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AN EMPIRICAL LOOK AT THE ARGUMENTS THAT KILLED THE MARYLAND FALSE CLAIMS ACT



AN EMPIRICAL LOOK AT THE ARGUMENTS THAT KILLED THE Maryland FALSE CLAIMS ACT


As regular readers of this blog will recall, in the 2008 legislative session, the Maryland False Claims Act failed by a single vote in the full Senate, after having been passed by the Maryland House of Delegates.     


Given that the Virginia Fraud Against Taxpayers Act passed both houses of the Virginia legislature in 2002 unanimously, we never got a chance to see the usual suspects put on their dog and pony show in an effort to thwart its passage.  While the organized resistance to state qui tam statutes is, by and large, not as organized or as large as other lobbying movements, we know we can count on certain folks to fight the passage of qui tam statutes.  For example, the various health care-related lobbying groups, as well as the various Chamber of Commerce organizations, can always be counted on to do whatever is in their power to prevent qui tam statutes from being enacted.   


These groups were more or less silent on the Virginia statute.  Maryland, on the other hand, proved to be a different story, as the attachments to this blog entry show. 

I have included the /files/116785-109034/chamberofcommerceSB845.pdf”>testimony from the Maryland Chamber of Commerce.  As the reader can see, the arguments against the Maryland False Claims Act fall into a couple of categories.  I have grouped the arguments advanced by commercial interests into several broad categories below.


(1)  The False Claims Act will penalize honest businesses who make honest mistakes and violate overly technical “regulations.”


This is the most common red-herring we hear from the business community.  Rhetorically, it is a stroke of genius–the only thing more threatening to small and medium sized businesses than “regulation” is the prospect of being sued for an honest mistake that violates a regulation.  


This defense rarely succeeds, however, for a number of reasons.  First and foremost, if someone has truly made one or more honest mistakes in the way they bill the Government for services or goods, it will normally be apparent.  This is because providers who make honest mistakes will normally break even when all of their mistakes are tallied. 


In other words, for every mistake made that leads to a gain, there will be a corresponding error in which the company lost money.  By the same token, an “honest mistake” defense will not work where the mistakes all lead to an increase in income, and the provider wound up making more money than they otherwise would have.

In any event, “honest mistakes” are not prohibited under the statute.  What is, however, prohibited is knowingly making a false statement for the purpose of getting a claim paid or approved.


(2)  Maryland does not need a False Claims Act because the actions it makes unlawful are already covered under other statutes; furthermore, it is not necessary to create a private cause of action for the same laws already enforced by the Maryland Attorney General. 


This is another old chestnut that gets dusted off every time a state prepares to enact a false claims statute.


I believe Sen. Grassley already handled this argument quite properly in 1986, when the amendments to the Federal False Claims Act were being debated.  First, government cannot be everywhere at the same time.  Government, on its own, simply cannot catch every single fraudfeasor any more than it can catch every single speeding driver on a state’s roads.  For that matter, even the efforts of the state Government AND a skilled cadre of qui tam lawyers in private practice will not be enough to catch all of the fraudfeasors out to feed on our public tax dollars.  A private cause of action does make enforcement more likely, however, and that alone makes its passage worthwhile.  


Additionally, the largest benefit is that the Deficit Reduction Act of 2005 would give Maryland an extra 10% of all monies recovered in FCA prosecutions, no matter whether the case was initiated by the federal government, by a private qui tam relator, or by the Maryland Attorney General’s Office.  A complete discussion of this important topic is beyond the scope of this blog post, and those interested should click here.     


(3)  The stringent penalties and fines called for the in the statute would quickly put small and medium sized companies out of business for honest mistakes.


See the arguments refuting the “honest mistakes” rhetoric above.  As for putting companies that submit a large number of false claims out of business, that is a big affirmative.  If a company submits a level of false claims such that treble those damages and civil penalties puts the company out of business, that company deserves to be out of business, as far as I am concerned. 


The simple fact is that too many individuals and companies have business models that are based entirely on false claims–in other words, some individuals and companies could not both comply with the requirements of the law and make money at the same time, because they do not honestly provide any goods or services of value. 


On some level, we have to recognize that when groups like the Maryland Chamber of Commerce, or the United States Chamber of Commerce, oppose the passage of False Claims Acts, they are simply demanding that a greater share of the wealth that government redistributes go into the pockets of business.


In other words, the Chamber of Commerce may pretend to be a bastion of free-market thinking, and may pretend to be infuriated when taxes are raised, but at the end of the day they really don’t mind if the government redistributes money from one pocket to another, as long as the money goes from the taxpayer’s pocket into the right pocket.


