Procedure
Is There FCA Risk in Your Public Data? DOJ Launches the “FOCUS” Initiative, Formalizing Engagement with Data Miner Relators
The U.S. Department of Justice’s (the “Department”) Civil Division recently announced a new anti-fraud initiative dubbed the Fraud Oversight through Careful Use of Statistics (FOCUS) initiative. FOCUS is designed to formalize the Department’s engagement with so-called “data miner” relators who file qui tam complaints under the False Claims Act (FCA). The announcement signals the Department’s intent to both leverage a fast-growing source of FCA litigation and discourage data-miner relators from filing actions that cannot overcome a motion to dismiss. It carries significant implications for government contractors, grant recipients, healthcare providers, lenders, importers, and other recipients of federal funds whose dealings with the United States leave a public data trail. The FOCUS Initiative FOCUS is a response to the explosion of FCA qui tam lawsuits in recent years, culminating in a record 1,297 qui tam complaints in FY 2025. In FY 2026, there have already been 780 qui tam lawsuits filed—putting us on pace for another record-setting year. Much of the surge has been driven not by traditional insider whistleblowers (e.g., current and former employees), but by companies and individuals analyzing publicly available government data for potential signals of fraud. Through FOCUS, the Civil Division seeks to provide guidance to would-be data-miner relators to ensure that their qui tam complaints are worthy of civil prosecutors’ time and have the potential of withstanding a motion to dismiss. Civil Fraud Section prosecutors will meet with data miners to assess their analytical capabilities, validation methods, and the reasons their data signals reliably correlate to actionable fraud. These pre-filing meetings are voluntary, not a precondition to filing. But the Department has signaled that it will preferentially work with data miners that demonstrate an investment in pre-filing diligence, analytical rigor, familiarity with program rules, and legally sufficient allegations. This may be another part of the Department’s broader interest in weeding out unmeritorious qui tam actions quickly, and potentially even seeking their dismissal. Background: The Rise of the Data-Miner Relator The traditional FCA relator is an industry insider: a former employee, contractor, vendor, or consultant with firsthand knowledge of alleged misconduct. The 1986 amendments to the FCA were structured around that paradigm, with bounty incentives of 15% to 30% of any recovery designed to encourage insiders to come forward. Over the last decade, however, a different model has emerged: “whistleblowers” who identify potential fraud solely through pattern analysis of publicly disclosed government data. Data-miner relators typically rely on large federal data sets, including Medicare and Medicaid claims data published by the Centers for Medicare & Medicaid Services, Paycheck Protection Program (PPP) loan disclosures by the Small Business Administration, customs and trade data, and federal grant and contract award databases. The data miners apply statistical analyses, or, increasingly, machine-learning and AI tools, to flag anomalies or connections in the data that suggest fraud. PPP loans have been a particularly active driver of recent filings, with data miners cross-referencing SBA loan data against company filings, state corporate registries, news media, company websites, and other public sources to identify potential affiliation, headcount, or eligibility issues. Mixed Results in the Courts Data-miner relators have faced two structural defenses. First, the FCA’s public disclosure bar, 31 U.S.C. § 3730(e)(4), precludes qui tam suits substantially based on certain public disclosures unless the relator is an original source. Second, Federal Rule of Civil Procedure 9(b)’s requirement that fraud be pleaded with particularity, which applies to FCA claims, has proven difficult to satisfy for data miners, where statistical inference is their primary tool. The leading appellate decisions reflect judicial skepticism of “stats without facts” pleadings. For example, the Ninth Circuit reversed the denial of a motion to dismiss where the relator, a self-described data analytics company with no insider knowledge, relied on statistical analyses of CMS claims data to allege a Medicare upcoding scheme.1 The court held the data-miner relator had offered only a possible explanation for billing patterns that were equally consistent with a plausible, lawful alternative explanation, and therefore failed to cross the line from possibility to plausibility under Iqbal and Twombly. The Fifth Circuit reached a similar conclusion holding that statistical data cannot satisfy Rule 9(b) where it is equally consistent with a legal and obvious alternative explanation.2 The government has pushed back against opportunistic professional relators. In United States ex rel. CIMZNHCA, LLC v. UCB, Inc., the Department moved to dismiss a qui tam filed by an entity organized specifically for that qui tam action and by an organization that had established nearly a dozen other entities to pursue parallel Anti-Kickback Statute–based FCA cases against pharmaceutical manufacturers.3 The Department argued the cases lacked sufficient merit to justify the cost of investigation and were contrary to the public interest. The Seventh Circuit ultimately reversed the district court’s denial of the motion, observing that the FCA was not designed to operate as an investment vehicle for financial speculators. But the caselaw cuts both ways. Where data miners have invested in genuine pre-filing investigation, supplemented public data with non-public information, or tied their analyses tightly to documented program requirements, courts have allowed suits to proceed past the pleading stage, and the Department has occasionally even intervened. PPP-related qui tam actions brought by data miner entities have produced significant recoveries and are principal drivers of the FY 2024 and FY 2025 surge in qui tam filings. What the FOCUS Initiative Signals Read against this backdrop, FOCUS reflects a few policy choices. First, the Department is embracing the data-miner relator model. The Civil Division could have responded to the qui tam surge by pressing for more restrictive judicial constructions of the public disclosure bar or by expanding its use of dismissal authority under 31 U.S.C. § 3730(c)(2)(A). Instead, the Department is opening a formal channel for engagement, on the premise that the most sophisticated analytics partners may surface from the ocean of data frauds the Department or other whistleblowers might otherwise miss. Second, the Department intends to triage and filter. By prioritizing data miners that can articulate validation methods, demonstrate pre-filing diligence, and show familiarity with program rules, the Department is implicitly distinguishing rigorous data miners from less sophisticated and more opportunistic ones. Cases built on raw statistical outliers without supporting facts, like the model the Fifth and Ninth Circuits have rejected, may be less likely to merit DOJ attention (or intervention). The Department has recently expressed increased interest in discouraging unmeritorious qui tam actions. FOCUS may be a significant component of that effort given the number of data-miner relator qui tam actions. Through FOCUS, DOJ cautions data-miner relators that they must: “provide valuable leads through high-quality, reliable, and predictive data analyses and signals and a thorough understanding of the relevant legal obligations”; “state with particularity the circumstances constituting fraud” under Rule 9(b); “assess potential alternative explanations for the observed conduct” and “articulate . . . both scienter and falsity”; and demonstrate “program eligibility requirements and relevant regulatory