U.S. Marshals Lone Star Fugitive Task Force Apprehend Fugitive in Belize Wanted on Charges of Possession of Child Pornography

San Antonio, TX – The U.S. Marshals-led Lone Star Fugitive Task Force apprehended a fugitive sought by the Bexar County District Attorney’s Office on 11 charges of possession of child pornography. Gregory Roth, 67, was apprehended in Belize after fleeing the United States to evade criminal prosecution.

The arrest followed a coordinated international operation led by the Lone Star Fugitive Task Force (LSFTF), in partnership with the U.S. Marshals Service Office of International Operations (OIO), the U.S. Department of State’s Diplomatic Security Service, and law enforcement partners in Belize.

In 2022, the Texas Attorney General’s Office (TXAGO) conducted a series of residential search warrants as part of a criminal investigation involving Dr. Gregory Scott Roth, who was suspected of possessing child pornography. At the time, Roth held multiple positions within the healthcare sector, including Regional Medical Director for Envision Healthcare, part-time physician at Christus Santa Rosa Children’s Hospital, and Regional Health Authority and Medical Director for La Salle County.

Roth was arrested in November 2022 and indicted in 2023 by the Bexar County District Attorney’s Office on 11 counts of possession of child pornography. He was scheduled to appear for sentencing in December 2024. However, he failed to appear before the court as ordered and a bench warrant was subsequently issued for his arrest.

In January 2025, following Roth’s failure to appear, the TXAGO requested the assistance of the LSFTF to aid in locating and apprehending the fugitive. The investigation revealed that Roth had fled the country in a rented motorhome, traveling through areas near the southern borders of Mexico, Belize, and Guatemala.

Through a collaborative, multi-agency effort involving the LSFTF, OIO, and Belizean law enforcement, authorities confirmed Roth’s presence in Placencia, Belize. Following extensive intelligence operations and sustained surveillance, Roth was apprehended March 21, 2025, without incident.

Roth was removed from Belize and brought back to the United States, on March 22, 2025.

“This operation's success is a testament to the strength and effectiveness of international cooperation between the United States and foreign law enforcement agencies,” said Susan Pamerleau, U.S. Marshal for the Western District of Texas. “It clearly demonstrates how cross-border partnerships strengthen our ability to apprehend fugitives, no matter where they attempt to hide.”

The LSFTF acknowledges the critical support of the USMS Office of International Operations (OIO), the U.S. Department of State, Diplomatic Security, and the Belize Police Department in the successful apprehension and return of a fugitive to the Alamo City.

The U.S. Marshals Service encourages the community to continue to collaborate with our deputies on tips that help find the whereabouts of a fugitive by contacting our local office at (210) 657-8500 or calling the U.S. Marshals Service Communication Center at 1 (800) 336-0102. You can also submit tips online via the USMS Tips App.

Members of the Lone Star Fugitive Task Force - San Antonio:

Bexar County Sheriff’s Office (BCSO)
Texas Department of Public Safety (TXDPS)
Texas Attorney General’s Office (TXAGO)
Naval Criminal Investigative Service (NCIS)
New Braunfels Police Department (NBPD)
Texas Board of Criminal Justice OIG (TBCJ)
Bexar County District Attorney’s Office (BCDA)
U.S. Immigration and Customs Enforcement (ICE)
U.S. Marshal Service (USMS)