[Senate Hearing 118-521]
[From the U.S. Government Publishing Office]


                                                        S. Hrg. 118-521

                            FIGHTING FRAUD:
                       HOW SCAMMERS ARE STEALING
                           FROM OLDER ADULTS

=======================================================================

                                HEARING

                               BEFORE THE

                       SPECIAL COMMITTEE ON AGING

                          UNITED STATES SENATE

                    ONE HUNDRED EIGHTEENTH CONGRESS


                             SECOND SESSION

                               __________

                             WASHINGTON, DC

                               __________

                           SEPTEMBER 19, 2024

                               __________

                           Serial No. 118-23

         Printed for the use of the Special Committee on Aging
         
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        Available via the World Wide Web: http://www.govinfo.gov
        
                               __________

                   U.S. GOVERNMENT PUBLISHING OFFICE                    
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                       SPECIAL COMMITTEE ON AGING

              ROBERT P. CASEY, JR., Pennsylvania, Chairman

KIRSTEN E. GILLIBRAND, New York      MIKE BRAUN, Indiana
RICHARD BLUMENTHAL, Connecticut      TIM SCOTT, South Carolina
ELIZABETH WARREN, Massachusetts      MARCO RUBIO, Florida
MARK KELLY, Arizona                  RICK SCOTT, Florida
RAPHAEL WARNOCK, Georgia             J.D. VANCE, Ohio
JOHN FETTERMAN, Pennsylvania         PETE RICKETTS, Nebraska
                              ----------                              
               Elizabeth Letter, Majority Staff Director
                Matthew Sommer, Minority Staff Director
                        
                        C  O  N  T  E  N  T  S

                              ----------                              

                                                                   Page

Opening Statement of Senator Robert P. Casey, Jr., Chairman......     1
Opening Statement of Senator Mike Braun, Ranking Member..........     2

                           PANEL OF WITNESSES

Kathy Stokes, Director, Fraud Prevention Programs, AARP Fraud 
  Watch Network, Washington, D.C.................................     4
Scott Pirrello, Deputy District Attorney, Head of Elder Abuse 
  Prosecutions, San Diego District Attorney's Office, San Diego, 
  California.....................................................     6
Susan Whittaker, Administrative Assistant, Lehigh County Aging 
  and Adult Services, Allentown, Pennsylvania....................     7
Nancy Gilmer Moore, Program Director, Indiana Senior Medicare 
  Patrol, Indiana Association of Area Agencies on Aging, 
  Indianapolis, Indiana..........................................     9

                           CLOSING STATEMENT

Closing Statement of Senator Mike Braun, Ranking Member..........    29

                                APPENDIX
                      Prepared Witness Statements

Kathy Stokes, Director, Fraud Prevention Programs, AARP Fraud 
  Watch Network, Washington, D.C.................................    34
Scott Pirrello, Deputy District Attorney, Head of Elder Abuse 
  Prosecutions, San Diego District Attorney's Office, San Diego, 
  California.....................................................    39
Susan Whittaker, Administrative Assistant, Lehigh County Aging 
  and Adult Services, Allentown, Pennsylvania....................    42
Nancy Gilmer Moore, Program Director, Indiana Senior Medicare 
  Patrol, Indiana Association of Area Agencies on Aging, 
  Indianapolis, Indiana..........................................    44

                        Questions for the Record

Kathy Stokes, Director, Fraud Prevention Programs, AARP Fraud 
  Watch Network, Washington, D.C.................................    48
Scott Pirrello, Deputy District Attorney, Head of Elder Abuse 
  Prosecutions, San Diego District Attorney's Office, San Diego, 
  California.....................................................    49
Susan Whittaker, Administrative Assistant, Lehigh County Aging 
  and Adult Services, Allentown, Pennsylvania....................    68

                       Statements for the Record

America's Credit Unions Testimony................................    71
Defense Credit Union Council Testimony...........................    73
Stop Scams Alliance Testimony....................................    74
Dr. Stacey Wood Testimony........................................    80

 
                            FIGHTING FRAUD:
                       HOW SCAMMERS ARE STEALING
                           FROM OLDER ADULTS

                              ----------                              


                      Thursday, September 19, 2024

                                        U.S. Senate
                                 Special Committee on Aging
                                                    Washington, DC.
    The Committee met, pursuant to notice, at 10:02 a.m., Room 
106, Dirksen Senate Office Building, Hon. Robert P. Casey, Jr., 
Chairman of the Committee, presiding.
    Present: Senator Casey, Blumenthal, Kelly, Warnock, Braun, 
Rick Scott, and Ricketts.

                 OPENING STATEMENT OF SENATOR 
                 ROBERT P. CASEY, JR., CHAIRMAN

    The Chairman. Well, good morning, everybody. The Senate 
Special Committee on Aging will come to order. Welcome to the 
Aging Committee's hearing entitled, "Fighting Fraud: How 
Scammers Are Stealing From Older Adults."
    Every year, this Committee conducts a review of the scams 
that target older adults, culminating in this annual hearing 
and the release of the Committee's Fraud Book. Here is this 
year's edition of that book, "Fighting Fraud: Scams to Watch 
For." I am grateful to work with the Ranking Member, Senator 
Braun, on this and the Committee.
    This Fraud Book is a great resource for older adults 
looking to prevent fraud, featuring tips that will help them 
identify a scam and resources for those older adults who have 
been scammed.
    Today's hearing will not only discuss fraud prevention in 
the tips highlighted in the Fraud Book, but also how the 
Federal Government and law enforcement agencies respond to 
reports of fraud. The scams that are perpetrated against older 
adults today seem similar to scams that have been around for a 
number of years.
    We have all heard of these, unfortunately, and so many 
families have been the victims of them. Grandparent scams where 
a scammer pretends to be a grandchild calling in need of 
financial help. Investment scams, government imposter scams, 
lottery scams, tech support scams are just a few of the scams 
highlighted in our Fraud Book.
    However, over the past few years, scammers have gotten 
increasingly sophisticated in how they contact and prey on 
their targets. With the advent of artificial intelligence, that 
we all know is AI, scammers can now make their messages both 
online and over the phone more convincing. Email or computer 
pop-up scams used to be more easily identifiable, but now are 
much harder to detect.
    In some cases, scammers go as far as cloning the voice, and 
we have testimony in this hearing or this Committee to that 
effect, cloning the voice of a loved one to convince the target 
of their veracity. It has become nearly impossible to tell 
whether the person on the other end of the line is legitimate 
or a scammer.
    That may explain why recent FBI data shows that fraud 
losses among older adults have gone up in recent years, 
reaching $3.4 billion in 2023. Leaders in scam prevention and 
education like AARP are racing to keep up with these trends and 
continue to educate older adults.
    Meanwhile, law enforcement is facing an uphill battle when 
it comes to responding to reports, investigating, and 
identifying the perpetrators, and so many other challenges. I 
am thankful that we have Scott Pirrello, who is here today, who 
can share more about the work he is doing to fight fraud as 
Deputy District Attorney in San Diego, but we have got a lot 
more to do.
    We need to continue to alert older adults about the scams 
they may be targeted with, and we need to work together across 
all levels of Government to identify and root out these bad 
actors. I will just change that and say criminals. That is what 
they are. Furthermore, we need to help those who have been 
victimized by scammers.
    Earlier this year, I released a report called, "Scammed 
Then Taxed," detailing how the 2017 tax bill repealed a 
longstanding tax tool that helped scam victims avoid more 
losses. Older adults disproportionately use what was known as 
the casualty and theft loss deduction.
    My report highlighted the crushing financial blow that this 
law dealt to scam victims, leaving them paying heavy taxes on 
stolen retirement savings. On top of financial losses, this 
experience can be emotionally devastating and isolating.
    I am grateful to have Susan Whittaker from Lehigh County in 
Pennsylvania here with us today. Susan will be sharing her and 
her husband's experience with tech support scams. Susan's 
testimony is critical for us to hear today.
    It is important for older adults across the Nation to know 
that they are not alone if they lost money to a scammer. I am 
pleased that the Aging Committee can shed light on these 
stories, and I will now turn to Ranking Member Braun for his 
opening remarks.

        STATEMENT OF SENATOR MIKE BRAUN, RANKING MEMBER

    Senator Braun. Thank you, Chairman Casey. If you listen 
closely, it is worth repeating, $3.4 billion. That is what 
scammers got out of American seniors in 2023. They are coming 
from all kinds of places, Mexico, China, lot of African 
countries. One of these criminals that they received the money, 
it is basically gone.
    Almost impossible to get it back. They impersonate others, 
fabricate stories, make false promises. Many different ways, 
and the only way is to prevent it once it just starts to occur. 
That is why we need to prioritize education and outreach so 
older adults recognize these red flags immediately.
    Our community banks and credit unions are often on the 
first line of defense, intervening where they can see from 
their own past experience if something looks askew. My home 
state of Indiana, one community bank already has avoided $1.2 
million. In one community bank, that is a lot.
    Local law enforcement also play a crucial role in scam 
prevention by investigating these cases, alerting the public of 
something that is out there. Scammers are always looking for 
that next loophole, including Federal programs, because this 
place has got so much money, so many programs, and is probably 
the defenseless of anything out there.
    We have talked about the fraud in Medicare alone, which is 
astounding the amount of money, $60 billion due to fraud, 
errors, and abuse--most of it fraud. Every dollar lost to fraud 
is a dollar that can't be spent on what the program is intended 
to do. In these scams, Medicare numbers are used to purchase 
medical equipment that a senior doesn't need.
    This leads to additional co-payments and out-of-pocket 
costs and can use up any enrollee's benefits faster. Medicare 
fraud directly hurts taxpayers and individual seniors, and we 
are still trying to figure out exactly how pervasive it is 
because there is so much spent in that category.
    In March, I led a letter to the GAO requesting a full audit 
of Medicare fraud. GAO began that audit in July. This will be 
the most comprehensive audit in the history of Medicare, long 
overdue. The results will uncover just how much fraudsters are 
stealing from the American taxpayer in one of our programs that 
is so important, along with Social Security, Medicaid, and 
ironically the three that drive some of our structural deficits 
anyway.
    We can't afford one penny of fraud. We know that CMS can do 
more to stop fraud, and we are going to keep pushing to see 
that they do it. I introduced the Medicare Transaction Fraud 
Prevention Act with Senator Cassidy, which empowers CMS to 
conduct a fraud detection pilot, utilizing AI to detect scams 
so that CMS can quickly alert the Medicare beneficiary.
    Similar to what credit card companies do. They are pretty 
good at it because that is the place where most fraud occurs in 
our country. The 2024 Fraud Book highlights many of the scams 
targeting older Americans and provides information on how to 
recognize the red flags. Anybody out there listening, get a 
hold of your representative, your Senator, and get a hold of 
this because it is the best, probably small, sharp, concise 
book that can give you a heads up.
    Look forward to hearing from our witnesses so we can learn 
more about it, and I yield back, Mr. Chairman.
    The Chairman. Thank you, Ranking Member Braun. Now we will 
begin witness introductions, and after those we will go to the 
testimony, but we are pleased to introduce our witnesses.
    We are grateful they are here, having traveled here to 
provide testimony. Our first witness is Kathy Stokes. Ms. 
Stokes is the Director of Fraud Prevention Programs with the 
Fraud Watch Network at AARP. She leads AARP social mission work 
to educate older adults on the risks that fraud presents to 
their financial security.
    Ms. Stokes, thank you for sharing your expertise with us 
today. Our second witness is Mr. Scott Pirrello. He is the 
Deputy District Attorney and head of Elder Abuse Prosecutions 
in the San Diego District Attorney's Office in San Diego, 
California. Mr. Pirrello, thank you for sharing your expertise 
and traveling here today.
    Our third witness is a Pennsylvanian, Susan Whittaker. Ms. 
Whittaker is the Administrative Assistant at Lehigh County's 
Office of Aging and Adult Services in Allentown, Pennsylvania. 
That is on the Eastern side of our State, not far from the New 
Jersey, Pennsylvania border.
    Ms. Whitakker's late husband, Bill, was the victim of a 
scam in 2022. We are grateful, Susan, for you being here today 
and for sharing your story and Bill's story with us. I will now 
turn to Ranking Member Braun to introduce our fourth witness.
    Senator Braun. It is my pleasure to introduce Nancy Gilmer 
Moore. She is a Program Director for Indiana's Senior Medicare 
Patrol. Ms. Moore's work has been nationally recognized.
    She received the 2023 Barbara McGinty Award for her 
distinguished service as a champion for all in the fight 
against health care fraud. Ms. Moore is a graduate of Indiana 
University and is dedicated to serving Hoosiers. Thank you so 
much for being here.
    The Chairman. Thank you, Ranking Member Braun. Now, we will 
turn to Ms. Stokes for her opening statement.

           STATEMENT OF KATHY STOKES, DIRECTOR, FRAUD

                PREVENTION PROGRAMS, AARP FRAUD

                WATCH NETWORK, WASHINGTON, D.C.

    Ms. Stokes. Good morning. My name is Kathy Stokes, and I am 
the Director of Fraud Prevention Programs for AARP. Thank you 
for inviting me to testify on behalf of AARP at this important 
hearing, and I would also like to thank the AARP volunteers who 
are here with me.
    This morning, I will shed light on the true impact of 
fraud, explain that anyone can be a victim and that it isn't 
their fault, and I will speak to the urgent need for a whole of 
society response to the fraud crisis. Through the Fraud Watch 
Network, AARP educates older adults on the risk that fraud 
poses to their financial security, meeting them where they are.
    Hundreds of volunteers work with our State offices and 
communities across the country to equip older Americans to 
avoid fraud. We share information online through newsletters 
and a podcast, and we cover fraud in most editions of our 
publications that tens of millions of Americans receive.
    Our victims support program includes a helpline that 
receives 500 calls a day. We also host support groups to 
address fraud's emotional impact. It is for people like Dave, 
who experienced a year's long romance scam through which 
criminals stole his home and his business. He lost his friends 
and family, and seriously contemplated suicide. The recent 
growth in fraud has been meteoric.
    The FTC revealed that estimates of underreporting in 2023, 
suggesting that rather than $9 billion reported stolen through 
fraud in one year, it is more likely closer to $137 billion, 
and criminals don't discriminate. They target every 
demographic.
    FTC data suggests that younger adults report theft by fraud 
more often than older adults, but when the older adults are 
victimized, the financial impact can be catastrophic. These 
victims are financially ruined. They experience emotional and 
health impacts. Often their families are torn apart.
    Many once financially secure, hardworking Americans are 
left to rely on Government safety nets. In my written 
testimony, I describe the sophistication and scale of today's 
fraud crime rings, but sophistication and scale alone aren't 
the reasons they succeed. Rather, it is because criminals know 
how to exploit the human brain.
    AARP's own research unveiled that criminals know that to 
trigger a heightened emotional State is to bypass logical 
thinking. Criminals call it getting targets under the ether, 
and academics have shed light on the science behind it.
    Linda, a college professor, shared her story with AARP 
about the day her life was turned upside down when a tech 
support scam that started with a fear inducing computer pop-up 
message led to a four-and-a-half month nightmare. It forced her 
to retire, and it saw her buying gold bars and putting them 
into a stranger's car. She thinks the whole experience could 
have killed her.
    Becoming a victim is not the victim's fault. It is not 
because of their age or because of cognitive decline. They 
become a victim because criminals exploit how our brains 
function, and while there is no single solution to the fraud 
crisis, there are things we could all be doing that could help 
turn the tide.
    For individuals, it is taking steps like freezing our 
credit and using password managers and multifactor 
authentication. For educators, focusing on the red flags is 
important, but so is training how most scams come at us and 
what to do when they do.
    For industry, financial institutions must continue to 
innovate on fraud mitigation and tech companies must build 
safety and security into their product design and 
manufacturing, and industry and law enforcement must work 
together.
    AARP is leading a public-private effort to enhance 
coordination through the formation of a national Elder Fraud 
Coordination Center, which should launch this year. Its origins 
linked to the FBI San Diego County Elder Justice Task Force, 
which has proven that gathering data on like cases creates 
actionable investigations and prosecutions.
    I am honored to be at this table with San Diego's Deputy 
DA, Scott Pirrello, who directly supports the work of the Elder 
Justice Task Force. Policymakers can address fraud by 
supporting resources for State and local law enforcement, and 
full-time investigators for DOJ elder justice strike forces, 
reinstating the casualty loss deduction to address the taxation 
of stolen assets, legislation to limit the damage of crypto 
ATMs, and efforts like the National Elder Fraud Coordination 
Center.
    AARP looks forward to collaborating with you on solutions 
to address fraud, and thank you, and I look forward to your 
questions.
    The Chairman. Ms. Stokes, thanks very much. We will turn 
next to Mr. Pirrello.

          STATEMENT OF SCOTT PIRRELLO, DEPUTY DISTRICT

          ATTORNEY, HEAD OF ELDER ABUSE PROSECUTIONS,

                 SAN DIEGO DISTRICT ATTORNEY'S

                 OFFICE, SAN DIEGO, CALIFORNIA

    Mr. Pirrello. Good morning, Chairman Casey, Ranking Member 
Braun, other members of the Senate Special Committee on Aging. 
Thank you for having me here. My name is Scott Pirrello, and I 
am a career Elder Abuse Prosecutor for the San Diego District 
Attorney's Office.
    I had an epiphany in 2018 when I realized I was seeing zero 
scam cases. After some digging, I was shocked to learn that 
there were hundreds of reports that existed, but once local 
police departments determined that the scammers are far away 
overseas, the cases are discarded.
    I assumed then that someone was in charge of working these 
cases. I was wrong. Right at this moment, thousands of seniors 
are being scammed by foreign nationals on the verge of having 
their lives destroyed. The most prevalent scam impacting 
seniors today starts with a pop-up message from Microsoft that 
asks the victim to call a spoofed telephone number.
    The scammers, mostly operating from Indian call centers, 
convince those seniors to download remote access software 
authorizing the scammers to see inside their computers and 
ultimately convincing them that their bank accounts have also 
been compromised.
    Victims are instructed that in order to save their money, 
they must withdraw tens of thousands of dollars in cash from 
their bank or purchase gold bars. They demand that cash be 
converted to cryptocurrency and sent through Bitcoin ATM 
machines or packaged up in boxes.
    They are instructed to either ship the boxes across the 
country or they are told a courier will be coming to their 
house. This narrative is exactly what occurred in San Diego 
just last week. A 94-year-old Air Force veteran lost $143,000 
in five separate cash pick-ups over a two-week period.
    Hundreds of thousands of victims fight through humiliation 
and shame each year and summon the courage to report that this 
has happened to them, but these victims are met with the most 
regrettable answer, I am sorry, there is nothing that we can do 
for you. We should all be ashamed of ourselves.
    I am here today on behalf of the millions of elder victims 
and their families begging the Government, law enforcement, the 
banking and technology industries to help them. Existing 
programs are failing to impact the tsunami of fraud that we are 
seeing every day, and a national strategy is needed. We are 
failing the very people who need us the most, older adults, 
many of whom can't afford to lose anything, let alone 
everything.
    Since 2019, on the backs of a few patriotic former Marines 
working in our DA's office in the San Diego FBI office, we have 
proven that something could be done to fight this siege. 
Instead of surrender, under the leadership of San Diego 
County's elected DS Summer Stephan, we worked with the San 
Diego FBI in 2021 to launch a first of its kind Elder Justice 
Task Force, or EJTF, to combat elder fraud.
    We have since learned that scammers abroad depend on 
organized networks of money launderers within the United 
States, and there are thousands of criminals within these 
networks to bring to justice.
    The EJTF consists of the DA's office, FBI, Adult Protective 
Services, U.S. Attorney's Office, local law enforcement, and 
our local fusion center, all working together to turn 
individual local fraud investigations into large scale Federal 
cases and also using Federal seizure warrants to recover 
millions in fraudulent funds for our victims, whether a 
criminal investigation is opened or not.
    This is the only initiative in the Nation responding to 
elder fraud cases in real time by tracking each fraud report 
collected by local police, the FBI's IC3 data base, and APS. 
This active review of reports and constant contact with victims 
enables us to better understand how these transnational 
criminal networks operate.
    We are disrupting these networks. We are routinely filing 
State prosecutions on couriers, which have resulted in Federal 
indictments, including July's indictment by the U.S. Attorney's 
Office of a money laundering ring responsible for receiving 
stolen funds from over 2,000 older victims, totaling $27 
million in losses.
    The numbers are doubling in San Diego from 2002 to 2023 
with $98 million in losses. Investing in education and task 
forces are critical to fighting these scams. However, we can't 
educate our way out of this problem, nor can we prosecute our 
way out. We need a whole of nation strategy.
    The cause of fighting elder fraud does not yet have a face. 
It is too siloed and unorganized. The U.S. Senate Special 
Committee on Aging should take the lead to ensure that not one 
more victim falls prey to these scams.
    We can actually stop this problem. We can all do more for 
these victims, especially for the grandparents who are going to 
wake up tomorrow and turn on their computer and have a pop-up 
ad. What will our answer be tomorrow when those victims call us 
for help? Thank you.
    The Chairman. Mr. Pirrello, thank you for your testimony. 
We will turn next to Susan Whittaker.

