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IN THE UNITED STATES COURT OF APPEALS

FOR THE NINTH CIRCUIT



Appellant No. 03-17082

PATRICK CAMPBELL, M.D.,                             
UNITED STATES OF AMERICA AND                          
STATE OF CALIFORNIA EX REL.,                
PlAINTIFF AND APPELLANT

UNITED STATES OF AMERICA,    
Intervenor and Appellee

V.


REDDING MEDICAL CENTER AND TENET
HEALTHCARE CORP.
Defendants

 

BRIEF OF TAXPAYERS AGAINST FRAUD EDUCATION FUND AS AMICUS CURIAE SUPPORTING APPELLANT

 

INTEREST OF AMICUS CURIAE

 

Taxpayers Against Fraud Education Fund (“TAF”) is a nonprofit

public interest organization dedicated to educating the legal

community, the public, legislators, and others about the Federal

False Claims Act and its qui tam provisions, with the goal of

preserving effective anti-fraud legislation at the federal and state

level.  The organization has published educational materials about

the Act and has participated in litigation as a qui tam relator and as

an amicus curiae.  Its sister organization, the nonprofit False Claims

Act Legal Center, has lobbied to prevent legislative amendments to

the Act which would reduce its effectiveness as a fraud-fighting

tool.  TAF’s interest in this case is to support vigorous enforcement

of the Act by contributing its understanding of the Act’s proper

interpretation and application.  TAF is submitting this brief together

with a Motion for Leave to File in compliance with FRAP 29.

 

STATEMENT OF THE ISSUES

TAF relies on Appellant Campbell’s statement of the issues.

 

STATEMENT OF THE CASE

TAF relies on Appellant Campbell’s statement of the case.

 

ARGUMENT

This appeal involves a matter of first impression in the interpretation of section 3730(b)(5) of the Federal False Claims Act (31 U.S.C. §§ 3729-33), also known as the “first-to-file” bar, and its interplay with the section 3730(e)(4) public disclosure bar and original source exception. Both provisions were enacted as part of the overall legislative scheme of the 1986 amendments to the False Claims Act, which serve the dual goals of encouraging private enforcement suits by true whistleblowing insiders, while barring parasitic or opportunistic suits that do not enhance the Government’s fraud-fighting efforts.

The district court dismissed Appellant Campbell’s qui tam action pursuant to section 3730(b)(5). The district court erroneously held that, after a full public disclosure of the allegations or transactions making up the fraudulent scheme, a suit filed by a non-original source plaintiff over which the district court never had subject matter jurisdiction is a “pending action” that bars all later-filed actions pursuant to section 3730(b)(5). In so ruling, the district court failed to interpret the plain meaning of the provision in light of the overall purposes and policy objectives of the 1986 amendments.

I. SECTION 3730(b)(5) MUST BE APPLIED IN ACCORDANCE WITH THE LEGISLATIVE PURPOSES BEHIND THE ENACTMENT OF THE 1986 AMENDMENTS TO THE FALSE CLAIMS ACT

A.  The 1986 Amendments Were Designed to Encourage Those With Inside Knowledge of Fraud Against the Government to Bring Private Enforcement Suits

In 1986, Congress legislated a major overhaul of the Federal False Claims Act in response to reports of the “growing pervasiveness of fraud” in Government contracts and programs. S. Rep. No. 345, 99th Cong., 1st Sess. 2 (1986), reprinted in 1986 U.S.C.C.A.N. 5266 (herein S. Rep.).  Recognizing that the Government alone lacks the resources to detect and punish fraud adequately, Congress amended the FCA to “allow and encourage assistance from the private citizenry,” which it expected to “make a significant impact on bolstering the Government’s fraud enforcement effort.”  Id. at 8.

The 1986 amendments contained numerous changes both to the Act’s general provisions and to its qui tam whistleblower provisions.[1]  Strengthening the law’s qui tam provisions was a crucial part of the legislature’s strategy:

The proposed legislation seeks not only to provide the Government’s law enforcers with more effective tools, but to encourage any individual knowing of Government fraud to bring that information forward.  In the face of sophisticated and widespread fraud, the Committee believes only a coordinated effort of both the Government and the citizenry will decrease this wave of defrauding public funds.  S. Rep. at 2, 1986 U.S.C.C.A.N. at 5266-67.

