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State False Claims Act...Fraud Fighter? or Physician Practice Destroyer?Written by Executive Vice President, Public Policy and Association Affairs, Andy SanduskyJune 19, 2020 No one, including POMA, supports fraud, waste or abuse in any form, especially in the Medicaid program, where any fraud, waste or abuse takes money away from our most vulnerable population. Legislative efforts are underway in Pennsylvania to enact a state false claims act with the intent of beefing up the Attorney General’s policing powers to go after Medicaid fraud. However, POMA has more questions than answers about the 38-pages of legal text of the pending legislation. As drafted, only a seasoned prosecutor, plaintiff’s counsel or defense lawyer would truly understand. what the bill requires of physicians. House Bill 2352 was moved from the committee last week and is poised for a full vote in the House chamber in the upcoming week. POMA’s immediate concern is to protect physician practices that make honest mistakes versus those who are gaming the system with the intent to defraud. As currently drafted, HB 2352:
POMA opposes HB 2352 as it is currently drafted and is pleading with lawmakers to slow down the process and not vote on it next week. HB 2352 is supported by the trial lawyers and the Attorney General. It is opposed by physicians, hospitals, nursing homes, insurance companies and pharmaceutical companies. |