Schmuckley v. Rite Aid Corporation

CourtDistrict Court, E.D. California
DecidedJanuary 15, 2020
Docket2:12-cv-01699
StatusUnknown

This text of Schmuckley v. Rite Aid Corporation (Schmuckley v. Rite Aid Corporation) is published on Counsel Stack Legal Research, covering District Court, E.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Schmuckley v. Rite Aid Corporation, (E.D. Cal. 2020).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 FOR THE EASTERN DISTRICT OF CALIFORNIA 10 11 UNITED STATES OF AMERICA, and the No. 2:12-cv-1699-KJM-EFB STATE OF CALIFORNIA, et al., ex rel 12 LOYD F. SCHMUCKLEY, JR., ORDER 13 Plaintiffs, 14 v. 15 RITE AID CORPORATION, 16 Defendant. 17 18 In this qui tam action, Relator Lloyd F. Schmuckley, Jr. and the State of California 19 (“plaintiffs”) move to strike defendant’s affirmative defenses under Federal Rule of Civil 20 Procedure 12(f). Defendant opposes. For the below reasons, plaintiffs’ motion is GRANTED in 21 part and DENIED in part. 22 I. BACKGROUND 23 Under the False Claims Act (FCA), a private individual can bring an action known 24 as a qui tam action on behalf of the United States government against any individual or company 25 who has knowingly presented a false or fraudulent claim to the government. United States ex rel. 26 Anderson v. Northern Telecom, 52 F.3d 810, 812–13 (9th Cir. 1995). Here, relator Loyd F. 27 Schmuckley alleges Rite Aid has submitted false claims for reimbursement in prescribing “Code 28 1 1” drugs, which may not be reimbursed unless certain requirements are met. First Am. Compl. 2 (FAC) ¶¶ 3, 21, ECF No. 79. Specifically, these Code 1 drugs have restrictions based on patient 3 age or diagnosis that must be met before the appropriate government entity, here Medi-Cal, will 4 reimburse for prescriptions for that medication. Id. ¶ 23. According to Schmuckley, “California 5 regulations explicitly state that the pharmacist must have documentation of the patient’s 6 diagnosis, in order for Medi-Cal to reimburse the prescription.” Id. ¶ 24. 7 California intervened in this case on claims under the California FCA (CFCA) and 8 filed its Complaint-In-Intervention, alleging Rite Aid failed to comply with “Code 1 restrictions.” 9 Complaint-In-Intervention (CII) ¶ 4, ECF No. 75. More specifically, California alleges that 10 “[f]rom 2007 to 2014, [Rite Aid] knowingly submitted false pharmacy claims to Medi-Cal and 11 expressly and impliedly made false certifications through the Medi-Cal electronic claims 12 submission and reimbursement process.” Id. ¶ 6. 13 Defendant filed a First Amended Answer to Relator’s First Amended Complaint 14 (“Relator Answer”), ECF No. 146, and a First Amended Answer to California’s Complaint-In- 15 Intervention (“State Answer”), ECF No. 147. Plaintiffs jointly moved to strike all affirmative 16 defenses under Rule 12(f). Mot., ECF No. 158. Defendant opposed, ECF No. 173, and plaintiffs 17 replied, ECF No. 186. The court heard oral argument on the motion on January 25, 2019, and 18 issued a bench order granting plaintiffs’ motion to strike the following affirmative defenses 19 (numbered according to defendant’s Answer to Relator’s Complaint): 5th (good faith), 7th (no 20 treble damages), 8th (no attorney’s fees), 10th (denial of actual injury), 13th (compliance with 21 industry standards), and 14th (not willful or knowledgeable). See ECF No. 187. In a joint 22 statement submitted after hearing, the parties asked the court to allow them until July 15, 2019 to 23 meet and confer and prepare a stipulation regarding the 11th affirmative defense in defendant’s 24 Answer to Relator’s Complaint. ECF No. 188. The court later extended this deadline to February 25 28, 2020. ECF No. 260. Because the parties are still attempting to agree on this issue, the court 26 declines to resolve it in this order, but instead resolves the remainder of the issues raised in 27 plaintiffs’ motion and not addressed at hearing, below. 28 //// 1 II. LEGAL STANDARD 2 The court may strike “from a pleading an insufficient defense or any redundant, 3 immaterial, impertinent or scandalous matter.” Fed. R. Civ. P. 12(f). “A defense may be 4 insufficient as a matter of pleading or as a matter of law.” Cal. Brewing Co. v. 3 Daughters 5 Brewing LLC, No. 2:15-cv-02278-KJM-CMK, 2016 WL 4001133, at *1 (E.D. Cal. Jul. 26, 2016) 6 (citation omitted). 7 A. Affirmative Defenses Generally 8 “[A]n affirmative defense, under the meaning of Federal Rule of Civil Procedure 9 8(c), is a defense that does not negate the elements of the plaintiff’s claim, but instead precludes 10 liability even if all of the elements of the plaintiff’s claim are proven.” Barnes v. AT & T Pension 11 Ben. Plan–Nonbargained Program, 718 F. Supp. 2d 1167, 1173 (N.D. Cal. 2010) (citation 12 omitted). “It is a defense on which the defendant has the burden of proof.” Id. at 1174. On the 13 other hand, “[a] defense which demonstrates that plaintiff has not met its burden of proof is not an 14 affirmative defense,” but a negative defense. Zivkovic v. S. California Edison Co., 302 F.3d 15 1080, 1088 (9th Cir. 2002) (citation omitted). While courts rarely grant Rule 12(f) motions to 16 strike affirmative defenses, if an affirmative defense is, in actuality, a negative defense and should 17 instead be included as a denial in the answer, the motion to strike will be granted. See Barnes, 18 718 F. Supp. 2d at 1173–1174.1 19 B. Insufficiency as a Matter of Pleading 20 Consistent with the nomenclature, a party must affirmatively state its affirmative 21 defenses. Fed. R. Civ. P. 8(c)(1). Generally, the pleading standard is met if the affirmative 22 defense provides “fair notice.” Wyshak v. City Nat’l Bank, 607 F.2d 824, 827 (9th Cir. 1979) 23

