Case 3:15-cv-00565-JWD-SCR Document 34-2 09/08/15 Page 1 of 10 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF LOUISIANA PLANNED PARENTHOOD GULF COAST, INC.; JANE DOE #1; JANE DOE #2; AND JANE DOE #3, Plaintiffs, v. CIVIL ACTION NO. 3:15-cv-00565-JWD-SCR KATHY KLIEBERT, SECRETARY, LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS, Defendant AMENDED DECLARATION OF DIRECTOR RUTH KENNEDY Pursuant to 28 U.S.C. § 1746, the undersigned declares as follows: 1. My name is Ruth Kennedy, and I am the Medicaid Director of the Louisiana Department of Health and Hospitals (“the Department”). 2. I have been serving as the Medicaid Director since July 2012. 3. I served previously as the Deputy Medicaid Director of the Department from October 1999 to July 2012. 4. Prior to October 1999, I have served in the office within the Department responsible for the administration and operation of the Medicaid Program in Louisiana in various supervisory and managerial capacities beginning in June 1992. 5. As the Medicaid Director, I serve as the administrator of the Bureau of Health Services Financing (BHSF), the agency within the Department that sets the policy for health care reimbursement for federally mandated and other medical services, and manage all related activities, including enrollment of participants, determining benefits and services to be provided, health care delivery systems, quality, policy enforcement, and rate setting. 1 Case 3:15-cv-00565-JWD-SCR Document 34-2 09/08/15 Page 2 of 10 6. There are no Medicaid services that only family planning clinics provide that could not be provided.by other enrolled Medicaid providers in the State of Louisiana, including in New Orleans and Baton Rouge. 7. Any physician/physician extender and appropriately certified lab can provide family planning and related services in the State of Louisiana as long as it is within their license and scope. 8a. Upon becoming aware of this Honorable Court’s questions as to the types of providers that were included in Exhibit 1 to my first Declaration, I ordered a comprehensive review of this exhibit and have since discovered that nursing facilities and dentist should not have been included in Exhibit 1. [Rec. Doc. 13-2]. The other provider types included in Exhibit 1 are appropriate due to what they are allowed to do under the scope of their license. For example, any provider with prescriptive authority can prescribe contraceptive agents to a Louisiana Medicaid recipient and the prescription will be filled and paid. Other examples are anestheologist, who can be reimbursed for their role in sterilization procedures and radiologist, who can be reimbursed for reading ultrasounds, etc. related to reproductive/women’s health issues. 8b. During this more in-depth review, I instructed by staff to gather information from available Medicaid providers in proximity to the two Planned Parenthood locations in New Orleans and Baton Rouge, Louisiana. They asked these providers about which family planning and related services they provided and approximate times of the next available appointment for family planning and related services. The results of this inquiry are attached as Exhibits A1, A2 and A3 9. On August 6, 2015, a conference call was convened between the personnel at the Centers for Medicare and Medicaid Services (CMS), the Department, and counsel for the Department of Health and Human Services (HHS) regarding the action taken relative to the participation of Planned Parenthood Gulf Coast, Inc., in the Louisiana Medicaid Program. 