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 IWAs 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
Governments 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 Generals
Prosecutorial
Discretion
...20 III.
The IWA Does Not Usurp The Attorney Generals
Constitutional
Authority To Direct The Legal Affairs Of The
State
.
.
21 A.
The IWAs 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 STATES 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 Natl 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 IWAs 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 Natl
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 Governments 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
Generals Prosecutorial Discretion. East
St. Louis Fedn 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 Generals
Constitutional Authority To Direct The Legal
Affairs Of The State
A. The
IWAs 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.
Lukes 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. Lukes 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 Assn, 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 STATES 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 nations 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 OIGs 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 Courts 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 IWAs 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 IWAs 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
governments partial assignment of its cause of
action. Vermont Agency of Natl Resources
v. U.S. ex rel. Stevens, 529 U.S. 765, 773
(2000). Following the U.S. Supreme Courts
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
Generals 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 courts sweeping
extension of Lyons to this wholly different
statute is unwarranted and its decision must be reversed.
ARGUMENT I.
THE IWAs 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
Courts decision in Lyons. In
interpreting the scope of the Attorney Generals
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
Generals 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 Natl 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 governments 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 governments 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 Governments Damages Claim.
The issue in this appeal is whether the IWA properly
confers standing to private citizens to sue under the
Acts 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 relators
standing in a qui tam action and the
plaintiffs 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 Courts 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 IWAs 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 States 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 States
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 governments 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
IWAs validity. Burger, 198 Ill. 2d at
32, 759 N.E.2d at 540-41. B.
The Standing Of Qui Tam Relators
Derives From The Inherent Legislative Power
Over State Property. The
partial assignment of the States interest to a qui
tam relator derives from the legislatures
inherent authority to dispose of State property. By
well established precedent, the Illinois legislature may
assign State property directly to private parties. Droste
v. Kerner, 34 Ill. 2d 495, 500-501, 217 N.E.2d 73,
76-77 (1966) (real property), cert. denied, 385
U.S. 456 (1967), overruled on other grounds by Paepcke
v. Public Bldg. Commn of Chicago, 46 Ill. 2d
330, 263 N.E.2d 11 (1970); Cremer v. Peoria Hous.
Auth., 399 Ill. 579, 586, 78 N.E.2d 276, 280 (1948)
(direct appropriation of State funds); Cairo & St.
Louis R.R. Co. v. Warrington, 92 Ill. 157 (1879)
(statutory double damages to private party who initiates
suit held constitutional, citing qui tam cases as
analogous). The
legislature has the exclusive right to authorize spending
the States resources as it sees fit. Ill.
Const. Art. VIII § 2(b). It also is
made the guardian of State property by virtue of its
exclusive power to legislate sovereign immunity. Ill.
Const. Art. XIII § 4. Thus, the legislature has
been vested with the exclusive power to determine and
authorize the uses, disposition and protections of State
property. This
constitutional authority includes the power to transfer
the States right to enforce a civil penalty to a
private party. As this Court long ago held: We
are aware of no case since the organization of our
government, State or Federal, which has questioned the
power of our legislature to thus dispose of a penalty or
forfeiture. All must concede that when the General
Assembly imposes a forfeiture, that body may dispose of
it in such a manner as in their wisdom they see proper.
They may appropriate such penalties to the general
revenue of the State, to the school or other fund general
or local, or to a private person. This, it is
believed, has never been questioned. Cairo
& St. Louis R.R. Co. v. Warrington, 92 Ill. 157
(1879). There is no reason now to question the
established legislative power over state property.
This would be particularly inappropriate as applied to
the IWA, where the legislature has carefully balanced its
own power over state property, with the Attorney
Generals power to conduct litigation and the
relators interest in the underlying action.
Other laws further confirm the constitutionality of the
legislative power exercised in the IWA. For
example, since 1931, the legislature has transferred the
States right to sue under public construction bonds
to unpaid suppliers and subcontractors. See 30
ILCS 550/2 (2004); Laws 1931, p. 385, § 2. amended by
Laws 1949, p. 596, § 1; P.A. 81-594, § 1, eff. Jan. 1,
1980; P.A. 84-551, § 14, eff. Sept. 18, 1985; P.A. 86-
333, § 1, eff. Jan. 1, 1990; P.A. 93-562, § 5, eff.
Aug. 20, 2003; formerly Ill. Rev. Stat. 1991, ch. 29, 16.
As in the IWA, that statute allows a private party to
bring an action in the name of the state.
