Health Care Fraud Report Index-Summary

LABELS AND PACKAGING

– Drugs, unapproved, KV Pharm. pleads guilty (E.D. Mo.), 209
– Off-label marketing

LAWYERS

LEGISLATION, FEDERAL

– Ed. Note: This heading covers bills with assigned numbers only. For information on measures not yet assigned numbers, see specific subject headings.
– House

– – HR 3590, Health care reform, anti-fraud provisions, 61; key provisions, Special Report, 264; further action, see PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA)
– – HR 3962, Health care reform, anti-fraud provisions, 61
– – HR 4213, Taxes, CMS/IRS data sharing, House passes, 449
– – HR 4872, Reconciliation bill, fraud measures, 240; key provisions, Special Report, 264; further action, see HEALTH CARE AND EDUCATION RECONCILIATION ACT
– – HR 5044, Medicare fraud prevention, AARP pledges support, 651
– – HR 5546, Technology to fight fraud, AARP pledges support, 651
– – HR 6130, Excluded persons, IG authority, 734; House passes, 784

– Senate

– – S 1508, Improper payments, elimination and recovery, signed, 611
– – S 2964, Health care reform, 110
– – S 3632, Medicare fraud prevention, AARP pledges support, 651

LICENSES AND LICENSING

– N.Y., MA sales agent licensing, HMO fined for violations, 393
– Wrongful discharge, nurse need not report unlawful acts to licensing board (Md.), 428

LONG-TERM CARE

– Accreditation, interim staffing effectiveness standards, 163
– Conspiracy, operators of five sites convicted (W.D. Mo.), 798
– Employee background checks, CMS accepts grant applications, 495; six states receive grants, 832
– Quality of care, long-term hospitals, Senate finance leaders seek data, 243

LOUISIANA

– HMO fraud scheme, convictions of executives upheld (5th Cir.), 251
– Insurers, excessive fees for record retrieval, amended filing allowed (E.D. La.), 558
– Nursing homes, excessive payments, state to repay CMS $122M, 286
– Personal care services

– – Employee indicted (E.D. La.), 25; time sheets falsified, employee sentenced, 580
– – False documentation, employee sentenced for Medicaid fraud (E.D. La.), 340
– – Services never rendered, prison sentence for employee (E.D. La.), 25

– Risperdal, minimizing diabetes risk, jury verdict against drug maker (La. Parish Ct.), 855
– Zyprexa, off-label use, La.-Lilly settlement reached (E.D.N.Y.), 336