A physician facing criminal allegations may find themselves dealing with two separate proceedings:

The criminal case AND a Georgia Composite Medical Board matter.

Those proceedings operate under different rules, serve different purposes, and can create very different consequences.

For a Georgia physician, successfully defending the criminal case is critically important—but protecting the medical license may require a coordinated strategy from the beginning.

Does an Arrest Automatically Cause a Georgia Doctor to Lose Their Medical License?

No.

An arrest is an allegation. It is not a conviction and does not establish that the physician committed the alleged offense.

A physician should therefore not assume that being arrested automatically results in suspension or revocation of a Georgia medical license.

But the analysis does not end there.

The Georgia Composite Medical Board has broad regulatory authority over physicians, and criminal allegations can potentially lead to Board scrutiny or investigation depending upon the circumstances.

The Board identifies criminal violations among matters that can warrant formal investigation.

The important distinction is:

An arrest does not automatically equal license discipline—but a criminal case can create a separate licensing problem.

Can the Georgia Medical Board Investigate a Doctor Before the Criminal Case Is Over?

Potentially, yes.

A Medical Board proceeding does not necessarily have to follow the same timeline as the criminal prosecution.

That creates a difficult strategic situation.

The physician may simultaneously have Conaway & Strickler, PC assist with:

prosecutors, agents and investigators and also the the licensing matter requiring interaction with the Georgia Composite Medical Board.

Those proceedings should be coordinated carefully.

Be Careful About Explaining the Arrest to the Medical Board

Physicians are trained to document, explain, and solve problems. After an arrest, that instinct can sometimes create additional risk.

A doctor may want to immediately write a detailed explanation establishing why the allegations are wrong.

That explanation could become important.

But when a criminal investigation or prosecution remains pending, counsel should consider how substantive statements concerning the allegations could affect the criminal case.

The physician may have constitutional protections in the criminal proceeding that do not translate neatly into a professional licensing investigation.

A statement intended to save the medical license should not inadvertently damage the criminal defense.

This is one of the strongest reasons for retaining counsel early on.

What Can the Georgia Medical Board Do?

The consequences of a Board proceeding depend upon the facts, applicable law, and procedural posture.

Potential professional consequences can include conditions or restrictions on practice, probation, suspension, surrender, revocation, and other disciplinary or remedial action authorized by Georgia law.

Not every complaint or investigation results in public discipline.

But once a matter develops into formal public disciplinary action, the consequences may extend beyond the Georgia license itself.

Public discipline can potentially affect credentialing, employment, hospital privileges, other state licenses, malpractice coverage, and future professional opportunities.

Can the Medical Board Act While Criminal Charges Are Still Pending?

The existence of an unresolved criminal case does not necessarily mean that licensing issues must remain frozen until the prosecution ends.

The Georgia Composite Medical Board’s published orders demonstrate that interim restrictions can arise while criminal charges remain pending.

That does not mean that every physician who is arrested will have their license suspended.

The nature of the allegations matters enormously.

A criminal allegation involving medical practice, patient safety, controlled substances, fraud, dishonesty, impairment, or other conduct directly connected to professional responsibilities may present different licensing issues from an unrelated allegation.

The individual facts matter.

What Types of Criminal Charges Can Create Medical-License Problems?

There is no single category of criminal charge that automatically determines the outcome of a Georgia licensing matter.

But allegations that can raise significant professional concerns include:

• health care fraud;
• Medicare or Medicaid fraud;
• unlawful prescribing;
• controlled-substance diversion;
• prescription fraud;
• theft or embezzlement;
• false statements and fraud offenses;
• patient abuse or neglect;
• sexual offenses;
• criminal allegations involving patients;
• offenses allegedly committed through the medical practice; and
• substance-related allegations that raise questions concerning professional practice or patient safety.

The connection between the alleged conduct and the practice of medicine may be particularly important.

What About a DUI Arrest?

A DUI arrest should not automatically be equated with loss of a medical license.

But depending upon the circumstances, a DUI or other substance-related case can raise issues extending beyond the traffic or criminal proceeding.

For example, facts suggesting impairment in connection with patient care or a broader professional-practice issue could create different concerns from an isolated allegation unrelated to medical practice.

The individual circumstances should be evaluated rather than assuming that every DUI produces the same licensing result.

What If the Criminal Charges Are Dismissed?

A dismissal is obviously significant to the criminal case, but physicians should not automatically assume that every licensing issue disappears solely because prosecutors dismiss the charge.

