United States v. Bikundi ( 2015 )


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  •                                  UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF COLUMBIA
    UNITED STATES OF AMERICA,
    v.
    Criminal Case No. 14-cr-030 (BAH)
    FLORENCE BIKUNDI,                                                 Judge Beryl A. Howell
    MICHAEL D. BIKUNDI, SR.,
    Defendants.
    MEMORANDUM OPINION
    The defendants Florence Bikundi and her husband, Michael D. Bikundi, Sr., are charged
    in a multi-count Superseding Indictment for allegedly conspiring to defraud and defrauding the
    District of Columbia Medicaid Program. Their trial is scheduled to begin on October 13, 2015.
    A motions hearing and pretrial conference were held in this matter on July 31, 2015, and
    September 18, 2015, respectively, during which oral argument was heard on pretrial motions and
    a number of those motions were resolved for the reasons stated on the record. See Minute Order
    (July 31, 2015); Minute Order (Sept. 18, 2015). 1 Pending before the Court are two remaining
    1
    Specifically, at the motions hearing, the Court granted the United States’ Request for Defendants to Provide
    Notice Whether They Intend to Seek Jury Determination on Forfeitability of Specific Property, ECF No. 213, and
    denied the following motions: (1) defendant Michael Bikundi’s First Motion to Sever His Case From Florence
    Bikundi Based Upon Disparity of Evidence, ECF No. 155; (2) defendant Michael Bikundi’s Motion to Sever Counts
    in the Indictment, ECF No. 208; (3) defendant Florence Bikundi’s Motion to Dismiss Indictment and/or Pretrial
    Release for Violation of her Statutory and Constitutional Rights to Speedy Trial, ECF No. 211; (4) defendant
    Florence Bikundi’s Motion for Immediate Production of Brady Material, ECF No. 201; and (5) defendant Florence
    Bikundi’s Motion to Strike Surplusage or in the Alternative to Preclude the Government From Introducing Evidence
    at Trial, ECF No. 209, without prejudice to renew. The following motions were granted in part and denied in part:
    (1) the United States’ Motion to Admit Other Crimes Evidence Pursuant to Federal Rule of Evidence 404(b), ECF
    No. 206, without prejudice, to allow (a) evidence of the defendants’ hiring and continued use of undocumented
    workers and (b) evidence of defendant Michael Bikundi’s instructions to codefendant Elvis Atabe not to disclose
    inculpatory information to the Grand Jury, and to bar evidence of defendant Florence Bikundi’s March 8, 2000
    Naturalization Application; and (2) the United States’ Motion In Limine for Willful Blindness Instruction to Counts
    Thirteen & Fourteen & Permission for the Government to Refer to Willful Blindness in its Opening Statement When
    Discussing These Counts, ECF No. 205, to allow the government to refer to a willful blindness theory in opening
    statement at trial, and to bar, as premature, a willful blindness jury instruction. See Minute Order (July 31, 2015).
    The Court reserved ruling on defendant Michael Bikundi’s Motion to Partially Vacate the Seizure Warrant & to
    1
    pretrial evidentiary motions: (1) the United States’ Motion in Limine to Admit Certain Exhibits
    Pursuant to Federal Rule of Evidence 404(b) (“Gov’t’s Mot.”), ECF No. 273; and (2) the
    defendant Florence Bikundi’s Motion in Limine to Exclude Certain Evidence and/or Testimony
    (“Def.’s Mot.”), ECF No. 276. For the reasons discussed below, the government’s motion is
    granted and the defendant’s motion is granted in part and denied in part.
    I.       BACKGROUND
    The Superseding Indictment alleges that defendant Florence Bikundi, a former licensed
    practical nurse, see Superseding Indictment ¶¶ 36, 38, ECF No. 44, was excluded in or around
    April 2000 by the United States Department of Health and Human Services Office of Inspector
    General from participating in Medicare, Medicaid, and all Federal health care programs, and
    thereby “prohibited . . . from submitting or causing the submission of claims to, and receiving
    funds from, Federal health care programs such as Medicaid,” 
    id. ¶ 45.
    Despite her exclusion,
    however, Florence Bikundi allegedly “was a director, administrator, officer, and primary
    owner/stockholder of three [home care agencies],” which, between July 2007 and December
    2014, received over $78 million in payments from Medicaid programs. 
    Id. ¶ 20.
    One of the home care agencies, Global Healthcare, Inc. (“Global”), see 
    id. ¶ 21,
    was
    “registered to do business in the District of Columbia,” “licensed in the District of Columbia as a
    Permit Use of a Portion of Funds From Seized Bank Accounts for Purposes of Household Necessities, & Request for
    a Pretrial Evidentiary Hearing, ECF No. 149, see Minute Order (July 31, 2015), which was subsequently granted in
    part and denied in part in a written Memorandum Opinion, ECF No. 266, and Order, ECF No. 267.
    At the pretrial conference, the Court granted the following motions: (1) the United States’ Motion to Permit
    a Designated Law Enforcement Agent to be Present at Counsel Table During Trial, ECF No. 259, as conceded; (2)
    the United States’ Motion to Forego Certain Redactions in its Filings, ECF No. 260, as conceded; and (3) the United
    States’ Notice of Intent to Use Defendant’s Conviction for Identity Theft as Impeachment Evidence, ECF No. 247.
