Mar 16

Lawsuit Filed Against Planned Parenthood Affiliates For Allegedly Overcharging California For Contraceptives

Category: Uncategorized


A lawsuit recently made public alleges that Planned Parenthood affiliates in California overcharged the government for oral contraceptives, the Los Angeles Times reports. At issue are government reimbursement rules on account of pharmaceutical products made available at public health programs through a federal program that allows health centers to purchase used by all drugs from manufacturers at reduced prices. In go for the discounts, clinics must follow specific rules for seeking reimbursement. 

California health officials said that they do not believe Planned Parenthood acted improperly because the organization was given contradictory guidance on billing from the state. At issue is whether Planned Parenthood affiliates were required to bill “at cost” or could charge higher “usual and customary” fees that take into account the cost of storing the drugs and dispending them, according to the Times.  An official at the state Department of Health Care Services said the organization does not need to repay somewhat funds already reimbursed by the state because the state’s own rules were unclear. The suit in law was originally filed in 2005 by Victor Gonzalez, former vice president of finance and administration of Planned Parenthood Los Angeles. Gonzalez said he was fired in March 2004 after raising concerns surrounding the “illegal accounting, billing and donations practices of Planned Parenthood,” the Times reports. Gonzalez alleges that Planned Parenthood overcharged the state and federal governments by $180 million for line control pills. According to letters supposing to the Times by Gonzalez’s attorney Jack Schuler, questions about billing practices were raised as early as 1997 by an unnamed Medi-Cal official. According to Schuler, the alleged overbillings continued until the Legislature changed the rule in 2004 to clarify billing and reimbursement rules with respect to dispensing contraception.

Comments

Gonzalez said he attempted to raise the issue of “overbilling” with top Planned Parenthood officials internally. Schuler said Gonzalez plans to rely on internal Planned Parenthood communications showing that officials worked to lobby parade health officials to adopt the organization’s point of view. Planned Parenthood Affiliates of California spokesperson Ana Sandoval declined to comment Friday, saying the organization has not seen the lawsuit (Ornstein, Los Angeles Times, 3/8).

Reprinted with kind permission from http://www.nationalpartnership.org. You can view the entire Daily Women’s Health Policy Report, search the archives, or sign up for email delivery here. The Daily Women’s Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company.

© 2007 The Advisory Board Company. All rights reserved.

No Comments

Leave a comment