Osinek v. Kaiser Permanente

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 7 RONDA OSINEK, et al., Case No. 13-cv-03891-EMC

8 Plaintiffs, ORDER GRANTING IN PART AND 9 v. DENYING IN PART PLAINTIFF’S MOTION TO STRIKE 10 PERMANENTE MEDICAL GROUP, INC, et al., 11 Docket No. 312 Defendants. 12 13 14 The United States has sued the following Kaiser entities in this False Claims Act (“FCA”) 15 litigation: (1) Kaiser Foundation Health Plan, Inc. (“KFHP”); (2) Kaiser Foundation Health Plan 16 of Colorado (“KFHP Colorado”); (3) The Permanente Medical Group, Inc. (“TPMG”); (4) 17 Southern California Permanente Medical Group (“SoCal PMG”); and (5) Colorado Permanente 18 Medical Group, P.C. (“Colorado PMG”). KFHP and KFHP Colorado are health plans; the 19 remaining Kaiser entities are physician medical groups. KFHP, TPMG, and SoCal PMG all 20 provide services in California; KFHP Colorado and Colorado PMG provide services in Colorado. 21 Each defendant filed an amended answer in September 2023. See Docket Nos. 298-302 (amended 22 answers). The government now challenges certain affirmative defenses raised in those amended 23 pleadings. 24 Having considered the parties’ briefs and accompanying submissions, as well as the oral 25 argument of counsel, the Court hereby GRANTS in part and DENIES in part the government’s 26 motion to strike. 27 I. FACTUAL & PROCEDURAL BACKGROUND 1 to the FCA, as well as a claim for payment by mistake and a claim for unjust enrichment. See 2 Docket No. 240 (FAC). 3 Each of the five Kaiser entities sued has filed amended answers in which they assert 4 affirmative defenses to these claims. KFHP’s amended answer is representative with respect to 5 most of the affirmative defenses at issue: 6 (1) Excessive fine. “A person liable under the False Claims Act ‘is liable . . . for civil 7 penalties of not less than $5,000 and not more than $10,000 . . . , plus 3 times the 8 amount of damages which the Government sustains because of the act of that person. 9 The United States seeks hundreds of millions of dollars in damages, which are subject 10 to trebling if awarded. In addition, the United States contends that each diagnosis code 11 at issue is a claim for payment, such that each allegedly false diagnosis code could 12 result in mandatory civil penalties ranging from $5,000 to $10,000. While the United 13 States has not yet disclosed in discovery all of the diagnosis codes that it may allege 14 are false, Defendant alleges that hundreds of thousands of diagnosis codes may be at 15 issue, Accordingly, upon information and belief, Defendant alleges that the civil 16 penalties and damages that the United States seeks would result in an 17 unconstitutionally excessive fine under the Eighth Amendment . . . because any award 18 would be grossly disproportional to the gravity of Defendant’s offense, if any.” Docket 19 No. 298 (KFHP Am. Ans. ¶ 397). 20 (2) Ratification. “[T]hrough Risk Adjustment Data validation audits, CMS reviewed and 21 verified the types of diagnosis codes that the United States now alleges are false . . . . 22 Defendant contends that, as early as 2003, CMS also has stated that healthcare provider 23 documentation of a diagnosis in the beneficiary’s medical record is acceptable support 24 for submission of diagnosis codes to CMS . . . , even though the United States[] . . . 25 challenges submission of diagnosis codes to CMS where a healthcare provider has 26 documented in the medical record the diagnosis at issue. Accordingly, upon 27 information and belief, Defendant asserts that through its actions and omissions, the 1 the subject of this action.” Docket No. 298 (KFHP Am. Ans. ¶ 398). 2 (3) Failure to mitigate damages. “The United States did not take reasonable steps to 3 notify Defendant that the United States disagreed with Defendant’s interpretation of 4 Section IV.K of the ICD-9 Guidelines and Section IV.J of the ICD-10 Guidelines (the 5 ‘Contested Provision’) and that the United States believed that Defendant was 6 improperly presenting diagnosis codes to CMS based on that disputed interpretation. 7 Defendant alleges that CMS knew of Defendant’s interpretation and application of the 8 Contested Provision through communications between representatives of CMS and 9 representatives of Defendant about its risk-adjustment data submissions and CMC’s 10 Risk Adjustment Data Validation (‘RADV’) audits, through which CMS reviewed and 11 verified diagnoses coded consistent with Defendant’s interpretation of the Contested 12 Provision. Defendant alleges that the United States knew that other Medicare 13 Advantage Organizations also held the same interpretation of the Contested Provision 14 as Defendant . . . . Accordingly, even if Defendant’s interpretation of the Contested 15 Provision is proven to be incorrect, Defendant is not liable to the extent that the United 16 States failed to take adequate measures to mitigate its damages.” Docket No. 298 17 (KFHP Am. Ans. ¶ 399). 18 (4) Estoppel. “Even though CMS knew how Defendant and others in the industry 19 interpreted and applied the Contested Provision, and even though CMS received 20 repeated requests to clarify how to interpret and apply the Contested Provision, CMS 21 persistently refused to provide clear guidance to Defendant and other Medicare 22 Advantage Organizations about the correct way to interpret the Contested Provision. 23 Defendant relied on these acts and/or omissions by CMS in conducting its risk- 24 adjustment activities and in interpretating the ICD Guidelines, which the United States 25 now challenges . . . . Accordingly, even if Defendant’s interpretation of the Contested 26 Provision is proven to be incorrect, the United States’ claims for relief are barred, in 27 whole or in part, by the doctrine of estoppel.” Docket No. 298 (KFHP Am. Ans. ¶ 1 400).1 2 KFHP Colorado also asserts one affirmative defense unique to it – one known as 3 “voluntary disclosure” and brought pursuant to the FCA. Specifically, KFHP Colorado alleges as 4 follows:

5 In 2015, Defendant conducted an internal review related to diagnosis codes that Defendant submitted to CMS for risk- 6 adjustment purposes. In connection with that review, Defendant discovered that some diagnoses associated with diagnosis codes 7 submitted to CMS may not have been documented for the relevant Medicare Advantage beneficiaries. Defendant voluntarily disclosed 8 this information to CMS within 30 days of obtaining the information, and voluntarily redacted the associated diagnosis codes. 9 At the time of this disclosure, Defendant was not aware of an investigation by the United States into these specific diagnosis codes 10 or a lawsuit by any relator involving these specific diagnosis codes. Because the United States has not yet disclosed all of the claims for 11 payment that it contends are false in this case, Defendant is unable to determine if the voluntary disclosure provision of the FCA, 31 12 U.S.C. § 3729(a)(2), would apply based on Defendant’s voluntary disclosure and redaction of these diagnosis codes. Defendant 13 therefore asserts, upon information and belief and subject to discovery, that to the extent damages are awarded against Defendant 14 relating to any of the diagnosis codes that Defendant voluntarily disclosed to CMS and redacted, they should be reduced pursuant to 15 31 U.S.C. § 3729(a)(2). 16 Docket No. 299 (KFHP Colo. Ans. ¶ 397). 17 II. LEGAL DISCUSSION 18 A. Legal Standard

19 Federal Rule of Civil Procedure 8 requires a defendant to state "in short and plain terms its defenses to each claim asserted against it" 20 and to "affirmatively state any avoidance or affirmative defense." Fed. R. Civ. P. 8(b)(1)(A), (c). Rule 12(f) provides that "[a] court 21 may strike from a pleading an insufficient defense or any redundant, immaterial, impertinent, or scandalous matter." Fed. R. Civ. P. 22 12(f). The Ninth Circuit has thus interpreted Rule 8(c) to require that the responsive pleading give the plaintiff "fair notice of the 23 [affirmative] defense." Schutte & Koerting, Inc. v. Swett & Crawford, 298 F. App'x 613, 615 (9th Cir. 2008) (quoting Wyshak v. 24 City Nat'l Bank, 607 F.2d 824, 827 (9th Cir. 1979)). 25 1 There is a fifth affirmative defense (based on the nondelegation doctrine), but the government 26 does not challenge this specific defense at this time. See Docket No. 298 (KFHP Am. Ans. 401) (“To the extent that the United States premises its claims for relief on allegations that Defendant 27 violated guidance or an interpretation of guidance issued by a private, non-governmental entity, 1 United States v. Acad. Mortg. Corp., No. 16-cv-02120-EMC, 2020 U.S. Dist. LEXIS 226154, at 2 *3 (N.D. Cal. Dec. 2, 2020). 3 In Academy Mortgage (an FCA case like this one), this Court expressly held that the 4 heightened pleading standard articulated in Bell Atlantic Corp. v. Twombly, 550 U.S. 544 (2007), 5 and Ashcroft v. Iqbal, 556 U.S. 662 (2009), applies not only to claims asserted in a complaint but 6 also affirmative defenses asserted in an answer. See id. That is, “[a] defendant must plead 7 sufficient facts to state a defense ‘that is plausible on its face.’” Acad. Mortg., 2020 U.S. Dist. 8 LEXIS 226154, at *4. 9 B. Prejudice 10 In their papers, the Kaiser Defendants first make a procedural argument in opposition to 11 the motion to strike. Specifically, they argue that the motion to strike should be dismissed because 12 the government has failed to show that it would be prejudiced absent relief. See, e.g., United 13 States ex rel. Ling v. City of Los Angeles, No. CV 11-974 PSG (JCx), 2020 U.S. Dist. LEXIS 14 46043, *5-6 (C.D. Cal. Jan. 28, 2020 (“In view of [the] disfavor [of motions to strike], courts often 15 require a showing of prejudice by the moving party before granting the requested relief. ‘The 16 possibility that issues will be unnecessarily complicated or that superfluous pleadings will cause 17 the trier of fact to draw unwarranted inferences at trial is the type of prejudice that is sufficient to 18 support the granting of a motion to strike.’”); United States v. Paksn, Inc., No. 2:15-cv-09064-SB- 19 AGR, 2022 U.S. Dist. LEXIS 126688, *5-6 (C.D. Cal. Feb. 7, 2022) (“[A]ny benefit [to a motion 20 to strike] is usually outweighed by its cost, potential for needless delay, and the risk of premature 21 adjudication on an undeveloped factual and legal record. As a result, . . . [a motion to strike] 22 should be denied unless the challenged allegations have no possible relation or logical connection 23 to the subject matter of the controversy and may cause some form of significant prejudice to one 24 or more of the parties to the action.’”). 25 This argument is not particularly persuasive because, in evaluating prejudice, the Court 26 takes into account the function of a Rule 12(f) motion to strike – i.e., “to avoid the expenditure of 27 time and money that would arise from litigating spurious issues, by dispensing with those issues 1 1524, 1527 (9th Cir. 1993) (stating that “‘[t]he function of a 12(f) motion to strike is to avoid the 2 expenditure of time and money that must arise from litigating spurious issues by dispensing with 3 those issues prior to trial’”), rev’d on other grounds, 510 U.S. 517 (1994). If the Kaiser 4 Defendants’ affirmative defenses are in fact insufficient, then the government would be prejudiced 5 by having to litigate spurious issues. 6 The Court therefore turns to the merits of the government’s motion to strike. 7 C. Equitable Affirmative Defenses 8 The government argues first that three of the affirmative defenses asserted – estoppel, 9 ratification, and failure to mitigate damages – should be stricken because they are all equitable in 10 nature, and “[e]quity cannot grant a remedy that Congress has not authorized with respect to 11 public funds.” Mot. at 3. The main case that the government cites in support is Office of 12 Personnel Management v. Richmond, 496 U.S. 414 (1990). 13 In Richmond, the plaintiff was a federal employee who ended his employment with the 14 government after his application for disability retirement was approved. See id. at 416. 15 Subsequently, the plaintiff did some part-time work that still enabled him to get disability 16 payments. After being offered the chance to expand on that work, he contacted the federal 17 government and asked how much he could earn without affecting his eligibility for the disability 18 payments. A federal employee gave him incorrect information and, as a result, the plaintiff ended 19 up doing the additional work which then led him to lose disability payments for six months. See 20 id. at 417-18. The plaintiff argued that his request for disability benefits should not have been 21 denied because the government should have been estopped from finding him ineligible based on 22 the incorrect advice he was given. 23 On appeal before the Supreme Court, the government asked for adoption of “‘a flat rule 24 that estoppel may not in any circumstances run against [it].’” Id. at 423. The Supreme Court 25 acknowledged that the government advanced substantial arguments in support of its position but it 26 ultimately declined to