          STATEMENT OF SUSAN WHITTAKER, ADMINISTRATIVE

               ASSISTANT, LEHIGH COUNTY AGING AND

            ADULT SERVICES, ALLENTOWN, PENNSYLVANIA

    Ms. Whittaker. Chairman Casey, Ranking Member Braun, and 
members of the Special Committee on Aging, thank you for 
inviting me here today to hear my story. I am Susan Whittaker, 
an Administrative Assistant for the Executive Director of the 
Lehigh County Aging and Adult Services in Allentown.
    I have been in my current position for four years. My 
previous position was 45 years at the Morning Call, a local 
newspaper. I am presenting testimony today because my late 
husband, Bill, was a victim of a scam. I will also share the 
steps I took once I knew the scam had happened and the 
unavailability of the bank we entrusted with our personal 
account and business account.
    It was Tuesday night when I got home, and Bill was more 
quiet than normal. He did not talk for the next few days. Bill 
suffered from dementia and Alzheimer's, diabetes, congestive 
heart failure, pulmonary embolisms, and neuropathy.
    At the time of the scam, he was 75. Although Bill had sold 
his business, Bill Whitaker and Son Construction, LLC to his 
son, Bill stayed on as the office manager. He took care of all 
office responsibilities. As the week went on, Bill seemed to be 
quieter, and he seemed to be worried.
    On Friday night, he started to tell me what had happened. 
He told me he received an email from QuickBooks, which was used 
to manage bookkeeping for the business. The email said that the 
business account had been charged $499 for an upgrade. He said 
he didn't order the upgrade.
    He contacted what he thought was QuickBooks at that point. 
The person told Bill that in order for him to refund Bill's 
money, Bill needed to first pay him $500, and then QuickBooks, 
who was really the scammer, would send it right back to him via 
another payment platform.
    He was told not to share this with anyone because if he 
did, he would not get his money back. Bill was instructed to 
install an application on the computer so he could transfer the 
funds directly to the scammer's checking account.
    Bill also scanned and sent him a copy of his Social 
Security card and driver's license. Once everything had been 
set up, the scammer told Bill he would set up a Venmo account. 
He walked him through the process.
    Finally, he showed Bill how to transfer the $500 via Venmo. 
Because the scammer had access to the computer as Bill was in 
the middle of typing the number 500, the scammer took control 
of the software and added an extra zero. $500 became $5,000. He 
started yelling at Bill for making such an error when in 
reality Bill had not made a mistake. He said that now Bill 
needed to send him the $5,000 in order for him to send back 
$5,000.
    That Friday night, Bill shared with me, in addition to the 
$499 initial fraudulent upgrade fee that needed to be refunded 
to the business account, this individual now owed us money from 
our personal account due to the numerous Venmo transfers.
    Bill said that this individual would be calling him back 
tonight at 6.00 p.m. This time I answered the phone. The 
scammer was totally surprised to hear from someone other than 
Bill. I questioned the process he had put Bill through. I knew 
it was a scam, but I asked him to please check with the boss. 
He said he would call me back.
    At that point I wasn't even sure how much money had been 
taken from our accounts. While waiting for the call back, I 
shut down the Mac and booted it back up. I created a new login 
account and deleted the old information. I found the software 
that was installed and uninstalled it.
    I also contacted our bank, Truist, through their customer 
service department. Since it was after 6.00 p.m., customer 
service was closed until Monday morning at eight. Then I called 
their fraud number. They too were closed until Monday morning.
    Bill called the bank manager at the local branch and asked 
for help. The branch manager said he would do what he could, 
but he wasn't sure he would be able to get any of our money 
back. Monday morning, Bill called local law enforcement. He 
spoke with him, and they said they would be in touch with the 
bank and would work with them.
    The person Bill spoke with was very kind and patient. 
During that time, I put a stop on all credit reporting, a hold 
on all accounts, and called the Truist headquarters in North 
Carolina. I never did get to speak to anyone.
    In the end, the scammer took a total of $28,000 from us. 
However, the bank, along with the law enforcement, recovered 
$8,000 of the money taken from our accounts, because they acted 
so quickly, they were able to stop the funds before they were 
dispersed. Despite this, we still lost $20,000.
    The scam was devastating and had a devastating effect on 
Bill, both financially and emotionally. Because we lost $20,000 
and Bill had a lot of chronic health issues, he began to ration 
his medications. We just couldn't afford them anymore.
    Bill also felt responsible and felt that he owed it to a 
son to repay the money. He kept saying he was sorry and that he 
was stupid. He asked, how could he make such a stupid mistake. 
I assured him that he was only trying to save $499 from the 
business and that he didn't do anything wrong. For several days 
he was very quiet.
    After the scam, Bill would not answer the phone unless he 
knew the number and he would not open his email unless I 
reviewed it. Bill started to doubt himself in everything he 
did. His son no longer allowed him to do any work for the 
office, and so Bill lost his job. He also lost his sense of 
self-worth.
    I was really--it was really sad to see this very 
intelligent and past business owner become so afraid to read 
emails and use the phone. It was a huge setback for him, and I 
think contributed to his worsening health conditions. Thank 
you.
    The Chairman. Susan, thanks for your testimony. I know it 
has to be personally difficult to relive that and we are just 
grateful you are willing to do it--to testify in a manner that 
will help others, so we are grateful for that.
    Ms. Whittaker. Thank you.
    The Chairman. Finally, Ms. Moore.

