Showing posts with label Alaska. Show all posts
Showing posts with label Alaska. Show all posts

Sunday, October 3, 2010

Alaska Supreme Court Affirms Dismissal of PsychRights v. Alaska

Told you so!



On October 1, 2010, the Alaska Supreme Court affirmed the dismissal of Law Project for 
Psychiatric Rights v. State of Alaska, on the grounds that it lacked standing to bring the lawsuit seeking to stop the state from psychiatrically drugging children and youth unless and until:  
(i) evidence-based psychosocial interventions have been exhausted,  
(ii)  rationally anticipated benefits of psychotropic drug treatment outweigh the risks,  
(iii)  the person or entity authorizing administration of the drug(s) is fully informed, and  
(iv) close monitoring of, and appropriate means of responding to, treatment emergent 
effects are in place. 


Jim Gottstein, President of PsychRights, said, "We are disappointed but will continue our efforts to stop, or even just reduce, the harm to children and youth through inappropriate government subsidized psychiatric drugging. 

"Government officials have abdicated their responsibility to the children of Alaska and with this decision the Alaska Supreme Court has rejected this particular PsychRights efforts to correct the situation."   

The Supreme Court identified a couple of alternative approaches and PsychRights is reviewing its options. 

Thursday, August 26, 2010

No Pro Se Qui Tam

A person cannot and will not represent anyone but his/her self. A mother cannot represent her children in a court of law. That is why there are Guardian Ad Litum. A person shall not represent the United States in a court of law unless they are an officer of the court, meaning an attorney. You have to be an attorney to represent a party to an action, but first, the United States must agree to be a party.

There are SCOTUS decisions clarifying the pro se litigant in a qui tam action but I have better things to do than to teach law right now.

I would normally upload the filing but it contained so many procedural errors, I did not think it economical.

I highly respect the work of Jim Gottstein PsychRights, but sadly, must forecast the dismissal of the action.

Illinois Medicaid Fraud Case Using PsychRights’ Model Complaint Unsealed

The Law Project for Psychiatric Rights (PsychRights®) announces the unsealing of the first Medicaid Fraud case for prescribing psychiatric drugs to children and youth by someone other than PsychRights using PsychRights’ model Qui Tam Complaint.

United States ex rel Linda Nicholson v. Lilian Spigelman, M.D., Hephzibah Children’s Association, and Sears Pharmacy, was filed in Illinois by attorney S. Randolph Kretchmar as a result of PsychRights’ Medicaid Fraud Initiative Against Psychiatric Drugging of Children & Youth.

Here is a really nice article why qui tam relators cannot represent the United States.

2nd Circuit Addresses Limits on Qui Tam Actions Under False Claims Act

The 2nd U.S. Circuit Court of Appeals has issued two opinions clarifying the law on qui tam actions under the False Claims Act.

The Circuit first ruled that where the United States is not a party to the action, a notice of appeal must be filed within 30 days after the entry of judgment or it is untimely. That decision came in United States of America, ex rel. Irwin Eisenstein v. City of New York, 06-3329-cv.

Second, the court found in United States of America, ex rel. Mergent Services v. Flaherty, 06-3081-cv., that qui tam actions cannot be brought pro se.

Judges Ralph Winter, Roger Miner and Jose Cabranes decided both cases, with Judge Winter writing for the court.

The False Claims Act allows a private person, called a "relator," to bring an action on behalf of the government where the person has knowledge of false or fraudulent claims to the government. Under the act, relators can recover between 15 percent and 25 percent of any award or settlement amount.

In Eisenstein, Irwin Eisenstein and four other New York City employees brought an action as relators on behalf of the United States, claiming it was unlawful for the city to charge nonresident employees a fee equivalent to municipal income taxes paid by city employees who reside in the city.

They claimed a violation of the False Claims Act, 31 U.S.C. §§3729-3733, which imposes civil liability for anyone who "knowingly presents ... a false or fraudulent claim for payment or approval."

Their theory was that since non-resident employees are able to deduct this fee as an expense on their federal tax returns, their taxable income is lower than it would be otherwise and so the city is depriving the federal government of revenue.

Southern District of New York Judge Deborah A. Batts dismissed the action on March 31, 2006, and rendered final judgment on April 12, 2006. Eisenstein filed notice of appeal on June 5, 2006, 53 days later.