2 Case 3:15-cv-00565-JWD-SCR Document 34-2 09/08/15 Page 3 of 10 10. During the conference call, Secretary Kliebert and I were advised by CMS and HHS counsel that CMS has the authority to withhold federal Medicaid dollars from Louisiana or seek injunctive relief for the failure to comply with the Medicaid Act. 11. A subsequent conference call was convened on August 21, 2015, between personnel at CMS and the Department during which CMS advised that it would be sending a letter to the Department confirming what CMS and HHS counsel had verbally conveyed to the Department during the August 6, 2015 conference call. To date, the letter has not been received. 12. From January 1, 2015 through July 17, 2015, the four Planned Parenthood, Medicaid provider numbers 45802, 133673, 133689, and 91338 have been paid $213,599.83 in total by the Medicaid fiscal intermediary Molina. I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct. /s/ Ruth Kennedy_____________________________ Ruth Kennedy Medicaid Director, Louisiana Department of Health and Hospitals Executed on September 8, 2015. 3 Case Document 34-2 09/08/15 Page4of 10 EXHIBIT A-l Planned Parenthood Research 20150903 Case 3:15-cv-00565-JWD-SCR Document 34-2 Company Name Capital City Family Health Center Baton Rouge Primary Care Address (including City) 4560 North Blvd, Ste 108, Baton Rouge Distance from Planned Parenthood (Miles) Rx Contraception Phone # 0.71 201-0751 153 N 17th St, Baton Rouge 1401 North Foster, Baton Rouge 1.69 225-774-1120 6.51 358-2280 LSU Women's Clinic 5439 Airline Hwy, Baton Rouge Womans Hospital, Baton Rouge Ruth Fertel 711 N Broad St, New Orleans 4.69 (504) 609 3500 UMC Canal Street, New Orleans 1.97 504-702-5700 LSU Health-OLOL LSU Health-OLOL 1.92 987-9000 8.48 225-215-7960 City of New Orleans Health Dept. – Health Care for the Homeless (HCH) 2222 Simon Bolivar Ave., 2nd Floor New Orleans, LA 70113 1.9 City of New Orleans Health Dept. – VA Community Resource and Referral Center 1530 Gravier St. New Orleans, LA 70112 3.8 1400 Teche St New Orleans, LA 70114 6.7 Common Ground Health Clinic 3201 S Carrollton Ave. New Orleans, LA 70118 3.6 Daughters of Charity Health Center - Carrollton 1030 Lesseps St. New Orleans, LA 70117 7.2 Daughters of Charity Health Center - St. Cecilia 100 Warrington Dr. New Orleans, LA 70117 3.6 Daughters of Charity Health Center - Gentilly EXCELth Family Health Center - Gentilly 2050 Caton St. New Orleans, LA 70122 EXCELth Family Health Center – Algiers 4422 Gen Meyer Ave. Suite 103 New Orleans, LA 70131 University Medical Center New Orleans and Practice 2000 Canal St. New Orleans, Location LA 70112 New Orleans Musicians’ Clinic NO/Aids Task Force d.b.a CrescentCare Specialty Center 3700 St Charles Ave. New Orleans, LA 70115 2601 Tulane Ave, Suite 500 New Orleans, LA 70119 CrescentCare Specialty Center – Family Care Services 4640 S. Carrollton Ave., Suite Center 120 New Orleans, LA 70119 CrescentCare Specialty Center – CrescentCare Health 3308 Tulane Ave. New Orleans, and Wellness LA 70119 (504) 658-2785 (504) 658-2785 (504) 361-9800 (504) 207-3060 (504) 207-3060 (504) 207-3060 7 (504) 620-9868 7.5 (504) 526-1179 4.2 (504) 702-5700 0.6 (504) 412-1366 3.5 (504) 821-2601 4.3 (504) 378-0427 3.6 (504) 207-2273 Date Called/Caller 9/3/2015 / Kim Cezar 9/3/2015 / Kim Cezar 9/3/2015 / Libby Gonzales 