Zachary Kitts
Cook & Kitts, PLLC


 


 
       


 

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The Medicaid Fraud Control Unit of Virginia’s Office of the Attorney General produces a new brochure



Virginia’s award-winning Medicaid Fraud Control Unit (MFCU) today published a new brochure designed to inform the public about its mission and goals.  Click here to view the Cook & Kitts, PLLC


 

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Law Professor Pamela H. Bucy’s Pioneering Efforts to Collect and Analyze State False Claims Information



As I said when I started this blog, state qui tam statutes represent a new frontier.  If state qui tam statutes are ever going to bear the same kind of fruit as the federal false claims act, at some point it will be necessary to collect and analyze the experiences of the various states to pass FCA-style statutes, as well as create a mechanism for the exchange of ideas and information among states with FCA statutes. 

And that is where the ground-breaking scholarship of Professor Pamela Bucy comes in.  Professor Bucy is the Bainbridge Professor of Law at the University of Alabama School of Law, and for the last several years she has been engaged in the study of state false claims acts.   

She is the first, so far as I know, to collect data from each state to pass an FCA statute.  In Britain they call the kind of effort necessary to collect data on that scale “hard slog.”     

The results of her first survey were published in 2005, in States, Statutes and Fraud: An Empirical Study of Emerging State False Claims Acts, 80 Tulane L. Rev. 465 (2005).   She followed up with articles in the Cardozo Law Review ((28 Cardozo L. Rev. 1599 (2007) and others.       

Her efforts are important for more reasons that I can list here.  For starters, a review of the experiences of the various state FCA statutes serves an important interest of federalism as anticipated by the founding fathers of the United States.  Specifically, the founding fathers anticipated that as the several states tinkered with legislation and government models, they would serve as “laboratories of democracy.”  In other words, when one state passed a new piece of legislation, or amended its constitution, or took any other step, all of the other states, along with the federal government, could observe the results and, if they were favorable, amend their own statutes or alter their own form of government.

On a more practical level, fraud schemes that are uncovered in one state will very often apply to at least one other state, and very often will apply to an entire region of the country.   

These are just two examples that occur to me at the moment.  As the states become more experienced with their FCAs, there is every reason to think that eventually something similar to the National Association of Medicaid Fraud Control Units (“NAMFCU”) will be formed.  

When that day does eventually arrive, we will all owe a debt of gratitude to Prof. Bucy.   

Zach Kitts
Cook & Kitts, PLLC  

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Taxpayers Against Fraud Announces the Agenda for its Eighth Annual Conference in September


This week Taxpayers Against Fraud announced the agenda for their Eighth Annual Conference, set to take place from September 7-10 at the Marriott at Metro Center here in Washington, D.C.

Among the many highlights, Michael T. Judge, the Deputy Director of Virginia’s award-winning Medicaid Fraud Control Unit, will speak on the morning of September 9th.  

Those of you who read this blog will know that I am a big fan of continuing legal education, and I both teach and attend a number of seminars each year.  Year after year, I have consistently found the seminars offered at TAF Conferences to be hands-down the most interesting and educational seminars I have ever attended.

Moreover, the conference really brings out the best in our community–that is, the joint public/private partnership between the private bar and government prosecutors that is so necessary to the effective enforcement of those laws and regulations protecting the public fisc. 

For a look at the tentative agenda, click Cook & Kitts, PLLC


 

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Four New States Join the “Deficit Reduction Club”


This week, the Office of the Inspector General issued 10 new state false claims act review letters.  Of the 10 reviews, four new states joined the DRA club–California, Indiana, Rhode Island, and Georgia–and the remaining six were denied entry. 

There are now twelve states with qualifying state qui tam/ state false claims statutes:  Virginia, Texas, Tennessee, New York, Nevada, Massachusetts, Illinois, Hawaii, California, Indiana, Rhode Island, and Georgia.   

According to the OIG’s summary:  “As enacted by section 6031 of the Deficit Reduction Act of 2005 (DRA), section 1909 of the Social Security Act (Act) provides a financial incentive for States to enact false claims acts that establish liability to the State for the submission of false or fraudulent claims to the State’s Medicaid program. If a State false claims act is determined to meet certain enumerated requirements, the State is entitled to an increase of 10 percentage points in its share of any amounts recovered under a State action brought under such a law.”

The requirements were published in the federal register as Cook & Kitts, PLLC


 

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New Opinion from the U.S. District Court for the Western District of Virginia interprets Virginia’s Nonsuit Statute in the qui tam context


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The Marine Habitat and Waterways Improvement Fund and the Virginia Fraud Against Taxpayers Act



One loyal reader recently pointed out that this blog might have unintentionally drifted from one of its stated goals–namely, to give practice examples of the myriad situations in which Virginia Fraud Against Taxpayers Act might be useful.


Today’s example concerns the Marine Habitat and Waterways Improvement Fund, which was established in the year 2000 by an act of the General Assembly.  The statute is found at Virginia Code § 28.2-1204.2 et seq.  The statute provides that “Moneys in the Fund shall be used solely for the purposes of improving marine habitat and waterways, including the removal of obstructions or hazardous property from state waters.”   