In a civil case, notice of appeal must be filed within 30 days under Federal Rule of Appelate Procedure 4(a)(1)(A). But when the United States is a party to the action, Rule 4(a)(1)(B) allows for any party in the action to take 60 days to file notice of appeal.

"The government played no role in this litigation until filing an amicus brief ordered by the court," Winter said at the Circuit. "Because we conclude that the United States is not a 'party' to this action for the purposes of Fed. R. App. P. 4(a)(1)(A) and (B), we further conclude that Eisenstein's notice of appeal was untimely," and the court was without jurisdiction.

Even though the action was ostensibly brought to vindicate the interests of the federal government, Winter said, "In our view, the United States is not a party for these purposes to a qui tam action when the government fails to intervene or to raise or resist any legal claim."

Eisenstein had argued that the 60-day period should apply because the United States was the "real party in interest" in the case. The court disagreed.

Winter said that, as used in Rule 4(a)(1), "the word 'party' refers to the person participating in the proceedings with control over the litigation."

The court then noted the "underlying intent" of the 60-day rule: to "account for the slow machinery of government when the United States is the party responsible for prosecuting the action."

The holding puts the court at odds with three other circuits: the 5th, 7th and 9th. Only the 10th Circuit views the issue the same way as the 2nd Circuit, describing the involvement of the United States as "tangential or nominal" in United States ex rel. Petrofsky v. Van Cott, 588 F.2d 1327 (1978).

Lewis D. Zirogiannis of Hughes Hubbard & Reed represented Eisenstein. Assistant Corporation Counsel Andrew G. Lipkin represented the city.

PRO SE CLAIM

In the second opinion, John Bal and his company, Mergent Services, claimed Marie Flaherty failed to pay Bal for air-purifying equipment he provided her, but she nonetheless submitted a false receipt for reimbursement of $1,750 to New York state's Individual and Family Grant Program, which is funded in part by the Federal Emergency Management Agency to assist New Yorkers with disaster-related needs following the 9/11 terror attacks.

Southern District of New York Judge Harold Baer dismissed the case, concluding that Bal is not an attorney and was "not qualified to represent the interests of the United States.

The 2nd Circuit agreed, with Winter saying, "The circumstances under which civil litigants may appear without counsel are limited by statute," 28 U.S.C. §1654, which permits parties only to "plead and conduct their own cases personally."

In Machadio v. Apfel, 276 F.3d 103, (2002), the 2nd Circuit held that, under the statute, "an individual who is not licensed as an attorney 'may not appear on another person's behalf in the other's cause.'"

Examples of this rule "abound in our case law," Winter said, including that "a laymen cannot represent a corporation even if the sole shareholder"; a "non-lawyer general partner may not represent the partnership"; and "a layman may not appear pro se on behalf of his minor child."

"These rulings not only are called for by the text of 28 U.S.C. 1654," he said, " ... but also constitute good policy for both litigants and the courts."

The only place a pro se is found in a qui tam action is in the original latin text:

qui tam pro domino rege quam pro se ipso in hac parte sequitur

Sometimes I speculate that these "qui tam" templates is a marketing technique for PsychRights to generate publicity and fees. A person can file these template complaints and then he swoops in for the right amount of money to save the day. I do not know but I have to put it out there because the pro se qui tam template is only good for raising awareness to the fact that Medicaid fraud in child welfare is alive and thriving.

Better legal advice would be to refer an individual to their respective State Legislation and Attorney General Office to file under its False Claims Act. Illinois Whistleblower Reward and Protection Act III. Comp. Stat. $$175/1-178/8.

The mechanisms exist.  Let's use them.

Friday, June 25, 2010

Alaska Medicaid Fraud Control Unit Neglects Youth

What about the youth? Is there a reason the States Medicaid Fraud Control Units do not provide the same protection for children? Why is there Medicaid Fraud in Child Welfare?

It's called Child Protective Services (CPS).

The law enforcement functions overseeing children were bifurcated and housed within a newly created agency within the executive branch, leaving the public impression that it was transparent. Freedom of Information Act laws allow anything dealing with children to be sealed and sequestered from public scrutiny. The only information released to the functions of child welfare are done through propaganda campaigns and fallible curriculum.

