An April 2014 allegation of sexual assault from a female patient of Nassar's was investigated under Title IX at MSU. The university has the right to suspend any employee under investigation, and did so while Nassar was under internal investigation.

MSU's Title IX investigation ultimately determined the accuser did not understand the nuanced difference between sexual assault and an appropriate medical procedure. That investigation took three months.

The MSU police investigation, which started around the same time, recommended sexual assault charges in July of 2015 to then Ingham County prosecutor Stuart Dunnings III. In December of the same year the prosecutor's office cleared Nassar of any wrongdoing.

Nassar saw patients as normal once the Title IX investigation was over, even while the criminal investigation was still ongoing.

These new findings go against what Michigan State had previously said through one of their lawyers that "no one at Michigan State knew about Nassar's crimes until 2016".

Michigan State fired Nassar in September of 2016 and since then Nassar has pleaded guilty to 10 sexual assault charges across Ingham and Eaton counties. A federal judge has also sentenced him to 60 years in prison on three child pornography charges.

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