            STATEMENT OF NANCY GILMER MOORE, PROGRAM

           DIRECTOR, INDIANA SENIOR MEDICARE PATROL,

              INDIANA ASSOCIATION OF AREA AGENCIES

                ON AGING, INDIANAPOLIS, INDIANA

    Ms. Moore. I would like to thank Ranking Member Braun, 
Chairman Casey, the other witnesses, and all in attendance for 
giving me this opportunity to speak about Medicare fraud and 
scams that target older adults and people with disabilities.
    As the Indiana Senior Medicare Patrol, or SMP Program 
Director since 2013, I have learned that one of the biggest 
crimes affecting older Americans and people with disabilities 
is Medicare fraud, waste, and abuse.
    In addition to Medicare's own provider focused fraud 
prevention units within the Centers for Medicare and Medicaid 
Services, or CMS, the U.S. Administration for Community Living, 
ACL, funds and supports the beneficiary focused Senior Medicare 
Patrol Program.
    With programs in every State, the District of Columbia, 
Puerto Rico, Guam, and the U.S. Virgin Islands, SMP's purpose 
is to educate beneficiaries, caregivers, and professionals on 
how to prevent, detect, and report Medicare fraud.
    CMS offers no official estimates of total yearly Medicare 
fraud, but health care experts estimate improper Medicare 
payments are approximately $60 billion per year. The U.S. 
Department of Health and Human Services Office of Inspector 
General, OIG, most recent annual report indicated that SMP 
projects reported more than $111 million in expected Medicare 
recoveries in 2023.
    Our Indiana SMP uses volunteers and in-kind members in 
partnership with most Area Agencies on Aging four senior 
centers and a center for independent living to help us educate 
people about fraud, errors, and abuse in Medicare.
    Our partners give public presentations, exhibit at Health 
and Senior Fairs, and provide individual counseling across 
Indiana. We also regularly publish statewide social media 
updates, generate earn television and print media through 
relationships we cultivate with local investigative reporters, 
and periodically conduct SMP marketing campaigns.
    We also collaborate with organizations through a coalition 
we founded with the Indiana Secretary of State's Office called 
the Indiana Council Against Senior Exploitation or INCASE. 
Members include the Indiana Secretary of State's Office, the 
Indiana Attorney General's Office, State Health Insurance 
Assistance Program, or SHIP, the Social Security 
Administration, the Internal Revenue Service, the Indiana State 
Police, financial institutions, and many others to conduct 
joint presentations about Medicare fraud and other financial 
scams that target older adults.
    SMP programs across the country can provide early detection 
and warning of emerging frauds and scams. Here are some 
examples of suspected fraud that the Indiana SMP reported to 
the OIG during the past year.
    In the intermittent urinary catheter fraud scheme, most of 
the beneficiaries noticed billing for urinary catheters on 
their Medicare statements that they and their doctor neither 
ordered, needed, nor received.
    Many were billed for multiple months, with Medicare paying 
about $1,500 per month for each separate billing. I personally 
noticed billings for urinary catheters on my own Medicare 
statement for May and June and promptly reported the suspicious 
claim to CMS and requested a new Medicare number since mine was 
compromised.
    Durable medical equipment, or DME fraud is a perennial scam 
which includes all types of orthotic braces. Beneficiaries 
continue to contact Indiana SMP reporting unsolicited calls 
identifying themselves as representing Medicare with an offer 
for free orthotic braces.
    The scam often begins with an initial contact from a call 
center, which makes a referral to an unscrupulous doctor or 
telemedicine company and a final referral to a DME provider. 
The braces delivered are often inferior and the beneficiary's 
personal doctor is not typically notified nor consulted.
    The Indiana SMP recommends that all Medicare enrollees and 
their caregivers review their Medicare summary notices or MSNs 
for Medicare fee for service or explanation of benefits, EOBs 
for Medicare Advantage plans. Beneficiaries should be on the 
lookout for duplicate billing, services or products not 
rendered or received, and services not ordered by their 
physician.
    We also remind beneficiaries and caregivers that they 
should never give their Medicare number or financial 
information over the phone to unknown caller and that Medicare 
does not make unsolicited phone calls.
    Ensuring the financial integrity of Medicare is essential 
to the millions of Americans who currently depend on it to 
access comprehensive health care services, as well as thousands 
of people who become newly eligible for Medicare every day.
    As U.S. citizens, we all need to become better, more 
conscientious health care consumers, and help identify any 
potential improper payments. To that end, we have supported 
Senator Braun's and this Committee's work to reduce or 
eliminate Medicare fraud.
    We assisted Senator Braun's office with the development of 
his Medicare Transaction Fraud Prevention Act, which would 
enhance the Medicare fraud prevention system to alert the 
beneficiary being scammed.
    Thank you for allowing me this opportunity to share my 
experiences with you today.
    The Chairman. Ms. Moore, thanks very much for your 
testimony. We are going to move to questions. I will start and 
then I will turn to Ranking Member Braun. I want to start with 
Susan Whittaker.
    Susan, I want to again thank you for providing not just 
testimony but sharing your personal experience that you lived 
through, and your husband lived through, and the loss you 
suffered, both the financial loss, as well as the loss of your 
husband.
    You had shared, and I think one of the words that come to 
mind are red flags. You would share with us that you could 
identify some of those red flags, I guess mostly based upon 
your work with the Lehigh County Office of Aging and Adult 
Services, which is for that county the Area Agency on Aging.
    Your work helped you recognize some of these red flags when 
Bill shared what had happened during the scam. We know that 
education, providing information from, for example, our Fraud 
Book is critically important.
    We wanted to make sure that we not only had a Fraud Book, 
but we have two versions of it. The one on my right is in 
English. The one on my left is in Spanish. More will make 
reference to the Fraud Book again, but we want folks to know 
that you can receive this information. You can go to our 
website at aging.senate.gov/scam. I will say that again for 
people that are listening, you go to the Aging Committee's 
website at aging.senate.gov/scam.
    We want to make sure that people can avail themselves of 
this information. This isn't limited to one category of 
Americans or one age group. This can happen to anyone, and it 
is always easier, of course, after the fact to review what 
happened in a case and say, oh, I would have noticed that. 
Maybe not. No matter what your age and maybe not, and so, we 
have all got to be made aware of these scams.
    Susan, I wanted to ask you, tell us about the red flags 
that you spotted because you walked us through a very detailed 
summary of how Bill was drawn into this, and then once he 
started telling you about what happened, you were able to act 
and to be able to, I guess, counteract what the scammer was 
trying, so tell us what were the--you don't have to walk 
through every red flag, but just examples of red flags that you 
identified and can be helpful for us to know about.
    Ms. Whittaker. The first red flag was when Bill said that 
he wasn't supposed to tell anyone, or he wouldn't get his money 
back.
    The Chairman. Right.
    Ms. Whittaker. My background at the Morning Call and also 
at aging technology, we do constant tests, if you will, on 
scams and phishing, and anyone that might be searching for 
information, so that is one of the things that is highlighted 
for the training--that was highlighted in the training in both 
areas. The other thing was, if you knew Bill, he was so 
detailed. I mean, he would spend four days trying to find out 
where a penny belonged in the checkbook, so for him to make an 
error and add a one--you know, add a one in front of the 500 or 
an extra zero at the end, that--he would have never done that. 
That just wouldn't happen, so that was the second one.
    The more Bill talked about the steps that went through, and 
when he told me that they had him install software and open a 
Venmo account. In order to open a Venmo account, they needed 
his driver's license and Social Security number, it was just--
it had just gone further than needing to refund the $500.
    Not only that, if the charge was $499, why would you send 
us 500 back? It didn't make sense to me.
    The Chairman. I think they are all--we all learned from 
that from that story and your identification of those red 
flags, and so you--and I guess your experience with both the 
Area Agencies on Aging of the Aging Office, but also working 
for a newspaper that--I guess that helped as well.
    Ms. Whittaker. Yes.
    The Chairman. I wanted to move next to--and I will turn to 
Ranking Member Braun, but because it is a busy Thursday, we 
will have Senators in and out, popping in, asking questions, 
coming to appear but maybe not able to stay to ask questions.
    We will maybe take some extra time at the beginning here, 
but I want to turn to Kathy Stokes and Scott Pirrello.
    Ms. Stokes, you talked in your testimony about how society 
frequently places blame on the victims for falling for the 
scams, and that alone has to add considerable trauma to the 
experience. The stigma associated with being a scam victim 
discourages many older adults from reporting.
    I think that is probably an understatement. Really low 
reporting levels, I guess. It is critical that this information 
is reported to the relevant agencies. I ask you this, why is it 
important for older adults to report frauds and scams that 
happened to them?
    Ms. Stokes. Thank you for the question, Senator. The 
reporting is critical. For one thing, it does help people who 
are in investigations see what is happening and tie cases 
together. I think it is even more important because it will 
then help law enforcement and policymakers understand just how 
big this problem is.
    I had mentioned the FTC data that suggests that rather than 
a $9 billion amount of theft in 2022 I believe it was, they 
extrapolate underreporting that it was $137 billion. If we are 
not reporting it, we can't do much about it.
    The Chairman. Yes. You know, one of the best things we can 
do is just to continue to encourage people to report.
    Ms. Stokes. Yes, absolutely.
    The Chairman. As well. Mr. Pirrello, I wanted to ask you 
the same question. You know, what can you add to this based 
upon your work through the--you know, from the vantage point of 
law enforcement?
    Mr. Pirrello. Thank you. Thank you, Chairman. There is 
disorganization within reporting. Without a mechanism for 
centralized reporting, the policymakers are making uninformed 
decisions on where to allocate resources.
    There are a multitude of places that victims can go to 
report their crimes, and we know there's incredible data from 
the FBI, and the FTC, and a dozen other sources, including this 
own Committee's fraud hotline number. The problem is there is 
no body that is consolidating all that data.
    There is no organization that is looking at the local 
police reports in each jurisdiction, and the huge void that we 
encountered and confronted in San Diego was the Adult 
Protective Services data from around the country represents a 
huge missing piece because they are getting unreported cases 
from mandated reporters. The financial institutions are 
referring cases to APS.
    When you combine all those numbers like we have done in San 
Diego, you get the number of actual reported fraud. The problem 
is, as Kathy Stokes has mentioned, is you have to add a 
multiple to that. We know from all our work in the elder abuse 
community that we are only capturing one in twenty cases total.
    The FTC numbers were the first numbers to really provide 
that estimate.
    The Chairman. That is helpful. I know I went over because 
we are waiting for some folks, but I want to turn to Ranking 
Member Braun.
    Senator Braun. Thank you, Mr. Chairman. I want to start 
with Ms. Moore. Congratulations on what you have done back in 
Indiana. The acknowledgment that you are ferreting out fraud in 
our own State.
    You know, that estimate and what it is, it was Senator Rick 
Scott and I and J.D. Vance that commissioned the GAO to find 
out what it is exactly. I know that will be helpful because we 
can see there is a wide range of what it might be. One thing 
that really caught me by surprise that there could have been 
one particular category, it was urinary catheters.
    That there was enough information to--that was pretty well, 
you know, right under $3 billion, so in Indiana, did we get hit 
by that as well? Then tell me what you know about that 
particular fraud? What are the other top two or three frauds 
involving Medicare that you have personally dealt with?
    Ms. Moore. Thank you for your questions, Senator Braun 
about Iran. The urinary catheter fraud is still being 
investigated, is my understanding, so that we have had about 40 
cases reported to us.
    Again, if people don't--since you didn't receive any 
product, the only way you would know is to read your summary 
notices, and a lot of people don't read those. They are 
confused by those, or they just, if they don't owe any money, 
they are not prone to report it, so it kind of goes under the 
radar.
    Senator Braun. Did we have any that you actually caught in 
our State? In other words, and it is clear that there will be a 
lot of unreported because $2.7 billion would mean then that 
certain States are doing a pretty good job at it and many other 
States aren't, because that is a huge figure.
    That is why I was curious in our own State, since it 
doesn't sound like there were that many, maybe just 40, did 
many actually lose money out of those 40, or did you just hear 
about it and then prevent it?
    Ms. Moore. No, we reported it. Most of it was after--the 
Medicare had already been----
    Senator Braun. Billed and the money had gone?
    Ms. Moore. Yes. Because it comes on your Medicare 
statements, which if you don't have a Medicare.gov account 
online, you know, it takes--they are only mailed about once a 
quarter, so you wouldn't--like I said, nobody received the 
product. In my own case----
    Senator Braun. In Indiana, not counting what wasn't maybe 
reported, but what was reported, we had kept that down to a 
fairly small amount because that wouldn't--that would be such a 
small fraction of $2.7 billion.
    Ms. Moore. Correct. Some people were billed for as many as 
12 months or 10 months, because in Medicare, you can bill I 
think up to a year, you know, retroactively, so.
    Senator Braun. I am a big believer that best practices 
among States ought to be shared. It sounds like you are doing a 
heck of a job. You have been acknowledged for it.
    It seemed to me, Mr. Chairman, that we would want to find 
out what other enterprising States are doing, and that would be 
one way to share stuff that is already working, so what are the 
two or three other scams in Indiana that seem to be most 
prevalent?
    Ms. Moore. The most recent scams we are hearing about--and 
we are still getting, the DME braces scams and Medicare card 
saying you need a new Medicare card. One of the new recent ones 
is the caller--it is an impostor call saying they are from CVS, 
the large pharmacy chain, and that they--you can order your 
diabetic supplies through them.
    We have only had a few cases of that, but I have connected 
with my SMP colleagues throughout the country, and they are 
seeing this as well. CVS does have a disclaimer on their 
website that this fraud has been prevalent.
    Another one which is very similar to the urinary catheter 
fraud is people are being billed for ostomy supplies, which 
ostomy is any kind of artificial opening like colostomy or 
tracheostomy, and people are getting billed for that as well. 
We are seeing that in many other States throughout the country.
    I think one of our big--what has helped us is having 
investigative reporters do stories for us because that really 
gets people's attention.
    Senator Braun. Well, good. Thank you for the good job you 
are doing back in Indiana. I would be interested to see how you 
keep track of it, and maybe over the last couple three years, 
what we have actually gone on record in terms of true laws in 
our own State. I like that idea of sharing what we are doing 
with maybe other States. I yield back for now. Thank you.
    The Chairman. Thank you, Ranking Member Braun. I will turn 
next to Senator Scott.
    Senator Rick Scott. Well, first, I want to thank the chair 
and ranking member for doing this. I mean, this a significant 
issue that is impacting all of our States.
    I want to thank you for holding the hearing and I want to 
thank you for putting this book together. Hopefully it is going 
to help a lot of people not get scammed. First, Ms. Stokes, you 
mentioned in your testimony transnational criminal 
organizations are behind many of the modern scams.
    Are there in any particularly favored countries these 
transnational criminal organizations use and hide in to evade 
U.S.--our prosecution?
    Ms. Stokes. Well, thank you for that question. I think 
maybe Scott would be better able to, from a law enforcement 
perspective, speak to it. What we know from our own 
experiences, big places are India, Africa, Costa Rica, Jamaica, 
Canada, and a lot of territories in Southeast Asia currently, 
including Myanmar, Cambodia, Philippines.
    Senator Rick Scott. Scott, do you want to add anything?
    Mr. Pirrello. Thank you, Senator. I echo what Kathy said, 
yes, that there is threats abroad. Right now, the most 
prevalent scams are tech scams that originate from Indian call 
centers.
    The issue with enforcement is, is even if we had the 
capability to shut a call center down, they could obviously 
close up shop and move across the hall and start calling again, 
which is why the idea of a whole of nation strategy is really 
what would be impactful, because you have to look at the scam 
and then every point either upstream or downstream of the scam 
to see where we could stop it.
    If we could focus on how the Indian call centers, for 
example, are contacting our victims, that would be a way to 
significantly slow or stop the scam activity because they are 
using our own technology against us.
    Senator Rick Scott. Right. Do either of you have any sense 
whether the State Department is doing anything to prioritize 
this with regards--because take India, that is supposed to be 
an ally. Is the State Department doing anything to address this 
with the Ambassador or anything?
    Mr. Pirrello. I do know that the Department of Justice and 
the FBI has attaches in these countries, and they are working 
and there are some successes to report on. Unfortunately, we 
obviously have our finger in the dam.
    Senator Rick Scott. Yes. For any of you with recent 
breaches in personal information, there could be an explosion 
of identity theft as millions of people's names, dates of 
birth, and Social Security numbers become available to criminal 
networks.
    How can we educate seniors to protect themselves and 
monitor their information for potential identity thefts that 
could result in loans or credit cards being taken out in their 
names? I don't know if any of you would answer that.
    Ms. Stokes. Thank you, Senator. You know, we at AARP tell 
people, you know, your data are already out there. What we are 
seeing is just more and more of the same, and we all should be 
doing is taking steps to sort of shut it down in the ways that 
we can, and one of the most important ways is to freeze your 
credit reports.
    That way, somebody who tries to use your identifying 
information to open credit against you is not able to do that, 
by and large. Really, really important is how we deal with 
passwords. You know how difficult it is to have, you know, 12-
digit passwords for your 50 online accounts.
    I find the password manager, once you kind of figure it 
out, is potentially a better way to deal with that, because if 
a criminal gets hold of a password that you use over and over, 
they are going to take over each account.
    Another thing is multifactor authentication and shredding. 
I mean, it is online, and it is in--you know, it is in the real 
world too. Shredding your documents continues to be very 
important.
    Senator Rick Scott. Scott, you want to add something?
    Mr. Pirrello. Thank you, Senator. I think a distinction 
does have to be drawn. Identity theft is a massive problem, and 
it is an incredible inconvenience for our victims.
    However, in a lot of cases, when there is a victim of 
identity theft, there are remedies through the banks, through 
financial companies that will recognize that someone has been 
the victim of an identity theft that they had nothing to do 
with.
    With elder scams specifically, our victims are really left 
with nothing. They go to their financial institutions, and they 
are told that they are out of luck because they walked into the 
bank themselves and withdrew the money, and there is no remedy 
available to them at all.
    Really, when you understand the nuance of these scams and 
understand that the scammers in the most popular tech scam that 
I have described, the scammers actually tell our victims to 
keep their phone on and put it in their purse when they walk 
into the bank. They are being listened to by the scammers.
    There is a distinction, I think, between the identity theft 
and the elder scam victim.
    Senator Rick Scott. Well, thanks each of you for being 
here, and again, I want to thank the ranking member and the 
chair for putting this together.
    The Chairman. Thank you, Senator Scott. We will turn next 
to Senator Ricketts, if you----
    Senator Ricketts. Great. Thank you, Mr. Chairman----
    The Chairman. We have other Senators on their way, so as 
people----
    Senator Ricketts. Well, if they are not here, they don't 
get to go.
    The Chairman. You can--jump right in. Jump right in.
    Senator Ricketts. All right. Good. Thank you very much, Mr. 
Chairman. Well, as we know, many seniors and vulnerable 
Nebraskans are faced with challenges of protecting themselves 
and their loved ones from the threat of fraud, abuse, and 
financial exploitation. Financial losses due to scams continue 
to rise, particularly among older Americans.
    In 2022, consumers reportedly lost $9 billion to scams, a 
30 percent increase over the year before. Older adults 
reportedly lost over $1.6 billion to scammers. Federal Trade 
Commission has reported a tenfold increase in bank scams in the 
last three years. Scammers are also taking advantage of complex 
health care and insurance coverage decisions by impersonating 
the Medicare program.
    Last year, late last year, officials with Nebraska groups 
that managed care for seniors began noticing a sharp increase 
in billings to Medicare for urinary catheters. According to the 
Medicare data for One Health in Nebraska indicated that 
spending on these devices on behalf of their patients was up an 
average of $60 per patient, totaling more than $1 million.
    The fall from the scheme and the harm done is still 
unknown. Many people affected by the scheme may not even be 
aware that they have been scammed. Ms. Whittaker, we know that 
elderly population is disproportionately targeted by malicious 
scam calls.
    Do you believe in education awareness of how these scams 
work could better prepare those being targeted? How would you 
approach being able to make people aware?
    Ms. Whittaker. Thank you. Absolutely, I believe that 
education is really important. We at the Area of Aging, we have 
put together posters, fliers, pamphlets, magnets, and we have a 
folder that we actually take out to each individual that we are 
going to see.
    This information is right inside the folder, including the 
magnet. Who to call in case you are a victim of fraud, or you 
feel that there has been a scam taking place.
    It includes the fraud hotline, the Attorney General's 
number, the local police officer, State police, I believe, is 
the phone number that is on there, and it walks you through the 
steps of exactly who to call and what to do.
    Senator Ricketts. How do you distribute that? How do you 
make people--how do you get that information out?
    Ms. Whittaker. We have an advisory council and the advisory 
council members distribute some of that information for us. In 
addition, our assessors take a folder out of all of Aging's 
information to every individual that they see. One of our 
assessors may--I believe the assessors see about 200 people a 
week, if not more.
    We are getting that out to at least 200 people, 800, 1,000 
people a month. The assessors do walk through that information. 
If you are receiving a waiver or option support, that is also 
covered by those that are going out. Our Aging care managers 
are seeing them.
    Senator Ricketts. It is a very one on one type of 
education----
    Ms. Whittaker. Very one on one. We also did a scam seminar 
for the public and for health care workers at DeSales 
University. That was just last--that was just this past year. I 
don't want to quote the month because I could be wrong, but we 
had a huge attendance.
    I have learned that Scott's associate was the person 
doing--was one of the presenters. We had representation from 
the local banks, the District Attorney's Office, some of our 
own detectives, Aging. We held that and made that available to 
anyone that was interested in attending.
    Senator Ricketts. All right. Thank you. Ms. Moore, there is 
a long list of ways scammers can take advantage of seniors. Are 
there certain methods of scamming that are more prevalent in 
rural areas?
    Ms. Moore. Oh, thank you. That is a good question. I think 
most, you know, most scams start by telephone or text, whether 
they are rural or, you know, urban beneficiaries.
    I do think the telephone, you know, communications, we need 
more safeguards, and calls can be spoofed and labeled to look 
like they are coming from a legitimate organization or with 
their area code and even prefix, so people tell me they are 
more likely to pick up.
    We tell people not to answer unsolicited calls or calls 
they don't have in their phone or, you know, if they have a 
landline sometimes you can put in certain numbers. I would say 
the telephone is probably the worst offender. Senator Ricketts. 
Do you think, if in rural areas, are there different ways of 
outreach or education that we need to approach when we are 
thinking about how do we educate seniors in rural areas?
    Ms. Moore. That is something we as a program, we, you know, 
work on. I think print media is better in rural areas. I do 
think, you know, we try to get to the very small towns and 
counties in our State through just presentations through Area 
Agencies on Aging, or we have some senior centers.
    I have one--one of our partners does--she sets up a table 
for SMP and other services that the triple-A offers in a free 
laundromat day for seniors. We need to think really outside the 
box, you know, maybe even hair salons and that kind of thing, 
to get to people that maybe aren't on the Internet, don't, you 
know, maybe see the news, and that kind of thing.
    Senator Ricketts. Yes. I appreciate that, because I think 
you are exactly right. Thinking outside the box about how you 
reach seniors in rural areas is an important thing to do. I 
would just emphasize what you said about print.
    You know, those weekly newspapers that are in rural 
Nebraska, and I am certain in other parts of the country, they 
are read cover to cover, and they stay on the kitchen table or 
on the, you know, the coffee table for a week.
    If you have an ad or a story or anything like that in 
those, that is a great way to reach the seniors because again, 
they are read cover to cover and they leave them out for the 
week until the next edition comes out. Thank you, Mr. Chairman.
    The Chairman. Senator Ricketts, thanks very much. I am 
going to do some questions now in a second round, because I 
know we have one, two--at least two or three more Senators that 
are kind of in transit. I wanted to direct these questions to 
Ms. Stokes and Mr. Pirrello.
    As I mentioned earlier that we have had for, I guess, a 
century prior to 2017, the casualty in theft loss deduction 
that theft victims could claim a tax deduction to offset their 
loss when they are a victim of a scam or other theft.
    That changed in 2017 with the tax bill. The theft loss 
deduction was changed. It was repealed. Now victims of fraud 
and scams can no longer deduct their losses. They owe huge tax 
bills on money they will never benefit from, leaving many older 
scam victims to feel that they have been victimized a second 
time.
    Earlier this year, as I mentioned in my opening, we 
released a report entitled, Scammed, then Taxed, and that 
legislation or that report outlined what had happened. Both of 
you work extensively with older adults, and you have tragically 
had the--those adults who have tragically had the entirety of 
their life savings stolen from them.
    I will start with Ms. Stokes. Have you encountered times 
when older adult scam victims were surprised that they owed 
taxes on their stolen money? How does that affect them?
    Ms. Stokes. Thank you, Senator. The victims that we have 
talked to personally through our helpline and through these 
online victim support sessions that we have, this is probably 
the thing that makes them the most anxious.
    It is revictimization, plain and simple. They have had 
everything stolen from them, but the IRS sees that as income, 
and they tax them on it, and they don't even have the money to 
pay that tax. It is an issue of great anxiety for many people 
who are experiencing this.
    The Chairman. I guess part of the challenge here is that 
sometimes tax professionals may not have been--they may not 
have updated their information about how the tax law changed 
and may not be telling people enough.
    We have got to make sure that people know. I think the 
remedy here, of course, is to change the law back to the way it 
was and reinState that deduction. Mr. Pirrello, how about your 
experience with this?
    Mr. Pirrello. Thank you, Chairman. I have talked to several 
victims who have encountered this, and this is a result of the 
scammers elevating their techniques by having our victims not 
just drain their checking or savings account, but actually 
completely liquidating their 401(k) or retirement account.
    We are talking about victims that have lost seven figures, 
as you said, the entire nest egg, and the timing of it is that 
they go through the trauma of losing everything in their life 
and they are just rebounding maybe six months, a year later, 
and their accountant tells them that they have a 1099 from 
their brokerage company that says they owe, for one of my 
victims, a $300,000 tax bill.
    I equated that to a gut punch at the end of this. There is 
another layer beyond that, because many of these victims have 
no recourse, that they have to go online and find a tax 
attorney that they have to pay tens of thousands in dollars to. 
There is another void just on the IRS's website, has a lot of 
information about identity theft. There is no direction.
    Our elder scam victims are left bewildered. If they go to 
the IRS site, there is nothing for them to click on that says, 
you have been scammed. Here are some instructions to follow to 
get to this amazing program, the Taxpayer Advocate Service.
    Most victims have no idea what that is, and they are just 
spending money and being scammed on top of scams. Yes, that is 
a significant issue for those victims that have lost the most.
    The Chairman. Yes. I think the phrase you used, gut punch, 
is a good way to describe it. You know, it is bad enough to be 
a victim of a scam, and then to get the gut punch of a tax bill 
where that was not happening before that change in 2017.
    I will turn next to Ms. Whittaker again and Ms. Stokes. I 
said earlier that there is obviously an emotional impact that 
people experience, which is probably indescribable. I am going 
to be turning to Senator Kelly in a moment, but Ms. Stokes and 
Ms. Whittaker, you had made reference to your own experience, 
Ms. Whittaker's personal experience, and Ms. Stokes, through 
your work.
    I mentioned the emotional turmoil that people experience 
generally, but then when they are hit with a tax bill, it is 
far worse. One of the victims that we described, talked about 
the scam as ``an excruciatingly painful experience.''
    Another said, ``when I found out I was scammed, I had 
suicidal thoughts''. It is clear that these scams do far more 
than just take money from people. Ms. Whittaker, can you 
describe the feeling that you and your husband had when you 
knew that you are a victim of a scam? I guess he was a victim, 
and you were learning about it.
    Ms. Whittaker. Devastation. Thank you. I was also angry. I 
have to admit that I was pretty upset with Bill, and he felt 
like he had really, really done something wrong when he was 
just really trying to save some money for the company.
    He didn't want to be charged something he didn't order. 
Then afterwards, it was just--we were devastated. It was the 
needing to pay back the money to the business, which he felt 
was--he was responsible for losing to begin with.
    I understand that it was the right thing to do, but it was 
just devastation.
    The Chairman. Yes, I can't even imagine it. You know, and I 
will keep saying it, it is these scam artists, they obviously 
target seniors disproportionately, but it can happen to 
anybody. I will turn next to Senator Kelly.
    Senator Kelly. Thank you, Mr. Chairman. Thank you for all 
of our witnesses for being here today to talk about a topic I 
think is sometimes uncomfortable talking about.
    Mr. Pirrello, I understand from your testimony that the 
Elder Justice Task Force you helped create in San Diego is the 
first of its kind, bringing together local law enforcement, 
FBI, Adult Protective Services, and the U.S. Department of 
Justice.
    I am impressed by the task force's ability to collect real 
time information and disrupt scams taking hold in your 
jurisdiction, especially ones that are originating overseas. I 
have gotten some scam calls myself from overseas before and, 
you know, have been personally tempted to take them on by 
myself.
    However, I know it is best left to professionals like 
yourself for doing this, and you are proving that here. Mr. 
Pirrello, what is the key to the success of your Elder Justice 
Task Force?
    Mr. Pirrello. Thank you, Senator. San Diego does have a 
proud tradition of collaboration between local and Federal 
authorities, and amidst all the local authorities, and I think 
that is the largest piece.
    As we travel around the country and talk to people who want 
to duplicate what we are doing, you hear things like that 
people can't even get other colleagues from other agencies on a 
telephone call.
    It requires people that view this issue with passion and 
are willing to sacrifice to get a task force like this up and 
running.
    Senator Kelly. How do we--so, first of all, how much does 
it cost to operate your task force?
    Mr. Pirrello. Well, it is interesting, Senator. Our task 
force started as a collateral responsibility for myself and 
every other member of law enforcement or the FBI, and so, there 
really wasn't a cost.
    It was kind of a side hustle, so to speak, for many of us. 
Where the money needs to go is funding investigators, funding 
analysts. We need to fill positions. The law enforcement 
community is so starved for resources that it is very difficult 
to get any agency to dedicate a full body, a full resource to 
this.
    Sadly, as you go around the country, there probably is not 
one single person in law enforcement anywhere, locally or 
federally, that 100 percent of their job responsibility is 
focusing on elder scams.
    Senator Kelly. If it wasn't a collateral duty in your 
office and you were going to have dedicated people, how many 
people would be doing this?
    Mr. Pirrello. Well, Senator, the numbers are staggering. As 
successful as we have been in San Diego, we are working less 
than one-tenth of one percent of the intake, to give you an 
idea of this tsunami of fraud that is coming at us.
    We will take one body. We could use an army, obviously. It 
really takes, again, a group of people that is committed to 
this cause to start building it in each community. We started 
and we felt the best first step forward was identifying how big 
of a problem it was. It goes back to that underreporting and 
lack of centralized reporting mechanism.
    As each jurisdiction, locally and then nationally, come up 
with the actual loss amounts in their own jurisdictions, that 
is the number that we need to go to the policymakers and 
decisionmakers to ask for the resources that this problem 
merits.
    Senator Kelly. Yes. We can understand the amount of 
resources, I often think about this in terms of people. If you 
were going to stand up for your office, a team of people that 
were 100 percent dedicated to this, to actually handle the 
demand that you see out there, the fraud that is out there, how 
many people are we talking about?
    Mr. Pirrello. You could get a task force started with one 
local prosecutor like myself, one investigator from the DA's 
office or from a local police or sheriff jurisdiction, and then 
cooperation from the local FBI office.
    You could hit the ground running with the caveat that you 
need also the local U.S. Attorney's Office to devote the 
resources. The number one obstacle that we faced when we 
started our task force was the dirty word called thresholds 
within the criminal justice system. To get Federal Agencies 
like the FBI or the U.S. Attorney's Office to open up a case, 
typically, you needed million dollar cases.
    Most of the cases, like unfortunately, Ms. Whittaker's 
family start by losing $25,000, even $300,000. You can't get 
the FBI or the U.S. attorney's office to open up that case. Our 
task force was devoted to working locally to connect the dots, 
to show our Federal partners that these were million dollar 
cases once you connected the dots, but also for our local task 
force, the chain of command at the FBI and the U.S. Attorney's 
Office eliminated thresholds, which is a huge--was the only 
thing that got us really off the ground so that we can all work 
collaboratively on these cases.
    Senator Kelly. I will take a couple more minutes. Another 
question on communications platforms, Mr. Pirrello. We had a 
hearing on this topic last November where we talked about how 
artificial intelligence plays a growing role in scams, both 
preventing them but also enabling them.
    We talked about a constituent of mine who had received a 
phone call from somebody she thought was her daughter, and the 
daughter was screaming and crying, and a man came on the phone 
to say that he was going to do harm to her daughter if the 
woman didn't pay $50,000.
    Turned out that her daughter was safe at home, and this was 
just an AI created scam call using voice cloning technology. We 
learned in that hearing how difficult it is to trace and 
prosecute a scam if no money has been exchanged, which was the 
case here.
    Mr. Pirrello, from the law enforcement perspective, why is 
that so challenging to trace and prosecute a scam if the scam 
wasn't completed?
    Mr. Pirrello. Well, Senator, we believe that you have to 
devote your limited, scarce resources to where you can have the 
greatest impact. When we have talked to a victim and learned 
that they almost fell for this scam, there is great relief. As 
I mentioned before, the intake is coming at us faster than we 
could process.
    Every single day we have victims that are losing tens of 
thousands of dollars or hundreds of thousands of dollars and 
our focus in the first days after someone has been scammed is 
not necessarily putting a bad guy in jail. It is, let's do 
everything we can to try to pull this money back from them.
    On the artificial intelligence piece, that is great 
evidence that there is urgency here. We can't sit on the 
sideline any longer because AI coming, the scammers are going 
to be doing even better than they are doing now, and they are 
doing really well without the use of artificial intelligence.
    When we look at the numbers, as Kathy mentioned, where the 
estimates of actual losses beyond what is reported is over $100 
billion a year. If that is how much the scammers are getting 
from us without artificial intelligence, this is the time.
    The time is now. We are reaching a tipping point. We 
couldn't be more grateful for this Committee to take up this 
issue.
    Senator Kelly. I read this article on CNN about a man in 
Virginia who was a victim of a pig butchering scam and met 
somebody online, convinced him to invest in crypto. He did it, 
never met her in person.
    He lost his entire life savings and then he took his own 
life. The person on the other side of the screen, you know, 
wasn't just someone bored at home over the weekend. It was 
probably over in Southeast Asia somewhere--an organized crime 
outfit that is doing this at scale and it is very 
sophisticated. It is run by professional criminals, and they 
are getting older adults, as you mentioned, $100 billion.
    A lot of it is probably this, you know, this confidence 
investment scam, so what do we do about it? You know, how do 
we--you know, they are not going to stop. What kind of negative 
incentives can we put to the countries involved?
    I know this isn't your area of expertise, but beyond just 
informing the public about this, I imagine for you it is hard 
to prosecute somebody that you don't know that is in a foreign 
country where we may or may not even have an extradition 
treaty, and it is hard to identify who these people are.
    From a foreign policy standpoint, you have any ideas about 
what the Federal Government could be doing at the highest level 
to put pressure on the countries that are harboring these 
organized criminal groups?
    Mr. Pirrello. Thank you, Senator. Sorry, thank you, 
Senator. I am actually--I am proud there is leadership coming 
from California, from San Diego, with our Elder Justice Task 
Force.
    The Santa Clara District Attorney's Office is actually a 
national leader in combating the pig butchering scams, and 
Deputy District Attorney colleague testified in Congress 
yesterday on this issue I don't have an answer, a magic pill to 
solve that problem, but what I can say is when you do--when we 
are dealing with countries that are outside of the reach of 
United States law enforcement, I think the effort--and there 
are concrete steps that we could take, again, upstream of the 
scam to eliminate the ability for the scammers in Southeast 
Asia to contact our victims.
    That is where resources should be spent and pressure on the 
technology industry. Every one of our victims is being 
contacted on a spoofed telephone number or a foreign IP address 
over the devices and technology that we depend on every day.
    There are countries like the UK and Australia that have 
implemented programs specifically designed to eliminate that, 
and their trends are actually skewing downwards in the last two 
years. There is an addendum to my testimony that was submitted 
from the Stop Scams Alliance, who is led by a former CIA 
analyst, and there is some real concrete, specific things that 
the technology and communications companies can do, and so, if 
we eliminate the ability for these call centers to reach our 
victims, then we don't have to worry about the expense of 
chasing them to Myanmar or wherever else they.
    Senator Kelly. All right. Thank you. Thank you, Mr. 
Chairman.
    The Chairman. Thanks, Senator Kelly. We obviously allowed 
extended time here, but Senator Kelly had a very important set 
of questions. I think this can lead to some good bipartisan 
work, and I hope we can stay in touch on this. I will turn next 
to Senator Blumenthal.
    Senator Blumenthal. Thank you very much, Mr. Chairman, and 
thank you for holding this hearing, and for this booklet, which 
I think will be very useful to a lot of my constituents, 
including the one in Spanish.
    I want to thank Senator Casey for putting together these 
materials. Very important to educate people. Half of our job on 
topics that involve scams is to educate, enlighten, and warn 
people, including what law enforcement does, as I know from 
having acted against these kinds of scams and con artists as 
State Attorney General, as well as United States Attorney in 
Connecticut.
    Mr. Pirrello and Ms. Stokes, in your testimony, you both 
call attention to elder scams involving cryptocurrency ATMs. 
Along with Senator Durbin and a number of my colleagues, I 
wrote a letter to 10 of the largest Bitcoin ATM operators on 
their failures to prevent elder scams despite reports that 
criminals are coercing elderly Americans to make large deposits 
into these Bitcoin ATMs.
    These companies have not taken any steps to ensure their 
ATMs are not being used in these scams. I would like to ask 
you, what do you think Congress should do to address elder 
scams involving Bitcoin ATMs and cryptocurrencies?
    Ms. Stokes. Thank you, Senator, for that question. I know 
that the cryptocurrency vector is very, very concerning, so 
much is being stolen by convincing somebody that something is 
in--that something that isn't true and getting them to go to 
their bank, take out tens of thousands of dollars in cash, then 
telling them where to go to find the crypto machine, and then 
them standing there and putting $100 at a time into these 
machines and coaching them on how to get that money to the 
electronic wallet of where they think that this is going to 
solve a problem.
    It has just created all that much more--and I know that 
AARP State affairs are out there trying to get changes in 
crypto regulation. We do definitely need more regulation there, 
and some of the things that they are looking at are, you know, 
warnings about the fraud types that they are used in.
    Transparency around the fees and the rates, and really 
importantly, I think daily transaction limits.
    Senator Blumenthal. Thank you. Mr. Pirrello.
    Mr. Pirrello. Sorry--thank you, Senator. We did have a 
recent victim in San Diego who fell victim for the scam, 
withdrew $15,000 from her bank and went into a liquor store in 
a part of town she shouldn't have been in the middle of the 
night to put $15,000 cash into one of these machines.
    I echo the sentiment, we have to have transaction limits, 
but we clearly need to look at this industry as a whole and how 
it exists, and what safeguards and accountability these 
companies should have. These companies are relying on the fact 
that our victims showed their driver's license to the machine, 
so they are complying with the know your customer requirements 
of their industry. However, clearly, these victims do not know 
what they are caught up in. They don't know where their money 
is going, and in this investigation that I just mentioned, we 
learned that our victim in Escondido, California put $15,000 
into the machine. Within 12 minutes of her putting her cash in 
the machine, money was taken from that Bitcoin wallet and 
placed on an overseas Bitcoin exchange that is outside the 
reach of law enforcement in the United States.
    The window is so tight for there to be any intervention, 
and so there should be as many safeguards as possible to 
prevent these victims from putting their money in these 
machines in the first place.
    Senator Blumenthal. I take it from both of you that the 
companies themselves are doing virtually nothing to try to 
forestall this fraud.
    Mr. Pirrello. Yes, your honor, they--your honor, I am a 
prosecutor. I am sorry, Mr. Blumenthal. Thank you, Senator.
    Senator Blumenthal. That is okay.
    Mr. Pirrello. I mentioned earlier I was a career 
prosecutor. I can't turn that off. Thank you, Senator. The 
cryptocurrency, some are being responsible in the sense that 
they are submitting suspicious activity reports like a bank 
would, but as I mentioned, it is well after the fact that the 
victim's money is unrecoverable, and so both within our 
jurisdiction and around the country, there is frustration 
growing within law enforcement. We have a victim that runs to 
the police station and says, I just put $10,000 into this 
machine and my money is sitting right there in that machine, 
can you get it back for me?
    There is an inability to do that because of the nuance of 
how these cryptocurrency transactions work. Even a period of 
time, just like when you go to wire money, that there is a hold 
for 48 hours, just a brief period of time before that 
transaction takes place would save millions, there is no 
question.
    Senator Blumenthal. My time has expired, but I would 
welcome from you or any other members of the panel suggestions 
on how we can hold these companies accountable. The principle 
of accountability, I think, is very important.
    They know it is happening. They could stop it. We need to 
make sure they do take action to stop it. I would welcome your 
additional written responses, if you have any. Thank you. 
Thanks, Mr. Chair.
    The Chairman. Thank you, Senator Blumenthal. We will turn 
finally to Senator Warnock.
    Senator Warnock. Thank you very much, Chair Casey, for your 
vigilance with protecting American consumers in so many ways 
and thank you for your focus on this topic.
    According to the FBI's data on elder fraud complaints, 
elder fraud complaints, Georgia has the unfortunate distinction 
of being in the top 15 States for the number of complaints 
filed, and we are in the top 10 for the amount lost, almost $92 
million in 2023 alone. This data is stark and deeply 
concerning.
    It is easy to get caught up in abstract numbers. Even a 
high number like $92 million, what does that actually mean for 
folks who are paying attention to this hearing? So let me 
highlight a story to remind us of what is at stake. Behind the 
numbers are real people. My office recently heard the story of 
a Georgia senior who was a victim of a financial scam in which 
the scammer impersonated an Army office asking this Georgian 
for money to pay for his veteran's benefits.
    Thankfully, her son, who is also a veteran, was able to 
prevent his mother from sending the scammer money, but it was a 
close call, and there are too many cases where these scammers 
take advantage of seniors. I have seen it up close as a pastor 
with members of my own congregation.
    It can be difficult to talk about, but I believe the more 
we shed light on these deceptive practices, the more we can 
remove stigma and shame, and encourage people to report when 
something isn't quite right.
    Ms. Whittaker, thank you so very much for being here, and 
could you talk about your own personal experience with scams 
and how it impacted you?
    Ms. Whittaker. Okay. Financially--first of all, I think 
that the scammers do some sort of research. I am not sure what 
they use as the resource, but they clearly are doing research 
on their victims because they seem to know exactly what is 
available, and what is not available, and when to stop.
    This started on a Tuesday, and Bill didn't say anything to 
me until Friday. Little chunks of money seem to be missing over 
the course of four days, which he was not aware of, and I 
wasn't aware of because he didn't say anything. It was in the 
end when we took a look at what was lost, and my father had 
just passed away, so we had some money from my dad, that 
fortunately--well, unfortunately was gone, but it saved us from 
actually having even more of a loss than what we already had, 
but because there was nothing left in our savings account or 
checking account, it affected decisions that had to be made as 
far as medicine that was Bill--was needed to take. You know, he 
chose not to take certain medicines.
    Fortunately in the future I understand that some of those 
medicines will be taken care of, but he chose not to take 
Repatha which had an out of pocket, a huge out-of-pocket 
expense, but it was necessary for his cholesterol, but he 
wasn't going to take it.
    He chose to not take all of his insulin. He should have 
taken insulin twice a day, in the morning and at night. He 
chose to cut those back from the number of units that he was 
taking until we paid the business back.
    Once the business was paid back, and he felt better about 
where we were, then he started doing some of the things he 
should have done, but not all of them, so it wasn't just a 
financial effect, but he sort of stopped living, if I can say 
it that way. He was so ashamed of what he had done that he just 
made himself not available to people. I am not sure if I----
    Senator Warnock. This--no, thank you. This scam had a 
material impact on your family.
    Ms. Whittaker. It did.
    Senator Warnock. Literally dragging the health of your 
father down as a result of it, and you know, not putting words 
in your mouth, it sounds like it----
    Ms. Whittaker. My husband.
    Senator Warnock. Your husband, sorry. Then entered the 
depression.
    Ms. Whittaker. Yes. Depression, actually, for both of us.
    Senator Warnock. Yes, yes.
    Ms. Whittaker. It was--until you get--and then you reach a 
point where you just say, okay, enough is enough. You got to 
get up. You got to move on. I was able to do that. He was not.
    Senator Warnock. Right, right. Well, thank you so very 
much. It takes a lot of courage to come to a place like this 
and tell your story, but I wanted folks to hear just a little 
bit of it, because I think sometimes, we get lost in the data 
and in the numbers. You are the human face of the issues that 
we must address.
    I look forward to working with Chair Casey and the 
Committee to protect seniors and their families from the 
scourge of scams, and Ms. Whittaker mentioned the ways in which 
our work separately on the issue of capping the cost of 
prescription drugs, my bill, which caps claims of insulin and 
other drugs, is helping seniors.
    Even as we protect them from the big pharmaceutical 
companies and their excesses, we also got to protect our 
seniors from these scams. Again, thank you so very much for 
your testimony.
    The Chairman. Thank you, Senator Warnock, and I appreciate 
you asking Susan Whittaker those questions. I am going to close 
now. We are at the end of our hearing, and we also have a vote 
coming up.
    We just want to thank our witnesses for their testimony, 
the expertise they bring to bear, their own personal stories, 
and the wisdom you provide to the Committee to either change a 
law or remedy the policy that took away a deduction, but also 
to really begin to focus on what the Federal Government can do 
more of to combat this problem.
    As you heard--for the audience I would say, as you heard 
from our witnesses, scam losses are on the rise. Fighting 
frauds and scams that target older adults is going to take a 
multi-pronged, whole of Government approach, and that means 
every level of Government.
    I think the Federal Government can do more as we heard 
today. As Mr. Pirrello shared in his statement and in answers 
to questions, education and prosecution alone won't solve the 
problem, but we have to do both.
    We need to hold all those involved, whether it is a bank, 
or a social media company, or any other perpetrator 
accountable, and ensure our law enforcement agencies have the 
resources they need to address this issue head on, and I think 
there is some--should be some good bipartisan work ahead of us 
on that.
    We also need to reduce the stigma associated with these 
crimes. If you have been scammed, you are not alone. You are a 
victim of a crime. You should not blame yourself. If you have 
been victimized, please report this to our federal agencies 
without shame.
    Without knowing the true scope of this issue, Congress 
can't provide Federal agencies with the resources needed to 
catch these criminals. We would urge people to report the scam 
as soon as possible to the FBI's Internet Crime Complaint 
Center, also known as IC3. That is letter, capital letter I, 
capital C, and the number 3, at ic3.gov, ic3.gov, or to the 
Federal Trade Commission at reportfraud.ftc.gov.
    We will continue to amplify those resources for folks to 
turn to. We also need to support our older adults who have been 
scammed--with regard to the financial and emotional impact that 
we know is profound and the Federal Government should work to 
lessen that blow. Ms. Whittaker's testimony, she just made 
reference to a few moments ago about her husband, ``stopped 
living in a sense.'' It says it all.
    This means that we have got to work together to make sure 
that older adults who have been scammed out of their life 
savings aren't on the hook for the taxes for withdrawals 
associated with the scam.
    I also will move to submit for the record the report that I 
made reference to earlier, Scammed, Then Taxed, which is a 
report about the change in the law that took away that 
deduction, and I will also submit for the record a letter from 
AARP about the repeal of the theft loss provision.
    Both the letter and the Scammed, Then Taxed report will be 
made part of the record, so ordered.
    The Chairman. For those watching today, I want to emphasize 
that the Committee is here as a resource, whether you just want 
to learn more about this problem, or in fact, if you have been 
targeted by a scammer.
    You can access our resources, including the Committee's 
newest Fraud Book with information, tips, and resources, and a 
helpful book bookmark with quick tips via the Aging Committee's 
website at aging.senate.gov/scam.
    I will recite that again, aging.senate.gov/scam. Ranking 
Member Braun will submit a statement for the record and that 
statement will be added to the record, so ordered, when we have 
that statement.
    The Chairman. I want to thank all of our witnesses once 
again for contributing their time and their expertise.
    If any Senators have additional questions for the witnesses 
or statements to be added to the record, the hearing record 
will be kept open until Thursday, September 26th, one week from 
today.
    Thank you all for participating. This concludes our 
hearing.
    [Whereupon, at 11:39 a.m., the hearing was adjourned.]

