Villamizar v. Senior Care Pharmacy Services, Inc.

CourtDistrict Court, E.D. California
DecidedMay 24, 2023
Docket2:14-cv-01737
StatusUnknown

This text of Villamizar v. Senior Care Pharmacy Services, Inc. (Villamizar v. Senior Care Pharmacy Services, Inc.) is published on Counsel Stack Legal Research, covering District Court, E.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Villamizar v. Senior Care Pharmacy Services, Inc., (E.D. Cal. 2023).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 FOR THE EASTERN DISTRICT OF CALIFORNIA 10 11 PAUL VILLAMIZAR, No. 2:14-cv-01737-DAD-KJN 12 Plaintiff, 13 v. ORDER DENYING DEFENDANT SENIOR CARE PHARMACY SERVICES, INC.’S 14 SENIOR CARE PHARMACY MOTION FOR PARTIAL SUMMARY SERVICES, INC., et al., JUDGMENT 15 Defendants. (Doc. No. 128) 16 17 This matter is before the court on the motion for partial summary judgment filed on behalf 18 of defendant Senior Care Pharmacy Services, Inc. (“Senior Care”) on August 8, 2022. (Doc. No. 19 128.) The pending motion was taken under submission by the previously assigned district judge 20 on August 23, 2022.1 (Doc. No. 138.) For the reasons explained below, defendant Senior Care’s 21 motion for partial summary judgment will be denied. 22 PROCEDURAL BACKGROUND 23 On July 23, 2014, plaintiff Paul Villamizar filed a complaint under seal against defendant 24 Senior Care and defendant Samitendu Banerjee (“Banerjee”), the sole owner of defendant Senior 25 Care, for qui tam causes of action brought under the federal False Claims Act (“FCA”), 31 U.S.C. 26 §§ 3729 et seq., and the California False Claims Act (“CFCA”), California Government Code 27