frameworks.” Third, FOCUS complements the Department’s broader fraud-enforcement trends. With FCA recoveries setting a record at $6.8 billion in FY 2025, the cross-agency Trade Fraud Task Force ramping up tariff- and customs-related FCA enforcement, the Civil Cyber-Fraud Initiative continuing to mature, and DEI-related civil rights FCA initiatives recently announced, FOCUS adds yet one more effort toward the Department’s FCA enforcement push. Considerations for FCA-Exposed Organizations For organizations that directly or indirectly receive federal funds, news of the FOCUS Initiative reinforces the need to monitor developments in FCA enforcement and continue to invest in robust compliance programs. A few practical implications are worth highlighting: Public data is potential enforcement data. Data an organization submits to or generates for the federal government, such as claims data, loan applications, customs entries, payroll certifications, grant certifications, and many others, may be or may soon be accessible to data-miner relators. That is a key risk vector, but also an opportunity, as organizations can pressure-test internal data against the same kinds of analyses third parties run externally, including outlier and anomaly detection on billing, pricing, and reporting data. Documentation of legitimate variation could be a difference maker. The Fifth and Ninth Circuits’ rejections of data-miner relator FCA theories rested largely on the Courts’ willingness to credit lawful alternative explanations for statistical outliers. Organizations that can document why their billing, coding, payroll, or pricing patterns may differ from peers, such as because of case mix, geography, business model, regulatory interpretation, or other lawful drivers, may be substantially better positioned if a data miner’s complaint is unsealed or DOJ opens an investigation. The value of pre-CID self-assessment and self-disclosure may be increasing. Once the Department engages with a data-miner relator through FOCUS, the path from analytic insight to civil investigative demand may be shorter than under the traditional insider-driven model. When an organization’s internal review surfaces genuine compliance issues, particularly in current Department priority areas, such as Medicare Advantage risk-adjustment coding, PPP eligibility and forgiveness, customs valuation and country-of-origin, and cybersecurity certifications, early voluntary disclosure and remediation could meaningfully affect resolution outcomes. Dorsey’s Government Solutions and Investigations Practice Group counsels and represents organizations that received federal funds, including government contractors, government grantees, healthcare providers, financial institutions, and other recipients, on FCA risk, response to HHS-OIG subpoenas, FCA civil investigative demands, defense of qui tam litigations, and compliance programs. Please contact the authors or your Dorsey relationship attorney with questions about how the FOCUS initiative may affect your organization. 1 United States ex rel. Integra Med Analytics, LLC v. Providence Health & Servs., 854 F. App’x 840 (9th Cir. 2021). 2 United States ex rel. Integra Med Analytics, LLC v. Baylor Scott & White Health, 816 F. App’x 892 (5th Cir. 2020). 3 United States ex rel. CIMZNHCA, LLC v. UCB, Inc., 970 F.3d 835 (7th Cir. 2020).
May 4, 2026
by Chris DeLong, Alex Hontos, Eric Weisenburger, Surya Saxena, and Matthew Gillespie

Procedure
FCA Basics: Government Investigations and Self-Disclosure
This is the sixth post in the Dorsey FCANow Blog’s FCA Basics Series covering the fundamentals of the False Claims Act (“FCA”), outlining FCA procedure and highlighting key facets of FCA practice. Today’s post discusses pre-litigation matters: government investigations and voluntary self-disclosure of violations. FCA Investigations There are a few different ways the government finds out about fraudulent activity. When a relator files a qui tam action, the government concurrently receives a disclosure of material evidence from the relator, assesses the allegations, makes a delegation determination, and typically opens an investigation. Early in the assessment process, DOJ often determines how the investigation will be staffed: (1) delegated investigations are fully delegated to the local U.S. Attorney’s Office (“USAO”); (2) monitored investigations are include some degree of reporting from the USAO to Civil Frauds, but the local USAO typically maintains primary responsibility for the investigation; or (3) joint investigations which are handled by both Civil Frauds and the USAO. The government may also initiate an investigation based on whistleblowers who report fraudulent activity directly to the Department of Justice without filing a qui tam, public reporting or litigation, data mining, self-disclosures, or through other agency oversight activities. CIDs and Subpoenas The Department of Justice wields potent pre-trial investigative tools that are not available in other forms of litigation. One such tool is the civil investigative demand (“CID”). CIDs give the government authority to compel witnesses to produce documents, sworn testimony, and answers to interrogatories—all before a complaint is filed (or before a qui tam is unsealed). The scope of discovery with CIDs is broad, and DOJ may serve CIDs on any organization or person the government believes has information relevant to an FCA investigation. CIDs are, however, subject to certain limitations. CIDs can only be issued before the government files a lawsuit or intervenes in qui tam suit, at which point the government’s investigative tools are largely the traditional civil discovery methods. Additionally, the government cannot demand information protected by a grand jury subpoena or other recognized protections from disclosure of documents or information. This includes attorney-client privileged communications, attorney work product, or Fifth Amendment-protected communications. Courts often defer to Department of Justice authority and enforce CIDs so long as they are reasonably relevant to the investigation and follow procedural requirements. CIDs are enforced through direct action in federal district court. Additionally, many agencies, including the Department of Health and Human Services Office of Inspector General, can issue administrative subpoenas compelling production of documents or testimony relevant to FCA claims or other potential violations of regulations or statutes. Self-Disclosure “Self-disclosure” refers to a voluntary disclosure to the government of a potential FCA violation. Some agencies, like the Department of Health and Human Services, have formal mechanisms to self-disclose potential FCA violations, whereas other agencies do not. Self-disclosure can be a valuable tool to mitigate the potential consequences of an FCA violation for a couple reasons, both legal and strategic. The FCA contains provisions that allow for a reduction in damages for voluntary disclosures of a violation of the FCA, and the Justice Manual contains similar language. DOJ considers voluntary disclosure when evaluating the appropriate resolution of FCA violations. While the Justice Manual does not provide clear guidance on how cooperation credit is calculated, it does require some form of credit for “proactive, timely, and voluntary” self-disclosure. Voluntary self-disclosure may also reduce the likelihood the government demands other serious disciplinary action, such as corporate integrity agreements or administrative penalties. Voluntary self-disclosure also carries possible risks. The government will frequently conduct its own investigation in response to significant self-disclosures to verify the scope of the disclosure and potential violations. As a result, it often behooves the self-disclosing party to undertake its own assessment of the full scope of any potential violations to ensure that the self-disclosure is as thorough and accurate as possible.