        Closing Statement of Senator Mike Braun, Ranking Member

    Thank you to our witnesses for sharing your testimonies and 
personal experiences.
    It's crucial that we examine the frauds and scams that 
target older Americans, and how to prevent these crimes through 
education and awareness.
    Highlighting Medicare fraud is particularly important as it 
targets our most vulnerable populations.
    Congress needs to address this with innovative solutions 
like my Medicare Transaction Fraud Prevention Act. Combatting 
fraud is a bipartisan issue.
    I commend local banks, credit unions, law enforcement, and 
senior Medicare patrols for the work they do to prevent fraud 
and scams and educate seniors on what to look out for.
    I appreciate our Committee's focus on this issue. I yield 
back.   
=======================================================================


                               APPENDIX
   
=======================================================================


                      Prepared Witness Statements

=======================================================================

                 U.S. Senate Special Committee on Aging

     "Fighting Fraud: How Scammers are Stealing from Older Adults"

                           September 19, 2024

                       Prepared Witness Statement

                              Kathy Stokes

    My name is Kathy Stokes, and I am the Director of Fraud 
Prevention Programs for the AARP Fraud Watch Network. I am 
honored to be here to testify on behalf of AARP, which 
advocates for the more than 100 million Americans age 50 and 
older. I would like to thank you and the members of the Senate 
Special Committee on Aging for holding this important hearing, 
"Fighting Fraud: How Scammers are Stealing from Older Adults." 
AARP has long worked to educate consumers, support fraud 
victims, and improve fraud detection and prevention at 
financial institutions, and we look forward to working with you 
towards policy solutions to prevent fraud and protect fraud 
victims.