9/3/2015 / Libby Gonzales 9/3/2015 / Libby Gonzales 9/3/2015 / Amara Blust 9/3/2015 / Amara Blust 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux Service Provided? Yes Yes Appt Wait Time? 2-3 weeks 1-3 days, same day for est pt 09/08/15 Page 5 of 10 Injectable Contraceptives Service Provided? Yes Yes Appt Wait Time? 2-3 weeks 1-3 days, same day for est pt Cervical Cancer Screenings Service Provided? Yes Yes Appt Wait Time? 2-3 weeks 1-3 days, same day for est pt MDs not accepting new patients Breast Exams Service Provided? Yes Yes Yes Appt Wait Time? 2-3 weeks 1-3 days, same day for est pt MDs not accepting new pts STI Screenings Service Provided? Yes Appt Wait Time? Yes 2-3 weeks 1-3 days, same day for est pt Yes MDs not accepting new pts No No Yes No Yes No 3 wks-estab pt Nov 1 for a new pt yes Yes 3 wks-estab pt Nov 1 for new yes Yes 3 wks-estab pt Nov 1 for new yes Yes 3 wks-estab pt Nov 1 for new yes 3 wks-estab pt Nov 1 for new Yes Same Day or Next day Yes Same Day or Next day Yes Same Day or Next day Yes Same Day or Next day Yes Same Day or Next day Yes 2-3 weeks Yes 2-3 weeks Yes 2-3 weeks Yes 2-3 weeks Yes 2-3 weeks Yes no wait time Yes no wait time Yes within 24 hours Yes within 24 hours Yes within 24 hours Yes no wait time Yes no wait time Yes within 24 hours Yes within 24 hours Yes within 24 hours Yes no wait time Yes no wait time Yes no wait time Yes no wait time Yes no wait time no no no no Yes 1 day yes 1day Yes 1day no no no no yes 1 day yes 1 day Yes 1 day no no no no yes 1 day yes 1 day Yes 1 day YES No More than 2 DAYS YES No More than 2 DAYS YES No More than 2 DAYS YES No More than 2 DAYS Yes No More than 2 DAYS YES No More than 2 DAYS YES No More than 2 DAYS YES No More than 2 DAYS YES No More than 2 DAYS Yes No More than 2 DAYS Yes 2-3 weeks Yes 2-3 weeks Yes 2-3 weeks Yes 2-3 weeks Yes 2-3 weeks Yes 1 day Yes 1 day Yes 1 day Yes 1 day Yes 1 day YES less than a week YES less than a week YES less than a week YES less than a week YES next day YES less than a week YES less than a week YES less than a week YES less than a week YES next day YES less than a week YES less than a week YES less than a week YES less than a week YES next day Planned Parenthood Research 20150903 Case 3:15-cv-00565-JWD-SCR Document 34-2 Company Name Address (including City) Odyssey House Community Clinic 1125 N Tonti St. New Orleans, LA 70119 St. Thomas Community Health Center – Mahalia Jackson 2405 Jackson Ave. Building B, Suite 222 New Orleans, LA 70130 St. Thomas Community Health Center – Donald T. Erwin Center St. Thomas Community Health Center St. Thomas Community Health Center - Columbia Parc St. Thomas Community Health Center – LB Landry Community Clinic 1936 Magazine St. New Orleans, LA 70130 1020 St. Andrew St. New Orleans, LA 70130 3943 St. Bernard Ave. New Orleans, LA 70122 1200 L B Landry New Orleans, LA 70114 Distance from Planned Parenthood (Miles) Rx Contraception Phone # 4.7 (504) 383-8559 2.2 (504) 529-5558 2 (504) 529-5558 1.6 (504) 529-5558 6.3 (504) 529-5558 6.2 (504) 529-5558 711 N Broad St. New Orleans, LA 70119 4.4 Ruth U. Fertel Community Health Center - AHL 3300 South Broad St. New Orleans, LA 70125 2.4 South Broad Community Health - AHL 611 N Rampart St. New Orleans, LA 70112 4.5 Tulane Drop-In Clinic at Covenant House (504) 609-3500 (504) 575-3712 (504) 584-1112 Date Called/Caller 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux 9/3/2015 / Susan Badeaux Service