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False Claims Act

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Plaintiff's False Claims Act complaint alleged that all the defendant health insurers submitted false claims using false diagnoses of patients' medical condition from the same vendor, and no further differentiation among the health insurers was needed to satisfy Federal Rule of Civil Procedure 9(b) since they all acted the same way. Read More

Plaintiff avoided summary judgment in a False Claims Act suit by showing defendant expressly agreed, as a condition of receiving federal student aid, not to pay incentive compensation to its recruiters, but then violated that agreement and still submitted claims for student aid. Read More

Relators stated an actionable False Claims Act claim for fraud against defendant drug manufacturer, claiming that defendant had obtained a key active ingredient for HIV antiretroviral drugs it sold to the U.S. government from unapproved Chinese factories and that the improperly sourced ingredient was adulterated.  Read More

A federal False Claims Act suit was properly dismissed because the suit was based on facts publicly disclosed in a prior suit and the plaintiff was not the original source of that information, but learned it only as a party to the prior suit.  Read More

Resolution of the underlying lawsuit (here by a settlement) does not automatically moot an appeal by a person who unsuccessfully sought to intervene in the action, so long as effective relief may still potentially be awarded the would-be intervenor. Read More

For purposes of the False Claims Act, plaintiff (a New York Deputy AG) did not fall within the pre-2010 definition of an “original source,” because he had only suspicions—not direct knowledge—of defendant’s fraudulent overcharging of the government for wiretaps, and he disclosed those suspicions in response to a FCC inquiry rather than voluntarily.  Read More

Because no statute, regulation or contract provision required defendant to use a progress charting tool known as an earned value management system, defendant did not violate the False Claims Act, as plaintiff alleged, by an implied false certification that it used that tool.  Read More

If a private relator fails to respect the 60-day statutory seal on release of information while the Attorney General reviews a False Claims Act complaint, the district court, in its discretion, may dismiss the complaint or impose other sanctions; dismissal is not mandatory.  Read More

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