Court Opinion

ID: 3008536
Source: CourtListenerOpinion
Date Created: 2015-10-07 23:01:19.36913+00
Date Added: 2024-06-11T12:43:55.497560
License: Public Domain

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,

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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

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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.

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         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