Id.; 740 ILCS 175/4(b)(1). The
validity of the construction bond statute, a version of
which was in force during the drafting of the 1970
Constitution, has never been questioned. See, e.g.,
Fodge v. Bd. of Educ. of Village of Oak Park, 309
Ill. App. 109, 32 N.E.2d 650 (1st Dist. 1941)
(finding subcontractor had no standing as third party
beneficiary under bond, but was entitled to sue in name
of government under the statute).
In enacting the IWA, it was the legislatures
considered judgment that a partial assignment of the
States damages claim to relators would greatly
benefit the State and its citizens. As
Representative McAfee explained to the Illinois House of
Representatives back on May 15, 1991, the IWA is
based on the Federal False Claims Act, an Act that was
first enacted and adopted at the federal level in 1863 by
then President Lincoln
[it] is based on law of over
a hundred years old, and it is clearly a way to protect
the government and its citizens from fraud without adding
cost to the state. See
transcript of the Illinois House of Representatives, May
15, 1991, p. 47 (50th Legislative Day). A
unanimous House of Representatives agreed. See
id. at p. 49. C.
Illinois Has Long
Recognized The Standing Of Assignees.
The assignee of a chose in action has the right to bring
suit. See, e.g., Saltzberg v. Fishman,
123 Ill. App. 3d 447, 452, 462 N.E.2d 901, 905 (1st
Dist. 1984). A relator under the IWA may bring an
action in his or her own name and in the name of the
State. See, e.g., Hitchcock Air Conditioning,
Heating & Piping Co. v. Hazen, 43 Ill. App. 3d
483, 486-87, 357 N.E.2d 69, 72 (3rd Dist.
1976). This Court has already held that causes of
action sounding in fraud (such as the IWA) and including
punitive damages are assignable. Kleinwort Benson N.
Am., Inc. v. Quantum Fin. Servs., Inc., 181
Ill. 2d 214, 227, 692 N.E.2d 269, 275 (1998). Assignability
of a cause of action is the rule and non-assignability,
the exception. Kleinwort, 181 Ill. 2d. at
225, 692 N.E.2d at 274. The exception recognized by
Illinois courts --not applicable here-- is premised on
public policy considerations and limited to torts for
personal injuries and actions for other wrongs of a
purely personal nature. Id. at 225, 692
N.E.2d at 274.
D. The Statute
Found Unconstitutional In Lyons Did
Not Confer Assignee Standing. Article
XX did not confer assignee standing to private litigants.
Under that statute, private litigants were
rewarded solely with the costs and expenses
of bringing the action. The litigant (as opposed to
its attorneys) had no cognizable stake in the action. The
U.S. Supreme Court effectively distinguished statutes
like Article XX from the IWA when it noted that the mere
right to fees and costs does not give a litigant a stake
in the action sufficient to create standing to sue. Stevens,
529 U.S. at 773. The Court in Lyons was not
presented with the issue here, as a relator under the IWA
is entitled to the benefits of a successful
action. 201 Ill. 2d at 535, 780 N.E.2d at
1102. Second,
Article XX purported to create a multiplicity of
independent actions from the same wrong. That is,
any citizen, indeed any number of citizens, could bring
suit on the same basis that the Attorney General might
also attempt to litigate or settle on some other basis. See,
e.g., People ex rel. Ulrich v. Bosman, 279 Ill. App.
3d 36, 664 N.E. 2d 119 (1st Dist. 1996).
Thus, Article XX could not be a partial assignment of the
States chose in action, as it created multiple
whole and separate actions on behalf of the
State over which the Attorney General retained no
control. The IWA, on the other hand, specifically
recognizes the singular nature and exclusivity of the
assignment in the first-to-file and
non-intervention rule, 740 ILCS 175/4(b)(5),
as well as the many specific controls available to the
Attorney General. See discussion infra
at pp. 22-26.
Third, to bring suit under Article XX, one only had to be
a citizen and resident of the State or county. The
IWA in no way purports to base a suit on general citizen
or taxpayer standing. Only those individuals
possessing and providing the State with valuable
non-public information are entitled to the partial
assignment. Courts have no jurisdiction over
any other suit by a private party. 740 ILCS
175/4(e)(4)(A). This comports with the public policy
approval of assignment of causes of action to persons who
have some nexus with the subject matter of the action.
See e.g., Kleinwort, 181 Ill. 2d at 226-27, 692
N.E.2d at 275.
E. The
Minimal Due Process Rights Afforded To Relators By The
Partial
Assignment Do Not Conflict With The Attorney
Generals Prosecutorial Discretion. Unlike
the plenary authority to control the litigation possessed
by relators in an Article XX action, relators under
the IWA are afforded only the minimal due process rights
required by virtue of the property assigned to them by
the legislature. The need for some right to be
heard by the relator before settlement, dismissal or
delayed intervention is inherent in the relators
property right. East St. Louis Fedn of Teachers,
Local 1220 v. East St. Louis School Dist.
