Doe v. Planned Parenthood

CourtCourt of Appeals for the Fifth Circuit
DecidedFebruary 26, 2025
Docket23-11184
StatusUnpublished

This text of Doe v. Planned Parenthood (Doe v. Planned Parenthood) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Doe v. Planned Parenthood, (5th Cir. 2025).

Opinion

Case: 23-11184 Document: 120-1 Page: 1 Date Filed: 02/26/2025

United States Court of Appeals for the Fifth Circuit United States Court of Appeals Fifth Circuit

____________ FILED February 26, 2025 No. 23-11184 Lyle W. Cayce ____________ Clerk

United States of America, ex rel, Alex Doe, Relator,

Plaintiff—Appellee,

versus

Planned Parenthood Federation of America, Incorporated,

Defendant—Appellant. ______________________________

Appeal from the United States District Court for the Northern District of Texas USDC No. 2:21-CV-22 ______________________________

Before Barksdale, Southwick, and Graves, Circuit Judges. Per Curiam:* Relator sued Planned Parenthood Federation of America on a respondeat superior theory of liability under the False Claims Act and its state law analogues. The district court granted Planned Parenthood summary judgment on the reverse-false-claims count but denied summary judgment on Relator’s implied-false-certification claim and conspiracy claim. Because

_____________________ * This opinion is not designated for publication. See 5th Cir. R. 47.5. Case: 23-11184 Document: 120-1 Page: 2 Date Filed: 02/26/2025

No. 23-11184

Planned Parenthood is entitled to immunity for the acts of its attorneys, it was entitled to summary judgment on these claims. Accordingly, we REVERSE and REMAND. BACKGROUND Planned Parenthood Federation of America Planned Parenthood Federation of America, Inc. (“PPFA”) is a non- profit membership organization that supports local affiliate members providing medical and healthcare services. Each PPFA Affiliate is its own 501(c)(3) organization with its own CEO and board of directors. Three of those affiliates, relevant to this appeal, are Defendants Planned Parenthood Gulf Coast (“PPGC”),1 Planned Parenthood of Greater Texas (“PPGT”), and Planned Parenthood South Texas (“PPST”) (collectively, “Affiliate Defendants”). PPFA has a litigation department, “Litigation & Law” (“L&L”), that provides legal advice and representation to PPFA affiliates and at times to PPFA. Access to L&L is one of the many ways that PPFA supports its affiliates. Although L&L attorneys are employed by PPFA, they have separate duties to the PPFA affiliates as their clients and PPFA has no control over whether L&L represents an affiliate in a given matter. Underlying litigation In April 2015, Relator Alex Doe entered a PPGC facility and recorded conversations with PPGC staff regarding the potential for PPGC to facilitate donations of fetal tissue for research. Relator Alex Doe released portions of the footage publicly, and in response, Louisiana and Texas sought to

_____________________ 1 PPGC operated in Texas from 2010 to 2021. From 2010 to the present, PPGC has also operated in Louisiana.

2 Case: 23-11184 Document: 120-1 Page: 3 Date Filed: 02/26/2025

terminate the Affiliate Defendants’ enrollment in each state’s Medicaid programs. In September 2015, Louisiana Department of Health (“LDH”) issued a notice of termination to PPGC. In October 2015, Texas’ Health and Human Services Commission’s Office of the Inspector General issued notices of termination to PPGC, PPGT, and PPST. The notices stated that they would become administratively final thirty days after issuance if not challenged through the state administrative process. After consultation with L&L and other counsel, Affiliate Defendants decided to pursue injunctions of both terminations in federal court rather than challenging them through the state administrative process. In October 2015, the Louisiana court enjoined Louisiana from terminating PPGC, and a panel of this court affirmed. Planned Parenthood Gulf Coast, Inc. v. Gee, 862 F.3d 445, 459–60 (5th Cir. 2017), en banc review denied, 876 F.3d 699 (2017) (per curiam). The Texas district court also entered a preliminary injunction prohibiting Texas from terminating the Affiliate Defendants’ Medicaid agreements, but our en banc court reversed in November 2020. Planned Parenthood of Greater Tex. v. Kauffman, 981 F.3d 347, 350 (5th Cir. 2020) (en banc). After the Kauffman decision, the Affiliate Defendants consulted with their attorneys, including L&L, and obtained Texas’ agreement to a one- month grace period before their termination from Texas Medicaid. The Louisiana district court however, rejected the State’s request to vacate the injunction in light of Kauffman. Louisiana later settled the case and allowed PPGC to remain in the Louisiana Medicaid program where it remains to this day. Procedural history Relator filed his complaint on February 5, 2021. The United States declined intervention. Relator brought claims against the Affiliate

3 Case: 23-11184 Document: 120-1 Page: 4 Date Filed: 02/26/2025

Defendants asserting that they violated federal and state False Claims Act reverse-false-claims provisions—which prohibit withholding money from the government when there is an obligation to pay—because they failed to repay the reimbursements they received for Medicaid services while the injunctions were in place. In the alternative, Relator alleged that the Medicaid claims submitted by Affiliate Defendants for services provided while the injunctions were in place were knowingly false at the time they were made (the implied-false-certification claim). Finally, as against the Affiliate Defendants, Relator asserted that the Affiliate Defendants conspired with each other and PPFA to violate the False Claims Act (“FCA”), 31 U.S.C. § 3729, the Texas Medicaid Fraud Prevention Act (“TMFPA”), Tex. Hum. Res. Code § 36.002, and the Louisiana Medical Assistance Program Integrity Law (“LMAPIL”), La. Rev. Stat. § 46.438.3. Relator also seeks to hold PPFA directly liable under the FCA and its state analogues. Specifically, Relator alleges that “PPFA helped the Affiliate Defendants avoid their obligation to repay money to Texas and Louisiana Medicaid by masterminding and orchestrating a strategy—implemented by PPFA’s in- house litigation attorneys in their “Litigation & Law” Department (“L&L”), and other PPFA employees, in furtherance of PPFA’s mission[.]” The parties cross moved for summary judgment, and the district court granted PPFA summary judgment on Relator’s reverse-false-claims count, the only count in which Texas joined, leaving only Relator’s implied-false- certification claim and the conspiracy claim,2 neither of which are joined by Texas. The district court denied PPFA summary judgment on the latter two claims because it concluded that the litigation privilege does not apply since

_____________________ 2 Relator’s conspiracy claim is grounded solely in the TMFPA and the LMAPIL because the district court dismissed the federal claim for conspiracy to commit healthcare fraud.

4 Case: 23-11184 Document: 120-1 Page: 5 Date Filed: 02/26/2025

Relator is not attempting to attach personal liability to the L&L attorneys, but rather respondeat superior liability to PPFA; and because nothing in the FCA and its analogues purport to preclude liability if the person who causes the submission of false claims is an attorney. Accordingly, the district court concluded there was a material fact dispute as to whether PPFA’s scheme allowed Affiliate Defendants to continue seeking reimbursement even after they were terminated from the programs. PPFA appealed the district court’s order under the collateral-order doctrine and requested a stay.

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Doe v. Planned Parenthood, Counsel Stack Legal Research, https://law.counselstack.com/opinion/doe-v-planned-parenthood-ca5-2025.