In short
Trump administration announces major Minnesota Medicaid fraud charges (about $90M; officials say total could exceed $9B), including fake autism and home-care schemes; NASCAR mourns the sudden death of Kyle Busch (41); Spencer Pratt explains how death threats during The Hills led him toward conservatism and his LA mayoral run.
Guest backgrounds
No guests are interviewed in this transcript. Spencer Pratt is discussed as a Los Angeles mayoral candidate; he previously starred on MTV’s The Hills with Heidi Montag.
Key claims
Fraudsters billed Medicaid for services never provided, used fake autism treatment centers (Smart Therapy Center, Star Autism Center), and allegedly paid kickbacks to parents; one suspect escaped after jumping from a fourth-story balcony. Pratt claims death threats drove him to arm himself and align with conservatives.
Notable examples
Autism billing growth in Minnesota (about $600k in 2018 to $400M+ by 2025); a victim allegedly receiving “24-hour care” but receiving none; Omar buying Nairobi real estate and leasing a Mercedes; Kyle Busch’s 63 Cup wins and recent Dover Truck Series win.
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Chapters
Tap a time to open that second in VOMassive Medicaid Fraud Scheme Uncovered
0:43 to 5:40
A detailed look at the extensive Medicaid fraud charges announced by the Trump administration.
“We start with a massive fraud crackdown out of Minnesota that the Trump administration says exposed one of the biggest theft operations ever uncovered inside America's Medicaid system.”
Kyle Busch's Untimely Death
5:49 to 8:13
Tributes and reactions following the sudden death of NASCAR champion Kyle Busch.
“Two-time NASCAR Cup Series champion Kyle Busch has died at the age of 41.”
Spencer Pratt's Political Shift
8:40 to 11:52
Spencer Pratt discusses personal experiences that led him to conservatism and political ambition.
“Pratt explained that during his years starring on MTV's The Hills, he and his wife, Heidi Montag, received so many threats that private security and police advised them to arm themselves.”
Transcript
Automatic transcript. May contain errors.0:03Hey everybody, I'm Dave Rubin and this is First Look. It's Friday, May 22nd, 2026. We've got a packed show for you today. The Trump administration announces massive Medicaid fraud charges tied to what officials are calling the largest autism fraud scheme ever uncovered. NASCAR is rocked by tragedy after two-time Cup Series champion Kyle Busch suddenly dies at 41. Spencer Pratt says death threats during his reality TV fame pushed him toward conservatism and ultimately into the Los Angeles mayoral race. Let's dive in. We start with a massive fraud crackdown out of Minnesota that the Trump administration says exposed one of the biggest theft operations ever uncovered inside America's Medicaid system.
0:55Federal prosecutors announced criminal charges Thursday against 15 people accused of stealing roughly$90 million from taxpayer-funded Medicaid programs. And according to officials, this may just be the tip of the iceberg. Assistant Attorney General Colin McDonald, who's essentially become the administration's anti-fraud czar, said the total amount stolen from Minnesota public assistance programs could ultimately exceed$9 billion. That number is staggering. Now, the schemes targeted seven different Medicaid programs across the state, including autism treatment programs, housing stabilization programs, home health care services, and disability support systems.
1:41And prosecutors say many of these operations weren't just fraudulent, they were brazen. One of the biggest schemes involved two defendants, Shamsa Ahmed Hassan and Hanan Mursal Yusuf. They ran fake autism treatment centers called Smart Therapy Center and Star Autism Center. According to the DOJ, the pair billed Medicaid for services that were never provided, non-reimbursable treatments, and fake autism-related care. Total fraud,$46.6 million. Officials say they even paid kickbacks to parents for bringing children into the bogus programs. Another pair of defendants stole$22.7 million by pretending to provide home support services for people with brain injuries.
2:35And prosecutors say one victim in the scheme was supposedly receiving 24-hour care, but in reality, he received no care at all. McDonald said the patient was later found dead. Now, perhaps the wildest moment in the entire press conference involved one suspect who literally escaped federal agents Hollywood style. A defendant named Muhammad Omar is currently on the run after jumping off a fourth-story balcony Thursday morning to evade arrest. Authorities say Omar filed millions in false Medicaid claims, used taxpayer money to buy real estate in Nairobi, Kenya, and spent roughly$60 ,000 leasing a Mercedes-Benz.
3:22Video from the scene reportedly showed Omar hopping away barefoot, holding one shoe after the jump. The FBI is now actively asking the public for help locating him. And McDonald delivered a message directly aimed at the fraudsters. Eat, drink, and be merry today, because your days of frolicking and freedom are numbered. Now here's what makes this story politically explosive. Officials say Medicaid billing in Minnesota absolutely exploded in recent years. Some examples. The state's autism treatment program reportedly surged from about$600 ,000 in 2018 to over$400 million by 2025. One housing stabilization program ballooned from$26 million in 2021 to more than$104 million in 2024.
4:21Another disability support program jumped from$100 million to more than$700 million in just a few years. At one point, McDonald admitted one entire state program had to be shut down because there's no money left. It's all gone. Now, the Trump administration is framing this as exactly why federal oversight and fraud enforcement matter. Health and Human Services Secretary Robert F. Kennedy Jr. said, investigators uncovered brazen schemes that build taxpayers for non-existent services, fraudulent diagnoses, and fake care while criminals enrich themselves at public expense. Dr. Mehmet Oz, now overseeing CMS under Trump, announced that$350 million in federal reimbursements have already been frozen.