There is no doubt that the public-private partnership

engendered by the qui tam provisions has served its intended

purposes.  Since 1986, the Federal Government has obtained over

$12 billion in judgments and settlements in civil fraud cases, largely

due to the efforts of whistleblowers.  See Press Release,

Department of Justice, False Claims Act Recoveries Exceed $12

Billion Since 1986 (Nov. 10, 2003), available at
www.usdoj.gov.


. . . . .Qui tam suits have been used successfully to recover fraud

losses in the full range of government programs, including defense

procurement, health care, housing subsidies, environmental

cleanup, and more. The whistleblower provisions have been

particularly effective in the fight against Medicare and

Medicaid fraud.  In recent years, health care fraud cases have

accounted for the lion’s share of qui tam recoveries, returning

$1.7 billion to the federal treasury in fiscal year 2003 alone. 

DOJ Press Release, supra.

 

 

B.  The Enactors of the 1986 Amendments Sought to Achieve the Dual Goals of Encouraging True Whistleblowers While Preventing Opportunistic Suits

While in 1986 Congress sought to encourage those with knowledge of fraud to come forward to assist the Government, it also sought to bar opportunistic or “parasitic” lawsuits that do not add information or resources to the Government’s fraud-fighting efforts.  See, e.g., United States ex rel. LaCorte v. SmithKline Beecham Clinical Lab., Inc., 149 F.3d 227, 233-4 (3d Cir. 1998) (discussing legislative history).  See also United States ex rel. LaCorte v. Wagner, 185 F.3d 188, 191 (4th Cir. 1999) (“Congress…struck a careful balance between encouraging citizens to report fraud and stifling parasitic lawsuits”).  With these dual, competing goals in mind, the legislature enacted the two provisions at issue in this appeal.  Section 3730(b)(5), which prevents the filing of repetitive, successive claims once the Government has been fully informed of the fraud, provides:

When a person brings an action under this subsection, no person other than the Government may intervene or bring a related action based on the facts underlying the pending action.

There is only one sentence in the legislative history addressing the provision, which states that section 3730(b)(5) was meant to “clarify…that private enforcement under the civil False Claims Act is not meant to produce class actions or multiple separate suits based on identical facts and circumstances.”  S. Rep. No. 345 at 25, 1986 U.S.C.C.A.N. at 5290.

At the same time, as another part of its qui tam legislative strategy, in 1986 Congress enacted section 3730(e)(4), which forecloses federal subject matter jurisdiction over any complaint which is based upon the public disclosures of the allegations or transactions making up the fraud, unless the person bringing the complaint is an “original source.”  31 U.S.C. § 3730(e)(4)(A) and (B).  See also United States ex rel. Barajas v. Northrop Corp., 5 F.3d 407, 411 (9th Cir. 1993) (“[I]f the allegations or transactions were publicly disclosed, the relator may bring the suit only if she was ‘an original source of the information’”).  The statute defines an original source as:

[a]n individual who has direct and independent knowledge of the information on which the allegations are based and has voluntarily provided the information to the Government before filing an action under this section which is based on the information.

The legislative history indicates that this provision is designed to ensure that individuals who are the source of the Government’s knowledge of the fraud and who assist in the Government’s investigation prior to filing suit are still considered eligible for a qui tam share of the Government’s recovery, even if their information becomes publicly disclosed prior to the filing of their complaint.  132 Cong. Rec. 20,536 (1986).  It also seeks to ensure that members of the general public who learn of the fraud from publicly disclosed sources do not attempt to seek a financial reward by filing a complaint solely based upon that publicly available information.  Id.

II.  THE DISTRICT COURT ERRED IN DISMISSING CAMPBELL’S SUIT PURSUANT TO SECTION 3730(b)(5)

This appeal arises from the district court’s dismissal of Dr. Patrick Campbell’s qui tam suit pursuant to subsection 3730(b)(5).  Campbell alleged that Redding Medical Center, owned by Tenet Healthcare Corporation, billed Medicare and MediCal for the performance of medically unnecessary heart surgeries.  Campbell provided his evidence to the FBI in Redding in July 2002 and filed his qui tam complaint on November 8, 2002, three days after a complaint against Redding Medical Center was filed by John Corapi and Joseph Zerga.  Appellant’s ER at 1.  Both complaints were filed after the full public disclosure of the fraud allegations against Redding Medical Center via the U.S. Attorney’s release of the FBI Search Warrant Affidavit to the public and the press on October 30, 2002.  Appellant’s ER 9 at 360-372.

