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The USA Gymnastics sex abuse scandal relates to the sexual abuse of female athletes—primarily minors at the time of the abuse—over two decades in the United States, starting in the late 1990s. More than 368 people alleged that they were sexually assaulted "by gym owners, coaches, and staff working for gymnastics programs across the country." Particularly, longtime USA Gymnastics (USAG) national team doctor Larry Nassar has been named in hundreds of lawsuits filed by athletes who said that Nassar engaged in sexual abuse for at least 14 years under the pretense of providing medical treatment. Since the scandal was first reported by The Indianapolis Star in September 2016, more than 265 women, including former USAG national team members Jessica Howard, Jamie Dantzscher, Morgan White, Jeanette Antolin, McKayla Maroney, Aly Raisman, Maggie Nichols, Gabby Douglas, Simone Biles, Jordyn Wieber, Sabrina Vega, Ashton Locklear, Kyla Ross, Madison Kocian, Amanda Jetter, Tasha Schwikert, Mattie Larson, Bailie Key, Kennedy Baker, Alyssa Baumann, and Terin Humphrey have accused Nassar of sexually assaulting them. It is considered the largest sexual abuse scandal in sports history.On July 11, 2017, Nassar pleaded guilty to federal child pornography charges, and was sentenced to 60 years in prison on December 7, 2017. On November 22, 2017, he pleaded guilty in state court to seven charges of first-degree sexual assault and entered another guilty plea a week later to three additional charges of sexual assault. On January 24, 2018, Nassar was sentenced to an additional 40 to 175 years in prison, set to run after Nassar serves the 60-year federal prison sentence for child pornography. On February 5, 2018, Nassar received another 40 to 125 years. As of 2019, he is incarcerated at United States Penitentiary, Coleman. An investigation by The Indianapolis Star over a period of nine months found that the abuses were widespread because "predatory coaches were allowed to move from gym to gym, undetected by a lax system of oversight, or dangerously passed on by USA Gymnastics-certified gyms". USAG and Michigan State University—where Nassar worked as its osteopathic physician—have been accused of enabling Nassar's abuse and are named as defendants in civil lawsuits that former gymnasts have filed against Nassar. Besides Nassar, other coaches were involved in the scandal in Michigan, Pennsylvania, California, Rhode Island, Indiana and elsewhere.On May 16, 2018, it was announced that the victims would be awarded the Arthur Ashe Courage Award. On December 13 that year, the National Collegiate Athletic Association (NCAA) awarded Nichols, the first person to have reported Nassar (though not the first to go public with her report), the Inspiration Award for 2019.