Arizona’s governor enacted multiple changes to the state Medicaid system Friday in response to a joint Center for Public Integrity/NPR investigation into the influence of the drug industry, including adding new state transparency rules and kicking a doctor off a state committee.
Arizona Gov. Doug Ducey has told Dr. Mohamed Ramadan, who accepted more than $700,000 in perks and payments from drugmakers over four and a half years, to step down as a volunteer member of the committee that helps the state decide which drugs should be preferred for Medicaid patients, the Arizona Republic first reported.
The Republican governor will also ask law enforcement officials to investigate Ramadan because the doctor appeared to violate the state’s existing conflict of interest statutes, according to Ducey’s spokesman Daniel Scarpinato.
“The governor was very alarmed when he saw this report,” Scarpinato said. “He felt that action needed to be taken very swiftly here, that this was a clear example of where we need to make sure any decisions that are being made related to health care are being made with regard to public health and not related to any undue influence.”
Ramadan did not immediately respond to requests for comment.
Ducey also issued an executive order Friday requiring the Medicaid drug committee members to receive annual conflict-of-interest training and abstain from votes or discussions regarding items with which they have conflicts. The governor’s order instructed the state Medicaid agency to publicly post its drug committee members’ financial disclosures, require speakers at the committee meetings to disclose financial ties to drugmakers and determine a threshold for drugmaker payments that would disqualify a member from serving.
The Center for Public Integrity’s investigation with NPR found that at least three out of five doctors voting on state Medicaid drug decisions nationwide in the past two years received perks from drugmakers. Ramadan received the most.