NEW YORK — A New York grand jury is beginning to hear evidence in the case against Luigi Mangione, the suspect in the killing of UnitedHealthcare CEO Brian Thompson, according to a person familiar with the matter. 

Prosecutors from the Manhattan District Attorney’s office started presenting the case Thursday, seeking to indict Mangione for the fatal shooting in Midtown Manhattan. The DA’s office declined to comment on the grand jury proceedings due to the confidentiality. 

New York Gov. Kathy Hochul says she has spoken with Pennsylvania Gov. Josh Shapiro multiple times to make sure Mangione is extradited quickly after he was arrested on unrelated charges in Altoona. 

“I want to get him back here in the State of New York and run him through our criminal justice system. Because that horrific attack occurred on our streets, and the people of our city deserve to have that sense of calm that this perpetrator has been caught and he will never see the light of day again, if there is justice,” Hochul said in an interview Thursday morning. “You cannot assassinate an individual on the streets of New York. Not now, not ever.”

Mangione is being held under maximum security at Huntingdon State Correctional Institution in Huntingdon County, Pennsylvania. The Corrections Department says he is not under suicide watch or in solitary confinement, but he does not get to interact with other inmates. They also say he has not been violent. 

What happens next in the extradition process?

First, the Manhattan District Attorney’s office has to officially file an indictment against Mangione. Hochul said Thursday the DA’s office is working to make sure the indictment will be “iron clad.”

“You don’t want to have anybody, a defense attorney, be able to attack what you’ve done. You have to get it right,” she said. “We expect that to be issued any day now, and at the second that happens, I’m issuing a warrant for extradition.”

Next, Hochul plans to issue what’s called a governor’s warrant, which Shapiro also has to sign. A spokesperson told The Associated Press he is “prepared to sign and process it promptly as soon as it is received.”

Under Pennsylvania law, a suspect can be held for 30 days while authorities seek a governor’s warrant.  

“I will issue it, he will sign it. But the judge has already set a date for a hearing on Dec. 23. We’ll see whether that date has to hold,” said Hochul. “The governor and I both want him brought back to New York as soon as possible. So there will be some legal activities from the defense lawyer side, but I believe that the judge will say he’s going back to New York. So we’re expecting that to happen any day now.”

Once the warrant has been issued, Mangione has to appear before a Pennsylvania judge to confirm he is the person being sought in New York, either through fingerprints or DNA found at the scene. 

In some cases, suspects can be extradited in a matter of days. But the process can drag on for several months if the defense challenges it. To fight extradition, the defense has to file a petition in Pennsylvania by Dec. 24. 

Mangione’s attorney says his client intends to plead not guilty and wants to examine the evidence that police say they have.

“As lawyers, we need to see it. We need to see: How did they collect it? How much of it? And then we would have our experts… take a look at that, and then we would challenge its admissibility and challenge the accuracy of those results,” lawyer Thomas Dickey said in an interview.

NYPD sources tell CBS News once he is extradited back to New York, there are plans to upgrade the charges from second-degree murder to premeditated first-degree murder. 

NYPD says evidence links Mangione to murder scene

As Mangione fights extradition from Pennsylvania, investigators say they are amassing a mountain of forensic and ballistic evidence tying the accused killer to the murder of UnitedHealthcare CEO Brian Thompson.

So far, police say they’ve matched a gun found on him to shell casings at the scene and his fingerprints to those collected on a water bottle and a KIND Bar near a Starbucks, where the suspect was seen on surveillance video about a half hour before the shooting. Police also recovered a cellphone from an alley near the hotel and say those fingerprints are a match.

Law enforcement sources tell CBS News that Mangione had a spiral notebook with him when he was arrested where he wrote about considering using a gun over a bomb to carry out an attack because it was targeted, precise and didn’t risk innocents.

The working theory on a motive for the murder is animosity toward the health care industry, and authorities believe it may be rooted in a debilitating back injury that Mangione suffered.

Dorian Wright, an instructor at Power Yoga Hawaii, remembers the 26-year-old coming to his studio last year, mentioning he had pain.

