United States Court of Appeals, Third Circuit

149 F.3d 227
Court of Appeals for the Third Circuit·Decided July 23, 1998·No. 227·Unpublished

Opinion

149 F.3d 227

41 Fed.R.Serv.3d 486, 42 Cont.Cas.Fed. (CCH) P 77,347

*UNITED STATES of America, ex rel., William
St. John LACORTE
v.
SMITHKLINE BEECHAM CLINICAL LABORATORIES, INC.
William St. John LaCorte, relator, Appellant in Nos.
97-1647, 97-1839, 97-1954 and 97-1955.
UNITED STATES of America, ex rel., Jeffrey Scott CLAUSEN
v.
SMITHKLINE BEECHAM CLINICAL LABORATORIES, INC.
Jeffrey Clausen, relator, Appellant in No. 97-1772.
UNITED STATES of America, ex rel., Donald MILLER
v.
SMITHKLINE BEECHAM CLINICAL LABORATORIES, INC.
Donald Miller, relator, Appellant in Nos. 97-1773, 97-1884
and 97-1953.

Nos. 97-1647, 97-1772, 97-1773, 97-1839, 97-1884, 97-1953,
97-1954 and 97-1955.

United States Court of Appeals,
Third Circuit.

Argued June 4, 1998.
Decided July 23, 1998.

Normand F. Pizza (Argued), Nyda S. Brook, Christopher J. Shenfield, Brook, Pizza & Van Loon, L.L.P., New Orleans, Louisiana, for Appellant William St. John LaCorte.

Charles D. Hood, Jr. (Argued), Daytona Beach, Florida, for Appellant Donald Miller.

Andrew J. Logan (Argued), Womble Carlyle Sandridge & Rice, PLLC, Winston-Salem, North Carolina; Carol S. Dew, Dew & Smith, LLC, Monroe, Georgia; Kirk W. Watkins, Womble Carlyle Sandridge & Rice, PLLC, Atlanta, Georgia, for Appellant Jeffrey Clausen.

Marc S. Raspanti (Argued), David M. Laigaie, Tamara L. Traynor, Miller, Alfano & Raspanti, P.C., Philadelphia, Pennsylvania, for Appellee Robert J. Merena.

John E. Clark, Rand J. Riklin, Goode, Casseb & Jones, San Antonio, Texas, for Appellees Charles Robinson and Glenn Grossenbacher.

Peter W. Chatfield, Phillips & Cohen, Washington, D.C., for Appellees Kevin Spear, C. Jack Dowden and Berkley Community Law Center.

Thomas H. Lee, II (Argued), Frederick G. Herold, David J. Caputo, Dechert Price & Rhoads, Philadelphia, Pennsylvania, for SmithKline Beecham Clinical Laboratories, Inc.

Freddi Lipstein (Argued), Frank W. Hunger, Assistant Attorney General, Michael R. Stiles, United States Attorney, Civil Division, Washington, D.C., for the United States.

Before: SCIRICA, NYGAARD, and SEITZ, Circuit Judges.

OPINION OF THE COURT

NYGAARD, Circuit Judge.

This appeal requires us to interpret for the first time 31 U.S.C. § 3730(b)(5), a provision of the False Claims Act intended to prevent duplicative lawsuits. Jeffrey Clausen, William LaCorte and Donald Miller appeal from an order dismissing their False Claims Act suits under section 3730(b)(5) and denying them a share of the proceeds from a settlement based on similar claims alleged in pre-existent lawsuits. We will affirm.

I.

The False Claims Act prescribes civil penalties for knowingly submitting fraudulent claims to the federal government. Under the Act, the United States may bring a civil suit to recover funds lost through such fraudulent transactions. 31 U.S.C. § 3730(a). Of greater relevance for this appeal, the Act's qui tam provisions also allow private plaintiffs ("relators") to sue on the government's behalf and receive a portion of the recovered funds if successful.1 See, e.g., 31 U.S.C. §§ 3730(b)(1), (c)(3), (d). Before proceeding with the suit, a qui tam plaintiff must disclose to the government the information on which his or her claim is based. The complaint is filed in camera and remains under seal for at least sixty days, during which the United States investigates the claim and decides whether to intervene. 31 U.S.C. § 3730(b)(2). If the government declines to intervene, the qui tam plaintiff may serve the complaint on the defendant and proceed with the action. 31 U.S.C. § 3730(b)(4)(B). However, no qui tam plaintiff may recover for a false claim or share in a government settlement if his or her allegations repeat claims in a previously filed action. 31 U.S.C. § 3730(b)(5).2

This appeal involves six suits under the qui tam provisions of the False Claims Act. Appellee Robert J. Merena filed the first of these qui tam actions against SmithKline on November 12, 1993 in the Eastern District of Pennsylvania. Appellee Glenn Grossenbacher, later joined by Charles Robinson, Jr., ("the Grossenbacher parties") filed suit in the Western District of Texas on December 15, 1993. Appellees Kevin Spear, C. Jack Dowden and Berkley Community Law Center ("the Spear parties") followed on February 13, 1995 with a suit in the Northern District of California. The Texas and California courts transferred the Spear and Grossenbacher actions to the Eastern District of Pennsylvania for consolidation with Merena's case. For the sake of brevity, these three actions will be referred to collectively as the "original" lawsuits and their plaintiffs as the "original" relators.

All three complaints alleged that SmithKline, which operates a nationwide system of clinical laboratories, adopted myriad complicated procedures for the purpose of defrauding state and federal healthcare programs, in particular Medicare and Medicaid. Most of these fraudulent schemes permitted SmithKline to bill the federal government for unauthorized and medically unnecessary laboratory tests. The original relators also alleged that SmithKline used various methods to evade Medicare and Medicaid requirements dictating the maximum level of reimbursement for certain services.

Based on its investigation of claims in the original lawsuits, the United States negotiated a $325,000,000 settlement releasing SmithKline for certain false claims made between January 1, 1989 and September 16, 1996. After the government and SmithKline reached this proposed settlement, but before final execution of the settlement agreement, Jeffrey Clausen, Donald Miller and William LaCorte each filed a separate qui tam action (the "later" lawsuits) against SmithKline. Like the original relators, Clausen, LaCorte and Miller alleged that SmithKline intentionally overcharged several government health benefit plans, including the Medicare and Medicaid programs. Although these later cases originated in different parts of the country, they were transferred to the Eastern District of Pennsylvania and reviewed together with the original lawsuits. The later actions were never consolidated with the original suits, however.

Under the False Claims Act, the government may settle a qui tam relator's claim over the relator's objections only "if the [trial] court determines, after a hearing, that the proposed settlement is fair, adequate, and reasonable under all the circumstances." 31 U.S.C. § 3730(c)(2)(B). In the district court, Clausen, LaCorte and Miller requested a hearing to challenge the settlement agreement. Appendix ("App.") at 875-972. As a threshold matter, they needed to demonstrate (1) that the settlement covered their claims, and (2) that those claims were not barred by 31 U.S.C. § 3730(b)(5)'s prohibition against subsequent actions based on the same facts underlying a pre-existing False Claims Act lawsuit.

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