Uplift Rx, LLC and Official Committee Of Unsecured Creditors - Adversary Proceeding

CourtUnited States Bankruptcy Court, S.D. Texas
DecidedAugust 21, 2023
Docket21-03936
StatusUnknown

This text of Uplift Rx, LLC and Official Committee Of Unsecured Creditors - Adversary Proceeding (Uplift Rx, LLC and Official Committee Of Unsecured Creditors - Adversary Proceeding) is published on Counsel Stack Legal Research, covering United States Bankruptcy Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Uplift Rx, LLC and Official Committee Of Unsecured Creditors - Adversary Proceeding, (Tex. 2023).

Opinion

IN THE UNITED STATES BANKRUPTCY COURT August 21, 2023 FOR THE SOUTHERN DISTRICT OF TEXAS Nathan Ochsner, Clerk HOUSTON DIVISION

IN RE: § § CASE NO: 17-32186 UPLIFT RX, LLC, et al., § § CHAPTER 11 Debtors. § § YVETTE AUSTIN, § § Plaintiff, § § VS. § ADVERSARY NO. 21-3936 § BROWN & FORTUNATO, P.C., § § Defendant. §

MEMORDANDUM OPINION Yvette Austin, the trustee of the Uplift Liquidating Trust filed this adversary proceeding against the former attorneys of Debtors in this chapter 11 case. The complaint brings claims for legal malpractice, knowing participation in a breach of fiduciary duty, aiding and abetting and/or participation in fraudulent misrepresentation, fraud (including aiding and abetting or conspiracy to commit fraud), RICO offenses, contribution, and turnover. Brown & Fortunato filed a motion to dismiss the complaint for failure to state a claim under Federal Rule of Civil Procedure 12(b)(6). For the reasons stated below, the motion to dismiss is granted. Austin is granted leave to amend her claims for knowing participation in or aiding and abetting a breach of fiduciary duty, fraud (including aiding and abetting and conspiracy to commit fraud), RICO violations, contribution, and turnover. BACKGROUND The thrust of the Austin’s claims for relief center around the idea that Brown & Fortunato, a law firm, acted inappropriately by providing legal advice and assistance to a client, Alliance (a debtor in these chapter 11 cases). Austin alleges that Brown & Fortunato’s advice enabled Alliance to continue its business while it was engaged in fraudulent business practices. The complaint outlines Alliance’s fraudulent scheme and details various points at which Brown & Fortunato allegedly assisted Alliance in its fraud. I. THE PARTIES

Austin is the Liquidation Trustee of the Liquidating Trust established by the Debtors’ chapter 11 Plan. (ECF No. 52 at 7). Under the Plan, the Liquidation Trust inherited the Debtors’ causes of action, including tort, breach of contract, and avoidance claims. (ECF No. 52 at 7). Via a Court-approved Stipulation and an Amended Liquidating Trust Agreement, the Test Strip Manufacturers conveyed to Austin all of their claims against Brown & Fortunato. (Case No. 17- 32186, ECF No. 1395-2 at 7). The Test Strip Manufacturers, including LifeScan and Roche, are the entities that supplied Alliance with test strips and sued the Debtors for the fraudulent scheme detailed below. (ECF No. 52 at 15).

Brown & Fortunato is a Texas law firm which represented certain of the Debtor organizations.1 (ECF No. 52 at 8). Bradley Howard was a shareholder and director of Brown & Fortunato. (ECF No. 52 at 22). Jeffrey Baird was a shareholder of Brown & Fortunato and Chairman of its Health Care Group. (ECF No. 52 at 22). Lisa Smith was an attorney in Brown & Fortunato’s Health Care Group. (ECF No. 52 at 23). The Debtors (collectively, “Alliance”) operated pharmacies which filled prescriptions to patients with diseases such as diabetes. (ECF No. 52 at 8). The complaint categorizes the Debtors into three buckets: the Corporate Debtors (various LLCs which performed the administrative

