USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 1 of 7
[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT ________________________
No. 20-12581 Non-Argument Calendar ________________________
D.C. Docket No. 1:11-cr-20587-RNS-1
UNITED STATES OF AMERICA,
Plaintiff-Appellee,
versus
ANTONIO MACLI,
Defendant-Appellant.
________________________
Appeal from the United States District Court for the Southern District of Florida ________________________
(February 3. 2021)
Before WILSON, ROSENBAUM and MARCUS, Circuit Judges.
PER CURIAM: USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 2 of 7
Antonio Macli, proceeding pro se, appeals following the district court’s denial
of his renewed motion for compassionate release under 18 U.S.C. § 3582(c)(1)(A),
as amended by § 603(b) of the First Step Act of 2018, Pub. L. 115-391, 132 Stat.
5194 (“First Step Act”). In 2012, a federal grand jury returned a 44-count
superseding indictment charging Macli, his two children and others with
conspiracies to commit health care fraud, to receive and pay health care kickbacks,
and to commit money laundering, as well as substantive violations related to the
conspiracies. United States v. Moran, 778 F.3d 942, 953-54, 956 (11th Cir. 2015).
As we explained in their direct appeal, Macli and others “concocted and engaged in
a pernicious scheme to defraud Medicare and preyed upon vulnerable victims,”
which included chronic substance abusers, elderly with dementia, Haitian patients
looking for immigration benefits, and paid patients. Id. at 951-52. The court
sentenced Macli within the guidelines range to a total of 30 years in prison, and
ordered him to pay $11,481,593.43 in restitution, jointly and severally with other co-
defendants. Id. at 957.
Several years into his sentence, Macli filed the instant renewed motion
seeking compassionate release from the district court, alleging that in light of his
advanced age of 81 years old and his medical conditions, including atrial fibrillation
and bradycardia, he was at a greater risk of death from COVID-19. The district court
denied the motion. After thorough review, we affirm.
2 USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 3 of 7
We review de novo whether a district court had the authority to modify a term
of imprisonment. United States v. Jones, 962 F.3d 1290, 1296 (11th Cir. 2020).
However, because section 3582(c)(1)(A) uses the permissive term “may” when it
grants district courts the authority to reduce a term of imprisonment for extraordinary
and compelling reasons, we review a denial of a motion for compassionate release
for abuse of discretion. See, e.g., id. (reviewing for abuse of discretion the denial of
a sentence reduction under section 3582(c)(1)(B) based on a retroactive statutory
change); United States v. Webb, 565 F.3d 789, 792 (11th Cir. 2009) (reviewing for
abuse of discretion the denial of a sentence reduction under section 3582(c)(2) based
on a retroactive amendment to the guidelines). A district court abuses its discretion
if it applies an incorrect legal standard, follows improper procedures in making the
determination, or makes findings of fact that are clearly erroneous. United States v.
Khan, 794 F.3d 1288, 1293 (11th Cir. 2015).
We review arguments raised for the first time on appeal only for plain error.
United States v. Lange, 862 F.3d 1290, 1293 (11th Cir. 2017). To establish plain
error, the defendant must show (1) an error, (2) that is plain, and (3) that affected his
substantial rights. United States v. Turner, 474 F.3d 1265, 1276 (11th Cir. 2007). If
the defendant satisfies these conditions, we may exercise our discretion to recognize
the error only if it seriously affects the fairness, integrity, or public reputation of
3 USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 4 of 7
judicial proceedings. Id. We liberally construe the pleadings of pro se litigants.
Tannenbaum v. United States, 148 F.3d 1262, 1263 (11th Cir. 1998).
