California’s False Claims Act Has Returned $2 Billion to the Golden State Since 2001

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Take Away: California has recovered over $2 billion under the State’s False Claims Act since 2001, according to data obtained from the State Attorney General’s Office.

Enacted in 1987, the California False Claims Act (“CAFCA”) is one of the oldest qui tam statutes in the country. [1]

The CAFCA empowers private citizens (called “relators”) to file suit against any person or business that “[k]nowingly presents or causes to be presented [to the state or any political subdivision] . . . a false claim for payment or approval.” [2] CAFCA actions may also be initiated by California’s Attorney General or by the prosecuting authority for a political subdivision. [3]  Violators of the Act are liable to the State for treble damages and civil penalties. [4]

To encourage whistleblowing, the CAFCA rewards successful relators with up to 50% of the State’s recovery. [5] The size of the “relator’s share” typically depends on whether the relator or the State prosecutes the case. [6] The relator’s share may be reduced if the relator participated in the fraud. [7]

Data recently obtained from the State Attorney General’s Office reveals that the CAFCA has yielded large recoveries for the Golden State. [8]

Recoveries and Filings under California’s False Claims Act, Cal. Gov. Code § 12650, et seq.
Year Amount the State recovered under the California’s False Claims Act Amount deposited
into the State’s False Claims Act Fund
Number of cases filed by private
individuals
Number of cases filed by the State
Attorney
General*
Number of
cases with unknown filers**
2001 $58,642,172.00 $24,893,439.32 2 0 32
2002 $34,273,320.00 $5,613,563.00 4 0 58
2003 $3,791,282.00 $1,257,489.06 6 0 34
2004 $0.00 $0.00 15 0 15
2005 $13,253,622.95 $10,460,695.57 25 0 3
2006 $14,705,000.00 $3,914,587.06 34 0 0
2007 $40,000,000.00 $15,873,272.00 13 0 0
2008 $165,300,000.00 $3,851,687.00 16 0 0
2009 $700,832.77 $65,762.40 20 0 0
2010 $645,751.84 $323,642.75 29 0 0
2011 $16,105,000.00 $940,500.00 33 0 0
2012 $3,595,835.24 $1,916,083.65 31 0 0
2013 $300,365,903.89 $19,847,271.51 24 1 0
2014 $405,541,000.00 $8,808,230.00 18 0 0
2015 $258,263,922.58 $28,475,563.23 12 0 0
2016 $32,410,500.00 $6,508,750.00 6 1 0
2017 $275,000,000.00 $16,250,000.00 11 0 0
2018 $102,000,000.00 $22,300,533.00 11 0 0
2019 $161,658,246.10 $21,189,018.50 14 1 0
2020 $127,248,480.00 $3,439,259.50 15 0 0
2021 $2,865,409.24 $398,699.30 4 0 0
Totals $2,016,366,278.61 $196,328,046.85 345 3 183
*These are the number of cases opened within each year in Prolaw (the Attorney General’s Office electronic filing system); not the dates they were filed in court. Matters are typically opened in Prolaw whenever a California False Claims Act complaint is served on the Attorney General’s Office, which generally happens shortly after filing. Prolaw software was unavailable until 2005. Cases that were open in 2005 in the Legacy software system were transferred to Prolaw.
** These cases were identified as inactive converted legacy cases in Prolaw. There are no electronic files in Prolaw to determine whether private individuals filed or the California Attorney General filed.

Over two decades, California has recovered $2,016,366,278.61 under the CAFCA. Private citizens have originated nearly all CAFCA cases. In fact, the State Attorney General has brought only three CAFCA actions since 2005.

Nearly $197 million of the recovered funds was deposited into the “False Claims Act Fund,” which supports ongoing investigations and prosecutions by California’s Medicaid Fraud Control Unit (MFCU). [9]

In Federal Fiscal Year (“FY”) 2021, which runs from October 1 through September 30, California’s MFCU had 1,472 open cases.

Number of Investigations by Case Type (FY 2021)
Case Type Open Cases
(End of the Prior FY)
New Cases
(Current FY)
Closed Cases
(Current FY)
Open Cases

(Current Total)

Fraud 1,038 177 226 989
Abuse and Neglect 606 253 376 483
Total 1,644 430 602 1,472

At the end of FY 2021, California’s MFCU was staffed by 186 individuals, including 49 attorneys.

Unit Personnel (FY 2021)
Total Staff on Board* 186
Attorneys 49
Investigators 61
Auditors 22
Other 54
Total Approved Positions** 239
*Total number of MFCU staff actually employed at the end of the FY.
**Total number of MFCU staff authorized and approved under the grant.

[1] Cal. Gov. Code §§ 12650 to 12656.

[2] Cal. Gov. Code §§ 12651(a)(1), 12652(c)(1).

[3] Cal. Gov. Code § 12652(a)(1) and (b)(1)

[4] Cal. Gov. Code § 12651(a)(1).

[5] Cal. Gov. Code § 12652(g)(2)‒(5).

[6] Id.

[7] Cal. Gov. Code § § 12652(g)(5).

[8] The author obtained this data under the  California Public Records Act.

[9] Cal. Gov. Code § 12652(j).

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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