Schmuckley v. Rite Aid Corporation

CourtDistrict Court, E.D. California
DecidedMarch 30, 2021
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. 2021).

Opinion

Case 2:12-cv-01699-KJM-JDP Document 398 Filed 03/30/21 Page 1 of 35

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., 13 Plaintiffs, ORDER 14 v. 15 RITE AID CORPORATION, 16 Defendant. 17

18 In this qui tam action, the court previously granted in part plaintiff-intervenor State of

19 California’s (“California”) motion for sanctions (“first sanctions motion”) and ordered defendant

20 Rite Aid Corporation (“Rite Aid”) to reimburse California the reasonable expenses it incurred in

21 bringing its motion. ECF No. 261, 273. California was directed to submit billing records

22 establishing its reasonable expenses, and Rite Aid was granted an opportunity to file a response to

23 California’s submission. ECF No. 273.

24 California timely complied with that order. But before Rite Aid’s deadline for submitting

25 its response, California filed a second motion for sanctions pursuant to Federal Rule of Civil

26 Procedure 37(b)(2). ECF No. 275. That motion was before the court for hearing on February 26,

27 2020. ECF No. 290. California Deputy Attorneys General Emmanuel Salazar, Bernice Yew, and

28 Vincent DiCarolo appeared on behalf of California. Attorney Jennifer Bartlett appeared on behalf 1 Case 2:12-cv-01699-KJM-JDP Document 398 Filed 03/30/21 Page 2 of 35

1 of relator. Attorneys Benjamin Smith, Kevin Papay, and Ryan McCarthy appeared on behalf of 2 Rite Aid. 3 Like the first motion, the second is predicated on Rite Aid’s purported failure to comply 4 with the court’s November 5, 2019 order, which required Rite Aid to produce certain documents 5 by no later than November 25, 2019. See ECF No. 258. California argues, among other things, 6 that Rite Aid has wrongly withheld relevant documents it claims to be protected by the attorney- 7 client privilege. ECF No. 275 at 6. Because the motion could not be resolved on the parties’ 8 briefs and the arguments presented at the hearing, Rite Aid was ordered to submit the withheld 9 documents for in camera review. It was also directed to submit supporting declarations 10 explaining the basis for each assertion of the privilege and to serve plaintiff with a copy of each 11 submitted declaration.1 12 On April 8, 2020, Rite Aid submitted the majority of the disputed documents, together 13 with an amended privilege log and a supporting declaration.2 ECF No. 302. On the same date, 14 California filed a third motion for sanctions, ECF No. 303, which is also premised on Rite Aid’s 15 alleged failure to comply with the court’s November 5, 2019 order.3 16 After a careful in camera review of the documents, the court denies California’s second 17 and third motions for sanctions. The court further awards California $12,928.00 for the 18 reasonable expenses it incurred in bringing its first motion for sanctions. 19 ///// 20 ///// 21 1 22 The order also notified Rite Aid that it could redact from the declarations served on California any privileged information needed to be disclosed to the court in order to explain each 23 assertion of the attorney-client privilege. Rite Aid has since complied with that order, and California has filed a response to Rite Aid’s submission. ECF No. 320. 24 2 Due the COVID-19 pandemic, Rite Aid was not able to readily access documents stored 25 in hard-copy at its headquarters. After receiving multiple extensions of time, Rite Aid was able to 26 submit the remaining documents on June 22, 2020. ECF No. 317. 3 27 The court determined that oral argument would not materially assist in the resolution of the April 8, 2020 motion for sanctions, and it was ordered submitted on the briefs and without 28 oral argument. See E.D. Cal. L.R. 230(g). 2 Case 2:12-cv-01699-KJM-JDP Document 398 Filed 03/30/21 Page 3 of 35

1 I. Relevant Background 2 The extensive procedural history in this action has been plagued by numerous discovery 3 disputes and exhaustive motion practice that will not be fully recounted here. However, a brief 4 discussion of the procedural history is helpful to understand the parties’ respective positions. 5 Relator Schmuckley filed this action in 2012, alleging claims against Rite Aid under the False 6 Claims Act, 31 U.S.C. §§ 3729, et seq.; the California False Claims Act, Cal. Gov’t Code 7 §§ 126580, et seq.; and similar statutes enacted by other states. In May 2017, California elected 8 to partially intervene.4 ECF No. 69. Thereafter, California filed a complaint-in-intervention 9 (“CII”), and relator filed an amended complaint. ECF Nos. 75, 79. 10 California’s claims arise out of Rite Aid’s alleged failure to comply with the requirements 11 of the state’s Medicaid Program (“Medi-Cal”) for obtaining reimbursement for dispensing certain 12 prescription medications. According to California’s CII, Medi-Cal provides reimbursement to 13 participating pharmacies, such as Rite Aid, that dispense covered drugs to eligible Medi-Cal 14 beneficiaries. ECF No. 75 ¶¶ 16-20. Medi-Cal maintains a list, known as the Medi-Cal List of 15 Contract Drugs (“CDL”), of all drugs that are subject to reimbursement. Id. at ¶¶ 22-23. 16 The CDL includes certain medications that have been designated as “Code 1 drugs.” Id. 17 ¶¶ 37, 38. To obtain reimbursement for dispensing Code 1 drugs, pharmacies must either (1) 18 obtain prior authorization from the California Department of Health & Human Services or (2) 19 “affirmatively certify that the dispensing of the drug meets the restrictions specified in the CDL.” 20 Id. at ¶¶ 38, 39. A pharmacy that dispenses a Code 1 drug must maintain documents showing that 21 the patient meets the Code 1 restrictions specified in the CDL. Id. ¶¶ 40-41; see Cal. Code Regs. 22 tit. 22, § 51476(c)(2) (requiring dispenser of Code 1 drugs to “maintain readily retrievable 23 documentation of the patient’s diagnostic or clinical condition information that fulfills the Code 1 24 restriction.”). 25 ///// 26 ///// 27 4 The United States and all states except California declined to intervene. ECF Nos. 40, 28 41, 53, 72. 3 Case 2:12-cv-01699-KJM-JDP Document 398 Filed 03/30/21 Page 4 of 35

1 California alleges that from 2007 to 2014, Rite Aid failed to comply with these 2 requirements and submitted to Medi-Cal false reimbursement claims for “Code 1 drugs” that its 3 pharmacies dispensed. More specifically, Rite Aid allegedly made false certifications of 4 compliance with California’s Code 1 drug regulations by: (1) not performing “the required Code 5 1 diagnosis review, verification and confirmation before dispensing the Code 1 drug”; (2) 6 providing certification when “the Medi-Cal beneficiary actually did not have the Code 1 drug 7 diagnosis” or condition restriction; and/or (3) failing “to adequately document its Code 1 review 8 and compliance [with] Code 1 regulations.” Id. 9 In its first amended answer to California’s CII, Rite Aid asserted an “improper defendant” 10 affirmative defense, claiming that it is not a proper defendant because it is a holding company that 11 does not operate any pharmacies in California. ECF No. 147 at 29. To investigate that defense, 12 as well as to obtain evidence related to its claims, California served Rite Aid with its seventh set 13 of Requests for Production of Documents (“RPD”), which sought documents concerning Rite Aid 14 and its subsidiaries’ corporate structures and dealings. After Rite Aid failed to produce all 15 responsive documents, California moved to compel Rite Aid to produce documents responsive to 16 its RPD, Set 7. ECF No. 249.

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Schmuckley v. Rite Aid Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schmuckley-v-rite-aid-corporation-caed-2021.