Texas wants Planned Parenthood to give back millions of dollars in Medicaid reimbursements — and pay far more in fines on top of that — in a lawsuit that appears to be the first of its kind brought by a state against the largest abortion provider in the U.S.

A hearing was set for Tuesday in front of U.S. District Judge Matthew Kacsmaryk, who earlier this year put access to the most common method of abortion in the U.S. in limbo with a ruling that invalidated approval of the abortion pill mifepristone.

The case now before him in America’s biggest red state does not surround abortion, which has been banned in Texas since the U.S. Supreme Court overturned Roe v. Wade last year. But Planned Parenthood argues the attempt to recoup at least $17 million in Medicaid payments for health services, including cancer screenings, is a new effort to weaken the organization after years of Republican-led laws that stripped funding and imposed restrictions on how its clinics operate.

[This looks like a novel application of the False Claims Act, and even a Texas court might be skeptical about it. At the time, the reimbursements were still legal, although under political challenge, and the state paid the bills. If the court does accept Texas’ arguments, though, the fines could total to one billion dollars, according to PP. — Ed]