27 embrace a rule that no estoppel will lie against the Government in Government. A narrower ground of decision is sufficient to address 1 the type of suit presented here, a claim for payment of money from the Public Treasury contrary to a statutory appropriation. 2 3 Id. at 423-424. 4 The narrower ground was based on the Appropriations Clause of the Constitution. That 5 clause provides as follows:

6 “[n]o Money shall be drawn from the Treasury, but in Consequence of Appropriations made by Law.” For the particular type of claim at 7 issue here, a claim for money from the Federal Treasury, the Clause provides an explicit rule of decision. Money may be paid out only 8 through an appropriation made by law; in other words, the payment of money from the Treasury must be authorized by statute. 9 10 Id. at 424 (quoting art. I, § 9, cl. 7). Or to state the matter slightly differently, “‘no money can be 11 paid out of the Treasury unless it has been appropriated by an act of Congress.’” Id. 12 The Supreme Court explained that judicial use of estoppel could not override this express 13 provision in the Constitution giving authority over Treasury funds to Congress: “Any exercise of a 14 power granted by the Constitution to one of the other Branches of Government is limited by a 15 valid reservation of congressional control over funds in the Treasury.” Id. at 425. The Court 16 pointed out that,

17 “[i]f it were otherwise, the executive would possess an unbounded power over the public purse of the nation . . . . The power to control 18 and direct the appropriations[] constitutes a most useful and salutary check upon profusion and extravagance, as well as upon corrupt 19 influence and public peculation . . . .” 20 Id. at 427. In other words, the Appropriations Clause “assure[s] that public funds will be spent 21 according to the letter of the difficult judgments reached by Congress as to the common good, and 22 not according to the individual favor of Government agents or the individual pleas of litigants.” 23 Id. at 428; see also id. at 429 (“Judicial adoption of estoppel based on agency misinformation 24 would . . . vest authority in these agents that Congress would be powerless to constrain.”). 25 The Supreme Court concluded by stating:

26 Whether there are any extreme circumstances that might support estoppel in a case not involving payment from the Treasury is a 27 matter we need not address. As for monetary claims, it is enough to there can be no estoppel, for courts cannot estop the Constitution. 1 2 Id. at 434 (emphasis added). 3 As an initial matter, the Court takes note that the Kaiser Defendants do not dispute that 4 estoppel, ratification, and failure to mitigate are nonstatutory, equitable defenses. In addition, the 5 Kaiser Defendants do not fundamentally dispute that Richmond can apply to defenses other than 6 estoppel. See also Flick v. Liberty Mut. Fire Ins. Co., 205 F.3d 386, 391 (9th Cir. 2000) (stating 7 that, “[b]ecause the holding in Richmond was based on the Appropriations Clause, its scope is not 8 limited to the applicability of estoppel to the federal government”; “[w]e would equally usurp 9 Congress’s exclusive power to appropriate money were we to award an unauthorized money claim 10 based on a theory of substantial compliance or notice prejudice”). 11 The Kaiser Defendants, however, do disagree with the government’s position that the three 12 affirmative defenses should be stricken. According to the Kaiser Defendants,

13 [g]iven the express limits on the Richmond holding [i.e., to situations where there is a claim for payment of money from the 14 Treasury contrary to a statutory appropriation], “the Supreme Court has not entirely foreclosed the possibility that a party could 15 successfully mount an equitable defense against the government in statutory enforcement actions.” [United States ex rel. Ling v. City of 16 Los Angeles, No. CV 11-974-PSG (JCx), 2020 U.S. Dist. LEXIS 46043, at *10-11 (C.D. Cal. Jan. 28, 2020).] 17 18 Opp’n at 4. In other words, the Kaiser Defendants suggest that Richmond is distinguishable from 19 the case at hand because, in Richmond, estoppel was being used to make an affirmative claim for 20 payment, whereas, here, estoppel is being used defensively to prevent collection by the 21 government. That distinction, however, is not material. Whether a person is seeking money from 22 the Treasury or trying to keep money from going back to the Treasury, control over public funds is 23 at issue, and if the affected funds were appropriated by Congress, the rationale of Richmond 24 applies. Indeed, the Ninth Circuit has implicitly recognized that Richmond can apply to a 25 defensive use of estoppel. See United States v. Fowler, 913 F.2d 1382, 1386 (9th Cir. 1990) 26 (stating that the plaintiff-government could not be estopped because, “if we were to permit the 27 [defendant-]Fowlers to estop the United States, we would be permitting them to retain public 1 expenditure” under Richmond). In a panel decision that was later vacated by an en banc decision 2 (on other grounds), the Fifth Circuit also rejected the argument that Richmond has no applicability 3 where estoppel is used defensively. See United States v. Southland Mgmt. Corp., 288 F.3d 665, 4 683 (5th Cir. 2002) (“find[ing] [Richmond’s] logic to be equally applicable in situations like the 5 present case, where the Government seeks to recover funds spent contrary to the will of Congress, 6 as in situations like Richmond, where the government sought to prevent payment of a claim that 7 would have been paid in derogation of the will of Congress”), overruled on other grounds, 326 8 F.3d 669 (5th Cir. 2003) (en banc). Finally, at least one district court has rejected the Kaiser 9 Defendants’ position. See United States ex rel. Poehling v. UnitedHealth Grp., No. CV 16-8697- 10 MWF (SSx), 2019 U.S. Dist. LEXIS 95393, at *37-38 (C.D. Cal. Mar. 28, 2019) (stating that the 11 Ninth Circuit has not held that “Richmond is inapplicable to defensive uses of estoppel”). This 12 Court agrees. 13 The Kaiser Defendants contend still that the Court should not decide the estoppel issue 14 now but rather should defer the matter until discovery has taken place so that a factual record may 15 be developed. In support, they again cite Ling. See Ling, 2020 U.S. Dist. LEXIS 46043, at *11- 16 12 (“Although under Heckler and Richmond the bar may be high for establishing a defense of 17 estoppel against the government, the Court cannot say it is impossible. Such a determination is 18 more appropriate on summary judgment, as demonstrated in Cahuilia Indians and Power Media 19 [which ruled on the equitable defense of laches at summary judgment].”). But again, Ling is not 20 persuasive. Though there may be some instances in which it is appropriate to wait until summary 21 judgment to decide an affirmative defense (i.e., so that the factual record may be developed), here 22 Kaiser has not presented any factual scenario that would alter the fact that the Kaiser Defendants 23 were indisputably paid from the Treasury with respect to the Medicare Advantage program. 