January 26, 2010 By: Deborah Dupre
A major Medicaid Fraud lawsuit by Law Project for Psychiatric Rights (PsychRights®) against psychiatrists, their employers, pharmacies, state officials, and a medical education-publishing company for their roles in fraudulent claims to Medicaid to drug mainly disadvantaged children and youth was unsealed, revealing a long list of defendants.
The Law Project for Psychiatric Rights (PsychRights) is a non-profit, tax exempt 501(c)(3) public interest law firm whose mission is to mount a strategic legal campaign against horrors of forced psychiatric drugging and electroshock in the U.S. akin to what Thurgood Marshall and the NAACP mounted in the 40's and 50's on behalf of African American civil rights.The public mental health system is creating a huge class of chronic mental patients through forcing them to take ineffective, yet extremely harmful drugs according to PsychRights."The massive psychiatric drugging of America's children, particularly poor, disadvantaged children & youth through Medicaid and in foster care is an unfolding public health catastrophe of massive proportions," states attorney Jim Gottstien, PsychRights director.DefendantsThe defendants in this case 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 DenaliFamily Services
* Anchorage CommunityMental 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, 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 thepharmaceutical 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 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 recoverey, 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 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. http://psychrights.org/Education/ModelQuiTam/ PediatricPsychotropicMedically AcceptedIndications.pdf 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 posts made in this blog are of our opinion only* Without Prejudice UCC 1-207
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