United States v. Neba

• Decision Date: 16 August 2018
• Docket Number: No. 17-20520,17-20520
• Citation: 901 F.3d 260
• Parties: UNITED STATES of America, Plaintiff - Appellee v. Marie NEBA, Defendant - Appellant
• Court: U.S. Court of Appeals — Fifth Circuit

901 F.3d 260

UNITED STATES of America, Plaintiff - Appellee

v.Marie NEBA, Defendant - Appellant

No. 17-20520

United States Court of Appeals, Fifth Circuit.

FILED August 16, 2018

Michael F. Murray, Ellen R. Meltzer, Esq., Special Counsel, U.S. Department of Justice, Jeremy Raymond Sanders, Trial Attorney, U.S. Department of Justice, Criminal Division, Fraud Section, Washington, DC, Carmen Castillo Mitchell, Assistant U.S. Attorney, U.S. Attorney's Office, Southern District of Texas, Houston, TX, for Plaintiff - Appellee.

Michael John Khouri, Esq., Khouri Law Firm, A.P.C., Dallas, TX, for Defendant - Appellant.

Before JOLLY, JONES, and HAYNES, Circuit Judges.

HAYNES, Circuit Judge:

Marie Neba was convicted in a jury trial of numerous offenses related to Medicare fraud perpetuated by herself and her husband through their jointly owned company. The district court sentenced her to 900 months in prison, followed by a three-year term of supervised release. On appeal, Neba challenges her sentence on two bases: (1) the sentence was unreasonable by being greater than necessary to comply with 18 U.S.C. § 3553(a) ; and (2) the sentence was grossly disproportionate to her conduct in violation of the Eighth Amendment. Neba also argues that the district court erred in failing to grant her third motion to substitute counsel. We AFFIRM.

I. Sentencing

We first address Neba's two arguments related to her sentence. Because Neba did not object to either her presentence report or her sentence, we review for plain error. United States v. Heard , 709 F.3d 413, 425 (5th Cir. 2013). Under plain error review, Neba must show: (1) "an error or defect ... that has not been intentionally relinquished or abandoned"; (2) a legal error that is "clear or obvious, rather than subject to reasonable dispute"; (3) that the error "affected the appellant's substantial rights"; and (4) that the error "seriously affect[s] the fairness, integrity or public reputation of judicial proceedings" such that this court should exercise its discretion to remedy the error. United States v. Escalante-Reyes , 689 F.3d 415, 419 (5th Cir. 2012) (en banc) (alteration in original) (quoting Puckett v. United States, 556 U.S. 129, 135, 129 S.Ct. 1423, 173 L.Ed.2d 266 (2009) ).

A. Procedural and Substantive Reasonableness of the Sentence

Neba first argues that her sentence was greater than necessary to comply with the § 3553(a) sentencing factors. To determine if a sentence was indeed reasonable, we use a bifurcated review process. United States v. Scott , 654 F.3d 552, 554–55 (5th Cir. 2011) (citing Gall v. United States , 552 U.S. 38, 128 S.Ct. 586, 169 L.Ed.2d 445 (2007) ). For the first consideration,

We ... determine whether the district court committed any significant procedural error, such as: "(1) failing to calculate (or improperly calculating) the applicable Guidelines range; (2) treating the Guidelines as mandatory; (3) failing to consider the [ ] § 3553(a) factors; (4) determining a sentence based on clearly erroneous facts; or (5) failing to adequately explain the chosen sentence, including an explanation for any deviation from the Guidelines range."

Id. at 555 (quoting United States v. Armstrong, 550 F.3d 382, 404 (5th Cir. 2008) ). If there was no procedural error, we then reach the second consideration, which is "the substantive reasonableness of the sentence, considering the factors in [ ] § 3553(a)." Id. (quoting United States v. Gutierrez-Hernandez, 581 F.3d 251, 254 (5th Cir. 2009) ). A sentence within a properly calculated Guideline range is presumptively reasonable. United States v. Alonzo , 435 F.3d 551, 554 (5th Cir. 2006).

Although Neba characterizes all of her § 3553(a) challenges as substantive reasonableness challenges, the issues she raises are related to (1) the district court's alleged belief that it was required to sentence her to the statutory maximum and (2) the district court's consideration of her arguments for a downward variance. These are procedural challenges. See id.

Neba's Guidelines range provided for up to a life sentence, limited to 900 months as the statutory maximum. Thus, her 900-month sentence was within the Guidelines range. Nonetheless, Neba maintains that the sentencing court mistakenly believed that it was required to sentence her to the statutory maximum, ignoring her arguments that she would be sufficiently punished by a lower sentence.

