HHS notes that its advisory opinion applies only to this specific case. Information on the municipality involved has been redacted by HHS. 

 

The opinion reads in part:

 

"Based on the facts certified in your request for an advisory opinion and supplemental submissions, we conclude that, although the Arrangement could potentially generate prohibited remuneration under the anti-kickback statute if the requisite intent to induce or reward referrals of Federal health care program business were present, the Office of Inspector General (“OIG”) will not impose administrative sanctions on [name redacted] under sections 1128(b)(7) or 1128A(a)(7) of the Act (as those sections relate to the commission of acts described in section 1128B(b) of the Act) in connection with the Arrangement. This opinion is limited to the Arrangement and, therefore, we express no opinion about any ancillary agreements or arrangements disclosed or referenced in your request for an advisory opinion or supplemental submissions."

 

Details of the case and the relationship between the municipality and the ambulance provider are available at http://oig.hhs.gov/fraud/docs/advisoryopinions/2012/AdvOpn12-04.pdf.