The criminal justice system and professional licensing system apply different procedures and standards.

Conversely, an arrest or allegation should not be treated as proof of professional misconduct merely because it occurred.

Counsel should determine whether a licensing investigation exists and, if so, what steps are necessary to bring it to a favorable conclusion after the criminal matter is resolved.

A Plea Agreement Must Be Reviewed for Medical-License Consequences

This is one of the most important considerations for a physician charged with a crime.

Imagine that the prosecutor offers:

No jail. Reduced charge. Probation. Case closed.

For some clients, that might sound like an excellent resolution.

A physician needs to ask another question:

“What does this plea do to my medical license?”

The exact offense, statutory language, factual basis, plea terminology, and ultimate disposition can potentially affect professional consequences.

The answer should be investigated before the physician enters the plea.

Once a plea has been entered and sentence imposed, attempting to undo an unexpected professional consequence can be considerably more difficult.

Could Medical Board Discipline Affect Hospital Privileges?

Potentially.

A licensing action can create consequences outside the Medical Board proceeding itself.

Hospitals, employers, insurers, and credentialing organizations may have disclosure requirements concerning disciplinary actions.

Certain adverse professional actions may also implicate reporting requirements involving the National Practitioner Data Bank.

This creates a potential domino effect:

Criminal case → licensing proceeding → professional discipline → credentialing or privileges issues.

Avoiding or minimizing that cascade requires thinking several steps ahead. It is important to divulge the arrest and surrounding circumstances on all applications for renewal. Conaway & Strickler, PC can assist with these applications.

What Should a Georgia Doctor Do Immediately After an Arrest?

First, do not assume the criminal case and medical license are separate problems that can be addressed independently.

Before making substantive statements concerning the allegations, the physician should determine what criminal, licensing, employment, credentialing, and reporting obligations may apply.

Physicians should also preserve relevant records and communications and should never alter medical records, create misleading retrospective documentation, destroy evidence, or attempt to influence potential witnesses.

And before accepting any criminal disposition, the physician should understand what that resolution may mean for the medical license.

The Goal Is to Protect Both the Criminal Case and the Medical Career

A physician facing criminal charges has often invested more than a decade in education and training before beginning independent practice.

The consequences of a criminal case therefore cannot be measured solely by the potential sentence.

At Conaway & Strickler, P.C., we understand that representing a physician requires looking beyond the criminal courtroom.

When a Georgia doctor is arrested or placed under investigation, the defense strategy should consider:

the criminal allegations, the Georgia medical license, DEA registration where applicable, hospital privileges, credentialing, federal health care program participation, and the potential long-term impact on the physician’s career.

Georgia Doctor Arrested or Under Investigation? Talk to Counsel Before You Talk to Anyone Else About the Allegations.

If you are a Georgia physician who has been arrested, charged with a crime, contacted by law enforcement, served with a subpoena, or learned that you are under criminal investigation, do not wait until the criminal case is resolved to determine what it means for your medical license.

The decisions made early in the case can affect both proceedings.

Conaway & Strickler, P.C. represents physicians and other professionals facing serious state and federal criminal investigations and prosecutions in Georgia.

If your freedom, medical license, professional reputation, and career are at stake, the defense needs to account for all of them.

Contact Conaway & Strickler, P.C. to discuss the criminal case and the potential consequences for your Georgia medical license before making decisions that may be difficult—or impossible—to reverse.

Frequently Asked Questions About Georgia Medical Licenses and Criminal Charges

Does an arrest automatically cause a Georgia doctor to lose their medical license?

No. An arrest is not a conviction and should not be treated as an automatic license revocation. Criminal allegations can, however, potentially lead to investigation or other action by the Georgia Composite Medical Board depending upon the circumstances.

Can the Georgia Medical Board investigate a physician while criminal charges are pending?

A licensing matter can potentially proceed while a criminal matter remains unresolved. This makes coordination between the criminal-defense and licensing strategies particularly important.

Should I respond to the Medical Board without a lawyer if criminal charges are pending?

A physician should consider obtaining legal advice before making substantive statements about allegations that are also the subject of an active criminal investigation or prosecution. Statements made in one proceeding can potentially have consequences in another.

Can a felony conviction affect a Georgia medical license?

Yes. A felony conviction can have significant professional-licensing consequences. The specific consequences depend upon the offense, facts, applicable Georgia law, and action taken by the Georgia Composite Medical Board.

Will a DUI cause a Georgia physician to lose their medical license?