Under 18 U.S.C. § 3582(c), a district “court may not modify a term of
imprisonment once it has been imposed” except under certain circumstances. When
Congress enacted the First Step Act in 2018, it amended § 3582(c)(1)(A), in part, to
increase the use and transparency of compassionate release of federal prisoners. See
First Step Act § 603(b). Section 3582(c)(1)(A)(i) now says:
[T]he court, upon motion of the Director of the Bureau of Prisons, or upon motion of the defendant after the defendant has fully exhausted all administrative rights to appeal a failure of the Bureau of Prisons to bring a motion on the defendant’s behalf or the lapse of 30 days from the receipt of such a request by the warden of the defendant’s facility, whichever is earlier, may reduce the term of imprisonment . . . if it finds that extraordinary and compelling reasons warrant such a reduction[.]
Before the First Step Act, a district court could grant a sentence reduction under §
3582(c)(1)(A) only upon a motion by the Federal Bureau of Prisons (“BOP”)
Director. See First Step Act § 603(b).
Section 3582(c)(1)(A) still requires any reduction to be consistent with the
sentencing commission’s applicable policy statements. The policy statements
applicable to § 3582(c)(1)(A) are found in U.S.S.G. § 1B1.13, and provide that the
court may reduce a term of imprisonment “if, after considering the factors set forth
4 USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 5 of 7
in 18 U.S.C. § 3553(a), 1 to the extent that they are applicable,” it finds, in relevant
part, that extraordinary and compelling reasons warrant the reduction.2 The court
must determine that the defendant is not a danger to the safety of any other person
or to the community, as provided in 18 U.S.C. § 3142(g), before it can determine
whether extraordinary and compelling reasons exist. See U.S.S.G. § 1B1.13; id.,
comment. (n.1).
Even where consideration of the § 3553(a) factors is mandatory, the district
court need not state on the record that it has explicitly considered each of the §
3553(a) factors or to discuss each of them. United States v. Kuhlman, 711 F.3d
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USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 1 of 7
[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT ________________________
No. 20-12581 Non-Argument Calendar ________________________
D.C. Docket No. 1:11-cr-20587-RNS-1
UNITED STATES OF AMERICA,
Plaintiff-Appellee,
versus
ANTONIO MACLI,
Defendant-Appellant.
________________________
Appeal from the United States District Court for the Southern District of Florida ________________________
(February 3. 2021)
Before WILSON, ROSENBAUM and MARCUS, Circuit Judges.
PER CURIAM: USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 2 of 7
Antonio Macli, proceeding pro se, appeals following the district court’s denial
of his renewed motion for compassionate release under 18 U.S.C. § 3582(c)(1)(A),
as amended by § 603(b) of the First Step Act of 2018, Pub. L. 115-391, 132 Stat.
5194 (“First Step Act”). In 2012, a federal grand jury returned a 44-count
superseding indictment charging Macli, his two children and others with
conspiracies to commit health care fraud, to receive and pay health care kickbacks,
and to commit money laundering, as well as substantive violations related to the
conspiracies. United States v. Moran, 778 F.3d 942, 953-54, 956 (11th Cir. 2015).
As we explained in their direct appeal, Macli and others “concocted and engaged in
a pernicious scheme to defraud Medicare and preyed upon vulnerable victims,”
which included chronic substance abusers, elderly with dementia, Haitian patients
looking for immigration benefits, and paid patients. Id. at 951-52. The court
sentenced Macli within the guidelines range to a total of 30 years in prison, and
ordered him to pay $11,481,593.43 in restitution, jointly and severally with other co-
defendants. Id. at 957.
Several years into his sentence, Macli filed the instant renewed motion
seeking compassionate release from the district court, alleging that in light of his
advanced age of 81 years old and his medical conditions, including atrial fibrillation
and bradycardia, he was at a greater risk of death from COVID-19. The district court
denied the motion. After thorough review, we affirm.
2 USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 3 of 7
We review de novo whether a district court had the authority to modify a term
of imprisonment. United States v. Jones, 962 F.3d 1290, 1296 (11th Cir. 2020).