“I remember with him, like a lot of people that come in with injuries, they tell me right in the beginning of class or while we’re doing certain poses, they’ll say, ‘Oh, I can’t do this,'” Wright said. “If I come to adjust them and help them, they’ll say ‘Oh, I can’t do this, my back.’ I do recall him saying something about his back.”

Sources say Mangione has not made any incriminating statements while in custody. 

contributed to this report.

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How to succeed with debt relief

Navigating debt relief takes thoughtful planning and a clear understanding of your options. Here’s how to set yourself up for success during the process:

Understand your debt situation

Before pursuing any debt relief option, take a comprehensive inventory of your financial situation. Calculate your total debt across all accounts, track your monthly income and expenses and determine how much you can realistically afford to pay toward debt each month — as nearly any debt relief option you consider will require you to put at least some money toward what you owe on a monthly basis. This assessment will help you identify which debt relief options are most suitable for your circumstances.

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Do your homework on your options

Debt relief isn’t a one-size-fits-all solution. Different methods work better depending on your financial situation, so it’s important to fully assess what’s available to you. Here are some of the more common debt relief program options to consider:

Debt consolidation

When consolidating your debt, the goal is to combine multiple high-rate debts into one loan with a lower interest rate, making your payments more manageable. Debt consolidation is typically ideal for those with good credit who can qualify for favorable loan terms on their loans.

Debt management

Offered by credit counseling agencies, a debt management plan involves negotiating lower interest rates and fees while creating a structured repayment plan. This option requires discipline, as it often takes three to five years to complete, but can result in lower payments and a streamlined payoff strategy.

Debt settlement

Debt settlement involves negotiating with your creditors to accept a settlement amount that’s lower than the total amount you owe. In many cases, these kinds of debt relief programs can result in lowering your balance by 30% to 50%, but while it significantly lowers your debt, it may hurt your credit score and come with tax implications. As a result, this option is typically most suitable for those with serious financial hardship  (such as divorce, loss of income, medical emergency or a major unexpected expense) who can’t afford full payments.

Bankruptcy

As a last resort, bankruptcy can discharge most unsecured debts, including your credit card debt, wiping the slate clean. However, bankruptcy also has long-term consequences on your credit and finances, so it’s typically best for cardholders who have exhausted all of their other options.

Work with a reputable debt relief professional

If you plan to work with a debt relief company to settle or consolidate your debt, make sure to do thorough research on the companies you’re considering, as the quality of the services can vary — and it’s not uncommon for less reputable debt relief agencies to make unrealistic promises about outcomes. 

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• Promise specific debt reduction amounts
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Stay committed to the process

Debt relief is not an overnight solution; it requires time, patience and discipline to achieve. To stay on track, celebrate milestones along the way. Acknowledge even the small victories, such as paying off one account, as these can motivate you to keep going. It’s equally important to avoid accumulating new debt by committing to living within your means and resisting the temptation to use credit cards. Surrounding yourself with a support system, whether it’s friends, family or financial counselors, can also provide encouragement and accountability to help you stay focused on your goals.

Educate yourself for the future

Achieving debt relief is just the beginning; maintaining financial stability requires building healthy habits. Start by improving your financial literacy — learn about budgeting, investing and managing credit effectively. Use credit sparingly and pay off balances in full each month to build a strong credit history. Make sure to also plan for long-term goals, such as retirement, homeownership or other significant milestones, to ensure that you are not only debt-free but also financially secure for the future.

The bottom line

Achieving debt relief is possible, even in today’s challenging economic environment, but you’ll need to put in some work to keep things on track. By understanding your debt, exploring your options and committing to a plan, you can take control of your financial future. Partnering with a reputable debt relief company, creating a realistic budget, and staying disciplined are also key steps toward success.

Most importantly, though, debt relief isn’t just about eliminating debt — it’s about creating a foundation for long-term financial stability. With the right approach, you can turn today’s challenges into tomorrow’s opportunities while regaining peace of mind.