Power to enforce the law was bestowed upon an agency that does no take ant oath of office to execute the duties of child welfare with respect to constitutional rights and the laws of the land.

Simply put, any Medicaid fraud performed in child welfare will never be prosecuted and recovered.

Medicaid Fraud Unit Expands into Abuse and Neglect Cases

June 21, 2010
Monday

Anchorage, Alaska - The Alaska Medicaid Fraud Control Unit in the Department of Law announced today they recently obtained criminal convictions of two women in a case from late 2007 in which an 81-year-old veteran was abused.

The unit, formed in 1992 to focus on fraud, recently has expanded its scope into abuse and neglect cases.

Alejandra A. Schaub, 65, formerly of Anchorage, pleaded guilty to a felony charge of domestic violence assault on June 7. Ofelia Guiel, 47, pleaded guilty to reckless endangerment on June 8. At the time of the crime, Schaub was providing care for the elderly veteran in Guiel's Anchorage home.

The abuse came to light after Schaub took the victim to appointments at the Veterans Administration clinic and at Elmendorf Air Force Base. Various caregivers voiced suspicions of abuse to Guiel, who disregarded them and returned the victim to the home, where Schaub continued the abuse.

The Alaska Medicaid Fraud Control Unit was notified of the abuse in 2009. The victim previously had not revealed the identity of the abuser because he relied on her for assistance with his daily life. After he was transferred to another assisted living home, he disclosed that Schaub had broken his finger, flattened his nose and deformed his ears. Schaub fled the state, but with the assistance of the U.S. Marshall's service, she was found in Nevada and returned to Alaska.

Schaub, who had no prior record, was sentenced to a year in jail, with six months suspended, and was given probation for three years, with conditions that she have no contact with the victim and provide no care for elderly or infirm individuals. Guiel received a 90-day suspended jail sentence and also was placed on probation for three years. She is also prohibited from having any contact with the victim and from working in the Alaska Medicaid program for five years.

"Alaska will continue to ferret out those who prey on our most vulnerable, and will prosecute them to the fullest extent of the law," said Deputy Attorney General Rick Svobodny, head of the criminal division in the Department of Law.

The Alaska Medicaid Fraud Control Unit is funded primarily by the federal government to investigate fraud and patient abuse and neglect, and is staffed by investigators, and auditor and a prosecutor. The unit has participated in nationwide actions against pharmaceutical companies that have resulted in the return of millions of dollars that had been siphoned from the state Medicaid program.

Last year, the unit concluded a case against one of the most significant known defrauders of Medicaid services in Alaska history. Sherry T. Trotter, president of On Call Nursing of Alaska, pleaded guilty to a felony theft charge and was sentenced to 36 months in prison, 28 months suspended, and ordered to pay more than $800,000 in restitution.

Sunday, February 14, 2010

Furthering a Compelling Governmental Interest

Taken from the State of Alaska Division of Finance Checkbook Online, is an excellent compilation of the areas of States government that are excluded from public scrutiny.

The State of Alaska is publishing information from the statewide accounting system on the web. This is part of a national trend for governments to develop websites that allow constituents to view financial information in searchable formats. Such websites are widely considered to improve transparency into the financial operations of government.

Governor Palin supported this trend, and as a result, this website was created. Governor Parnell has demonstrated his strong support by ensuring the website stays highly visible. It includes:

  • All vendors and grantees who received at least one payment of $1,000 or more in the current fiscal year through the end of January 2010. Individual payments of less than $1,000 are not included.
  • Information presented includes the name and location of the vendor or grantee, the purpose of the payment, and the department that requested it.
  • Payment information is aggregated. All payments of $1,000 or more are included, but amounts presented may be lower when payments are issued for more than one purpose.

Payments from certain payment systems PDF format have been excluded based on a confidentiality analysis performed by the Department of Law.

Alaska Payment Excluded Based on Condidentiality Analysis 2009                                                            

These "certain" exceptions are centered on programs which receive federal funding. A quick look at this list will show that all accounting in child welfare is excluded. That's right, there is no possible way for anyone, not even the State Auditor Generals, to look at the billing practices in child welfare.

Now, how's that for transparency?

Of course, there are those who will aver that state honor systems are part and parcel of a federalistic system, and that states exclude child welfare from public scrutiny to "further a compelling governmental interest."

