Case No. 97023

 


in the

supreme court of illinois

 

 


Raymond G. SCACHITTI, Patrick J. HOULIHAN and Robert F. RIFKIN,

 

Plaintiffs-Appellants,

 

v.

 

UBS FINANCIAL SERVICES AND DELOITTE & TOUCHE, LLP,

 

Defendants-Appellees.

 

On Direct Appeal from Cook County Circuit Court, Case No. 02 CH 21121

The Honorable Stephen Schiller, Judge Presiding

 


Brief Amici Curiae of AARP and taxpayers against fraud

 in Support of Plaintiffs-Appellants

 

 

 


Deborah Zuckerman                                                                 Jim Moorman

Sarah Lock                                                                              Amy Wilken

AARP Foundation                                                                     Bret Boyce

                                                                                                TAXPAYERS AGAINST FRAUD

Michael Schuster                                                                      1220 19TH Street NW

AARP                                                                                     Washington, D.C. 20036

                                                                                                (202) 296-4838

601 E Street, NW

Washington, DC 20049                                                           

(202) 434-2060

 

Counsel for AARP                                                                   Counsel for TAF

                                                                                   

Tracy L. Netzel                                                                        Michael I. Behn

Netzel & Associates, P.C.                                          Futterman & Howard Chtd.

211 E. Ontario Street, Suite 1800                                             122 S. Michigan Avenue, Suite 1850

Chicago, IL 60611                                                                   Chicago, IL 60603      

(312) 283-5200                                                                       (312) 427-3600

Firm ID # 40469                                                                      Firm ID # 80656

 

Counsel for Amici Curiae                                                       Counsel for Amici Curiae

TABLE OF CONTENTS

 

POINTS AND AUTHORITIES…………………………………………………………………………… 3

INTEREST OF AMICI……….……………………………….………………………..………...……....... 9

SUMMARY OF ARGUMENT………………………………………………………………………….. 10

ARGUMENT…………………………………………………………………………………………….. 12

i.          THE IWA’s QUI TAM PROVISIONS codify THE pUBLIC-private PARTNERSHIP deeply entrenched in THE COMMON LAW TO PREVENT FRAUD AGAINST

            THE GovernMENT……………………………………………………………….…………..12

 

Ii.         A Qui Tam Relator under the iwa Has Individual Standing To sue……..14        

 

A.        As The U.S. Supreme Court Has Held, Qui Tam Provisions Confer Standing To

            Relators By Virtue Of A Partial Assignment Of The Government’s Damages Claim….14

           

B.         The Standing Of Qui Tam Relators Derives From The Inherent Legislative Power Over                           State Property…………………………………………………………………………….17

 

C.         Illinois Has Long Recognized The Standing Of Assignees…………………………….. 19

D.        The Statute Found Unconstitutional In Lyons Did Not Confer Assignee Standing……  19

E.         The Minimal Due Process Rights Afforded To Relators By Virtue Of The Partial                                                 Assignment Do             Not Conflict With The Attorney General’s Prosecutorial                                                  Discretion………………………………………………………………………………...20

 

III.       The IWA Does Not Usurp The Attorney General’s Constitutional           Authority To Direct The Legal Affairs Of The State………………….……. 21

 

A.        The IWA’s Qui Tam Provisions Were Carefully Crafted To Ensure The Attorney General           Retains Authority To Control The Litigation At Every Stage…………………………...22

 

B.         The IWA Does Not Contain The Same Constitutional Defects As Article XX………... 26

 

IV.       EXTENDING LYONS v. RYAN TO THE IWA WOULD STRIP            AWAY THE STATE’S MOST EFFECTIVE ANTI-FRAUD WEAPON………………………………………..………………. 28

 

CONCLUSION…………………………………………………………………………………………... 31

 

 

 

 

points and authorities

 

Interest of amici

31 U.S.C. § 3729-33……….9

740 ILCS 175/4……….9

Department of Justice Press Release, False Claims Act Recoveries Exceed $12 Billion Since 1986 (Nov. 10, 2003), available at www.usdoj.gov/opa/pr/2003/November/03_civ_613.htm.........10

 

Department of Justice Press Release, Bayer to Pay $14 Million to Settle Claims For Causing Providers To Submit Fraudulent Claims To 45 State Medicaid Programs (January 23, 2001), available at www.usdoj.gov/opa..........10