March 9, 2026
by Alex Hontos, Chris DeLong, Matthew Gillespie, Annie Boeckers, and Joe Coffey

Procedure
FCA Basics: Statute of Limitations and Timing-Related Defenses
This is the fourth post in the Dorsey FCANow Blog’s FCA Basics Series covering the fundamentals of the False Claims Act (“FCA”), outlining FCA procedure, and highlighting key facets of FCA practice. Today’s post focuses on procedural requirements, including the FCA’s statute of limitations rules, statute of repose, first-to-file rule, and public disclosure bar. FCA Statute of Limitations The statute of limitations on an FCA claim is generous—either six years after a violation “is committed”, or within three years of the date when the government learned or should have learned the facts material to the false claim. Accordingly, disputes related to the statute of limitations tend to center on two issues: (1) when a violation is “committed” under the FCA, and (2) how to determine the date of government knowledge. Courts have taken divergent approaches to identifying when an FCA violation is “committed,” but two general approaches have emerged. First, courts hold that the limitations period begins on the date the false claim is “submitted” to the government. Second, other courts have extended the limitations period by determining the violation is “committed” on the date the government pays the claim. In certain circumstances, the FCA’s statute of limitations may be extended beyond the ordinary six years. The FCA allows for a separate three-year statute of limitations when the United States first becomes aware of facts material to a FCA claim. The three-year extended FCA limitations period does not run until material facts are known (or should be known) by a government official with authority to act in the circumstances. Courts generally engage in a two-pronged analysis in assessing when and whether this extended limitations period applies, asking (1) whether the facts are material to an actionable FCA claim, and (2) if the facts where known—or should have been known—to a relevant government official. Therefore, the three-year period has the possibility of exceeding the six-year period if the violation is concealed from the government. While the FCA provides for a generous statute of limitations, it also caps the term of liability with a ten-year statute of repose barring any lawsuit more than ten years after the alleged fraud occurred. Statute of Limitations in Qui Tam Lawsuits Until fairly recently, it remained an open question whether relators could rely on the extended limitations period based on the government’s knowledge (or lack thereof) in pursuing qui tam litigation. The United States Supreme Court addressed this question in Cochise Consultancy, Inc. v. United States ex rel. Hunt, 587 U.S. 262 (2019). In Cochise, a relator initiated a qui tam action alleging two government contractors committed fraud on the government. The relator filed their claim more than six years after the alleged fraud was “committed,” but within the ten-year statute of repose. While the government declined to intervene, the government first became aware of the material facts of the alleged fraud through the relator’s suit and disclosure. The Supreme Court held that the extended limitation period applied to the relator in the same way it would to the government. The Court found that relators are afforded the extension based on the government’s knowledge, not their own, even when the government declines to intervene. Somewhat counterintuitively, the result is that relators could have up to ten years to pursue claims under the False Claims Act when the government is unaware of the potential fraud. This risk, of course, is that relators are not always privy to what information the government does or does not have related to a potential claim of fraud. Qui Tam Procedural Considerations Two other possible defenses to an FCA claim emerge in the context of timing for qui tam actions: the public disclosure bar and the first-to-file bar. The public disclosure bar prohibits relators from bringing a qui tam action based on fraud that is already publicly disclosed through judicial or administrative proceedings, government audits or investigations, or news media reporting. The purpose of the bar is to discourage opportunistic relators bringing lawsuits that are misaligned with FCA’s whistleblower system. Notably, there is an exception to the public disclosure bar when the person bringing the action is the original source of the information. Under the FCA, an original source is an individual who either: (1) prior to a public disclosure, voluntarily disclosed to the government the information on which the allegations in a claim are based, or (2) has knowledge that is independent and materially adds to the publicly disclosed allegations and voluntarily provided that information to the government before filing an FCA action. The first-to-file bar prevents multiple relators from obtaining recoveries based on the same underlying facts. In effect, the result of the first-to-file bar is that the first relator in time to file a qui tam action tends to have priority when obtaining a relator’s share of the government’s recovery. In multiple-relator disputes, relators will often seek to distinguish their claims from prior lawsuits or emphasize the unique value they contributed to the government’s recovery. The mandate for qui tams to be filed under seal (and are frequently maintained under seal for months or years at a time) often makes it difficult for relator’s counsel to determine if they are in fact the first to file a suit. In sum, the first-to-file bar provides an avenue for FCA defendants to avoid defending against multiple qui tam suits over the same conduct.
February 4, 2026
by Alex Hontos, Chris DeLong, Matthew Gillespie, Annie Boeckers, and Joe Coffey

Procedure
FCA Basics: Qui Tam Lawsuits
This is the third post in the Dorsey FCANow Blog’s FCA Basics Series covering the fundamentals of the False Claims Act (“FCA”), outlining FCA procedure, and highlighting key facets of FCA practice. Today’s post introduces the qui tam provisions of the FCA. The FCA’s Qui Tam Device Under the qui tam provisions of the FCA, private citizens—called relators—bring FCA lawsuits on behalf of the United States. Relators are incentivized to expose and prosecute fraudulent activity because the FCA allows relators to collect a portion of the government’s recovery, whether it was obtained via settlement or through final judgment. The number of FCA lawsuits filed by relators has increased in recent years, and qui tam cases composes a majority of all filed FCA cases. Qui tam lawsuits are a major driver of FCA settlement and judgment recoveries. In fiscal year 2024, the Department of Justice obtained over $2.9 billion in FCA recoveries. Of that $2.9 billion, approximately $2.4 billion came from qui tam lawsuits. The Qui Tam Procedure To initiate a qui tam lawsuit, a relator files a lawsuit on behalf of the United States against an organization or person allegedly defrauding the government. The lawsuit is first filed under seal and served to the U.S. Attorney in the district, meaning initially only the relator and the government know about the lawsuit and the allegations. The complaint remains under seal for at least 60 days while the Department of Justice has an opportunity to evaluate and investigate the claim. But those investigations often take a year or more. After the government completes its investigation, it generally does one of three things: (1) intervenes and takes over the case from the relator; (2) declines to intervene, leaving the relator to prosecute the claim; or (3) move to dismiss the action. When the government intervenes, it directly controls and prosecutes the action. After intervening, government may file an amended complaint adding or removing defendants and pleading new claims, particularly any unavailable to the relator due to lack of standing. The FCA also allows the government to settle the case notwithstanding the objections of the relator, so long as the court determines the settlement is “fair, adequate, and reasonable under the circumstances.” The relator remains a party to the litigation. The government may partner with the relator and their counsel in the prosecution of the case or limit the relator’s role. Decline to intervene. The government may decide after its investigation that pursuit of the litigation is not worth the investment of resources, which may or may not reflect the strength of the relator’s case. If the government declines to intervene, relators continue to prosecute the action under the FCA’s qui tam provisions and may receive a larger share of any recovery. The government remains the real party in interest and can still later seek to enter the case. The relator(s) and defendant(s) still must seek government approval of agreements to resolve the litigation, and the relator’s share of any settlement is determined by the government within the statutory range. Move for dismissal. The government may seek dismissal of a qui tam action, at the end of its investigation or at later junctures in the litigation. Relators receive notice and an opportunity to be heard. Where the government declines to intervene because it believes the case to be