Hartford Courant

Abortion provider sued by Texas

- By Paul J. Weber

AUSTIN, Texas — Texas wants Planned Parenthood to give back millions of dollars in Medicaid reimbursem­ents — and pay far more in fines on top of that — in a lawsuit that appears to be the first of its kind brought by a state against the largest abortion provider in the U.S.

A hearing was set for Tuesday in front of U.S. District Judge Matthew Kacsmaryk, who earlier this year put access to the most common method of abortion in the U.S. in limbo with a ruling that invalidate­d approval of the abortion pill mifepristo­ne.

The case now before him in America’s biggest red state does not concern abortion, which has been banned in Texas since the U.S. Supreme Court overturned Roe v. Wade last year. But Planned Parenthood argues the attempt to recoup at least $17 million in Medicaid payments for health services, including cancer screenings, is a new effort to weaken the organizati­on after years of Republican-led laws that stripped funding and imposed restrictio­ns on how its clinics operate.

At issue is money that Planned Parenthood received for health services before Texas removed it from the state’s Medicaid program in 2021. Texas had begun trying to oust Planned Parenthood four years earlier and is seeking repayment for services billed during that time.

“This baseless case is an active effort to shut down Planned Parenthood health centers,” said Alexis Mcgill Johnson, president of Planned Parenthood Federation of America.

Texas brought the lawsuit under the federal False Claims Act, which allows fines for every alleged improper payment. Planned Parenthood says that could result in a judgment in excess of $1 billion.

The lawsuit was announced last year by Republican Texas Attorney General Ken Paxton, who is now temporaril­y suspended from office pending the outcome of his impeachmen­t trial next month over accusation­s of bribery and abuse of office.

Jacob Elberg, a former federal prosecutor who specialize­d in health care fraud, described Texas’ argument as weak.

He called the False Claims Act the government’s most powerful tool against health fraud. Cases involving the law in recent years have included a health records company in Florida and a Montana health clinic that submitted false asbestos claims.

Elberg said it is “hard to understand” how Planned Parenthood was knowingly filing false claims at a time when it was in court fighting to stay in the program and Texas was still paying the reimbursem­ents.

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