A DUI arrest does not automatically mean a physician will lose a medical license. The particular circumstances, including whether the allegations implicate professional practice or patient safety, can matter.

What happens if the criminal charges against the doctor are dismissed?

Dismissal of the criminal charge is highly significant but does not necessarily answer every question in a separate licensing proceeding. If a Board investigation has already begun, counsel should determine what remains necessary to resolve it.

Should a physician consider medical-license consequences before accepting a plea?

Absolutely. A proposed plea should be analyzed for licensing and other professional consequences before it is entered. A resolution that appears favorable from a sentencing perspective may have separate consequences for a physician’s career.

A doctor facing criminal allegations may also have to worry about hospital privileges, DEA registration, employment, credentialing, Medicare and Medicaid participation, the National Practitioner Data Bank, malpractice insurance, and professional reputation, among other issues.

And some of those problems can develop before the criminal case is over.

At Conaway & Strickler, P.C., we represent professionals facing serious state and federal criminal investigations and prosecutions. When the client is a physician, criminal defense requires understanding something prosecutors may not be focused on:

The way a criminal case is resolved can affect the physician’s ability to practice medicine for years to come.

An Arrest Is Not a Conviction

Being arrested does not mean a physician is guilty.

Charges can be dismissed. Evidence can be suppressed. Prosecutors can decline prosecution. Charges can be reduced. Cases can end without a traditional conviction.

But physicians are different from many criminal defendants because their careers are regulated by numerous entities outside the criminal justice system.

A criminal matter may potentially implicate the Georgia Composite Medical Board, DEA, hospitals, employers, credentialing organizations, Medicare and Medicaid, HHS-OIG, malpractice insurers, and the National Practitioner Data Bank.

That makes it essential to investigate collateral consequences before resolving the criminal case.

The Plea That Avoids Jail Could Still Damage a Medical Career

For some clients, a plea offer involving probation and no incarceration may appear extremely favorable.

But for a physician, that is not necessarily the end of the analysis.

The exact offense of conviction, factual basis for the plea, and form of disposition can potentially determine whether other professional consequences follow.

One particularly important example involves the National Practitioner Data Bank.

For qualifying health-care-related offenses, federal NPDB rules use a definition of “conviction” that can encompass guilty and nolo contendere pleas as well as certain deferred-adjudication and first-offender arrangements in which judgment has been withheld.

That means:

“You won’t have a traditional conviction on your record” does not necessarily mean “this disposition won’t affect your medical career.”

The professional consequences should be analyzed before the plea is entered.

DEA Registration Can Become a Separate Problem

Criminal cases involving controlled substances create another level of risk for physicians.

Physicians who prescribe controlled substances generally depend upon DEA registration in addition to their state authority.

Federal law gives DEA authority to pursue suspension or revocation of registration on specified grounds, including certain felony controlled-substance convictions and loss of state authority to handle controlled substances. If you receive an Order to Show Cause and Immediate Suspension of Registration, it is imperative to seek legal counsel immediately.

This can be particularly important in cases involving allegations of:

unlawful prescribing, diversion, prescription fraud, controlled substances, pill mills, Schedule II medications, or improper distribution.

For physicians whose specialties depend heavily upon prescribing authority, a DEA problem can make continued practice extremely difficult even if the criminal sentence itself is relatively limited.

Medicare and Medicaid Exclusion Can Be Devastating

Certain criminal convictions can result in exclusion from federal health care programs.

HHS-OIG has mandatory exclusion authority for specified offenses, including certain Medicare and Medicaid fraud offenses, felony health care fraud offenses, patient abuse or neglect offenses, and felony controlled-substance offenses.

Several categories carry a minimum five-year exclusion period.

Other criminal offenses may create grounds for permissive exclusion.

The consequences can extend far beyond a physician’s ability to submit a Medicare claim personally. Federal exclusion rules can prohibit federal health care program payment for services furnished, ordered, or prescribed by an excluded physician.

For physicians whose practices depend on federal health care program reimbursement, exclusion can threaten the economic viability of the practice.

Hospital Privileges and Credentialing May Also Be Affected

Hospitals, medical groups, insurers, and credentialing organizations maintain their own rules concerning criminal matters.

The actual language matters.

There is a significant difference between a policy requiring disclosure of:

an arrest; criminal charges; an indictment; a conviction; or disciplinary action against a medical license.

A physician should not assume either that disclosure is required or that nothing needs to be disclosed.

Conaway & Strickler, PC can assist in reviewing the applicable hospital bylaws, employment agreements, medical-staff policies, credentialing applications, and insurance agreements.

