United States v. Luis

966 F. Supp. 2d 1321, 2013 WL 4757838, 2013 U.S. Dist. LEXIS 128177
CourtDistrict Court, S.D. Florida
DecidedJune 21, 2013
DocketCase No. 12-23588-CIV
StatusPublished
Cited by4 cases

This text of 966 F. Supp. 2d 1321 (United States v. Luis) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Luis, 966 F. Supp. 2d 1321, 2013 WL 4757838, 2013 U.S. Dist. LEXIS 128177 (S.D. Fla. 2013).

Opinion

ORDER

PAUL C. HUCK, District Judge.

THIS MATTER is before the Court upon the United States of America (the “Government[’s]”) Emergency Ex Parte Motion for Temporary Restraining Order and Preliminary Injunction under 18 U.S.C. § 1345 [D.E. #4] and Defendant, Sila Luis (“Luis[’s]”) Motion to Modify the Restraining Order to Release Assets for the Defense of the Related Criminal Case [D.E. #46]. For the reasons discussed below, the Motion for Preliminary Injunction is granted and Luis’s Motion to Modify the Restraining Order is denied.

A. Background

a. Statutory Basis for Injunctive Relief Under 18 U.S.C. § 1315

Section 1345 allows courts to grant injunctive relief to prevent certain types of fraud and to prevent alienation of property associated with the fraud. 18 U.S.C. § 1345. Thus, a court may enter an injunction under § 1345 preventing mail fraud, wire fraud, banking laws, or the commission of a federal health care offense.1 Id. Section 1345 also allows a court to enter an injunction when an individual alienates or disposes of any property obtained as a result of such violations, to prevent any person from withdrawing, transferring, removing, dissipating, or disposing of any such property or property of equivalent value.2 Id. The “equivalent value” language means that when some of the assets that were obtained as a result of fraud cannot be located, a person’s substitute, untainted assets may be restrained instead. See United States v. DBB, Inc, 180 F.3d 1277, 1281 (11th Cir.1999).

b. The Burden of Proof and Elements for Injunctive Relief Under § 13j,5

As to the elements for injunctive relief, a reasonable reading of § 1345 indi[1326]*1326cates that the Government bears the burden to establish that: (1) a Federal health care offense has been committed; (2) the total amount of proceeds obtained from the criminal activity; and (3) that there has been dissipation of assets received as a result of the criminal activity. See United States v. Brown, 988 F.2d 658, 663 (6th Cir.1993) (finding § 1345 requires the Government demonstrate that a predicate offense has been committed and the extent of the fraud); see also § 1345 (requiring dissipation of assets for a court to award injunctive relief).

Regarding the applicable burden of proof, there is considerable disagreement in the case law. Several courts have applied the preponderance of the evidence standard to claims for injunctive relief under § 1345. See Brown, 988 F.2d 658, 663 (6th Cir.1993); United States v. Williams, 476 F.Supp.2d 1368, 1374 (M.D.Fla.2007) (applying the preponderance of the evidence standard); United States v. Sriram, 147 F.Supp.2d 914, 938 (N.D.Ill.2001) (same); United States v. Barnes, 912 F.Supp. 1187, 1198 (N.D.Iowa 1996) (same); United States v. Quadro Corp., 916 F.Supp. 613, 617 (E.D.Tex.1996) (same); see also United States v. Legro, 284 Fed.Appx. 143, 145 (5th Cir.2008) (recognizing disagreement about whether probable cause or preponderance of the evidence standard applies to state a claim for injunctive relief under § 1345 and declining to resolve the issue). Other courts have concluded that a showing of only probable cause is required. See United States v. Livdahl, 356 F.Supp.2d 1289, 1294 (S.D.Fla.2005); United States v. Fang, 937 F.Supp. 1186, 1197 (D.Md.1996); United States v. Davis, No. 88-1705-CIV-ARONOVITZ, 1988 WL 168562, at *1 (S.D.Fla.1988). This Court agrees with those courts that found probable cause is the correct burden of proof

c. Evidence of Federal Health Care Offenses and Dissipation of Assets

Pursuant to § 1345, the Court previously entered a temporary restraining order (“TRO”) restraining all of Luis’s assets. The Government seeks to convert the TRO into a preliminary injunction, and the Court held a hearing on that matter on February 6, 2013. As a basis for the requested injunctive relief, the Government points to the parallel criminal prosecution, where Luis is charged with violations of 18 U.S.C. § 1349 (conspiracy to commit health care fraud) and 18 U.S.C. § 371 (conspiracy to defraud the United States and to commit offenses against the United States). Luis is also charged with violation of 42 U.S.C. § 1320a-7b(b)(2)(B) (paying health care kickbacks) and a forfeiture count under 18 U.S.C. § 982. Luis was indicted by a grand jury on these charges. According to the indictment, the offenses resulted in $45 million of improper Medicare benefits being paid. The parties agree that Luis has much less than $45 million in personal assets.

At the hearing, the Court accepted three declarations of Federal Bureau of Investigation Special Agent Clint Warren (“Special Agent Warren”) as direct testimony. Special Agent Warren investigated Luis’s businesses, LTC Professional Consultants, Inc. (“LTC”) and Professional Home Care Solutions, Inc. (“Professional”) for Federal health care fraud. During the investigation, Special Agent Warren received information from nine cooperating witnesses (“CWs”) who worked as nurses and patient recruiters for LTC, Professional, or both.

The CWs said that LTC and Professional defrauded Medicare during the period of January 2006 to June 2012. Before the fraudulent scheme was put into place, Luis signed Medicare enrollment agreements in [1327]*13272003, 2004, and 2005, whereby she agreed to abide by Medicare laws and regulations, including the Anti-kickback statute. According to the information provided to Special Agent Warren, LTC and Professional paid nurses to recruit patients. The nurses, in turn, gave the patients a portion of the kickbacks in the form of direct payments. The CWs also told Special Agent Warren that LTC and Professional fraudulently billed Medicare for services that were not medically necessary or were not actually provided. One CWs estimated that at least 90% of all Professional and LTC patients were receiving kickbacks. Eight of these CWs specifically identified patients who received kickbacks. The total paid by Medicare for claims submitted on behalf of these patients who were identified was $ 4,356,553.85. During the period of this fraud, however, LTC and Professional collected a total of approximately $45 million from Medicare billings.

Special Agent Warren’s declarations also provided information about assets being dissipated.

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Related

Luis v. United States
578 U.S. 5 (Supreme Court, 2016)
United States v. Tardon
56 F. Supp. 3d 1309 (S.D. Florida, 2014)

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Bluebook (online)
966 F. Supp. 2d 1321, 2013 WL 4757838, 2013 U.S. Dist. LEXIS 128177, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-luis-flsd-2013.