United States of America v. Prism Autism Foundation

CourtDistrict Court, S.D. California
DecidedOctober 6, 2022
Docket3:19-cv-00043
StatusUnknown

This text of United States of America v. Prism Autism Foundation (United States of America v. Prism Autism Foundation) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States of America v. Prism Autism Foundation, (S.D. Cal. 2022).

Opinion

1 2 3 4 5 6 7 8 9 10 UNITED STATES DISTRICT COURT 11 SOUTHERN DISTRICT OF CALIFORNIA 12 13 UNITED STATES OF AMERICA and Case No.: 3:19-cv-00043-W-BLM the STATE OF CALIFORNIA, 14 ORDER GRANTING MOTION FOR 15 Ex rel. DIANA MASON ATTORNEY’S FEES UNDER 31 U.S.C. 3730 [DOC. 22 & 24] 16 Plaintiffs, 17 v. 18 PRISM AUTISM FOUNDATION d/b/a PRISM BEHAVIORAL SOLUTIONS, 19 Defendants. 20 21 22 Pending before this Court is Relator Diana Mason’s Motion for Attorney’s Fees 23 under 31 U.S.C. § 3730. Defendant Prism Autism Foundation d/b/a Prism Behavioral 24 Solutions (“Prism”) opposes this motion. 25 The Court decides the matter on the papers submitted and without oral argument. 26 Civ. L. R. 7.1.d.1. For the reasons stated below, the Court GRANTS Relator’s motion 27 [Doc. 22 & 24] and AWARDS $118,023.99 in attorneys’ fees and costs. 28 1 I. BACKGROUND 2 On January 8, 2019, Relator Diana Mason filed this qui tam action under seal 3 pursuant to 31 U.S.C. § 3730(b)(2), alleging that Prism violated the California and 4 Federal False Claims Acts. (See Compl. [Doc 1].) According to the Complaint, “Prism 5 serves families with children or young adults on the Autism spectrum.” (Id. ¶ 2.) Relator 6 was employed by Prism from March to June 2018 to work “directly with families to 7 develop and implement appropriate behavioral interventions for children and young 8 adults.” (Id. ¶¶ 8, 9.) Relator alleges that Prism defrauded Medicaid by (1) billing for 9 services not rendered, (2) overbilling for services rendered, and (3) billing for services 10 rendered without the supervision of a qualified provider. (Id. ¶ 3.) 11 Before filing the Complaint, Relator provided the Government with a pre-suit 12 Disclosure Statement and over sixty exhibits. (P&A [Doc. 22-2] pg. 4–5; Compl. ¶ 18.) 13 After over a three-year investigation, the U.S. Attorney for the Southern District of 14 California determined Prism “knowingly submitted over 2,300 claims for Medicaid 15 reimbursement for services not rendered.” (P&A pg. 3.) On May 6, 2022, both the state 16 and federal governments intervened for purposes of entering a settlement with Prism. 17 (Notice of Election to Intervene [Doc 20] 1:18–27.) Ultimately, the U.S. and California 18 recovered $650,000 in civil penalties and fines from Prism. (P&A pg. 3.) 19 While the settlement agreement was being finalized, Relator and Prism attempted 20 to negotiate reimbursement of Relator’s attorney’s fees and costs. Because the parties 21 were unable to agree, Relator filed this motion seeking $118,973.99 in fees and costs. 22 Prism opposes. 23 24 II. LEGAL STANDARD 25 The Supreme Court prefers the lodestar method to calculate attorney’s fees for 26 several reasons. First, “lodestar looks to ‘the prevailing market rates in the relevant 27 community.’” Perdue v. Kenny A. ex rel. Winn, 559 U.S. 542, 551 (2010) 28 (quoting Blum v. Stenson, 465 U.S. 886, 895 (1984)). Second, “the lodestar method 1 produces an award that roughly approximates the fee that the prevailing attorney would 2 have received if he or she had been representing a paying client who was billed by the 3 hour in a comparable case.” Id. Finally, “the lodestar method is readily administrable” 4 and the calculation is objective, which “cabins the discretion of trial judges, permits 5 meaningful judicial review, and produces reasonably predictable results.” Id. 6 The lodestar method requires “the district court to calculate the reasonable number 7 of hours” an attorney has “expended and multiply that number