The National Practitioner Data Bank Can Follow a Physician for Years

Certain licensing actions, clinical-privilege actions, exclusions, and health-care-related criminal convictions can be reported to the National Practitioner Data Bank.

An arrest alone is not the same thing as an NPDB criminal-conviction report.

But what happens after the arrest may create a reportable event.

That distinction makes the structure of the ultimate criminal disposition particularly important.

Federal Physician Investigations Often Begin Before an Arrest

Many federal investigations involving physicians begin quietly.

The first indication may be:

• an FBI or DEA interview request;
• an HHS-OIG inquiry;
• a grand jury subpoena;
• a search warrant;
• seizure of electronic devices;
• interviews of employees;
• requests for medical or billing records; or
• a federal target letter.

A physician does not need to wait for an indictment to retain criminal defense counsel.

The pre-indictment period may provide important opportunities to investigate the allegations, preserve favorable evidence, communicate with prosecutors, and identify professional consequences before the case reaches a critical stage.

Physicians Need a Criminal Defense Strategy Designed for Physicians

Medical school. Residency. Fellowship. Board certification. Hospital privileges. DEA registration. A medical practice. Patients.

A physician may have spent decades building a career before a criminal investigation begins.

The defense strategy therefore cannot be limited to:

“How do we keep you out of jail?”

It should also ask:

Can we prevent charges from being filed?

Can the charge be dismissed or defeated?

Is it possible for negotiaion on the wording of the offense or factual basis to reduce collateral consequences?

Could the resolution affect DEA registration?

Could it result in federal health care program exclusion?

Is there an NPDB consequence?

Could it affect hospital privileges or credentialing?

And, critically:

What does it mean for the physician’s Georgia medical license?

That last issue deserves its own analysis. See our related article: Can a Georgia Doctor Lose Their Medical License if Arrested

Georgia Physician Under Investigation? Protect Your Career Before Making Irreversible Decisions.

If you are a physician who has been arrested, indicted, subpoenaed, contacted by federal agents, served with a search warrant, or informed that you are under investigation, obtaining counsel early can matter.

At Conaway & Strickler, P.C., we represent professionals in serious state and federal criminal matters and understand that physicians have professional consequences at stake beyond the criminal courtroom.

Before speaking to your employer or an investigator, or answering a subpoena, it is very important to understand both the criminal and collateral consequences.

Contact Conaway & Strickler, P.C. to discuss your case and the steps that may be available to protect your freedom, your reputation, and your medical career.

A target letter is a letter from a federal prosecutor informing you that you are the focus of a federal criminal investigation. It indicates that the government possesses substantial evidence linking you to a federal offense and is considering charging you. A target letter will contain key information for your lawyer to assist you. It will have a description of the suspected offense, and the name of the AUSA handling the case. As soon as we are retained, we reach out to that AUSA to learn more about the situation.

If you receive a target letter, reach out for legal counsel as soon as possible.

What is the difference between Target, Subject and Witness?

A “target” is someone prosecutors are investigating for having allegedly committed a crime. A “witness”, on the other hand, is someone whom prosecutors believe may have information that may help investigators. However, they’re not currently suspected of wrongdoing.

Finally, a “subject” falls in the middle. You are within the scope of the investigation, and your conduct is definitely being investigated, but the government has not decided yet whether to bring charges against you.

These labels are fluid. Your status can change as the government investigates further. That is why you need a lawyer whether or not you initially fall in any of these three categories. Remember anything you say can and WILL be used against you.

What If I Receive a Target Letter from the Department of Justice?

Contact us immediately.

Whether you’re a witness in a federal investigation or already a subject of a federal investigation, you need to know your rights before speaking with the government. We contact the AUSA immediately, as discussed above, but also we get a full understanding of the allegations against you so that we can begin our defense against any potential charges.

It is very important to hire legal counsel as soon as possible to protect your rights and assist you on the complex federal criminal justice system.

The Numbers

The 2026 Takedown did not match last year’s record numbers.  But, 455 defendants, including 90 doctors and other licensed medical professionals were charged.  The coordinated enforcement involved a “whole of government” approach which included:

• Actions by the Centers for Medicare and Medicaid Services (CMS) to suspend 1,079 providers and revoke billing privileges for 1,403 providers.
• 48 Civil Monetary Payment settlements amounting to over $73 million, over 1,400 provider exclusions, and 25 actions by the U.S. Department of Health and Human Services, Office of Inspector General (“HHS-OIG”) under the Civil Monetary Penalties Law seeking more than $10 billion in payments to the Medicare Trust Fund from payments that CMS caught and suspended before the funds were paid to the fraudulent providers.
• Civil charges against 13 defendants for $14.8 million in health care fraud schemes, as well as civil settlements with 31 defendants totaling $23 million.
• 928 administrative cases by the Drug Enforcement Administration (DEA) seeking the revocation of authority to handle and/or prescribe controlled substances since October 1, 2025.