If I am not mistaken, "furthering a compelling governmental interest" seems to mirror the Religious Freedom Restoration Act (RFRA) of 1993. In the recent U.S. Supreme Court ruling by Chief Justice Roberts (546 U.S. 418, 2006) the Court emphasized that Congress had constructed "a workable test for striking sensible balances between religious liberty and competing prior governmental interests" (42 U.S.C. 2000bb et seq.)

Multiple prong tests for strict scrutiny have been legally constructed to determine whether an interest is a compelling governmental interest, the defenses, as well as the remedies throughout the states, in respect to RFRA. The same may be applied to public exceptions, or Freedom of Information Act exclusions and exemptions, that only State Attorneys General are granted with the power to strictly scrutinize what is and what furthers a compelling governmental interest.

It is the duty of the State Attorney General to protect the State and its citizens. Exposing fraud in the child welfare industry would devastate state general funds and cut off federal funding streams for lack of compliance.


Nine Exemptions

Exemption One: Classified national defense and foreign relations information.
Exemption Two: Internal agency personnel rules and practices.
Exemption Three: Information that is prohibited from disclosure by another federal law.
Exemption Four: Trade secrets and commercial or financial information obtained from a person that is privileged or confidential.
Exemption Five: Inter-agency or intra-agency memoranda or letters that are protected by legal privileges.
Exemption Six: Personnel, medical, financial, and similar files the disclosure of which would constitute a clearly unwarranted invasion of personal privacy.
Exemption Seven: Certain types of information compiled for law enforcement purposes.
Exemption Eight: Records that are contained in or related to examination, operating, or condition reports prepared by, on behalf of, or for the use of any agency responsible for the regulation or supervision of financial institutions.
Exemption Nine: Geological and geophysical information and data, including maps, concerning wells.


Three Exclusions

(c)(1) Exclusion: Subject of a criminal investigation or proceeding is unaware of the existence of records concerning the pending investigation or proceeding and disclosure of such records would interfere with the investigation or proceeding.
(c)(2) Exclusion: Informant records maintained by a criminal law enforcement agency and the individual's status as an informant is not known.
(c)(3) Exclusion: Existence of FBI foreign intelligence, counterintelligence or international terrorism records are classified fact.

Child Welfare qualifies for each and every exemption and exclusion, which I have previously published.  Fraud, in whatever form it is recognized, has gone through an intellectual metamorphosis to become an established constitutional right as a religious freedom. Simply put, fraud is now a First Amendment Right of privatized, contractual corporate individuals in child welfare and it is the obligation of the States, and every elected official who has signed on in support the "so-called parental rights" amendment, to further the compelling governmental interest of hiding all evidence of child welfare fraud.

Tuesday, January 26, 2010

Massive Child Welfare Medicaid Fraud Lawsuit Unsealed

I told you so!

FOR IMMEDIATE RELEASE

CONTACT Jim Gottstein
907-274-7686 jim.gottstein@psychrights.org

Massive Medicaid Fraud Lawsuit Unsealed

The Law Project for Psychiatric Rights (PsychRights®) announces the unsealing today of a major Medicaid Fraud lawsuit against psychiatrists, their employers, pharmacies, state officials, and a medical education and publishing company for their roles in submitting fraudulent claims to Medicaid. The defendants are:

* Osamu H. Matsutani, M.D.
* William Hogan, Commissioner Of the Alaska Department Of Health And Social Services
* Tammy Sandoval, Director Of The Alaska Office Of Children's, Services
* Steve McComb, Director Of The Alaska Division Of Juvenile Justice
* William Streur, Director Of The Alaska Division Of Health Care Services
* Juneau Youth Services, Inc.
* Providence Health & Services,
* Elizabeth Baisi, M.D.
* Ruth Dukoff, M.D.
* Charter North Star Behavioral Health System
* Kerry Ozer, M.D.
* Claudia Phillips, M.D.
* Southcentral Foundation
* Sheila Clark, M.D.
* Hugh Starks, M.D.
* Lina Judith Bautista, M.D.
* Heidi F. Lopez-Coonjohn, M.D.
* Robert D. Schults, M.D.
* Mark H. Stauffer, M.D.
* Ronald A. Martino, M.D.
* Irvin Rothrock, M.D.
* Jan Kiele, M.D.
* Alternatives Community Mental Health Services, D/B/A Denali Family Services
* Anchorage Community Mental Health Services
* Lucy Curtis, M.D.
* Fairbanks Psychiatric And Neurologic Clinic, Pc
* Peninsula Community Health Services Of Alaska, Inc.
* Bartlett Regional Hospital Foundation, Inc.
* Thomson Reuters (Healthcare), Inc.
* Wal-Mart Stores, Inc.
* Safeway, Inc.
* Fred Meyer Stores, Inc.