 

Department of Justice Press Release, TAP Pharmaceutical Products Inc. And Seven Others Charged With Health Care Crimes; Company Agrees To Pay $875 Million To Settle Charges (October 3, 2001), available at www.usdoj.gov/opa..........10

 

Department of Justice Press Release, Drug Giant Pfizer & Two Subsidiaries To Pay $49 Million For Defrauding Drug Medicaid Rebate Program (October 28, 2002), available at www.usdoj.gov/opa..........10

 

Department of Justice Press Release, Astrazeneca Pharmaceuticals LP Pleads Guilty To Healthcare Crime; Company Agrees to Pay $355 Million To Settle Charges (June 20, 2003), available at www.usdoj.gov/opa..........10

 

TAF Press Release, Study of Fraud Cases Against Drug Makers Explains How Medicare/Medicaid Are Cheated (November 6, 2003), available at http://www.taf.org/press/prnov6-2003.htm..........10

 

summary of argument

Lyons v. Ryan, 201 Ill. 2d 529, 780 N.E.2d 1098 (2002)……….10, 11

Vermont Agency of Nat’l Resources v. U.S. ex rel. Stevens, 529 U.S. 765, 773 (2000)……….11

740 ICLS 175/4……….10

735 ILCS 5/20-104(b)……….11

argument

I.          THE IWA’s QUI TAM PROVISIONS codify THE pUBLIC-private             PARTNERSHIP deeply entrenched in THE COMMON LAW TO PREVENT            FRAUD AGAINST THE GOVERNMENT

 

Lyons v. Ryan, 201 Ill. 2d 529, 780 N.E.2d 1098 (2002)……….12

Vermont Agency of Nat’l Resources v. U.S. ex rel. Stevens, 529 U.S. 765 (2000)……….12

 

Marvin v. Trout, 199 U.S. 212, 225 (1905)……….12

 

Chicago & Alton R.R. Co. v. Howard, 38 Ill. 414 (1865)……….13

 

Illinois Central R.R. Co. v. Herr, 54 Ill. 356 (1870)……….13

 

Dempsey v. Donnelly, 58 Ill. 40 (1871)……….13

 

Holland v. Swain, 94 Ill. 154 (1879)……….13

 

Cairo & St. Louis R. R. Co. v. Warrington, 92 Ill. 157, 160 (1879)……….13

 

Ill. Const. Art. V § 1……….13

 

31 U.S.C. § 3729……….13

 

Ii.        A Qui Tam Relator under the IWA Has Individual Standing To sue     

 

A.        As The U.S. Supreme Court Has Held, Qui Tam Provisions Confer Standing To   Relators By Virtue Of A Partial Assignment Of The Government’s Damages Claim.

 

Vermont Agency of Natural Resources v. U.S. ex rel. Stevens, 529 U.S. 765 (2000)……….14, 15, 16

 

Lyons v. Ryan, 201 Ill. 2d 529, 780 N.E.2d 1098 (2002)……….14, 16

People v. Whitlow,  89 Ill. 2d 322, 433 N.E.2d 629 (1982)……….15

People ex rel. Levenstein v. Salafsky, 338 Ill. App. 3d 936, 789 N.E.2d 844 (2nd Dist. 2003)……….15

Dr. Charles W. Smith III, Ltd.  v. Gen. Life Ins. Co., 122 Ill. App. 3d 725, 462 N.E.2d 604 (1st Dist. 1984)……….15

U.S. ex rel. Long v. SCS Business & Technical Inst., Inc., 173 F.3d 870 (D.D.C. 1999)……….16

Burger v. Lutheran Gen. Hosp., 198 Ill. 2d 21, 759 N.E.2d 533 (2001)……….17

740 ILCS 175/4(b)(1)……….15

 

740 ILCS 175/4(d)……….16

 

740 ILCS 175/3(a)……….16

 

305 ILCS 5/11-22a……….16

 

40 ILCS 5/13-312……….16

 

30 ILCS 500/53-10……….16

 

 

 

   B.        The Standing Of Qui Tam Relators Derives From The Inherent Legislative Power           Over State Property.

 

Droste v. Kerner, 34 Ill. 2d 495, 217 N.E.2d 73 (1966)……….17

 

Cremer v. Peoria Hous. Auth., 399 Ill. 579, 78 N.E.2d 276 (1948)……….17

 

