The Department of Justice Delivers Some Good News to the Healthcare Industry: New False Claims Act Guidance Predicts More Challenges to Qui Tam Plaintiffs

Sheppard Mullin Richter & Hampton LLP
Contact

The DOJ is empowered under the FCA to seek dismissal of unmeritorious qui tam suits brought in its name. The DOJ has historically used this power sparingly. We are happy to report, however, that more dismissals may be on the horizon.

On January 10, 2018, Michael Granston, Director of the Commercial Litigation Branch of the Fraud Section of the U.S. Department of Justice circulated an internal memorandum that was published last week in the legal press. The memorandum collects cases in which the Department sought dismissal of unmeritorious qui tams. It categorizes these cases into seven factors that DOJ attorneys should consider when evaluating whether the government should seek to dismiss a qui tam.

Nearly all FCA recoveries against healthcare entities in the last three years came from cases filed by qui tam relators. In other words, of $7.3 billion recovered from healthcare entities in 2015-17, $6.9 billion of that originated from qui tam suits. The Department of Justice’s guidance is welcome news for healthcare entities as it will likely further stymie unmeritorious qui tam litigation.

The following article, “DOJ Formalizes Guidance for Government Dismissal of Unmeritorious Qui Tam Suits,” by Michael Paddock, David T. Fischer and Matthew Turetzky was previously posted on January 25, 2018, on the Sheppard Mullin False Claims Act Defense Blog.

DOJ Formalizes Guidance for Government Dismissal of Unmeritorious Qui Tam Suits

A Memorandum dated January 10, 2018 and authored by Michael Granston, Director of the Commercial Litigation Branch of the Fraud Section of the U.S. Department of Justice, was published on January 24, 2018 (the “Memorandum”). The Memorandum, addressed to DOJ attorneys, describes the factors that government attorneys should consider in deciding whether the government should voluntarily dismiss unmeritorious qui tam suits pursuant to 31 U.S.C. § 3730(c)(2)(A). This policy guidance, which was picked up by the legal press on January 28th, comes after a three-month period in which the DOJ, the relator’s bar, and the defense bar alike have paid more than customary attention to the circumstances under which DOJ might dismiss an unmeritorious qui tam suit.

On November 3, 2017, we commented on public statements made by Mr. Granston that the DOJ would, pursuant to 31 U.S.C. 3730(c)(2)(A), seek to dismiss unmeritorious qui tam suits. Although these statements caught many practitioners by surprise, most concluded that Mr. Granston was merely restating longstanding DOJ policy. However, the Memorandum plainly foretells greater – and welcome – DOJ attention to the burgeoning number of unmeritorious qui tam suits that are filed every year (along with meritorious suits), and the increasing likelihood of voluntary dismissal of those unmeritorious suits. Indeed, after stating that in the past the DOJ “has been circumspect with the use of this [voluntary dismissal] tool to avoid precluding relators from pursuing potentially worthwhile matters,” the Memorandum reminds government attorneys that the DOJ “plays an important gatekeeper role in protecting the False Claims Act, because in qui tam cases where we decline to intervene, the relators largely stand in the shoes of the Attorney General”. The Memorandum then identifies seven factors that DOJ attorneys should consider when evaluating whether the government should seek to dismiss a qui tam case under 31 U.S.C. § 3730(c)(2)(A):

  1. Whether the case lacks merit, either factually or in legal theory, and whether facially or if DOJ so concludes after completing an investigation. The Memorandum further clarifies that government attorneys may consider the merits of (and move to voluntarily dismiss) the case even after relator has been afforded an opportunity to further develop the case, but has been unable to do so.
  2. Whether the case is duplicative of and adds no useful information to an existing investigation.
  3. Whether the case threatens to interfere with agency policies and programs, as determined by the client agency and if dismissal is recommended by that client agency.
  4. Whether the DOJ’s litigation prerogatives, including the likelihood of unfavorable judicial precedent, must be protected by dismissal of the case.
  5. Whether dismissal is necessary to safeguard classified information and national security interests.
  6. Whether the government’s expected costs (of monitoring and participating in the case as a respondent) would likely exceed any expected gain from the case, including relative to other matters.
  7. Whether the relator’s actions frustrate the government’s ability to conduct a proper investigation.

These factors are neither mutually exclusive nor exhaustive, and the existence of multiple factors is more likely to warrant voluntary dismissal. The Memorandum also clarifies that government attorneys may seek to voluntarily dismiss a part, if not all, of a qui tam suit, and may do so at any time in the course of the investigation or litigation, but that in any event government attorneys should consult with and obtain the recommendation of the client agency. Finally, the Memorandum encourages government attorneys to warn relators of the deficiencies of their case and the likelihood of dismissal, so that relators can voluntarily dismiss their own actions.

The January 10 Memorandum should be regarded by all as an important and welcome development in False Claims Act enforcement, as it should provide a common baseline about which government attorneys, defendants, and relators alike can discuss and approach the appropriate treatment and disposition of unmeritorious FCA cases.

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.

© Sheppard Mullin Richter & Hampton LLP | Attorney Advertising

Written by:

Sheppard Mullin Richter & Hampton LLP
Contact
more
less

Sheppard Mullin Richter & Hampton LLP on:

Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:
*By using the service, you signify your acceptance of JD Supra's Privacy Policy.
Custom Email Digest
- hide
- hide