24 1 District courts in this Circuit are split on this issue. Other courts have held that, where a defense is not a proper affirmative defense, but rather a “disguised denial,” a motion to strike is improper 25 and must be denied. Carlock v. RMP Fin., No. 03-CV-0688 W (AJB), 2003 WL 24207625, at *4 26 (S.D. Cal. Aug. 5, 2003); Kohler v. Staples the Office Superstore, LLC, 291 F.R.D. 464, 471 (S.D. Cal. 2013) (“The Court fails to see how identifying a defense as ‘affirmative,’ when in actuality it 27 is not, makes that defense legally insufficient”). This court followed the approach of the Northern District of California in Barnes in J & J Sports Prods., Inc. v. Angulo, No. 2:14-CV-02666-KJM, 28 2015 WL 5020725, at *2 (E.D. Cal. Aug. 21, 2015), and continues to follow that approach here. 1 (“The key to determining the sufficiency of pleading an affirmative defense is whether it gives 2 plaintiff fair notice of the defense.”), overruled on other grounds by Castro v. County of Los 3 Angeles, 833 F.3d 1060 (9th Cir. 2016) (en banc). To provide fair notice, the defendant must 4 “identify the nature and grounds for the affirmative defense, rather than plead a detailed statement 5 of facts upon which the defense is based.” Dodson v. Munirs Co., No. CIV. S-13-0399 6 LKK/DAD, 2013 WL 3146818, at *2 (E.D. Cal. June 18, 2013) (citation omitted). The fair 7 notice standard is a “low bar” that does not require great detail, but requires “some factual basis” 8 for the affirmative defense. Gomez v. J. Jacobo Farm Labor Contractor, Inc., 188 F. Supp. 3d 9 986, 992 (E.D. Cal. 2016) (citations omitted). Merely referring to the doctrine or statute 10 generally does not provide “fair notice” to the other party, though some courts will accept such 11 references where the defense is well-established. Id. at 992–93 (collecting cases).

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Schmuckley v. Rite Aid Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schmuckley-v-rite-aid-corporation-caed-2020.