24 Under Richmond, if funds come from the Treasury as appropriated by Congress, that is the end of 25 the analysis. See Richmond, 496 U.S. at 434 (“Whether there are any extreme circumstances that 26 might support estoppel in a case not involving payment from the Treasury is a matter we need not 27 address. . . . [T]his Court has never upheld as assertion of estoppel against the Government by a 1 the Constitution.”) (emphasis added). Several district courts have, in fact, granted motions to 2 strike an affirmative defense of estoppel where an FCA claim is at issue. See, e.g., Poehling, 2019 3 U.S. Dist. LEXIS 95393, at *14, 22, 34-39 (granting motion to strike affirmative defenses such as 4 estoppel, failure to mitigate, and ratification based on Richmond; government had asserted claims 5 for violation of the FCA, unjust enrichment, and payment by mistake because defendant had not 6 “delete[d] invalid diagnosis codes submitted to CMS for risk adjusted payments that it knew were 7 unsupported by its beneficiaries’ medical records”); United States ex rel. Monahan v. Robert 8 Wood Johnson Univ. Hosp., No. 02-5702 (JAG), 2009 U.S. Dist. LEXIS 111347, at *4, 20 (D.N.J. 9 Dec. 1, 2009) (where the government sued under the FCA to recover “outlier payments” (i.e., 10 “payments that the Medicare program makes to compensate hospitals for episodes of inpatient 11 care that are extraordinarily costly in relation to average or typical episodes of care”), granting 12 motion to strike estoppel defense under Richmond); United States v. Manhattan-Westchester Med. 13 Servs., P.C., No. 06 Civ. 7095 (WHP), 2008 U.S. Dist. LEXIS 5819, at *7-9 (S.D.N.Y. Jan. 28, 14 2008) (where the government brought claims under the FCA, common law fraud, unjust 15 enrichment, and payment under mistake of fact, holding that defendant’s estoppel defense failed as 16 a matter of law under Richmond and thus striking it). 17 To be sure, the Kaiser Defendants do present one argument that has more surface appeal. 18 That is, the Kaiser Defendants point out that, under the FCA, the government can get as a remedy 19 civil penalties and treble damages – i.e., this is not just about “returning” money that was 20 erroneously paid out from the Treasury. See 31 U.S.C. § 3729(a)(1) (providing that a person who 21 violates the FCA “is liable to the United States Government for a civil penalty of not less than 22 $5,000 and not more than $10,000, . . . plus 3 times the amount of damages which the Government 23 sustains because of the act of that person”). See, e.g., Docket No. 240 (U.S. Am. Compl. ¶ 381) 24 (“By reason of the false claims that Defendants knowingly presented or caused to be presented, the 25 United States has been damaged in a substantial amount to be determined at trial, and is entitled to 26 recover treble damages plus a civil monetary penalty for each false claim”); Docket No. 240 (U.S. 27 Am. Compl., Prayer for Relief) (“On Claims I, II, and III (False Claims Act), against all 1 required by law; (ii) the maximum civil penalties allowed by law, (iii) the costs of this action, plus 2 interest as provided by law, and (iv) any other relief that this Court deems appropriate.”). 3 But contrary to what the Kaiser Defendants argue, no court has adopted the position that 4 fines and civil penalties are exempt from the Richmond bar. To be sure, in Paksn, the court did 5 point out the government’s failure to “cite any authority addressing Defendants' argument that 6 Richmond does not bar equitable defenses to the United States's claims for punitive damages and 7 penalties because they do not involve requests for payment of money from the federal treasury and 8 therefore do not implicate the Appropriations Clause.” Paksn, 2022 U.S. Dist. LEXIS 126688, at 9 *6. But the court in Paksn ultimately did not decide the issue, stating that it “need not resolve this 10 dispute or address the United States's other merits-based arguments because the United States has 11 not adequately shown prejudice” – e.g., although the government claimed discovery-related 12 burdens, “the United States does not identify any evidence that would be relevant to Defendants' 13 affirmative defenses but which the United States would not otherwise produce.” Id. at *6-7 (thus, 14 “declin[ing] to determine the merits of Defendants' affirmative defenses at this stage”). 15 The Fifth Circuit panel in Southland (later vacated on other grounds by an en banc 16 decision) did address the issue and ruled in favor of the government. See Southland, 288 F.3d at 17 583 (“While we acknowledge that the treble damage provision of the civil FCA produces a harsher 18 result than mere recovery of the expended funds, we note that these damages and other remedies 19 are authorized by Congress. In addition, the fact that the unavailability of estoppel permits the 20 government to recover treble damages does not justify departure from the longstanding and 21 widely-accepted principle disfavoring government estoppel.”). 