    The following motions were denied: (1) the United States’ Motion in Limine to Preclude the Defendants From
    Arguing That the Government Targeted Family Members & From Commenting on the Status of Co-Defendants
    Christian Asongcha & Atawan Mundu John, ECF No. 274; (2) the United States’ Motion to Forego Redaction to
    Exhibit, ECF No. 275, with instructions to redact the child’s name; and (3) the United States’ Motion in Limine to
    Exclude Defendant's Proposed Experts From Trial, ECF No. 277. See Minute Order (Sept. 18, 2015).
    2
    home care agency[,] . . . enrolled as a provider in D.C. Medicaid[,]” and “purported to provide
    personal care services to D.C. Medicaid beneficiaries,” 
    id. ¶ 29(a).
    A second home care agency
    shared the same name, Global Healthcare, Inc. (“Global Maryland”), but was incorporated in
    Maryland, licensed in Maryland as a “resident service agency,” enrolled as a provider in the
    Maryland Medicaid program, and “purported to provide personal care services to Maryland
    Medicaid beneficiaries.” 
    Id. ¶¶ 29(c),
    31. A third home care agency, Flo-Diamond, Inc. (“Flo-
    Diamond”) was similarly incorporated in Maryland, licensed in Maryland as a resident service
    agency, enrolled as a provider in Maryland Medicaid, and “purported to provide personal care
    services to Maryland Medicaid beneficiaries.” 
    Id. ¶¶ 30–31.
    Florence Bikundi’s husband and
    codefendant, Michael Bikundi, “was an executive officer and part owner” of Global. 
    Id. ¶ 21.
    The defendants are both charged with, from about August 2009 to about February 2014,
    conspiring to commit health care fraud and committing health care fraud by submitting and
    causing to be submitted false and fraudulent claims for payment to the D.C. Medicaid program,
    in violation of 18 U.S.C. §§ 2, 1347, 1349, see Superseding Indictment ¶¶ 67–75 (Counts One
    and Two); conspiring to commit money laundering and committing money laundering to conceal
    proceeds illegally derived from the health care fraud, in violation of 18 U.S.C. §§ 2,
    1956(a)(1)(B)(i), 1956(h), see Superseding Indictment ¶¶ 83–89 (Counts Fifteen through
    Twenty-Two); and engaging in monetary transactions with proceeds illegally derived from the
    health care fraud, in violation of 18 U.S.C. §§ 2, 1957, see Superseding Indictment ¶¶ 90–91
    (Counts Twenty-Three through Twenty-Five). Defendant Florence Bikundi is additionally
    charged with, during the same time period, committing health care fraud by concealing her
    exclusion from participation in all Federal health care programs and making other false and
    fraudulent representations to obtain payments from the D.C. Medicaid program, in violation of
    3
    18 U.S.C. §§ 2, 1347, and 42 U.S.C. § 1320a-7b(a)(3), see Superseding Indictment ¶¶ 78–82
    (Counts Thirteen and Fourteen).
    At the pretrial conference, following oral argument, the Court reserved ruling on two
    pretrial motions to give the parties an opportunity for supplemental briefing. Rough Transcript
    of Pretrial Conference Hearing (September 18, 2015) (“PTC Tr.”) at 56, 87. Having reviewed
    the government’s supplemental briefing, see Gov’t’s Supplemental Brief Supp. Mot. in Limine to
    Admit Certain Exhibits Pursuant to Federal Rule of Evidence 404(b) (“Gov’t’s Supp. Br.”), ECF
    No. 291; Gov’t’s Supplemental Mem. Opp’n Def.’s Motion in Limine to Exclude Evidence &
    Testimony Related to False Statements on Financial Documents (“Gov’t’s Supp. Opp’n”), ECF
    No. 292, the government’s Motion in Limine to Admit Certain Exhibits Pursuant to Federal Rule
    of Evidence 404(b), ECF No. 273, and the defendant Florence Bikundi’s Motion in Limine to
    Admit Exclude Certain Evidence and/or Testimony, ECF No. 276, are now ripe for consideration
    and are addressed below.
    II.    LEGAL STANDARD
    The Supreme Court has recognized that “[a]lthough the Federal Rules of Evidence do not
    explicitly authorize in limine rulings, the practice has developed pursuant to the district court’s
    inherent authority to manage the course of trials.” Luce v. United States, 
    469 U.S. 38
    , 41 n.4
    (1984); see 
    id. at 40
    n.2 (defining motion in limine “in a broad sense to refer to any motion,
    whether made before or during trial, to exclude anticipated prejudicial evidence before the
    evidence is actually offered”). Indeed, Rule 103(d) of the Federal Rules of Evidence mandates
    that the court must conduct a jury trial to the extent practicable so that inadmissible evidence is
    not suggested to the jury by any means. FED. R. EVID. 103(d). Pretrial motions in limine are an
    important mechanism to effectuate this goal of insulating the jury from inadmissible evidence
    4
    and further the purpose of the rules, generally, to administer the proceedings “fairly . . . to the
    end of ascertaining the truth and securing a just determination.” FED. R. EVID. 102; see Banks v.
