James has secured billions from individuals and corporations that harmed New Yorkers' health care access, including over $3 billion from opioid manufacturers for the opioid epidemic and more than $70 million from neglectful nursing homes.

Komatireddy plans to recover at least $1 billion in stolen Medicaid funds during her first term by aggressively prosecuting Medicaid fraud, and to return those recovered dollars to New Yorkers through a tax refund. She cites poor performance of the current Medicaid Fraud Control Unit under Letitia James.

Letitia James is working to reduce gun violence through gun buyback events and enforcement, removing over 9,600 guns from New York streets. Her office has also seized drugs and guns from organized crime rings and pursued justice for hate-based violence, including the 2022 Buffalo Tops Supermarket shooting.

Komatireddy proposes a zero-tolerance policy for transit crimes, including creating a Transit Crimes Strike Force to prosecute offenses that district attorneys are not pursuing, banning repeat and violent offenders from the subway, and supporting legislation for enhanced penalties for crimes committed on mass transit (e.g., making assault in transit a felony, treating murder in transit as first-degree murder, and creating a new felony for reckless endangerment on public transportation).

James championed the FAIR Business Practices Act to crack down on predatory lenders, abusive debt collectors, and dishonest mortgage providers. She has also strengthened homeowner protections against deed theft and taken on large companies to protect consumer data and privacy.