MATERIALITY AFTER ESCOBAR: THE FIFTH CIRCUIT S HARMAN DECISION Robert L. Vogel Vogel, Slade & Goldstein October 6, 2017

Similar documents
Focus. FEATURE COMMENT: Materiality Rules! Escobar Changes The Game

The Evolution of Escobar in 2017 and the False Claims Act in 2018 and Beyond

IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT United States Court of Appeals Fif h Circuit FILED September 29, 2017

DOJ Issues Memorandum Urging Government Lawyers to Dismiss Meritless False Claims Act Cases

Escobar Turns One: False Claims Act Materiality in 2017

Case 1:14-cv Document 1 Filed 05/09/14 Page 1 of 8 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

What If The Government Says A False Claim Isn't

In the Supreme Court of the United States

CA No UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

2018 WL (U.S.) (Appellate Petition, Motion and Filing) Supreme Court of the United States.

No IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT

Escobar Provides New Grounds For Seeking Gov't Discovery

Case 1:07-cv PLF Document 212 Filed 03/31/17 Page 1 of 13 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

LORI L. PINES PARTNER WEIL, GOTSHAL & MANGES LLP ADAM G. SAFWAT COUNSEL WEIL, GOTSHAL & MANGES LLP

Session: The False Claims Act Post-Escobar. Authors: Robert L. Vogel and Andrew H. Miller THE ESCOBAR CASE: SOME PRACTICAL IMPLICATIONS INTRODUCTION

How Escobar Reframes FCA's Materiality Standard

Universal Health Services, Inc. v. Escobar

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA

Focus. FEATURE COMMENT: Frankenstein s Monster Is (Still) Alive: Supreme Court Recognizes Validity Of Implied Certification Theory

NOT FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

Focus. FEATURE COMMENT: The Top FCA Developments Of 2017

New Mexico Medicaid False Claims Act

PROCUREMENT FRAUD PANEL DISCUSSION. June 14, :30 P.M.

Chicago False Claims Act

Rhode Island False Claims Act

United States Court of Appeals For the Eighth Circuit

CALIFORNIA FALSE CLAIMS ACT

#:1224. Attorneys for the United States of America UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA WESTERN DIVISION 14

Health Care Fraud Enforcement In 2018, And 2019 Predictions

False Claims Act Text

Case 2:12-cv MMB Document 228 Filed 03/19/18 Page 1 of 15 IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

Case 2:10-cv TFM-CRE Document 99 Filed 05/31/13 Page 1 of 10 IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS

IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT

District of Columbia False Claims Act

Case 1:02-cv RWZ Document 474 Filed 02/25/13 Page 1 of 14 UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS CIVIL ACTION NO.

In the Supreme Court of the United States

CHAPTER 36. MEDICAID FRAUD PREVENTION SUBCHAPTER A. GENERAL PROVISIONS

Supreme Court Declines to Overrule or Modify Basic, But Allows Rebuttal of "Price Impact" in Opposing Class Certification

PUBLISHED UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT. No Intervenor/Plaintiff Appellant,

View from a Federal Prosecutor: Legal Pitfalls to Avoid. Medtrade Spring March 28, 2018 Mark Rush Josh Skora

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS ) ) ) ) ) ) ) ) ) ) ) ) )

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA

Case 9:09-cv RC Document 100 Filed 08/10/12 Page 1 of 12 PageID #: 991 **NOT FOR PRINTED PUBLICATION**

The Hawaii False Claims Act

2017 YEAR IN REVIEW THE FALSE CLAIMS ACT

O n January 8, 2015, the United States Court of Appeals

MARYLAND FALSE CLAIMS ACT. SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, That the Laws of Maryland read as follows:

Defendants Look for Broader Interpretation of Halliburton II

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ALABAMA SOUTHERN DIVISION ) ) ) ) ) ) ) ) ) ) ) ) MEMORANDUM OPINION AND ORDER

UNITED STATES DISTRICT COURT DISTRICT OF MINNESOTA. Plaintiffs, MEMORANDUM v. OPINION AND ORDER INTRODUCTION

Fried Frank FraudMail Alert No /17/16

UNITED STATES COURT OF APPEALS. August Term, Argued: March 1, 2016 Final Submission: August 1, 2017 Decided: September 7, 2017