Cairo & St. Louis R.R. Co. v. Warrington, 92 Ill. 157 (1879)……….17, 18

 

Fodge v. Bd. of Educ. of Village of Oak Park, 309 Ill. App. 109, 32 N.E.2d 650 (1st Dist. 1941)……….18

 

Ill. Const. art. VIII  § 2(b)……….17

 

Ill. Const. art. XIII  § 4……….17

 

30 ILCS 550/2……….17

 

740 ILCS 175/4(b)(1)……….18

 

Transcript of the Illinois House of Representatives, May 15, 1991 (50th Legislative Day)……….18

 

C.        Illinois Has Long Recognized The Standing Of Assignees.

Saltzberg v. Fishman, 123 Ill. App. 3d 447, 462 N.E.2d 901 (1st Dist. 1984)……….19

 

Hitchcock Air Conditioning, Heating & Piping Co. v. Hazen, 43 Ill. App. 3d 483, 357 N.E.2d 69 (3rd Dist. 1976)……….19

 

Kleinwort Benson N. Am., Inc.  v. Quantum Fin. Servs., Inc., 181 Ill. 2d 214, 692 N.E.2d 269 (1998)…...19

 

            D.        The Statute Found Unconstitutional In Lyons Did Not Confer Assignee Standing.

Vermont Agency of Natural Resources v. U.S. ex rel. Stevens, 529 U.S. 765 (2000)……….19

Lyons v. Ryan, 201 Ill. 2d 529, 780 N.E.2d 1098 (2002)……….19

People ex rel. Ulrich v. Bosman, 279 Ill. App. 3d 36, 664 N.E.2d 119 (1st Dist. 1996)……….19

 

Kleinwort Benson N. Am., Inc.  v. Quantum Fin. Servs., Inc., 181 Ill. 2d 214, 692 N.E.2d 269 (1998)……….20

 

U.S. ex rel. Robinson v. Northrop, 824 F. Supp. 830 (N.D. Ill. 1993)……….20

740 ILCS 175/4(b)(5)……….20

740 ILCS 175/4(e)(4)(A)……….20

 

 

            E.         The Minimal Due Process Rights Afforded To Relators By The Partial                                         Assignment Do Not Conflict With The Attorney General’s Prosecutorial Discretion.

 

East St. Louis Fed’n of Teachers, Local 1220 v. East St. Louis School Dist. No.189 Fin. Oversight Panel, 178 Ill. 2d 399, 687 N.E.2d 1050 (1997)……….20

 

U.S. ex rel. Kelly v. Boeing Co., 9 F.3d 743 (9th Cir. 1993)……….21

 

U.S. ex rel. Sequoia Orange Co. v. Baird-Neece Packing Corp., 151 F.3d 1139 (9th Cir. 1998)……….21

 

III.       The IWA Does Not Usurp The Attorney General’s Constitutional    Authority To Direct The Legal Affairs Of The State

 

            A.        The IWA’s Qui Tam Provisions Were Carefully Crafted To Ensure The Attorney                                    General Retains Authority To Control The Litigation At Every Stage. 

 

Fair Employment Practices Comm. v. Rush-Presbyterian-St. Luke’s Med. Center, 41 Ill. App. 3d 712, 354 N.E.2d 596 (1976)……….22, 26

 

Fergus v. Russel, 270 Ill. 304, 110 N.E.2d 130 (1915)……….22

 

U.S. ex rel. Sarmont v. Target Corp., No. 02 C 0815, 2003 WL 22389119 (N.D. Ill. Oct. 17, 2003)……….23

 

U.S. ex rel. Alderson v. Quorum Health Group, Inc., 171 F. Supp. 2d 1323 (M.D. Fla. 2001)……….23

 

U.S. ex rel. Robinson v. Northrop Grumman Corp., 89 C 6111, 2002 WL 31163734 (N.D. Ill. Sept. 26, 2002)……….23

 

U.S. ex rel. Chandler v. Cook County, Illinois, 277 F.3d 969 (7th Cir. 2002)……….23

 

U.S. ex rel. Found. for Fair Contracting, Ltd. v. G&M Eastern Contracting, Inc., 259 F. Supp. 2d 329 (D.N.J. 2003)……….24

 

