Key Points

• Luigi Mangione shouted at reporters outside a Pennsylvania courthouse before a hearing on his possible extradition to New York to face a murder charge in the killing of UnitedHealthcare CEO Brian Thompson.
• “That is completely out of line and an insult to the American people and their life experience!” Mangione shouted as he was led from a police car into the Blair County Courthouse in Hollidaysburg.
• The University of Pennsylvania graduate is accused of fatally shooting Thompson outside the Hilton hotel in midtown Manhattan as the CEO was on his way to a meeting with investors of his parent company, UnitedHealth Group.

An agitated Luigi Mangione shouted at reporters outside a Pennsylvania courthouse before a hearing on his possible extradition to New York to face a murder charge in the killing of UnitedHealthcare CEO Brian Thompson.

“That is completely out of line and an insult to the intelligence of the American people and their life experience!” Mangione shouted as he was led in handcuffs from a police car into the Blair County Courthouse in Hollidaysburg.

The 26-year-old was forced into the building by two officers as he struggled to break free from their hold and screamed at television cameras. Before he was taken inside, his chest bounced off the wall of the building.

At the hearing, Mangione said he would challenge extradition to New York.

The Manhattan District Attorney’s Office accuses the University of Pennsylvania graduate of fatally shooting Thompson with a handgun Wednesday morning outside the Hilton hotel in midtown Manhattan.

The chief executive was on his way to a meeting with investors at his parent company, UnitedHealth Group.

A judge gave prosecutors 30 days to obtain the documents needed to extradite Mangione. The judge denied bail for Mangione, who will be sent back to a Pennsylvania prison pending the outcome of the extradition process.

At one point in the hearing, Mangione’s defense attorney, Thomas Dickey, told him to shut up when he started talking as Dickey addressed the judge.

After the hearing, Blair County District Attorney Peter Weeks told reporters that his office had “already indicated” to New York prosecutors “that we believe their charges are precedent-based.”

“That doesn’t mean we’re getting rid of our charges,” Week said, referring to the criminal charges filed against Mangione on Monday by his office.

A spokesman for Manhattan District Attorney Alvin Bragg said in a statement that Bragg will seek a court order from the governor to secure extradition to Manhattan.”

Mangione was arrested Monday morning at a McDonald’s in Altoona, Pennsylvania, after police there recognized him as the person wanted by the New York Police Department.

He is being held in Pennsylvania on charges related to his possession of a 3D-printed handgun and a silencer that Altoona officers found in his backpack, as well as fake identification documents.

The NYPD has said the gun is a match for the weapon used to kill Thompson.