Maryland is one of the states that allows a defendant in a criminal trial to plead not guilty by reason of insanity, but states differ in how they define insanity from a legal standpoint. Insanity as a legal defense does not mean exactly the same thing as having a mental illness.
Federal prosecutors in Maryland say four pain clinics were being used to distribute oxycodone for non-medical purposes. Sixteen people, including the owners of the pain clinics, were indicted for their alleged roles in the drug distribution conspiracy. Some of the drug-related offenses the individuals are charged for include conspiracy to distribute oxycodone and health care fraud.