meritless, there is no affirmative duty under the FCA to seek dismissal. Justice Department guidance, however, instructs government attorneys to exercise the dismissal power to curb meritless or duplicative actions. As recently as 2023, the Supreme Court affirmed in United States ex rel. Polansky v. Executive Health Res., Inc., 599 U.S. 419 (2023) that broad judicial deference should generally be given to the government’s decision to dismiss qui tam A Unique Form of Litigation The FCA’s qui tam device is unique and a bit unusual. There is peculiar co-plaintiff posture created by empowering relators to sue on behalf of the United States. The requirement that a qui tam action initially be filed under seal without notice to the defendant. The statutory mandate that the government investigate the allegations. The incentive structure created by the statutory relator’s share. The FCA’s qui tam device gives rise to numerous novel legal questions. Several constitutional principles are implicated by qui tam lawsuits. The case or controversy requirement of standing doctrine exists in some tension with the relator’s lack of a particularized injury in fact. See Vermont Agency of Natural Resources v. United States ex rel. Stevens, 529 U.S. 765 (2000). Separation of powers questions arise, too. Article II’s Vesting and Take Care Clauses empower and burden the President with execution of the laws of the United States. Through the qui tam device, Congress imbues relators with prosecutorial authority, but based on the powers vested in Article I. Similarly, Article II’s Appointments Clause applies to “inferior” officers of the United States. See Lucia v. SEC, 585 U.S. 237 (2018). In 2023, in dissenting and concurring opinions in Polansky v. Executive Health Res., Justices Thomas, Kavanaugh, and Barrett opined “there are substantial arguments that the qui tam device is inconsistent with Article II and that private relators may not represent the interest of the United States in litigation.” Since Polansky, one federal district court has held that the Appointments Clause required that an FCA qui tam relator be appointed by the President. This case, United States ex rel. Zafirov v. Florida Medical Associates, is now before a three-judge panel in the Eleventh Circuit Court of Appeals. The Eleventh Circuit heard arguments in Zafirov on December 12, 2025, and is now poised to possibly become the first court of appeal to strike down the FCA’s qui tam provisions on constitutional grounds. Qui tam lawsuits raise other unique questions. Issues arise when multiple relators file similar qui tam claims on behalf of the government. Legal and ethical questions emerge when a relator brings a qui tam suit over fraudulent conduct the relator initiated or contributed to. Additionally, the settlement process can be complicated by potentially conflicting interests between the government and relator. Special concerns animate all stages of qui tam litigation. Dorsey’s FCA Basics Series will cover these and more features of FCA litigation in upcoming posts.
December 22, 2025
by Alex Hontos, Chris DeLong, Matthew Gillespie, Annie Boeckers, and Joe Coffey

Procedure
Department of Justice Launches “Civil Rights Fraud Initiative” to Target DEI Through False Claims Act
On Monday, May 19, 2025, Department of Justice (“DOJ”) Deputy Attorney General Todd Blanche issued a memorandum establishing the “Civil Rights Fraud Initiative” (the “Memorandum”), in the latest signal that DOJ intends to aggressively enforce the False Claims Act in pursuit of the administration’s goals. According to the Memorandum, DOJ has launched a joint enforcement effort between the Civil Division’s Fraud Section (“Civil Frauds”) and the Civil Rights Division (“Civil Rights”), which “will utilize the False Claims Act to investigate and, as appropriate, pursue claims against any recipient of federal funds that knowingly violates federal civil rights laws.” The Memorandum signals that DOJ intends to adopt a dramatically different interpretation of federal contractors’ and federal funds recipients’ civil rights obligations from prior administrations. For instance, the Memorandum specifically identifies universities that receive federal funding as potential targets of the Civil Rights Fraud Initiative, and outlines four examples of conduct that “could violate the False Claims Act:” “Encourag[ing] antisemitism,” though neither term is defined; “Refus[ing] to protect Jewish students;” “Allow[ing] men to intrude into women’s bathrooms;” or “Requir[ing] women to compete against men in athletic competitions.” The Memorandum also re-emphasizes that Diversity, Equity, and Inclusion (“DEI”) initiatives are an enforcement priority for DOJ. Citing to Executive Order 14173, Ending Illegal Discrimination and Restoring Merit-Based Opportunity, the Memorandum reiterates that certifying compliance with civil rights laws while “knowingly engaging in racist preferences, mandates, policies, programs, and activities, including through [DEI] programs that assign benefits or burdens on race, ethnicity, or national origin,” also implicates the False Claims Act. The Civil Rights Fraud Initiative may extend beyond mere civil liability. The Memorandum provides that both Civil Frauds and Civil Rights will “engage with” DOJ’s Criminal Division. The Memorandum also encourages qui tam litigation as a means to achieve DOJ’s goals. What Happens Next? It is highly likely that in the coming weeks and months, DOJ will issue Civil Investigative Demands (“CIDs”) to an increasing number of universities, public school districts, contractors, grant recipients, and other entities that receive federal funds. CIDs essentially act as subpoenas to facilitate investigation of potential False Claims Act violations, and based upon the priorities outlined in the Memorandum, such CIDs will likely demand information, documents, or interviews related to DEI, antisemitism, and trans-inclusivity policies, practices, programs, and activities. It is similarly likely that such investigative and/or litigation activity will result in courts being asked to decide whether the administration’s interpretations of federal civil rights obligations are consistent with the law. There is reason to suspect that courts may be skeptical of the administration’s application of the law, as even the examples articulated in the Memorandum could be read to contradict Supreme Court precedent on the scope of “sex discrimination” under Bostock v. Clayton County, 590 U.S. 644 (2020), which held that Title VII of the Civil Rights Act of 1964 protects employees against discrimination based on sexual orientation or gender identity. In the meantime, however, many recipients of federal funds will likely be subject to extensive investigative efforts and potential litigation based upon DOJ’s new Civil Rights Fraud Initiative. What Federal Fund Recipients Should Do Now The Memorandum marks the latest and most concrete signal that DOJ intends to leverage the False Claims Act to target institutions of higher education, contractors, and others that do business with the federal government that the administration alleges violate civil rights laws. Although the False Claims Act’s statute of limitations extends between six and ten years, federal fund recipients can and should take immediate steps to (i) reduce the likelihood that they become the target of a federal investigation; and (ii) assess and limit the scope of liability if such an investigation does occur. For instance, organizations should: Conduct a thorough review of all DEI-related policies and practices to ensure that practices and programs do not differentiate based on protected characteristics. This can include hiring, employee resource groups, contracting, grant funding, university admissions, and much more. Assess current practices as they relate to religion-based harassment and speech. Now is the time to determine if your policies and practices make clear that religion-based harassment or discrimination are appropriately prohibited and responded to. For institutions of higher education, policies should strike a careful balance between permitting the free expression of students, faculty, and staff, and ensuring that others are free from discriminatory harassment. Analyze bathroom, athletics, and other trans-inclusive policies to determine the scope of potential risk, and if there are changes that could be made to reduce risk consistent with your organization’s goals. If your organization receives a Civil Investigative Demand, closely review it and ensure that you understand the scope of it—including understanding that receipt of a CID likely indicates an active civil fraud investigation against the organization. In addition, depending on past practices and the scope of federal funds received, some recipients of federal funds may benefit from a preemptive review of past and current policies and practices to determine exposure, if any, to potential False Claims Act liability. The False Claims Act provides for treble damages plus penalties to the federal government, but DOJ has given credit for self-disclosure and cooperation when entities proactively disclose potential violations. Federal fund recipients should consider whether such a review and potential disclosure could be in their best interests.