1 The parties dispute exactly which Debtors Brown & Fortunato represented. functions of Alliance); the Distribution Company Debtors (LLCs which assisted in distribution for Alliance); and the Pharmacy Debtors (LLCs which owned and operated the pharmacies within the Alliance Network). (ECF No. 52 at 9). The complaint alleges that despite this seemingly segregated structure, the Debtors were collectively owned and operated and were controlled by largely the same managers, officers, and

directors. (ECF No. 52 at 9). Jeffrey Smith was the Chief Executive Officer of Alliance.2 (ECF No. 52 at 10). David Grant served as Alliance’s general counsel.3 (ECF No. 52 at 14). The complaint, at times, collectively refers to “certain former officers, directors, and employees of the Debtors” as well as unnamed investment funds and “their agents on Alliance’s Board of Directors” as the “Scheme Participants.” (ECF No. 52 at 3). The former officer/director alleged Scheme Participants include Jeffrey Smith, Steven Hadlock, Sahily Paoline, David Grant, Justin Leavitt, Blaine Smith, Travis Hughes, Alison Wistner, Adam Koopersmith, and Lee Rosebush. (ECF No. 52 at 3). It is unclear from the complaint whether this list encompasses every board member or controlling person at Alliance or whether there are non-Scheme Participant

officers, directors, or managers. II. THE FRAUD The fraudulent scheme involved improper billing and reporting to the Test Strip Manufacturers. Alliance allegedly took actions designed to conceal (and therefore perpetuate) the fraudulent scheme.

2 It is unclear from the complaint which Alliance entity Smith served as CEO.

3 The complaint does not specify which Alliance entity it is referencing here. A. The Scheme The Pharmacy Debtors distributed diabetic test strips (which patients use to monitor their blood glucose levels) to patients. (ECF No. 52 at 19). For billing purposes, test strips are categorized as either “retail” or “not-for-retail.” (ECF No. 52 at 19). The distinction is central to the alleged fraudulent conduct. Not-for-retail strips are dispensed to a patient through the patient’s

medical equipment-benefit insurance, and retail strips are typically dispensed through a patient’s pharmacy-benefit insurance. (ECF No. 52 at 19). When a distributor (like Alliance) purchases test strips from a Test Strip Manufacturer, they purchase either retail or not-for-retail strips—the designation is made before the strips are in the hands of the distributor. (ECF No. 52 at 19). The distinction is relevant to the Test Strip Manufacturers for two reasons. First, the retail test strips are sold at a higher price than the not-for-retail strips. (ECF No. 52 at 19). Second, Test Strip Manufacturers pay pharmacy-benefit insurers rebates on retail strips distributed to patients through a pharmacy-benefit plan. (ECF No. 52 at 14). For this reason, the contracts between distributors and manufacturers require distributors to only distribute not-for-retail strips to patients with

medical equipment-benefit insurance and retail strips to those with pharmacy-benefit insurance. (ECF No. 52 at 19). Alliance’s alleged fraud involved purchasing not-for-retail strips and distributing them as though they were retail strips. (ECF No. 52 at 19). Alliance then submitted insurance claims to pharmacy-benefit insurers, falsely representing that they had distributed retail strips to pharmacy- benefit patients when, in reality, they had purchased and dispensed not-for-retail strips. (ECF No. 52 at 19). This caused the pharmacy-benefit insurers to reimburse the dispensing Alliance- affiliated pharmacy improperly based on the false claim. (ECF No. 52 at 4). The Test Strip Manufacturer would then pay the rebate to the pharmacy-benefit insurer. (ECF No. 52 at 14). In doing so, Alliance reaped a double benefit from its fraud. Alliance paid lower rates for the not- for-retail strips than it would have had it properly purchased and distributed retail strips, and Alliance received a higher insurance reimbursement rate by submitting pharmacy-benefit claims to insurers than it would have received had it submitted those claims as medical equipment-benefit claims. (ECF No. 52 at 4).

The effect on the Test Strip Manufacturers was twofold: (i) they were deprived of the higher price Alliance would have had to pay for retail strips had it properly acquired them; and (ii) they paid insurers rebates based on the distribution of strips which were improperly reported to insurers as retail strips distributed through a pharmacy-benefit plan. (ECF No. 52 at 19). The effect was material.

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