However, because section 3582(c)(1)(A) uses the permissive term “may” when it
grants district courts the authority to reduce a term of imprisonment for extraordinary
and compelling reasons, we review a denial of a motion for compassionate release
for abuse of discretion. See, e.g., id. (reviewing for abuse of discretion the denial of
a sentence reduction under section 3582(c)(1)(B) based on a retroactive statutory
change); United States v. Webb, 565 F.3d 789, 792 (11th Cir. 2009) (reviewing for
abuse of discretion the denial of a sentence reduction under section 3582(c)(2) based
on a retroactive amendment to the guidelines). A district court abuses its discretion
if it applies an incorrect legal standard, follows improper procedures in making the
determination, or makes findings of fact that are clearly erroneous. United States v.
Khan, 794 F.3d 1288, 1293 (11th Cir. 2015).
We review arguments raised for the first time on appeal only for plain error.
United States v. Lange, 862 F.3d 1290, 1293 (11th Cir. 2017). To establish plain
error, the defendant must show (1) an error, (2) that is plain, and (3) that affected his
substantial rights. United States v. Turner, 474 F.3d 1265, 1276 (11th Cir. 2007). If
the defendant satisfies these conditions, we may exercise our discretion to recognize
the error only if it seriously affects the fairness, integrity, or public reputation of
3 USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 4 of 7
judicial proceedings. Id. We liberally construe the pleadings of pro se litigants.
Tannenbaum v. United States, 148 F.3d 1262, 1263 (11th Cir. 1998).
Under 18 U.S.C. § 3582(c), a district “court may not modify a term of
imprisonment once it has been imposed” except under certain circumstances. When
Congress enacted the First Step Act in 2018, it amended § 3582(c)(1)(A), in part, to
increase the use and transparency of compassionate release of federal prisoners. See
First Step Act § 603(b). Section 3582(c)(1)(A)(i) now says:
[T]he court, upon motion of the Director of the Bureau of Prisons, or upon motion of the defendant after the defendant has fully exhausted all administrative rights to appeal a failure of the Bureau of Prisons to bring a motion on the defendant’s behalf or the lapse of 30 days from the receipt of such a request by the warden of the defendant’s facility, whichever is earlier, may reduce the term of imprisonment . . . if it finds that extraordinary and compelling reasons warrant such a reduction[.]
Before the First Step Act, a district court could grant a sentence reduction under §
3582(c)(1)(A) only upon a motion by the Federal Bureau of Prisons (“BOP”)
Director. See First Step Act § 603(b).
Section 3582(c)(1)(A) still requires any reduction to be consistent with the
sentencing commission’s applicable policy statements. The policy statements
applicable to § 3582(c)(1)(A) are found in U.S.S.G. § 1B1.13, and provide that the
court may reduce a term of imprisonment “if, after considering the factors set forth
4 USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 5 of 7
in 18 U.S.C. § 3553(a), 1 to the extent that they are applicable,” it finds, in relevant
part, that extraordinary and compelling reasons warrant the reduction.2 The court
must determine that the defendant is not a danger to the safety of any other person
or to the community, as provided in 18 U.S.C. § 3142(g), before it can determine
whether extraordinary and compelling reasons exist. See U.S.S.G. § 1B1.13; id.,
comment. (n.1).