22 The Southland panel’s decision echoes the government’s argument which the Court finds 23 persuasive – to wit, that it is not within the province of a court of equity to “‘interfere to mitigate 24 [a] penalty or forfeiture [imposed by statute]’” because that “‘would be in contravention of the 25 direct expression of [Congress].’” Reply at 4 (quoting Clark v. Barnard, 108 U.S. 436, 457 26 (1883)); see also United States v. Dieckerhoff, 202 U.S. 302, 313 (1906) (stating that “[i]t is not 27 within the province of courts of equity to mitigate the harshness of penalties . . . for such relief 1 30 F.3d 635, 640 (5th Cir. 1994) (stating that “equity will not bar the imposition of a statutory 2 penalty”); United States v. Coastal Refining & Mktg., Inc., 911 F.2d 1036, 1043 (5th Cir. 1990) 3 (noting that “there is no inherent power for the judiciary to mitigate congressionally-mandated 4 penalties[;] [a] court in equity may not do that which the law forbids”); see also Ferris v. 5 Haymore, 967 F.2d 946, 957 (4th Cir. 1992) (in case involving violation of federal odometer 6 statute, holding the district court erred in reducing plaintiff’s judgment against the defendant by 7 the amount that plaintiff received from others in compromise of his federal claim against them; 8 “Congress determined that the treble damages awards are necessary to achieve the degree of 9 deterrence and compensation that it wished to exist, and we are without authority to adjust those 10 levels of deterrence and compensation through application of common law or equitable 11 principles”). At the very least, for Kaiser to get relief here, it would have to show that there was 12 some intent on the part of Congress to allow an equitable defense, such as estoppel, with respect to 13 a claim for penalties/treble damages brought under the FCA. It has not done so. Cf. In re Neff, 14 824 F.3d 1181, 1184 (9th Cir. 2016) (“Although the availability of equitable tolling ‘is 15 fundamentally a question of statutory intent,’ the Supreme Court presumes that Congress intended 16 that equitable tolling would be available ‘if the period in question is a statute of limitations and if 17 tolling is consistent with the statute.’”). As a matter of statutory interpretation, Kaiser has failed to 18 demonstrate equitable defenses such as estoppel are to be recognized under the FCA. 19 Accordingly, based on Richmond and as a matter of statutory interpretation, both the 20 affirmative defenses of estoppel and ratification (which is similar in nature to estoppel) are barred. 21 The reasoning above also applies to failure to mitigate – i.e., equity cannot block the Constitution 22 (specifically, the Appropriations Clause). See, e.g., Poehling, 2019 U.S. Dist. LEXIS 95393, at 23 *34-39 (striking various defenses, including failure to mitigate, based on Richmond); see also 24 Carrizales v. State Farm Lloyds, 518 F.3d 343, 350 (5th Cir. 2008) (noting that, “[i]n general, the 25 duty to mitigate damages is an equitable doctrine”). 26 The Kaiser Defendants suggest that, at the very least, the Court should not bar them from 27 proceeding with the failure-to-mitigate defense. They contend that this specific defense has been 1 Court sees no material reason why treat the defense of failure to mitigate should be treated 2 differently from the defense of estoppel, at least for Richmond purposes, given the facts in this 3 case. 4 To the extent the Kaiser Defendants point out that this Court did not strike a failure-to- 5 mitigate defense in an FCA case – specifically, Academy Mortgage Corp., 2020 U.S. Dist. LEXIS 6 226154, at *13 – that is true. But in Academy Mortgage, this Court discussed the failure-to- 7 mitigate defense only in the context of Twombly and Iqbal. The Court was not presented with the 8 argument that, e.g., the defense is not proper under Richmond (and the Appropriations Clause) or 9 even that a fraud on the government is not subject to a failure-to-mitigate defense. 