No.189 Fin. Oversight Panel, 178 Ill. 2d 399, 419-20,
687 N.E.2d 1050, 1062 (1997). The
rights attendant to the partial assignment merely afford
relators assurance that their perhaps career-threatening
whistle-blowing will not go unrewarded for an improper
reason.[8] These
rights are thus ancillary to, and in aid of, securing the
consideration given by the legislature to reward persons
coming forward with non-public information of fraud.
Here, like any assignee, the Relators rights are
subject to the scope and terms of the assignment, in this
case, the provisions of the statute as interpreted by the
courts. As detailed in Part III of this brief, the
federal courts construing identical provisions have found
any legitimate exercise of prosecutorial discretion
sufficient to support the governments determination
of the course of the suit. Furthermore, any
provisions that merely could be interpreted as
usurping the Attorney Generals rights must not be
so interpreted. These provisions are also
subject to the requirement that a court must construe a
statute so as to affirm its constitutionality if the
statute is reasonably capable of such a construction.
See, e.g., Burger v. Lutheran Gen. Hosp.,
198 Ill. 2d 21, 32, 759 N.E.2d 533, 540 (2001). As
one federal court noted: in the absence of any
meaningful indication that [FCA] requirements pose
significant barriers to the Executive Branch's exercise
of its prosecutorial authority, we see no reason to
construe them as such... U.S. ex
rel. Kelly v. Boeing Co., 9 F.3d 743, 756 (9th
Cir. 1993). Words
such as good cause and under all the
circumstances implicitly subsume the controlling
importance of the Attorney Generals prosecutorial
discretion and right to represent the government while
affording relators the due process protections required
by virtue of their property right against fraud or
unconstitutional prosecutorial action. See, U.S.
ex rel. Sequoia Orange Co. v. Baird-Neece Packing Corp.,
151 F.3d 1139, 1145 (9th Cir. 1998) (analysis
to determine whether government may control litigation
over relators objection is same as applied to
determine when executive action violates substantive due
process). The Attorney Generals traditional powers
do not include the right to act unconstitutionally. Thus,
the due process mechanisms contained in the IWA cannot
and do not usurp those powers.
Unlike Article XX, the IWA is a clearly delineated and
valid partial assignment of the States chose in
action to relators. The legislature carefully transferred
only the property within its inherent rights, and made no
delegation of the Attorney Generals traditional
powers to represent the State. III.
The IWA Does Not Usurp The Attorney Generals
Constitutional Authority To Direct The Legal
Affairs Of The State.
Whether
or not the Court finds the IWA creates a partial
assignment affording a qui tam relator standing to
sue (an independent basis for upholding the
statutes constitutionality), the IWA withstands
scrutiny. No matter how one views a relators
role in litigation under the IWA (whether as an assignee
pursuing and preserving his or her individual stake in
the outcome or as a quasi-agent of the State, or both),
the IWA was carefully crafted to ensure its qui tam
provisions enhance, not detract from, the Attorney
Generals constitutional power and authority as the
legal officer of the State. As shown below, the
Attorney General retains the authority to control an IWA
action at every stage of the litigation. The IWA confers
upon the Attorney General absolute discretion to decide whether,
when and how to intervene in a lawsuit
initiated by a private relator.
A. The
IWAs Qui Tam Provisions Were
Carefully Crafted To Ensure The Attorney
General Retains Authority To Control The Litigation At
Every Stage.
This Court has squarely held that the Attorney
Generals retention of authority to control
litigation in which the State is the real party in
interest (or a real party in interest) is
sufficient to pass muster under article V, section 15 of
the 1970 Illinois Constitution. Fair Employment
Practices Comm. v. Rush-Presbyterian-St. Lukes Med.
Center, 41 Ill. App. 3d 712, 715, 354 N.E.2d 596, 599
(1976); accord Fergus v. Russel, 270 Ill. 304,
342, 110 N.E.2d 130, 145 (1915) (recognizing there were
multiple representatives of the Crown at common law who
were subordinate to the Attorney General). This is
so, even where the Attorney General initially disagrees
with the litigation decision of another actor or refuses
to pursue the case altogether. Fair
Employment Practices Comm., 41 Ill. App. 3d at 715,
354 N.E.2d at 599. As shown below, the
legislature carefully crafted the qui tam
provisions of the IWA to meet this standard.
A relator commences suit under the IWA by filing a qui
tam complaint under seal and serving it on the
Attorney General along with all of the material evidence
in his or her possession. 740 ILCS 175/4(b)(2).