Even where consideration of the § 3553(a) factors is mandatory, the district
court need not state on the record that it has explicitly considered each of the §
3553(a) factors or to discuss each of them. United States v. Kuhlman, 711 F.3d
1 The § 3553(a) factors include: (1) the nature and circumstances of the offense and the history and characteristics of the defendant; (2) the need for the sentence imposed to reflect the seriousness of the offense, to promote respect for the law, and to provide just punishment for the offense; (3) the need for the sentence imposed to afford adequate deterrence; (4) the need to protect the public; (5) the need to provide the defendant with educational or vocational training or medical care; (6) the kinds of sentences available; (7) the Sentencing Guidelines range; (8) the pertinent policy statements of the Sentencing Commission; (9) the need to avoid unwanted sentencing disparities; and (10) the need to provide restitution to victims. 18 U.S.C. § 3553(a). 2 Section 1B1.13’s list of extraordinary and compelling reasons for compassionate release includes: (A) a medical condition where the prisoner is suffering from (i) a terminal illness, or (ii) deteriorating health related to aging that substantially diminishes the ability of the prisoner to provide self-care within the prison; (B) the age of the prisoner, being at least 65 years old, who is experiencing a serious deterioration in physical or mental health and has served a certain portion of his term of imprisonment; (C) the death or incapacitation of the caregiver of the prisoner’s minor child; and (D) other reasons as determined by the Director of the BOP. U.S.S.G. § 1B1.1, comment. (n.1). Notably, we have not yet held in a published opinion whether § 1B1.13, which on its face applies only to motions for compassionate release filed by the BOP and has not been amended following the First Step Act, constrains district courts in considering compassionate release motions filed by prisoners themselves. Nevertheless, we need not address that issue because it is clear that the district court denied Macli relief based on its consideration of the § 3553 factors and whether he remained a danger to others, and not based on the extraordinary and compelling reasons inquiry. 5 USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 6 of 7
1321, 1326 (11th Cir. 2013). Rather, the district court’s acknowledgment that it
considered the § 3553(a) factors and the parties’ arguments is sufficient. United
States v. Sarras, 575 F.3d 1191, 1219 (11th Cir. 2009). Moreover, the weight given
to any of the § 3553(a) factors is committed to the sound discretion of the district
court. United States v. Croteau, 819 F.3d 1293, 1309 (11th Cir. 2016). Even so, a
district court abuses its discretion when it (1) fails to afford consideration to relevant
factors that were due significant weight, (2) gives significant weight to an improper
or irrelevant factor, or (3) commits a clear error of judgment in considering the
proper factors. United States v. Irey, 612 F.3d 1160, 1189 (11th Cir. 2010) (en banc).
In this case, the district court did not abuse its discretion in denying Macli’s
renewed motion for compassionate release. In considering the motion, the district
court discussed the § 3553(a) factors, including the seriousness of Macli’s offense
and his history and characteristics, observing that Macli had “exploited vulnerable
chronic substance abuse patients and elderly individuals with significant cognitive
impairments, and he failed to provide these vulnerable people with adequate care to
treat their problems.” The court added that Macli had involved his children and
employees in the scheme, had yet to admit any wrongdoing, and had not been
forthcoming in one of his postconviction motions. Based on these considerations,
the district court concluded that the § 3553(a) factors did not warrant Macli’s release.
6 USCA11 Case: 20-12581 Date Filed: 02/03/2021 Page: 7 of 7
As for whether Macli was a danger to others, the district court found that he
was, explaining that it could not categorize Macli’s crimes “as nonviolent because
[] [they] involved ‘the conscious or reckless risk of death or serious bodily injury’
to especially vulnerable populations,” and that he could still “use his experience to
assist similar-minded offenders because committing health care fraud does not
depend on strength or physical vitality.” The district court also noted that Macli’s
lack of remorse or admission of wrongdoing made him a high risk for recidivism.
We cannot say that either conclusion -- that the § 3553 factors did not warrant
Macli’s release and that he remained a danger to others -- was an abuse of discretion.
In addition, Macli argues, for the first time on appeal, that the district court
abused its discretion in denying him relief because the same judge granted
compassionate release for his co-defendant daughter. The district court explained,
however, that it was granting Macli’s daughter relief based on her age, her “severe”
medical conditions, and the fact that it was “unlikely she would have participated in
such a scheme without [her father’s and her brother’s] involvement.” Macli has not
shown that the district court abused its discretion, much less plainly erred in denying
him relief while granting relief to his daughter.
On this record, the district court did not abuse its discretion in denying Macli’s
renewed motion for compassionate release under 18 U.S.C. § 3582(c)(1)(A).
AFFIRMED.