May 22, 2025
by Chris DeLong, Alex Hontos, Caitlin L.D. Hull, Eric Weisenburger, Matthew Gillespie, and Annie Boeckers

Procedure
Supreme Court’s Recent Decision on FCA’s Scienter Standard Potentially Raises Threshold for Government to Establish “Reckless Disregard”
On June 1, 2023, a unanimous Supreme Court decision sought to clarify the meaning of “scienter” in the FCA context, which deals with the defendant’s knowledge (or lack thereof) that a claim for payment was false and intent to submit the false claim. See United States ex rel. Schutte v. SuperValu Inc., 143 S. Ct. 1391 (2023) (“SuperValu”). There, the Court ruled that “[f]or scienter, it is enough if respondents believed that their claims were not accurate.” Id. at 1404. According to the SuperValu decision, only that subjective belief as to the claim’s falsity matters, and whether there is an “objectively reasonable” explanation for the false claim is irrelevant. Id. at 1399 (“The FCA’s scienter element refers to respondents’ knowledge and subjective beliefs—not to what an objectively reasonable person may have known or believed.”). While explaining the basis for the decision, Justice Thomas wrote that “the FCA’s standards focus primarily on what respondents thought and believed,” discussing how the three different FCA knowledge standards—actual knowledge, deliberate ignorance, and reckless disregard—each rely on the defendant’s subjective knowledge. Id. at 1400-01. Describing “reckless disregard” in the FCA context, Justice Thomas explained that the term “captures defendants who are conscious of a substantial and unjustifiable risk that their claims are false, but submit the claims anyway.” Id. That sentence is already being used to argue that SuperValu heightened the government’s burden when it is attempting to prove reckless disregard—that to establish reckless disregard the government must show that the defendant was, as Justice Thomas described, “conscious of a substantial and unjustifiable risk that their claims are false.” If courts rely on this as the standard for establishing reckless disregard in the future, it could heighten the government's burden as compared to tests currently used by courts. For example, in July 2022 the Middle District of Georgia described the reckless disregard standard in the FCA context as when the defendant “knows or has reason to know of facts that would lead a reasonable person to realize that harm like a false claim is the likely result of the relevant act.” United States ex rel. Hockaday v. Athens Orthopedic Clinic, P.A., 616 F. Supp. 3d 1339, 1354 (M.D. Ga. 2022) (quoting Urquilla-Diaz v. Kaplan Univ., 780 F.3d 1039, 1058 (11th Cir. 2015)) (cleaned up). As one example of how defendants are already using the Court’s language, in a June 23 brief to the Western District of Virginia District Court discussing the impact of the SuperValu decision, the defendants in the Miller case contended that “[t]he Supreme Court clarified that the FCA’s ‘reckless disregard’ standard ‘captures defendants who are [1] conscious of a [2] substantial and [3] unjustifiable risk that their claims are false, but submit them anyway.’” See, e.g., United States ex rel. Miller v. Reckitt Benckiser Group PLC, 1:15-cv-00017, Dkt. No. 149 at 10-11 (W.D. Va. July 7, 2023). DOJ responded that there is no three-part test to establish reckless disregard, and instead the effect of the SuperValu decision is simply rejecting any argument that the FCA’s scienter element incorporates an objective test. Id., Dkt. No. 150 at 3. According to DOJ, the Court was not “establishing new and restrictive criteria” to show reckless disregard, but was merely “summarizing” existing case law. Id. The Western District of Virginia has not yet made a ruling relevant to these arguments, but the eventual ruling will be one of the first to test a potential new argument available to FCA defendants resulting from the SuperValu decision, and may provide an additional hurdle for the government to prove reckless disregard.
August 10, 2023
by Eric Weisenburger

Procedure
Third Circuit Confirms Expansion of Anti-Retaliation Standard Under the False Claims Act
On November 30, 2022, the Third Circuit Court of Appeals vacated dismissal of a retaliation action brought by Don Ascolese (“Ascolese”) under the False Claims Act (“FCA”). See United States ex rel. Don Ascolese v. Shoemaker Constr. Co., No. 21-2899, ECF No. 30 (3d Cir. 2022) (“3d Cir. Opinion”). In the complaint before the lower court, Ascolese alleged that Shoemaker Construction Co., McDonough Bolyard Peck (“MBP”), and Shoemaker Synterra JV falsely certified construction work in a public housing project for the Philadelphia Housing Authority (“PHA”) such that the project was not in compliance with build specifications or in accordance with established building and safety codes. See United States ex rel. Don Ascolese v. Shoemaker Constr. Co., No 2:18-cv-01864-MSG, ECF No. 26 (E.D. Penn. May 3, 2018). Ascolese also claimed he was fired for raising the issue internally, which allegedly violated the FCA’s anti-retaliation provisions because whistleblowing is a protected activity. Id. In response to the allegations, all three Defendants moved to dismiss all claims on the basis that Ascolese’s complaint failed to meet threshold-pleading requirements. On April 19, 2021, the District Court dismissed the vast majority of Ascolese’s claims against the Defendants, including dismissing all retaliation claims. Id. at ECF No. 42. In finding Ascolese’s retaliation claims were not plausibly plead, the District Court explained that Ascolese had not demonstrated that MBP had knowledge that Ascolese was engaging in protected conduct and that because Ascolese was not an employee of Shoemaker Construction or Shoemaker Synterra JV, as a matter of law Ascolese could not pursue a claim for retaliation against them. Id. at 22-24. Following dismissal of his claims for retaliation, Ascolese moved for leave to file a Second Amended Complaint, which MBP opposed. The District Court denied the motion, finding that Ascolese had failed to plead “reliable indicia” for the court to infer false claims were submitted to MBP, and that Ascolese had merely “re-package[d]” his previously deficient claims of retaliation. Id. at ECF No. 48. Ascolese appealed. In an opinion dated November 30, 2022, the Third Circuit Court of Appeals vacated the District Court’s decision to deny Ascolese the opportunity to file a Second Amended Complaint, explaining that the District Court did not take into consideration statutory changes to the FCA retaliation standard introduced by Congress in 2009 and 2010. 3d Cir. Opinion at 3-4. The Third Circuit explained that Congress had previously “expanded the universe of protected conduct to whistleblowers who lawfully try to stop one or more violations of the Act, without regard to whether their conduct advances a qui tam suit under the Act.” Id. at 4. In effect, Congress had taken steps not only to protect “potential or actual” qui tam actions, but also to remedy misconduct “whether or not such steps are clearly in furtherance of a potential or actual qui tam action.” Id. at 5. Therefore, the Third Circuit explained, the 2009 and 2010 FCA amendments expanded the anti-retaliation standard to protect “lawful acts in furtherance of either an action under the FCA or other efforts to stop 1 or more violations of the Act.” Id. at 12 (emphasis in the original). Under the new standard, the Third Circuit found that Ascolese had sufficiently plead that he engaged in “protected conduct” when he “went outside of his chain of command to report his concerns of fraudulent work to the PHA,” raised project “issues and safety concerns” with superiors at MBP and to PHA, and sufficiently plead that MBP was on notice of his protected conduct and retaliated against him because of it. Id. at 14-16. Accordingly, the Third Circuit vacated the District Court’s denial of Ascolese’s motion for leave to file a Second Amended Complaint and remanded to the District Court. Companies and practitioners should familiarize themselves with the ever-changing standards implemented by Congress and the courts, especially in jurisdictions that have not yet explicitly adopted the post-amendment standards for retaliation under the FCA. Understanding the scope of the amendments, and what is required to allege retaliation, will be vital for companies to ensure they are not running afoul of the expanded standards under the FCA.