by the reasonable hourly 8 rate for” the attorney’s services. United States ex rel. Sant v. Biotronik, Inc., 716 F. 9 App'x 590, 591 (9th Cir. 2017) (citations omitted). The fee applicant bears the “burden 10 of producing evidence that their requested fees are ‘in line with those prevailing in the 11 community for similar services by lawyers of reasonably comparable skill, experience 12 and reputation.’” Chaudhry v. City of Los Angeles, 751 F.3d 1096, 1110 (9th Cir. 2014) 13 (quoting Camacho v. Bridgeport Fin., Inc., 523 F.3d 973, 980 (9th Cir. 2008)). The 14 “general rule” when calculating this fee “is that the rates of attorneys practicing in the 15 forum district… are used.” Gates v. Deukmejian, 987 F.2d 1392, 1405 (9th Cir. 1992). 16 After a fee applicant has met their burden, the defendant must then submit 17 evidence showing the requested fee is unreasonable. Id. at 1397–98. This may include 18 “affidavits of the plaintiffs’ attorney and other attorneys regarding prevailing fees in the 19 community, and rate determinations in other cases, particularly those setting a rate for the 20 plaintiffs’ attorney.” Beauchamp v. Anaheim Union High Sch. Dist., 816 F.3d 1216, 21 1224 (9th Cir. 2016) (quoting United Steelworkers of Am. v. Phelps Dodge Corp., 896 22 F.2d 403, 407 (9th Cir.1990)). When determining a rate’s reasonability, a judge may 23 “rel[y] on their own knowledge of customary rates and their experience concerning 24 reasonable and proper fees.” Ingram v. Oroudjian, 647 F.3d 925, 928 (9th Cir. 2011). 25 // 26 // 27 // 28 1 III. DISCUSSION 2 A. Hourly Rates 3 For purposes of evaluating if Relator’s attorney’s hourly rate is reasonable, Relator 4 argues the “community” of lawyers should not be attorneys practicing in this district, but 5 rather all “attorneys who specialize in qui tam litigation.” (P&A pg. 10.) Prism responds 6 by pointing out that Relator failed to offer evidence “on local prevailing market rates” 7 and, therefore, argues her fee request should be denied. (Opp. [Doc 31] 6:8.) 8 As an initial matter, the Court agrees with Prism that Relator failed to provide any 9 information regarding the prevailing market rates, whether among attorneys in this 10 district or, as Relator proposes, those specializing in qui tam litigation nationwide. 11 Nowhere in the points and authorities does Relator identify the rates of other attorneys 12 practicing in this district or in qui tam cases generally. (See P&A pg. 10–13.) The only 13 information provided by Relator concerns her attorneys. (See id.) 14 Next, the Court also finds Relator failed to support her contention that the 15 relevant community should be attorneys specializing in qui tam litigation. A court may 16 “look outside the forum when the relevant community lacks attorneys with ‘the degree of 17 experience, expertise, or specialization required to properly handle the case.’” Wright v. 18 Tehachapi Unified Sch. Dist., 743 F. App'x 125, 126 (9th Cir. 2018) (quoting Gates, 987 19 F.2d at 1405). Here, Relator has failed to provide any evidence that competent counsel in 20 San Diego was unavailable. See Gates, 987 F.2d at 1405 (approving San Francisco 21 attorney rates because moving party “offered numerous declarations of San Francisco and 22 Sacramento attorneys which directly support their contention that Sacramento attorneys 23 and law firms with the requisite expertise and experience to handle this type of complex 24 institutional prison reform litigation were unavailable.”) 25 Notwithstanding Relator’s failure to provide evidence regarding the local 26 prevailing market rates, the Court disagrees with Prism’s contention that Relator’s motion 27 should be denied for two reasons.

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United States of America v. Prism Autism Foundation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-of-america-v-prism-autism-foundation-casd-2022.