    Vilsack, 
    958 F. Supp. 2d 78
    , 82 (D.D.C. 2013) (citing FED. R. EVID. 103(d) and determining that
    plaintiff’s motion to exclude certain evidence would be decided pretrial “[i]n the interest of
    conducting an efficient jury trial and preventing the jury from hearing inadmissible evidence”);
    Brodit v. Cambra, 
    350 F.3d 985
    , 1004–05 (9th Cir. 2003) (noting that motions in limine “allow
    parties to resolve evidentiary disputes ahead of trial, without first having to present potentially
    prejudicial evidence in front of a jury”); 21 CHARLES ALAN WRIGHT & KENNETH W. GRAHAM,
    JR., FEDERAL PRACTICE AND PROCEDURE: EVIDENCE § 5042, at 965 (2d ed. 2005) (noting that
    “the motion in limine . . . still remains a favorite method of the writers for satisfying Rule
    103(c)”). Moreover, “[a] pre-trial ruling, if possible, may generally be the better practice, for it
    permits counsel to make the necessary strategic determinations.” United States v. Jackson, 
    627 F.2d 1198
    , 1209 (D.C. Cir. 1980).
    In evaluating the admissibility of proffered evidence on a pretrial motion in limine the
    court must assess whether the evidence is relevant and, if so, whether it is admissible, pursuant to
    Federal Rules of Evidence 401 and 402. “[T]he burden is on the introducing party to establish
    relevancy,” Dowling v. United States, 
    493 U.S. 342
    , 351 n.3 (1990), as well as admissibility.
    Even relevant evidence may be deemed inadmissible and subject to exclusion on multiple
    grounds, including that “its probative value is substantially outweighed by a danger of one or
    more of the following: unfair prejudice, confusing the issues, misleading the jury, undue delay,
    wasting time, or needlessly presenting cumulative evidence.” FED. R. EVID. 403. “Assessing the
    probative value of [the proffered evidence] and weighing any factors counseling against
    admissibility is a matter first for the district court’s sound judgment under Rules 401 and 403.”
    5
    Sprint/United Mgmt. Co. v. Mendelsohn, 
    552 U.S. 379
    , 384 (2008) (alteration in original)
    (quoting United States v. Abel, 
    469 U.S. 45
    , 54 (1984)). “This is particularly true with respect to
    Rule 403.” 
    Id. Under Rule
    403, the court must “engage in on-the-spot balancing of probative value and
    prejudice and . . . exclude even factually relevant evidence when it fails the balancing test.”
    United States v. Moore, 
    651 F.3d 30
    , 63 (D.C. Cir. 2011) (internal quotation marks omitted).
    This balancing test is “fact-based and depends on many factors, including how closely related the
    evidence is to the plaintiff’s circumstances and theory of the case.” Nuskey v. Hochberg, 723 F.
    Supp. 2d 229, 233 (D.D.C. 2010) (quoting Sprint/United Mgmt. 
    Co., 552 U.S. at 387
    –88).
    Importantly, “unfair prejudice within [the Rule 403] context means an undue tendency to suggest
    decision on an improper basis, commonly, though not necessarily, an emotional one.” United
    States v. Ring, 
    706 F.3d 460
    , 472 (D.C. Cir. 2013) (quoting FED. R. EVID. 403 advisory
    committee’s notes). Exclusion based on unfair prejudice is particularly important in the case of
    expert evidence, which “can be both powerful and quite misleading because of the difficulty in
    evaluating it.” Daubert v. Merrell Dow Pharm., Inc., 
    509 U.S. 579
    , 595 (1993) (quoting Jack B.
    Weinstein, Rule 702 of the Federal Rules of Evidence Is Sound; It Should Not Be Amended, 
    138 F.R.D. 631
    , 632 (1991)); Parsi v. Daioleslam, 
    852 F. Supp. 2d 82
    , 86 (D.D.C. 2012) (observing
    that “because ‘[e]xpert evidence can be both powerful and quite misleading,’ a court has greater
    leeway in excluding expert testimony under Rule 403 than it does lay witness testimony.”)
    (quoting 
    Daubert, 509 U.S. at 595
    ).
    Depending upon the nature of the evidentiary issue presented in a pretrial motion in
    limine, the court must also assess whether a ruling is appropriate in advance of trial or, instead,
    should be deferred until trial “‘[when] decisions can be better informed by the context,
    6
    foundation, and relevance of the contested evidence within the framework of the trial as a
    whole.’” Herbert v. Architect of the Capitol, 
    920 F. Supp. 2d 33
    , 38 (D.D.C. 2013) (quoting
    Casares v. Bernal, 
    790 F. Supp. 2d 769
    , 775 (N.D. Ill. 2011)) (alteration in original). The timing
    of a decision on the admissibility of contested evidence is a matter within a trial judge’s
    discretion. 
    Banks, 958 F. Supp. 2d at 81
    –82; Barnes v. District of Columbia, 
    924 F. Supp. 2d 74
    ,
    78–79 (D.D.C. 2013) (“The trial judge’s discretion extends not only to the substantive
    evidentiary ruling, but also to the threshold question of whether a motion in limine presents an
    evidentiary issue that is appropriate for ruling in advance of trial.”); Graves v. District of
    Columbia, 
    850 F. Supp. 2d 6
    , 11 (D.D.C. 2011).
