Jesse counsels health care providers on federal and state anti-kickback laws, the Stark physician self-referral law, Medicare and Medicaid reimbursement, enrollment and participation issues, HIPAA and state privacy and confidentiality matters, as well as federal and state antitrust issues. Jesse provides legal guidance to a variety of different types of health care providers, including public and private hospitals, physician groups of various sizes and specialties, and ancillary service providers, such as imaging facilities and ambulatory surgery centers.
Prior to joining Gray Plant Mooty, Jesse served as assistant attorney general in the Health Care and Antitrust Division of the Minnesota Attorney General's Office. During that time, he focused on regulatory matters, including enforcement of various laws that govern the operation of health care organizations in Minnesota, as well as providing legal advice to various state agencies, such as the Minnesota Department of Health.
Jesse is an FAA-licensed private pilot and a former spinning instructor. He resides in St. Paul.
Experience
- Structuring joint ventures and other collaborations among health care providers to comply with federal and state regulatory laws, including Stark Law and Anti-Kickback Statute
- Assisting providers of various types and sizes in complying with Medicare rules and regulations, including provider-based regulations, rules applicable to independent diagnostic testing facilities and purchased test, interpretation, and anti-markup rules
- Representation in response to qui tam cases filed for alleged violations of False Claims Act
Publications
- “Medicare Fraud and Abuse: Health Care Reform Raises the Stakes,” coauthor, Minnesota Physician, June 2010
- “Adrift on a Sea of Red Ink: Minnesota Legislature Faces Huge Financial Pressure,” Minnesota Health Care News, February 2010
- “Legislation: No Easy Answers,” Minnesota Health Care News, September 2009
- “A State False Claims Act? Just When You Thought You Had Enough to Worry About,” Minnesota Physician, May 2009
- “In the Red: Huge Budget Deficit Will Slow Health Care,” Minnesota Health Care News, coauthor with Catherine Bitzan, January 2009
- “U.S. Senate candidates on health care: Sen. Norm Coleman and his DFL challenger Al Franken address a critical issue,” Minnesota Health Care News, September 2008
- “Health Care in the 2008 Legislature: Moving Forward Incrementally,” Minnesota Health Care News, August 2008
- “A Day Late; A Dollar Short: 2008 Legislative Session Fails to Meet Goals,” Minnesota Health Care News, August 2008
- “Healthcare in the 2008 Legislature: Stalking an Elusive Goal,” Minnesota Health Care News, February 2008
- “Summary of South Dakota's Fraud and Abuse Statutes & Regulations,” American Health Lawyers Association's Fifty State Survey of Fraud & Abuse Statutes and Regulations, September 2007
- “2007 Legislature Achieves Precious Little in Health Care; Reform Proponents Expect Better Results in 2008,” Minnesota Health Care News, August 2007
- “Consumer Fraud & Deceptive Trade Practice Regulation in Minnesota,” Minnesota Continuing Legal Education Deskbook, contributing author, 2007
- “Will the New Balance of Power Set a New Tone in Health Care?,” Minnesota Health Care News, February 2007
- “Minnesota Mental Health and the Law 2007: Confidentiality and Release of Mental Health Information,” Health Ed, February 16, 2007
- “Everyday Antitrust Issues,” Minnesota Physician, coauthored with Tim Johnson, November 2006
- “HIPAA's Assault on the Ivory Tower: the Privacy Law Lays Siege to the College Campus,” Health Law Wisconsin, Fall 2002
- “A Phony War No More: DOJ Efforts to Enforce Stark Through the False Claims Act,” Health Law Wisconsin, Summer 2002
Presentations
- "No Longer Under the Radar: Increased Fraud Enforcement Affects All Providers," copresenter, Gray Plant Mooty 14th Annual Health Law Conference, July 15, 2010
- "Health Care Reform: Discovering Opportunities and Dispelling Myths," copresenter, Gray Plant Mooty 14th Annual Health Law Conference, July 15, 2010
- “Have Your Hospital Governance Documents Kept Pace with the Latest Requirements,” Minnesota Hospital Association's 24th Annual Summer Trustee Conference, copresenter, July 10, 2010
- “The Future of Health Care Enforcement and Accountability,” Minnesota Hospital Association's 24th Annual Summer Trustee Conference, copresenter, July 10, 2010
- “Caught in the Crosshairs: Strategies for Responding When Health Regulators Come Calling,” copresenter, The 2010 Health Law Institute, Minneapolis, Minnesota, June 11, 2010
- “A HITECH Prescription for HIPAA,” Triium Group Purchasing Conference, October 30, 2009
- “Medical Records Law in Minnesota,” Lorman Education Service Conference, St. Cloud, Minnesota, July 7, 2009
- “Medical Records Law in Minnesota,” Lorman Education Service Conference, Bloomington, Minnesota, June 4, 2009
- “Minnesota Mental Health and the Law 2009,” Health Ed Seminar, copresenter, March 6, 2009
- “HIPAA Fundamentals,” American Bar Association’s Health Law Fundamentals Teleconference Series, copresenter, September 25, 2008
- “Can I Buy You a Drink? Legal Issues in the Physician Vendor Relationship,” Medical Group Management Association’s 2008 Annual Conference, San Diego, California, October 21, 2008
- “Benefits and Burdens of Affiliations, Collaborations or Partnerships,” Minnesota Hospital Association’s 22nd Annual Trustee Conference, copresented with Tim Johnson, July 12, 2008
- “Nurturing the Hospital-Physician Relationship,” Minnesota Hospital Association’s 22nd Annual Trustee Conference, copresented with Tim Johnson, July 12, 2008
- “Medical Records Law in Minnesota,” (Lorman), Minneapolis, Minnesota, June 4, 2008-2009; St. Cloud, Minnesota, July 1, 2008; Rochester, Minnesota, July 23, 2008
- “Confidentiality and Release of Mental Health Information,” HealthEd Minnesota Mental Health and the Law 2008 seminar, March 7, 2008
- “Can I Buy You a Drink: Challenges Posed by the Physician-Provider Relationship,” Minnesota Medical Group Management Association’s 2008 Winter Conference, copresented with Tim Johnson, March 5, 2008
- “Monopoly is not just a Board Game: Everyday Antitrust Issues in Educational Procurement,” National Association of Educational Procurement, copresented with Sarah Duniway, March 2007
- “Health Information Securities Strategies,” (Lorman) Health Information Management in Minnesota, March 30, 2007
- “Compliance Plans—What they are and why you should have one,” Minnesota Association of Mental Health Residential Facilities, October 11, 2006
Education
- Saint Louis University School of Law, J.D., cum laude
- Saint Louis University School of Law, Certificate in Health Law
- Saint Louis University School of Public Health, M.P.H.
- University of Minnesota, B.A.
Bar Admissions
Professional Activities
- American Health Lawyers Association, 2001-present
Honors and Distinctions
- "Rising Star," Minnesota Law & Politics, 2010