U.S. ex rel. Sequoia Orange Co. v. Baird-Neece Packing Corp., 151 F.3d 1139 (9th Cir. 1998)……….24

 

Swift v. U.S., 318 F.3d 250 (D.D.C. 2003)……….24

 

Searcy v. Philips Elecs. N. Am. Corp., 117 F.3d 154 (5th Cir. 1997)……….24

 

U.S. ex rel. Doyle v. Health Possibilities, P.S.C., 207 F.3d 335 (6th Cir. 2000)……….24

 

U.S. ex rel. Taxpayers Against Fraud. v. G.E. Co., 41 F.3d 1032 (6th Cir. 1994)……….25, 26

 

 Riley v. St. Luke’s Episcopal Hosp., 252 F.3d 749 (5th Cir. 2001)……….25, 26

 

U.S. ex rel. Kelly v. Boeing Co., 9 F.3d 743 (9th Cir. 1993)……….25, 26

 

Juliano v. Fed. Asset Disposition Ass’n, 736 F. Supp. 348 (D.D.C. 1990)……….25

 

U.S. ex rel. Gublo v. Novacare, Inc., 62 F. Supp. 2d 347 (D. Mass. 1999)……….25

 

U.S. ex rel. Fallon v. Accudyne Corp., 921 F. Supp. 611 (W.D. Wis. 1995)……….25

 

U.S. ex rel. Bantolas v. Superior Air & Ground Ambulance Transport, Inc., No. 01 C 6168, 2004 WL 609793 (N.D. Ill. March 22, 2004)……….25

 

Lyons v. Ryan, 201 Ill. 2d 529, 780 N.E.2d 1098 (2002)……….26

Burger v. Lutheran Gen. Hosp., 198 Ill. 2d 21, 32, 759 N.E.2d 533, 540 (2001)……….26

 

740 ILCS 175/4(b)(2)……….22

 

740 ILCS 175/4(b)(3)……….22

 

740 ILCS 175/4(c)(1)……….23

 

740 ILCS 175/4(c)(2)(C)……….23

 

740 ILCS 175/4(c)(3)……….23, 24

 

740 ILCS 175/4(c)(4)……….23

 

740 ILCS 175/4(b)(5)……….24

 

740 ILCS 175/4(a)……….24

 

740 ILCS 175/4(e)(3)……….24

 

740 ILCS 175/4(c)(5)……….24

 

740 ILCS 175/4(c)(2)(A)……….24

 

740 ILCS 175/4(c)(2)(B)……….24

 

740 ILCS 175/4(d)……….24

 

740 ILCS 175/4(b)……….24

 

            B.        The IWA Does Not Contain The Same Constitutional Defects As Article XX.

 

Lyons v. Ryan, 201 Ill. 2d 529, 780 N.E.2d 1098 (2002)……….26

People ex rel. Ulrich v. Bosman, 279 Ill. App. 3d 36, 664 N.E.2d 119 (1st Dist. 1996)……….27

 

Ryan  v. Consentino, 793 F. Supp. 822 (N.D. Ill. 1992)……….27, 28

 

735 ILCS 5/20-104(b)……….27

 

 

 

 

IV.       EXTENDING LYONS v. RYAN TO THE IWA WOULD STRIP AWAY THE STATE’S    MOST             EFFECTIVE ANTI-FRAUD WEAPON

 

Arkansas Medicaid Fraud False Claims Act, Ark. Code Ann. § 20-77-91……….29

California False Claims Act, Ca. Gov. Code § 12650……….29

Colorado Medical Assistance Act, Colo. Rev. Stat. § 26-4-1101……….29

Delaware False Claims and Reporting Act, Del. Code 6-1201……….29

District of Columbia Procurement Reform Amendment Act, D.C. Code Ann. § 1-1188.13……….29

Florida False Claims Act, Fla. Stat. § 68.081……….29

Hawaii False Claims Act, Haw. Rev. Stat. § 661-21……….29

Massachusetts False Claims Law, Mass Gen. Laws ch. 12, sec. 12, §§ 5A-5O……….29

Michigan False Claims Act, Mich. Comp. Laws 400.601……….29

Nevada False Claims Act, Nev. Rev. Stat. § 357.010……….29

New Mexico Medicaid False Claims Act, 2004 N.M. Laws 49……….29

Tennessee False Claims Act, Tenn. Stat. § 4-18-101……….29

Texas Medicaid Fraud Prevention Law, Tex. Hum. Res. Code §§ 36.001-36-117……….29

Utah False Claims Act, Utah Code Ann. § 26-20-1……….29

Virginia Fraud Against Taxpayers Act, Va. Code § 8.01-216.1……….29

S. Rep. No. 99-345 (1986)……….30

Transcript of the Illinois House of Representatives, May 15, 1991 (50th Legislative Day)……….…….30, 31

