ProPublica

03/30/2026

Trump has granted clemency to several figures in major health care fraud cases. In 2020, he commuted the 20-year federal prison sentence of Philip Esformes, a Florida nursing home magnate convicted in a scheme that prosecutors said involved about $1.3 billion in fraudulent Medicare and Medicaid claims. The White House cited allegations of prosecutorial misconduct, echoing claims from Esformes’ defense that prosecutors improperly invaded attorney-client privilege by reviewing documents seized in an FBI raid. Although appeals courts did not overturn the conviction based on this argument, Esformes had support from two former U.S. attorneys general.

That same year, Trump commuted the sentence of Judith Negron, convicted in a $200 million Medicare fraud case. Trump’s clemency grant said the “ends of justice” did not require her to serve another two decades in prison.

Lawyers for Esformes and Negron did not respond to requests for comment.

Trump has also nominated nursing home owner Benjamin Landa as ambassador to Hungary. The nomination has remained in place even as a facility Landa co-owns faces a federal audit alleging there were more than $31 million in Medicare overpayments. Landa is suing the administration to block repayment. An attorney for Landa did not respond to a request for comment but has previously denied wrongdoing by his client, saying in a statement the issues identified in the audit occurred during the COVID-19 pandemic when nursing homes were in the midst of a crisis and that the company was committed to patient care.

Schwartz’s case was highlighted by the far-right activist and Trump ally Laura Loomer, who had previously worked on other issues alongside the lobbyists Schwartz hired to press his case in Washington. Loomer published a series of posts on X that falsely claimed that Schwartz was not responsible for the tax violations, that he had been unfairly blamed for the collapse of his nursing home chain and that he had paid back “every dime.”

She also accused the judge in the case of antisemitism against Schwartz, who is Jewish, though she offered no evidence. She also said Schwartz was in “extremely poor health” and that prison would be a “death sentence,” though the judge found no evidence that Schwartz was unfit for prison.

Versions of Loomer’s narrative surfaced in the White House’s explanation for the pardon. A White House official said in response to questions from ProPublica that Schwartz “relied on a third-party entity” to manage tax filings, that he paid restitution, that no funds were used for personal enrichment, that the sentence was exceptionally harmful to a 65-year-old man in deteriorating health and that it was “an example of over prosecution.”

But those claims are contradicted by the court record and Schwartz’s own guilty plea, in which he acknowledged responsibility for the unpaid payroll taxes. While he repaid $5 million, that covered only a fraction of what he owed. Federal prosecutors said that under Schwartz’s plea agreement, the IRS could have pursued the remaining balance — an effort that now appears far less likely following the pardon. And his three-year sentence fell in the middle of the range recommended under federal sentencing guidelines.

Asked about those statements and how they square with the court record, the White House did not respond.