10 As for the contention that the failure-to-mitigate defense still has applicability to common 11 law claims, such as payment by mistake and unjust enrichment which the government has asserted 12 in the case at bar, there is some authority to support the Kaiser Defendants’ position. See, e.g., 13 United States v. Rite Aid Corp., No. 2:12-cv-1699-KJM-EFB, 2020 U.S. Dist. LEXIS 7089, at *17 14 (E.D. Cal. Jan. 14, 2020) (indicating agreement with the statement that “the government does have 15 a duty to mitigate damages with respect to a claim for payment by mistake”); Jordan, 2002 U.S. 16 Dist. LEXIS 26622, at *52-54, 56 (declining to dismiss as a matter of law the defense of failure to 17 mitigate with respect to government’s claims for payment by mistake and unjust enrichment: 18 “[w]hether that duty arises turns on the facts of each case” and there were “[g]enuine issues of fact 19 . . . regarding Defendant’s state of mind”; also declining to dismiss the defense with respect to the 20 claim for common law fraud). That being said, there does not appear to be a clear rationale for 21 these rulings, and thus these decisions have little persuasive value. Furthermore, even though the 22 government’s claims are based on the common law here, and not a statute such as the FCA, a 23 statutory appropriation was still the basis for the CMS payments to the Kaiser Defendants (i.e., 24 pursuant to Medicare Advantage), and thus Richmond applies. See United States v. Fowler, 913 25 F.2d 1382, 1385-86 (9th Cir. 1990) (where government initiated a collection action against 26 defendants because government erroneously paid defendants pursuant to a government insurance 27 policy for which defendants were not actually eligible, precluding estoppel defense against 1 *37 (pointing to Fowler as an example where Ninth Circuit “has indeed applied Richmond to bar 2 defenses to non-statutory claims asserted by the government”). 3 To be clear, however, although the Court strikes these affirmative defenses, that does not 4 mean that the alleged conduct by the government is irrelevant. For example, the Kaiser 5 Defendants may still assert that, because the government did not act after learning of the alleged 6 fraud, the Kaiser Defendants cannot be said to have had the necessary scienter to defraud the 7 government. See Long, 2014 U.S. Dist. LEXIS 185675, at *9 n.4 (“To support its argument that 8 the government cannot recover where it continues to issue contracts after it is aware of alleged 9 noncompliance, GSD&M cites caselaw holding that the government's decision to continue 10 working with a defendant may preclude a finding of liability under the FCA. These cases 11 concerned whether the materiality or scienter elements were met where the government was aware 12 of the allegedly false claim, and not whether the government had a duty to mitigate.”) (emphasis 13 added). The Court does not prejudge the viability of that defense. 14 D. Excessive Fines Defense 15 For the excessive fines defense, the government raises two arguments: (1) it is not a true 16 affirmative defense (i.e., a defense that would defeat the FCA claim entirely) and therefore should 17 be stricken and (2) it is insufficiently pled. For purposes of this decision, the Court does not 18 concern itself with the first argument as, even if the government is correct, that would not bar the 19 Kaiser Defendants from asserting the same as a defense in the case (i.e., to limit penalties). Thus, 20 the Court focuses on the second argument – i.e., that the defense is not sufficiently pled. Here, the 21 government notes that a penalty is unconstitutional only if it is grossly disproportional to gravity 22 of defendant’s offense, see United States v. Bajakajian, 524 U.S. 321, 334 (1998) (stating that 23 “[t]he touchstone of the constitutional inquiry under the Excessive Fines Clause is the principle of 24 proportionality: The amount of the forfeiture must bear some relationship to the gravity of the 25 offense that it is designed to punish”; “[a] punitive forfeiture violates the Excessive Fines Clause if 26 it is grossly disproportional to the gravity of a defendant’s offense”), and then argues that 27 “Defendants fail to explain how any civil penalty in this matter would meet this framework”; even 1 may result in thousands of dollars in additional payments.” Mot. at 11. 2 At this juncture, the Kaiser Defendants have pled enough. First, they fairly point out that 3 they cannot make a more specific showing at this early stage of the litigation because “they cannot 4 know what the fines imposed in this case will be, if any. Plaintiff has yet to even identify all of 5 the diagnosis codes it asserts are false – rendering a calculation of even the maximum amount of 6 damages and civil penalties impossible.” Opp’n at 14. Second, the Kaiser Defendants make a fair 7 point that, given the government’s allegation that they “‘improperly obtained and retained 8 hundreds of millions of dollars in risk-adjustment payments from CMS,’” “it is plausible that 9 treble damages and civil penalties could total billions of dollars.” Opp’n at 14 n.5; see also 10 Docket No. 298 (KFHP Am. Ans. ¶ 397) (making the same point). It is premature to assess 11 Kaiser’s legal argument on this point in a factual vacuum. 12 The Court therefore declines to strike the excessive fines defense. 13 E. Voluntary Disclosure: Affirmative Defense Specific to KFHP Colorado 14 The FCA contains a provision that allows for reduced damages: 31 U.S.C. § 3729(a)(2). 15 Section 3729(a)(2) provides as follows.

