State of Louisiana v. Lynn E. Foret, M.D.

188 So. 3d 154, 2016 La. LEXIS 117
CourtSupreme Court of Louisiana
DecidedJanuary 27, 2016
Docket2015-C -1298
StatusPublished
Cited by3 cases

This text of 188 So. 3d 154 (State of Louisiana v. Lynn E. Foret, M.D.) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State of Louisiana v. Lynn E. Foret, M.D., 188 So. 3d 154, 2016 La. LEXIS 117 (La. 2016).

Opinions

[155]*155JOHNSON, Chief Justice.

hWe granted certiorari to determine whether the Sledge Jeansonne Louisiana Insurance Fraud Prevention Act,1 and the Louisiana Unfair Trade Practice and Consumer Protection Act,2 can be applied retroactively to defendant’s criminal misconduct which occurred prior to the effective dates of these statutes. We hold that both the Sledge Jeansonne Act and Louisiana Unfair Trade Practice and Consumer Protection Act operate prospectively only, applying to causes of action arising after the effective date of each-Act. For the reasons stated, herein, we affirm the court of appeal ruling finding that the statutes at issue cannot be retroactively applied to this defendant’s past criminal conduct.

FACTS AND PROCEDURAL HISTORY

On April 18,. 2013, defendant, Lynn For-et, a medical doctor who specialized in orthopedic surgery, pled guilty in federal court to one count of health care fraud,3 for criminal acts that occurred between 2003 and 2009. The-, bill of information states the date of medical service as February 4, 2009 and notes that Medicare paid reimbursement on March 6, 2009. The Stipulated Factual Basis for Dr. Foret’s guilty 12plea describes, a scheme to defraud Medicare, Medicaid, and insurance law whereby Dr. Foret routinely' treated patients with lower cost steroid knee injections while fraudulently billing for the more costly Hyalgan irijections. Dr. Foret then sought reimbursements from Medicare, Medicaid and private insurance companies totaling $9,48,249.11.

On August 1, 2012, approximately, eight months prior to Dr, Foret’s guilty plea, the Sledge Jeansonne Louisiana Insurance Fraud Prevention Act (the Act) took effect. The act provided the State Attorney General with the authority to bring a civil action for penalties against “a person who has entered a plea of guilty ... 'to crinlinal conduct arising out of circumstances which would constitute a violation of Revised Statute 22:1924,” which' governs insurance fraud.4

The Louisiana Attorney General filed a civil suit on May 31, 2013, seeking actual damages, civil fines in the amount of [156]*156$5,000.00 to $10,000.00 per violation, and penalties of three times the amount pursued under the Sledge Jeansonne Act which became effective on August 1, 2012. The State requested forfeiture of any property derived from any gross proceeds connected to Dr. Foret’s criminal misconduct, and recovery of all costs and fees incurred in the investigation and prosecution. The State also pursued civil monetary penalties under the Louisiana'Unfair Trade Practices and Consumer Protection Act (LUTPA) for violations of Louisiana Revised Statute 51:1405. LUTPA was amended June 2, 2006 to allow the State Attorney General to seek penalties for unlawful, unfair, methods of competition and unfair or deeeptivé acts or practices in the conduct of trade or commerce.

In response to the State’s action, Dr. Foret filed three declinatory exceptions alleging: • (1) impermissible retroactive application of the Sledge Jeansonne Act to |3criminal misconduct committed prior to the effective date of the Act; (2) impermissible retroactive application of LUTPA as to any alleged violations of LUTPA before the effective date of" the amendment to LUTPA allowing the State Attorney General to seek penalties for a violation; and (3) improper venue, , which was disposed of in a prior application to this Court. Dr. Foret also filed a dilatory exception of vagueness and ambiguity!5

On October 21, 2013, a hearing was held on the1 exceptions. The trial court granted Dr. Foret’s declinatory exceptions, dismissing with prejudice, the State’s action for penalties under the Sledge Jeansonne Act and dismissed with prejudice causes of action under the Louisiana Unfair Trade Practices Act. The trial court deferred ruling on the dilatory exception of vagueness and ambiguity.

The court of appeal affirmed the trial court’s rulings,6 finding that the conduct regulated by the substantive statute was the underlying fraud, rather than the subsequent-guilty plea. Therefore, even though the State’s cause of action may not have accrued until Dr. Foret pled guilty, application of the Acts nonetheless attached new consequences to his criminal misconduct, which occurred before the Acts became effective. Judge Higginbotham dissented, reasoning the plain language of the Sledge Jeansonne Act demonstrates it is the guilty plea that gives the State Attorney General the authority to act, not the criminal activity, and because the guilty plea was ^entered after the effective date of the statute, its application herein would be prospective, not retroactive. - The State applied to this Court for review, and argues that the Sledge Jeansonne Act is not an impermissible retroactive application of the law.

[157]*157DISCUSSION

By Act 201% No. 862, § 1, the Louisiana Legislature enacted the Sledge Jeansonne Act to grant the Louisiana Attorney General and his assistants, as agents of the State, “the ability, áuthority, and resources to pursue civil monetary penalties, liquidated damages, or other remedies to protect the integrity of the insurance industry from persons who engage in fraud, misrepresentation,'abuse, or other illegal practices ... in order to obtain payments to which these insurance providers or persons are "not entitled.”7 In furtherance of this stated purpose, Louisiana Revised Statute 22:1931.3 authorizes the State Attorney General to bring a civil action in the Nineteenth Judicial District Court “to seek recovery from any person or persons who violate any provision of Louisiana Revised Statute 22:1924,”’ which governs insurance fraud.

The Sledge Jeansonne Act sets forth the burden of proof in Louisiana Revised Statute 22:1931.4, providing that the burden of proof shall be a preponderance of the evidence, and that “[p]roof by a preponderance of the evidence of a violation of Louisiana Revised Statute 22:1924 shall be deemed to exist if the defendant hás pled guilty ... in any federal ... court when such charge arises out of circumstances which would be a violation of Louisiana Revised Statute 22:1924.” The Act grants the State Attorney General the right to seek a civil monetary penalty against, among others, “[a] person who has entered a plea of guilty ... in federal ... [court] of criminal conduct ^arising out of circumstances which would constitute a violation of Revised Statute 22:1924.”8

The Sledge Jeansonne Act became effective on August 1, 2012, nearly three years after Dr. Foret’s last act of criminal misconduct, but approximately eight months before Dr. Foret entered his guilty plea. These facts call into question whether the State, through the State Attorney General, may rely upon the provisions of the Act to seek damages and penalties against Dr. Foret for misconduct that occurred prior to the enactment of the Act. The State also pursued penalties under the Louisiana Unfair Trade Practices and Consumer Protection Law which was amended on June 2, 2006 to allow the State Attorney General to seek penalties for violations of LUTPA.

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188 So. 3d 154, 2016 La. LEXIS 117, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-of-louisiana-v-lynn-e-foret-md-la-2016.