5:16And honestly, stories like this explain why so many Americans have lost trust in massive government spending programs. Because while ordinary Americans work, pay taxes, struggle with inflation, and follow the rules, fraud rings were stealing millions through fake healthcare programs while buying luxury cars and overseas property. And according to investigators, this may be one of the largest public benefits fraud scandals in modern American history. Now to heartbreaking news from the sports world. Two-time NASCAR Cup Series champion Kyle Busch has died at the age of 41. The announcement Thursday night sent shockwaves through NASCAR and the entire racing community.
6:02According to a statement released by NASCAR, Richard Childress Racing, and the Busch family, Busch had been hospitalized earlier in the day due to what was described as a severe illness. No official cause of death has yet been released. And honestly, the reaction across the sport shows just how enormous Bush's legacy really was. The statement described Bush as a rare talent, one who comes along once in a generation. Over a career spanning more than two decades, Bush became one of the most dominant and polarizing drivers in NASCAR history. His accomplishments are incredible. 63 Cup Series victories, two Cup championships in 2015 and 2019, 234 total wins across NASCAR's three national series.
6:51He also holds the all-time wins record in the Xfinity series with 102 victories and the truck series with 69 wins. And what makes this even harder for fans is how recent his success still was. Just last weekend, Bush won at Dover in dominating fashion, leading 147 laps in a Truck Series victory. He had also started on the pole at this year's Daytona 500 and recently posted one of his best cup finishes of the season at Watkins Glen. This wasn't a retired legend from decades ago. This was still an active star. Bush became one of NASCAR's defining personalities during his long run with Joe Gibbs Racing, where he won both championships before later moving to Richard Childress Racing.
7:41Fans either loved him or hated him, but everyone respected his talent. His aggressive driving style and sharp personality built what became known as Rowdy Nation. And regardless of whether fans cheered or booed him, Bush helped define modern NASCAR for an entire generation. He also spent years mentoring younger drivers through his Truck Series ownership programs, Bush leaves behind his wife Samantha, their son Brexton, and daughter Lennox. And tragically, this marks the second major NASCAR loss in recent months, after former driver Greg Biffle and his family died in a plane crash last December.
8:23Perhaps most shockingly, Kyle Busch becomes the first active NASCAR Cup Series driver to die since Dale Earnhardt's death at the 2001 Daytona 500. That alone shows how rare and devastating this moment is for the sport. And finally, Spencer Pratt is opening up about the deeply personal experiences that pushed him toward conservatism and ultimately into politics. Speaking Thursday during an interview with CNN's Alex Michelson, the Los Angeles mayoral candidate said the intense death threats he received during the height of his reality TV fame were what first drove him toward the Republican Party.
9:02Pratt explained that during his years starring on MTV's The Hills, he and his wife, Heidi Montag, received so many threats that private security and police advised them to arm themselves. Pratt said, when I was a hated reality star, I got so many death threats. Then he explained what changed his political outlook. According to Pratt, security officials told him, get a gun, so he did. Pratt said both he and Heidi obtained firearms and concealed carry permits, And he quickly realized that support for legal gun ownership overwhelmingly came from conservatives and Republicans. He explained, that was what I aligned with, my safety, my personal safety, and my family's safety.
9:45Now, politically, this is fascinating because Pratt's campaign is becoming something far more serious than many expected. At first, critics mocked his candidacy as a celebrity stunt, but his message about public safety, disorder, homelessness, drug abuse, and government incompetence is increasingly resonating with frustrated Angelenos. Pratt has repeatedly argued that Los Angeles, under Karen Bass, has become unsafe, chaotic, and badly mismanaged. And he specifically pointed to the devastating 2025 Palisades and Eton fires as a major turning point. Remember, Pratt lost his own home during the Palisades fire.
10:26He says Bass's handling of the wildfire disaster, along with broader failures on homelessness and crime, helped convince him to jump into politics. And honestly, many Los Angeles residents clearly agree something is badly broken. Even President Trump is now publicly rooting for Pratt. Earlier this week, Trump said, I'd like to see him do well, adding, he's a character. I heard he's a big MAGA person. Now, realistically, Pratt still faces a huge uphill climb. Republicans make up less than 15 % of registered voters in Los Angeles. The last Republican mayor of the city left office more than two decades ago.
11:05But Pratt's campaign is tapping into something larger, a growing frustration with progressive governance in major American cities. Meanwhile, Karen Bass continues struggling with public perception. During a recent interview, Bass defended herself by claiming Pratt is simply tapping into a general sense of anger. But honestly, that anger is real, because many residents feel Los Angeles leadership has failed on the most basic responsibilities, public safety, infrastructure, homelessness, fire preparedness, and quality of life. And now, in one of the bluest cities in America, a reality TV star running on law, order, and normalcy is suddenly becoming increasingly politically relevant.
11:52That tells you a lot about where Los Angeles is right now. That's your first look this Friday. Quick recap. The Trump administration announces massive Medicaid fraud charges tied to what officials call the largest autism fraud scheme ever uncovered. NASCAR legend Kyle Busch dies suddenly at 41, shocking the racing world. And Spencer Pratt says death threats during his reality TV fame pushed him toward conservatism and into the Los Angeles mayoral race. We'll keep following all of it. I'm Dave Rubin. Thanks for starting your day with First Look. See you tomorrow.
From the publisher
Dave Rubin of "The Rubin Report" gives a first look to the stories you need to know to start your day including the Trump administration unveiling what officials are calling one of the largest Medicaid fraud schemes in American history involving fake autism treatment centers, luxury spending, and billions in questionable public assistance payments; the shocking sudden death of NASCAR legend Kyle Busch at just 41 years old that has stunned the racing world and fans across the country; and Spencer Pratt revealing how death threats during his reality TV fame pushed him toward conservatism, gun ownership, and his increasingly serious run for mayor of Los Angeles amid growing frustration with Karen Bass and progressive leadership, and much more.


