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Healthcare Fraud State Attorneys General

Rivkin Radler LLP

AG Garland Announces Nationwide Healthcare Enforcement Action

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On June 27, U.S. Attorney General Merrick Garland announced the results of a two-week nationwide law enforcement action by the Department of Justice (DOJ) in 32 federal districts against 193 defendants for their participation...more

Foley Hoag LLP - White Collar Law &...

Massachusetts’ New Attorney General – A Look Back and a Look Ahead at the Year Ahead

This is the second in our 2024 Year in Preview series examining important trends in white collar law and investigations in the coming year. We will be posting further installments in the series throughout the next several...more

Cozen O'Connor

Washington AG Settles over Health System’s Alleged Deception of Low-Income Patients

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Washington AG Bob Ferguson settled with Providence Health & Services Washington and affiliated entities to resolve allegations the nonprofit health system violated state consumer protection law by deceiving low-income...more

Faegre Drinker Biddle & Reath LLP

State AG Updates: Data Privacy & Security; Consumer Protection; Wage & Employment; Unfair & Deceptive Practices; Health Care Fraud...

At a Glance - In this final edition for 2023, the number and breadth of data privacy and security enforcement actions demonstrate that state AGs are flexing their muscles and playing a significant regulatory role in this...more

Cozen O'Connor

The State AG Report – 12.7.2023

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Here are curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: •AGs in Solar-darity in Fight Against Allegedly Deceptive...more

Manatt, Phelps & Phillips, LLP

[Webinar] 2023 Health Care Enforcement Trends: Spotlight on Consumer Protection, Antitrust and Fraud - December 13th, 1:00 pm -...

In a recent speech, a senior official at the U.S. Department of Justice Antitrust Division noted that “in U.S. antitrust enforcement and competition policy, there is no more important question than what can we do to safeguard...more

Cozen O'Connor

The State AG Report – 8.10.2023

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Here are curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: •AGs Fight Against Saks No-Poach Agreements with Luxury...more

Cozen O'Connor

Texas OAG Reaches $42.7 Million Settlement over Alleged Medicaid Fraud

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The Texas OAG settled with six subsidiaries of Takeda Pharmaceutical Co. to resolve allegations that the companies committed Medicaid fraud in violation of the Texas Medicaid Fraud Prevention Act (TMFPA)....more

Cozen O'Connor

The State AG Report – 4.28.2023

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Here are curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: •FTC Targets Optometrists, Ophthalmologists Suspected of...more

Cozen O'Connor

Healthcare Provider Settles with Virginia AG for $3 Million to Resolve Fraudulent Medicare Billing Allegations

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Virginia AG Jason Miyares reached a settlement with 1st Adult & Pediatrics Healthcare Services, Inc. to resolve allegations that the company violated the False Claims Act by submitting fraudulent billing to Virginia’s...more

Rivkin Radler LLP

Fraud Week: NY Transportation Company Owners Jailed, Fined

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Transportation fraud isn’t new, but it’s new to Rivkin Rounds. The U.S. Attorney’s Office for the Southern District of New York recently announced that Yonkers resident Julio Alvarado was sentenced to 95 months in prison for...more

Faegre Drinker Biddle & Reath LLP

State AG Updates: California, Rhode Island, New York, Connecticut, Illinois and Minnesota

In this edition of Faegre Drinker’s State Attorneys General Update, we discuss: • The California AG’s $2.1 million settlement with an insurer for allegedly falsely advertising itself as a health care sharing ministry...more

Cozen O'Connor

Advanced Bionics Must Pay $12.6 Million to Settle Medicaid Fraud Allegations

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Advanced Bionics Corporation—a manufacturer and distributor of cochlear implants—entered settlements with six AGs to resolve allegations that the company violated federal and state False Claims Acts by submitting fraudulent...more

Cozen O'Connor

The State AG Report – 3.23.2023

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Here are curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: •Kia and Hyundai Urged by Bipartisan Coalition of AGs to...more

Cozen O'Connor

Medical Equipment Manufacturer Pays Out $24 Million to States and Federal Government to Resolve Health Care Fraud Allegations

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A bipartisan coalition of eight AGs and the federal government settled with Phillips RS North America LLC (formerly known as Respironics Inc.), a medical equipment manufacturer, to resolve allegations that the company...more

Cozen O'Connor

Nursing Home Settles With AG James Over Allegations of Fraudulent Medicare Charges

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New York AG Letitia James, together with the DOJ, announced settlements with Saratoga Center for Rehabilitation and Skilled Nursing Care, a former 257-bed nursing home, and its owners, unlicensed operator, and landlord...more

Troutman Pepper

North Carolina AG Settles With Joint Active Systems

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On February 1, North Carolina Attorney General Josh Stein announced that his Medicaid Investigations Division reached a $500,000 settlement with Joint Active Systems, Inc. (JAS). The AG’s Medicaid Investigations Division...more

Cozen O'Connor

Centene to Pay Indiana $66.5 Million in Latest Medicaid Overbilling Settlement

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Indiana AG Todd Rokita reached a settlement with pharmacy benefit manager (PBM) Centene Corporation and its subsidiaries (collectively, “Centene”) in connection with alleged overcharges by Centene to Indiana’s Medicaid...more

Faegre Drinker Biddle & Reath LLP

State AG Updates: California, Pennsylvania, Illinois, Washington State, Connecticut and Coalitions of AGs

In this edition of Faegre Drinker’s State Attorneys General Update, we discuss: • The California AG’s first enforcement action involving the California Consumer Privacy Act, which resulted in a $1.2 million...more

Cozen O'Connor

The State AG Report – 3.3.2022

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Here are last week’s curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: New Hampshire AG Recovers $25 Million from...more

Foley Hoag LLP - White Collar Law &...

Office of the Massachusetts Attorney General – 2022 Preview

This is the fourth post in this year’s series examining important trends in white collar law and investigations. Our previous post discussed trends in tax enforcement. Up next: trends in sanctions & export controls...more

Bradley Arant Boult Cummings LLP

Skyline Fraud Charges Serve as a Warning to Inexperienced Operators

In the past month, state and federal prosecutors have separately charged the former CEO of Skyline Healthcare, Joseph Schwartz, with Medicaid and tax fraud. The criminal actions, which represent the latest legal action...more

Pietragallo Gordon Alfano Bosick & Raspanti,...

The New Jersey False Claims Act: A Decade Of Data Reveal $147m Recovered By The Garden State

Takeaway: Based on data reported by the State Attorney General, New Jersey’s False Claims Act (NJFCA) has been a legislative success. Between 2010 and 2019, the State netted $147 million under the NJFCA, while relators...more

ArentFox Schiff

Investigations Newsletter: New York Pharmacy Owners Charged in $30 Million COVID-19 Health Care Fraud and Money Laundering Case

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New York Pharmacy Owners Charged in $30 Million COVID-19 Health Care Fraud and Money Laundering Case - On December 21, 2020, the Department of Justice (DOJ) announced that two owners of over a dozen New York-area...more

Troutman Pepper

The “New” Enforcers: How States and Localities Are Changing the Landscape of Regulatory Authority

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Over the last decade, observers have noted that states have begun to play a greater role as regulatory enforcers – a trend that increased with the federal regulatory roll-back that began with the advent of the Trump...more

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