UNITED STATES COURT OF APPEALS FOR THE FEDERAL CIRCUIT EXXON CHEMICAL PATENTS, INC., EXXON CORPORATION and EXXON

UNITED STATES DISTRICT COURT

2009 False Claims Act Amendments: Implications for the Healthcare Community (Procedural Provisions)

DISCOVERY IN DECLINED QUI TAM CASES

Recent Developments in False Claims Act Law. Norman G. Tabler, Jr. Faegre Baker Daniels

9:14-cv RMG Date Filed 08/29/17 Entry Number 634 Page 1 of 9

THE FEDERAL FALSE CLAIMS ACT 31 U.S.C

A Review of the Current Health Care Fraud Enforcement Environment Brian McEvoy & Ellen Persons

Case: 1:11-cv Document #: 142 Filed: 11/23/16 Page 1 of 12 PageID #:2876

What High Court's Expansion Of FCA Time Limits Would Mean

2013 IL App (1st) U. No

OKLAHOMA FALSE CLAIMS ACT

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF LOUISIANA SHREVEPORT DIVISION UNITED STATES OF AMERICA CIVIL ACTION NO EX. REL.

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA. v. Civil Action No (JEB) MEMORANDUM OPINION

SUPREME COURT OF THE UNITED STATES

THE UTAH COURT OF APPEALS

How Cos. Can Take Advantage Of DOJ False Claims Act Memo

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT SEATTLE I. INTRODUCTION

WASHINGTON STATE MEDICAID FRAUD FALSE CLAIMS ACT. This chapter may be known and cited as the medicaid fraud false claims act.

Order Code RS22038 Updated May 11, 2005 CRS Report for Congress Received through the CRS Web Securities Fraud: Dura Pharmaceuticals, Inc. v. Broudo Su

Hampden Real Estate v. Metro Mgmt Grp

MEMORANDUM OPINION & ORDER

Texas Medicaid Fraud Prevention Act

Four False Claims Act Rulings That Deter Meritless FCA Actions

SECURITIES LITIGATION & REGULATION

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF TENNESSEE NASHVILLE DIVISION

FALSE CLAIMS ACT YEAR IN REVIEW: 2017 A YEAR OF SIGNIFICANT RECOVERIES, GOVERNMENT ENFORCEMENT REFORM AND SHIFTING JURISPRUDENCE POST-ESCOBAR

Court of Appeals Rejects Quality of Care Standard. for False Claims Act Liability. United States ex rel. Mikes v. Straus

Case 3:06-cv CDL Document 130 Filed 08/21/2009 Page 1 of 11

Focus. FEATURE COMMENT: The Top FCA Developments Of 2018

In the United States Court of Appeals for the Fifth Circuit

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA SAN JOSE DIVISION

Case 3:11-cv EMC Document 183 Filed 03/28/19 Page 1 of 16

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

FOR THE NORTHERN DISTRICT OF GEORGIA ATLANTA DIVISION

Case 2:16-cv Document 20 Filed 02/23/17 Page 1 of 6 PageID #: 150 IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF WEST VIRGINIA

Model Provider DRA Policy and/or Employee Handbook Insert

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF UTAH, CENTRAL DIVISION

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF INDIANA INDIANAPOLIS DIVISION ) ) ) ) ) ) ) ) )

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS

Procurement Fraud and False Claims Act Developments. Mark R. Troy Robert R. Rhoad Andy Liu Jonathan Cone

United States District Court

Mastering Whistleblower & Qui Tam Litigation: Telephonic CLE

Case 2:06-cv SSV-SS Document 682 Filed 10/08/10 Page 1 of 2 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF LOUISIANA

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MASSACHUSETTS

MEMORANDUM. Criminal Procedure and Remedies Issues Recommended for Commission Study

Transcription:

MATERIALITY AFTER ESCOBAR: THE FIFTH CIRCUIT S HARMAN DECISION Robert L. Vogel Vogel, Slade & Goldstein October 6, 2017 In United States ex rel. Harman v. Trinity Industries, Inc., Case No. 15-41172, 2017 WL 432527966 (5 th Cir. Sept. 29, 2017) ( Harman ) 1, the United States Court of Appeals for the Fifth Circuit addressed the legal standard for materiality, an issue that has arisen in numerous False Claims Act cases following the Supreme Court s seminal decision in Universal Health Servs., Inc. v. United States ex rel. Escobar, 136 S. Ct. 1989 (2016). Harman was a qui tam case in which the relator, acting on behalf of the United States and various States, alleged that the defendant manufactured a defective structure used in conjunction with highway guardrails, fraudulently obtained approval of the structure by the Federal Highway Administration ( FHWA ), and then sold them to various states, who were purchasing the structures with funds provided by the federal Government. After the United States and the State plaintiffs declined to intervene in the case, the relator proceeded to take the case to trial, where the jury returned a verdict against the defendant. Harman at *4. The United States District Court for the Eastern District of Texas entered judgment for the plaintiffs in the amount of $663,360,750, plus an award of attorneys fees and costs to the relator. Id. at *5. While the case was pending, FHWA conducted additional tests and analyses of the guardrail system and re-affirmed its approval. Also, during the pendency of the case and continuing to the present, state governments, with knowledge of the relator s allegations of wrongdoing, have continued to pay claims for the allegedly defective guardrail device. Id. at *4. On appeal, the Fifth Circuit found the fact that the states continued to pay these claims to be very strong evidence that the defendant s alleged violations of safety standards were not 1 Throughout this paper, all citations to Harman are to the Westlaw cite. 1

material, and that plaintiffs had failed to rebut this evidence. Id. at *16. Accordingly, the Fifth Circuit reversed the district court s decision, holding that the finding of fraud cannot stand for want of the element of materiality. Id. at *1. In addition to its holding based on materiality, the court offered its views on various False Claims Act topics unnecessary for its holding, including damages, falsity, and scienter. See id. at *6-*11. This paper will address only the court s actual holding on materiality, and not on the dicta concerning those other issues. I. The Facts in Harman. The Harman case involved allegations surrounding the ET-Plus, a highway guardrail structure known as an end terminal system. The ET-Plus was developed by the Texas A&M Transportation Institute ( TTI ); manufactured by Trinity Highway Products, LLC, a Trinity Industries, Inc. ( Trinity ) subsidiary; and subsidized by FHWA. Id. at *1. In the continual effort to enhance highway safety and decrease the risk of vehicle impalement by guardrail ends in head-on crashes, TTI engineers created the ET-Plus with a terminal head that would flatten, thrust the guardrail away from the impacted vehicle, and gate the incoming vehicle. Combined, these efforts were intended to slow the vehicle s speed and significantly decrease the danger of the rail ends to the vehicle and its passengers. Id. Continuing to this day, TTI designs the ET- Plus, Trinity manufactures it per TTI s design, highway contractors purchase and install it on numerous U.S. highways, and the federal government reimburses states for such installations. Id. FHWA must approve the ET-Plus before anyone can purchase the product with federal funds. Id. As part of its approval process, FHWA can require the manufacturer to test its products, except for those that are deemed nearly certain to be safe or that are so similar to 2

currently accepted features that there is little doubt that they would perform acceptably. Id. In 2000, TTI tested and FHWA approved the ET-Plus for utilization on the National Highway system in conjunction with guardrails that were 27 3/4 inches high. Id. at *2. In response to the growing numbers of vehicles with taller centers of gravity, TTI modified the ET-Plus in 2005 for use on guardrails 31 inches high; in the process, TTI altered the ET-Plus terminal head width from five to four inches and made other essential fabrication modifications. Id. Trinity maintained that this altered four inch terminal head was included in the guardrail system during TTI s crash testing of the product at the 31-inch height, and that Trinity sent a detailed drawing of this modified head, along with the other fabrication changes, to TTI for inclusion in its crash report. Id. TTI prepared the crash report and sent it to Trinity, who then sent it to FHWA and ultimately secured FHWA approval for the ET-Plus at the 31-inch height on September 2, 2005. Id. However, TTI had inadvertently omitted Trinity s detailed drawing of the modified head and any discussion of the altered head and the related essential fabrication changes from its report, despite having included in its discussion the other modifications made to conform to the 31-inch height. Trinity later sent the drawing to FHWA. Id. The Relator in this case, Joshua Harman, was a Trinity customer who had bought and installed its products in the United States. Id. In addition, as the Fifth Circuit observed, Harman was also a Trinity competitor who had co-owned two businesses that manufactured terminal heads. Id. Harman conducted a cross-country exploration of guardrail accidents, obtained six to eight ET-Plus heads, and found several changes he deemed responsible for the accidents the biggest being the modified terminal head width. Id. at *3. According to Harman, this modified 3

