Hennepin County District Judge Sarah West drew intense criticism for overturning a jury’s unanimous guilty verdict in a $7.2 million Medicaid fraud case involving Abdifatah Yusuf and his wife, Lul Ahmed.
The couple had been convicted in August 2025 on six counts of aiding and abetting theft by swindle after prosecutors alleged they operated a sham home healthcare business, Promise Health Services, out of a mailbox to fund a lavish lifestyle. In her mid-November ruling, Judge West vacated the convictions and entered judgments of acquittal, arguing that the state’s case relied too heavily on circumstantial evidence and failed to rule out "reasonable inferences" that others might have been responsible for the fraud without Yusuf's knowledge.
The decision has sparked a significant political and legal uproar in Minnesota, with Republican State Senator Michael Holmstrom labeling West a "true extremist" and accusing her of allowing personal ideology to override the jury's role.
Members of the jury also expressed shock and confusion at the reversal, with the foreperson stating that the evidence of "obvious guilt" was overwhelming and that deliberations had taken less than four hours to reach a unanimous decision. Critics have pointed out that most fraud cases are built on circumstantial evidence and that West's intervention in such a high-profile welfare scandal is highly unusual.
Minnesota Attorney General Keith Ellison, a Democrat whose office prosecuted the case, filed an appeal in early December 2025 to contest the judge's ruling and reinstate the jury's verdict. While Yusuf’s attorney praised the judge for ensuring "fairness and proof," the case has become a focal point for broader concerns regarding systemic fraud in Minnesota, following previous massive scandals like the "Feeding Our Future" scheme. Judge West was originally appointed to the bench in 2018 by then-Governor Mark Dayton
Minnesota Judge overturns fraud case despite guilty verdict
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