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

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Concurrent Session III March 6, 2003 3.05 Investigating Allegations of Scientific Misconduct and the False Claims Act Edwin Rauzi Davis Wright Tremaine Seattle, WA

U.S. Department of Health and Human Services Public Health Service Grant Application (PHS 398) Instructions for PHS 398 Rev. 05/2001 Form Approved Through 05/2004 OMB No. 0925-0001

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Standard Form LLL, Disclosure of Lobbying Activities, its instructions, and continuation sheet are available from GrantsInfo, National Institutes of Health, e-mail: GrantsInfo@nih.gov, (301) 435-0714. NONDELINQUENCY ON FEDERAL DEBT The Federal Debt Collection Procedure Act, 28 U.S.C. 3201 (e), provides that an organization or individual that is indebted to the United States, and has a judgment lien filed against it, is ineligible to receive a Federal grant. NIH cannot award a grant unless the authorized organizational official of the applicant organization (or individual in the case of an individual National Research Service Award) certifies, by means of his/her signature on the application, that the organization is not delinquent in repaying any Federal debt. If the applicant discloses delinquency on a debt owed to the Federal Government, NIH may not award the grant until the debt is satisfied or satisfactory arrangements are made with the agency to which the debt is owed. RESEARCH MISCONDUCT Each institution that receives or applies for a research, research training, or research-related grant or cooperative agreement under the Public Health Service Act must certify that the institution has established administrative policies as required by (1) 42 CFR Part 50, Subpart A, Responsibilities for PHS Awardee and Applicant Institutions for Dealing with and Reporting Possible Misconduct in Science and (2) 42 CFR 94, Public Health Service Standards for the Protection of Research Misconduct Whistleblowers (effective on the date set forth in the final rule.) The signature of the official signing for the applicant organization on the Face Page of the application serves as certification that: 1. The institution will comply with the requirements of the PHS regulations for dealing with reporting possible scientific misconduct under 42 CFR Part 50, Subpart A, and for protecting research misconduct whistleblowers under 42 CFR Part 94; 2. The institution has established policies and procedures incorporating the provisions set forth in 42 CFR Part 50, Subpart A, and 42 CFR Part 94; 3. The institution will provide its policies and procedures to the Office of Research Integrity upon request; and 4. The institution will submit an Annual Report on Possible Research Misconduct (Form 6349). A copy of Form 6349, covering the previous year, will be automatically sent to all PHS awardees by the Office of Research Integrity each January. Misconduct in Science and Research Misconduct are defined by the Public Health Service as fabrication, falsification, plagiarism or other practices that seriously deviate from those that are commonly accepted within the scientific community for proposing, conducting or reporting research. It does not include honest error or honest differences in interpretation or judgments of data. For further information, please contact: Office of Research Integrity Division of Education and Integrity Rockwall II, Suite 700 5515 Security Lane Rockville, MD 20852, Phone: (301) 443-5300 Fax: (301) 594-0042 or (301) 445-5351. ASSURANCE OF COMPLIANCE (CIVIL RIGHTS, HANDICAPPED INDIVIDUALS, SEX DISCRIMINATION, AGE DISCRIMINATION) Before a grant award can be made, a domestic applicant organization must certify that it has 51 PHS 398

DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service ANNUAL REPORT ON POSSIBLE RESEARCH MISCONDUCT Please make any mailing changes in the space to the right: FORM APPROVED: OMB No. 0937-0198; Expires: 12/31/02 See Statement of Burden on Reverse Period Covered by this Report January 1, 2001 to December 31, 2001 INSTITUTIONAL OFFICIAL S NAME INSTITUTIONAL OFFICIAL S TITLE NAME OF INSTITUTION Place mailing label here. MAILING ADDRESS OF INSTITUTIONAL OFFICIAL Section I. Administrative Policy Each institution which receives or applies for a PHS research, research-training or research-related grant or cooperative agreement must have established an administrative policy for responding to allegations of research misconduct that complies with the PHS regulation (42 CFR Part 50, Subpart A) and certify that it will comply with that policy. This regulation does not cover regulated research under the jurisdiction of the Food and Drug Administration (FDA). Has your institution established the administrative policy for responding to allegations of research misconduct required by the PHS regulation?. Yes No Section II. Types of Misconduct Activity Related to PHS Applications and Awards A. PLEASE CHECK THE BOX (to the left) if your institution has NOT received any allegations or conducted any inquiries or investigations of allegations during the reporting period that (1) fall under the PHS definition of research misconduct and (2) involve receipt of or requests for PHS funding, then complete Section III. Otherwise, please complete Section II. B. Please provide the requested information for each incident of alleged misconduct that involved a request for or receipt of PHS funds that fell within the PHS definition of research misconduct. Please note that, in accordance with section 50.103(d)(4), all investigations are to be reported to the Office of Research Integrity (ORI) before or immediately upon commencement of the investigation. PLEASE NOTE: For each incident of alleged research misconduct resulting in an allegation, inquiry, and/or investigation at your institution: (1) provide the ORI case number, if assigned; (2) check the type of activity (allegation, inquiry, and/or investigation -- may include more than one activity type for each reported incident); and (3) check the type of misconduct involved with each activity (may include more than one type of misconduct). Attach a separate sheet if additional space or clarification is required. Do NOT include any alleged fiscal misconduct, human or animal subject abuses, conflicts of interest, or violations of FDA regulated research. 1. Activity continued into 2001: Incident Number ORI Case Number, if assigned Type of Activity Fabrication Type of Misconduct Falsification Plagiarism Other Serious Deviations 1. Inquiry............ Investigation....... 2. Inquiry............ Investigation....... 3. Inquiry............ Investigation....... Continued on back PHS-6349 (Front) Rev. 1/02 Created by: PSC Media Arts (301) 443-2454 EF

Section II. (Continued) B. (Continued) 2. Activity begun in 2001: Incident Number ORI Case Number, if assigned Type of Activity Fabrication Type of Misconduct Falsification Plagiarism Other Serious Deviations 1. Allegation.......... Inquiry............ Investigation....... 2. Allegation.......... Inquiry............ Investigation....... 3. Allegation.......... Inquiry............ Investigation....... C. Did your institution determine that any of the allegations received in 2001 were made in bad faith? Yes No If so, how many allegations were determined to have been made in bad faith? What actions, if any, did your institution take against the whistleblower(s)? Allegation 1: Allegation 2: Section III. Certification Official Certifying for Institution: NAME OF OFFICIAL (Please type) TITLE SIGNATURE DATE TELEPHONE NUMBER E-MAIL ADDRESS OF OFFICIAL: FAX NUMBER ( ) ( ) STATEMENT OF BURDEN Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Reports Clearance Officer, PHS, Hubert H. Humphrey Building, Room 503-H, 200 Independence Avenue, S.W., Washington, D.C. 20201 (Attn: PRA) and to: Office of Management and Budget, Paperwork Reduction Project (0937-0198) Washington, D.C. 20502. Please do not return this form to either of these addresses. PHS-6349 (Back) Rev. 1/02 RETURN THIS FORM TO: Assurance Program Office of Research Integrity 5515 Security Lane, Suite 700 Rockville, MD 20852 Phone: (301) 443-5300 FAX: (301) 594-0042 E-Mail: JBUTLER@OSOPHS.DHHS.GOV

Concurrent Session III March 6, 2003 3.05 Investigating Allegations of Scientific Misconduct and the False Claims Act Edwin Rauzi Davis Wright Tremaine Seattle, WA The New Federal definition of Scientific Misconduct is not yet effective Please note that PHS funded institutions should continue to apply the current PHS regulations, "Responsibility of PHS Awardee and Applicant Institutions for Dealing With and Reporting Possible Misconduct in Science,@ 42 CFR Part 50, Subpart A, originally issued in 1989, until HHS formally implements the new Federal definition and policy through revised regulations. 42 CFR 50.101 (Scope) The regulations apply to each entity that applies for a research, research training, or research-related grant or cooperative agreement under the Public Health Service (PHS) Act. 6