AARP Fraud Prevention Work

    The Fraud Watch Network is AARP's program focused on 
helping our nation's older adults understand the very real 
threat to their financial security that fraud represents.
    We show up in communities around the country through all 
our state offices and their trained volunteer fraud fighters 
spreading the message of fraud prevention. We share robust 
information online at aarp.org/fraudwatchnetwork; we cover the 
issue in AARP the Magazine and the AARP Bulletin - which reach 
tens of millions of readers with each edition; we offer a 
biweekly email or text `watchdog alert' newsletter and we 
produce an award-winning podcast, AARP's The Perfect Scam - in 
the true crime genre but focused on the impact of this type of 
crime on victims and their families. We also offer a variety of 
virtual educational events, from member teletown halls to 
webinars and Facebook live events.
    Beyond education, AARP is unique in its focus on supporting 
victims of fraud and their families. Our Fraud Watch Network 
Helpline receives around 500 calls a day. These calls can be 
from people who simply want to report a scam they've 
encountered but didn't engage with, from people who aren't sure 
whether that Publishers Clearing House letter claiming they've 
won $1 million and a Mercedes is legitimate (it's not), and too 
often, from victims and their family members in the aftermath 
of the crime. We also offer an online victim support group 
program, through which trained facilitators run small group 
sessions to begin to address the emotional impact of fraud 
victimization-helping older Americans rebuild their lives.
    AARP has also been leading an effort to reframe the 
narrative on fraud victimization. Our society tends to treat 
fraud victims differently than other crime victims. We often 
blame them with the language we use: they've been tricked, or 
duped, or fooled, rather than that a criminal has stolen from 
them. We tend to believe that there's nothing law enforcement 
can do because the criminals are abroad. Our narrative change 
movement is rooted in research that shows how our tendency to 
blame fraud victims has served to deprioritize fraud as a 
crime. This must change if we are to meaningfully combat this 
insidious and devastating crime.
    Additionally, AARP has been working as a convener to build 
support for a new nonprofit National Elder Fraud Coordination 
Center (NEFCC), which should launch before year's end. Similar 
to the National Center for Missing and Exploited Children, this 
private/public partnership will focus on sharing information to 
tie cases together for law enforcement investigation and 
prosecution to begin to disrupt the fraud business model.
    NEFCC's origin links to the work of the FBI San Diego 
County Elder Justice Task Force, which has proven the concept 
of gathering data on similar cases to create high-dollar, 
actionable investigations and prosecutions. I'm honored to be 
at this witness table with Deputy District Attorney Scott 
Pirrello from the San Diego DA's office, who directly supports 
the work of the Elder Justice Task Force, especially when it 
has needed local prosecutions to assist federal investigations.

The Fraud Crisis

    The growth in fraud crimes over the past five years has 
been meteoric. For example, published report data from the 
Federal Trade Commission (FTC) shows more than $10.3 billion 
stolen in 2023; the Federal Bureau of Investigation (FBI) shows 
$12.5 billion stolen in 2023; and Javelin Strategy and Research 
found $43 billion in identity fraud scams alone in 2023.
    But these numbers don't begin to tell the true story. In a 
2023 report the FTC submitted to Congress, the agency 
acknowledged the significant problem of under-reporting. Using 
its own estimates of under-reporting, the agency extrapolated 
that money stolen from fraud in 2022 was not the reported $8.9 
billion, but more like $137.4 billion. The agency acknowledges 
a considerable degree of uncertainty with this amount, but most 
fraud experts agree the higher number is likely closer to 
reality than $8.9 billion.
    Fraud criminals know no demographic bounds. They seek to 
steal money and sensitive information from targets regardless 
of age, educational attainment, or socioeconomic status, but 
when they victimize our nation's older adults, the financial 
impact is too often profound and life altering. This stands to 
reason, as older adults are more likely to have accumulated a 
lifetime of savings and are more likely to have housing wealth, 
and too often, the criminals steal everything. The victims are 
emotionally and financially ruined, often their families are 
torn apart, and many are left to rely on already strained 
local, state and federal safety nets.

Why Scams Succeed

    The days of snake oil salesmen and lone grifters have given 
way to transnational organized crime rings with corporate 
offices, employees (often enslaved prisoners forced by physical 
threat to be frontline scammers), lead lists, personally 
identifiable information (PII) from data hacks and breaches, 
scripts, and a playbook of how to turn a fraud target into a 
fraud victim. These criminal enterprises leverage all methods 
of communication and forms of payment along with the latest 
technological advances to commit their crimes at scale.
    But sophistication and scale alone aren't the reasons they 
succeed. The reason scams are successful is largely because of 
how the human brain functions. AARP's own research beginning 
decades ago unveiled what criminal scammers refer to as getting 
their targets "under the ether." They have known since the 
beginning of time that to trigger a heightened emotional state 
is to bypass logical thinking - it is how our brains work.
    What criminals call getting the target "under the ether, 
academics refer to as an "amygdala hijack." The amygdala is the 
part of our brain that processes emotions. When the amygdala is 
hijacked, the part of our brain responsible for logic - the 
prefrontal cortex, is bypassed. It's important to recognize 
that becoming a fraud victim is not the victim's fault. They 
didn't become a victim because of their age, educational level 
or cognitive impairment. They became a victim because of how 
our brains function.
    This message is critical if we are ever to marshal a 
meaningful response to the fraud crisis. Until we all 
understand that fraud victims are crime victims and that they 
aren't responsible for becoming victims, we will fail to 
address this crime for the scourge it is.

Concerning Fraud Trends

    The tactics of fraud criminals range from old school 
(stealing your mail) to high tech (hacks of banks, retail 
chains and other companies that stockpile consumer data). They 
might pretend to be from the government, utility companies, 
banks or big tech firms to steal sensitive personal 
information, or they send phishing emails with links that can 
infect devices with data-harvesting malware. Sensitive 
information is bought and sold among criminals on the dark web 
and via apps, which other criminals then use to better target 
their victims.
    Of the hundreds of fraud types in play, I believe three are 
of particular concern: the tech support scam, the bank impostor 
scam, and financial grooming.

Tech Support Scam

    A tech support scam may originate with a call from someone 
claiming to be with Microsoft or Windows tech support, or via a 
popup window on your device screen. The target is warned that a 
virus has been detected, and to protect their data, they must 
go to a web address or call a provided phone number. 
Inevitably, the "tech support" person convinces the target to 
allow them to remotely access their device, leading often to 
even more complexity to the scam and massive financial losses.
    Helen, from Southern California, told AARP's Fraud Watch 
Helpline that she received a pop-up message on her computer 
screen along with a loud voice warning: "Do not turn off your 
computer!" Helen was instructed to call the phone number on her 
screen, and she soon found herself talking to someone who 
claimed to be a tech support staffer from Microsoft. The fake 
tech support staffer told her that her computer was under 
attack and convinced her to download software that gave him 
access to her computer and its data.
    Helen didn't realize that the "helpful" technician was part 
of a fraud ring, and that the pop up on her computer was a 
fake. He offered to put her through to the security department, 
where someone posing as a bank official told her that hackers 
already were stealing from her account, and she needed to 
quickly move her funds to a new, safe account. Helen followed 
his instructions, withdrawing cash and buying gift cards and 
sending wire transfers and cashier's checks to addresses in 
other cities. Most of her retirement nest egg was stolen before 
a bank fraud investigator intervened, convincing her to speak 
to her family about what was happening.

Bank Impostor Scam

    In this growing scam, a target receives a text message from 
what appears to be their bank, asking them if a certain 
transaction made on their account is legitimate, typically 
requesting a Yes or No response. The target sees a transaction 
they didn't make and responds No.
    A phone call immediately follows, ostensibly from their 
bank. The caller explains that they are their bank's fraud 
investigator, and their accounts are actively being hacked. The 
fake bank investigator then helps the target transfer their 
assets to keep them safe. The ending is always the same; it 
wasn't the person's actual bank and the victim's assets have 
been stolen with little chance of recovery.
    Magis, who reached out to AARP's Fraud Watch Network 
Helpline, experienced this scheme. She was made to believe that 
her bank's fraud investigators were seeking to help her address 
fraud in her accounts. They told her that her stolen identity 
was being used by foreign cybercriminals who used it to buy 
child sexual exploitation materials, murder people, and sell 
body parts. The impact grew to affect her retirement account, 
and more than $1 million was stolen throughout the scam. Magis 
has suffered significant stress and faces the possibility of 
being forced to sell her home and face homelessness.

Financial Grooming

    Romance scams are sadly common, where a victim is 
manipulated over time to believe they are in a deep love affair 
with someone they've met online, only to be crushed when they 
learn it was all a lie and their savings had been wiped out as 
well.
    A burgeoning form of this scam typically begins with what 
seems like an errant text message such as, "Hey Bob, are we 
still on for dinner at 7?" The recipient kindly responds to 
tell the sender they have the wrong person, and that is all it 
takes to build out a conversation, that turns into a friendship 
that becomes a trusted relationship, that leads to a 
devastating investment fraud that destroys victims emotionally 
and financially.
    In this particular scam, there are victims on both ends of 
the crime. Southeast Asian organized crime groups lure 
frontline scammers with fake job offers. Once they arrive, the 
criminals take their passports and force them to phish for 
potential scam victims for endless hours a day under threat of 
violence and even death. This crime is dubbed by the criminals 
who came up with it, Pig Butchering - where they fatten the 
victim before slaughter. The term is so loaded with victim 
blaming that many in this space refer to it instead as 
financial grooming.
    Their targets are groomed over weeks or months and at some 
point, the scammer explains that they have such a great life 
with cars and homes and jewelry because of their investments in 
cryptocurrency - and they can show the target how to trade. The 
scammer convinces the target to access an online or app-based 
crypto exchange and encourages small investments at first. The 
returns entice the target to invest larger amounts and the 
returns continue to grow. When the victim decides it's time to 
cash out, they are told they first have to pay thousands in 
taxes. The victim may even cash out other accounts to pay the 
taxes, only to find that the entire ordeal was built on a 
brutal lie.
    While these cases typically focus on fake investments in 
cryptocurrency, sometimes the commodity is precious metals.

Forms of Payment in Fraud

    Fraud criminals take advantage of about every money 
transfer option to steal from victims. They steal credit and 
debit card information. They convince victims to withdraw 
thousands of dollars in cash and ship it or wait in their home 
until one of the gang members stops by to pick it up.
    They coerce victims into making money transfers from their 
bank accounts or wire transfers from a money service business. 
They take advantage of Peer-to-Peer platforms. As described 
earlier, they coerce victims into converting cash into 
cryptocurrency, and they convince them that purchasing gift 
cards and sharing the information on the back of the card will 
solve the urgent financial matter, and, more recently, they 
convince victims to buy gold bars.
    In gold bar schemes, the criminals may convince victims 
that their financial accounts are under attack and the safest 
course of action is to liquidate the assets and purchase gold 
bars to protect their wealth. Criminals like gold bars because 
they are easy to transfer across state lines, and it's 
untraceable once sold and melted down. Some experts suggest 
that older adults are particularly receptive to gold, and its 
value has risen significantly in the last five years. At last 
look, gold was valued at just over $2,600 an ounce.
    As unlikely as it may seem that these ploys work, it's 
important to keep in mind that the criminals are using how our 
brains function when in a heightened emotional state against 
us.

Generative Artificial Intelligence Poses a Threat, But Guidance 
is the Same

    For all of the promises generative artificial intelligence 
(AI) portends, we ignore its potential for harm at our peril. 
AI is already being leveraged by fraud criminals to turn 
grammatically challenged emails and texts into perfectly formed 
and convincing messages. It's being used to animate still 
images and create videos and websites from whole cloth. We have 
learned that AI is used to target attacks on communities of 
color to affect the appropriate dialect to conduct regionally 
specific phone-based grandparent scams.
    Generative AI is like the industrial revolution for fraud 
criminals. It enables them to make every possible scam far more 
difficult to discern. As scary as this sounds, we seek to 
remind consumers that guidance about scams remains the same. 
Stay in the know on fraud trends and defensive actions you can 
take so you are better able to avoid engaging with them. A Path 
Forward
    It may seem that we are in a fraud quagmire with little 
hope of getting out. There is no single solution, but there are 
roles for each sector of our society that will go a long way to 
turning the tide on the fraud tsunami.
    For individuals, it's taking steps to better protect 
ourselves and our loved ones from fraud attacks. Such actions 
include freezing our credit, using a password manager and 
multifactor authentication, shredding documents, and keeping 
our device operating systems updated to protect against known 
vulnerabilities, putting a freeze on credit reports, and not 
engaging with incoming messages from unknown persons, and share 
what we know. Each of us should make it a point to talk about 
the latest we've heard about fraud with our family members and 
friends. The more we talk about these scams, the better 
protected we will be.
    For educators, it is important that we tell consumers about 
the signs of the latest scams and their red flags, but what if 
we are able to come up with something simpler? If we can train 
our brains on how most scams come at us and what to do when it 
does, we could probably thwart a lot of crime. Most scams come 
as a communication out of the blue that gets us immediately 
into a heightened emotional state and contains urgency. If we 
could train consumers that this scenario is likely a scam, we 
can train them how to react. AARP has been working on this 
concept with input from people around the globe and are hopeful 
something can be accomplished.
    Industry has a critical role to play as well. Financial 
institutions must continue to innovate on fraud controls and 
mitigation. Tech companies must build security into the design 
and manufacture of technology products, so that products come 
to market secure by design and safe by default.
    Industry and law enforcement should champion the success of 
the new National Elder Fraud Coordination Center (NEFCC), noted 
earlier. Even with underreporting, law enforcement is swimming 
in a sea of elder fraud reports. Scarce resources make it 
difficult for investigators to link cases. Jurisdictional 
challenges that come with transnational organized crime 
investigations limit prosecutions. Developing high-priority, 
high-impact cases take time, labor, and analysis. A national 
coordination center like NEFCC, with the leads, the data 
analysts, and the combined resources of the private and public 
sector can overcome these obstacles. In addition to the ability 
to create rich law enforcement investigative packages, incoming 
data from members could offer opportunities to neutralize known 
fraud vectors.
    Indeed, just last week, in a new commentary piece for 
Fortune, Nasdaq Chair and CEO Adena Friedman unveiled new 
research that shows that annual GDP growth in the US would be 
0.5% larger without fraud. Friedman says fraudulent acts too 
often go unnoticed but can be mitigated by better communication 
between the public and private sector. NEFCC marks an important 
and imminent means of producing this coordination.
    Policymakers have an important role to bring the fight to 
fraud crime rings, including legislative solutions such as: 
providing more resources to train state and local law 
enforcement to investigate fraud crimes; reinstating of the 
casualty loss deduction to address the significant tax burden 
that fraud victims face having to also pay taxes on the assets 
that were stolen; limiting the damage of fraud involving 
cryptocurrency ATMs; improving staffing of DOJ's Elder Justice 
Strike Forces; and enhanced efforts such as the National Elder 
Fraud Coordination Center to bring the public and private 
sectors together to build cases for investigation and 
prosecution.

Conclusion

    Addressing fraud requires more than piecemeal solutions; it 
demands a whole-of-society approach. We cannot educate our way 
out of the fraud crisis. Industry cannot mitigate and engineer 
our way out of it. Policymakers cannot regulate our way out of 
it, and law enforcement cannot arrest our way out of it.
    But, together, educators, policymakers, law enforcement and 
industry can turn the tide against the vicious crime gangs who 
hold the power right now. Together, we can disrupt their 
business model, protect millions of consumers, and keep 
billions of dollars in savings and retirement accounts and in 
our economy.
    We thank this Committee for bringing attention to this 
important issue and look forward to working with you to turn 
the tide on fraud criminals.

                 U.S. Senate Special Committee on Aging

     "Fighting Fraud: How Scammers are Stealing from Older Adults"

