Editor's note: This story has been updated to include that investigators also visited a Planned Parenthood facility in Brownsville.

Days after Texas health officials announced they want to kick Planned Parenthood out of the state Medicaid program, state investigators on Thursday visited Planned Parenthood facilities in San Antonio, Houston Dallas and Brownsville.

Investigators with the Texas Health and Human Services Commission’s investigative arm delivered requests to Planned Parenthood facilities in all four cities asking for Medicaid records, billing information and personnel information, according to Planned Parenthood officials. Additionally, investigators delivered subpoenas to at least three facilities requesting all records, including "ultrasound records," related to Medicaid patients who donated fetal tissue after obtaining an abortion. A request delivered to a Dallas facility included a request for files from clinics in Austin and Waco.

State health officials would not confirm details about the investigators’ visits. A spokesman for the health commission’s Office of Inspector General said he could not “provide comment on any oversight or investigative activities.”

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The state investigators' visits to Planned Parenthood facilities on Thursday are the latest development in Texas Republicans’ efforts to cut off taxpayer dollars to Planned Parenthood providers. Those efforts were reignited when an anti-abortion group released a series of undercover videos that show Planned Parenthood officials across the nation discussing how their providers obtain fetal tissue for medical research. Among those videos were recordings of staff at the Houston-based Planned Parenthood Gulf Coast, where two people representing themselves as research executives and providing fake California driver's licenses toured the facility in April.

The state is now looking to no longer allow any Planned Parenthood clinics in Texas to receive Medicaid funding for well-woman care such as cancer screenings and birth control. Planned Parenthood clinics that accept Medicaid dollars are already barred from performing abortions. The vast majority of Medicaid funding for Planned Parenthood clinics in Texas comes from the federal government. Texas spent just $310,000 from its own coffers on the women’s health organization in 2015, but it also dispersed $2.8 million in federal dollars to those clinics.

Planned Parenthood has denied any wrongdoing and criticized the videos as being heavily edited and obtained under false pretenses. But the release sparked several state investigations and led to the state’s letter announcing it would cut off Medicaid dollars from Planned Parenthood affiliates that participate in the program.

Planned Parenthood officials said in a statement that Thursday’s visits by state investigators were “political grandstanding” by the state’s Republican leadership, particularly Gov. Greg Abbott, who had previously called for cutting off all taxpayer dollars the organization received.

“Representatives from the Texas Office of Inspector General showed up at Planned Parenthood health centers in Houston, Dallas and San Antonio looking for an excuse to take health care away from thousands of women and men who rely on Planned Parenthood for preventive care,” said Yvonne Gutierrez, executive director of the organization’s state political arm Planned Parenthood Texas Votes. “But what they will see is professional, compassionate and quality health care. Despite their efforts to distort the truth, health care — no matter what — is what happens at Planned Parenthood.”

In a statement earlier this week praising the move to cut off the funding for Planned Parenthood, Abbott said, “Texas has stepped forward and shown its unyielding commitment to both protecting life and providing women’s health services.”

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Among the documents investigators are requesting are Medicaid records dating back to 2010. At Planned Parenthood’s facility in Spring, Texas, which does not perform abortions, state investigators are requesting records related to specific services provided to Medicaid patients, employee information and appointment books, according to a letter obtained by The Texas Tribune.

On Monday, the Texas Health and Human Services Commission’s inspector general, Stuart Bowen, wrote to the Planned Parenthood Gulf Coast affiliate that the women’s health provider had violated state Medicaid rules and put Texans at risk of infection. Citing the undercover videos, Bowen said Planned Parenthood officials disregarded federal law by agreeing to change the timing or method of abortions in order to procure fetal tissue for medical research.

He also wrote that his office had “information suggesting that fraud and other related program violations” occurred at Planned Parenthood clinics that participate in Medicaid, including “reliable information indicating a pattern of illegal billing practices by Planned Parenthood affiliates” across the state.

Though Bowen’s letter does not include any specific examples of illegal billing, it mentions a 2013 lawsuit by the state against Planned Parenthood alleging overbilling to the Medicaid program that resulted in a $4.3 million settlement.

Disclosure: Planned Parenthood was a corporate sponsor of The Texas Tribune in 2011. A complete list of Tribune donors and sponsors can be viewed here.

Reference Material

OIG Subpoena to Planned Parenthood South Texas
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OIG Request for Client Records Planned Parenthood
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