    III.   DISCUSSION
    The pending motions in limine are addressed seriatim below.
    A.      The Government’s Motion in Limine to Admit Certain Exhibits Related to
    Maryland Medicaid
    The United States seeks to introduce four exhibits at trial, two against each defendant,
    that relate to other crimes of the defendants, namely, possible fraud committed against the
    Maryland Medical Assistance Program (“Maryland Medicaid”). The four documents at issue
    consist of three provider agreements with Maryland Medicaid and a letter from a Maryland
    agency: (1) a March 1, 2006 Provider Agreement between Flo-Diamond Healthcare Services
    (“Flo-Diamond”) and Maryland Medicaid, Gov’t’s Mot., Ex. A (“Gov’t Ex. 277”), ECF No. 273-
    2, which is offered against Michael Bikundi; (2) a June 12, 2007 Provider Agreement between
    Global Healthcare Services and Maryland Medicaid, 
    id., Ex. B
    (“Gov’t Ex. 278”), ECF No. 273-
    3, which is offered against Florence Bikundi; (3) an April 5, 2010 Provider Agreement between
    Global Healthcare Services and Maryland Medicaid, 
    id., Ex. C
    (“Gov’t Ex. 280”), ECF No. 273-
    4, which is offered against Florence Bikundi; and (4) a March 8, 2006 letter from the Maryland
    7
    Department of Health and Mental Hygeine to Michael Bikundi discussing an onsite inspection of
    Flo-Diamond, 
    id., Ex. D
    (“Gov’t Ex. 276”), ECF No. 273-5, which is offered against Michael
    Bikundi. See 
    id. at 1–2.
    The three Maryland Medicaid Provider Agreements are all substantially the same: each
    provide, in part, that the Provider agrees “[t]o comply with all of the requirements of the
    Maryland Medical Assistance Program as well as any other applicable regulations . . . . [,]”
    “maintain adequate records[,]” and “not knowingly employ, or contract with a person,
    partnership, or corporation which has been disqualified from providing or supplying services to
    Medical Assistance recipients” without prior written approval. Gov’t Ex. 277 at ¶¶ A–B, E;
    Gov’t Ex. 278 at ¶¶ A–B, E; Gov’t Ex. 280 at ¶¶ A–B, E. The March 1, 2006 Provider
    Agreement is signed by Michael Bikundi on behalf of Flo-Diamond, Gov’t Ex. 277 at 1, 4, the
    June 12, 2007 Provider Agreement is signed by Florence Bikundi on behalf of Flo-Diamond,
    Gov’t Ex. 278 at 1, 4, and the April 5, 2010 Provider Agreement is signed by Florence Bikundi
    on behalf of Global Healthcare Services, Gov’t Ex. 280 at 1, 4.
    The March 8, 2006 letter informs Michael Bikundi that his “request to enroll as a
    residential service agency (RSA) rendering PDN [private duty nursing] services to Medicaid
    recipients is denied” as a result of an “onsite inspection of Flo-Diamond.” Gov’t Ex. 276 at 1.
    The letter explains that Flo-Diamond’s “skills assessment policy was absent,” and its
    “medication administration, emergency procedures, clinical management, maintenance of
    equipment, quality assurance, complaint resolution procedures, coordination of care, back-up
    nursing contingency plan, job descriptions and supervision polices were incomplete.” 
    Id. It further
    explains that Flo-Diamond’s “employment files failed to contain valid signed licensure,
    cardio-pulmonary resuscitation (CPR) certifications and skills checklists . . . . criminal
    8
    background checks and employment/character references,” all of which are “essential elements
    that should be included in all nursing staff’s employment files and are a requirement as a
    condition for participation in order to be a Medicaid provider . . . .” 
    Id. The defendants
    object to the admission of these four documents as “other crimes”
    evidence on the grounds that they are not relevant and unduly prejudicial. Def. Florence
    Bikundi’s Opp’n to Gov’t’s Mot. (“Def.’s Opp’n”) at 1, ECF No. 287; PTC Tr. at 43–45. The
    defendants argue that the documents relate only to the Maryland Medicaid program, which they
    also contend has different requirements than the D.C. Medicaid program. See PTC Tr. at 43–45.
    Consequently, to the extent that the government seeks to introduce these four documents to
    show the defendants’ knowledge of the D.C. Medicaid program requirements, the defendants
    contend these documents are irrelevant since they pertain only to the Maryland Medicaid
    program and, further, would, instead, show only propensity to engage in certain conduct, which
    is not admissible. See id.; 
    id. at 49
    (“My dispute with what they’re trying to use it for is
    propensity that they did it in Maryland, did it in 2006 therefore they must have done it in 2009
    going forward. [If] [t]heir argument is limited to notice they had notice about what they were
    supposed to be doing and not be doing; I have no objection but if the argument goes any further
    than that that’s where my objection lies.”) (Defense counsel of Michael Bikundi).