                           September 19, 2024

                       Prepared Witness Statement

                             Scott Pirrello

    Good morning, Chairman Casey, Ranking Member Braun, and 
other members of the Senate Special Committee on Aging. I 
appreciate the opportunity to share my testimony with you 
today.
    My name is Scott Pirrello. I am originally from Long 
Island, New York and I attended Penn State University. However, 
I am now a career Elder Abuse Prosecutor for the San Diego 
District Attorney's Office. In 2018, I felt a call to action 
after an epiphany that despite being the Elder Abuse Prosecutor 
for our county that I was seeing ZERO elder scam cases come 
across my desk even though I was contacted by dozens of victims 
whenever I was out in the community. When I sought out the 
answer to the question of why I had zero cases, I was shocked 
to learn that hundreds of reports existed, but once local 
police determined that the bad guys were far away overseas, the 
cases were filed away and never submitted to local prosecutors.
    I assumed then, like so many, that certainly someone or 
some agency was in charge of working on these cases, someone 
was caring about all these untold victims, and someone was 
working to stop this problem from happening. I was wrong.
    Right at this moment, there are thousands of American 
seniors all throughout the country being scammed - they are 
grandparents, aunts and uncles, friends and neighbors, 
veterans, best-selling authors, engineers, retired teachers and 
police officers. They are living independent and vibrant lives. 
They still live in their own homes, still drive a car, help out 
their families, and volunteer in their communities. And this 
morning as I testify, they are being terrorized by foreign 
nationals, on the verge of having their lives destroyed and 
forced into financial ruin.
    This morning as each of them logged onto their computers to 
check in on their grandchildren or to glance at Facebook, a 
simple popup message appearing to be from Microsoft may have 
appeared on their computer screen saying that something was 
wrong with their computer and that they needed to call a given 
phone number to fix it. This phone number is often spoofed to 
appear like a number local to the victim. The scammers, often 
posing as helpful Microsoft support folks, then convince those 
seniors to accept a download of a remote access software onto 
their devices, which authorizes a trojan horse to allow the 
scammers to see inside their computer. Next the scammers begin 
to instill fear into their victims by telling the victims that 
their computers have been hacked and their information has been 
used for some horrific purpose, such as to view child sexual 
abuse material, or has been involved in some illegal drug 
cartel activities.
    Once the scammers have access to their devices, the scam 
shifts towards their finances. The fake Microsoft worker tells 
the victim that their financial accounts have also been hacked 
and must be secured. The scammer then transfers the call to a 
"colleague" - another scammer posing as a representative from a 
bank security department, the United States Department of the 
Treasury, Federal Trade Commission (FTC), U.S. Marshalls, or 
any other federal agency.
    The fleecing has begun, and the next ask is a test of 
whether the scammer has the victim hooked or not. The victims 
are instructed to withdraw a high value of money, like $30,000 
or more, from their bank - or they are told to purchase gold 
bars worth $20 to $40 to $60,000. Once the victim has the cash 
or the gold secured, they are instructed to either send cash 
through Bitcoin ATM machines or to package it up in cardboard 
boxes and instructed to either ship it across the country, or 
they are told that a courier posing as a federal agent will be 
coming to their house to pick up the package. This will 
continue until the victim runs out of funds, or until someone 
interferes.
    The scenario I just described is not fictional. This 
narrative is exactly what occurred in our most recent case in 
San Diego last week. A 94-year-old Air Force Veteran lost 
$143,000 in five separate pickups of cash over a two-week 
period. According to the FBI's most recent Elder Fraud Report, 
tech support scams were the most prevalent scams perpetrated 
against older adults.
    Hundreds of thousands of victims from all around the 
country fight through the humiliation and shame these scams 
cause each year, and summon the courage to report what has 
happened to them. They will call their banks and then reach out 
to their local police departments, their local prosecutors 
offices, to the Federal Bureau of Investigation (FBI), FTC, or 
to their State's Attorney General's and Consumer Protection 
Offices, or perhaps they will try to contact the U.S. 
Department of Justice (DOJ)'s Transnational Elder Fraud Strike 
Force, a program highly promoted by the Department of Justice 
as a potential solution to this scam activity. But these 
victims will all be met with the most regrettable answer: they 
will be told, "I'm sorry, but there is nothing that we can do."
    I am here today speaking on behalf of the MILLIONS of 
American elder fraud victims in recent years who have been 
begging their government, local and federal law enforcement, 
and the banking, technology, and retail industries to help 
them. Too many very well intended programs are not implemented 
in a way to truly impact the tsunami of fraud that we are 
facing each day.
    Currently, we are all failing the very people who need us 
the most: older adults - many of whom can't afford to lose 
anything, let alone everything. We are failing in our most 
basic duties to protect those in their golden years who are 
living off the nest eggs they worked for their entire lives and 
who are beyond the ability to rejoin the workforce to make the 
money back. These are lives in ruin.
    Another failure of the status quo is the inability to 
accurately report on Elder Fraud victims and loss amounts. 
Without a mechanism for centralized reporting and accounting 
for all reported cases from all available sources along with 
reasonable estimates for unreported cases, policymakers are not 
making informed decisions on resource allocation. By all 
reasonable measures, the actual amount of losses each year 
attributed to elder scams in this country likely exceeds one 
hundred billion dollars.
    Since 2019, on the backs of a few patriotic former Marines 
working in our DA's office and the San Diego's FBI office, we 
have been working to change this narrative and prove that 
contrary to the strategy of surrender, something COULD be done 
to fight this siege on older adults. To fight the status quo, 
we had to develop methods and strategies to at least mount a 
counterstrike.
    In 2021, under the leadership of San Diego County's elected 
DA, Summer Stephan, our office worked with the San Diego FBI to 
launch a first of its kind Elder Justice Task Force to combat 
elder fraud. While it was previously thought that all 
fraudsters were overseas and out of the reach of law 
enforcement, we have since learned that scammers abroad depend 
on very organized networks of money launderers operating here 
within the United States. There are thousands of criminals 
within these networks who need to be investigated and 
prosecuted, yet there is no effort outside of ours in San Diego 
that is dedicated to focusing on these organizations.
    The San Diego FBI Elder Justice Task Force (or, EJTF) 
brought together partners, including the San Diego County 
District Attorney's Office, the FBI, Adult Protective Services 
(APS), the DOJ, and our local U.S. Attorney's Office, all local 
law enforcement agencies, as well as the San Diego Law 
Enforcement Coordination Fusion Center ("LECC") to work 
together in an unprecedented fashion to connect the dots and 
turn small, local fraud investigations into large scale federal 
investigations and prosecutions. By eliminating the barrier of 
financial thresholds, the success of each of our EJTF 
investigations begins with a single local victim using a 
traditional investigation strategy. Cases are then built 
through collaboration and utilization of all local resources 
from APS and law enforcement, coupled with the FBI's incredible 
capabilities to extend the reach of our investigations outside 
of our county and throughout the United States, when necessary. 
Most of these assets of the EJTF are collocated working out of 
one physical location in San Diego.
    The EJTF is now committed to serving these core functions: 
1) investigating criminal organizations committing or 
facilitating fraud within the United States and holding those 
perpetrators accountable with both state and federal 
prosecutions; 2) regardless of whether a criminal investigation 
or prosecution is occurring, working to recover and return 
funds lost by elder victims wherever possible, including a new 
aggressive effort to use federal seizure warrants to recover 
millions of dollars lost by elder fraud victims; 3) collecting 
and reporting data on the amount of fraud impacting the County 
of San Diego broken down by jurisdiction; and 4) educating the 
community, both public and private sectors, about the current 
greatest threats.
    The San Diego EJTF is the only initiative in the nation 
that is proactively responding to actual elder fraud cases in 
real time because we are tracking each report of fraud in our 
county collected by local law enforcement, FBI's IC3.gov 
database, and APS. We are talking every day to new victims and 
learning about the new scams and tactics the scammers are using 
to hook victims. This constant, real-time review of scam 
reports enables us to lead other agencies, localities, and 
states when it comes to identifying new scam trends and 
understanding how these transnational criminal organizations 
are functioning.
    For instance, we have identified tech scams originating in 
Indian Call Centers as the greatest current threat to our 
seniors in San Diego and around the country. These scams are 
facilitated by money laundering cells, primarily made up of 
foreign actors, who are dispatched from a regional hub, as 
couriers, to pick up millions of dollars in scam payments.
    In the past two years, the San Diego EJTF has worked to 
disrupt these networks. We have paired local investigators and 
APS workers with FBI agents to target these networks and we 
have had success: we have arrested over a dozen of these 
couriers. We are now routinely filing state prosecutions on 
these couriers, which have resulted in several federal 
indictments, including July's indictment by the US Attorney's 
Office in San Diego of a money laundering ring responsible for 
receiving stolen funds from over 2,000 victims totaling $27 
million in elder fraud losses.
    Despite these successes, the data is astonishing and shows 
how much work there is still to be done. In our county, we were 
shocked to see that the amount of losses doubled from 2022 to 
2023, with $98 million from elder victims lost in 2023. Even 
more shocking is the reality that despite our progress, we are 
only able to work on one tenth of one percent of the cases we 
see.
    Investing in education, as well as funding task forces like 
the EJTF, are critically important components in this fight 
against scammers. Both must be funded adequately. However, we 
cannot educate ourselves out of this problem nor can we 
prosecute our way out of this problem.
    The only approach that could truly bend the curve resulting 
in more victims and losses each year will be a holistic whole 
of nation strategy, similar to what has been assembled in the 
United Kingdom and Australia in recent years, to identify every 
opportunity both upstream and downstream of the scam and work 
to stop the threats. This approach will ultimately eliminate 
the scammers' ability to attack our seniors on the technology 
we depend on, make the fleecing of financial accounts more 
difficult to accomplish, and provide support to the countless 
Americans who have reported their cases but have never heard 
back from a single person.
    The cause of fighting Elder Fraud does not have a face. It 
is too siloed and unorganized. The U.S. Senate Special 
Committee on Aging should take this opportunity to lead and 
work with all relevant decisionmakers to urgently ensure that 
not one more victim falls prey to these scams. Through my work, 
I have seen that our goal should be loftier than creating 
programs, accumulating data, and writing reports. We can stop 
this problem entirely and I'm dedicated to joining the 
Committee in this fight. Every single one of us can do more for 
these victims, especially for the vibrant grandmother or 
grandfather who is going to wake up tomorrow to a popup ad from 
a scammer on their computer. What will be our answer when that 
victim calls us for help?

**For reference, I will direct you to a submission for the 
record prepared by another leading advocate in this cause, Ken 
Westbrook. Mr. Westbrook retired after 33 years in the CIA and 
is currently the Chief Executive Officer of the Stop Scams 
Alliance. The Stop Scams Alliance has highlighted the success 
of other countries, like the United Kingdom and Australia, at 
stopping scams at the source, and shown how the United States 
can model these successes.

                 U.S. Senate Special Committee on Aging

     "Fighting Fraud: How Scammers are Stealing from Older Adults"

                           September 19, 2024

                       Prepared Witness Statement

                             Susan Whitaker

    Chairman Casey, Ranking Member Braun, and Members of the 
Senate Special Committee on Aging, thank you for inviting me 
here today to share my story. My name is Susan Whittaker. I am 
an Administrative Assistant for the Executive Director of 
Lehigh County Aging and Adult Services in Allentown, PA. I have 
been in my current position for four years. My previous 
employment was for 45 years at The Morning Call, our local 
newspaper, and a subsidiary of Tribune Publishing.
    I am presenting testimony today because my late husband, 
Bill, was the victim of a scam. I will also share the steps I 
took once I knew the scam had happened, and the unavailability 
of the bank we entrusted with our personal account and the 
business account.
    It was a Tuesday night and when I got home, Bill was more 
quiet than normal. I thought he was just having an off day. He 
didn't talk a lot the next few days. Bill suffered from 
dementia and Alzheimer's, diabetes, congestive heart failure, 
pulmonary embolisms, neuropathy, and gout. At the time of the 
scam he was 75. Although Bill had sold his business, Bill 
Whittaker & Son Construction LLC, to his son, Bill stayed on as 
the office manager. He took care of ordering materials, making 
payments, and submitting payroll-all the office 
responsibilities. As the week went on, Bill seemed to be 
quieter and not talking about anything; he seemed worried.
    On Friday night when I came home from work, he started to 
tell me what had happened. He told me he received an email from 
QuickBooks, which was used to manage bookkeeping for the 
business. The email said that the business account had been 
charged $499 for an upgrade. He said he didn't order the 
upgrade. He contacted what he thought was QuickBooks at that 
point. This person told Bill that in order for him to refund 
Bill's money, Bill needed to first pay him $500 and then 
"QuickBooks," who was really the scammer, would send it right 
back to him via another payment platform. He was told not to 
share this with anyone because then he would not be able to get 
his money back.
    Bill was instructed to install an application on the 
computer so he could transfer the funds directly into the 
scammer's checking account. He walked Bill through step by step 
on what he needed to do to give the scammer online access to 
install the software. Bill also scanned and sent him a copy of 
his Social Security card and driver's license. Once everything 
had been setup, the scammer had Bill set up a Venmo account. 
Finally, he showed Bill how to transfer the $500 via Venmo. 
Because the scammer had access to the computer, as Bill was in 
the middle of typing the number 500, the scammer took control 
through the software and added an extra zero to the $500. Now 
the transfer was for $5000. He started yelling at Bill for 
making the error, when in reality Bill had not made a mistake. 
He then told Bill, "Look what you've done." He said that now 
Bill needed to send him $5000 in order for him to send back the 
$5000.
    That Friday night when I spoke with Bill, he shared with me 
that now, in addition to the $499 initial fraudulent upgrade 
fee that needed to be refunded to the business account, this 
individual now owed us money from our personal accounts, due to 
the numerous Venmo transfers. Bill said that this individual 
would be calling him back that night at 6pm. The phone rang 
promptly at 6pm. This time, I answered the phone.
    The scammer on the other end of the phone was totally 
surprised to hear someone other than Bill. I asked him to 
explain the situation we were in. He walked me through all of 
the charges and Venmo transactions and I questioned his logic 
and the process he had put Bill through. At this point, I knew 
it was a scam, but I asked him to please check with his boss. 
He said he would call me back, and I told him I would be 
waiting for his call. At this point, I wasn't even sure how 
much money had been taken from our personal account and the 
business account.
    While waiting for a call back, I shut down the MAC and 
booted it back up. I created a new login account and deleted 
the old information. I found the software, which had been 
installed, and uninstalled it and changed the settings the 
scammer had set. I also contacted our bank, Truist, through 
their customer service department. I wanted to put a hold on 
both accounts to stop the money from being transferred. Since 
it was after 6pm, customer service was closed until Monday 
morning at 8am. Then I called their fraud phone number. They, 
too, were closed until Monday morning at 8am. Fortunately, we 
knew the bank manager at the local branch. Bill called him and 
asked for his help. He said he would do what he could, but 
wasn't sure he would be able to get any money back or stop any 
transfers. There never was a call back from the scammer.
    Monday morning, while I was at work, Bill called local law 
enforcement. They spoke with him, and said they would be in 
touch with the bank and would work with them. The person Bill 
spoke with was very kind and patient. During that time, I put a 
stop on all credit reporting, a hold on all accounts and called 
the Truist headquarters in North Carolina. I never did get to 
talk to anyone there.
    In the end, the scammer took a total of $28,000 from us. 
However, the bank, along with law enforcement, recovered $8,000 
of the money taken from our accounts. Because I acted so 
quickly, they were able to stop these funds before they were 
dispersed. Despite this, we still lost a total of $20,000-
$10,000 from our personal accounts and another $10,000 from the 
business account.
    This scam was devastating and had a devasting effect on 
Bill-both financially and emotionally. Because we lost $20,000, 
and Bill had a lot of chronic health conditions, Bill began to 
ration his medications. We just couldn't afford them anymore. 
Bill also felt responsible and felt he owed it to his son to 
repay the money. He kept saying he was sorry and that he was so 
stupid. He asked how could he make such a stupid mistake. I 
assured him that he was only trying to save the business $499, 
and that he didn't do anything wrong. For several days, he was 
very quiet. After the scam, Bill would not answer the phone 
unless he knew the phone number and he would not open his email 
until I reviewed it. In addition to not answering emails or 
phone calls, Bill started to doubt himself in everything he 
needed to do. His son no longer allowed him to do any office 
work and so Bill lost his job. He also lost his sense of self-
worth. I was really sad to see this very intelligent and past 
business owner, become so afraid to read emails and use a 
phone. It was a huge setback for him, and I think contributed 
to his worsening health conditions. One thing that I learned is 
that any event such as this has a devasting effect on the 
victim regardless of the situation and the scam.
    Thank you.

                 U.S. Senate Special Committee on Aging

     "Fighting Fraud: How Scammers are Stealing from Older Adults"

                           September 19, 2024

                       Prepared Witness Statement

                           Nancy Gilmer Moore

    I would like to thank Ranking Member Braun, Chairman Casey, 
the other witnesses, and all in attendance for giving me this 
opportunity to speak about Medicare fraud and scams that target 
older adults and people with disabilities.
    As the Indiana Senior Medicare Patrol (SMP) program 
director since 2013, I have learned that one of the biggest 
crimes affecting older Americans and people with disabilities 
is Medicare fraud, waste, and abuse. In addition to Medicare's 
own provider-focused fraud prevention units within the Centers 
for Medicare & Medicaid Services (CMS), the U.S. Administration 
for Community Living (ACL) funds and supports the beneficiary-
focused Senior Medicare Patrol (SMP) program. With programs in 
every state, the District of Columbia, Puerto Rico, Guam, and 
the U.S. Virgin Islands, SMP's purpose is to educate 
beneficiaries, caregivers and professionals on how to prevent, 
detect and report Medicare fraud. In 2023, ACL's 54 SMP 
projects had a total of 5,532 active team members who conducted 
22,356 group outreach and education events, reaching more than 
1.2 million people. In addition, the projects had 270,348 one-
on-one interactions with, or on behalf of Medicare 
beneficiaries.
    CMS offers no official estimates of total yearly Medicare 
fraud, but health care experts estimate improper Medicare 
payments are approximately $60 billion per year. The U.S. 
Department of Health and Human Services' Office of Inspector 
General's (OIG) most recent annual report on SMP indicated that 
SMP projects reported more than $111 million in expected 
Medicare recoveries in 2023.The majority of these recoveries 
were the result of a case identified by the Louisiana state SMP 
project where a nurse practitioner was ultimately found guilty 
of billing for genetic tests and durable medical equipment that 
patients did not need and telemedicine visits that never 
occurred..
    Our Indiana SMP uses volunteers and in-kind team members, 
in partnership with most Area Agencies on Aging, four senior 
centers and a Center for Independent Living to help us educate 
people about fraud, errors and abuse in Medicare. Our partners 
give public presentations, exhibit at health and senior fairs 
and provide individual counseling across Indiana. We also 
regularly publish statewide social media updates, share social 
media resources with our local partners, generate earned 
television and print media through relationships we cultivate 
with local investigative reporters, and periodically conduct 
SMP marketing campaigns.
    We also collaborate with organizations through a coalition 
we founded with the Indiana Secretary of State's Office called 
the Indiana Council Against Senior Exploitation, or IN-CASE. 
Members include the Indiana Secretary of State's office, the 
Indiana Attorney General's office, State Health Insurance 
Assistance Program (SHIP), the Social Security Administration, 
the Internal Revenue Service, the Indiana State Police, 
financial institutions, and many others to conduct joint 
presentations about Medicare fraud and other financial scams 
that target older adults. The mission of IN-CASE is to empower 
Indiana communities to prevent and end senior financial 
exploitation and other forms of abuse.
    SMP programs across the country can provide early detection 
and warning of emerging frauds and scams. Here are some 
examples of suspected fraud that the Indiana SMP reported to 
the OIG during the past year:

          In the Intermittent Urinary Catheter fraud scheme, 
most of the beneficiaries noticed billing for urinary catheters 
on their Medicare statements that they and their doctor neither 
ordered, needed nor received. Many were billed for multiple 
months with Medicare paying about $1,500/per month for each 
separate billing. I personally noticed billings for urinary 
catheters on my own Medicare statements for May and June and 
promptly reported the suspicious claims to CMS and requested a 
new Medicare number since mine was compromised. Beneficiaries 
may not regularly read or understand their Medicare statements, 
and therefore may not realize their Medicare number had been 
compromised. They may also not understand the need to report 
the fraudulent billing to CMS. Just last week we received a 
fraud report from a beneficiary who was billed for ostomy 
supplies she neither received, needs nor ordered. Other SMPs 
throughout the nation are just now hearing about this fraud 
scheme as well.

          Another prevalent fraud scheme is genetic testing 
scams where beneficiaries receive a phone call, email or text 
advising that Medicare is providing free genetic testing for 
cancer or heart problems. The caller offers to mail them a 
cheek-swab kit, and either requests their Medicare number or 
asks them to confirm it. In one case, the beneficiary contacted 
Indiana SMP after the scammer called to inform her the swab kit 
was on her front porch, and they could walk her through the 
testing and mailing process. The beneficiary got suspicious and 
fortunately called the IN SMP. As a result, we were able to 
educate this beneficiary, help her report the scheme, and 
request a new Medicare number.

          Durable Medical Equipment (DME) fraud is a perennial 
scam which includes all types of orthotic braces. Beneficiaries 
continue to contact Indiana SMP reporting unsolicited calls 
identifying themselves as representing Medicare with an offer 
of free orthotic braces. The scam often begins with an initial 
contact from a call center, which makes a referral to an 
unscrupulous doctor or telemedicine company, and a final 
referral to a DME provider. The braces delivered are often 
inferior, and the beneficiary's personal doctor is not 
typically notified nor consulted. This fraud scheme is another 
avenue the scammers use to get beneficiaries' Medicare numbers.

          An emerging scam we are seeing throughout the nation 
is beneficiaries receiving calls allegedly from CVS Pharmacy 
requesting they order diabetic supplies or medications they do 
not need. In the cases we have documented in Indiana, the 
caller already has the beneficiary's Medicare number indicating 
that the beneficiaries' Medicare number has likely been 
compromised. Thankfully, none of our Indiana beneficiaries 
impacted by this have noticed any suspicious charges so far but 
we have asked them to keep an eye on their notices to ensure no 
charges pop up. CVS is aware of this scheme and has posted a 
warning on their website.

    The Indiana SMP recommends that all Medicare enrollees and 
their caregivers review their Medicare Summary Notices (MSNs) 
for Medicare fee-for-service or Explanation of Benefits (EOBs) 
for Medicare Advantage plans. Beneficiaries should be on the 
lookout for duplicate billing, services or products not 
rendered or received and services not ordered by their 
physician. We also remind beneficiaries and caregivers that 
they should never give their Medicare number or financial 
information over the telephone to an unknown caller, and that 
Medicare does not make unsolicited phone calls.
    Ensuring the financial integrity of Medicare is essential 
to the millions of Americans who currently depend on it to 
access comprehensive health care services as well as the 
thousands of people who become newly eligible for Medicare 
every day. As US citizens, we all need to become better, more 
conscientious health care consumers and help identify any 
potential improper payments. To that end, we have supported 
Sen. Braun's and this Committee's work to reduce or eliminate 
Medicare fraud. We assisted Sen. Braun's office with 
information and language regarding his Medicare Transaction 
Fraud Prevention Act, which would enhance the Medicare fraud 
prevention system to alert the beneficiary being scammed.
    Thank you for allowing me this opportunity to share my 
experiences with you today.
   
=======================================================================


                        Questions for the Record

=======================================================================
     

                 U.S. Senate Special Committee on Aging

     "Fighting Fraud: How Scammers are Stealing from Older Adults"

                           September 19, 2024

                        Questions for the Record

                              Kathy Stokes



                       Senator Kirsten Gillibrand

Pre-Election Scams

    In the leadup to local, state and national elections, 
phishing attempts generally tend to increase. Scammers will 
circulate emails, text messages, social media messages, and 
phone calls pretending to be election authorities, campaigns, 
or even candidates themselves, in an attempt to deliberately 
misinform voters, extract sensitive personal information from 
them, or link them to malicious websites.