42 CFR 50.101 (Content) The regulations require each entity to establish-- uniform policies and procedures for investigating and reporting instances of alleged or apparent misconduct 42 CFR 50.101 (Limits) The regulations do not supersede procedures for resolving fiscal improprieties, issues concerning the ethical treatment of human or animal subjects, or criminal matters. 42 CFR 50.101 (Duties) An applicant or recipient institution shall make an annual submission to the Office of Scientific Integrity (1) The institution's assurance shall be updated annually (2) An institution shall submit, along with its annual assurance, information on allegations, inquiries, and investigations 7

(Current definition) Misconduct or Misconduct in Science fabrication, falsification plagiarism, or other practices that seriously deviate from those that are commonly accepted within the scientific community for proposing, conducting, or reporting research. The Alternate Characterization [Scientific Misconduct] does not include-- (1) honest error or (2) honest differences in interpretations or judgments of data. Assurances Each institution that applies for or receives assistance for biomedical or behavioral research must have an assurance that it (1) Has established an administrative process for reviewing, investigating, and reporting allegations of misconduct in science in connection with PHSsponsored research conducted at the applicant institution or sponsored by the applicant; and (2) Will comply with its own administrative process and the regulations. 8

An institution will be in compliance with its assurance if it: (1) Establishes, keeps current, and upon request provides authorized Departmental officials the policies and procedures required by the regulations. (2) Informs its scientific and administrative staff of the policies and procedures and the importance of complying with those policies and procedures. An institution will be in compliance with its assurance if it: (3) Takes immediate and appropriate action as soon as misconduct on the part of employees or persons within the organization's control is suspected or alleged. (4) Informs, in accordance with this subpart, and cooperates with the OSI with regard to each investigation of possible misconduct. Inquiries, Investigations, and Reporting-- Policies and procedures must provide for: Inquiring immediately into an allegation or other evidence of possible misconduct. An inquiry must be completed within 60 calendar days of its initiation unless circumstances clearly warrant a longer period. A written report shall be prepared that states what evidence was reviewed, summarizes relevant interviews, and includes the conclusions of the inquiry. 9

Inquiries, Investigations, and Reporting-- Policies and procedures must provide for: The individual(s) against whom the allegation was made shall be given a copy of the report of inquiry. If they comment on that report, their comments may be made part of the record. If the inquiry takes longer than 60 days to complete, the record of the inquiry shall include documentation of the reasons for exceeding the 60-day period. An inquiry decide only whether an investigation is warranted Inquiry means information gathering and initial fact finding to determine whether an allegation or apparent instance of misconduct warrants an investigation. Investigation means the formal examination and evaluation of all relevant facts to determine if misconduct has occurred. The [New Improved] Federal Policy on Research Misconduct Research misconduct is defined as fabrication, falsification, or plagiarism in proposing, performing, or reviewing research, or in reporting research results. No rights, privileges, benefits or obligations are created or abridged by the policy alone. The creation or abridgment of rights, privileges, benefits or obligations, if any, shall occur only upon implementation of this policy by the Federal agencies. 10

The [New Improved] Federal Policy on Research Misconduct Research includes all basic, applied, and demonstration research in all fields of science, engineering, and mathematics. This includes, but is not limited to, research in economics, education, linguistics, medicine, psychology, social sciences, statistics, and research involving human subjects or animals. (Future?) Misconduct Fabrication is making up data or results and recording or reporting them. Falsification is manipulating research materials, equipment, or processes, or changing or omitting data or results such that the research is not accurately represented in the research record. (Future?) Misconduct Plagiarism is the appropriation of another person's ideas, processes, results, or words without giving appropriate credit. Research misconduct does not include honest error or differences of opinion. 11