The complaint remains under seal while the Attorney
General investigates the relators allegations.
740 ILCS 175/4(b)(2) and (3).
The
relator can do nothing to force the suit to go forward
but must wait until the Attorney General completes its
investigation and decides whether to intervene. 740
ILCS 175/4(b)(2) and (3). The Attorney General is
entitled to such extensions of the statutory sixty-day
seal period as necessary to complete its investigation.,
740 ILCS 175/4(b)(3). The extension request is made
to the Court ex parte and because the lawsuit is
under seal, the basis for the request need not be
disclosed to anyone, including the relator. Courts
routinely grant extensions of the statutory seal period,
often for periods of six months to a year at a time. Many
cases remain under seal for years at the Attorney
Generals request to give the State ample
opportunity to investigate and evaluate the
relators allegations. See, e.g., U.S. ex
rel. Sarmont v. Target Corp., No. 02 C 0815, 2003 WL
22389119 at *2 (N.D. Ill. Oct. 17, 2003) (qui tam
case remained under seal at governments request for
nine and a half years); U.S. ex rel. Alderson v.
Quorum Health Group, Inc., 171 F. Supp. 2d 1323, 1328
(M.D. Fla. 2001) (qui tam case remained under seal
throughout six-year government investigation).
If the State decides to intervene, it has primary
responsibility for prosecuting the action and is not
bound by any act of the relator. 740 ILCS
175/4(c)(1). Even though the relator remains a real
party in interest, the Attorney General may restrict his
or her participation in the litigation if it would
interfere with or unduly delay the States
prosecution or if it would be repetitious,
irrelevant, or for the purposes of harassment.
740 ILCS 175/4(c)(2)(C).
Even where the State declines to intervene, the Attorney
General retains very significant control over the
litigation. The relator may proceed with the
action, but the Attorney General continues to monitor the
proceedings and the relator must serve the State with
copies of all pleadings filed and copies of any and all
deposition transcriptions. 740 ILCS 175/4(c)(3).
The Attorney General also may stay certain discovery
actions by the relator if it would interfere with its
investigation or prosecution of a criminal or civil suit
arising out of the same facts. 740 ILCS
175/4(c)(4).
The Attorney General retains the right to intervene in
the lawsuit at any time, even many years after an
initial declination decision. 740 ILCS 175/4(c)(3);
U.S. ex rel. Robinson v. Northrop Grumman Corp.,
89 C 6111, 2002 WL 31163734 (N.D. Ill. Sept. 26, 2002)
(Government intervened eight years after its initial
declination); see also U.S. ex rel. Chandler v. Cook
County, Illinois, 277 F.3d 969, 974, n. 5 (7th
Cir. 2002) (at any given time, the Government may have
myriad reasons for permitting the private suit to
go forward including limited prosecutorial resources and
confidence in the relators attorney).
No one but the Attorney General may intervene in a qui
tam action. 740 ILCS 175/4(b)(5). And, if
the Attorney General already has initiated an action
under 740 ILCS 175/4(a), or filed any other civil suit or
proceeding based upon the allegations of a potential qui
tam suit, the relator is foreclosed from doing so.
740 ILCS 175/4(e)(3); see also U.S. ex rel. Found. for
Fair Contracting, Ltd. v. G&M Eastern Contracting,
Inc., 259 F. Supp. 2d 329, 336 (D.N.J. 2003). Alternatively,
the Attorney General may elect to pursue the allegations
of the qui tam complaint through any
alternate remedy available to the State,
including an administrative proceeding to recoup
overpayments. 740 ILCS 175/4(c)(5).
Most critically, the Attorney General has unilateral
authority to dismiss the litigation if it so chooses.
740 ILCS 175/4(c)(2)(A); U.S. ex rel. Sequoia Orange
Co. v. Baird-Neece Packing Corp., 151 F.3d 1139,
1144-45 (9th Cir. 1998) (holding Attorney
General has the power to dismiss a qui tam action
at any point in the litigation upon showing of
rational basis, even where it concedes the
action has technical merit); see also Swift v.
U.S., 318 F.3d 250, 253 (D.D.C. 2003) (holding
Governments decision to dismiss a qui tam
case over a relators objection is not subject to
judicial review).
The Attorney General also may unilaterally settle a qui
tam case, subject only to the courts
determination that the settlement is fair, adequate and
reasonable under all the circumstances. 740 ILCS
175/4(c)(2)(B). The State also recovers the
lions share of any qui tam action. 735
ILCS 175/4(d).
On the other hand, a relator may not even dismiss his or
her own qui tam complaint absent the Attorney
Generals written consent. 735 ILCS 175/4(b).