    Federal Rule of Evidence 404(b) bars the admission of evidence of a “crime, wrong, or
    other act” offered “to prove a person’s character in order to show that on a particular occasion
    the person acted in accordance with the character.” FED. R. EVID. 404(b)(1). Such evidence
    “may be admissible for another purpose,” however, “such as proving motive, opportunity, intent,
    preparation, plan, knowledge, identity, absence of mistake, or lack of accident,” as long as the
    government provides notice of its intent to offer the evidence and, when requested, guidance is
    9
    provided to the jury in the form of limiting instructions. FED. R. EVID. 404(b)(2); see United
    States v. Straker, Nos. 11-3054, 11-5124, 11-3055, 11-3056, 11-3057, 11-3058, 11-3059, 11-
    3061, 
    2015 WL 5099548
    , at *9 (D.C. Cir. Sept. 1, 2015) (per curiam) (“The Rule prohibits the
    admission of evidence of a crime, wrong, or other bad act ‘when offered for the purpose of
    proving that a defendant acted in conformity with his character, but allows admission so long as
    the evidence is offered for any other relevant purpose.’”) (citing United States v. Lawson, 
    410 F.3d 735
    , 741 (D.C. Cir. 2005)).
    The D.C. Circuit has pointed out that “[a]lthough the first sentence of Rule 404(b) is
    framed restrictively, the rule itself is quite permissive, prohibiting the admission of other crimes
    evidence in but one circumstance—for the purpose of proving that a person’s actions conformed
    to his character.” United States v. Bowie, 
    232 F.3d 923
    , 929–30 (D.C. Cir. 2000) (citations and
    quotation marks omitted). In short, “Rule 404(b) is a rule of inclusion rather than exclusion.”
    
    Id. at 929.
    Even if evidence may be admissible under Rule 404(b), however, the Court must
    continue its analysis. The D.C. Circuit has instructed that “[c]ompliance with Rule 404(b) does
    not itself assure admission of the other crimes evidence. If the defendant moves under Rule 403,
    the court may exclude the evidence on the basis that it is unfairly prejudicial, cumulative or the
    like, its relevance notwithstanding.” 
    Id. at 930
    (citation and quotation marks omitted). “This
    two-step analysis—certification of a ‘proper’ and relevant purpose under Rule 404(b), followed
    by the weighing of probity and prejudice under Rule 403—is firmly rooted in the law of this
    circuit.” United States v. Miller, 
    895 F.2d 1431
    , 1435 (D.C. Cir. 1990); see also United States v.
    Sitzmann, 
    856 F. Supp. 2d 55
    , 61–62 (D.D.C. 2012) (applying the two-step analysis described in
    Miller).
    10
    Indeed, the D.C. Circuit recently emphasized that “[e]ven if it is concededly relevant,
    unduly prejudicial evidence may be excluded to prevent jurors from impermissibly relying on
    biases, dislikes, or the emotional impact of the evidence, for example by drawing on assumptions
    about a defendant’s bad character, rather than proof of the criminal conduct charged.” Straker,
    
    2015 WL 5099548
    , at *9. “The Rule’s requirement that the danger of unfair prejudice
    substantially outweigh probative value calls on us,” however, “in close cases, to lean towards
    admitting evidence.” 
    Id. (emphasis in
    original); see also United States v. Pettiford, 
    517 F.3d 584
    , 590 (D.C. Cir. 2008) (“Rule 403 does not bar powerful, or even prejudicial evidence.
    Instead, the Rule focuses on the danger of unfair prejudice, and gives the court discretion to
    exclude evidence only if that danger substantially outweigh[s] the evidence’s probative value.”)
    (citations and quotation marks omitted) (emphasis and brackets in original).
    Set against these standards for admission of other crimes evidence under Rules 404(b)
    and 403, the four documents at issue are properly admissible to show the defendants’ knowledge
    and intent, and the absence of mistake or accident. Contrary to the defendants’ arguments that
    the proffered exhibits are not relevant and, consequently, could only demonstrate propensity to
    engage in bad acts, 
    see supra
    , these documents contain detailed information regarding the
    requirements for Medicaid providers. Certainly, the documents relate to the Maryland Medicaid
    program instead of the D.C. Medicaid program. The government notes, however, that
    requirements for both programs are substantially the same. Gov’t’s Supp. Br. at 4. For example,
    both programs require providers to maintain personnel records for each employee, including
    criminal background checks, a basic health screening, and verifications of professional licensure
    or certification, references, and employment history. See MD. CODE REGS. 10.07.05.10(B)(1)(a)–
    (e); D.C. Mun. Regs. tit. 22-B, § 3907.2(b), (e)–(g), (i). The receipt of the documents by the
    11
    defendants tends to show that they were advised about and familiar with the general regulatory
    requirements to be a Medicaid provider. As such, these documents, even if they involve a
    different company controlled by the defendants, Flo-Diamond, a prior period of time, and/or the
    Maryland Medicaid program, are clearly relevant to show the defendants’ general knowledge of
    Medicaid requirements and, to the extent the requirements were not followed, their intent not to
    comply with them.
    The defendants also assert that Rule 403 operates as a bar on the introduction of the
    proffered exhibits because they will “simply confuse the jury” and “lead to a mini-trial on acts
    that occurred in Maryland,” resulting in a needless waste of time. See Def.’s Opp’n at 2–3. The
    Court disagrees.
