Modern Healthcare

Supreme Court gives whistleblo­wers more time to bring false claims lawsuits

- By Harris Meyer

THE U.S. SUPREME COURT ruled that whistleblo­wers across the country will have up to four years of additional time to bring False Claims Act cases in healthcare and other industries.

The decision may lead to an increase in the number of so-called qui tam cases, and make defending against them more complex, said Jonathan Feld, a former U.S. Justice Department attorney at the law firm Dykema who defends healthcare clients in FCA cases.

The justices unanimousl­y held in Cochise Consultanc­y v. U.S. ex rel. Hunt that such claimants can sue up to three years after the responsibl­e federal official knew or should have known the relevant facts, but not more than 10 years after the alleged violation.

The longer statute of limitation­s applies in whistleblo­wer-filed suits in which the federal government has declined to intervene. Up to now, due to different circuit court interpreta­tions, the FCA statute of limitation­s has varied across the country in cases where the federal government has not intervened.

“I definitely expect to see more cases because whistleblo­wers will have expanded time in which they can file without government interventi­on,” Feld said. “And companies will have to keep their records longer and do more thorough exit interviews with employees.”

The U.S. Justice Department sided with the whistleblo­wer’s argument in the Supreme

Court case, even though it issued two policy memos last year with the goal of dismissing more whistleblo­wer cases and narrowing the types of federal policy documents whistleblo­wers can cite to support their claims.

“It’s a little bit of mixed signals from Justice,” Feld said.

The defense contractor­s that were the defendants in the underlying case argued that the original statute of limitation­s of six years from the time of the alleged violation should apply—not a second, more lenient statute of limitation­s passed by Congress in 1986 out of concern that frauds were not coming to light in time.

The 1986 statute permits suits up to three years after “the official of the United States charged with responsibi­lity to act in the circumstan­ces” learns about the alleged fraud but not more than 10 years after the events.

But the justices, citing fundamenta­l rules of statutory interpreta­tion, said whistleblo­wers, also known as relators, are not considered to be U.S. officials and are not limited by the original six-year statute of limitation­s that starts at the time of the alleged violation. Thus, they are subject to the same, longer statute of limitation­s as the government.

That’s true even if the relator discovered the violation within six years—and before the government knew about it.

“But we see nothing unusual about extending the limitation­s period when the government official did not know and should not reasonably have known the relevant facts, given that the government is the party harmed by the false claim and will receive the bulk of the recovery,” Justice Clarence Thomas wrote.

Defense attorneys fear the decision will prompt whistleblo­wers to wait longer to file their claims in order to increase the amount of fraud and hence the value of their claims.

The ruling could have a particular­ly strong impact on the healthcare industry, since most False Claims Act settlement­s and judgments involve the sector. Of the $2.8 billion in recoveries by the Justice Department last year, $2.5 billion involved the healthcare industry, including drug and medical-device manufactur­ers, managed-care providers, hospitals, pharmacies, hospice organizati­ons, laboratori­es and physicians.

Of that $2.5 billion total, $2.1 billion resulted from cases filed by whistleblo­wers, who received $301 million from the settlement­s. The number of healthcare cases grew to 506 in 2018 from 291 in 2008.

Whistleblo­wer plaintiff attorneys applauded Monday’s ruling.

“The Supreme Court’s ruling means that more non-intervened qui tam cases and claims will survive defense efforts to stop them based on the timing of the potential whistleblo­wer’s knowledge of misconduct rather than on the knowledge of actual government officials,” said Peter Chatfield, a partner with Phillips & Cohen in Washington.

He added that defendants now could be held liable for more damages in cases in which the government does not intervene. ●

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