Thus, the government argues, there is a continuous series of violations within the complex medical device bundles program that began in late 2000, continued through early 2001, and reached a high, even after that, as seen by the continued delivery of bundles throughout 2001 and most notably by the firm-fixed price contracts awarded in 2002.
OBRA is a federal law which was passed by Congress under the Reagan administration around 1986. One of OBRA's primary goals was to encourage the development of ambulatory surgical centers and to free up nursing hours from hospitals. Another portion of OBRA set up requirements on Medicaid which required that hospitals \"measuring up to Medicare standards had to pay full reimbursement for the services they provided - no more discounts, rebates or kickbacks. Starting in February 1998, the Times-Picayune ran a series by reporters David Booth and Catherine Carlisle about Louisiana hospitals discouraging substance abuse treatment even as they billed the state for the services their employees provide. One hospital had even placed undercover reporters in a drug rehabilitation program in order to document that the insurer, New Orleans Health Management (NOHM), tried to discourage the treatment of drug addicts. This report prompted newly-elected Governor Jindal to fire almost all of the state's Medicaid managers, eventually replacing them with accountants who would do the paperwork for them. Starting in March 1999, a story by William Neuman at The Times-Picayune highlighted over a dozen hospitals in New Orleans that had agreed to limit the treatment of those suffering from AIDS or hepatitis C and to admit only patients who did not have such illnesses marked on their medical charts. The clinic at Charity Hospital admitted a patient with the deadly, highly-contagious form of HIV for almost four months in 1999 before admitting they had a mistake on the chart. Police were ultimately called in but the patient was released. 7211a4ac4a