The State of New Jersey Ex Rel. Health Choice Advocates, LLC v. Gilead Sciences, Inc.

New Jersey Superior Court Appellate Division·Decided March 1, 2024·No. A-2736-20·Unpublished

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION

DOCKET NO. A-2736-20

THE STATE OF NEW JERSEY ex rel. HEALTH CHOICE ADVOCATES, LLC,

Plaintiff-Appellant,

v. GILEAD SCIENCES, INC.,

Defendant-Respondent.

Argued November 14, 2023 – Decided March 1, 2024

Before Judges Gilson, Berdote Byrne, and Bishop-

Thompson.

On appeal from the Superior Court of New Jersey, Law Division, Middlesex County, Docket No. L-2424-20.

Radu A. Lelutiu (McKool Smith PC) of the New York bar, admitted pro hac vice, and Ruby Khallouf argued the cause for appellant Health Choice Advocates, LLC (Florio Perrucci Steinhardt Cappelli Tipton & Taylor, LLC, W. Mark Lanier (The Lanier Law Firm) of the Texas bar, admitted pro hac vice, Zeke DeRose III (The Lanier Law Firm) of the Texas bar, admitted pro hac vice, and Eric B. Halper (McKool Smith PC) of the

New York bar, admitted pro hac vice, attorneys; Brian R. Tipton, Ruby Khallouf, W. Mark Lanier, Zeke DeRose III, Eric B. Halper, and Radu A. Lelutiu, of counsel and on the briefs).

John M. Potter (Quinn Emanuel Urquhart & Sullivan, LLP) of the California bar, admitted pro hac vice, argued the cause for respondent (Marino, Tortorella & Boyle, PC, John M. Potter, Manisha M. Sheth (Quinn Emanuel Urquhart & Sullivan, LLP) of the New York bar, admitted pro hac vice, and Suong Nguyen (Quinn Emanuel Urquhart & Sullivan, LLP) of the California bar, admitted pro hac vice, attorneys; John M. Potter, Manisha M. Sheth, and Suong Nguyen, of counsel and on the brief; Kevin H. Marino and John A. Boyle, on the brief).

PER CURIAM Plaintiff Health Choice Advocates, LLC (plaintiff or Relator) filed a qui tam action on behalf of the State of New Jersey under the New Jersey False Claims Act (the NJFC Act), N.J.S.A. 2A:32C-1 to -15, -17 to -18. Plaintiff alleged that defendant Gilead Sciences, Inc. (defendant or Gilead) had engaged in unlawful schemes to induce healthcare providers to prescribe Gilead's drugs, which resulted in the submission of false claims for payment from government healthcare programs, primarily Medicaid and Medicare.

Plaintiff appeals from an order dismissing its complaint with prejudice.

We affirm because plaintiff's claims are barred by principles of res judicata under the federal two-dismissal rule set forth in Fed. R. Civ. P. 41(a)(1)(B).

A-2736-20

I.

Plaintiff is a subsidiary of the National Health Care Analysis Group (NHCA Group), a partnership comprised of limited liability companies established by investors and former investment bankers "for the purpose of filing qui tam actions alleging instances of fraud in medicine and pharmaceuticals." United States ex rel. Health Choice All., L.L.C. v. Eli Lilly & Co., 4 F.4th 255, 259 (5th Cir. 2021) (italicization omitted).

Plaintiff alleges that Gilead engaged in two unlawful marketing schemes, which caused the submission of false claims. In the first scheme, which plaintiff calls the "White Coat Marketing Scheme," plaintiff contends that Gilead paid a third-party company to hire registered nurses to promote and recommend Gilead's medications. In that regard, plaintiff asserts that Gilead paid "kickbacks" to the third-party company for the nurses' recommendations. In the second scheme, which plaintiff calls the "Support Services Scheme," plaintiff alleges that Gilead offered free reimbursement support services to prescribers who wrote prescriptions for Gilead's medications. Plaintiff alleges that those schemes caused government-administered programs to pay for millions of dollars in false claims.

A-2736-20

Based on those allegations, plaintiff filed a series of qui tam actions against Gilead. In June 2017, plaintiff filed a sealed qui tam action against Gilead and four other defendants in the United States District Court for the Eastern District of Texas (the First Federal Texas Action). The complaint was unsealed after the United States and thirty-one named plaintiff States, including New Jersey, declined to intervene.

Gilead moved to dismiss the First Federal Texas Action after it learned that another relator had previously filed a sealed qui tam action against Gilead in the United States District Court for the Eastern District of Pennsylvania in March 2017 (the EDPA Action). Gilead argued that the EDPA Action was filed first and, therefore, the First Federal Texas Action should be dismissed under the first-to-file rule, which prohibits any person or entity, other than the government, from bringing "a related action based on the facts underlying the [first] pending action." 31 U.S.C. § 3730(b)(5).

A federal magistrate judge recommended that the portion of Gilead's motion to dismiss based on first-to-file grounds be granted. Before the district court judge acted on that recommendation, plaintiff moved to voluntarily dismiss the First Federal Texas Action pursuant to "Federal Rule of Civil Procedure 41(a)(1)[(A)](i) and 31 U.S.C. § 3730(b)(1)."

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On July 27, 2018, the federal court entered an order dismissing the First Federal Texas Action without prejudice. The court order stated that the motion was made "pursuant to Federal Rule of Civil Procedure 41(a)(1)[(A)](i) and 31 U.S.C. § 3730(b)(1)." Section 3730(b)(1), which is part of the federal False Claims Act, states that an action by a private person "may be dismissed only if the court and the [United States] Attorney General give written consent to the dismissal and their reasons for consenting." 31 U.S.C. § 3730(b)(1). The order also stated that the court had received "the United States' and [p]laintiff-States' [n]otice of [c]onsent to [d]ismissal."

In July 2018, plaintiff, together with another relator, filed a second qui tam action against Gilead and two other defendants in the United States District Court for the Eastern District of Texas (the Second Federal Texas Action). Like the First Federal Texas Action, the Second Federal Texas Action was filed on behalf of the United States and numerous states, including New Jersey. The Second Federal Texas Action asserted violations of the federal and state False Claims Acts based on the same marketing schemes alleged in the First Federal Texas Action.

Before serving the complaint, plaintiff moved to voluntarily dismiss the Second Federal Texas Action "[p]ursuant to Federal Rule of Civil Procedure

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41(a)(1)(A)(i) and 31 U.S.C. § 3730(b)(1)." Plaintiff requested that the federal claims and all claims based on state statutes, other than those of Texas and New Jersey, be dismissed with prejudice as to plaintiff but without prejudice as to the United States or the plaintiff States. Plaintiff also requested that its claims filed on behalf of Texas and New Jersey be dismissed without prejudice. Plaintiff represented: "Counsel for Relators have discussed this motion with representatives for the United States of America and the [p]laintiff States, who have indicated that they do not oppose the relief sought herein."

On March 11, 2020, the federal court entered an order dismissing the Second Federal Texas Action. The order provided that the dismissal was with prejudice as to plaintiff's claims filed on behalf of the United States and all states other than Texas and New Jersey. The order also stated that "[p]laintiffs' claims on behalf of Texas and New Jersey" were dismissed without prejudice. Finally, the order stated that the dismissal was without prejudice as to the United States or "the relevant state[s]."

Less than a month later, on April 9, 2020, plaintiff filed this qui tam action on behalf of New Jersey against Gilead in the Law Division (the New Jersey

A-2736-20

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