Nor can a relator unilaterally settle the action. 735
ILCS 175/4(c)(3); see also Searcy v. Philips Elecs.
N. Am. Corp., 117 F.3d 154, 160 (5th Cir.
1997) (the FCA clearly permits Government to veto
settlements even where it has declined to intervene); accord
U.S. ex rel. Doyle v. Health Possibilities, P.S.C.,
207 F.3d 335, 340-41 (6th Cir. 2000) (likewise
holding absolute consent of the Attorney General is
required before a relator may settle a qui tam
action, even in the absence of intervention). Like
the FCA -- which has consistently withstood
constitutional attack -- the IWA places no substantive
constraints on the Attorney Generals power to
conduct a qui tam action. The IWAs
limited procedural mechanisms protect the relators
individual stake in the litigation, while at the same
time providing the Attorney General unfettered control
over the case at every turn. The
FCAs executive branch controls (identical to the
IWAs) are so powerful that every federal appellate
court to entertain a constitutional challenge to its qui
tam provisions has swiftly rejected it. See,
e.g., U.S. ex rel. Taxpayers Against Fraud. v.
G.E. Co., 41 F.3d 1032, 1041 (6th Cir.
1994), rehg denied, January 18, 1995; Riley
v. St. Lukes Episcopal Hosp., 252 F.3d 749, 756
(5th Cir. 2001); U.S. ex rel. Kelly v.
Boeing Co., 9 F.3d 743, 757 (9th Cir.
1993).
As one federal court explained in construing the
FCAs qui tam provisions: Under
our federal scheme, the Attorney General, through those
acting in his name, decides whom to prosecute for
violations of federal law. The Court will not assume that
the qui tam provisions of the False Claims Act were
intended to curtail the prosecutorial
discretion of the Attorney General. The Act nowhere
states that federal prosecutors are confined to proceed
in an all or nothing manner, being forced to take or
leave the qui tam plaintiff's charges wholesale. Nor does
the Act state that the qui tam plaintiff remains free to
prosecute any person or entity he wishes, provided the
government declines to take over the action. Juliano v.
Fed. Asset Disposition Assn, 736 F. Supp. 348,
351 (D.D.C. 1990), affd 959 F.2d 1101 (D.C.
Cir. 1992); accord U.S. ex rel. Gublo v. Novacare,
Inc., 62 F. Supp. 2d 347, 353 (D. Mass. 1999) (the
argument that permitting a qui tam relator to
proceed under the FCA even if the Government declines
illegally divests the Executive Branch of its duties
has been rejected by every court that has
considered it); accord U.S. ex rel. Fallon v.
Accudyne Corp., 921 F. Supp. 611, 623 (W.D. Wis.
1995)(holding that because of the substantial controls
exercisable by the executive branch under the FCA, no
unconstitutional delegation has taken place); see also
U.S. ex rel. Bantolas v. Superior Air & Ground
Ambulance Transport, Inc., No. 01 C 6168, 2004 WL
609793 at *5 (N.D. Ill. March 22, 2004) (rejecting
arguments that the qui tam provisions of the FCA
and IWA violate the federal Constitution and Illinois
Constitution, respectively).
Nothing in the 1970 Illinois Constitution prohibits
private persons from uncovering fraud and assisting the
Attorney General in its resulting prosecution of it.
The constitutional inquiry is whether the IWA usurps
the Attorney Generals common law authority. Lyons,
201 Ill. 2d at 541, 780 N.E.2d at 1106. As
long as the Attorney General can step in and direct the
course of litigation, there is no unconstitutional
usurpation of its powers. Fair Employment
Practices Comm. v. Rush-Presbyterian-St. Lukes Med.
Center, 41 Ill. App. 3d 712, 715, 354 N.E.2d 596, 599
(1976); accord U.S. ex rel. Taxpayers Against
Fraud v. G.E. Co., 41 F.3d at 1041; Riley v. St.
Lukes Episcopal Hosp., 252 F.3d at 756; U.S.
ex rel. Kelly v. Boeing Co., 9 F.3d at 757. The
legislature carefully designed the IWA so this would be
-- and is -- the case and its constitutionality should be
upheld. Burger v. Lutheran Gen. Hosp., 198
Ill. 2d 21, 32, 759 N.E.2d 533, 540 (2001).
B. The IWA Does
Not Contain The Same Constitutional Defects As Article
XX. As
shown above, the qui tam provisions of the IWA
preserve the Attorney Generals discretionary
authority to prosecute claims on behalf of the State. In
addition, the Attorney General retains ongoing control of
litigation brought by the relator under the IWA. The
IWAs qui tam provisions stand in stark
contrast to Article XX, the statute before the Court in Lyons.