Increased “Whole of Government” approach

The government has always used multiple agencies in its efforts to combat fraud.  But the DOJ has now stated they are using “cutting-edge use of data analytics to target the worst actors”, including employing advanced data analytics through its Data Fusion Center. The DOJ is now working to ensure coordination with asset seizure, civil remedies, administrative actions, and payment-policy changes.  As a result, a single health care fraud investigation may now include parallel criminal, civil, administrative, exclusion, payment-suspension, and licensing consequences.  Conaway & Strickler, PC routinely handles licensing and regulatory issues as well as fighting False Claims Act issues at the civil and criminal level.  

Creation of the National Fraud Enforcement Division (“NFED”) 

NFED may be the clearest sign of this whole of government approach.  According to the April, 2026 DOJ memorandum, the NFED’s mission is to “zealously investigate and prosecute” fraud involving taxpayer dollars.  The 2026 Takedown appears to be NFED’s first major public health care fraud press release.

TRENDS: Healthcare Fraud in Allografts

Allografts and skin grafts cases have risen significantly from an emerging issue to front-line enforcement target.

The allograft cases are important to note because they clearly show what a healthcare investigation looks like in 2026.  The DOJ uses their data driven investigatory prowess to detect high reimbursement, aggressive marketing, alleged kickbacks, vulnerable patients, questionable medical necessity, and patient harm. In the press release for 2026, the DOJ charged 11 defendants in schemes involving allografts, and the press release described Medicare payments for allografts rising sharply before CMS adjusted payment rates.  

DOJ’s theory here is like the cancer genetic cases.  Both the allograft and CGx cases show a high payment for the claim which is an area that created an opportunity for fraud, according to the DOJ.  The 2026 Takedown shows how data analysis has moved to the forefront of their investigations. They comb through all the claims, match it with financial tracing and draw conclusions from there.

Thoughts for Health Care Companies

The 2026 Takedown reinforces that health care fraud enforcement is here to stay. As discussed above, the government investigations are becoming more coordinated, targeted and more focused on the numbers. 

It is important therefore to respond accordingly and be sure all documentation necessary is on hand before any type of inquiry occurs.  

Conaway & Strickler, PC has a deep understanding of these kinds of cases.  Sometimes, prompt disclosure and cooperation is the route to take and sometimes combatting the allegations is the route to take. We continue to monitor enforcement actions to remain aware of all of the newest developments.  Contact us for more information or for assistance.

Although it is not required, having an attorney assist you in physician license defense usually helps you achieve a better outcome than if you were on your own.

WHAT CAN AN ATTORNEY DO TO ASSIST?

If you have had an arrest for any crime, it is important to consult with an attorney to understand your duties to inform the Georgia Composite Medical Board. You may need to immediately self report if the arrest involved substance abuse or moral turpitude issues. How and when you communicate with the Board is crucial to your future success in maintaining your license.

In addition, when it comes time to renewal, you must answer the question about any interactions with law enforcement with a YES and attach a narrative. Again, having an attorney assist you with any and all communications with the Composite Board will help your ultimate success in maintaining your license as a physician.

WHAT IF MY LICENSE IS UNDER INVESTIGATION?

If you have been notified by the Georgia Composite Medical Board that you are under investigation, you should immediately contact an experienced health care physician license defense lawyer. We can assist you in all communications with the Board so that you don’t make any statements or submit any documents that could inadvertently hurt you. You will also need to contact your malpractice insurance carrier right away and be sure to document everything involved in what is alleged in the allegations.

WHAT IF I AM ASKED TO SURRENDER MY DEA REGISTRATION?

Has your clinic been subject to a search warrant? At the time of the execution of the search warrant, did one of the agents ask you to voluntarily surrender your DEA registration? You need to consult an attorney immediately not only because a search warrant was executed on your clinic, but, also because there are long term effects of surrendering your DEA registration. Submitting a DEA Form 104 (“Voluntary Surrender of Controlled Substances Registration”) without legal advice is not a good idea. Voluntary surrenders are also typically reported to the National Practitioner Data Bank (NPBD).