Interestingly enough, one of the major sources of revenue for this fund is permits for one of two purposes:  (1) fees paid to the Treasurer of Virginia for a permit to “recover underwater historic property” and (2) permits to use “state owned bottom lands.”  I take example (1) above to mean treasure hunters, archaeologists, etc., looking for old shipwrecks off the Virginia Coast. 


Example number (2), permits “to use state owned bottom lands” primarily means the mining of sand from the bottom of the Chesapeake Bay.  The type of sand found at the bottom of the Chesapeake Bay–or most other bays, for that matter–is very different from the sand found on beaches or in a kid’s sandbox, and it is quite valuable. Among many other commercial applications, this sort of sand is used in the manufacture of concrete.     


For that reason, Virginia Code § 28.2- 1206(C) specifies that “When the activity or project for which a permit is requested will involve the removal of bottom material, the application shall indicate this fact. If granted, the permit shall specify a royalty of not less than $.20, nor more than $.60, per cubic yard of bottom material removed.”


Such royalties for the sand removed are to be paid to the Treasurer of Virginia, and used for the improving Virginia’s marine habitats and waterways–in other words, for the public good and for the preservation of our precious natural resources. 


Virginia’s part of the Chesapeake Bay is not the only place in the country with this sort of sand–California’s San Francisco Bay also has quite a bit of it.  Guess what happened there?


You got it–numerous companies submitted false claims to the state by mining sand in areas of the Bay for which they had not been issued a permit, and by mining more sand than they reported to the state of California.  Because the California statute is similar to the Virginia statute (in that both set a range of prices for one cubic yard of sand depending on the purpose for which it is mined) the companies also submitted false claims and made false records in order to decrease the price owed to the state for one cubic yard of sand. 


I would say the odds of something similar happening here in the Chesapeake Bay are pretty high–if for no other reason that the value of the sand and the low prices set by the Commonwealth of Virginia.  At a statutory price of $.20 to $.60 per cubic yard, the sand mined from the Chesapeake Bay is a real bargain. 

In California, the state charges $3.30 for one cubic yard of sand mined from the Bay, and the “street value” or commercial value of such
sand is around $12.50 per cubic yard.  That means the incentive for a company to rip off the Commonwealth is almost too much to pass up.    

To drop me a line and learn more about my firm or whether you might have a situation to which the Virginia Fraud Against Taxpayers Act applies, you may contact me here.


Zachary Kitts
Cook & Kitts, PLLC
        


  

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Breaking News: Virginia Office of the Attorney General to host Continuing Legal Education Seminar on the Virginia Fraud Against Taxpayers Act



Virginia Qui Tam Law.com is pleased to announce that the Virginia Office of the Attorney General will be sponsoring a Continuing Legal Education Seminar on the Virginia Fraud Against Taxpayers Act on October 3, 2008, from 2:00 to 5:00 PM.

The meeting is open to the entire Office of the Attorney General, as well as members of the private bar.   We also hope to attract Constitutional Officers such as Circuit Court Clerks, and others involved in the administration of Virginia Courts.   

The single most important aim, however, is to build the public-private partnership between Government attorneys and members of the private bar that is a crucial prerequisite to large scale enforcement of the Virginia Fraud Against Taxpayers Act.
Senator Grassley (R-IA) himself described the need for such a partnership when he led the charge to update the Federal False Claims Act in 1986: 

        
The law we vote on today is intended to encourage a working partnership between the Government and the qui tam plaintiff. The public will be well served by having more legal resources brought to bear against those who defraud the government… If the Government can pass a law that will increase the resources available to confront fraud against the Government without paying for it with taxpayers’ money, we are all better off. This is precisely what [the False Claims Act] is intended to do: deputize ready and able people who have knowledge of fraud against the government to play an active and constructive role through their counsel to bring to justice those contractors who overcharge the government. 132 Cong. Rec. H9382-83 (October 7, 1986).

  
The program will be an enhanced version of the seminar we put on in February through the Fairfax Bar Association, and the speakers will again be Special Assistant Attorney General Guy W. Horsley, Jr., Jeb White, who serves as Executive Director of Taxpayers Against Fraud, and myself.  The conference will be held in the Office of the Attorney General, located at 900 E. Main Street, Richmond, Virginia.  

There will be more details to follow, but in the interim anyone wishing to register should email me. 

Zachary Kitts
Cook & Kitts, PLLC
 

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U.S. District Court for the Eastern District of Virginia Ranks in Top Five District Courts for Qui Tam Filings


I had heard it said before that the U.S. District Court for the Eastern District of Virginia ranked in the top five districts for qui tam filings, but I now have located the proof.

The statistic comes from this Cook & Kitts, PLLC