16 (2) Reduced damages. If the court finds that –

17 (A) the person committing the violation of this subsection furnished officials of the United States responsible 18 for investigating false claims violations with all information known to such person about the violation 19 within 30 days after the date on which the defendant first obtained the information; 20 (B) such person fully cooperated with any Government 21 investigation of such violation; and

22 (C) at the time such person furnished the United States with the information about the violation, no criminal 23 prosecution, civil action, or administrative action had commenced under this title with respect to such 24 violation, and the person did not have actual knowledge of the existence of an investigation into 25 such violation,

26 the court may assess not less than 2 times the amount of damages which the Government sustains because of the act of that person. 27 1 liable to the government “for a civil penalty of not less than $5,000 and not more than $10,000 . . . 2 , plus 3 times the amount of damages which the Government sustains because of the act of that 3 person.” Id. § 3729(a)(1).) 4 In its answer, KFHP Colorado asserts that it is entitled to the reduction provided for in § 5 3729(a)(2). Specifically, it alleges:

6 In 2015, Defendant conducted an internal review related to diagnosis codes that Defendant submitted to CMS for risk- 7 adjustment purposes. In connection with that review, Defendant discovered that some diagnoses associated with diagnosis codes 8 submitted to CMS may not have been documented for the relevant Medicare Advantage beneficiaries. Defendant voluntarily disclosed 9 this information to CMS within 30 days of obtaining the information, and voluntarily redacted the associated diagnosis codes. 10 At the time of this disclosure, Defendant was not aware of an investigation by the United States into these specific diagnosis codes 11 or a lawsuit by any relator involving these specific diagnosis codes. Because the United States has not yet disclosed all of the claims for 12 payment that it contends are false in this case, Defendant is unable to determine if the voluntary disclosure provision of the FCA, 31 13 U.S.C. § 3729(a)(2), would apply based on Defendant’s voluntary disclosure and redaction of these diagnosis codes. Defendant 14 therefore asserts, upon information and belief and subject to discovery, that to the extent damages are awarded against Defendant 15 relating to any of the diagnosis codes that Defendant voluntarily disclosed to CMS and redacted, they should be reduced pursuant to 16 31 U.S.C. § 3729(a)(2). 17 Docket No. 299 (KFHP Colo. Ans. ¶ 397). 18 The government argues first that the voluntary disclosure defense is not a proper 19 affirmative defense because it “merely reduces damages” and does not entirely dispose of the FCA 20 claim. Mot. at 15. As indicated above in the section on the excessive fines defense, that position 21 seems problematic. 22 The government further argues that KFHP Colorado has not adequately pled the voluntary 23 disclosure defense for several reasons: (1) with respect to § 3729(a)(2)(A) above, KFHP Colorado 24 has failed to allege that it disclosed “all information” about its FCA violations; (2) also with 25 respect to § 3729(a)(2)(A) above, KFHP Colorado has failed to allege that it provided information 26 to DOJ (or even HHS-OIG) and instead simply claimed that it informed CMS; (3) with respect to 27 § 3729(a)(2)(B) above, KFHP has not alleged that it cooperated with the investigation of the 1 that it provided information about its violations before an action had already commenced and/or 2 before it knew of the existence of an investigation. 3 The Court rejects some of the government’s arguments. For example, in (1), the 4 government asserts that KFHP Colorado was required to give “all information” about its FCA 5 violations but its answer simply refers to “some diagnoses associated with diagnosis codes 6 submitted to CMS [that] may not have been documented for the relevant Medicare Advantage 7 beneficiaries.” Docket No. 299 (KFHP Colo. Ans. ¶ 397) (emphasis added). But at this juncture 8 of the litigation, all reasonable inferences are to be made in KFHP Colorado’s favor, and it can 9 fairly be inferred that KFHP Colorado gave all information about the violations it knew about. 10 See Reply at 13 (“At a minimum, KFHP-CO must plead that it furnished all information about 11 these violations that it knew.”) (emphasis in original). 12 As another example, § 3729(a)(2) requires that FCA violations be reported to “officials of 13 the United States responsible for investigating false claims violations.” 31 U.S.C. § 14 3729(a)(2)(A). Although the FCA provides that it is the responsibility of the Attorney General 15 (and thereby DOJ) to investigate potential FCA violations, see id. § 3730(a) (providing that “[t]he 16 Attorney General diligently shall investigate a violation under section 3729”), and KFHP 17 Colorado did not mention reporting the alleged violations to DOJ in their answer, it is not clear 18 whether CMS (the agency to which KFHP Colorado did refer) may have a role in investigating. 19 Therefore, there is arguably a question of fact here. See Opp’n at 16 (arguing that the statute itself 20 does not expressly “limit disclosure to DOJ or any specific division or agency” and that the 21 government “has cited nothing to show that CMS has no responsibility for policing fraud on the 22 Medicare Advantage program”). The government protests that, “even if § 3729(a)(2) extended 23 beyond the DOJ, KFHP-CO has not pleaded that the officials to whom it made its purported 24 disclosure were responsible for investigating false claims violations.” Reply at 14 n.9. But at this 25 juncture all reasonable inferences are to be made in the Kaiser Defendants’ favor; by alleging that 26 they reported to CMS, implicitly, they are alleging that CMS was the appropriate body to whom to 27 report. 1 provided information about its violations before an action had already commenced and/or before it 2 knew of the existence of an investigation. See 31 U.S.C. § 3729(a)(2) (providing that, “at the time 3 such person furnished the United States with the information about the violation, no criminal 4 prosecution, civil action, or administrative action had commenced under this title with respect to 5 such violation, and the person did not have actual knowledge of the existence of an investigation 6 into such violation”). KFHP Colorado has alleged that it discovered a problem and reported it in 7 2015. But before that date, two actions had already been initiated against Kaiser entities: (1) 8 Osinek (No. C-13-3891 EMC), and (2) Taylor (No. C-21-3894 EMC).2 And notably, the plaintiff 9 in Taylor sued KFHP Colorado specifically. KFHP Colorado responds by asserting that the 10 government “does not contend that the Osinek and Taylor qui tam actions pertain to the [specific] 11 diagnosis codes put at issue by KFHP-CO in its affirmative defense.” Opp’n at 16. But this 12 argument elevates form over substance: if these lawsuits put into question the general practice of 13 upcoding high-value conditions and the government subsequently investigated, then KFHP 14 Colorado was put on sufficient notice of the overarching problem and cannot in good faith claim 15 that it voluntarily disclosed the problem to the government simply because it identified certain 16 specific diagnostic codes. See Reply at 15 (“KFHP-CO’s only response is to recycle its theory that 17 civil actions and investigations must specifically delineate each false diagnosis code 18 submission.”). 19 There is one possible saving grace for KFHP Colorado. One could argue that it is a 20 question of fact as to whether the specific diagnosis codes KFHP Colorado is referring to are fairly 21 covered by, e.g., Osinek and Taylor. But KFHP Colorado provides no concrete examples. 22 The Court therefore strikes the voluntary disclosure defense but gives KFHP Colorado 23 leave to amend the defense if it can do so in good faith. 24 III. CONCLUSION 25 For the foregoing reasons, the Court grants in part and denies in part the motion to strike. 26 • The motion to strike the defenses of estoppel, ratification, and failure to mitigate 27 1 damages is granted. Amendment is not permitted because it would be futile under 2 Richmond. 3 e The motion to strike the excessive fines defense is denied. 4 e Finally, the motion to strike the voluntary disclosure defense is granted but with 5 leave to amend. KFHP Colorado shall file an amended answer within four weeks 6 of the date of this decision. 7 This order disposes of Docket No. 312. 8 9 IT ISSO ORDERED. 10 11 Dated: December 19, 2023 12 / EDWAREM. CHE United States District Judge g 15

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