December 20, 2022

Procedure
Supreme Court Declines to Weigh In on Latest Dispute Over Pleading Standard for Causes of Action Brought Under the False Claims Act
The Supreme Court recently denied three petitions for writs of certiorari, opting not to clarify the heightened pleading requirements for allegations of fraud under the False Claims Act ("FCA"). The cases for which certiorari was denied are Molina Healthcare of Illinois v. Prose, No. 21-1145; United States ex rel. Owsley v. Fazzi Associates, Inc., No. 21-936; and Johnson v. Bethany Hospice LLC, No. 21-462. For allegations of fraud, which includes allegations under the FCA, the heightened pleading requirements of Federal Rule of Civil Procedure 9(b) require that a party state “with particularity the circumstances constituting fraud or mistake.” The party alleging “false claims” must allege that the defendant submitted false claims or caused false claims to be submitted to the government. To gain clarity as to the requirements of Rule 9(b), three petitioners sought certiorari, asking the Supreme Court to weigh in and clarify the detail required to meet the heighted Rule 9(b) standard at the outset of an FCA dispute: more specifically, the petitioners asked the courts to clarify whether relators must allege specific details of false claims allegedly submitted to the government for payment. In applying Rule 9(b) to FCA claims at the pleading stage, federal courts have adopted a variety of standards interpreting the level of detail necessary to adequately plead such claims. This disparity is exemplified by the circuit split between the Ninth and Sixth Circuits. The Ninth Circuit takes a relatively broad view of Rule 9(b), allowing relators to plead particular details of a scheme to submit false claims paired with reliable indicia that false claims were in fact submitted as a result of the scheme. In contrast, the Sixth Circuit enforces a more stringent standard, placing a greater emphasis on the specificity required to plead FCA claims, requiring pleading either specific false claims or specific facts that lead to a strong inference that a false claim was submitted, based on a relator’s personal billing-related knowledge. But instead of addressing the merits of the three petitions, the United States Supreme Court denied certiorari across the board, adopting the Solicitor General’s recommendation that the Court refrain from weighing in. According to the Solicitor General, the various circuit courts’ approaches have “largely converged on an approach that allows relators either to identify specific false claims or to plead other sufficiently reliable indicia supporting a strong reference that false claims were submitted to the government.” (Emphasis in original). The Solicitor General rebutted the contention that the courts are inconsistently applying Rule 9(b), noting that any difference “simply reflect[s] courts’ application of a fact-intensive standard to a range of different types of allegations.” The Solicitor General’s recommendation, and the Court’s adoption thereof, does not provide the clarity petitioners sought and arguably encourages “forum shopping” in which relators seek out jurisdictions in which Rule 9(b) is interpreted less rigorously – but the denial may also have operated to avoid the possibility that Court, should it have granted certiorari, would have propounded a relatively strict pleading standard for all federal courts. Whether the Supreme Court will ultimately address Rule 9(b)’s requirements for FCA claims remains an open question. For now, the pleading standard will continue to fluctuate based on the court before which such a claim is made.
November 4, 2022
by Tess Erickson

Procedure
Eight Years Later: “Speculative” and “Straightforward” FCA Allegations Against Walmart Dismissed
Walmart successfully ended eight years of protracted litigation under the False Claims Act (“FCA”) on June 4, 2021, when the Sixth Circuit affirmed dismissal of Medicare and Medicaid fraud allegations against the major retailer. The case was first filed in February 2013. See United States ex rel. Sheoran v. Wal-Mart Stores E., No. 13-10568, 2019 U.S. Dist. LEXIS 140710, at *2 (E.D. Mich. Aug. 20, 2019). The case was originally filed by Ashwani Sheoran, a former Walmart pharmacist. See United States v. Wal-Mart Stores E., LP, No. 20-2128, 2021 U.S. App. LEXIS 16763, at *2 (6th Cir. June 4, 2021). The basis for Sheoran’s allegations stemmed from observing a Michigan physician (and co-defendant) writing what Sheoran believed were improper prescriptions for high doses of opioid pain medications. Id. at *3. Sheoran alleged that filling those prescriptions violated the FCA and the Michigan Medicaid False Claims Act due to their purportedly excessive doses. Id. The case was finally unsealed in September 2018 after the United States government and the state of Michigan declined to intervene. In August 2019, Walmart’s motions to dismiss were granted. Wal-Mart, 2019 U.S. Dist. LEXIS 140710 at *14. Sheoran moved for reconsideration, which was denied. United States v. Wal-Mart Stores E., LP, No. 13-10568, 2020 U.S. Dist. LEXIS 177251, at *9 (E.D. Mich. Sep. 28, 2020). Sheoran then appealed. On appeal, Sheoran argued that the district court granted the motions to dismiss in error; that it was error for the lower court to exclude his Medicaid False Claims Act claims in its summary of claims; and that the court abused its discretion by waiving oral argument on the motions. Wal-Mart, 2021 U.S. App. LEXIS 16763 at *4. To establish a claim under the FCA, Sheoran was required to allege that “(i) the defendant presented a claim of payment to the government, (ii) the claim was false or fraudulent, (iii) the defendant knew it was false or fraudulent, and (iv) the false claim was material to the government’s payment.” Id. at *5. Because FCA claims necessarily involve allegations of fraud, a plaintiff must also meet the particularity requirements under Federal Rule of Civil Procedure 9(b) by alleging the “time, place, and content of the alleged misrepresentation . . . [;] the fraudulent scheme; the fraudulent intent of the defendants; and the injury resulting from the fraud.” Id. at *4–5 (internal quotations and citations omitted). Focusing on particularity, the Sixth Circuit determined that Sheoran failed to sufficiently plead each of the four elements of an FCA violation. First, the Court held Sheoran failed to allege that a claim for payment was presented to the government. Id. at *5. To support the claim, Sheoran submitted a document that listed all opioid payments with a $1-2 copay. Id. at *6. Based on the low copay value, Sheoran argued that the government must have provided reimbursement through Medicaid or Medicare. Id. The Court rejected that assumption, noting that many other reasons could explain a low copay. Id. The