    First, the jury in this case will be confronted with hundreds of paper exhibits, so four
    more documents will not tip the scales into undue confusion. Second, the government has
    explained that the proffered exhibits are not being offered as proof that the defendants engaged
    in criminal activity to defraud the Maryland Medicaid program but, instead, to show the
    defendants’ knowledge of the regulatory requirements applicable to Medicaid providers. Thus,
    the defendants’ specter of a “mini-trial” about fraudulent activity in Maryland is incorrect.
    Finally, even if the proffered exhibits tend to show that the defendants engaged in the
    same allegedly fraudulent activity in Maryland as they did in D.C., this evidence would be
    prejudicial but not so unfair as to substantially outweigh the probative value of the evidence. See
    United States v. Douglas, 
    482 F.3d 591
    , 601 (D.C. Cir. 2007) (finding that even though the
    “evidence almost unavoidably raises the danger that the jury will improperly conclude”
    propensity, such “danger . . . cannot give rise to a per se rule of exclusion”) (citation and
    quotation marks omitted). The danger of unfair prejudice is minimal when the “other crimes”
    12
    evidence is sufficiently similar to the charged crime as to add “no emotional or other pejorative
    emphasis not already introduced by the evidence” of the crime charged in the indictment.
    Straker, 
    2015 WL 5099548
    , at *10 (citation and quotation marks omitted); see also United States
    v. Bell, 
    795 F.3d 88
    , 99–100 (D.C. Cir. 2015) (finding no abuse of discretion in admission, under
    Rules 404(b) and 403, of a murder committed by the defendant “as that shooting ‘did not involve
    conduct any more sensational or disturbing than the [other]’ conduct attributed to [him]”) (first
    alteration in original) (citing United States v. Roldan-Zapata, 
    916 F.2d 795
    , 804 (D.C. Cir.
    1990)).
    The D.C. Circuit’s recent decision in United States v. Miller, No. 08-3116, 
    2015 WL 4979012
    (D.C. Cir. Aug. 21, 2015), is illustrative of this point. There, the Court found no abuse
    of discretion by the trial court in admitting, under Rules 404(b) and 403, evidence from
    prospective home buyers who were victims of mortgage fraud perpetuated by the defendant
    when the defendant was not charged with mortgage fraud but, instead, other types of real-estate
    investment transaction fraud. 
    Id. at *6–7.
    The Court rejected the defendant’s argument that the
    other crimes testimony “should have been deemed irrelevant” since it did not pertain to the
    charged fraudulent transactions. 
    Id. at *7.
    Instead, the Court explained:
    [T]he evidence in question was directly probative of [the defendant]’s fraudulent
    intent in carrying out the charged scheme, showing that the mortgage side of [his]
    business was a sham. And when, as here, the “evidence indicates a close
    relationship to the event charged,” a district court acts within its discretion by
    striking the Rule 403 “balance . . . in favor of admission.”
    
    Id. (ellipsis in
    original) (citing United States v. Clarke, 
    24 F.3d 257
    , 266 (D.C. Cir. 1994)).
    Likewise, here, the defendants’ alleged activity with the Maryland Medicaid program is closely
    related to their business dealings with the D.C. Medicaid program and the proffered evidence of
    such activity would not be unduly prejudicial.
    13
    Moreover, to the extent that the government’s exhibits raise a potential risk about the
    scope of the charged conspiracy, that risk may be mitigated with an appropriate limiting
    instruction. See 
    Bell, 795 F.3d at 100
    . Accordingly, the parties are directed to craft such a
    limiting instruction for use by the Court prior to introduction of the exhibits, and the
    government’s motion to admit, under Rule 404(b), Government Exhibits 276, 277, 278, and 280
    is granted.
    B.       Florence Bikundi’s Motion in Limine Regarding False Statements
    Defendant Florence Bikundi requests the exclusion of “testimony or reference to . . .
    alleged false statements on financial and bank documents.” Def.’s Mot. at 1. 2 Specifically, the
    defendant challenges the admission of Government Exhibit 153, a “False Statements Chart” and
    all of the evidence underlying that exhibit. Def.’s Mot. at 2–3; PTC Tr. at 78:6–13. Neither
    party submitted the False Statements Chart as an exhibit to papers on the defendant’s motion, but
    this chart is described on the Government’s Proposed Exhibit List, which was submitted as an
    exhibit to the parties’ Joint Pretrial Statement (“JPTS”). See JPTS, Ex. 3 (“Gov’t’s Proposed Ex.
    List”) at 22–23, ECF No. 271-1. A courtesy copy of the proposed exhibit was also furnished to
    the Court in accordance with the Court’s Standing Order ¶ 8(h), ECF No. 74.
    Government Exhibit 153 consists of (1) the False Statements Chart listing a number of
    bank account and loan applications submitted by the defendants and, for each listed application,
    a description of corresponding allegedly false statements made by the defendants on those
    applications relating to the defendants’ United States citizenship, prior criminal convictions,
    prior bankruptcy filings, debt obligations, and property ownership interest; and (2) copies of the
    2
    The defendant’s motion in limine was withdrawn, in part, during the pretrial conference to the extent that it seeks
    exclusion of “testimony or reference to alleged revocations of nursing licenses.” Def.’s Mot. at 1; Minute Order
    (Sept. 18, 2015).