WHAT IS THE NPBD?

The National Practitioner Data Bank was created by Congress in 1986 in order to prevent practitioners with histories of misconduct or incompetence from moving state to state without disclosure. Hospitals, state boards, malpractice insurers, and federal agencies are now legally required to report certain actions. There is an online guidebook that provides details on what specific actions are reported. Most importantly, any and all adverse restrictions or surrenders of privileges and adverse state licensing actions are reported.

Contact us immediately so that we can answer all of your questions and so that we can assist you in properly defend ing your physician license defense.

It is important to secure competent legal counsel as soon as possible to argue your case successfully.

There are many defenses that can be explored to get a positive outcome in your case. For example, the first one that comes to mind is entrapment. These days law enforcement often pose as other users in chat rooms or on the dark net. They pose as someone actively seeking CSAM. You may not have ever done anything illegal but for their persuading you to so. There are legal motions we can file that may be dispositive for your case.  Remember, the government has become well versed in programs like BitTorrent, and can be on the dark net doing things illegal themselves all in their efforts to “combat crime.”

Additionally, when law enforcement comes to execute a search warrant for devices at your home or office, they must have a valid search warrant or everything they seized will be discarded and not used in the case against you. You need an experienced criminal defense lawyer to ensure law enforcement did not violate your Constitutional rights in executing the search warrant.

Sometimes, a download from a proper website can result in what is termed as an “accidental download”. We have experts ready to assist us in showing the government exactly what is and what is not on your devices and what is and what was purposely downloaded and accessed.

These are but some defenses that Conaway & Strickler, PC have successfully argued. Contact us to discuss your case in more depth. The consequences of a child pornography or CSAM (“Child Sexual Abuse Material”) conviction are severe and life-altering. And the collateral consequence of being on the sex offender registry can be devastating. We are here to help.

To understand the specifics of this case, below we have quoted directly from the Petitioner’s Brief:

This case concerns the constitutionality of geofence warrants. For cell phone users to use certain services, their cell phones must continuously transmit their exact locations to their service providers. A geofence warrant allows law enforcement to obtain, from the service provider, the identities of users who were in the vicinity of a particular location at a particular time. In this case, law enforcement obtained, and served on Google, a geofence warrant seeking anonymized location data for every device within 150 meters of the location of a bank robbery within one hour of the robbery. After Google returned an initial list, law enforcement sought— without seeking an additional warrant—information about the movements of certain devices for a longer, two-hour period, and Google complied with that request as well. Then—again without seeking an additional warrant—law enforcement requested de anonymized subscriber information for three devices. One of those devices belonged to petitioner Okello Chatrie. Based on the evidence derived from the geofence warrant, petitioner was convicted of armed robbery.

The last time the Supreme Court wrestled with cell phone privacy issues was in Carpenter v. United States, 585 U.S. 296 (2018), which is a landmark United States Supreme Court case concerning the privacy of historical cell site location information. The Court held in that case that the government violates the Fourth Amendment when accessing historical cell phone Iocation records containing the physical locations of cellphones without a search warrant. That case, however, was after a suspect was identified, making it unlike the current case before the Supreme Court.

We receive terabytes of data in discovery for our cases. Motions to suppress can be filed for all of the data seized from search warrants of phones. We are cognizant of the ever changing landscape of Fourth Amendment case law. We ensure that law enforcement follows the appropriate procedures for every single case. Contact us now if you have a case you would like to discuss.

The recent conviction involving AI-generated obscene material of women and children highlights complex legal issues arising from the intersection of technology and criminal law. The Department of Justice is saying this is the first in the nation – a conviction of violating the new Take It Down Act. This new legislation, targeting AI-generated content, opens the door to prosecution of newly-defined crimes, but also raises critical questions about evidence, intent, due process, among others. This is especially an issue with any charges alleging CSAM (Child Sex Abuse Material). Recent cases are increasingly alleging use of generative artificial intelligence (AI) to digitally alter clothed images of minors into child pornography.

Prosecutors now have the ability to pursue cases involving synthetic media that depict explicit material. The use of AI to generate highly realistic images and videos makes these cases unique, requiring forensic expertise to distinguish fabricated content from authentic imagery. The prosecution must prove that the defendant knowingly produced and distributed material deemed obscene under the law, regardless of its digital origins.

One avenue for CSAM prosecution involves demonstrating that AI-generated content was used with the intent to exploit, harass, or endanger individuals. The law may enable prosecutors to argue that even virtual representations pose real harm, especially when circulated widely. In such cases, expert testimony and digital forensics play a crucial role in examining detailed technological material.