 

Department of Justice Press Release, False Claims Act Recoveries Exceed $12 Billion Since 1986 (Nov. 10, 2003), available at www.usdoj.gov/opa/pr/2003/November/03_civ_613.htm..........28

 

Office of the Illinois Attorney General Press Release, UIC Medical Center Pays $2 Million to United States and State of Illinois To Settle Live Transplant Fraud Suite (November 17, 2003), available at http://www.illinoisattorneygeneral.gov/pressroom/2003_11/111703.html..........30

 

 

 

 

 

Interest of AMici

            AARP is a non-partisan, non-profit organization with more than 35 million members, approximately 1.6 million of whom live in Illinois.  As the largest membership organization dedicated to addressing the needs and interest of people 50 and older, AARP is concerned whenever fraud leads to the misdirection of public monies.  AARP is especially concerned when this occurs in the nation’s publicly-funded health care system, upon which older persons are particularly reliant. Health care fraud has a significant impact on cost, quality, and utilization of services under the Medicare and Medicaid programs.      In 1996, an AARP task force began to work on a public campaign to focus attention on fraud in the Medicare program.  The goal was to educate AARP members and the general public on health care fraud and to involve them in the process of reducing fraud and abuse in this program.  The extensive public education campaign, launched in 1998, was carried out in partnership with the U.S. Department of Justice and the U.S. Department of Health and Human Services, including the Health Care Financing Administration (now the Center for Medicare and Medicaid Services) and the Office of the Inspector General (OIG).  The “Who Pays?  You Pay” campaign was designed to motivate Medicare beneficiaries to be alert for signs of Medicare fraud and to report suspected fraud on the OIG’s national toll-free hotline number.  AARP, working with others in both the public and private sectors, has continued to educate the public about the role they can play in fighting health care fraud, thus helping to lower health care costs and, at the same time, to increase the quality of patient care.

            Taxpayers Against Fraud Education Fund (TAF), is a non-profit public interest organization dedicated to preserving effective anti-fraud legislation at the state and federal levels.  TAF has participated as an amicus curiae in numerous cases in order to defend the constitutionality of the federal False Claims Act, 31 U.S.C. § 3729-33 (FCA).  It also works to pass false claims legislation modeled on the FCA, such as the Illinois Whistleblower Reward & Protection Act, 740 ILCS 175/4 et seq. (IWA).  TAF has a profound interest in ensuring federal and state false claims statutes are upheld against constitutional attacks. 

            Amici strongly support the FCA and parallel state statutes, including the IWA.  These statutes are critical and effective tools for fighting fraud and abuse in government programs such as Medicare, Medicaid and other government-funded programs, and in enabling the government to recover significant dollars, the loss of which ultimately is borne by taxpayers.  Since Congress substantially strengthened the FCA in 1986, the federal government has recovered over $12 billion in civil fraud cases, the vast majority of which were initiated by qui tam relators.[1]  Over sixty-five percent of these recoveries are attributable to Medicare and Medicaid fraud.  

            The FCA and state false claims statutes such as the IWA have also recently been employed in the fight against the ever-rising cost of prescription drugs.  Fraud in prescription drug pricing and marketing has become an increasing target of qui tam prosecutions initiated under the FCA and state false claims statutes.  Since 2001 alone, qui tam cases against pharmaceutical manufacturers resulted in government recoveries of $1.6 billion.[2] 

            Because the Medicaid program (including prescription drug benefits) is funded in part through state revenues, state false claims acts are an important enforcement tool to recover improperly paid state taxpayer dollars.  Amici support state false claims statutes such as the IWA because they recognize qui tam relators often will expose and assist in the prosecution of frauds that, because of finite resources and competing priorities, the various state attorneys general cannot single-handedly pursue.

