited about President Trump’s nomination today of Judge Amy Coney Barrett to the U.S. Supreme Court,” said Republican Senate candidate Tommy Tuberville. “She understands that’s it’s her job to interpret the Constitution as it’s written and not to manufacture new law from the bench. Her nomination opens the door to protecting unborn life, preserving our Second Amendment gun rights, and securing the religious freedoms guaranteed to us by the Constitution.”

“My opponent, Democrat Doug Jones has a very different opinion,” Tuberville continued. “He’s already announced his opposition to any candidate offered by President Donald J. Trump, and he said even meeting and listening to Judge Barrett would be useless. When it comes to giving fair consideration to President Trump’s Supreme Court nominee, Doug Jones is a lost ball in high cotton. But that comes as no surprise. He voted against Brett Kavanaugh and said he would have opposed Neil Gorsuch if he’d been in the Senate at the time. Democrat Doug even voted twice to remove Donald J. Trump from office. Since becoming our placeholder senator, Doug Jones has opposed everything most Alabamians support and supported everything most Alabamians oppose. Instead of representing our conservative Alabama values, he’s represented the Hollywood and New York values of his high-dollar, out-of-state campaign donors.”

“There’s no telling what kind of dishonest tactics Doug Jones, Chuck Schumer, Kamala Harris and the other Senate liberals will use against a woman who is imminently qualified to sit on our nation’s highest court,” Tuberville warned. “So I’ll close by asking you to join me in praying for Judge Barrett and her family as she faces what promises to be a tough and partisan confirmation hearing. With your prayers and support, America will soon have a strongly conservative Supreme Court, and Alabama will have a new senator who actually represents the citizens of this great state. May God bless Judge Barrett. May God bless President Donald Trump. And may God continue to bless the greatest nation mankind has ever known.”

Congressional candidate Barry Moore:

“I applaud the President for making this nomination now, as the Constitution mandates,” said Congressional candidate Barry Moore. “I’m confident that the Senate will also take up Judge Barrett’s nomination in a timely fashion and not delay the process until after the election. The Constitution doesn’t state anything about waiting until after an election to fill Supreme Court vacancies, despite what the Democrats want us to think.”

“I’m pleased that President Trump has chosen a strong pro-life woman for the Supreme Court,” Moore continued. “I’m also impressed by Judge Barrett’s credentials and experience. I am certain she’ll make an exceptional addition to the Supreme Court, and will serve us well for many years to come.”

“We, as a nation, must act now by praying for President Trump, Judge Barrett and their families,” Moore concluded. “They need to have a shield of favor and protection prayed over them. I truly believe we are in a spiritual battle for our nation and the Democrats will stop at nothing to destroy the character of Judge Barrett, as they’ve done for the last 4 years with President Trump.”

Alabama House Majority Leader Nathaniel Ledbetter

“I join the members of the Alabama House Republican Caucus in praising President Trump’s decision to nominate Judge Amy Coney Barrett to the vacancy on the U.S. Supreme Court,” said Alabama House Majority Leader Nathaniel Ledbetter, R-Rainsville.

“Judge Barrett clerked for one of the court’s greatest conservative jurists, Judge Antonin Scalia, and she understands that her job is to interpret the Constitution as the founding fathers wrote it, not to invent new law out of thin air,” Ledbetter said. “The suit against Alabama’s strongest-in-the-nation pro-life law is currently working its way through the federal courts, and it could be argued before the U.S. Supreme Court in the near future. Having a conservative majority on the nation’s highest court will be essential to the Alabama Legislature’s efforts to protect unborn life from harm. We encourage the Senate to hold confirmation hearings as soon as possible and to hold an up-or-down vote on Judge Barrett’s nomination immediately after they conclude.”

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National

23rd Alabama inmate dies with COVID-19

There have been 409 total positive COVID-19 cases among inmates and 392 total among employees as of Sept. 26.

John H. Glenn

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The Alabama Department of Corrections on Friday reported the 23rd COVID-19 death among inmates in the state’s prisons.

Christopher Nalls, a 59-year-old inmate serving a 15-year sentence, died Sept. 10 at a local hospital in Hamilton, Alabama.

Nalls was moved to the local hospital on Aug. 31 to receive treatment for pre-existing health conditions unrelated to COVID-19.

His admission test upon entering the hospital was negative, and after treatment, Nalls was discharged Sept. 4.

Upon return, Nalls’s condition worsened, and he was readmitted Sept. 10. He died later that same day. A postmortem COVID-19 test showed Nalls died with COVID-19.

ADOC did not report any other positive COVID-19 cases among inmates in correctional facilities. But in the same report Friday, ADOC reported six new positive cases among staff, bringing the staff total to 28 active cases.

ADOC’s Office of Health Services initiated investigations into possible prolonged exposures between positive staff members and inmates or employees.

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There have been 409 total positive COVID-19 cases among inmates and 392 total among employees as of Sept. 26.

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