United States v. UCB, Inc.

CourtCourt of Appeals for the Seventh Circuit
DecidedAugust 17, 2020
Docket19-2273
StatusPublished

This text of United States v. UCB, Inc. (United States v. UCB, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. UCB, Inc., (7th Cir. 2020).

Opinion

In the

United States Court of Appeals For the Seventh Circuit ____________________ No. 19-2273 UNITED STATES OF AMERICA ex rel. CIMZNHCA, LLC, Plaintiff-Appellee, v.

UCB, INC., et al., Defendants, Appeal of:

UNITED STATES OF AMERICA, Appellant. ____________________

Appeal from the United States District Court for the Southern District of Illinois. No. 3:17-cv-00765-SMY-MAB — Staci M. Yandle, Judge. ____________________

ARGUED JANUARY 23, 2020 — DECIDED AUGUST 17, 2020 ____________________

Before ROVNER, HAMILTON, and SCUDDER, Circuit Judges. HAMILTON, Circuit Judge. The False Claims Act allows the United States government to dismiss a relator’s qui tam suit over the relator’s objection with notice and opportunity for a hearing. 31 U.S.C. § 3730(c)(2)(A). The Act does not indicate 2 No. 19-2273

how, if at all, the district court is to review the government’s decision to dismiss. The D.C. Circuit has said not at all; the Ninth Circuit has said for a rational basis. Compare Swift v. United States, 318 F.3d 250 (D.C. Cir. 2003), with United States ex rel. Sequoia Orange Co. v. Baird-Neece Packing Corp., 151 F.3d 1139 (9th Cir. 1998). In this case, the district court said it agreed with the Ninth Circuit but applied something closer to administrative law’s “arbitrary and capricious” standard and denied dismissal. The government has appealed. The relator contends we should either dismiss for want of appellate juris- diction or affirm. We find that we have jurisdiction and reverse. First, we in- terpret the Act to require the government to intervene as a party before exercising its right to dismiss under § 3730(c)(2)(A). We think it best, however, to construe the gov- ernment motion here as a motion to both intervene and dis- miss. This solves the jurisdictional problem without needing to create a new category of collateral-order appeals. On the merits, we view the choice between the competing standards as a false one, based on a misunderstanding of the govern- ment’s rights and obligations under the False Claims Act. And by treating the government as seeking to intervene, which it should have been allowed to do, we can apply a standard for dismissal informed by Federal Rule of Civil Procedure 41. I. Factual and Procedural Background In 1863, “a series of sensational congressional investiga- tions” revealed that war-profiteering military contractors had billed the federal government for “nonexistent or worthless goods, charged exorbitant prices for goods delivered, and generally robbed” the government’s procurement efforts. United States v. McNinch, 356 U.S. 595, 599 (1958). In response, No. 19-2273 3

Congress passed the False Claims Act, now codified at 31 U.S.C. §§ 3729–3733. The Act authorizes a private person, called a relator, to enforce its terms by filing suit “for the per- son and for the United States Government.” § 3730(b)(1). Suits of this type were once so common that “[a]lmost every” penal statute could be enforced by them. Adams v. Woods, 6 U.S. (2 Cranch) 336, 341 (1805). Such suits are called “qui tam” suits, from a Latin tag meaning, “who as well for the lord king as for himself sues in this matter.” If the relator’s qui tam ac- tion is successful, she receives a portion of the recovery as a bounty; the lion’s share goes to the government. § 3730(d). The False Claims Act prohibits, among other acts, present- ing to the government “a false or fraudulent claim for pay- ment or approval.” § 3729(a)(1)(A). One way to present a false claim is to present to a federal healthcare program a claim for payment that violates the Anti-Kickback Statute, 42 U.S.C. § 1320a-7b(b), which prohibits giving or receiving “remuner- ation” in return for such programs’ business. See 42 U.S.C. § 1320a-7b(g) (violations of the Anti-Kickback Statute also vi- olate the False Claims Act). For a limited liability company called Venari Partners, doing business as the “National Health Care Analysis Group,” this law presented a business oppor- tunity. Venari Partners has four members (Sweetbriar Capital, LLC; 101 Partners, LLC; Min-Fam-Holding, LLC; and Up- town Investors, LP), themselves composed of one or two in- dividual investors, six in total. Venari Partners formed eleven daughter companies, each for the single purpose of prosecut- ing a separate qui tam action. All eleven actions allege essen- tially identical violations of the False Claims Act via the Anti- 4 No. 19-2273

Kickback Statute by dozens of defendants in the pharmaceu- tical and related industries across the country. The relator in this case is CIMZNHCA, LLC, one of those Venari companies. Its complaint, filed in 2017 in the Southern District of Illinois, alleges that defendants illegally paid phy- sicians for prescribing or recommending Cimzia, a drug man- ufactured by defendant UCB, Inc. to treat Crohn’s disease, to patients who received benefits under federal healthcare pro- grams. The relator alleges that the illegal kickbacks took the form of free education services provided by nurses to physi- cians and their patients and free reimbursement support ser- vices, that is, assistance with insurance paperwork. Once the relator filed this action, the government had the right “to intervene and proceed” as the plaintiff with the “pri- mary responsibility” for prosecuting it. 31 U.S.C. §§ 3730(b)(2), 3730(c)(1). The government chose not to exer- cise that right. The False Claims Act also gives the govern- ment the right to dismiss the action over the relator’s objection if the relator is provided notice and an opportunity for a hear- ing. § 3730(c)(2)(A). This right the government has sought to exercise. On December 17, 2018, the government filed a mo- tion to dismiss, representing that it had investigated the Ve- nari companies’ claims, including CIMZNHCA’s, and found them “to lack sufficient merit to justify the cost of investiga- tion and prosecution and otherwise to be contrary to the pub- lic interest.” The district court held a hearing on the govern- ment’s motion and issued an opinion denying it. The court considered first what standard of review ap- plied to the government’s motion under § 3730(c)(2)(A), which itself supplies none. The government urged adoption of the standard announced in Swift v. United States, 318 F.3d No. 19-2273 5

250, 253 (D.C. Cir. 2003), which gives the government “unfet- tered” discretion to dismiss. Relator argued for the more de- manding burden-shifting test announced in United States ex rel. Sequoia Orange Co. v. Baird-Neece Packing Corp., 151 F.3d 1139 (9th Cir. 1998). Under that test, the government must first identify a “valid government purpose” and then show “a ra- tional relation between dismissal and accomplishment of the purpose.” Id. at 1145. If the government does so, the burden shifts to the relator to show that “dismissal is fraudulent, ar- bitrary and capricious, or illegal.” Id. Reasoning that Congress would not command the hollow ritual of convening a hearing on a preordained outcome (no one deliberates about the fall of Troy, as Aristotle said), the district court concluded that Sequoia Orange supplied the proper standard.

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