Court concluded that alleging presentment effectively requires more than “mere speculation.” Id. Second, the Court held Sheoran was unable to effectively plead that any of the alleged claims were “false or fraudulent.” Id. See 31 U.S.C. § 3729(a)(1)(A), (B). Although Sheoran had alleged the prescriptions were written for “high doses” of opioid pain medications that “would kill the person” if taken as prescribed, Sheoran provided no information about the patient’s medical history or needs to help the Court evaluate whether the doses were too high. Id. *7. Accordingly, the Court could not accept that falsity was supported. Third, the Court held the pleadings failed to allege that Walmart “knowingly” presented false claims to the government. Id. In order to establish knowledge, a defendant must “know[] of, or ‘act[] in deliberate ignorance’ or ‘reckless disregard’ of, the fact that he is involved in conduct that violates a legal obligation to the United States.” Id. (internal quotations and citations omitted). The Court determined that Sheoran’s mere assumption that payment was submitted to the government was insufficient, and that the pleadings lacked allegations indicating that Walmart even suspected the claims were illegal, false, or fraudulent. Id. Finally, the Court concluded that materiality was also insufficiently alleged. To meet this “demanding” standard, the alleged misrepresentation must have been “material” to the government’s decision to reimburse the claim. Id. at *8. The Court reasoned that if all of the claims had indeed been submitted to the government, the government had the same knowledge about the allegedly “high doses” and yet still paid those claims. Id. This evidence of payment was considered to be “very strong evidence that the requirements were not material.” Id. (citing Universal Health Servs., Inc. v. United States, 136 S. Ct. 1989, 2001 (2016)). The Sixth Circuit summarily dismissed Sheoran’s remaining arguments. In regards to the denial of oral argument, the Court reasoned that “this was a straightforward FCA case that was properly decided on the briefs.” Id. at *12. Unfortunately for Walmart and its co-defendants, this “straightforward” case required eight years of protracted litigation and expense that finally concluded due to the FCA’s exacting pleading standard.
June 16, 2021
by Donna Reuter
Procedure
Early Resolution of FCA Civil Damages Under the Eighth Amendment's Excessive Fines Clause? A Pending Case in Washington May Provide the Answer
The False Claims Act authorizes civil penalties between $10,781 to $21,563 per false claim, as well as three times the amount of damages which the government sustains (i.e. treble damages). The Eighth Amendment provides that "[e]xcessive bail shall not be required, nor excessive fines imposed, nor cruel and unusual punishments inflicted." The Supreme Court of the United States has recognized that a statutory penalty constitutes a "fine" subject to Eighth Amendment review if it constitutes punishment for an offense. Accordingly, the Fourth, Seventh, Eighth, and Ninth Circuit Court of Appeals have determined that the per-claim penalty and treble damages provided for under the FCA are subject to scrutiny under the Excessive Fines Clause of the Eighth Amendment because they have a punitive purpose, at least in part. A punitive sanction violates the Excessive Fines Clause if it is grossly disproportional to the gravity of a defendant's offense. Nonetheless, federal courts undertaking this Eighth Amendment analysis have generally upheld FCA per-claim penalties and treble damages. Proportionality of a punitive sanction is determined by a variety of factors, including the reprehensibility of the defendant's conduct; the relationship between the penalty and the harm to the victim; the sanctions in other cases for comparable misconduct; the possible maximum penalty available under the FCA and other statutes; and the legislative intent for the statute. See United States v. Aleff, 772 F.3d 508, 512 (8th Cir. 2014); United States v. Mackby, 339 F.3d 1013, 1016-18 (9th Cir. 2003). The Supreme Court has noted that the treble damages provision of the statute has a compensatory aspect, in addition to its punitive objectives, because some amount of money beyond actual damages is "necessary to compensate the Government completely for the costs, delays, and inconveniences occasioned by fraudulent claims." Cook Cnty., Ill. v. United States ex rel. Chandler, 538 U.S. 119, 130 (2003). Additionally, the treble damages provision allows the government to recover some measure of the amount it must pay to compensate relators in qui tam actions. See United States ex rel. Drakeford v. Tuomey, 792 F.3d 364, 388 (4th Cir. 2015). In contrast, the per claim penalty is purely punitive. Id. In the context of a FCA jury trial, the jury will generally be charged with determining the measure of the damages to the government and the number of false claims. The Court will then apply the treble multiplier to the damages award and, utilizing the jury’s determination of the number of false claims, determine what amount (between $10,781 to $21,563) to assess for each false claim. In cases involving the submission of hundreds or even thousands of false claims/statements (e.g., Medicare fraud claims), FCA damage awards can be daunting. As a result, Defendants may raise the Excessive Fines Clause as a defense to a massive award. However, with some exceptions, courts have generally upheld these awards, taking into account the above-mentioned factors as well as the general public interest in preventing fraud on the government. In litigation pending in the U.S. District Court for the Eastern District of Washington, United States of America et al v. Washington Closure Hanford LLC, et al, the defendant contractor raised constitutional challenges to the FCA’s penalties and treble damages provisions as an affirmative defense in its answer. The Government moved for summary judgment arguing that this defense was premature because the Court had not yet imposed penalties or treble damages; this constitutional challenge should instead be raised at the judgment phase. The contractor responded that courts can address the merits of such a defense based on the amount of damages sought by the Government, which in this case are in excess of $70 million. While the timing for addressing this Eighth Amendment challenge is typically at the post-trial stage, courts have not clearly addressed whether it may be considered in advance, which may provide a strategic advantage to litigants. Accordingly, the pending motion for summary judgment presents an interesting question for the trial court to resolve which may help provide further guidance for FCA litigants. FCA Now will be monitoring the Court’s ruling and keep you updated with any key developments.
