House Bill No. 5923, An Act Concerning Fraud against the State Committee on Judiciary March 19, 2008

Similar documents
Model Provider DRA Policy and/or Employee Handbook Insert

Florida. Florida State False Claims Laws

The Hawaii False Claims Act

OVERVIEW. Enacted during the Civil War in To fight procurement contract corruption. To redress fraud involving federal government programs

CALIFORNIA FALSE CLAIMS ACT

ELDERSERVE HEALTH, INC. FALSE CLAIMS ACTS SUMMARY

Deficit Reduction Act of 2005, False Claims Act, and Similar Laws Policy

Illinois. Civil and Criminal Penalties for False Claims or Statements

MONTEFIORE HEALTH SYSTEM ADMINISTRATIVE POLICY AND PROCEDURE SUBJECT: SUMMARY OF FEDERAL AND STATE NUMBER: JC31.1 FALSE CLAIMS LAWS

Case at a Glance. Can the False Claims Act Apply to Claims That Were Never Presented. to the federal government?

False Claims Act. Definitions:

Small Business Lending Industry Briefing

Miami-Dade County False Claims Ordinance. (1) This article shall be known and may be cited as the Miami-Dade County False Claims Ordinance.

POLICIES AND PROCEDURES FOR DETECTING AND PREVENTING FRAUD, WASTE AND ABUSE

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

ADDENDUM TO HEALTHCARE PARTNERS POLICY NO. HCP-TQ-09, THE CODE OF CONDUCT, AND THE SUMMARY OF FEDERAL FALSE CLAIMS ACT AND ANALOGOUS STATE LAWS

How Escobar Reframes FCA's Materiality Standard

Montana. Billing Montana's Medicaid program for services not rendered

FCA, FERA, PPACA Alphabet Soup of Fraud Liability

CONNECTICT FALSE CLAIMS ACT. Title 4, CHAPTER 55e of the General Statutes of Connecticut

Tennessee Medicaid False Claims Act

Physician s Guide to the False Claims Act - Part I

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

MARCH Vision Care Provider Compliance Deficit Reduction Act

False Claims Act Text

False Medicaid Claims

STATE FALSE CLAIMS ACT SUMMARIES

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

INDIANA FALSE CLAIMS AND WHISTLEBLOWER PROTECTION ACT

DATE ESTABLISHED: June 26, 2007 POLICY NAME: False Claims Act DATE REVISED: 6/10/10, 4/16/12. RESPONSIBLE PARTY: Nancy Kowal DATE: 11/18/2016

Accountability Report Card Summary 2018 Rhode Island

Georgia State False Medicaid Claims Act

U.S. Department of Justice

False Claims and Qui Tam Lawsuits: From Whistleblower Protection to Litigation

MONTANA FALSE CLAIMS ACT (MONT. CODE ANN )

New Mexico Medicaid False Claims Act

Four False Claims Act Rulings That Deter Meritless FCA Actions

Overview of the False Claims Act 31 U.S.C. Section

OKLAHOMA FALSE CLAIMS ACT

SUPREME COURT OF THE UNITED STATES

Policy Name: False Claims Act and Reporting Publication (Effective) 10/4/2017 Version Number: 1.0

There is no kind of dishonesty into which otherwise good people more easily and frequently fall than that of defrauding the Government.

POLICY STATEMENT. Topic: False Claims Act Date Effective: 10/13/08. X Revised New Section: Corporate Compliance Number: 10.05

Corporate Administration Detection and Prevention of Fraud and Abuse CP3030

Case 1:15-cv FPG Document 1 Filed 10/07/15 Page 1 of 32

New Jersey False Claims Act

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

Ramifications of Fraud

TENNESSEE HEALTH CARE & MEDICAID FALSE CLAIMS ACTS

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

3:05-cv MBS Date Filed 05/08/13 Entry Number 810 Page 1 of 16

Mastering Whistleblower & Qui Tam Litigation: Telephonic CLE

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

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

Accountability Report Card Summary 2018 Washington

THE FEDERAL FALSE CLAIMS ACT 31 U.S.C

Escobar Turns One: False Claims Act Materiality in 2017

O.C.G.A. TITLE 23 Chapter 3 Article 6. GEORGIA CODE Copyright 2015 by The State of Georgia All rights reserved.

TWENTY EIGHTH ANNUAL SOUTHERN SURETY AND FIDELITY CLAIMS

CHAPTER 36. MEDICAID FRAUD PREVENTION SUBCHAPTER A. GENERAL PROVISIONS

Rhode Island False Claims Act

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

THE FALSE CLAIMS ACT. Victor F. Luke, Esq.

