A former public defender who won the support of judges and a member of the Iowa Legislature after a 2023 arrest for shoplifting now stands accused of defrauding Medicaid and cancer patients.
Attorney Cassi Wigington, who will be sentenced next month on a charge of healthcare fraud, has agreed to pay $445,455 as restitution in the case. That agreement comes 13 months after Wigington told the Iowa Supreme Court she had shoplifted alcohol and other items from a grocery store due to her struggles to meet her “family’s basic needs.”
Court records show Wigington was first licensed to practice law in Iowa in January 2020. Last year, she admitted in court filings that in August and September 2023, she committed the crime of theft by shoplifting from a Hy-Vee store in Gretna, Nebraska.
Court records show Wigington admitted that during 13 trips to the Gretna store between Aug. 6, 2023, and Sept. 13, 2023, she stole more than 300 items worth a total of $2,721.
After being criminally charged with felony theft by shoplifting, Wigington entered into a diversion agreement with the Sarpy County Attorney’s Office in which she agreed to pay restitution and the theft charge was dismissed.
In court filings, Wigington acknowledged she initially claimed to have been falsely accused of shoplifting, stating that when she made those statements, she “did not have the surveillance footage of my actions.”
“Any lengthy suspension of me will result in considerable disruption in the Second Judicial District,” she told the court. “I currently have approximately 700 cases assigned to me — several cases are companion charges pending against one defendant. It is extremely difficult to get lawyers to take these cases.”
In October 2025, Wigington applied for reinstatement of her Iowa law license. Buena Vista County Attorney Paul Allen wrote a letter to the Iowa Supreme Court supporting her application, as did Patrick Tott, chief judge of Iowa’s Third Judicial District in northwest Iowa, and Iowa Rep. Megan Jones, a Republican from Clay County.
District Court Judge Adam Miller also wrote in support of Wigington, calling her an “attorney of exceptional character and competence” and arguing she was “indispensable” to the Third Judicial District.
In December 2025, the Iowa Supreme Court agreed to lift Wigington’s suspension, making her fully qualified to resume the practice of law in Iowa.
Fraud involved patients’ breast prostheses
Six months after her license was reinstated, on June 18, 2026, a federal grand jury in Nebraska charged Wigington with healthcare fraud.
That same day, Wigington entered a plea of guilty to the charge, acknowledging she could face up to 10 years in prison and agreeing to forfeit $445,455 in proceeds from an alleged scheme to overbill Medicaid and other insurers for devices used by cancer patients.
Prosecutors alleged that beginning in 2012, Wigington sold medical equipment such as custom-made breast prosthetic devices for women who had undergone mastectomies. In some cases, she allegedly had customers sign, in advance, receipts for the delivery of prostheses that had yet to be provided. In other cases, prosecutors alleged, she forged the customers’ signatures. She then sent bills for the undelivered devices to various insurers, including Medicaid, Blue Cross-Blue Shield, Aetna and United Healthcare.
“Twenty-five patients were identified wherein their respective healthcare benefit program was billed for products that were never received or provided,” prosecutors alleged. Losses incurred by individual patients and their insurers were alleged to be as much as $28,000.
Sentencing in the criminal case is scheduled for Sept. 10, 2026.
Recently, the Iowa Supreme Court Attorney Disciplinary Board asked the court to impose a temporary suspension of Wigington’s law license due to her guilty plea in the fraud case.
In its written request, the board stated the case, when considered in conjunction with Wigington’s prior disciplinary suspension for shoplifting, “reflects a troubling, years-long pattern of dishonesty and fraud, including repeated theft accomplished through deception.”
The court has yet to rule on the matter and Wigington’s Iowa law license is currently in good standing.
The Iowa Capital Dispatch was not able to Wigington for comment Thursday.
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