United States v. Monty Ray Grow

Court of Appeals for the Eleventh Circuit·Decided February 2, 2023·No. 21-12268·Unpublished

Opinion

[DO NOT PUBLISH]

In the

United States Court of Appeals For the Eleventh Circuit

No. 21-12268

Non-Argument Calendar

UNITED STATES OF AMERICA, Plaintiff-Appellee,

versus MONTY RAY GROW,

Defendant-Appellant.

Appeal from the United States District Court for the Southern District of Florida D.C. Docket No. 1:16-cr-20893-FAM-1

2 Opinion of the Court 21-12268

Before GRANT, LUCK, and BRASHER, Circuit Judges. PER CURIAM:

A jury convicted Monty Grow of defrauding a government health insurance program that served military personnel and their families. In his initial appeal, we affirmed Grow’s convictions and sentences—except as to Grow’s sentence for one count. On remand , the district court lowered Grow’s sentence from 262 months to 156 months. Grow appeals again, arguing that the district court erred in (1) denying his new trial motion, (2) repackaging his sentence , and (3) ordering him to forfeit substitute assets. We affirm.

FACTUAL BACKGROUND AND PROCEDURAL HISTORY The Indictment

In November 2016, a grand jury indicted Grow for healthcare fraud. The government later charged Grow in a superseding indictment with the following counts:

• Count 1: conspiracy to commit healthcare fraud and wire fraud, in violation of 18 U.S.C. section 1349; • Counts 2–8: healthcare fraud, in violation of 18 U.S.C.

section 1347; • Count 9: conspiracy to pay and receive healthcare kickbacks , in violation of 18 U.S.C. section 371;

21-12268 Opinion of the Court 3

• Counts 10–14, 17–18, 20, 22–26, 28–33: receipt of kickbacks in connection with a federal healthcare program , in violation of 42 U.S.C. section 1320a-7b(b)(1)(A); • Counts 36–41, 43–44: payment of kickbacks in connection with a federal healthcare program, in violation of 42 U.S.C. section 1320a-7b(b)(2)(B); • Counts 45–49: money laundering, in violation of 18 U.S.C. section 1957; and • Counts 50–51: misbranding drugs, in violation of 21 U.S.C. sections 331(k) and 333(a)(1)

The Trial

The case went to trial in January 2018. In its opening statement , the government explained that Grow “participated in a scheme to defraud Tricare tens of millions of dollars.” Tricare was a “[f]ederal health care program that provide[d] insurance” to military personnel and their families. Grow “came up with a pyramid scheme of kickbacks” to recruit and induce Tricare beneficiaries to order “expensive drugs that they didn’t need.” In other words, Grow’s scheme involved paying patients money to obtain expensive prescriptions that they didn’t need. Grow made almost $20 million from the scheme.

In response, Grow’s lawyer opened by explaining that Grow was a former National Football League player who became a “salesperson” and a “marketer” after he was sidelined by an injury.

4 Opinion of the Court 21-12268

The company Grow ran was not a “pyramid scheme” but a “multilevel marketing company.” Grow’s lawyer told the jury that the case would be “about intent.” He said that Grow “had one rule: The patients must need the product.” To the extent that recruits received medicine they didn’t need, Grow’s lawyer contended that those recruits were “outliers” and that “mistakes . . . were made.”

The government then presented its case. The first witness was Ginger Lay. Lay began by stating that she was testifying because of a “crime [she] committed . . . [w]ith Monty Grow.” She explained that she entered into a “plea agreement” with the government that required her “to cooperate, to be truthful and submit documentation.” She admitted that she hoped to get a reduction in her sentence by testifying, and that she understood that she “wouldn’t be able to get a reduction” if she lied on the stand.

Lay then described the scheme, explaining that Grow recruited her to sell prescriptions for scar creams, pain creams, and vitamins—that costed up to $17,000 per prescription. She would receive forty percent of the profits from the prescriptions she sold (minus the costs of goods and telemedicine). The scheme, she explained , involved “find[ing] Tricare beneficiaries, sign[ing] them up for compounded medications, submit[ting] the prescription to the telemedicine doctor, hav[ing] it sent to the pharmacy[,] and get[ting] paid commissions.”