As discussed more fully in the Appellant’s brief (Brief at 34-37), the district court was required for purposes of deciding the motion to dismiss to construe all the facts and evidence in favor of Campbell.  The district court was required to assume, and did assume, that the Corapi plaintiffs were not original sources and therefore lacked standing, and that Campbell is an original source.  Despite making the required assumptions, the district court incorrectly held that the filing of a complaint by a plaintiff who lacks standing and whose complaint does not confer jurisdiction on the district court is a “pending action” within the meaning of section 3730(b)(5).

A. The District Court’s Holding Does Not Advance the Legislative Purposes Behind the Enactment of the First-to-File and Public Disclosure Bars 

For purposes of this appeal, the Court need not evaluate the relative merits of the Campbell and Corapi cases or determine who is an original source.  Rather, the Court should reinstate Campbell’s qui tam action based on the required assumption that Campbell is an original source, by applying section (b)(5) using the following bright-line test that comports with the legislative purposes behind the 1986 amendments:  where multiple qui tam actions are filed after a full public disclosure of the fraudulent transactions, only the qui tam action filed by the first original source is a viable, “pending action” that can serve to bar later-filed actions pursuant to section 3730(b)(5).

The Court must construe even a statute’s plain meaning in light of the object and intent of the statutory scheme as a whole.  See, e.g., John Hancock Mutual Life Insurance Company v. Harris Trust and Savings Bank, 510 U.S. 86, 94 (1993) (“[W]e examine…the language of the governing statute, guided not by ‘a single sentence or member of a sentence, but looking to the provisions of the whole law, and to its object and policy’”) (quoting Kelly v. Robinson, 479 U.S. 36, 43 (1986)).  See also Northwest Forest Res. Council v. Glickman, 82 F.3d 825, 830 (9th Cir. 1996) (“[W]e look first to the plain language of the statute, construing the provisions of the entire law, including its object and policy, to ascertain the intent of Congress”).  The district court’s application of section (b)(5) allows parasitic lawsuits filed by persons without standing to bar those filed by original sources, in direct contravention of congressional objectives in passing the 1986 amendments.  The district court’s holding is particularly inapposite in situations where a whistleblower who has provided his evidence of fraud to the Government and assisted in the Government’s investigation prior to filing suit, thereby leading to the Government’s public disclosure of the allegations underlying its investigation, is barred because a non-original source plaintiff filed first.  This in effect revives the “government knowledge” bar to qui tam suits that was removed by the 1986 amendments.

As described above, the “overall intent” of the legislature in revamping the FCA in 1986 was “to encourage more private enforcement suits.”  S. Rep. No. 345 at 23-24; accord United States ex rel. Stinson, Lyons, Gerlin & Bustamante v. Prudential Ins. Co., 944 F.2d 1149, 1154 (3d Cir. 1991).  To that end, the legislature removed a number of disincentives that existed in the pre-1986 False Claims Act, in particular a jurisdictional bar to qui tam suits based upon evidence or information already in the possession of the United States.[2]  This so-called Government knowledge bar was enacted in response to a suit in which the qui tam plaintiff received a reward despite filing a complaint that was simply copied from a publicly available criminal indictment, where the relator had no previous involvement in the matter.  United States ex rel. Marcus v. Hess, 317 U.S. 537 (1943).  Despite its admirable purposes, this jurisdictional provision had the unfortunate result of barring suits based on information already in the possession of the Government, even where the Government only knew of the fraud because the qui tam relator had disclosed it to the Government before filing the action.  See, e.g., United States ex rel. Wisconsin v. Dean, 729 F.2d 1100 (7th Cir. 1984).

The 1986 amendments removed the Government knowledge bar and replaced it with the subsection 3730(e)(4) public disclosure and original source provisions.  These provisions were intended to strike a better balance between the competing goals of the statute; they prevent would-be plaintiffs from seeking financial gain by simply “copying” information that is in the public domain, while rewarding inside observers who truly provide previously unknown information about fraud to the Government. 