Provided? Appt Wait Time? 09/08/15 Page 6 of 10 Injectable Contraceptives Service Provided? Appt Wait Time? Cervical Cancer Screenings Service Provided? Appt Wait Time? Breast Exams Service Provided? Appt Wait Time? STI Screenings Service Provided? Appt Wait Time? yes 2 weeks yes 2 week yes 4 weeks yes 1 week yes 1 week Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes same day/next day Yes 1-3 days Yes 1-3 days Yes 1-3 days Yes 1-3 days Yes 1-3 days Yes 1-3 days Yes 1-3 days Yes 1-3 days Yes 1-3 days Yes 1-3 days Yes 1-2 days Yes 1-2 days Yes 1-2 days Yes 1-2 days Yes 1-2 days Case Document 34-2 09/08/15 Page7of 10 EXHIBIT A-2 Louisiana Dept. of Health and Hospitals, Office of Public Health Center for Population Health Informatics. Legend _ ^ Planne dPare nthood 09/08/15 Page 8 of 10 5m ile radius 10m ile radius (N) Rx Contraception (N) Injectable Contraceptives (Y) Cervical Cancer Screenings (Y) Breast Exams (Y) STI Screenings " ) " ) # * Basemap: ESRI,DeLorme,Navteq New Orleans Site Location Case 3:15-cv-00565-JWD-SCR Document 34-2 # * Daughte rs of CharityHe althCe nte r -Carrollton $ + + 2$ % $ +$ " ) + # * " ) $ 1 Daughte rs of CharityHe althCe nte r -St.Ce cilia Daughte rs of CharityHe althCe nte r -Ge ntilly (Y) Rx Contraception (Y) Injectable Contraceptives (Y) Cervical Cancer Screenings (Y) Breast Exams (Y) STI Screenings ) " " ) " ) # * # * # * # * $ + $ + $ + $ + 2 " ) % ' 4 ) " # * " ) ( ! ' 4 4 ' _ ^ Cityof Ne wOrle ans He althDe pt.–He althCare for the Hom e le ss ( HCH) Cityof Ne wOrle ans He althDe pt.–VACom m unityRe sourc e andRe fe rral Ce nte r Com m on GroundHe althClinic EXCELthFam ilyHe althCe nte r -Ge ntilly EXCELthFam ilyHe althCe nte r –Algie rs U nive rsityMe dic al Ce nte r Ne wOrle ans andPrac tic e Loc ation Ne wOrle ans Music ians’ Clinic NO/ Aids T ask Forc e d. b. aCre sc e ntCare Spe c ialtyCe nte r Cre sc e ntCare Spe c ialtyCe nte r –Fam ilyCare Se rvic e s Ce nte r Cre sc e ntCare Spe c ialtyCe nte r –Cre sce ntCare He althandWe llne ss Ody sse yHouse Com m unityClinic 4 ' St.Thom as Com m unityHe althCe nte r – MahaliaJ ac k son 4 ' St.Thom as Com m unityHe althCe nte r –DonaldT .Erwin Ce nte r 4 ' St.Thom as Com m unityHe althCe nte r St.Thom as Com m unityHe althCe nte r -Colum biaParc % 2 2 % $ 1 ( ! St.Thom as Com m unityHe althCe nte r –LBLandryCom m unityClinic RuthU .Fe rte l Com m unityHe althCe nte r -AHL SouthBroadCom m unityHe alth-AHL Tulane DropI n ClinicatCove nantHouse LightGrayCanvas Base ² 00. 751. 5 3 4. 5Mile s Esri,HERE,De Lorm e ,Mapm y I ndia,© Ope nStre e tMapc ontributors,andthe GI Suse r c om m unity Case Document 34-2 09/08/15 Page90f 10 EXHIBIT A-3 Louisiana Dept. of Health and Hospitals, Office of Public Health Center for Population Health Informatics. Legend _ ^ Planned Parenthood 09/08/15 Page 10 of 10 Baton Rouge Site Location 5 mile radius 10 mile radius (N) Rx Contraception (N) Injectable Contraceptives (Y) Cervical Cancer Screenings (Y) Breast Exams (Y) STI Screenings ' 4 Y X Basemap: ESRI,DeLorme,Navteq Case 3:15-cv-00565-JWD-SCR Document 34-2 LSU Health-OLOL Y X LSU Health-OLOL (Y) Rx Contraception (Y) Injectable Contraceptives (Y) Cervical Cancer Screenings (Y) Breast Exams (Y) STI Screenings ! ( Baton Rouge Primary Care k j Capital City Family Health Center Y LSU Women's Clinic X ' 4 ! ( j _k ^ Y X ² 0 0.751.5 3 4.5 Miles Esri, HERE, DeLorme, MapmyIndia, © OpenStreetMap contributors, and the GIS user community