    14
    underlying applications evidencing the defendants’ representations referenced in the chart. At
    the pretrial conference, the government “withdrew” evidence in the chart of false statements
    pertaining to prior criminal convictions. PTC Tr. at 86:24–25. Thus, only evidence of false
    statements pertaining to the defendants’ citizenship, prior bankruptcy filings, debt obligations,
    and property ownership interest remain at issue. 3
    Notably, the defendant does not challenge the admission of the summary chart exhibit as
    a summary to prove the content of the underlying documents. See FED. R. EVID. 1006
    (permitting a “proponent [to] use a summary, chart, or calculation to prove the content of
    voluminous writings, recordings, or photographs that cannot be conveniently examined in court”
    as long as the proponent has made “the originals or duplicates available for examination or
    copying, or both, by other parties at a reasonable time and place”). Instead, the defendant
    challenges the admission of any false statements she allegedly made on the grounds that such
    false statements are irrelevant and unduly prejudicial, making what is essentially a Rule 404(b)
    argument. Def.’s Mot. at 3; see also Def.’s Reply to Gov’t’s Opp’n to Def.’s Mot. in Limine to
    Exclude Certain Evidence and/or Testimony (“Def.’s Reply”) at 1, ECF No. 288. The Court
    disagrees.
    The defendants are charged in Count Fifteen of the Superseding Indictment with
    conspiracy to commit money laundering, and the Indictment alleges that the “manner and means
    used to accomplish the goals of the conspiracy included” the defendants’ making “numerous
    false statements on applications to banks, mortgage providers, insurance companies, and other
    3
    Indeed, the government represents in its supplemental filing that it “seeks to introduce false statements the
    defendant made on financial institution documents related [only] to the defendant’s prior bankruptcy filing, default
    on her mortgage, and her citizenship.” Gov’t’s Supp. Opp’n at 1. Accordingly, the defendant’s motion is granted as
    conceded to the extent that the government seeks to introduce false statements pertaining to prior criminal
    convictions on the False Statements Chart or otherwise, and the Court expects that the government will amend
    Government Exhibit 153 before trial to remove any reference to or evidence of false statements made with respect to
    criminal history.
    15
    financial institutions.” Superseding Indictment ¶ 86(b). The government’s money laundering
    theory is that the defendants opened multiple bank and other financial accounts and engaged in
    other financial transactions to conceal illegal proceeds. See Gov’t’s Mem. Opp’n Def.’s Mot. in
    Limine to Exclude Certain Evidence and/or Testimony (“Gov’t’s Opp’n”) at 3–4, ECF No. 280;
    see also United States v. Bikundi, No. 14-cr-0030 (BAH), 
    2015 WL 5118514
    , at *13 (D.D.C.
    Aug. 28, 2015) (describing the government’s money laundering theory of “layering,” “the
    process of repeatedly shifting funds from an initial ‘intake’ account through numerous levels of
    recipient accounts”). Thus, the government alleges that the false statements that the defendants
    made on financial applications “helped to facilitate the charged money laundering transactions.”
    Gov’t Opp’n at 4. Specifically, the government argues that “the false statements evidence is
    relevant to explain how the defendant executed her money laundering scheme, her knowledge
    that she conducted the charged money laundering transactions with the proceeds of unlawful
    activity, and her intent to engage in ‘concealment’ money laundering.” Gov’t’s Supp. Opp’n at
    2. The Court agrees with the government that false statements made on financial applications are
    relevant to show “manner and means,” i.e., how the defendants laundered money, see United
    States v. Naegele, 
    341 B.R. 349
    , 364 (D.D.C. 2006) (explaining that “‘manner and means’
    paragraphs,” typical in fraud and conspiracy indictments, are not irrelevant “but instead set forth
    acts or conduct intended to illustrate how the scheme to defraud was carried out”), and probative
    of the defendants’ intent to launder illegal proceeds, see Gov’t Opp’n at 2.4
    4
    As the defendant notes, see Def.’s Reply at 1, the relevance and prejudicial effect of the defendant’s alleged false
    statements in financial documents was also raised in the defendant’s pretrial Motion to Strike Surplusage or in the
    Alternative Preclude the Government From Introducing Evidence at Trial (“Def.’s Surplusage Mot.”), ECF No. 209.
    In that motion, the defendant requested an order striking language pertaining to false statements made in financial
    applications from the Superseding Indictment—specifically, paragraphs 86(b) and 87(a), (c), (e)–(g), (j)–(k), and
    (m)—pursuant to Federal Rule of Criminal Procedure 7(d) or, in the alternative, precluding the government from
    introducing any related evidence at trial. See Def.’s Surplusage Mot. at 1 (citing FED. R. CRIM. P. 7(d), which
    allows, “[u]pon the defendant’s motion, the court [to] strike surplusage from the indictment or information”). At oral
    16
    Moreover, the false statements are not unduly prejudicial. Evidence that the defendants
    falsely stated that they were United States citizens is hardly, if at all, prejudicial. See United
    States v. Simpson, 
    910 F.2d 154
    , 158 (4th Cir. 1990) (finding evidence of the defendant’s
    Jamaican citizenship was not unfairly prejudicial); United States v. Robinson, No. 5:11CR00584,
    
    2012 WL 5386037
    , at *1 (N.D. Ohio Nov. 2, 2012) (“Ultimately, evidence of [the defendant]’s .