Fried Frank FraudMail Alert No /17/16

UNITED STATES DISTRICT COURT

District of Columbia False Claims Act

Legal Issues in Coding

MISTAKE. (1) the other party to the contract knew or should have known of the mistake; or

STATE FALSE CLAIMS ACT SUMMARIES January 2017 Update

U.S. Department of Justice

Health Care Fraud and Abuse Laws Affecting Medicare and Medicaid: An Overview

Michigan Medicaid False Claims Act

Texas Medicaid Fraud Prevention Act

THE FCA IN THE COURTS OF APPEAL Attorney Fees. Court has authority to award attorney fees to defendant in

George S. Bell, III, Senior Counsel Tennessee Attorney General s Office

CORPORATE COMPLIANCE, ETHICS, & DEFICIT REDUCTION ACT TRAINING CODE OF PROFESSIONAL ETHICS

Chicago False Claims Act

The Private Securities Litigation Reform Act of 1995

Megan Kuzniewski, J.D. Candidate 2017

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

U.C.A Title. This chapter is known as the Utah False Claims Act.

UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA. Case No.: Plaintiff, Defendants

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

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

Concurrent Session III March 6, Investigating Allegations of Scientific Misconduct and the False Claims Act

DISCOVERY IN DECLINED QUI TAM CASES

Litigating Bad Faith: Why Winning the Battle May Not Win the Protest

Second Circuit Raises Bar for Proof of Fraud Under Federal Statutes

Colorado Medicaid False Claims Act

The Supreme Court Rejects Liability of Customers, Suppliers and Other Secondary Actors in Private Securities Fraud Litigation

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

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

FOCUS. FEATURE COMMENT: Substantial Increase In False Claims Act Penalties Impacts The Landscape Of Litigation

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

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

Law Project for Psychiatric Rights (PsychRights )

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF TENNESSEE NASHVILLE DIVISION ) ) ) ) ) ) ) ) ) ) ) MEMORANDUM

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

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

Accountability Report Card Summary 2018 Nevada

Transcription:

House Bill No. 5923, An Act Concerning Fraud against the State Committee on Judiciary March 19, 2008 CCIA Position: OPPOSED Connecticut Construction Industries Association is opposed to adoption of House Bill 5923, An Act Concerning Fraud Against the State, which is a state false claims act. Most would agree that a False Claims Act is an imperfect statute. If enacted, this law will impose the specter of treble damages and high penalties on transactions in the government marketplace, and will virtually guarantee a dramatic increase in lawsuits asserted against innocent persons, even if a false claim is not committed. Under the bill, any person who has been found to have submitted a false or fraudulent claim for payment or approval to the state or even an incorrect claim is subject to a civil penalty of up to $10,000, plus three times the amount of the state s damages, and all costs for investigation and prosecution of any civil action brought by the state. The bill permits qui tam actions, that is, lawsuits brought by private informants in the name of the government charging false claims on the part of persons who are alleged to have improperly received or used public funds. The bill should be rejected by lawmakers because it can easily be used in unintended ways for improper purposes. Under this bill, every company and organization that works under a state-funded contract or seeks state reimbursement is potentially subject to lawsuits comprised of aggressively asserted positions under a growing number of legal theories that stretch the boundaries of the act. The bill is not in the interest of the State or its citizens. Nor is it in the interest of the businesses that are partners with the State, nor organizations that operate under state grants. CCIA is opposed to adoption of a false claims act because: Potential misuse. A false claims act (FCA) is a powerful tool that could be easily misused to intimidate lawful state contractors who are genuinely owed money by the state. There are often differing positions between contractors and state agencies as to the interpretation of documents, changes in the work, differing site conditions, and delays on projects. Here, since there is no distinction between a difference of opinion and a false claim, there is a tremendous incentive for the State Agency and the State Attorney General to use the threat of turning a contract dispute into a false claims action to raise the stakes in a negotiation or litigation to the point that the contractor has little choice but to relinquish its claim and settle. The threat of a FCA