December 29, 2017
by Benjamin Greenberg
Procedure
Court Rules that "Upon Information And Belief" Allegations of FCA Violations Leveled Against Competitor Fail to Withstand Pleading Requirements
A Federal court in Ohio recently dismissed a qui tam lawsuit brought under the False Claims Act by Kustom Products, Inc. against Hupp & Associates, Inc., a defense contractor, and in so doing provided judicial treatment of the common practice of alleging facts "upon information and belief." United States ex rel. Kustom Prods. v. Hupp & Assocs., No. 2:15-cv-03101, 2017 U.S. Dist. LEXIS 72814 (S.D. Ohio May 12, 2017), Hupp had six contracts to supply maintenance kits to the U.S. Military for its Family of Medium Tactical Vehicles (“FMTV”). Under those contracts, Hupp was required to purchase seals for its FMTV kits from one of only two approved suppliers. Kustom alleged that it had learned “in the course of business” that Hupp was not purchasing its seals from either of those two suppliers, even though Hupp represented to the Military that it had. 2017 U.S. Dist. LEXIS 72814 at *3-4. Kustom’s complaint made a number of these accusations “upon information and belief.” Id. The United States government declined to intervene in the lawsuit. Id. at *4. Hupp brought a motion to dismiss Kustom’s complaint in its entirety. Id. Evaluating the pleading standard under the False Claims Act, the court noted the familiar rule that “the heightened pleading standard set forth in Rule 9(b) applies to complaints alleging violations of the FCA,” and that standard requires that the circumstances constituting fraud or mistake shall be stated with particularity. Id. at *5 (citations omitted). In other words, Kustom was required to allege the “who, what, when, where, and how” of the alleged fraud. Id. at *6. However, Kustom’s allegations about Hupp’s fraud were lacking much detail, such as, “upon information and belief, Hupp submitted at least one invoice” that fraudulently certified that its products were purchased from approved suppliers. Id. at *7. The court found that this bare allegation did not satisfy the heightened 9(b) pleading standard, and noted that, in general, “allegations ‘on information and belief’… are insufficient under Rule 9(b). Id. In sum, Kustom’s “speculative allegations that ‘on information and belief’ Hupp has invoiced the government for parts supplied under the contracts fall far short of meeting the Rule 9(b) standard.” Id. at *8. The court found that these deficiencies existed with all of Kustom’s claims, and, because they were not pleaded with the particularity required by Rule 9(b), all of Kustom’s claims failed to state a claim upon which relief can be granted. The decision underscores the importance of pleading the particular facts and allegations that give rise to a claim under the False Claims Act. Although not categorically rejecting “upon information and belief” style pleading, the Court expressed significant wariness with such allegations, particularly when the plaintiff fails to plead the source of knowledge or some other reliable indicia of plausibility.
May 23, 2017
by Peter R. Mayer
Procedure
Jury Verdict in Declined Civil FCA Action Need Not Bar Criminal Prosecution for Same Conduct
The qui tam provisions of the False Claims Act allow private citizens to file FCA claims on behalf of the government. The government may elect to intervene in the action—or it may not. The United States District Court for the Western District of Virginia held earlier this month that when the government does not intervene, it is a party in interest, but not a party to the qui tam suit—a distinction of significance for purposes of collateral estoppel. See United States v. Whyte, No. 4:12-cr-21-2, 2016 U.S. Dist. LEXIS 172560 (W.D. Va. Dec. 16, 2016). The federal government indicted William R. Whyte and Armet Armored Vehicles, Inc. in 2012 on three counts of major fraud against the United States, six counts of wire fraud, and three counts of false, fictitious, and fraudulent claims. Mr. Whyte is the owner and CEO of Armet, a manufacturer and supplier of armored vehicles. Id. The indictment alleges that Mr. Whyte and Armet contracted with the government to manufacture and supply vehicles for use in Iraq, but the vehicles were delivered late and did not conform to contract specifications. Mr. Whyte avoided prosecution for a few years by fleeing to Canada, but he was extradited in September 2016. In the meantime, Armet’s former president filed a qui tam action against Mr. Whyte and Armet based on the same conduct underlying the government’s indictment. The government chose not to intervene. In Mr. Whyte’s absence, that case was tried to a jury, which returned a verdict in favor of Mr. Whyte and Armet. When Mr. Whyte returned to the United States this fall, he moved to dismiss the indictment against him on grounds of collateral estoppel. The court denied Mr. Whyte’s motion, reasoning that although the government was a party in interest to the qui tam action, it was not technically a "party" for purposes of a collateral-estoppel analysis. Because it did not intervene, the government could not “issue subpoenas, conduct depositions, propound discovery, call witnesses, or cross-examine the defendant’s witnesses”—that is, it could not exercise the degree of “practical control over the litigation [such] that it would be fair to bind it to the prior ruling [in the qui tam action].” The court emphasized that its holding recognizes a policy decision behind the framework of the FCA: it is the government’s choice whether to intervene in a civil qui tam action or pursue criminal charges, and the government should not be forced to be a party to a qui tam action.
December 27, 2016
by Betsy Sellers
Procedure
Supreme Court Concludes that Violation of FCA Seal Provision Does Not Necessarily Mandate Dismissal of Qui Tam Suits
The Supreme Court held yesterday that a violation of the False Claims Act’s seal provision does not mandate dismissal of a relator’s complaint. Justice Kennedy authored the Court’s opinion in the unanimous 8-0 decision. State Farm was accused of defrauding the government by falsely classifying wind damage caused by Hurricane Katrina as flood damage, which would allow State Farm’s costs to be covered by the National Flood Insurance Program. A relator, Rigsby, filed a False Claims Act suit under seal—where only the federal government and Rigsby would know of the suit. Rigsby then allegedly violated the seal when her attorney sent evidence about the under-seal case to news organizations. State Farm believed that this violation should result in dismissal of Rigsby’s complaint. Today, the Supreme Court disagreed. Although dismissal was not appropriate here, the Court noted that dismissal might be appropriate in some instances, but it needn’t be mandatory. The Court left it up to later cases to nail down the exact standards to apply when evaluating whether or not to dismiss a case for violation of the FCA’s seal provision, noting that “the factors articulated in United States ex rel. Lugan v. Hughes Aircraft Co. appear to be appropriate….” Slip op. p. 10. The Court explained that a violation of the seal provision in the present case might justify the use of, “[r]emedial tools like monetary penalties or attorney discipline….” Id. However, because State Farm “did not request any sanction other than dismissal,” they did not preserve “the question whether a lesser sanction is warranted….” Id. As such, the Fifth Circuit’s judgment, that State Farm was not entitled to dismissal, was affirmed. The Court’s opinion is available here: https://www.supremecourt.gov/opinions/16pdf/15-513_43j7.pdf
December 7, 2016
by Peter R. Mayer