There is no indication of a mistaken belief on the part of the sentencing court that it was required to sentence Neba to 900 months. Neba points to the court's statement that the most important factor in determining the sentence was that the Guidelines recommended a life sentence. Stating that something is a "factor" does not mean, or even imply, that the judge considered it a mandate. The sentencing court reviewed the presentence report during sentencing and listed a number of "factors" that went into the sentencing decision, including Neba's "role in the offense, the amount of loss attributable to [Neba] compared to others, obstruction of justice, aggravating role enhancement, and most importantly, the [G]uideline range of life." Moreover, the court noted Neba's primary arguments for a downward departure—her three minor children at home and her recent breast cancer

diagnosis—just prior to sentencing. The court heard an explanation from the Government explaining why those facts should not affect Neba's sentence. In context, it is clear that the sentencing court considered the appropriate factors, including Neba's arguments for a downward departure, before making its sentencing decision. Therefore, the sentencing procedure was sound, and the procedural challenge fails. Given the deferential review of a within-guidelines sentence, we conclude that the substantive unreasonableness challenge also fails. See

Scott , 654 F.3d at 555.

B. Eighth Amendment

Neba next argues that the district court's sentence violated the Eighth Amendment's guarantee against cruel and unusual punishments, claiming that her sentence was grossly disproportionate to her offense. Separation of powers principles are of particular import in the Eighth Amendment context and caution against finding prison sentences unconstitutional. See Ewing v. California , 538 U.S. 11, 22, 123 S.Ct. 1179, 155 L.Ed.2d 108 (2003) ("[F]ederal courts should be reluctant to review legislatively mandated terms of imprisonment, and ... successful challenges to the proportionality of particular sentences should be exceedingly rare." (quoting Hutto v. Davis , 454 U.S. 370, 374, 102 S.Ct. 703, 70 L.Ed.2d 556 (1982) (per curiam) ) ).

There are two parts to the test to determine whether a sentence is grossly disproportionate in violation of the Eighth Amendment. McGruder v. Puckett , 954 F.2d 313, 316 (5th Cir. 1992). First, we compare the gravity of the crime against the severity of the sentence. Id. Only if the sentence seems grossly disproportionate to the offense do we reach the second step of the analysis and compare the sentence to "(1) sentences for similar crimes in the same jurisdiction and (2) sentences for the same crime in other jurisdictions." Id. Neba fails the first step, so we do not reach the second step.

Here, Neba was convicted of eight counts: conspiracy to commit health care fraud, three counts of aiding and abetting health care fraud, false statements relating to health care matters, conspiracy to pay and receive health care kickbacks, payment and receipt of health care kickbacks, and conspiracy to commit laundering of monetary instruments. For over nine years, Neba participated as a leader in a sophisticated Medicare fraud and money laundering scheme. She defrauded Medicare—a program used to ensure that particularly vulnerable individuals (the elderly and the disabled) are able to afford medical care—to the tune of $13 million. Neba paid illegal kickbacks to physicians, patient recruiters, and Medicare beneficiaries to further the scheme, ultimately claiming fraudulent Medicare benefits for more than 1000 patients. Neba also obstructed justice in the course of the investigation.

Neba argues that her sentence is effectively a life sentence, and a life sentence is disproportionate to a nonviolent, first offense. Neba is currently fifty-four years old. Therefore, a seventy-five year sentence is equivalent to a life sentence. See United States v. Looney , 532 F.3d 392, 395 (5th Cir. 2008) (per curiam). This is particularly apparent given Neba's current medical state. We are sensitive to the fact, as the district court was, that Neba is currently receiving treatment for metastasized breast cancer

. However, that does not change the fact of her crimes, and the legal system mandates that those criminally liable receive just punishments. Here, Neba participated as a leader in a prolonged, extensive Medicare fraud scheme, defrauded Medicare of over $13 million dollars, and procured the involvement of numerous outside individuals to participate in her scheme. Although seventy-five years is a severe sentence, we cannot say that Neba's crime was not grave enough that the sentence is grossly disproportionate to her crime. See Ewing , 538 U.S. at 21, 123 S.Ct. 1179 ("[T]he proportionality principle ‘would come into play in the extreme example if a legislature made overtime parking a felony punishable by life imprisonment ....’ " (internal ellipses omitted) (quoting Rummel v. Estelle , 445 U.S. 263, 274 n.11, 100 S.Ct. 1133, 63 L.Ed.2d 382 (1980) ) ). This is not the "exceedingly rare" case that would warrant a successful Eighth Amendment challenge, particularly on plain error review. The district court did not plainly err in imposing Neba's sentence.

II. Motion to Substitute Counsel

We therefore move to Neba's other argument, that the district court erred in denying her motion to substitute counsel, and in doing so, violated her Sixth Amendment right to counsel of her choice. The standard of review for a district court's decision to disallow...