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Whose Suit Is It, Anyway? Addressing the Government’s Authority to Dismiss False Claims Act Lawsuits

spinner image The Department of Justice

 

United States ex rel. Polansky v. Executive Health Resources, Inc.,

No. 21-1052,

17 F.4th 376 (3rd Cir. 2021),

cert. granted, 142 S. Ct. 2834 (2022).

Oral argument not yet scheduled.

Issue: Whether the government has authority to dismiss a False Claims Act (FCA) suit after initially declining to proceed with the action, and if so, what standard applies?

Section 3730(b) of the False Claims Act (FCA) permits private citizens to sue perpetrators of fraud on behalf of the U.S. government. These private citizens, referred to as relators, are eligible to receive a portion of the recovery if they succeed. After investigation by the government, the government may elect to intervene in the case. However, if the government declines to intervene, then the relator may pursue the action independently. Regardless of whether the government intervenes, section 3730(c)(2)(A) of the FCA permits the government to dismiss these actions, notwithstanding the objections of the relator, so long as the relator has been notified and the relator is given an opportunity to be heard on the government’s motion to dismiss. 31 U.S.C. § 3730(c)(2)(A).

Executive Health Resources, Inc. (EHR), a private physician advisory company, provides review and billing certification services to hospitals and physicians that bill Medicare. In 2012, Dr. Jesse Polansky, a former physician consultant for the company, filed an FCA action alleging that EHR was fraudulently certifying outpatient services as inpatient services and billing Medicare and Medicaid at higher rates for services rendered. Polansky v. Exec. Health Resources, Inc., 422 F. Supp. 3d 916, 919 (E.D. Pa. 2019). The government conducted a two-year long investigation of Dr. Polansky’s claims but opted not to intervene. Id. at 939. The case continued, with Dr. Polansky pursuing the claims independently. In 2019 however, the government filed a motion to dismiss. Id. The U.S. District Court for the Eastern District of Pennsylvania acknowledged the circuit split on the applicable standard for dismissal under section 3730(c)(2)(A), but declined to weigh in on that issue, instead holding that the government was entitled to dismissal under either standard. Id. at 926.

On appeal, the Third Circuit held that the applicable standard for reviewing the Government’s authority to dismiss is governed by Federal Rule of Civil Procedure 41(a), which concerns voluntary dismissals in all civil cases. Polansky v. Exec. Health Resources, Inc., 17 F.4th 376, 389 (3rd Cir. 2021). This followed the Seventh Circuit in United States v. UCB, Inc., 970 F.3d. 839, 849 (7th Cir. 2020). The D.C. Circuit has held that the Government has an unfettered right to dismiss FCA actions. Swift v. U.S., 318 F.3d 250, 253 (D.C. Cir. 2003). Meanwhile, the Ninth and Tenth Circuits require the government to establish a “valid government purpose and a rational relation between dismissal and accomplishment of that purpose.” Sequoia Orange Co. v. Baird-Neece Packing Corp., 151 F.3d 1139, 1145 (9th Cir. 1998); see also Ridenour v. Kaiser-Hill Co., LLC, 397 F.3d 925, 935 (10th Cir. 2005) (adopting the Sequoia standard).

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In seeking Supreme Court review, Polansky argued that the conflicting views over the government’s FCA dismissal authority has costly stakes for litigants and interferes with effective administration of the FCA. Petition for Writ of Certiorari, Polansky v. Exec. Health Res., Inc. (No. 21-1052) (Jan. 26, 2022). The Government argued in its opposition that these “modest differences” between the standards articulated by the various circuits are “rarely if ever outcome determinative.” Opposition to Writ of Certiorari, Polansky v. Exec. Health Res., Inc. (No. 21-1052)(May 3, 2022). Despite recently denying two prior petitions, United States ex. rel. Schneider v. JPMorgan Chase Bank and Cimznhca, LLC v. UCB, Inc.,  raising similar arguments, the Court granted review in June of this year. 142 S. Ct. 2834 (2022).

 

WHAT’S AT STAKE

The False Claims Act is a powerful tool for combatting fraud, waste, and abuse. Just last year, the U.S. Government recovered over $5.6 billion as a result of FCA settlements and judgments. The leading source of those recoveries is in health care, which includes fraud against the Medicare, Medicaid, and Tricare programs — all programs that significantly impact older adults. FCA cases not only ensure that the dollars dedicated to these and other government programs are spent appropriately, they also protect patients from harmful or unnecessary medical care and serve as a strong deterrent to would-be perpetrators of fraud.

As more relators continue to pursue these cases without Government intervention, the Government, likewise, will continue to utilize its dismissal authority. Where the Court comes down on the appropriate standard for that authority may impact relators’ willingness to continue claims absent intervention and the Government’s analysis when deciding whether to intervene.

 

Meryl D. Grenadier

mgrenadier@aarp.org

 

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The Supreme Court often hears cases affecting the lives of people over 50. Read our review of key cases coming before the Court this year and likely to come in the future.