United States v. Southern Maryland Home Health Services, Inc.

95 F. Supp. 2d 465, 2000 U.S. Dist. LEXIS 6495, 2000 WL 575394
CourtDistrict Court, D. Maryland
DecidedMay 9, 2000
DocketCIV.A. S-00-0238
StatusPublished
Cited by8 cases

This text of 95 F. Supp. 2d 465 (United States v. Southern Maryland Home Health Services, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Southern Maryland Home Health Services, Inc., 95 F. Supp. 2d 465, 2000 U.S. Dist. LEXIS 6495, 2000 WL 575394 (D. Md. 2000).

Opinion

MEMORANDUM OPINION AND ORDER

SMALKIN, District Judge.

The Court is called upon to decide an issue of first impression in this Circuit, viz., whether a corporate employer is vicariously liable as a matter of law under the False Claims Act (“FCA”) as a result of the misdeeds of a low-level employee who, acting within the scope of her employment, caused false claims to be filed with the Government without the knowledge or consent of her employer. Under the facts of this case, the Court answers that question in the negative, and holds that liability will attach only if some degree of culpability, other than simply employing the malefactor, is ascribable to the employer. Accordingly, the Government’s motion for partial summary will be DENIED. The defendant’s cross-motion for summary judgment will also be DENIED, because the Government is entitled to discovery to ascertain whether or not the corporate defendant had the requisite culpability to trigger liability under the FCA.

BACKGROUND

This ease follows from the illegal actions of Diane Cannon who, among other things, impersonated a physical therapist in order to gain employment with Southern Maryland Home Health Services (“SMH”), a home health care provider and the defendant herein. 1 As a result of her activities, Cannon eventually pleaded guilty to federal criminal charges of health care fraud and income tax evasion and a state charge of practicing without a license. Some of Cannon’s misdeeds occurred during her employment with SMH, from September, 1995 to July, 1996 (and thereafter as a contractor), to whom she held herself out as a fully qualified physical therapist. Because she was not one, Cannon gave the name of an actual licensed physical therapist as her own and provided false references from purported former employers in order to get the job with SMH. Moreover, SMH’s hiring agent — who interviewed Cannon — noted that she was familiar with physical therapy terminology and procedures. Therefore, for purposes of this motion, the Court assumes that SMH was not negligent in simply hiring Cannon. Furthermore, during her tenure with SMH, SMH did not receive any complaints which would have served to put a reasonable employer on notice that Cannon was not who she claimed to be or did not have the skills she held herself out as having.

As a result of, and in the course of, her employment, Cannon treated patients in their homes. Most of these patients had insurance through the Medicare program; the Government now claims that Cannon’s visits prompted 171 worthless claims to be made to Medicare, totaling $59,320. Because it is a condition of Medicare’s refin- *467 bursement policy that a physical therapist be trained and licensed in the state in which he or she practices, for purposes of this case each of these 171 claims was false and therefore triggered liability under the False Claims Act. See 81 U.S.C. §§ 3729, et seq. The Government now argues that SMH is vicariously liable under the FCA under the theory of respondeat superior for each of these 171 claims. 2 It seeks treble damages of $177,960 and civil penalties of between $855,000 (assuming fines of $5,000 per claim) and $1,710,000 (assuming fines of $10,000 per claim). In total, therefore, the Government seeks between $1,032,960 and $1,887,960 in damages and penalties for actual losses of $59,320.

STANDARD OF REVIEW

Under Rule 56(c) of the Federal Rules of Civil Procedure, summary judgment is appropriate when there is no genuine issue as to any material fact and the moving party is entitled to summary judgment as a matter of law. In Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986), the Supreme Court explained that, in considering a motion for summary judgment, “the judge’s function is not himself to weigh the evidence and determine the truth of the matter but to determine whether there is a genuine issue for trial.” In this case, there are no questions of material fact, and the Court is faced with a purely legal issue. Fed.R.Civ.P. 56(c); Celotex Corp. v. Catrett, 477 U.S. 317, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986).

ANALYSIS

The False Claims Act (“FCA”) provides that any person who causes a false claim to be submitted to the Government is liable for a civil penalty of between $5,000 and $10,000 per claim plus three times the amount of damages the Government sustained. See 31 U.S.C. § 3729(a). Such a person is only liable if the person had actual knowledge of the false claim, or acted with deliberate indifference or reckless disregard of the truth. See 31 U.S.C. § 3729(b). Hence, the FCA explicitly requires a degree of scienter beyond mere negligence to trigger liability. The question is whether that scienter is attributable from an employee to her employer, without more culpability on the employer’s part.

Vicarious Liability Under the FCA

In light of the facts in this case, SMH can only be liable under the FCA if Cannon’s actions and knowledge are imputed to it. The Government argues that SMH is vicariously liable under the theory of respondeat superior for Cannon’s actions simply because she was acting within the scope of her employment. Moreover, the Government cites several non-Fourth Circuit cases which have explicitly found employers vicariously liable under the FCA when employees perpetrated frauds without the knowledge or consent of their employers, even if the employee’s actions did not benefit the employer. See United States v. O’Connell, 890 F.2d 563, 567-69 (1st Cir.1989) (imputing liability to the corporation based on the acts of its general manager and one-third owner, even though manager’s acts did not benefit the corporation); United States v. Hangar One, Inc., 563 F.2d 1155, 1158 (5th Cir.1977) (upholding vicarious liability under the FCA when low-level employee acted within the scope of employment and for the purpose of benefitting the employer); United States v. Incorporated Village of Island Park, 888 F.Supp. 419, 437 (E.D.N.Y.1995) (vicarious liability attaches if employee acted either within the scope of employment-and to at least partially benefit the employer, or with apparent authority, even if the acts do not benefit the employer at all); see also Grand Union Co. v. United States,

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Bluebook (online)
95 F. Supp. 2d 465, 2000 U.S. Dist. LEXIS 6495, 2000 WL 575394, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-southern-maryland-home-health-services-inc-mdd-2000.