largest health insurer, alleging that it routinely refused to pay for treatment for children and young adults suffering from mental illness, eating disorders, and chemical dependency. The suit alleged that Blue Cross told some patients who asked the insurance company to pay for treatment for their mentally ill children that they should instead relinquish their children to the juvenile justice system or foster care. Blue Cross vehemently denied the allegations. When Hatch filed the suit, only six families were willing to be named in it because of privacy concerns for their children. Hatch later expanded the lawsuit to include testimony from many more families and from former Blue Cross employees who said they intentionally declined coverage simply to save the insurer money. Hatch eventually secured a legal settlement with Blue Cross that created a three-judge panel to automatically review any decision by the insurer to deny mental health care for children. Blue Cross also paid $8 million to reimburse the state for the cost of shifting care onto the state that the insurer should have paid. The settlement required Blue Cross to reimburse families for treatment it had refused to pay, to process urgent claims within 24 hours, to process appeals within one day, to pay for court-ordered treatment, and to cover 28-day inpatient treatment for chemical dependency and eating disorders. At the time of the settlement, Blue Cross said that "we’ve failed these families in some important ways" and credited Hatch's lawsuit as a wake-up call that forced the company to change its practices. Mental health experts praised the settlement as a "major step forward in terms of people being able to access the services they need." Hatch soon expanded the settlement terms to apply to HealthPartners and Medica, the state's other two leading health insurance companies. In 2000, Hatch launched a year-long compliance review of Allina Health System, the state's largest hospital system. Allina at the time owned Medica Health Plans, one of the state's largest HMOs. Allina and Medica are nonprofit organizations. Hatch launched his probe under the nonprofit laws after the federal Centers for Medicare and Medicaid Services found that an unnamed Minnesota nonprofit HMO had spent Medicare premium revenue on sports tickets and other lavish perks for executives. When Allina refused to cooperate with the compliance review, Hatch sued it to gain access to its books and records. He ultimately issued a multi-volume compliance report