This Court found in Lyons that the statutory
framework of Article XX improperly reduced the
Attorney Generals common law authority and
improperly usurp[ed] the powers of the Attorney
General. 201 Ill. 2d at 541, 780 N.E.2d at
1106. The IWA does not suffer from these
constitutional defects. Under
Article XX, a private citizen could circumvent the
Attorney Generals discretionary authority to
conduct litigation, even though the private citizen had
no individual stake in the litigation and corresponding
standing to sue. A private citizen under Article XX
was only entitled to recover his or her attorneys
fees and costs, unlike a qui tam relator
under the IWA who has a concrete and personal stake in
the outcome. Article
XX expressly conferred upon any Illinois citizen the
right to make a demand upon the Attorney General to
either promptly commence suit or settle an alleged claim
of the State. The Attorney General was required to
act within sixty days of the citizens demand, and
importantly, had no right to extend or seek an extension
of the demand period. Once the demand period had passed
without the Attorney General bringing suit or making
arrangements to settle the case, the Attorney General was
forced to relinquish control over the litigation and the
citizen jumped into her shoes. To put it another way, the
statute authorized the private citizen to substitute as
the Attorney General and prosecute a claim the State no
interest in pursuing.
The private citizens right to unilaterally proceed
with the lawsuit at the expiration of the sixty-day
demand period was an automatic and irrevocable right. 735
ILCS 5/20-104(b). At that point, the Attorney
Generals control over the direction and course of
the litigation extinguished and no exceptions were
permitted. The
decision in People ex rel. Ulrich v. Bosman, 279
Ill. App. 3d 36, 664 N.E.2d 119 (1st Dist.
1996), underscores the private citizens unfettered
power under Article XX. In Ulrich, the Court
refused to allow the Attorney General to dismiss the
citizens Article XX lawsuit against officials and
faculty of the University of Illinois for the recovery of
allegedly fraudulent payments made with State funds by
the University. The Court held the Attorney General had
no authority to bar the lawsuit even though the Attorney
General contended that the University already had settled
related claims against these defendants. We
agree with plaintiff that the statute is quite clear in
conferring on the private citizen the right to bring the
action if the Attorney General does not file suit or make
arrangements to settle the claim within the required
time. There are no exceptions in the law that would
embrace the action taken by the University. Indeed, there
are no exceptions at all; if the Attorney General does
not act, the right to act belongs to the citizen. Ulrich,
279 Ill. App. 3d at 44, 664 N.E.2d at 125. In
fact, the Attorney General is constrained to assume any
role that might impair the citizens power to
prosecute an Article XX claim. To the extent the Attorney
General retains any involvement in litigation brought
under Article XX, it is in the limited role of a nominal
defendant. In
Ryan v. Consentino, 793 F. Supp. 822 (N.D.
Ill. 1992), the Court allowed the plaintiff to join the
State as a nominal defendant in an Article XX action. The
Courts stated reason was to ensure that the State
did not wreak havoc or do anything
inconsistent with the citizens prosecution of its
claims under Article XX. The
legislature could not have intended to leave to the State
the right to wreak havoc in litigation filed under §
20-104. It defies logic to assume that the legislature
intended that, after failing to act, State could bring a
subsequent action effectively sabotaging any litigation
filed pursuant to § 20-104(b). Ryan,
793 F. Supp. at 824.
The Attorney Generals relinquishment of all control
in an Article XX action stands in stark contrast to what
happens if the State declines to proceed in a qui tam
action under the IWA. While the relator may still
go forward with the litigation, the Attorney General can
limit the relators conduct in substantial ways. The
Attorney General maintains the power to overrule the
relators litigation choices and can even take back
primary control of the case at any time by revisiting the
decision to intervene. Finally, the Attorney
General maintains unilateral veto power over any
settlement. See supra at pp. 22-26. In
sum, from start to finish, Article XX, the statute before
the Court in Lyons, removed the discretionary
authority of the Attorney General to prosecute claims on
behalf of the State. For this reason, the Court
struck down the statute as an unconstitutional usurpation
of the Attorney Generals authority as the chief
legal officer of the State. Because, from start to
finish, the IWA qui tam provisions preserve, and
in some respects supplement, the Attorney Generals
authority as the chief legal officer of the State, the
decision in Lyons should not be extended to
invalidate the IWA.
IV.
EXTENDING LYONS v. RYAN TO THE IWA
WOULD STRIP AWAY THE STATES MOST
EFFECTIVE ANTI-FRAUD WEAPON
Federal and state false claims acts such as the IWA are
the most powerful tools available to combat fraud against
the government. Since Congress substantially
strengthened the federal False Claims Act in 1986, the
federal government has recovered over $12 billion in
civil fraud cases. See Press Release,
Department of Justice, 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. As the
Justice Department recognizes, without the qui tam
provisions in the federal FCA, such recoveries would not
be possible. Id.