The research record-- is the record of data or results that embody the facts resulting from scientific inquiry, and includes, but is not limited to, research proposals, laboratory records, both physical and electronic, progress reports, abstracts, theses, oral presentations, internal reports, and journal articles. Adding burden of proof and state of mind A finding of research misconduct requires that: There be a significant departure from accepted practices of the relevant research community; and The misconduct be committed intentionally, or knowingly, or recklessly; and The allegation be proven by a preponderance of evidence. Key differences Current definition of Scientific Misconduct other practices that seriously deviate from those that are commonly accepted within the scientific community for proposing, conducting, or reporting research. Burden of Proof State of Mind 12

Model Policies and Procedures The mother lode-- http://ori.dhhs.gov/html/publications/guidelines.asp In both cases, the model documents tend to increase the scope of the researcher s duties (so read them before adopting them verbatim). The False Claims Act Where do laws come from? The scandal The editorial There ought to be a law The Law Any Person who knowingly presents to an officer or employee of the United States Government a false or fraudulent claim for payment or approval; or 13

Any Person who knowingly uses a false record or statement to get a false or fraudulent claim paid or approved by the Government is liable to the U.S. Government for a civil penalty of-- not less than $5,000 and not more than $10,000, per claim* plus 3 times the amount of damages which the Government sustains plus attorneys fees * this amount is increased by an inflation factor knowing and knowingly mean that a person-- has actual knowledge of the information; acts in deliberate ignorance of the truth or falsity of the information; or acts in reckless disregard of the truth or falsity of the information, no proof of specific intent to defraud is required. 14

The Pure Heart and Empty Head Defense (and why it usually doesn t work) What is a Claim? A claim includes any request or demand whether under a contract or otherwise, for money or property which is made to a contractor, grantee, or other recipient if the United States Government provides any portion of the money or property which is requested... The concept of a private attorney general A person may bring a civil action for the person and for the United States Government. The action shall be brought in the name of the Government. The action may be dismissed only if the court and the Attorney General give written consent to the dismissal and their reasons for consenting. 15

The existence of the lawsuit is, initially, kept secret A copy of the complaint and the evidence and information the Whistleblower has is given to the Government The complaint is filed in camera and remains under seal for at least 60 days, and is not served on the defendant until the court orders The Government may elect to intervene and proceed with the action The existence of the lawsuit may remain a secret for years The Government may, for good cause shown, move the court for extensions of the time during which the complaint remains under seal By all accounts, good cause for an extension is relatively easy to establish Even if the government decides the case has no merit, it may not go away If the Government declines, the person who initiated the action has the authority to pursue the case If the Government requests (and it always does), it receives copies of all pleadings in the action and copies of deposition transcripts The court may permit the Government to intervene at a later date 16

The conscious effort to foster a bounty hunter mentality If the Government proceeds with the lawsuit, action, the person who brought it to its attention shall receive at least 15 percent but not more than 25 percent of the proceeds of the action or settlement of the claim depending upon the extent to which the person contributed to the success of the case If the whistleblower goes it alone, the potential reward is greater If the Government does not proceed with an action under this section, the person bringing the action or settling the claim shall receive an amount which the court decides is reasonable for collecting the civil penalty and damages. The amount shall be not less than 25 percent and not more than 30 percent of the proceeds of the action or settlement The Care and Feeding of Whistleblowers Is a release of claims by a whistleblower enforceable? What is retaliation?

The two leading cases United States ex rel Cantekin v. Univ. of Pittsburgh, 192 F.3d 402 (3rd Cir. 1999). United States ex rel. Berge v. Board of Trustees of the Univ. of Ala., 104 F.3d 1453, 1457-1459 (4th Cir.), cert. denied, 522 U.S. 916 (1997) The Bottom Line The Assurance is given, at a minimum, once a year. For some institutions, the accuracy of the Assurance with respect to the full range of its components may be open to question. An inaccurate Assurance is susceptible of being characterized as a knowing use of a false statement in order to get a claim paid.