summary of argument

The trial court erred by extending this Court’s decision in Lyons v. Ryan, 201 Ill. 2d 529, 780 N.E.2d 1098 (2002), to invalidate the qui tam provisions of the Illinois Whistleblower Reward & Protection Act (IWA), 740 ICLS 175/4 et seq.  In Lyons, this Court found that taxpayers do not have constitutional standing to bring an action on behalf of the State under 735 ILCS 5/20-104(b) (“Article XX”).  Article XX allowed a private citizen without any personal stake in the outcome to prosecute a claim on behalf of the State if the Attorney General declined to do so, with no subsequent involvement by the Attorney General in the action.  This Court held the statute unconstitutionally usurped the common law powers of the Attorney General, by giving a private citizen the unfettered right to prosecute an action that belongs exclusively to the State.  Lyons, 201 Ill. 2d at 541, 780 N.E.2d at 1106. 

There are three critical reasons why the holding in Lyons is inapplicable to the IWA.  First, unlike the statute at issue in Lyons, the IWA’s qui tam provisions are deeply rooted in Anglo-American law.  Qui tam statutes co-existed with traditional executive branch powers going back over six hundred years, long before the State of Illinois was founded and long since then.  Thus, qui tam actions cannot usurp the common law powers of the Attorney General, as they have always complemented those powers. 

Second, the IWA’s statutory framework differs vastly in form and function from the taxpayer statute struck down in Lyons.  In interpreting the federal FCA -- which was the model for the IWA -- the U.S. Supreme Court recently held that identical qui tam provisions in the federal statute constitutionally confer standing by virtue of the government’s partial assignment of its cause of action.  Vermont Agency of Nat’l Resources v. U.S. ex rel. Stevens, 529 U.S. 765, 773 (2000).  Following the U.S. Supreme Court’s rationale, the IWA is grounded in the well-established authority of the Illinois legislature to assign property rights belonging to the State.  Unlike the taxpayer in Lyons, the qui tam relator has been assigned an individual interest in the outcome separate and apart from that of the State. 

Finally, unlike the statute struck down in Lyons, under the IWA, the Attorney General has continuing power and prerogative to control the litigation.  Because the Attorney General retains control over a qui tam action under the IWA at every stage of the litigation, the statute cannot and does not usurp the Attorney General’s authority.  As shown below, the IWA fully comports with the standing and separation of powers principles of the Illinois Constitution as articulated in Lyons.  The trial court’s sweeping extension of Lyons to this wholly different statute is unwarranted and its decision must be reversed.   

 

ARGUMENT

I.          THE IWA’s QUI TAM PROVISIONS codify THE pUBLIC-private             PARTNERSHIP deeply entrenched in THE COMMON LAW TO PREVENT            FRAUD AGAINST THE GOVERNMENT

 

             Respect for the common law underscored this Court’s decision in Lyons.  In interpreting the scope of the Attorney General’s authority, this Court recognized, “[t]he duties of the Attorney General are prescribed by law and include those powers traditionally held at common law.”  Lyons, 201 Ill. 2d at 541, 780 N.E.2d at 1105.  The statute at issue was struck down because the legislature “cannot reduce the Attorney General’s common law authority in directing the legal affairs of the state.”  Id.  By this same reasoning, the common law standing of qui tam relators should not be compromised.  The standing of qui tam relators rests on over six hundred years of common law precedent.  

By the time Daniel Pope Cook – the namesake of Cook County -- served as Illinois’ first Attorney General for eleven days in March of 1819, courts had already been hearing qui tam actions for hundreds of years.[3]  Qui tam actions have been a part of Anglo-American law since the thirteenth century in England when private individuals began bringing actions in the royal courts in both their own name and for the Crown. [4]   Vermont Agency of Nat’l Resources v. U.S. ex rel. Stevens, 529 U.S. 765, 774 (2000), citing Prior of Lewes v. De Holt (1300), reprinted in 48 Selden Society 198 (1931).   In the fourteenth century, Parliament began enacting statutes that explicitly allowed private parties to sue for themselves and the Crown (and receive an award for doing so), even if they suffered no injury.  Stevens, 529 U.S. at 775.  

