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Luigi Mangione pleaded guilty in federal court Friday and admitted that he fatally shot UnitedHealthcare CEO Brian Thompson in Manhattan on December 4, 2024.

Mangione told the court that years of severe back pain and his experiences navigating the health insurance system contributed to his anger and decision to target Thompson. He acknowledged that he knew what he was doing was illegal.

The federal case is now moving toward sentencing, with prosecutors seeking a life sentence and sentencing scheduled for December 18.

But the legal story isn't over. Mangione still faces a separate state murder case in New York. His attorneys are arguing that the state prosecution should be dismissed because of double-jeopardy protections.

The case has sparked an enormous debate about violence, corporate power and frustration with the American healthcare system—but Thompson's family continues to emphasize accountability and justice.

What happens next could determine whether Mangione faces another trial in New York.