Like Illinois, a growing number of states have adopted
their own false claims and qui tam legislation
since 1986, and today a large number of states have such
laws on the books. See, e.g.,
Arkansas Medicaid Fraud False Claims Act, Ark. Code Ann.
§ 20-77-91; California False Claims Act, Ca. Gov. Code
§ 12650; Colorado Medical Assistance Act, Colo. Rev.
Stat. § 26-4-1101; Delaware False Claims and Reporting
Act, Del. Code 6-1201; District of Columbia Procurement
Reform Amendment Act, D.C. Code Ann. § 1-1188.13;
Florida False Claims Act, Fla. Stat. § 68.081; Hawaii
False Claims Act, Haw. Rev. Stat. § 661-21;
Massachusetts False Claims Law, Mass Gen. Laws ch. 12,
sec. 12, §§ 5A-5O; Michigan False Claims Act, Mich.
Comp. Laws 400.601; Nevada False Claims Act, Nev. Rev.
Stat. § 357.010; New Mexico Medicaid False Claims Act,
2004 N.M. Laws 49; Tennessee False Claims Act, Tenn.
Stat. § 4-18-101; Texas Medicaid Fraud Prevention Law,
Tex. Hum. Res. Code §§ 36.001-36-117; Utah False Claims
Act, Utah Code Ann. § 26-20-1; Virginia Fraud Against
Taxpayers Act, Va. Code § 8.01-216.1. False
claims act legislation is also pending in Alabama, Idaho,
Ohio, Nebraska, New York and Pennsylvania.
Illinois pioneered the use of state qui tam
statutes as a fraud-fighting weapon. The IWA was
enacted on September 20, 1991 and became effective on
January 1, 1992. In little more than a decade, it
has proved to be an invaluable tool to protect the
integrity of the public fisc. Examples of the fraud
uncovered in recently unsealed cases initiated by private
citizens pursuant to the IWAs qui tam
provisions include: §
Systematic upcoding of emergency room
services for Illinois Medicaid recipients at inner city
hospitals across Chicago. U.S. and State of
Illinois ex rel. Linda Trombetta v. EMSCO Billing
Services, et al; Case No. 96 C 226,
consolidated with 99 C 151 (N.D. IL); and §
Falsely diagnosing potential liver transplant patients
and placing them in intensive care to make them appear
sicker than they were, thereby placing these patients
ahead of others on the national donor waiting list and
entitling the defendant hospitals to certification and
reimbursement under the Medicare and Medicaid programs.
U.S. and State of Illinois ex rel. Raymond Pollak,
M.D., v. Board of Trustees of the University of Illinois
and the University of Chicago, 99 C 710 (N.D. IL).[9] Since 2000
alone, lawsuits under the IWA have generated recoveries
of over $21 million to the State of Illinois, the vast
majority of which is attributable to the efforts of
qui tam relators.[10]
Federal
and state legislatures enacted qui tam false
claims statutes because they recognized that governments
alone lack sufficient information and resources to ferret
out and punish fraud adequately. For example, in
enacting the 1986 amendments to the federal FCA, Congress
observed, perhaps the most serious problem plaguing
effective enforcement is a lack of resources on the part
of Federal enforcement agencies. S. Rep. No.
99-345 (1986), at 7. Accordingly, Congress amended
the FCA to allow and encourage assistance from the
private citizenry, which it expected to make
a significant impact on bolstering the Governments
fraud enforcement effort. Id. at 8.
The qui tam provisions of the FCA were
intended to provide the Governments law
enforcers with more effective tools and also
to encourage any individual knowing of Government
fraud to bring that information forward.
Id. at 2 (emphasis added).
In the wake of this action on the federal level, the
Illinois legislature similarly decided to augment the
states resources in fighting fraud by passing the
IWA. Like the Congress, our state legislature
recognized that the state could not always prosecute such
cases effectively on its own, and therefore sought to
enlist private citizens in the war against fraud. The
legislature determined the IWA was clearly a way to
protect the government and its citizens from fraud
without adding cost to the state. Transcript
of the Illinois House of Representatives, May 15, 1991,
p. 48 (50th Legislative Day).
The House debates further reveal that the Illinois
legislature worked with the Attorney
Generals office to create a statute that would best
serve that office and the citizens of Illinois. Recommendations
made by the Attorney General were incorporated by the
legislature and adopted in the version of the bill that
became the IWA. See id. Since
then, the public-private partnership that was put into
play has been tried, tested and proven to work.