Law Project for Psychiatric Rights v. Matsutani, et al., United States District Court, District of Alaska, Case No. 3:09-cv-0080-TMB.


The lawsuit, which was filed on April 27, 2009, and required to be kept under seal (secret) until now, is brought under the federal False Claims Act, which authorizes private parties to bring fraud actions on behalf of the Government. These cases are also called "whistleblower suits" or "qui tam," actions, and those who file them are entitled to a share in the recovery, if any. Each offending prescription carries a minimum penalty of $5,500.

The Complaint walks through the lack of science supporting the practice and the methods used by the pharmaceutical industry to induce psychiatrists to improperly prescribe these drugs. "Even though the drug companies have been using these methods to induce psychiatrists to prescribe these drugs, it is the psychiatrists' responsibility to base their decisions on the facts, not drug company marketing," said Mr. Gottstein, continuing, "the uncritical acceptance of pharmaceutical company hype represents a massive betrayal of trust by the psychiatrists prescribing these drugs to children and youth."

PsychRights has also developed a streamlined model Qui Tam Complaint for use around the country. See, PsychRights Launches Campaign Against Medicaid Fraud With Model Lawsuit, July 27, 2009. The model Qui Tam Complaint is drafted for former foster youth to bring the lawsuits and receive the whistleblower's share of the recovery, but anyone with knowledge of specific offending prescriptions, such as parents and mental health workers, can bring these suits.

Last fall, Mr. Gottstein gave talks at two national conferences, the National Association for Rights Protection and Advocacy (NARPA), and the International Center for the Study of Psychiatry and Psychology (ICSPP), where he presented on how to bring and conduct these cases. Mr. Gottstein is also giving a presentation in New York City, February 2nd following oral argument in Lilly v. Gottstein.

Mr. Gottstein indicates a number of these cases are percolating around the country. In one that is not as far along as some others, Ted Chabasinski, a Berkeley, California, lawyer, is seeking a former foster youth as a client to bring such a lawsuit in the Bay Area. Any former foster youth in the Bay Area who was given psychiatric drugs within the last 6 years can call Mr. Chabasinski at (510) 843-6372 to talk to him about bringing such a case. "Foster children are singled out for psychiatric drugging because they and their foster parents have almost no legal protections and no way they can refuse these damaging drugs," says Mr. Chabasinski, who as a foster child, was electroshocked at the age of six as part of an experiment involving hundreds of foster children.

While PsychRights and Mr. Chabasinski are not bringing these cases for the money, such cases represent a tremendous financial opportunity for attorneys to do well by doing good.

"These are about as open and shut as cases can get," said Mr. Gottstein, "it is Medicaid fraud to cause or submit prescriptions to Medicaid for reimbursement if they are not for a medically accepted indication. End of story." PsychRights has developed a Medically Accepted Indications Chart showing what is allowable for common psychiatric drugs. Every other use of these drugs in children and youth and submitted to Medicaid is fraudulent. PsychRights conservatively estimates that at least half of psychotropic drug prescriptions to children and youth submitted to Medicaid are not for medically accepted indications and therefore fraudulent.

The Law Project for Psychiatric Rights is a public interest law firm devoted to the defense of people facing the horrors of forced psychiatric drugging and electroshock. PsychRights is further dedicated to exposing the truth about psychiatric interventions and the courts being misled into ordering people subjected to these brain and body damaging drugs against their will. Extensive information about these dangers, and about the tragic damage caused by electroshock, is available on the PsychRights web site: http://psychrights.org/.

# # #

Alaska Psychiatric Rights Unseald Qui Tam

Jim Gottstein, I bow in honor of your strength and tenacity to stop Medicaid fraud in child welfare. I only pray you set of a national trend of False Claims Act filings.

Anyone interested in learning more about these types of extraordinary writs, feel free to contact me.

Beverly Tran
An Original Source
313-522-8213