            Qui tam actions have existed in America “ever since the foundation of our government.”  Marvin v. Trout, 199 U.S. 212, 225 (1905); see also Stevens, 529 U.S. at 777 (the history of qui tam in America is “well nigh conclusive”).  They were also a highly significant feature of Illinois law from earliest times, and were commonplace by 1870 when language virtually identical to what is now article V, section 15 of the Constitution of Illinois was enacted.[5]  See, e.g., Chicago & Alton R.R. Co. v. Howard, 38 Ill. 414 (1865) (holding qui tam action was properly brought by informer on behalf of himself and the State of Illinois); Illinois Central R.R. Co. v. Herr, 54 Ill. 356 (1870) (affirming award of penalty in qui tam action, one-half to the State and one-half to the prosecuting witness who sued for himself and the State of Illinois); Dempsey v. Donnelly, 58 Ill. 40 (1871) (affirming penalty awarded in qui tam action); Holland v. Swain, 94 Ill. 154 (1879) (affirming penalty of treble damages in qui tam action, one-half awarded to the county and one-half to the private citizen).

            It is inconceivable that the framers of article V, section 15 could have understood it to deprive qui tam relators of standing, or to strip the legislature of the power it had always enjoyed to create qui tam actions.  Indeed, less than a decade after the 1870 Constitution was enacted, this Court emphatically affirmed the power of the legislature to enact qui tam legislation:

The statute books of Great Britain and of the various States of the Union abound with such enactments.  They give popular or qui tam actions to recover forfeitures for the omission or violation of duty.  In some cases the penalty is given to the informer, in others one-half to the government and the other half to the informer, or one-half to the informer and the other half to some charity or specific fund.  We are aware of no case since the organization of our government, State or Federal, which has questioned the power of the legislature to thus dispose of a penalty or forfeiture. 

 

Cairo & St. Louis R. R. Co. v. Warrington, 92 Ill. 157, 160 (1879).

            Illinois’ modern qui tam statute, the IWA, was enacted well over a decade ago in 1991.  The IWA is closely modeled after a Civil War era federal statute known as the False Claims Act (FCA), 31 U.S.C. § 3729 et seq.  The FCA was substantially revamped by Congress in 1986 and since that time, has fast become the federal government’s most potent fraud-fighting weapon.  Both the FCA and IWA contain qui tam provisions that put into play a powerful public-private partnership designed to ferret out fraud and abuse of government-funded programs.

            The modern FCA and state false claims statutes, including the IWA, target the submission of “false” or fraudulent claims to government-funded programs.  The qui tam provisions of these statutes incentivize private citizens to promptly report fraud that otherwise would go unchallenged.  The private citizen, also referred to as a “relator,” is entitled to receive a portion of the government’s recovery from a successful action.   This incentive has paid off.  Since 1986, the federal government alone has recovered over $12 billion as a result of suits arising under the FCA.  The overwhelming success of the FCA is what inspired the various states, including Illinois, to pass false claims legislation designed to facilitate the return of fraudulently obtained state funds. 

Ii.        A Qui Tam Relator under the IWA Has Individual Standing To sue     

 

A.        As The U.S. Supreme Court Has Held, Qui Tam Provisions Confer Standing To   Relators By Virtue Of A Partial Assignment Of The Government’s Damages Claim.

 

            The issue in this appeal is whether the IWA properly confers standing to private citizens to sue under the Act’s qui tam provisions.  The United States Supreme Court recently considered this issue -- under the identical qui tam provisions of the federal FCA -- and found that standing was constitutional because qui tam relators had been assigned a partial interest in the litigation.  Vermont Agency of Natural Resources v. U.S. ex rel. Stevens, 529 U.S. 765, 773 (2000).[6]   The language of the IWA and the well-established legislative power to assign property compels the same result.

            In Lyons, this Court held that a taxpayer plaintiff lacked standing to bring suit under Article XX because the State was the only real party in interest to the litigation. 201 Ill. 2d at 535, 780 N.E.2d at 1102.  The “real party in interest” is “the person or entity entitled to the benefits if the action is successful.”  Id. at 534, 780 N.E.2d at 1102. 

This presents a key difference between the relator’s standing in a qui tam action and the plaintiff’s interest in an Article XX action.  Under Article XX, only the State was entitled to receive any benefits from the action.  The plaintiff taxpayer could only recover attorneys’ fees upon successful completion of the suit.  But under the federal and state qui tam statutes, the relator also is entitled to benefit from the action.  As the U.S. Supreme Court emphasized: 

[T]he statute gives the relator himself an interest in the lawsuit, and not merely the right to retain a fee out of the recovery.   Thus, it provides that "[a] person may bring a civil action for a violation of section 3729 for the person and for the United States Government."