action forces the contractor to settle even where the contractor knows it has done nothing wrong, and despite its personal feelings of disgust and angst for what such settlement may suggest to those unfamiliar with modern day litigation. Opportunism, rather than legitimate whistleblowing often motivates the filing of complaints. Here, the substantial payoff for private individuals who file suit has created a large, powerful, and growing qui tam plaintiff s bar that is becoming the moving force behind these laws. Qui tam lawyers have over the past decade aggressively asserted positions seeking to stretch the frontiers of liability under the statutes for sheer financial gain, and to intimidate not only contractors, but public officials. Damage to a contractor s reputation, bankruptcy and impact on jobs and state revenue. The bill does not offer enough protection to contractors defending frivolous actions, putting honest and reputable contractors as well as jobs at risk. Information disclosed by the news media is enough to provide a plaintiff attorney the opportunity to make an allegation against a contractor. It costs hundreds of thousands, if not millions, of dollars to defend such a suit. Lawful defendants are often forced to spend a great deal of money and waste resources before settling lawsuits to avoid the nuisance of litigation, even though the contractor knows it has done nothing wrong. Moreover, under Connecticut s contracting reform legislation the collateral consequences are of grave concern. The mere allegation of false claims can: tarnish a contractor s reputation and cause the contractor to lose his or her prequalification certificate - eliminating them from perform public work; or cause state agencies, or the Contracting Standards Board to suspend or debar the contractor. Loose legal standards and significant penalties. A contractor can easily be accused of submitting a false claim to the government. Key elements of a cause of action, such as the term false, are not defined in the bill. A FCA does not require a defendant to have intended to deceive the government. The term claim is defined broadly. The term knowledge is expanded. These broad and vague legal elements combine with the low standard of proof and high penalty and damages provisions to create a tremendous threat that imposes a significant burden on contractors. Unnecessary. State law already provides sufficient remedies, including actions for fraud or misrepresentation, prequalification laws, and many legal and contractual contracting reform measures, all of which can be used effectively by state agencies, the Attorney General, and the Office of State Ethics to address issues related to the administration and performance of contracts. 2

Responding to the tremendous amount of investigatory demands and the costs associated with mounting a defense to an FCA action can drain important resources away from production and easily put a business at risk. Exposure to this type of risk of could deter contractors from presenting meritorious claims. Likewise, fewer quality contractors will bid for state contracts, raising costs for the state. All of these risks can put the contractor out of business and willing workers out of jobs, creating a domino effect where the state suffers a revenue loss and taxpayers lose double, when projects cost more due to a lack of bidders. While a false claims act inherently creates exposure for members of the construction industry, it creates similar risk for all other businesses and organizations that operate under state contractors or receive reimbursements under state grant programs. A false claims action could be the death knell for any participant in an endeavor that is wholly or partially funded by the state. Background Almost every year since 1999, a bill to adopt a FCA in Connecticut has been introduced in and rejected by the General Assembly. The federal Deficit Reduction Act of 2005 provides a financial incentive to states to enact FCAs comparable to the federal act. Effective January 1, 2007, the federal government will give 10% of the federal government s share of a recovery under a Medicaid enforcement action brought under such state s law that would otherwise have gone to the federal government. Other problems Examples of abusive lawsuits include: 1. In Valley Engineers, Inc. v. City of Vernon, Los Angeles County Superior Court Case No. BC 227815, the government entity filed a counterclaim based on the FCA against the contractor s claim for payment alleging that the contractor under-billed for an item of work and submitted a false claim. Even though the under-billing allegation runs contrary to the purpose of the FCA, the potent threat of FCA allegations raised the stakes in litigation to a point that the contractor, after laying-off workers and selling equipment to raise the money necessary to defend against the counterclaim under the FCA, had no choice but to settle its claim with the city for a fraction of what the city actually owed the contractor. Without surprise, the abusive FCA allegations in the counterclaim were dropped after the contractor agreed to relinquish part of its claim. (Information is Attached) 2. In US ex rel. Bettis v. Odebrecht Contractors, 393 F.3d 1321 (D.C.Cir. 2005) a whistleblower filed a FCA action against a contractor (that received a Contractor of the Year award for exceptional performance on the project), alleging that the contractor purposely deflated its bid to induce the 3

government to award the contract. The whistleblower and the plaintiff s attorney serving him were seeking their share of millions of dollars of alleged false claims. Here, the contractor had the resources to defend against the FCA action in the US District and Appellate Courts where the courts held that none of the evidence offered by the plaintiff proved the contractor s bid was fraudulent and dismissed the case. After years of expensive investigations and litigation, public humiliation, and risk of suspension or debarment, the contractor was left without a remedy to recover any of the costs to defend against the abusive lawsuit. 3. In U.S. ex rel. Durcholz v. FKW Inc., 189 F.3d 542 (7 th Cir 1999) a government official was one of the victims of an abusive lawsuit. In this action, a whistleblower alleged a government contracting officer was part of a conspiracy because he had instructed the contractor to prepare its invoices in a way that was allegedly false. Here, the whistleblower was a disappointed bidder who utilized the FCA to further its challenges to the award of the contract to a competitor. However, the courts recognized that frequently in the real world: for purposes of convenience, efficiency, common sense, and just getting the work done, the government customer and contractor agree to depart from the strict terms of a contract or procedure without committing false claims. Like above, after years of expensive investigations and litigation, the case was dismissed. 4. Even public officials have experienced misuse of a FCA against the government itself. In U.S. ex rel. Stierli v. Shasta Services, Inc., 2006 WL 1897109 (July 11, 2006), a case decided under both the federal and California state FCAs, the federal district court for the Eastern District of California dismissed a disappointed bidder s qui tam complaint alleging that the awardee of a federally-funded state construction contract had violated both Acts by submitting incomplete information in its proposal regarding its efforts to enlist disadvantaged subcontractors. Remarkably and atypically, the successful motions to dismiss were filed by both the federal and state governments that were the alleged victims of the fraud. In the case, the court was persuaded not only by the fact that the state government customer had full knowledge of the alleged noncompliance prior to awarding the contract, but also by the California Attorney General s contention that the state government has a legitimate interest in ensuring that the [FCA] is not misused by unsuccessful, disgruntled public contract bidders as a device to intimidate competitors [and that otherwise] every award process could potentially be converted into a[n FCA] action with the winning bidder facing the specter of civil penalties and treble damages even when the state the real party in interest contends no false claim was committed. FCA abuse is growing and expanding. The incentive for abuse is encouraging some whistleblowers and federal agencies to push the curious proposition that estimates of future costs can be fraudulent, thus triggering liability under a FCA. See: The Strange Notion of Estimates as Fraud: Will Weather Predictions Be Next Under the False Claims Act?, 40 Proc. Law. 1 (Summer 2005); False or Inaccurate Estimates, West 4

