The American Samoa Hospital Authority Board has rejected a call by the Territory's Senate not to increase hospital fees.
The Board chairman, Charles Warren, says they are satisfied that they have met the legislative requirements in bringing in the higher fees.
Mr Warren says the board's request to meet with the Senate Health Committee to explain their position had been turned down.
Last week, the Senate President wrote to Mr Warren outlining why they wanted the fees rise dropped, and for refunds to be paid to patients who had already been charged the higher rate.
He said the Senate wants the issue settled outside of the court but it will take legal action if the Board does not heed its request.