T hi s di s pos i t i on i s notappr opr i a t e f orpubl i c a t i on a nd i s notpr e c e de nt * e xc e pta s pr ovi de d by N i nth C i r c ui tR ul e 36- 3. NOT F OR P UB L I CAT I ON UN I TE D STATE S C OU RT OF APPE ALS FOR T HE NI NTH CI RC UI T UN I T E D S T AT E S OF AME R I C A, P l ai nt i ff

- A pp el l ee , v. GE VO R K K AR T AS HY AN , D e f

e n d a n t - A p p e lla n t. N o. 10- 50082 D . C . N o. 2: 08 -c r- 00 53 2-S V W -2 ME MOR AN DU M *

UN I T E D S T AT E S OF AME R I C A, P l ai nt i ff

- A pp el l ee , v. E L I Z A S HU B AR AL YA N, D e f

e n d a n t - A p p e lla n t. N o. 10- 50090 D . C . N o. 2: 08 -c r- 00 53 2-S V W -1

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rom the U ni t ed S t at es D i stri ctC ou rt f o rth e C e n tr a l D is tr ic t o f C a lif o rn ia S t e phe n V . W i l s on, D i s tr i c tJ udge , P r e s i di ng 

# FI LED APR14 2 011 M OLLY C. DW Y ER, CLERK U . S. C O U R T OF APPE ALST he pa ne l una ni m ous l y c onc l ude s thi s c a s e i s s ui t abl e f orde c i s i on ** w ith o u t o r a l a r g u m e n t. See F ed. R . A pp . P . 34 (a )( 2).

T he H onor abl e K e ntJ . D a w s on, U ni t e d S t a t e s D i s tr i c tJ udge f orthe ** * D i s tr i c tof

N e va da , s i tt i ng by de s i gna t i on. 2 S ubm i tt e d A pr i l 12, 2011 ** P a s a d e n a , C a lif

o rn ia B e f o r e : B Y B E E a n d M . S M I T H , C ir c u it J u d g e s , a n d D A W S O N , D is tr ic t J u d g e . *** D e f e n d a n ts - A p p e lla n ts G e v o rkK a r ta s h y a n a n d E liz aS h u b a r a ly a n tim e ly appe a l the i rj ury c onvi c t i ons f orhe a l th c a r e f

r aud i n vi ol a t i on of

18 U . S . C . § 1347, a n d D e f e n d a n t K a r ta s h y a n ap p e a ls h is ju ry c o n v ic tio n f o rc o n s p ir a c y to c o m m it heal th car e f

raud i n v i ol at i on of 18 U . S . C . § 1 34 9. A s the fa ct s a nd procedural h is to ry a r e f

a m ilia rto th e p a r tie s , w e d o n o t r e c ite th e m h e r e e x c e p t a s n e c e s s a ry to e x p la in o u rd is p o s itio n . W e a f f irm . R e v ie w in g d e n o v o , U

ni te d State s v . R oc ha , 59 8 F . 3d 11 44 , 11 53 (9th C i r. 20 10 ), w e hol d thatthe di stri ctcourtprop er l y deni ed D ef endant s’ m ot i on un der F e d e r a l R u le o f

C r im in a l P r o c e d u r e 2 9 r e g a r d in g th e h e a lth c a r e f r au d c h a r g e s . V ie w in g th e e v id e n c e in th e lig h t m o s t f a v o r ab le to th e g o v e rn m e n t, ar e a s o n ab le j uror coul d con cl ud e thatD ef endantK art as hyan kn ew thatthe pres cr i pt i on s w er e f r a udul e ntbe c aus e he pr oc ur e d the m f r om a n of

f i c e tha tw a s s e l l i ng f

r audul e nt p r e s c r i p t i o n s , d e l i v e r e d th e p o w e rw h e e l c h a i r s w i th o u tc o n d u c t i n g ah o me a s s e s s m e nt , f

a i l e d t o e xpl a i n t o the be ne f i c i a r i e s w ha tf

orm s the y w e r e s i gni ng, a nd3

d id n o t s e e kc o - p a y r e im b u r s e m e n t. Se e Un i te d S ta te s v . A la r c o n - S i mi , 300 F . 3d 1 1 7 2 , 1 1 7 6 ( 9 th C ir . 2 0 0 2 ) ( “I n ru lin g o n aR u le 2 9 m o tio n , th e r e le v a n t q u e s tio n is w he the r , a f

t e rvi e w i ng the e vi de nc e i n the l i ghtm os tf a vor abl e t o the pr os e c ut i on, any r a t i o n a l tr i e ro f

f a c tc o u l d h a v e f

o u n d th e e s s e n t i a l e l e me n t s o f th e c r i me b e y o n d ar e a s o n ab le d o u b t.” ( in te rn a l q u o ta tio n m a rk s o m itte d ) ) . F u r th e r , a r e a s onabl e j ur orc oul d c onc l ude tha tD e f e nda ntS huba r a l y a n kne w tha tthe pr e s c r i pt i ons w e r e f

r audul e ntbe c aus e s he w i thdr e w l a r ge a m ount s of c a s h f r om he rm e di c a l s uppl y bus i ne s s ’ s ba nk a c c ount s , of w hi c h s he w a s the s ol e ow ne ra nd thr ough w hi c h s he s ubm i tt e d a l l of the c l a i m s t o M e di c a r e ; he rhus ba nd a nd e m pl oy e e , K a rt a s hy a n, boughtpr e s c r i pt i ons f orc a s h; s he s ubm i tt e d f or re i m bu rs em ent58 ou tof 14 9 p re sc ri pt i on s thatw er e f rom tw o si gn atures for a va r i e ty of

pr e s c r i be r s ; a nd s he di d notr e qui r e a20% c o- pa y m e ntf r om the benefi ci ar i es despi t e them si gn i ng paperw ork thatthey ow ed the co-pay. T he j ury h ad en o u g h ev i d en ce t o co n v i ctth e D efen d an t s o n th e h eal th care frau d ch arg es. R e v ie w in g f

o rp la in e rr o r , U

ni ted Stat es v. Moh se n , 587 F . 3d 1028, 1030 ( 9th C i r . 2009) , w e r e

j e c tthe D e f

e nda nt s ’ a r gum e nttha tthe di s tr i c tc our te rr e d by f a ilin g to s u as p o n te in s tru c t th e ju ry th a t th e D e f e n d a n ts w e r e n o t r e q u ir e d to i nde pe nde nt l y a s c e r t a i n m e di c a l ne c e s s i ty . T he tr i a l c our tc orr e c t l y i ns truc t e d the ju ry a s to th e e le m e n ts o f h e a lth c a r e f

r au d , a n d in s tru c te d th e m th a t th e y c o u ld4

on l y f i nd the D ef

endant s gui l ty on tho se char ges. F urther, w hen the j ury s ub m i tt ed a quest i on abou ton e of the M edi ca re re gu l at ory vi ol at i on s, the courti nstruct ed that th i s wa s n o ts u f

f i c i e n ti n a n d o f

i t s e l f f o raf i n d i n g o f f r au d . Ac c o r d i n g l y , we c a nnotc onc l ude on thi s r e c or d tha tthe di s tr i c tc our tw a s r e qui r e d t o do m or e or th a t th e D e f

e n d a n ts w e r e p r e

ju d ic e d . AF F I R ME D.