False Claims Act

AHA follow-up letter to DOJ re: FCA investigations and kyphoplasty initiative [False Claims Act] December 3, 2010

AHA letter to DOJ and HHS requesting that cabinet-level Health Care Fraud Prevention and Enforcement Action Team undertake policy review of ongoing enforcement initiatives proceeding under auspices of FCA [Re: False Claims Act] September 7, 2010

AHA Amicus Brief
Ortho Biotech Product, L.P. v. U.S. Ex Rel. Mark Eugene Duxbury, U.S. Supreme Court (No. 09-654) [Re: False Claims Act] January 4, 2010

AHA Amicus Brief
Graham County Soil & Water Conservation District, et al., v. United States Ex Rel., U.S. Supreme Court (No. 08-304) [Re: False Claims Act] September 3, 2009

Fraud Enforcement and Recovery Act of 2009 (S. 386) signed by the President, May 20, 2009

AHA Legal Advisory: Fraud Enforcement and Recovery Act of 2009, June 4, 2009 
Rep. Maffei floor statement regarding S. 386, May 6, 2009
Sen. Kyl floor statement regarding S. 386, April 22, 2009
Fraud Enforcement and Recovery Act of 2009 "Redline of key changes"
Fraud Enforcement and Recovery Act of 2009, Editorial "What hospitals need to know about recent changes to False Claims Act," AHA News, June 8, 2009

AHA letter to the Senate regarding S. 386 expressing concerns regarding the False Claims Act provisions, April 21, 2009

AHA letter to the House Judiciary Committee regarding H.R. 1788 expressing concerns regarding proposed changes to the False Claims Act, April 21, 2009

AHA letter to Sen. Judiciary Committee re: S. 386 amendments to False Claims Act, Mar. 5, 2009

Amicus Brief -- See Supreme Court Decision, June 9, 2008
Allison Engine Company, Inc., et al., v. United States ex Rel., US Supreme Court (No. 07-214), Dec. 20, 2007

Amicus Brief
US Ex Rel. Rost v. Pfizer U.S. Court of Appeals [False Claims Act: “public disclosure bar”] June 7, 2007

Deficit Reduction Act Employee Information Requirements:

    Highlights of CMS Additional Guidance to State Medicaid Directors Deficit Reduction Act Employee
    Information Requirements
, April 10, 2007

     CMS Additional Guidance on DRA Employee Information Requirements Regarding False Claims
     Laws, March 22, 2007:

         Letter to State Medicaid Directors
         Frequently Asked Questions (FAQ)
         DOJ Description of the Federal False Claims Act

      Employee Information Requirements, Summary of CMS Teleconference, January 11, 2007

      CMS Guidance to State Medicaid agencies: implementation of employee education requirements
      under the Deficit Reduction Act of 2005, and model State Plan amendment, Dec. 13, 2006

      Employee Information Requirements

Amicus Brief
U.S. Court of Appeals, 2d Cir. (05-2951-cv) [Challenge to government's reliance on informal manual provision]. In their amicus curiae brief, AHA and AAMC argue that the hospitals used state-of-the-art cardiac devices with their Medicare beneficiary patients at no additional cost to the federal program - choosing the new devices, often more expensive than older versions, for clinical reasons, while receiving the same fixed rate under the DRG system regardless of the device. October 21, 2005

Amicus Brief
Allina Health System Corp., et al. v. United States of America, ex rel. Minnesota Association of Nurse Anesthetists: Supreme Court of the United States (No. 02-27) August 7, 2002

Testimony
Before the United States Senate Special Committee on Aging on Medicare Enforcement Actions: The Federal Government's Anti-Fraud Efforts. July 26, 2001

Amicus Brief -- See Supreme Court Decision, March 27, 2007
U.S. ex rel. James S. Stone v. Rockwell International Corp. and Boeing North American, Inc., US Court of Appeals for the Tenth Circuit (Nos. 99-1351, 99-1352, 99-1353) [Re: Lack of legal authority for a private individual to initiate a False Claims Act case.] February 14, 2000

Amicus Brief
Vermont Agency of Natural Resources v. U.S. Ex Rel. Stevens, US Supreme Court (No. 98-1828) [Re: Lack of legal authority for a private individual to initiate a False Claims Act case.] November 1999

Amicus Brief
United States ex rel. James F. Alderson v. Quorum Health Group, Inc, et al., US District Court for the Middle District of Florida (No. 99-413-CIV-T-23B) [Re: Government attempt to use "Medicare reserve calculations" to demonstrate fraud under the False Claims Act.] August 28, 1999

"Lab unbundling" Lawsuit
-- OHA, AHA v. Shalala, 1996:

Complaint: Ohio Hospital Association and American Hospital Association v. Donna E. Shalala, Secretary of Health and Human Services (No. 1:96-CV-2165) [government's misuse of False Claims Act] October 7, 1996

     District Court Decision [dismissed the suit for lack of subject matter jurisdiction] September 18,
     1997

     US Ct. of Appeals Decision  [reversed district court on question of jurisdiction to grant 
     declaratory relief and remanded, December 1999] December 29, 1999

     US Sup. Ct. [AHA opposition to the government's request for Supreme Court review of the 6th
     Circuit Court decision] November 13, 2000; Review denied 

 

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