head width, combined with the various other width and height alterations, turned the ET-Plus into an entirely different product. Id. Following these discoveries, Harman met with FHWA in January 2012 to make a PowerPoint presentation of his findings of the 2005 ET-Plus changes including the terminal head width change, a shortened guide channel, a decreased extruder chamber height, a narrowed exit gap, and other changes and to share photographs from various guardrail accidents. Id. An FHWA representative, Nicholas Artimovich, took measurements and photographs of the ET-Plus heads Harman brought to the meeting. Id. In February 2012, FHWA met and discussed Harman s claims with Trinity, who explained that the crash test had included the altered terminal head and that TTI had inadvertently omitted information regarding this width change in the report it sent to FHWA. Id. While FHWA met two more times with Harman and Harman s counsel, the agency simultaneously confirmed the ET-Plus eligibility for reimbursement to numerous state departments of transportation. Id. Harman filed a qui tam complaint against Trinity on March 6, 2012. Id. Ten months later, the Government declined to intervene in the case. Id. Following Harman s Touhy request to FHWA to make available for deposition its employees, the FHWA circulated an official memorandum, dated June 14, 2014, asserting that the modified ET-Plus with the narrower terminal head had been tested and approved for reimbursement, while also stating that this ongoing approval had never been interrupted since its initial approval in 2005. Id. In response to Harman s Touhy request, the DOJ emailed Harman FHWA s memorandum and noted DOT s belief that the memorandum precluded the need for any government employee testimony. Id. 4

Trinity moved for summary judgement on the basis of the memorandum, but the district court denied the motion and the case went to trial. Id. at *4. The first trial ended in a mistrial due to the court s finding that both parties had engaged in inappropriate conduct. Id. Trinity subsequently asked the Fifth Circuit for a writ of mandamus. Although the court of appeals denied the writ, it stated, based on the FHWA s authoritative June 17, 2014 letter, that a strong argument can be made that the defendant s actions were neither material nor were any false claims based on false certifications presented to the government. Id. The district court held a second trial, which lasted six days. Id. At the conclusion of the trial, the jury found in favor of the United States and against Trinity. Id. Trinity then renewed to the district court a Rule 50(b) motion for judgement as a matter of law. Id. After the jury returned its verdict and amidst the ensuing publicity and queries from state Attorneys General concerning the ET-Plus, the government maintained its approval of the ET- Plus but ordered that a joint task force independently examine and crash-test the installed devices across the United States. Id. The task force scrutinized more than one thousand ET-Plus installation systems, existing between November 2014 and January 2015, and found that the installed ET-Plus systems were all of one version across the country and that this version was indeed what TTI had successfully crash-tested in pursuit of its 2005 FWHA approval. Id. Notwithstanding this new finding, the district court denied Trinity s motion for judgment as a matter of law and entered its final judgement in favor of Harman for $663,360,750. Id. at *5. Trinity then filed a motion for a new trial, based in part on the results of the post-trial crash tests and the findings of the joint task force. Id. The district court denied Trinity s motion for a new trial, and Trinity then filed an appeal to the Fifth Circuit. II. The Harman Court s Holding. 5