Publications: Briefing Papers, Second Series No. 05-13 (December 2005). Here, FCA plaintiffs are in quest of virtually unlimited opportunities to abuse the FCA by using 20/20 hindsight to second-guess good faith judgments made by contractors and accepted by government contracting agencies during negotiations. Another authority has commented: State prosecutions are more directly influenced by political changes than the federal system, so there is greater potential for inconsistency in a new proliferation of state enforcement actions.one can only imagine what politically motivated state attorneys general (e.g., Elliot Spitzer), not to mention city attorneys hoping for higher office, will do with a law in which liability is based on recklessness, not fraud, and which also provides crippling damages and penalties, devastating collateral consequences, and an army of plaintiffs lawyers more than willing to bring any case, whatever the merits. See: New False Claims Law Incentives Pose Risks to Contractors and States, Washington Legal Foundation, Critical Legal Issues, Working Paper Series, No. 139, June 2006. (Attached). Significant points that identify the many aspects of a FCA that are of grave concern to the construction industry include: The definition of claim is so broad that almost any action by a contractor could be a claim. Some interpret a claim to be a single document; others interpret it to be separate phrases or items within a single document. A claim need not be in writing at all. Likewise, there is no distinction where negotiations over a difference of opinion end and a claim begins. (Section 1 (2)) The definition of knowing and knowingly is expanded by two broad provisions to have no boundaries. Acting in deliberate ignorance or reckless disregard of the truth or falsity leaves the provision open to interpretation. (Section 1 (1) (A) (B)) The term false is not defined. In many cases falsity is not clear. For example, questions of scientific or engineering judgment are neither strictly true nor strictly false. Questions of interpretation of specifications, drawings or other technical requirements may be matters of opinion on which reasonable minds may disagree without making a false statement. Here, any contractor that shares his true thinking with the government can be liable for a false claim. A FCA does not require a showing of specific intent to defraud. The standard for this scienter requirement for civil liability is much easier to meet than for common law fraud or the criminal FCA. Here, a corporation may be held liable under the civil FCA for acts of its employees and subcontractors as long as they acted within the scope of authority, even if no management personnel knew about the false claims. A person who makes a claim on behalf of a corporate entity could go to prison, raising questions of due process and fairness. (Section 1(1)(C)). 5

A FCA does not require a showing of materiality. Materiality means that the claim s falsity must have had a natural tendency to influence the Government s decision to pay. Without it, the Act allows misconstruing trivial violations of the letter of the contract documents as false claims. The preponderance of the evidence standard of proof is lower than the clear and convincing evidence standard of proof that applies to actions in fraud. The low standard of proof combines with the broad elements of a claim to make actions relatively easy to allege and prove, especially considering the gray area of construction judgment. The low standard of proof encourages abuse, because it compounds the problems with the broad definitions. (Section 13) The high penalties and damages often far exceed any harm to the government. Penalties of $5,000 to $10,000 per claim, three-times the government s damages, all costs for investigation and prosecution, debarment and criminal penalties combine with the easy legal standards to create a tremendous threat. (Section 2 (b)) The attorney fees and costs provisions are unbalanced. A successful plaintiff automatically collects reasonable attorney fees and costs; on the other hand, a successful defendant only has a remedy against the plaintiff for abuse of a false claims act in rare and unusual circumstances. (Section 2(b) and Section 6 (c)) If you have any questions, please contact Don Shubert or Matthew Hallisey at 860-529- 6855. 6