While questioning Lay, the government walked through documentary evidence. The government presented, for example, a check Grow paid Lay for her first two weeks of work. The check

21-12268 Opinion of the Court 5

showed that Lay made about $130,000 for about fifteen hours of work. The government also introduced an email in which Grow told Lay to “[a]lways use p-01 for pain and s[c]-01 for scar.” Those codes corresponded to medications with the “highest reimbursement ” rates. In another email, Grow instructed one of the telehealth companies to change a prescription that was already signed. In a text message to Lay, Grow also wrote that a patient was “refusing meds because of copays” but that Lay should “work[] something out with him” by telling him that “[h]e doesn’t have to pay” for the medications and that “[t]hey won’t try to collect.”

Lay also testified about two emails (both admitted into evidence ) that a pharmacist sent to Grow. In the first, the pharmacist asked Grow: “Whose fax number is this? We cannot show outside fax numbers on these prescriptions. There is a HIPAA concern around unsecured pathways and patient brokering concerns when speaking around scripts not coming directly from the doctor.” In the second, the pharmacist told Grow: “Cannot have MD to you to us trail.” According to Lay, these emails aligned with Grow’s instructions to her to “white-out [their] fax number when the doctors faxed [prescriptions] to [her] and [then] fax[] [them] into the pharmacy” so that it “look[ed] like [the prescriptions] came from the doctor and not me and not us.”

The defense cross-examined Lay. In doing so, the defense highlighted Lay’s plea deal: that she was charged “together” with Grow; that “there were many, many charges” against her; that she “could have been facing more than [ninety] years in prison”; that

6 Opinion of the Court 21-12268

she pleaded “guilty to one count of health care fraud”; and that, as a result, “the most [she could] get [was] [ten] years.” Lay also admitted that she’d met with the prosecution more than once, that her “cooperation” was part of her deal, and that she provided hundreds of pages of documents to the government.

The government presented fifteen or so more witnesses—

and witness after witness told a similar story. For example, Philip Snodgrass testified that he was “approached” by someone who asked him to participate in a “trial” for pain cream where he “would be given $100 a month.” Snodgrass testified that he wasn’t looking for a pain cream, scar cream, or vitamins when one of Grow’s representatives called him. Instead, he got the creams and vitamins because he was promised money.

Nichole Powell testified that Grow recruited her to “get[]

other people to get products; pain cream, scar cream and vitamins .” She “signed up” for the products herself even though she “didn’t need the drugs.” Grow told her it was simply “a way to make money.” Powell received some of the drugs before she spoke to a doctor. Powell also had her husband sign up for the medications . Grow paid her a $54,000 commission for her work. Powell testified that she knew she was doing something wrong “[d]eep down inside.”

Jill Cichowicz explained that Grow told her about the creams and said that “everybody could use vitamins.” Grow also told Cichowicz that she “would receive a commission based on [her] prescription.” In Cichowicz’s words, she “got paid to do

21-12268 Opinion of the Court 7

nothing.” When she received a $1500 payment in her account for her first order, a “red flag . . . went up right away.”

Free access — add to your briefcase to read the full text and ask questions with AI

United States v. Monty Ray Grow, (11th Cir. 2023).

United States v. Monty Ray Grow (United States v. Monty Ray Grow) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

United States v. Watkins
147 F.3d 1294 (Eleventh Circuit, 1998)
United States v. George A. Vallejo
297 F.3d 1154 (Eleventh Circuit, 2002)
Maharaj v. Secretary for the Department of Corrections
432 F.3d 1292 (Eleventh Circuit, 2005)
Dominick Occhicone v. James Crosby
455 F.3d 1306 (Eleventh Circuit, 2006)
Ford v. Hall
546 F.3d 1326 (Eleventh Circuit, 2008)
Hammond v. Hall
586 F.3d 1289 (Eleventh Circuit, 2009)
Brady v. Maryland
373 U.S. 83 (Supreme Court, 1963)
Giglio v. United States
405 U.S. 150 (Supreme Court, 1972)
Kyles v. Whitley
514 U.S. 419 (Supreme Court, 1995)
Kontrick v. Ryan
540 U.S. 443 (Supreme Court, 2004)
Guzman v. Secretary, Department of Corrections
663 F.3d 1336 (Eleventh Circuit, 2011)
United States v. Charles Andrew Fowler
749 F.3d 1010 (Eleventh Circuit, 2014)
Ronald Clark, Jr. . Attorney General, State of FL
821 F.3d 1270 (Eleventh Circuit, 2016)
United States v. Mitchell J. Stein
846 F.3d 1135 (Eleventh Circuit, 2017)
United States v. Erickson Meko Campbell
26 F.4th 860 (Eleventh Circuit, 2022)