Haitian fraudster’s eye-popping taxpayer-backed drug scam puts Congress on the hunt

Members of Congress are calling for increased oversight and reform after a Haitian national in Florida was convicted in a healthcare fraud conspiracy that prosecutors said involved more than $58 million in false claims targeting Medicare, Medicaid and private insurers using a federal drug discount program.

Prosecutors accused Jean Jethro Alexandre and his co-conspirators in 2025 of recruiting fake patients and offering them financial kickbacks if they accepted fraudulent prescriptions — primarily for HIV and AIDS medication — written by nurse practitioners involved in the operation, according to court documents reviewed by Fox News Digital. Alexandre would then cash in on the scheme through insurance reimbursements for filling the fake prescriptions.

He used the proceeds from his scheme to bankroll a life of luxury, including a fleet of top-end cars, a mansion near Miami and a slate of investment properties.

The case is drawing renewed scrutiny to the 340B Drug Pricing Program, a decades-old federal initiative designed to help safety-net providers serve low-income patients that is increasingly being criticized by lawmakers and industry groups who say weak oversight has allowed bad actors to exploit the system. Advocates for reform may point to Alexandre’s case as evidence that the program is in need of tweaks 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 massive, poorly supervised program with weak transparency and accountability safeguards,” Rep. Diana Harshbarger, herself a pharmacist, told Fox News Digital. “Cases like this demonstrate how the current structure can create opportunities for bad actors to exploit deeply discounted drugs, questionable contract pharmacy arrangements and opaque reimbursement practices for personal profit.”

“When there is limited federal oversight, little transparency into how 340B revenues are used, and enormous financial spreads between discounted acquisition costs and insurer reimbursements, it should not surprise anyone that fraudsters see the program as a target,” she said.

Alexandre used a nonprofit health clinic that he secretly co-owned to purchase drugs at a discounted rate using the federal 340B Drug Pricing Program and had the prescriptions filled by pharmacies, who provided Alexandre’s clinic with reimbursements paid by insurers, including Medicare and Medicaid. The arrangement allowed Alexandre and his colleagues to pocket the difference between what he was paid in reimbursements and what the drugs cost him through the discount program.

While this is a legitimate way for healthcare providers to generate revenue generally, according to the Government Accountability Office, Alexandre’s conduct was illegal because the underlying prescriptions were fake. Prosecutors allege, for instance, that in some cases the drugs were simply destroyed after being dispensed to fraudulent patients. 

“Alexandre’s blatantly setting up a fraudulent medical clinic and disregarding important safety net programs, as well as finite taxpayer dollars, shows the need for the Committee to continue its important work in cracking down on harmful schemes like this one,” Rep. Morgan Griffith, R-Va., who sits on the health subcommittee of the powerful Energy and Commerce Committee, told Fox News Digital.

“Although I am supportive of the 340B Drug Pricing Program, this instance of fraud is yet another example of how the program has strayed far from its initial intent and is something my Health Subcommittee will continue to monitor closely,” the congressman added.

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Prosecutors said Alexandre used proceeds from the healthcare fraud conspiracy for personal benefit and traced assets from the scheme to a luxury-car collection that included a 2024 Mercedes-Benz S-Class, a 2023 Bentley Flying Spur, a Mercedes-Benz G-Class AMG and a six-passenger golf cart-style vehicle.

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

The Trump administration has mounted a series of fraud investigations across federal programs, including Medicaid and Medicare, framing them as part of a broader push to root out waste, abuse and improper payments. That effort intensified in December 2025, shortly after Alexandre was initially indicted, signaling a more aggressive enforcement posture.

Alexandre, a native and citizen of Haiti, is to be handed over to ICE and processed for removal after serving his sentence of just under 10 years in prison. He will be barred from reentering the United States without written permission from the relevant authorities.

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“Anyone who comes to the United States to steal from American taxpayers should be denaturalized and deported, which is why I introduced the Fraud Accountability Act earlier this year,” Sen. Marsha Blackburn told Fox News Digital. “We’re grateful President Trump is laser-focused on rooting out fraud across the federal government, including in the 340B Program. The Trump DOJ and HHS are working hand in hand to eliminate health care fraud and hold every fraudster accountable.”

In addition to prison time, Alexandre is on the hook for paying roughly $14.3 million in restitution, per the terms of his plea agreement. Alexandre’s lawyer did not respond to a request for comment.

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