28 1 On August 25, 2022, this case was reassigned to the undersigned. (Doc. No. 139.) 1 §§ 12650, et seq. (Doc. No. 1.) On October 21, 2016, plaintiff filed the operative first amended 2 complaint (“FAC”) also under seal, in which plaintiff names defendant Senior Care managers Ara 3 Keusgarian and Tony Nguyen as additional defendants and asserts the following eight additional 4 individual claims against all defendants: (1) assault; (2) battery; (3) intentional infliction of 5 emotional distress; (4) negligent infliction of emotional distress; (5) wrongful termination in 6 violation of public policy; (6) whistleblower retaliation in violation of California Government 7 Code § 12653; (7) qui tam retaliation in violation of 31 U.S.C. § 3730(h)(1); and (8) violence and 8 intimidation in violation of California Civil Code § 51.7. (Doc. No. 29 at 44–64.) On July 15, 9 2019, after the intervenor-plaintiffs United States of America and State of California declined to 10 intervene in this case (Doc. Nos. 63, 65), the court unsealed the original complaint and FAC, 11 among other filings. (See Doc. No. 66.) 12 On August 22, 2019, pursuant to plaintiff’s notice of voluntary dismissal of the qui tam 13 claims, the court dismissed those claims. (Doc. No. 70.) On February 7, 2022, the court 14 dismissed plaintiff’s fifth, sixth, and seventh claims as to all defendants except defendant Senior 15 Care and dismissed plaintiff’s eighth claim as to all defendants. (Doc. No. 114.) Therefore, this 16 case proceeds only on plaintiff’s first, second, third, and fourth claims against all defendants and 17 his fifth, sixth, and seventh claims against defendant Senior Care. 18 In the FAC, plaintiff alleges several ways in which defendant Senior Care violated the 19 FCA and CFCA, including that defendant Senior Care offers financial inducements to skilled 20 nursing facilities (“SNFs”) on its Medicare Part A business in the form of: (1) steeply discounted 21 per diem rates; (2) steeply discounted prices for drugs; and (3) free drugs in order to gain the 22 SNFs’ full-priced Medi-Cal and Medicare Part D business. (Doc. No. 29 at 20–21.) Plaintiff 23 alleges that this practice constitutes the payment of illegal kickbacks and that the claims for 24 reimbursement submitted by defendant Senior Care to federal Medicare and TRICARE programs 25 pursuant to this arrangement constitute false claims under the FCA, and the claims for 26 reimbursement submitted by defendant Senior Care to Medi-Cal constitute false claims under the 27 CFCA. (Id. at 20–21, 39–42.) Plaintiff alleges that when a new patient is admitted into an SNF 28 that is serviced by defendant Senior Care, employees of defendant Senior Care will assume the 1 patient is a per diem patient and switch the prescribed medication to a less expensive drug. (Id. at 2 ¶ 106.) However, when the patient’s insurance turns out to be Medi-Cal or Medicare Part D, the 3 employees allegedly change the prescribed medication to one that is in the same class but will 4 yield the company greater profits. (Id.) Plaintiff alleges that by supplying therapeutically similar 5 but higher-priced drugs yielding greater profit margins, defendant Senior Care overcharges the 6 federal government and the State of California in violation of the FCA and CFCA. (Id. at ¶ 111.) 7 On August 8, 2022, defendant Senior Care filed a motion for partial summary judgment in 8 its favor on plaintiff’s fifth claim of wrongful termination, sixth claim of retaliation in violation of 9 CFCA, and seventh claim of retaliation in violation of the FCA. (Doc. No. 128.) On August 23, 10 2022, plaintiff filed an opposition to the pending motion and a request for judicial notice. (Doc. 11 No. 137, 136-2.)2 On August 26, 2022, defendant Senior Care filed a reply in support of its 12 motion for summary judgment. (Doc. No. 141.) Defendant Senior Care also concurrently filed 13 an opposition to plaintiff’s request for judicial notice. (Doc. No. 141-1.) 14 ///// 15 ///// 16 ///// 17 ///// 18 ///// 19 ///// 20 ///// 21 2 Plaintiff also concurrently filed a request pursuant to Rule 56(d)(2) of the Federal Rules of Civil 22 Procedure for additional time to allow him to “take discovery and/or obtain additional affidavits” 23 and six specific depositions in order to oppose defendant Senior Care’s motion for summary judgment. (Doc. No. 137-3 at 1–4.) Defendant Senior Care opposed that request. (Doc. No. 24 141-2.) However, plaintiff and defendant Senior Care subsequently stipulated to continue the discovery cut-off dates in this case, specifically stating both parties believed that “significant time 25 and expense can be saved by waiting to conduct depositions until after the Court rules on the pending Motion for Partial Summary Judgment.” (Doc. Nos. 142 at 2–3; 144 at 2–3) (emphasis 26 added). By so stipulating, plaintiff appears to have now indicated that he did not need additional 27 discovery in order to adequately oppose defendant Senior Care’s motion for summary judgment. In any event, because the court will deny defendant Senior Care’s motion for partial summary 28 judgment for the reasons explained below, plaintiff’s Rule 56(d)(2) request is rendered moot. 1 FACTUAL BACKGROUND3 2 At all relevant times, defendant Senior Care was an independently owned provider of 3 pharmaceutical infusion therapy, enteral nutrition, and consulting services to long-term care 4 facilities in California. (DUF ¶ 2.) Defendant Banerjee was the sole owner, president, and chief 5 pharmacist of defendant Senior Care. (DUF ¶ 3.) Defendant Senior Care operated pharmacies at 6 several locations in California, including at 4950 Fulton, Fairfield, CA 94534 (“Fairfield 7 Pharmacy”). (DUF ¶ 4.) Plaintiff worked at will as a pharmacist at the Fairfield Pharmacy from 8 May 8, 2013 to August 15, 2014. (DUF ¶¶ 5, 6.) On August 15, 2014, defendant Banerjee and 9 senior managers, defendants Keusgarian and Nguyen, met with plaintiff and informed him that he 10 was being terminated from his position, effective immediately. (DUF ¶¶ 31, 32.) 11 Defendant Senior Care and plaintiff dispute the reason plaintiff was fired. Defendant 12 Senior Care asserts that plaintiff’s employment was terminated “based solely on his deficient 13 performance at work and harassment complaints by female coworkers.” (DUF ¶ 33.) 14 Specifically, on May 15, 2014, Mai Tran, one of plaintiff’s female co-workers, complained to 15 defendant Banerjee about what she perceived as a hostile work environment created by plaintiff 16 and his unprofessional behavior towards her.

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Bluebook (online)
Villamizar v. Senior Care Pharmacy Services, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/villamizar-v-senior-care-pharmacy-services-inc-caed-2023.