    Question:

    What sort of phishing tactics should older Americans be on 
the lookout for as they prepare to vote this November?

    In what ways can we prevent older Americans from being 
scammed by these increased phishing attempts that soar every 
election year?

    Response:

    Criminals often take advantage of current events to steal 
money or personal information from people. For example, during 
tax season, we see an increase in tax and IRS impersonation 
scams. These can very convincingly mimic the real IRS. At the 
holidays, as people are buying more gifts, we see an increase 
in holiday-related scams, such as shopping and gift card scams. 
Similarly, around elections we may see a variety of election-
related scams, such as voter registration scams, AI-generated 
content designed to mislead voters, donation scams, and fake 
polls. A search of AARP's scam map shows additional examples of 
scams in this space: https://www.aarp.org/money/scams-fraud/
tracking-map/.
    While there are many different types of scams, there are 
similar indicators across all scams. Key indicators of fraud 
include contact initiated by another party out of the blue and 
requests for personal information or money, often combined with 
a sense of urgency designed to make victims overlook signs that 
the request may not be legitimate. We tell consumers that they 
must always be on the lookout for scams and verify any 
information that you receive unsolicited. Our advice to 
consumers is to never respond to text messages, phone calls, or 
emails from unknown parties and to go to the purported source 
of information directly to verify it. AARP's Fraud Watch 
Network Helpline is a free resource to anyone who has questions 
about fraud. We speak with people who have been the victim of 
fraud, know someone who has, or need more information to help 
them determine whether something is fraud.

                 U.S. Senate Special Committee on Aging

     "Fighting Fraud: How Scammers are Stealing from Older Adults"

                           September 19, 2024

                        Questions for the Record

                             Scott Pirrello



                       Senator Kirsten Gillibrand

Financial Security on Digital Payment Apps

    Popular digital payment apps, like Venmo, PayPal, and Cash 
App, are increasingly being used as substitutes for a 
traditional bank or credit union account, yet they lack the 
same deposit insurance and protections against fraud that 
traditional banks and credit cards employ.

    Question:

    How can we improve consumer safeguards to reduce financial 
loss among older adults?

    To what extent would it be useful to establish standards 
for these digital payment companies to provide the same 
protections against fraud that banks and credit cards employ?

Scam Reporting Improvements

    Data about the extent to which frauds and scams occur in 
the United States is imprecise due to the lack of a centralized 
reporting network and chronic underreporting.

    Question:

    How can we improve data collection on frauds and scams, and 
in what ways would a centralized reporting database assist in 
better identifying, addressing, and preventing the scams 
experienced by older Americans on a daily basis?

    Response:

    It was an honor to be invited to testify last month at the 
U.S. Senate Special Committee on Aging's hearing on "Fighting 
Fraud: How Scammers are Stealing from Older Adults" held on 
September 19, 2024. I was proud to represent the San Diego 
District Attorney's Office and San Diego's Elder Justice Task 
Force.
    I am following up on your request for written supplemental 
materials on the topic of holding Bitcoin ATM Machine Companies 
accountable for the hundreds of millions of dollars in fraud 
that is being facilitated on their machines. The ideas below 
are some of the leading ideas being discussed amongst the group 
of advocates and experts in the area of elder fraud.
    Bitcoin ATM Companies can be more accountable and elder 
fraud victims can be saved from losing their life savings by 
adopting legislation that could focus on the following areas:

    I. Preventing victims from conducting transactions on these 
machines at all;
          a. Consider banning of Bitcoin ATM machines entirely 
like the UK and Singapore already have (please see attached 
articles);
          b. Transaction Limits. California recently enacted 
Assembly Bill 401 limiting transactions to $1,000 per day, per 
customer, and takes effect January 1, 2025. This will have a 
substantial impact and should be a model for the rest of the 
country although we are already seeing our scam victims driving 
from store to store using many machines instead of just one;
          c. Increase warnings and ensure victims are 
acknowledging the warnings. ATM companies rely on compliance 
with "Know Your Customer" (or "KYC") policies as their main 
safeguard for victims because ATM machine users need to scan 
their driver's license on the machine before conducting a 
transaction. ATM machines offer warning screens for consumers 
but the warnings are oversimplified and ineffective. When the 
KYC reveals users of advanced age, there could be even 
additional warnings;
          d. Enlisting store clerks to help shut down this 
activity if they take on the responsibility of hosting a 
machine in their business. Most business locations that operate 
a Bitcoin ATM machine are convenient stores, liquor stores, and 
smoke shops. ATM Companies pay these stores a fee to install 
machines in the stores and then a monthly stipend to keep them 
there. Store managers often tell us they see nothing but 
seniors walking up to these machines and don't know that they 
need to intervene. If vendors and store clerks were required to 
complete trainings on spotting and stopping victims, especially 
elderly people using machines under duress, perhaps paid for by 
the ATM machine companies, then our store clerks would know 
questions to ask a senior who appears to be out of place and 
under duress trying to conduct a transaction at these machines, 
just like a bank teller would;

    II. Slowing down the transactions so that victim's funds 
can't be converted instantaneously into Bitcoin and transferred 
across the globe in mere seconds;
          a. A holding period or delay of time similar to the 
wait required for funds to clear after a large bank deposit or 
wire transfer would significantly impact the ease in which 
victims are fleeced of their savings using these machines by 
allowing time for intervention;

    III. Creating civil liability causes of action for victims 
to pursue ATM operators if they do not comply with minimum 
rules;
          a. Creating a cause of action for customers to pursue 
ATM companies for failing to comply with certain safeguards 
would create accountability.

    Overseas scammers are more frequently using Bitcoin ATM 
machines as a primary method to get money from elder victims 
here in California and around the country. According to the 
attached article published by the FTC just last month, American 
consumers fed over $110 MILLION in cash into these machines in 
2023 instantly losing their well-earned nest eggs.
    Elder victims are routinely coerced to drive to convenient 
stores, liquor stores, or smoke shops to locate a Bitcoin ATM 
machine and feed their cash into it. The cash put into the 
machines is used to purchase Bitcoin converting the cash into a 
virtual Bitcoin wallet that the scammers overseas can 
immediately access and liquidate by transferring the funds onto 
another Bitcoin wallet that is held on a foreign exchange 
beyond the reach of United States Law Enforcement and legal 
process.
    Because of the nature of these transactions where United 
States currency is converted to Bitcoin currency, law 
enforcement's frustration is growing because we cannot seize 
the cash from these machines even after a fraud is reported and 
search warrants are obtained. The cash sitting in the machine 
does not represent the victim's stolen money any longer but 
rather are the proceeds of a currency conversion transaction 
and is the legal property of the ATM company at that point. Law 
enforcement attempting to impound victim's money from these ATM 
machines risk a civil lawsuit under the theory of conversion 
and so several reports exist around the country, including our 
own attempts in San Diego, where victim's money is initially 
rescued but ultimately has to be returned to the ATM company 
that facilitated the fraud in the first place.
    In addition to the ideas proposed above and the attached 
Data Spotlight by the FTC, I am also including some additional 
articles and references to assist the Committee in your 
consideration. As cited in my oral and written testimony, 
countries like the UK, Australia, and Singapore are showing how 
government action and a whole of government strategy can 
actually bend the curve and actually reduce scam activity.
    Thank you again for the opportunity to participate in this 
critically important dialogue on combatting elder fraud.
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT]

                 U.S. Senate Special Committee on Aging

     "Fighting Fraud: How Scammers are Stealing from Older Adults"

                           September 19, 2024

                        Questions for the Record

                             Susan Whitaker



                       Senator Kirsten Gillibrand

Scam Reporting Improvements

    Data about the extent to which frauds and scams occur in 
the United States is imprecise due to the lack of a centralized 
reporting network and chronic underreporting.
    A consumer fraud survey conducted by the FTC suggests that 
less than three percent of individuals who experienced a fraud 
or scam reported it to a government entity.

    Question:

    Why do you think the vast majority of people do not report 
experiencing a fraud or scam?
    Response:

    I think people do not report experiencing fraud or scam 
because they are embarrassed to tell anyone. They are older and 
have worked hard for their savings. To have it taken away from 
them by a stranger is humiliating. They do not want family and 
friends to make fun of a mistake they made. (I know this from 
experience. It is a joke to those not effected, but hurtful to 
the person who experienced the fraud.) Also, for the most part 
people in general see the good in others. This allows us to 
trust those we shouldn't trust.

    Question:

    Did you or your husband have any reservations in reporting 
the scam he experienced?

    Response:

    Bill had reservations. He had been told if he tells anyone, 
he would not get his money back. He also did not want anyone to 
tell him he had made a mistake. He was embarrassed and 
humiliated. He did ask me to not tell anyone of the kids. I had 
no reservations as I knew this would be the only way to stop 
more money from being taken. The information shared at work and 
the training provided taught me that reporting the fraud is the 
only way to catch the scammers, to help to keep it from 
happening to other people.   
      
=======================================================================


                        Statement for the Record

=======================================================================

                 U.S. Senate Special Committee on Aging

     "Fighting Fraud: How Scammers are Stealing from Older Adults"

                           September 19, 2024

                        Statement for the Record

                   America's Credit Unions Testimony

    On behalf of America's Credit Unions, I am writing 
regarding the Committee's hearing entitled, "Fighting Fraud: 
How Scammers are Stealing from Older Adults." America's Credit 
Unions is the voice of consumers' best option for financial 
services: credit unions. We advocate for policies that allow 
the industry to effectively meet the needs of their over 140 
million members nationwide.
    We thank you for holding this important hearing on how to 
combat efforts targeting older Americans. Credit unions were 
pleased to champion the Senior Safe Act and appreciate its 
passage in 2018, making it easier for credit union employees to 
step in and protect seniors facing financial exploitation.
    Many credit unions have instituted financial education and 
literacy programs aimed at older Americans and their families 
to help educate them about methods of fraud and how to detect 
scams, and credit unions have enhanced their use of AI-driven 
fraud detection systems and devoted significant resources to 
training their staff to recognize signs of elder financial 
abuse, which helps employees intervene to prevent scams from 
progressing. Many credit unions have adopted the trusted 
contact system, which allows elder credit union members to 
designate a trusted individual who can be alerted by the credit 
union in case of suspicious account activity. Some credit 
unions partner with third-party organizations, like Carefull, 
to offer more comprehensive fraud protection services 
specifically designed to monitor and protect older adults' 
finances. These are just some of the ways that credit unions, 
as member-owned institutions, work to protect their members. 
America's Credit Unions also facilitates credit union 
engagement with the National Credit Union Administration and 
the Consumer Financial Protection Bureau's Office of Older 
Americans to share information on trends in elder financial 
exploitation and other resources to help credit unions protect 
their older members.
    Credit unions also invest significantly in both security 
and compliance management systems to prevent unauthorized 
electronic fund transfers (EFTs) and support faster, innovative 
payment options for their members. The credit union industry's 
commitment to relationship banking also gives members 
confidence that if they have a problem, they can count on their 
credit union to make every effort to resolve the issue. This 
emphasis on high touch service means that members will often 
seek and receive the help of their credit union even when a 
transaction primarily implicates the services of a third party 
with which the credit union has no formal, direct relationship. 
Member interaction with such services, particularly nonbank 
payment platforms, can complicate error resolution procedures, 
place strains on a credit union's compliance resources, and 
magnify exposure to fraud.
    These relationships are also important and necessary 
because credit unions are committed to supporting consumer 
payment choice. Many credit unions provide their members with 
peer-to-peer (P2P) payment services as a convenient, value-
added service for which they do not charge exorbitant fees. 
Credit unions are eager to embrace seamless payment 
technologies, but to compete effectively against large banks 
and nonbank financial giants with similar service offerings 
requires a fair regulatory environment. The costs borne by 
credit unions stemming from payments-related fraud are growing 
exponentially and cannot be sustained without limit. Expanding 
the liability for financial institutions for payments-related 
fraud would put a major strain on credit union resources and 
their ability to collaborate with payments platforms and expand 
consumer choice. This is why we strongly oppose S. 4943, the 
Protecting Consumers from Payment Scams Act, and believe it is 
not the correct solution to this problem.
    As member-owned, not-for-profit financial cooperatives, 
credit unions exist to provide credit at competitive rates and 
offer low-cost services that assist their member-owners in 
meeting their individual financial needs. Credit unions support 
efforts to stop fraudulent schemes and invest in robust 
compliance programs to limit this activity, but an expansion of 
credit unions' liability for the misdeeds of fraudulent actors 
would have the unintended effect of limiting consumer choice 
and access to services. Rather than approaches such as S. 4943, 
we believe that legislative efforts are better directed at 
steps to prevent fraud before it occurs, educate consumers 
about fraud and risks associated with unregulated technologies, 
and create a level playing field for currently underregulated 
fintech companies and insured depository institutions.
    Finally, we must also flag our concerns with S. 1838, the 
Credit Card Competition Act, because of the impact it would 
have on the industry's efforts to fight fraud. Proponents of 
this bill say that it targets large banks and will not hurt 
others. They are wrong. The reality is that it will hurt 
community financial institutions and consumers, and we strongly 
oppose this legislation. This bill would require financial 
institutions to allow credit card transactions to be routed via 
an alternative network. Additionally, the bill contains an 
explicit requirement that card issuers enable all types of 
transactions and security protocols, even if a credit union 
finds that these methods are unnecessary, unaffordable, or 
unsecure. Each time a network is added or changed to keep up 
with merchant demands, hundreds of millions of new cards would 
have to be issued which would expose consumers to identity 
fraud through mail theft and increase the cost of the payments 
system.
    Any reduction in interchange fees from this legislation 
would directly affect credit union investment in fraud 
management systems and processes that are dedicated to reducing 
fraud risk in the system-forcing credit unions to increase 
costs to cover these necessary expenses. This would limit 
consumers' choice when it comes to credit cards and would allow 
big box retailers to pick which network will process 
transactions-resulting in the cheapest and least secure 
networks handling consumers' personal financial information. 
Critical consumer protections such as fraud protection could 
disappear by using these third party, less secure networks.
    America's Credit Unions appreciates efforts to promote 
consumer and industry resilience to fraud but urges you to 
reject these two misguided legislative approaches. Credit 
unions are committed to fighting fraud, educating seniors, and 
sharing information necessary to prevent financial crime. 
Ideally, legislative solutions should aim to prevent fraud 
before it occurs and should include bolstering the resources of 
law enforcement, educating consumers about fraud and scam 
risks, and creating a level playing field between insured 
depository institutions and underregulated companies.
    We thank you for the opportunity to share our thoughts on 
this important topic.

    Sincerely,

    /s/
    Jim Nussle, CUDE
    President & CEO

    cc: Members of the Special Committee on Aging

                 U.S. Senate Special Committee on Aging

     "Fighting Fraud: How Scammers are Stealing from Older Adults"

                           September 19, 2024

                        Statement for the Record

                 Defense Credit Union Council Testimony

    On behalf of America's Defense and Veteran Credit Unions 
and our almost 40 million members, I am writing to provide our 
views and comments for the September 19, 2024, Senate Special 
Committee on Aging hearing titled, Fighting Fraud: How Scammers 
are Stealing from Older Adults.
    The Defense Credit Union Council (DCUC) is committed to 
ensuring that our Nation's veterans receive the highest level 
of financial protection and support. As stewards of financial 
wellbeing for military members and veterans, we are deeply 
aware of the growing prevalence of scams that 
disproportionately target these communities. We encourage our 
members to take proactive steps to safeguard veterans from 
falling victim to financial fraud and scams.
    We need to combat scams targeting veterans through robust 
education and awareness programs that continuously develop and 
disseminate educational resources to veterans and their 
families. This ensures they are informed about the latest scam 
tactics and how to recognize fraudulent schemes.
    Many of DCUC's member credit unions offer a variety of 
financial tools and services designed specifically to help 
veterans manage their finances securely. These tools empower 
veterans to protect themselves from fraud by monitoring their 
accounts and making informed financial decisions.
    As part of our mission, DCUC engages in policy advocacy at 
both the state and federal levels to strengthen protections for 
veterans against financial exploitation. We will continue to 
actively support legislation that promotes stricter penalties 
for fraud targeting veterans and advocate for the development 
of stronger consumer protection regulations.
    In addition to prevention efforts, our members are focused 
on ensuring veterans have access to resources for reporting 
fraud and recovering from its effects. Our credit unions 
maintain strong fraud reporting systems and offer personalized 
support for victims of financial scams.
    In addition, DCUC fosters collaboration between financial 
institutions, veteran service organizations, and fraud 
prevention networks. These partnerships enhance our ability to 
create comprehensive solutions that address the unique 
financial challenges faced by veterans.
    Thank you for the opportunity to bring these matters to 
your attention. Should you have any questions or desire 
additional information, please do not hesitate to contact me.

    Sincerely,

    /s/
    Jason Stverak
    Chief Advocacy Officer
    DCUC

    cc: Senate Special Committee on Aging Members

                 U.S. Senate Special Committee on Aging

     "Fighting Fraud: How Scammers are Stealing from Older Adults"

                           September 19, 2024

                        Statement for the Record

                     Stop Scams Alliance Testimony

    The United States must move rapidly to increase our 
defenses against a growing national security threat. Criminals-
principally based overseas-are using increasingly sophisticated 
cyber-based techniques to scam Americans at unprecedented 
levels. A recent Federal Trade Commission report estimates that 
total U.S. fraud losses might now be as high as $137.4 billion 
annually. Losses at this level would exceedenual 
revenue of such corporations as Verizon, AT&T, or Bank of 
America. It would also exceedetal annual budget of the 
Department of Homeland Security.
    According to a poll conducted by Gallup and the nonprofit 
Stop Scams Alliance, eight percent of U.S. adults-roughly 21 
million Americans-were scammed in the past year. That's roughly 
the population of Florida or New York State. In other words, 
more than 57,000 people are being scammed each day in the 
United States. That's 40 victims per minute.

      Scams are Americans' second-highest crime concern (after 
the related crime of identity theft), with 57 percent saying 
they frequently or occasionally worry about it.
      Scams are now among the most common crimes affecting 
Americans, according to Gallup.

    The rate of growth of scams is skyrocketing. According to 
FBI data, there has been a near 15-fold increase in losses 
reported to the FBI since 2014; reported losses ballooned 22 
percent between 2022 and 2023 alone.

[GRAPHIC NOT AVAILABLE IN TIFF FORMAT]

    Meanwhile, government actions in the UK and Australia are 
showing signs of progress in the battle against scams. Both 
countries report double-digit declines in fraud losses in the 
last year or two. The below chart shows that in the UK, fraud 
losses and case volumes have declined since 2021, according to 
the British trade organization UK Finance.
[GRAPHIC NOT AVAILABLE IN TIFF FORMAT]

    The below graphic shows the fraud losses reported to the 
Australian government over the last four years. Australia 
reports a 13-percent decline between 2022 and 2023.

[GRAPHIC NOT AVAILABLE IN TIFF FORMAT]

    Why are Australia and the UK making progress in the fight 
against scams? Both countries have:

      A comprehensive national strategy.
      Someone in charge of implementing the strategy (the Home 
Secretary in the
      UK, the Assistant Treasurer and Minister for Financial 
Services in
      Australia).
      Annual government surveys to measure the extent of 
fraud.
      Centralized fraud reporting.
      A national capability to quickly take down fraudulent 
investment websites.
      Measures to block fraudulent investment advertisements.
      Measures to block spoofed phone calls and text messages.
      Mechanisms for enhanced public-private partnership.
      Nationwide education campaigns.
      New government investment in anti-scam efforts. Each 
country has found
      that the investment of a few hundred million dollars can 
significantly reduce
      fraud losses.