 

Stevens, 529  U.S. at 772.  Relators’ standing under the IWA is conferred through identical language, establishing that “[a] person may bring a civil action for a violation of Section 3 for the person and for the State.”  740 ILCS 175/4(b)(1) (emphasis added).  As Stevens went on to note, this language “can reasonably be regarded as effecting a partial assignment of the Government's damages claim.”  529  U.S. at 773.[7] Every Justice, including those concurring and dissenting, adopted this interpretation. Id. at 788 (Ginsberg, J. and Breyer, J. concurring); id. at 802 (Stevens, J. and Souter, J. dissenting).            

            The U.S. Supreme Court’s authoritative interpretation applies equally to the IWA.  Illinois courts look to federal interpretations when the legislature models a statute on a federal law.  People v. Whitlow,  89 Ill. 2d 322, 333, 433 N.E.2d 629, 633-34 (1982); see also People ex rel. Levenstein v. Salafsky, 338 Ill. App. 3d 936, 942, 789 N.E.2d 844, 849 (2nd Dist. 2003) (because the IWA is modeled closely on the FCA, federal court opinions construing the federal statute are instructive). 

            The language of Article XX made it clear that the taxpayer actions were brought to recover damages “on behalf of” the State.  Moreover, Article XX actions were exclusively “on behalf of” the State, with the plaintiff having no interest in the outcome separate and apart from the State or any other taxpayer.   Article XX was not a qui tam statute as that term has been used by lawmakers and courts for hundreds of years, but rather, a derivative cause of action that permitted a plaintiff to bring suit for the sole benefit of another party – the State of Illinois – and only if the State declined to do so.

            In contrast, the IWA’s language “for the person and for the State” precludes an interpretation that a qui tam case is brought solely in a representative capacity.  Stevens, 529 U.S. at 772; see also U.S. ex rel. Long v. SCS Business & Technical Inst., Inc., 173 F.3d 870, 884 (D.D.C. 1999) (holding that a relator also is a “real party in interest” in an FCA action, which is “brought for the benefit of both the relator and the United States, not for the benefit of the United States alone”).  Under the IWA, a relator is entitled to receive up to thirty percent of the State’s recovery in the action, which may include treble damages and civil penalties assessed against a defendant.  740 ILCS 175/4(d) and 740 ILCS 175/3(a).  While this Court has held that the Illinois Attorney General has the exclusive right to conduct litigation where the State is “the real party in interest,” it has never held, nor should it, that this right prevents the State’s citizens from litigating a claim where they too are a real party in interest in the litigation.  Lyons, 201 Ill. 2d at 541, 780 N.E.2d at 1105-1106 (emphasis added). 

            To put it another way, because a qui tam relator under the IWA brings suit to protect his or her own substantial property rights and interests, he or she is not acting simply for the State, but for themselves individually.  That by virtue of the suit the State is alerted to fraud that may otherwise go uncovered can only be a great benefit, and is indeed the reason the legislature decided to assign this right to relators in the first place.

            Illinois routinely becomes a real party in interest, along with other private real parties in interest, due to subrogation under the Medicaid laws and Illinois Pension laws. See 305 ILCS 5/11-22a (public aid); 40 ILCS 5/13-312 (pension system).  State agencies are specifically authorized to transfer interests in intangible property within their jurisdiction, thereby creating potential shared rights of action. 30 ILCS 500/53-10.  In many other situations the government is a real party in interest in private litigation, such as when it is a participant in a common fund, all cases involving the constitutionality of a statute, and even the venerable tort of public nuisance. 

All of these cases enabling private litigants to vindicate a government or public right have one thing in common: the individual litigant has a stake in the action distinct from that of the public-at-large. As the U.S. Supreme Court recognized in Stevens, this stake is created by the government’s valid partial assignment of its damages claim.  This Court should adopt Stevens’ reasonable construction of the rights afforded a relator by virtue of the qui tam provisions to uphold the legislative act.  See, e.g., Burger v. Lutheran Gen. Hosp., 198 Ill. 2d 21, 32, 759 N.E.2d 533, 540 (2001).  Any doubts must be resolved in favor of the IWA’s validity.  Burger, 198 Ill. 2d at 32, 759 N.E.2d at 540-41.