United States Ex Rel. Susan Ramseyer v. Century Healthcare Corporation Century Healthcare Development Corporation

90 F.3d 1514, 11 I.E.R. Cas. (BNA) 1746, 1996 U.S. App. LEXIS 18274, 1996 WL 412819
Court of Appeals for the Tenth Circuit·Decided July 24, 1996·No. 94-6299·Published·Cited by 173 cases

Opinion

EBEL, Circuit Judge.

Plaintiff Susan Ramseyer brought this action on behalf of the United States under the qui tam provisions of the False Claims Act (“FCA”), 31 U.S.C. § 3730(b)-(f), to recover a portion of the civil penalties and damages sought from the defendants. Plaintiff also asserted a claim for retaliatory discharge under the FCA’s anti-retaliation provision, 31 U.S.C. § 3730(h). The district court dismissed the complaint pursuant to Fed. R.Civ.P. 12(b)(1) for lack of subject matter jurisdiction, relying on the “public disclosure” jurisdictional bar of the FCA. 31 U.S.C. § 3730(e)(4). This provision bars qui tam suits that are based upon allegations of fraud already publicly disclosed, unless the person bringing the action qualifies as an “original source” of the information. Because we conclude plaintiffs suit was not based upon publicly disclosed information, we reverse the district court’s dismissal of plaintiffs qui tam claim. However, because plaintiff has alleged no causal connection between her discharge and any conduct in furtherance of her qui tam claim, we affirm the dismissal of plaintiffs retaliation claim.

*1517 I.

Plaintiff alleged that from October 1991 to May 1992, she was employed as a consultant to, and then as the clinical director of, a mental health facility operated by the defendants. In those capacities, it was her responsibility to monitor compliance with applicable Medicaid requirements. Plaintiff further alleged that during her employment she became aware of widespread noncompliance with minimum program components for day treatment services at defendants’ facility. Although plaintiff regularly communicated the instances of noncomplianee to her superiors, the defendants continued to submit noneomplying claims to the government that ultimately were paid by Medicaid.

In the meantime, and completely independent of plaintiffs efforts, a routine audit and inspection conducted by the Oklahoma Department of Human Services (“DHS”) revealed deficiencies in the defendants’ day treatment program similar to those discovered by plaintiff. As a result of this audit, Roy Hughes, a DHS Programs Supervisor, prepared a report (the “Hughes Report”) detailing essentially the same compliance problems that plaintiff had raised. Only three copies of the Hughes Report were made: one copy was given to the DHS programs administrator, a second copy was provided to the defendants, and the third remained in the DHS files. No copies of the Hughes Report were released to the general public, nor was this report available to the public except upon a written request for the specific record and approval from the DHS legal department.

Defendants terminated plaintiffs employment in May 1992. Six months later, plaintiff filed the present lawsuit alleging that the defendants’ Medicaid billing practices gave rise to false claims redressable under the FCA. Plaintiff also alleged that her discharge had been in retaliation for her repeated protests over defendants’ noncompliance with the applicable Medicaid requirements.

II.

Plaintiffs suit relies upon the qui tarn provisions of the FCA, 31 U.S.C. § 3730(b)-(f), which authorize private individuals, acting on behalf of the United States, to bring a civil action against those who defraud the government. In order to encourage individuals with knowledge of fraudulent activity against the government to come forward, the FCA provides a successful qui tam litigant with a cash bounty of up to 30% of the final recovery. Id. § 3730(d). However, because Congress sought to achieve ‘“the golden mean between adequate incentives for whistle-blowing insiders with genuinely valuable information and discouragement of opportunistic plaintiffs who have no significant information to contribute of their own,’ United States ex rel. Fine v. Sandia Corp., 70 F.3d 568, 571 (10th Cir.1995) (quoting United States ex rel. Springfield Terminal Ry. v. Quinn, 14 F.3d 645, 649 (D.C.Cir.1994)), the FCA also erects a jurisdictional bar for suits based upon allegations of fraud that have already been made public. In this regard, the FCA provides that

[n]o court shall have jurisdiction over an action under this section based upon the public disclosure of allegations or transactions in a criminal, civil, or administrative hearing, in a congressional, administrative, or Government Accounting Office report, hearing, audit, or investigation, or from the news media, unless the action is brought by the Attorney General or the person bringing the action is an original source of the information.

31 U.S.C. § 3730(e)(4)(A) (emphasis added). Applying this statutory provision, the district court concluded that, because plaintiffs lawsuit was based upon publicly disclosed information — specifically, the allegations contained in Hughes Report — it lacked subject matter jurisdiction to entertain the action. 1

*1518 A.

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United States Ex Rel. Susan Ramseyer v. Century Healthcare Corporation Century Healthcare Development Corporation, 90 F.3d 1514, 11 I.E.R. Cas. (BNA) 1746, 1996 U.S. App. LEXIS 18274, 1996 WL 412819 (10th Cir. 1996).

90 F.3d 1514 (United States Ex Rel. Susan Ramseyer v. Century Healthcare Corporation Century Healthcare Development Corporation) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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