The extension of the holding in Lyons to bar qui
tam actions under the IWA would have a devastating
impact on the ability of the State of Illinois to deter
and punish fraud. It is the state
legislatures considered judgment that the synergy
between public and private actors created by the qui
tam mechanism is essential to protect the
states coffers. Qui tam actions have
historically been part of the fabric of our law and
remain vital to the states fiscal integrity. For
this additional reason, the IWA should be upheld. CONCLUSION
For all of the reasons stated above, amici curiae
respectfully request the Court to reverse the trial court
and uphold the constitutionality of the Illinois
Whistleblower Act. Respectfully submitted,
AARP and Taxpayers against fraud
Dated: May 14, 2004
___________________________________
One of the Attorneys for Amici
Curiae 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 Steven H.
Cohen
Michael C. Rosenblat Cohen
Law Group, P.C.
Michael c. rosenblat, p.c. 55 W.
Wacker Drive, Suite 801
2400 Ravine Way, Suite 200 Chicago,
IL 60601
Glenview, IL 60025 (312)
327-8800
(847) 657-0006 Firm ID
#40129
Firm ID #14317 Counsel
for Amici Curiae
Counsel for Amici Curiae
[1] Statistics
are courtesy of the Department of Justice. See
Department of Justice Press Release, False Claims Act
Recoveries Exceed $12 Billion Since 1986 (Nov. 10, 2003),
available at www.usdoj.gov/opa. [2] Statistics
are courtesy of the Department of Justice and TAF. See
Department of Justice Press Releases dated January 23,
2001, October 3, 2001, October 28, 2002 and June 20,
2003, relating to settlements with Bayer, TAP
Pharmaceuticals, Pfizer and Astrazeneca, respectively,
all available at www.usdoj.gov/opa; see also
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. [3] For a history of the Attorney Generals office, visit www.ag.state.il.us/abouttheoffice/history.html. [4] Qui tam
is short for qui tam pro domino rege quam pro se ipso
in hac parte sequitur, which means he who
pursues this action on our Lord the Kings behalf as
well as his own. The phrase dates back to at
least the time of Blackstone. Vermont Agency of
Natl Resources v. U.S. ex rel. Stevens, 529
U.S. 765, 769, n. 1 (2000), citing 3 W.
Blackstone, Commentaries 160. [5] The language creating the office of the Illinois Attorney General changed only slightly from the 1870 to 1970 versions of the Constitution of Illinois. The 1870 Constitution provided that the Attorney General shall perform such duties as may be prescribed by law, and the 1970 Constitution, that the Attorney General shall have the duties and powers that may be prescribed by law (emphasis added). Section 1, art. 5 and sec. 15, art. 5, of the 1870 and 1970 Constitutions of Illinois, respectively. In Lyons, this Court determined the drafters of the 1970 Constitution intended no change in the law concerning the scope of the Attorney Generals authority. 201 Ill. 2d at 536, 780 N.E.2d at 1103. [6] While the Stevens Court analyzed this issue with respect to standing for purposes of Article III, its conclusion that a relator has an individual stake in the outcome and standing to bring suit is relevant here because it confirms qui tam suits are not brought simply in a representative capacity and must therefore be analyzed in light of the individual rights afforded to relators. [7] Illinois law concerning the creation of an assignment further supports this construction, as courts will find an assignment wherever there was an intent to assign, without the necessity of explicit language. See, e.g., Dr. Charles W. Smith III, Ltd. v. Gen. Life Ins. Co., 122 Ill. App. 3d 725, 727, 462 N.E.2d 604, 606 (1st Dist. 1984). [8] Amici respectfully urge this Court not to forget that whistleblowers under the IWA often suffer extreme hardship, personal and financial risk and emotional distress by coming forward to report fraud. In fact, in Illinois, Judge Moran concluded that these hardships alone could confer standing. U.S. ex rel. Robinson v. Northrop, 824 F. Supp. 830, 835 (N.D. Ill. 1993). Furthermore, as the title of the Act illustrates, a central legislative purpose is the reward and protection of the Illinois whistleblower. Invalidating this statute could work a harsh injustice on whistleblowers who, even now, may be providing assistance to government authorities, at their own substantial risk. [9] See Office of the Illinois Attorney General Press Release, UIC Medical Center Pays $2 Million To United States And State Of Illinois To Settle Liver Transplant Fraud Suit (November 17, 2003), available at http://www.illinoisattorneygeneral.gov/pressroom/2003_11/111703.html. [10] Statistics are courtesy of the Illinois State Treasurer and Office of the Comptroller. |