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

CourtNew Jersey Superior Court Appellate Division
DecidedMarch 1, 2024
DocketA-2736-20
StatusUnpublished

This text of The State of New Jersey Ex Rel. Health Choice Advocates, LLC v. Gilead Sciences, Inc. (The State of New Jersey Ex Rel. Health Choice Advocates, LLC v. Gilead Sciences, Inc.) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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The State of New Jersey Ex Rel. Health Choice Advocates, LLC v. Gilead Sciences, Inc., (N.J. Ct. App. 2024).

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NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ."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 2 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 3 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)."

A-2736-20 4 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

A-2736-20 5 41(a)(1)(A)(i) and 31 U.S.C.

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