United States Ex Rel. Smart v. Christus Health

626 F. Supp. 2d 647, 2009 U.S. Dist. LEXIS 4143, 2009 WL 151590
CourtDistrict Court, S.D. Texas
DecidedJanuary 22, 2009
DocketCivil Action C-05-287
StatusPublished
Cited by15 cases

This text of 626 F. Supp. 2d 647 (United States Ex Rel. Smart v. Christus Health) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States Ex Rel. Smart v. Christus Health, 626 F. Supp. 2d 647, 2009 U.S. Dist. LEXIS 4143, 2009 WL 151590 (S.D. Tex. 2009).

Opinion

MEMORANDUM AND ORDER

JOHN D. RAINEY, District Judge.

Pending before the Court are defendants CHRISTUS Health System (“CHRISTUS Health”) and CHRISTUS Spohn Health System (“Spohn”) (collectively, “Defendants”) Motions to Dismiss relator Danny Lynn Smart’s (“Relator”) qui tarn action. Dkt. Nos. 28, 29. Having considered the motions, record, and relevant law, the Court finds that Defendants’ motions should be GRANTED.

I. Background

Relator filed his initial complaint under seal, as required by the qui tam provision of the False Claims Act, see 31 U.S.C. § 3730(b)(2), on June 7, 2005. On October 9, 2007, the United States declined to intervene (Dkt. No. 19), and the complaint, which had been amended once, on May 30, 2006 (Dkt. No. 6), was unsealed. Relator filed a second amended complaint on February 7, 2008. Dkt. No. 23. Defendants moved to dismiss this complaint on a variety of grounds. Dkt. Nos. 28, 29. Relator responded (Dkt. No. 35) and Defendants replied (Dkt. Nos. 38, 39).

Relator, a former employee of Spohn, where he was the director of property management (Dkt. No. 23 ¶ 8), alleges a Medicare fraud scheme by Defendants, who operate three “hospital campuses” in Corpus Christi, Texas. Id. ¶ 3. The core claim of Relator’s complaint is that Defendants entered into below-market leases with doctors and physician groups who would, in return, refer more patients to Defendants’ facilities. Id. ¶ 9. Relator alleges that Defendants’ behavior violates the Stark law, 42 U.S.C. § 1395nn, the Anti-Kickback Statute, 42 U.S.C. § 1320a-7b(b), and “various similar state laws” as well as “ethical canons of the medical profession.” 1 Dkt. No. 23 ¶ 9. Relator argues that Defendants’ violation of these statutes *650 subjects them to liability under the False Claims Act, 31 U.S.C. § 3729 et seq., because Medicare claims made for patients referred to Defendants’ facilities by doctors with below-market leases are fraudulent. 2 Specifically, Relator claims that Defendants violated 31 U.S.C. § 3729(a)(1), 3 (2), 4 (3), 5 and (7). 6 Relator also claims that Defendants fired him in retaliation for filing this lawsuit, in violation of 31 U.S.C. § 3730(h). Finally, Relator appears to include some miscellaneous claims involving misuse of donated funds and “disproportionate share” funds. See Dkt. No. 23 ¶¶ 35, 45. 7

II. Subject Matter Jurisdiction

The Court must first determine whether it is barred by 31 U.S.C. § 3730(e)(4)(A) from taking jurisdiction over this suit. Defendants argue that Relator’s allegations against Defendants have been made before, in state litigations involving Ross Physical Therapy and Rehabilitation. 8 This is significant because the qui tarn provision of the False Claims Act includes the following jurisdictional bar:

No court shall have jurisdiction over an action under this ■ section based upon public disclosure of allegations or transactions in a criminal, civil, or administrative hearing ... unless ... the person bringing the action is an original source of the information.

31 U.S.C. § 3730(e)(4)(A). The key document here is Ross’s First Amended Counterclaim and Petition for Declaratory Judgment filed in one of the state suits. Dkt. No. 29 Ex. B. Ross claimed that her office space, from which she was ousted by Spohn, had been released to a different tenant paying less than Ross was paying before she was removed from the space by Spohn. Id. ¶ 8.4. Ross then claimed that this violated “Title 42 Chapter 7 of the United States Code Annotated (e)” (by which the Court presumes Ross meant 42 U.S.C. § 1395nn(e)(l)(A)(iv), i.e. the Stark law). 9

*651 Defendants argue that the Ross litigation represents, within the meaning of 31 U.S.C. § 3730(e)(4)(A), “public disclosure” of the allegations made here, that Relator’s suit is “based upon” those allegations, and that Relator is not an “original source” of the information relied upon.

A. Legal Standard

The qui tam provision of the False Claims Act, limited by the jurisdictional bar, seeks to balance two competing goals: on the one hand, to enlist private citizens in ferreting out fraud against the government, and on the other, to prevent parasitic actions by those citizens, rushing to the courthouse to sue after reading about fraud in the newspaper, and thus taking a share of the United States’ recovery. See, e.g., United States ex rel. Reagan v. E. Tex. Med. Ctr., 384 F.3d 168, 174 (5th Cir.2004).

Deciding whether the jurisdictional bar applies is a three-step inquiry. First, was there a “public disclosure”? Second, are Relator’s claims “based upon” that public disclosure? Third, is Relator an “original source of the information”? See Fed. Recovery Servs. v. United States, 72 F.3d 447, 450 (5th Cir.1995) (citing Cooper v. Blue Cross & Blue Shield, 19 F.3d 562, 565 n. 4 (11th Cir.1994)). Relator does not contest Defendants’ argument that there was a public disclosure.

Whether Relator’s suit is “based upon public disclosure of allegations or transactions” in the Ross litigation is not a straightforward question. While the statutory language seems to imply that “based upon” applies to “public disclosure,” not to “information” or “allegations or transactions,” most courts to address this problem, including the Fifth Circuit, have performed their analysis by asking whether the qui tam suits were “ ‘based upon’ the publicly disclosed allegations.” Reagan, 384 F.3d at 176; see also United States ex rel. Fried v. W. Indep. Sch. Dist.

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Bluebook (online)
626 F. Supp. 2d 647, 2009 U.S. Dist. LEXIS 4143, 2009 WL 151590, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-ex-rel-smart-v-christus-health-txsd-2009.