However, the defense may challenge the scope and application of the new law, questioning whether AI-generated images constitute actual offenses under existing legal definitions of obscenity and exploitation. Furthermore, issues of free speech and artistic expression may arise, requiring careful legal navigation. It is essential for courts to weigh the balance between protecting society and safeguarding individual rights.

As technology evolves, so must legal strategies. Defense attorneys fighting for clients charged with CSAM must remain vigilant, not only in protecting the rights of the accused, but also in ensuring that prosecution under new laws is fair, evidence-based, and respectful of civil liberties. The emergence of AI-generated content cases marks a new chapter in criminal justice.

If you or a loved one is facing charges related to AI-generated content, contact the attorneys at Conaway & Strickler to discuss your legal options.

For example, the SEC recently filed charges against purported crypto asset trading platforms Morocoin Tech Corp., Berge Blockchain Technology Co. Ltd., and Cirkor Inc. and investment clubs AI Wealth Inc., Lane Wealth Inc., AI Investment Education Foundation Ltd., and Zenith Asset Tech Foundation alleging that they defrauded retail investors out of more than $14 million in an elaborate investment confidence scam.

“AI Wealth, Lane Wealth, AIIEF, and Zenith operated so-called investment clubs using WhatsApp and solicited investors to join the clubs with ads on social media. The clubs gained investors’ confidence with supposedly AI-generated investment tips before luring investors to open and fund accounts on purported crypto asset trading platforms Morocoin, Berge, and Cirkor, which falsely claimed to have government licenses, as alleged. The investment clubs and platforms then allegedly offered “Security Token Offerings” that were purportedly issued by legitimate businesses. In reality, no trading took place on the trading platforms, which were fake, and the Security Token Offerings and their purported issuing companies did not exist, according to the complaint. When investors tried to withdraw their funds, the complaint alleges that the defendants further defrauded victims by demanding that they pay advance fees. In all, the defendants misappropriated at least $14 million from U.S.-based retail investors and funneled those funds overseas through a web of bank accounts and crypto asset wallets, as alleged.”

In another recent case, a young man, Elmin Redzepagic was charged in a 21-count indictment offenses related to an alleged cryptocurrency fraud scheme. As alleged in the indictment, Redzepagic “held himself out to investors as a cryptocurrency investor who earned high rates of return. Once Redzepagic had victims’ initial investment, he told them they had earned a substantial profit but had to pay additional fees (“gas fees”) to withdraw it. Redzepagic claimed to work as part of a team that included someone known as “The Chef,” who supposedly led the operation and determined who, how, and when investors would receive their profits. In fact, Redzepagic did not invest victims’ funds in cryptocurrency but instead transferred the funds to Stake.com, an offshore gambling platform that Redzepagic used to receive and hold proceeds of the scheme, to generate cryptocurrency addresses for victims to use to transfer Bitcoin to him, and to make large “lulling” payments to victims throughout the course of the scheme.”

Finally, in another case, Goliath Ventures founder Christopher Alexander Delgado has been arrested on a criminal complaint charging him with wire fraud and money laundering. It is alleged that this “was a “Ponzi scheme,” which is a form of investment fraud that involves the payment of purported returns to existing investors from funds contributed by new investors. Delgado’s scheme involved soliciting victims to invest substantial sums of money under false and fraudulent promises of monthly returns generated through cryptocurrency “liquidity pools.” Victims were induced to give money to Goliath through personal referrals, professional marketing materials, luxury events, charitable sponsorships, and some monthly payments of purported returns, all of which were designed to establish Goliath’s bona fides with investors. Based on these false and fraudulent representations, Goliath obtained at least $328 million from victim investors.

Although Goliath represented that it would place the victim investors’ funds in cryptocurrency liquidity pools, in reality, the funds were primarily used to pay purported returns to earlier investors, to return principal to investors who requested it, and for Goliath’s extravagant business gatherings, holiday parties, and luxury travel accommodations. With victim investors’ funds, Delgado purchased four residential properties each worth between $1.15 million and $8.5 million.”

The FBI has recently stated that “cryptocurrency investment fraud, which the media commonly describes as “pig butchering,” is one of the most prevalent and damaging fraud schemes today.” As a result, more and more DOJ prosecutions are happening. Please contact us if you have received any sort of indication that you are under federal investigation.

