The pleading came as part of the federal case against Mangione.
In an unexpected hearing held on Friday, Luigi Mangione pleaded guilty in the federal case against him over the 2024 killing of UnitedHealthcare CEO Brian Thompson. In entering his plea, Mangione admitted to fatally shooting Thompson.
This comes after reports of negotiations that took place between Mangione's team and federal prosecutors this week. The pleading comes less than a month ahead of his previously scheduled state trial, which is currently set to begin on September 8. It is currently unclear how the pleading will affect New York's state case. Mangione is also facing charges in Pennsylvania, where he was arrested after the shooting.
Mangione was asked a series of questions after his defense team said Mangione was prepared to plead guilty. He was asked if he has taken any medication or drugs in the past two days, to which Mangione said he had taken a sleeping medication. Mangione said the medication did not impact him at the proceeding. Mangione said he understood he was giving up his right to a speedy trial, and his right to appeal. He said he understood the charges filed against him.
In the federal case, Mangione had been charged with interstate stalking resulting in death and stalking through use of interstate facilities resulting in death. The charges carry a maximum penalty of life in prison.
The judge asked Mangione to explain what he did. Addressing the judge, Mangione said after years of experiencing severe back pain and navigating the insurance system, he learned that UnitedHealthcare would be holding its annual investor conference in New York City on December 4, 2024. He said he researched the event online, and posed as an investor when emailing UnitedHealthcare leadership to get information about the conference.
He said after receiving a response from leadership within an hour, he 3D printed a gun. “I shot Mr. Thompson in Manhattan,” he told the judge. “I understood that my actions would place him in fear of death or bodily injury. I knew what I was doing was illegal.” Mangione's sentencing is set for December 18, 2026.
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