    The United States currently has not taken the above 
measures. That could change with Congressional action.

Recommendations for Congressional Consideration

    It's time to make the fight against foreign organized crime 
gangs a national priority. We MUST:

    1. Create a national strategy to combat consumer fraud

    Congress should prioritize the creation of a national anti-
scam strategy, as a matter of financial stability and national 
security. The strategy should establish a national-level task 
force, clarify authorities about who is in charge in the US 
Government, and include enhanced public-private partnership 
involving the tech, telecom, and financial sectors.
    Resolution of scam issues is complex and cuts across a 
number of US agency and Congressional jurisdictions. We need a 
national strategy that includes a top-down, holistic, across-
the-government approach. Congress recently directed US Treasury 
to do just that:

            Financial Fraud.--The Committee is aware that there 
has
            been an increase in financial fraud related 
activity.
            Accordingly, the Committee urges the Treasury 
Department to
            facilitate a public-private partnership to enhance 
Americans'
            financial security and prevent the proliferation of 
financial
            fraud and scam schemes. This multisectoral, whole-
of-society
            effort should include the relevant Federal and 
State financialK
            regulators, consumer protection agencies, law 
enforcement,
            financial institutions, trade associations, 
consumer and
            privacy advocates, and other stakeholders. This 
public-private
            partnership should encourage information sharing 
among
            participants, develop best practices for relevant 
stakeholders,
            including the larger public, develop educational 
materials to
            enhance awareness of financial fraud schemes across 
sectors,
            share leading practices and tools, and encourage 
innovations in
            counter-fraud technologies, data-analytics, and 
approaches. The
            Treasury Department should report to the Committee 
no later
            than 1 year after enactment of this act on its 
progress,
            including within that report any appropriation or 
statutory
            recommendations necessary for achieving this 
directive.
            (Financial Services and General Government 
Appropriations Bill, 2024,
            S.Rpt. 118-61, July 13, 2023, Cong-Sess:118-1)

    The Senate Special Committee on Aging should engage with 
the Treasury Department to ensure the Committee's views and 
priorities are taken into account.
    Given the severity of the fraud threat, Congress should 
consider creating a permanent caucus similar to the Senate 
Caucus on International Narcotics Control. Such a body would 
help coordinate a holistic response to a complex problem that 
involves many Committees. Congress could also authorize a 
Federal Advisory Committee to create a whole-of-government 
strategy with goals and metrics, drawing on expertise from both 
the public and private sector experts.
    With the proper strategy, we can turn the tide and save 
millions of victims and tens of billions in losses to the US 
economy.her countries like the UK and Australia are showing 
significant success in the battle against scams by using a 
holistic approach to stop scams at the source.e US can do the 
same.

    2. Create a formal mechanism for enhanced public-private 
partnership

    The British government is working closely with the private 
sector, including tech, telecoms and financial institutions. In 
an "Online Fraud Charter" announced in November 2023, large 
tech companies volunteered to take nine major steps to reduce 
fraud on their platforms. If Britain can partner with Google, 
Microsoft, Facebook, and Amazon to fight scams, so can the 
United States.

    3. Measure the problem

    Good public policy requires good data. Congress should 
direct the Census Bureau to add scams to the biannual National 
Crime Victimization Survey so we can accurately count victims 
and losses, and determine the most common threat vectors. The 
last fraud survey conducted by the Justice Department/Bureau of 
Justice Statistics (BJS) was in 2017. Congress must provide the 
funds for annual fraud surveys, which is how the UK and 
Australia collect the appropriate data to craft their anti-scam 
strategies.
    GAO should combine the siloed information on scams 
collected by the US government and create the first-ever 
national estimate of consumer fraud losses. GAO should also 
recommend ways to improve information collection and sharing 
across the government.

    4. Centralize reporting and enhance information sharing

    Centralization and information sharing across government 
and the private sector will help us identify the threats and 
respond. Nine nations around the world now have national anti-
scam centers-why not the United States?
      -A central clearinghouse similar to the National Center 
for Missing and Exploited Children could efficiently collect 
the appropriate data, enable quicker action to help victims, 
and serve as a one-stop shop for educating the public.
      -The PATRIOT Act Section 314(b) must be expanded to allow 
safe-harbor sharing of fraud-related information at scale 
across industries, including the tech, social media, and 
telecommunications sectors. (Section 314(b) currently applies 
only to financial institutions.)

5. A national capability to quickly take down fraudulent 
investment websites

Centralized data collection, plus expanded authorities for law 
enforcement, would allow the US to quickly take down fake 
investment websites, which has proven to be a very effective 
way to reduce fraud losses due to investment scams. The US 
government currently takes down some malicious websites, but 
our process is cumbersome and ad hoc. Meanwhile,
      -The Australian Securities and Investment Commission 
(ASIC) has coordinated the removal of more than 7,300 phishing 
and investment scam websites since July 2023. The result: 
Investment scam losses decreased by 29rcent in the second half 
of 2023. (In the United States, the latest FBI/IC3 report says: 
"Losses to investment scams rose from $3.31 billion in 2022 to 
$4.57 billion in 2023-a 38% increase.")
      -In the UK, most website takedowns are done by the 
National Cyber Security Centre, an arm of GCHQ (equivalent to 
our National Security Agency). UK organizations and citizens 
send 20,000 reports a day of suspicious emails and URLs. The 
result: 235,000 malicious URLs have been removed since April 
2020. Malicious URLs are removed in less than six hours on 
average, and the median uptime for a cryptocurrency scam 
website is one hour, according to NCSC. As a result, the number 
of cryptocurrency scam websites found by the UK government has 
decreased dramatically since 2021.

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6. Reduce fake advertising via improved verification procedures

    Criminals use fake advertising to entice victims to engage 
in fraudulent investments. The US should respond by adopting 
common-sense measures to ensure that financial ads can only be 
placed by legitimate businesses.
      -In the UK, Google says it has seen a "pronounced decline 
in reports of ads promoting financial scams" since 2021. That's 
when Google began requiring financial services advertisers to 
demonstrate that they are on a British government authorized 
list. In 2022, Google announced that it was expanding its 
fraudulent ads policy to Australia, Singapore, and Taiwan.
      -Meta announced in 2024 that in the UK, financial ads 
must be authorized by the UK's Financial Conduct Authority 
before the ad is permitted on Meta's platforms. A similar 
policy is in place in Taiwan as of 1 August 2024. Meta's policy 
includes: insurance products, mortgages, loans, investment 
products and opportunities, and credit card applications.

7. Measures to block spoofed phone calls and text messages

    Congress should direct the Federal Communications 
Commission (FCC) to recommend ways to reduce the ability of 
criminals to pretend to be legitimate US companies. For 
example, 12 countries-including the UK and Australia-block 
inbound international phone calls that spoof domestic numbers. 
(Example: A call from India that pretends to be calling from 
Los Angeles.) Because most scams emanate from foreign 
criminals, this measure has achieved significant results. Spain 
has announced that it will soon become the 13th country to 
adopt this common-sense control, which has been proven to an 
effective tool in the fight against scams.
    The Truth in Caller Act of 2009 is antiquated and needs to 
be revised to keep up with the increased threat environment.
      -The Act currently allows spoofing, as long as the 
spoofing is not done for fraudulent purposes, but it is very 
difficult for regulators to determine intent, so the Act is 
rarely enforced. A better approach would be to define certain 
calls as illegal, regardless of intent. Example: calls that use 
a spoofed area code or impersonate a business or government 
agency. (According to the FTC, "Scams that impersonate well-
known businesses and government agencies are consistently among 
the top frauds reported to the FTC.")
      -In addition, the penalties in the 2009 Act have eroded 
with inflation, so they should be increased to deter scammers 
who pretend they are representing reputable companies.

8. Boost law enforcement resources and intelligence priorities

    The UK is adding 400 new investigators and ordering their 
intelligence community to "relentlessly pursue fraudsters 
wherever they are in the world." In the US, because of resource 
constraints, less than 1/10th of 1 percent of fraud cases are 
investigated, according to a report from the Senate Committee 
on Aging. A recent study by Syracuse University shows that 
prosecutions of white-collar crime are down 30 percent from 
levels reported in 2019. US law enforcement clearly lacks the 
resources to keep up with the skyrocketing growth of scams. 
Congress must bolster funding for investigators and provide 
adequate funds to improve scam training for law enforcement 
personnel.

9. Mount a focused government-industry effort to combat the 
"tech support scam"

    Measured by the number of victims, the "tech support scam" 
is the number one scam affecting Americans over the age of 60-
by far. The FBI says that this scam has more than double the 
number of victims than any other scam they measure. The FBI's 
IC3 report says:

          Call centers overwhelmingly target older adults, to 
devastating effect. Complainants over the age of 60 lost more 
to these scams than all other age groups combined, and 
reportedly remortgaged/foreclosed homes, emptied retirement 
accounts, and borrowed from family and friends to cover losses 
in these scams. Some incidents have resulted in suicide because 
of shame or loss of sustainable income. Tech/Customer Support 
and Government Impersonation are responsible for over $1.3 
billion in losses.

    (Total losses, including unreported, are far higher-perhaps 
exceeding $10 billion.)Losses due to tech support/call center 
fraud are skyrocketing-up more than 14-fold since 2018.

[GRAPHIC NOT AVAILABLE IN TIFF FORMAT]

    This scam often begins with a "pop-up" that takes over a 
person's computer. Criminals pose as technology support 
representatives and often gain remote access to victims' 
devices with software that persists for the life of computer, 
which enables revictimization.
    The Committee should request that the Department of 
Homeland Security consult with industry partners and deliver a 
plan to significantly reduce the threat of the tech support 
scam. The scam begins with malicious software that can be 
detected or blocked. The report should also include 
recommendations for reducing the risk imposed by remote access 
software that can be installed with or without a person's 
knowledge and runs without warnings--forever.
    The good news is that we can turn the tide. The UK and 
Australian governments have shown that with an organized and 
adequately-funded approach, the United States would quickly 
save millions of victims and tens of billions in losses to the 
US economy.

                 U.S. Senate Special Committee on Aging

     "Fighting Fraud: How Scammers are Stealing from Older Adults"

                           September 19, 2024

                        Statement for the Record

                       Dr. Stacey Wood Testimony

Introduction:

    Thank you to Chairman Casey and Ranking Member Braun and 
the Special Committee on Aging for the opportunity to provide 
this written testimony.
    I am a board certified, licensed clinical psychologist (CA 
PSY 16805) and hold an endowed chair, the Molly Mason Jones 
Professor of Psychology at Scripps College. I received a B.A. 
in Bio-Psychology from Middlebury College, and a PhD in 
Clinical Neuropsychology from the University of Houston.
    My area of research broadly is decision making in older 
adults with specific application to scam susceptibility across 
the lifespan. I am a member of the National Institute of 
Justice's study section panel on financial elder abuse. 
Furthermore, I have written over 80 publications including 
books, articles, and chapters related to my research on 
decision making abilities across the lifespan, undue influence 
and capacity. My lab's research currently has two major areas 
of focus at present: (1) scam susceptibility, and (2) the non-
economic and emotional impact of fraud victimization on 
consumers.
    I am an active member of the Riverside County Elder Abuse 
Forensic Center (EAFC) and San Bernardino's Adult Protective 
Services (APS) in California. In these roles, I conduct 
interviews and assessments out in the field with older fraud 
victims, draft reports for the EAFC and APS, and when needed 
testify in court. I frequently serve as a court appointed 
Evidence Code section 730 expert for the courts in Southern 
California on issues related to capacity, undue influence, 
conservatorships, fraud and financial elder exploitation. I 
have qualified as an expert in over 50 court proceedings 
including those in state and federal jurisdictions, civil and 
criminal proceedings, as well as FINRA hearings.

Susceptibility to Lottery Type Scam Solicitations:

    About 10 years ago, I started to become interested in why 
older adults were complying with lottery sweepstakes type scams 
which at least to me appeared to be obviously "scammy". Many 
experiments later, we have learned that all consumers can be 
susceptible to these types of scams, although there are 
particular risks for older adults.
    Even today based on 2023 Federal Trade Commission data, 
lottery and sweepstakes scams are the third most commonly 
reported scams. These scams have high compliance rates of 
around 15%, and losses average $800.00. These scams result in 
$210.9 million dollars in annual losses. Moving to individuals 
over 80, sweepstakes / lottery scams are the fourth most common 
scam but the median loss in this population is $5,500./1/ In 
our lab data, we see high compliance rates, closer to 25% with 
our simulated studies with the following factors increasing 
risk of compliance: (1) low education, (2) overconfidence, and 
(3) Bullshxt Receptivity\2\ (rating statements like, "Hidden 
meaning transforms unparalleled abstract beauty" as profound). 
Other groups have noted depression, a negative life event, and 
lower housing wealth as factors\3\. However, the most potent 
predictor in our lab-based studies of compliance has been the 
consumers' in the moment risk assessment where they are asked 
to estimate the risks and benefits of the solicitations offers. 
Consumers are overconfident in their ability to detect risk and 
minimize potential threats while focusing on possible rewards 
in the moment. These findings echo others' work on the role of 
emotional arousal and decision-making that increases scam 
compliance.\4\
---------------------------------------------------------------------------
    \1\ https://public.tableau.com/app/profile/
federal.trade.commission/viz/TheBigViewAllSentinelReports/
TopReportshttps://www.theguardian.com/money/2023/jun/12/older-people-
hired-as-money-mules-by-gangs-as-cost-of-living-crisis-bites
    \2\ Add citation for WHY comply, also our JEP article on scams and 
compliance.
    \3\ Add Deliema 2018. Anderson 2013.
    \4\ Add Kircanski-https:// scholar.google.com/citations? view--
op=view--citation &hl=en&user= vRVx7dgAAAAJ&citation--for-- 
view=vRVx7dgAAAAJ:i2xiXl-TujoC
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    As the Committee may note, none of these factors is 
necessarily overrepresented in older adults. A good question is 
why do older adults lose so much more money / victimization. We 
suspect it relates to scammers' higher efforts to target older 
adults, higher net worth of older adults' accumulated wealth, 
and some increase in compliance once a scammer has developed a 
relationship with the victim. We believe that increased 
education informing consumers that foreign lotteries are 
illegal and structural protections (flagging suspicious bank 
transfers, temporary holds on funds) are needed to address this 
persistent and damaging scam.

Non-Economic and Emotional Impact of Scams on Victims:

    Recent research on the emotional impact of financial fraud 
has consistently found that the victim's perception of the 
emotional impact of fraud victimization is usually more severe 
than the victim's perception of the financial losses across 
fraud types.\5\,\6\ Victims may also report feelings of anger, 
distrust and betrayal.\7\ This is particularly true when 
scammers use the names of trusted institutions such as a well-
respected national company, like Microsoft as is common in tech 
scams as part of the pitch to the senior.
---------------------------------------------------------------------------
    \5\ Modic, D. & Anderson, R. (2015). Its all over but the crying: 
The emotional and financial impact of internet fraud. IEEE Security & 
Privacy September / October 2015.
    \6\ European Commission, January 2020. Survey on "Scams and Fraud 
Experienced by Consumers". https://ec.europa.eu/info/sites/default/
files/aid--development--cooperation--fundamental--rights/ensuring--
aid--effectiveness/documents/survey--on--scams--and--fraud--
experienced--by--consumers-----final--report.pdf
    \7\ Spalek, B. (1999). Exploring the impact of financial crime: A 
study looking into the effects of the Maxwell Pensioners. Int R 
Victimology, 1999, Vol. 6 pp 213 - 230.
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    Victims who are confused about the details of fraud are far 
more likely to report non-financial costs such as stress and 
health problems as a result.\8\ This is often the case as 
scammers will try to confuse victims, implicating multiple 
companies or banking institutions in the pitches.
---------------------------------------------------------------------------
    \8\ FINRA (2015). Non-Traditional Costs of Financial Fraud.
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    Financial fraud victimization has been linked to poor 
health, poor sleep and poor quality of life.\9\ Common symptoms 
after a financial setback are stress, anxiety, worry, 
rumination, and lack of sleep.\10\,\11\,\12\ There is some 
indication that when funds are restored, stress decreases and 
health may improve.
---------------------------------------------------------------------------
    \9\ Zunzunegui, M.V. (2017). Financial Fraud and Health: The Case 
of Spain. GAc Sanit. 2017; (31(4) 313-319.
    \10\ Button, Lewis & Tapley (2014). Not A Victimless Crime: The 
Impact of fraud on individual victims and their families. Security 
Journal, 27(1), 36-54.
    \11\ Freshman, A. (2012). Financial Disaster as a Risk factor for 
Post-traumatic stress disorder: Internet survey of Trauma in Victim of 
the Madoff Ponzi Scheme. Health & Social Work. 2012 FEB; 37 (1): 39-48 
DOI 10.1093/hsw/ls/002.
    \12\ Ganzini L., McFarland, B. & Bloom, J.D. (1990). Victims of 
Fraud: Comparing Victims of White Collar and Violent Crimes. Bull Am J 
Psychiatry Law, Vol. 18, No.1. pp 55 - 63.
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    Feeling foolish, humiliation, embarrassment, and self-blame 
result in secondary victimization among fraud victims and 
decreases their willingness to report fraud. Secondary 
victimization, resulted from self-blaming, impacts subsequent 
decision-making and shakes confidence.\13\ These events 
ultimately cause a decrease in confidence in consumers' general 
financial decision making who feel that they can't trust 
themselves and fear making another mistake. I have had several 
victims say something like, "I can't make another mistake" and 
choose to do nothing with their remaining funds and push away 
helpful others.
---------------------------------------------------------------------------
    \13\ Modic, D. & Anderson, R. (2015). Its all over but the crying: 
The emotional and financial impact of internet fraud. IEEE Security & 
Privacy September / October 2015.
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    There are also additional non-economic aspects of 
victimization, including the time and hassle it can take to 
report and address the issues and additional expenses. As we 
can probably all relate, it takes time to report fraudulent 
charges and monitor that funds have been returned. Elder fraud 
victims have also reported to me their distress at decimated 
FICO scores that were built up over a lifetime of prudent 
behavior. Because scammers may coach victims to tap retirement 
funds, there can be severe tax implications resulting not only 
in a devastating loss, but also debt with additional taxes due 
to the IRS.
    Older adults in particular are vulnerable to these impacts 
as they often live on a fixed income and cannot recover 
financially in the same way that a younger adult can recover 
from financial setbacks leading to overall reduced quality of 
life. It is not realistic for many older adults to return to 
work to make up for the lost funds. Because of the decreased 
time horizon for older adults (less time to recover), financial 
exploitation can have a larger impact on seniors and result in 
increased worry and fear of living in diminished circumstances 
as an elderly person. These circumstances can tap into deep 
seated fears of older adults who grew up during the depression 
and lived frugally and worked hard to avoid poverty in late 
life only to face a devastating financial loss later in life.
Acknowledgements

    I would like to thank my collaborators, Yaniv Hanoch, 
Marian Liu, and David Hengerer for their contributions to this 
program of research as well as the many undergraduate lab 
members at the Wood Neuropsychology of Decision-Making Lab of 
Scripps College. I also want to acknowledge the work of the 
Riverside County Elder Abuse Forensic Center and San Bernardino 
Aging and Adult Services for their leadership in the community 
on this issue.

                              [all]