Synthetic child sexual abuse material (CSAM) may not involve a camera or physical contact but it will depicts a child in a sexual context and thus is subject to regulation. Artificial intelligence is used to create realistic images or videos of children in sexual situations. Sometimes, these materials depict completely fabricated children or the face or likeness of a real child, placing them into sexualized content without their knowledge or consent. When it is the face or likeness of a real child, there is a higher likelihood of charges being imminent.

Can I be Charged with Synthetic CSAM?

It is possible to be charged criminally when in possession of AI generated child sex abuse material. There has been some movement in this area to litigate the legality of charging such activity criminally and only time will tell what that means for how the Supreme Court will rule as recent cases move through the system. News continues to state that AI – Generated CSAM is on the rise and “a growing concern” which will in turn result in additional federal and state criminal charges for AI-Generated CSAM.

Regulation of AI-created intimate images, often referred to as “deep fakes” has been broadly adopted by most states and the federal government. In the state of Georgia, there have been several attempts to change legislation including this recent letter written by Jon Ossoff. There are also recent prosecutions including a man in KY who was sentenced to five years for using AI to create child sexual abuse material. Prosecutions at the federal level for CSAM is on the rise as well.

If you learn that you are under investigation for offenses related to CSAM, you should contact us immediately. We are here to help and have experience to fight these cases.

STEPS IN THE FEDERAL CRIMINAL PROCESS (Note: this blog will discuss the procedure for a plea. For more information on what to expect at federal criminal trial, read more here.)

Initial Appearance

Generally, after an investigation, charges are brought via a federal criminal indictment. Hiring a federal criminal defense attorney as soon as possible results in a better resolution.

Once an indictment is filed, and you are arrested and processed/charged with a federal crime, you are brought before a magistrate judge for an initial hearing on the case. At that time, you learn more about your rights and the charges against you, and the judge decides whether to grant you pretrial release or order you be detained.

Arraignment

This hearing can occur at the same time as the initial appearance. You are asked if you have read and understood the charges against you and you formally enter a plea of “Not Guilty”.

Discovery

Federal criminal discovery is governed by three sources of law: Rule 16 of the Federal Rules of Criminal Procedure, the Supreme Court cases of Brady and Giglio, and the Jencks Act.

Plea Negotiations

The plea bargain itself, called a “Rule 11” plea in the Federal Criminal Justice system, generally is memorialized in a 15-20 page document called the “plea agreement“.

Change of Plea Hearing

A change of plea hearing in federal court is scheduled when a defendant decides to plead guilty to a federal offense. During the hearing, the judge will ask questions to ensure that the plea is entered freely and voluntarily.

Preparation of Pre-Sentence Report

After you enter a plea of guilty to a federal offense or is convicted by trial, you will meet with a probation officer. The probation officer will conduct an interview you to get more information about the entire case and then submits a report for the judge to determine the proper sentence. The following information is gathered during this interview and pre sentence investigation: family history, community ties, education background, employment history, military history, physical health, mental and emotional health, history of substance abuse, financial condition, and willingness to accept responsibility for the offense. Learn more about the pre-sentence report and the pre-sentence report interview.

United States Sentencing Guidelines

The United States Federal Sentencing Guidelines are what the judge uses to decide an appropriate sentence for each case.

Sentencing Hearing

A federal sentencing hearing is when final arguments are presented and a judge hands down the sentence.

What will this mean to clients charged with trafficking or possessing fentanyl? This concept has been debated for a few years now. Unfortunately, it is now official. This executive order will increase the penalties. 18 U.S.C. §2332 imposes a maximum sentence of life in prison for violation of this statute, and, if death results, this statute permits bringing the death penalty.

Despite intensified measures targeting drug supply and trafficking, there remains a lack of substantial efforts directed toward treatment, prevention, and broader accountability. Issues surrounding pharmaceutical companies such as the Sacklers, Purdue Pharma, and the ongoing opioid epidemic continue to be areas of public concern and debate.  

While federal enforcement efforts are intensifying, the current approach may further strain the criminal justice system, especially as courts and correctional facilities contend with rising caseloads linked to fentanyl offenses. The broader public health response—including investments in addiction recovery, harm reduction, and community education—remains crucial to preventing future tragedies and supporting individuals affected by substance use disorders. As policy shifts continue, we will need to balance aggressive enforcement with meaningful support for those impacted by the opioid crisis. 

The Department of Justice is currently citing “office policy” of very tough resolutions to drug trafficking cases with zero thought on the individual details of each case.

Contact us should you or a loved one be facing a possession with intent to distribute or drug trafficking charge.