In Harman, the Fifth Circuit held that Trinity was entitled to prevail at trial because there was insufficient evidence of the materiality of any false statements or omissions. Focusing primarily on the evidence that the Government continued to pay for the Trinity guardrails notwithstanding the Government s knowledge of their purported deficiencies, the court of appeals quoted from, and focused on, the following passage from Escobar: [I]f the Government pays a particular claim in full despite its actual knowledge that certain requirements were violated, that is very strong evidence that those requirements are not material. Or, if the Government regularly pays a particular type of claim in full despite actual knowledge that certain requirements were violated, and has signaled no change in position, that is strong evidence that the requirements are not material. Id. at *11, citing Escobar, 136 S. Ct. at 2003-04. The court of appeals noted that in Escobar, the Supreme Court held that in determining materiality, one should look to the effect on the likely or actual behavior of the recipient of the alleged misrepresentation. Harman at *11, citing Escobar, 136 S. Ct. at 2002 (emphasis in the original). The Harman court then examined several other post-escobar circuit court decisions regarding materiality in situations comparable to the one in Harman, i.e., where the government had continued to pay claims after learning that such claims were for goods or services that were allegedly noncompliant with relevant rules or guidelines. Id. at *11-*13. 2 Summarizing these holdings, and comparing them to the Harman case, the Harman court wrote: The lesson we draw from these well-considered opinions is that, though not dispositive, continued payment by the federal government after it learns of the alleged fraud substantially increases the burden on the relator in establishing materiality. Notably these cases do not fully address the gravity and clarity of the 2 The post-escobar circuit court cases discussed in this portion of the Harman opinion were: D Agnostino v. EV3, Inc., 845 F.3d 1 (1 st Cir. 2016); United States v. Sanford-Brown, Ltd., 840 F.3d 445 (7 th Cir. 2016); United States ex rel. Kelly v. Serco, Inc., 846 F.3d 325 (9 th Cir. 2017); United States ex rel. McBride v. Halliburton Co., 848 F.3d 1027 (D.C. Cir. 2017); United States ex rel. Petratos v. Genentech, Inc., 855 F.3d 481 (3d Cir. 2017). 6

government s decision here. This system was installed throughout the United States, and the government s rejection of Harman s assertions, if in error, risked the lives on our nation s highways, not just undue expense. Where violations of the certain requirements described by Escobar involve potential for horrific loss of life and limb, the government has strong incentives to reject nonconforming products, and Escobar s cautions have particular bite when deployed to decisions as here. Further, this case is not about inferring government approval from continued payment. Here, the government has never retracted its explicit approval, instead stating that an unbroken chain of eligibility has existed since 2005. Id. at *13. Importantly, the Harman court stopped short of establishing an ironclad rule, cautioning: [T]here are and must be boundaries to government tolerance of a supplier s failure to abide by its rules. Id. The court of appeals pointed out that the Ninth Circuit had offered some guidance in the case of United States ex rel. Campie v. Giliad Sciences, Inc., 862 F.3d 890 (9 th Cir. 2017). The Harman court noted that in Campie, the Ninth Circuit had rejected at the pleading stage of the case the argument that the government s continued payment for drugs after it learned of allegations of FDA violations mandated dismissal of the case for lack of materiality. Harman at *13. The Harman court noted that the Ninth Circuit found in Campie that (1) questions remained as to whether the approval by the FDA was itself procured by fraud; (2) there existed other potential reasons for continued approval that prevent judgment for the defendant on 12(b)(6); and (3) the continued payment came after the alleged noncompliance had terminated and the government s decision to keep paying for compliant drugs does not have the same significance as if the government continued to pay despite noncompliance. The Harman court further pointed out that that the parties in Campie disputed exactly what and when the 7

government knew, calling into question its actual knowledge. Id., citing Campie, 862 F.3d at 906-07. 3 The Harman court concluded that while it agreed with other courts that no single factor is outcome determinative, the very strong evidence here of FHWA s continued payment remains unrebutted. Id. at 14. The court proceeded to discuss in detail the evidence that the relator introduced at trial, and found that the relator s evidence did not really address or rebut the fact that the FHWA, with full knowledge of the relator s claims about the purported deficiencies in the ET-Plus system, continued to approve that system. Id. at *14-*16. 3 The Harman court also pointed out that, after the Supreme Court remanded the Escobar case to the court of appeals, the First Circuit found that the relator had met his burden on materiality, finding no evidence that the relevant government agency had actual knowledge of any violations when it decided to pay the claims. Harman at *11, citing United States ex rel. Escobar v. Universal Health Serv., Inc., 842 F.3d 103, 110 (1 st Cir. 2016). 8