In interpreting the meaning of “original source,” this Court has held that to have “direct and independent knowledge” a person must witness the fraud “with their own eyes or obtain their knowledge of it through their own labor, unmediated by anything else.”  United States ex rel. Devlin v. State of California, 84 F.3d 358, 360-362 (9th Cir. 1996).  The Devlin action was dismissed for lack of subject matter jurisdiction because the Court found that Devlin “did not make a genuinely valuable contribution to the exposure of the alleged fraud.”  Id. at 362.  Under the district court’s reasoning in the case at bar, someone who has created a complaint based entirely upon information garnered from the public disclosure of the government’s investigation, an investigation made possible by the information supplied to the Government by an original source, trumps the original source pursuant to the first-to-file bar.  In this scenario, the complaint simply parrots what the Government already knows and is exactly the type of “parasitic” lawsuit that the 1986 amendments were designed to deter.

B.  The District Court’s Reliance On Lujan is Misplaced

The district court dismissed Campbell’s qui tam action in reliance on

this Court’s opinion in the Lujan case, which stated that section

3730(b)(5) creates an “exception-free” first-to-file bar.  United

States ex rel. Lujan v. Hughes Aircraft Co., 243 F.3d 1181, 1187

(9th Cir. 2001).  Amicus TAF is not asking the Court to find an

exception to the first-to-file bar, but rather to apply section (b)(5)

as its framers intended.  The exceptions to the bar that were

requested by the plaintiff in Lujan are completely inapplicable to the

analysis in this case.

Lujan involved the application of section 3730(b)(5) to the Schumer and Lujan qui tam suits, filed in 1989 and 1992 respectively, both of which alleged that Hughes Aircraft Company submitted false billings to the Government arising out of the Air Force’s B-2 bomber program.  Finding that Lujan’s suit alleged the same material facts as Schumer’s, the Court ruled that Lujan’s suit was a “related action” and therefore barred under section (b)(5).  The Court ruled further that even subsequently dismissed actions can be “pending” actions for purposes of the provision.

However, the Schumer case was dismissed pursuant to a judgment on the merits and not for lack of subject matter jurisdiction.  United States ex rel. Schumer v. Hughes Aircraft Co., 63 F.3d 1512 (9th Cir. 1995).  Therefore, the Lujan Court never considered and did not rule on the matter of first impression at issue on this appeal:  whether an action filed by a plaintiff with no standing and over which the federal district court lacks subject matter jurisdiction is a “pending action” for purposes of this subsection.      

C.  An Action Which Must Be Dismissed for Lack of Subject matter Jurisdiction is Not a “Pending Action”

This Court has held that a district court which lacks subject matter jurisdiction retains “no power to make judgments relating to the merits of the case.”  Cook v. Peter Kiewit Sons Co., 775 F.2d 1030, 1035 (9th Cir. 1985), (quoting Franklin v. Oregon State Welfare Division, 662 F.2d 1337, 1343 (9th Cir. 1981)).  See also Morongo Band of Indians v. California, 858 F.2d 1376, 1380 (9th Cir. 1988) (“[W]hen subject matter jurisdiction is lacking the District Court ‘ha[s] no power to do anything, other than to dismiss the action, and any order other than to dismiss is a nullity.”)  Therefore, a complaint filed by a non-original source whistleblower after full public disclosure of the fraud cannot be a “pending action” for purposes of subsection 3730(b)(5).

CONCLUSION

For the reasons stated above, amicus TAF submits that the judgment of the district court should be reversed.

March 9, 2004

Respectfully submitted,

          ____________________

Amy M. Wilken
Taxpayers Against Fraud Education Fund
1220 19th Street, NW
Suite 501
Washington, D.C. 20036
(202) 296-4826

Counsel for Amicus Curiae

 

______________

Footnotes

______________

[1]   Among other changes, the 1986 amendments increased the damages and penalties for violating the law, lowered the standard of proof to a preponderance of the evidence, and increased qui tam whistleblowers’ awards to at least 15% and up to 30% of the funds they help recover.

[2]  The pre-1986 Act barred qui tam suits “whenever it shall be made to appear that such suit was based upon evidence or information in the possession of the United States, or any agency, officer or employee thereof, at the time such suit was brought.”  Act of Dec. 23, 1943, ch. 377, 57 Stat. 608, codified as amended at 31 U.S.C. §§ 232-35 (1976) (repealed 1986).