    . . citizenship is not unduly prejudicial unless one makes the unwarranted inference that the
    American populace is generally biased against foreign nationals.”). While evidence of false
    statements pertaining to bankruptcy proceedings may be somewhat prejudicial, revealing that the
    defendants previously filed for bankruptcy, the prejudice does not substantially outweigh the
    probative value of that evidence. Indeed, courts have found evidence of bankruptcy and
    misrepresentations made in bankruptcy proceedings more probative as evidence of a defendant’s
    knowledge and/or intent to commit fraud-related crimes than prejudicial. See, e.g., United States
    v. Ledee, 
    772 F.3d 21
    , 35 (1st Cir. 2014) (finding district court “correct to conclude that the
    evidence of an earlier bankruptcy violation would not engage the jurors’ emotions in an
    unsettling way” in a money laundering case); United States v. McGrue, 567 F. App’x 503, 505
    (9th Cir. 2014) (finding probative value of “exhibits related to false financial instruments”
    “outweighed any prejudicial impact” in case about mortgage foreclosure scheme); United States
    argument, defense counsel argued that the allegations of false statements in the Superseding Indictment are “both
    immaterial and . . . inflammatory.” Transcript of Motions Hearing (July 31, 2015) (“Mots. Hrg. Tr.”) at 122:14–16,
    ECF No. 296. Specifically, the defendant argued that there is no allegation that the defendants “tried to conceal the
    source of the funds,” which is what the crime of money laundering typically entails. 
    Id. at 123:9–11.
    In denying the
    motion without prejudice, the Court indicated that the motion may “be renewed at the appropriate time when I better
    understand the government’s theory of its money laundering count, particularly since the standard for striking
    surplusage in an indictment is very exacting.” 
    Id. at 132:6–13.
    As a result, the defendant apparently brought the
    motion in limine now at issue simply to preserve her objection and indicates that she wishes to reserve argument,
    and for the Court to reserve ruling, on the admissibility of evidence of false statements until trial. See Def.’s Mot. at
    3; Def.’s Reply at 1. As the defendant concedes, however, she “fully addressed the arguments concerning alleged
    false statements in [her] pretrial motions involving 404(b) and Surplusage.” Def.’s Reply at 1. Moreover, the Court
    has heard extensive argument on both motions, see Mots. Hrg. Tr. at 121–32; PTC Tr. at 76–86, and the motions are
    fully briefed. Thus, the issue is ripe for consideration, and the Court finds that a ruling on this evidentiary issue is
    appropriate in advance of trial. See 
    Barnes, 924 F. Supp. 2d at 78
    –79; 
    Graves, 850 F. Supp. 2d at 11
    .
    17
    v. Patela, 578 F. App’x 139, 142–43 (3d Cir. 2014) (finding district court’s admission of
    evidence of mortgage loan fraud and misrepresentations made in bankruptcy court proper as
    probative of the defendant’s “capacity to knowingly perpetrate fraud”); United States v. Komasa,
    No. 2:10-cr-72, 
    2012 WL 5392099
    , at *2 (D. Vt. Nov. 5, 2012) (finding the “prejudicial impact
    of the fact that [the defendant] had filed for bankruptcy in the past was minimal”). Cf. United
    States v. Bates, 146 F. App’x 795, 798 (6th Cir. 2005) (finding district court abused its discretion
    in excluding evidence of defendant filing bankruptcy petitions because such an act is not an
    “intrinsically ‘bad act[]’ of the kind contemplated by Rule 404”), aff’d, 
    767 F.3d 151
    (2d Cir.
    2014), and, 577 F. App’x 43 (2d Cir. 2014). Thus, evidence of any false statements that the
    defendants made on financial applications with respect to their citizenship or bankruptcy status
    will be admissible at trial.
    IV.     CONCLUSION
    For the foregoing reasons, the United States’ Motion in Limine to Admit Certain Exhibits
    Pursuant to Federal Rule of Evidence 404(b), ECF No. 273, is granted, and the defendant
    Florence Bikundi’s Motion in Limine to Exclude Certain Evidence and/or Testimony, ECF No.
    276, is granted in part and denied in part. Specifically, the defendant’s motion is granted as
    conceded to the extent that the government seeks to introduce false statements pertaining to
    criminal history on the False Statements Chart, Government Exhibit 153, or otherwise, and
    denied in all other respects.
    An appropriate Order accompanies this memorandum opinion.
    Digitally signed by Hon. Beryl A. Howell
    Date: October 7, 2015                                          DN: cn=Hon. Beryl A. Howell, o=U.S.
    District Court for the District of Columbia,
    ou=United States District Court Judge,
    email=howell_chambers@dcd.uscourts.g
    ov, c=US
    __________________________
    Date: 2015.10.07 18:10:46 -04'00'
    BERYL A. HOWELL
    United States District Judge
    18