No. 21-1145

Molina Healthcare of Illinois, Inc., et al. v. Thomas Prose

Lower Court: Seventh Circuit
Docketed: 2022-02-17
Status: Denied
Type: Paid
Amici (3)Relisted (2) Experienced Counsel
Tags: circuit-split false-claims-act implied-certification implied-false-certification material-noncompliance materiality pleading-requirements pleading-standard rule-9(b) rule-9b statutory-compliance
Key Terms:
SocialSecurity Securities Immigration
Latest Conference: 2022-10-14 (distributed 2 times)
Question Presented (AI Summary)

Whether Rule 9(b) requires plaintiffs in False Claims Act cases to plead details of the alleged false claims

Question Presented (OCR Extract)

QUESTIONS PRESENTED This petition presents the same question as Johnson v. Bethany Hospice & Palliative Care LLC, No. 21-462, and United States ex rel. Owsley v. Fazzi Assocs., Inc., No. 21-936, regarding Federal Rule of Civil Procedure 9(b)’s application to False Claims Act cases. Circuit courts are divided over whether FCA plaintiffs must plead the element of a false claim with particularity, or whether the existence of a false claim can simply be inferred, as the Seventh Circuit held. This petition also raises a second conflict. Universal Health Services, Inc. v. United States ex rel. Escobar held that a claim can be “false or fraudulent” if (1) the claim makes representations about the goods or services provided; and (2) the defendant’s failure to disclose material statutory, regulatory, or contractual noncompliance makes’ those representations misleading half-truths. 579 U.S. 176, 187, 190 (2016). Circuit courts disagree over whether a claim that makes no representations about the goods or services at issue can be deemed “false or fraudulent” via an “implied” certification of compliance with underlying conditions, with the Seventh Circuit concluding that it can. The questions presented are: 1. Whether Rule 9(b) requires plaintiffs in False Claims Act cases to plead details of the alleged false claims. 2. Whether a request for payment that makes no specific representations about the goods or services provided can be actionable under an implied false certification theory.

Docket Entries

2022-10-17
Petition DENIED.
2022-09-28
DISTRIBUTED for Conference of 10/14/2022.
2022-09-26
Second supplemental brief of petitioners Molina Healthcare of Illinois, Inc., et al. filed. (Distributed)
2022-05-31
Rescheduled.
2022-05-31
Supplemental brief of petitioners Molina Healthcare of Illinois, Inc., et al. filed.
2022-05-17
DISTRIBUTED for Conference of 6/2/2022.
2022-05-16
Reply of petitioners Molina Healthcare of Illinois, Inc., et al. filed. (Distributed)
2022-04-27
Brief of respondent Thomas Prose in opposition filed.
2022-04-18
Motion to extend the time to file a response is granted and the time is further extended to and including April 27, 2022.
2022-04-14
Motion to extend the time to file a response from April 20, 2022 to April 27, 2022, submitted to The Clerk.
2022-03-21
Brief amicus curiae of Chamber of Commerce of the United States filed.
2022-03-18
Brief amicus curiae of America’s Health Insurance Plans filed.
2022-03-16
Motion to extend the time to file a response is granted and the time is extended to and including April 20, 2022.
2022-03-16
Brief amicus curiae of Washington Legal Foundation filed.
2022-03-14
Motion to extend the time to file a response from March 21, 2022 to April 20, 2022, submitted to The Clerk.
2022-02-14
Petition for a writ of certiorari filed. (Response due March 21, 2022)

Attorneys

America’s Health Insurance Plans
Kathleen Roberta HartnettCooley LLP, Amicus
Chamber of Commerce of the United States of America
John Patrick ElwoodArnold & Porter Kaye Scholer LLP, Amicus
Molina Healthcare of Illinois, Inc., et al.
Anne Margaret VoigtsKing & Spalding LLP, Petitioner
Thomas Prose
Tejinder SinghSparacino PLLC, Respondent
Washington Legal Foundation
Cory L. AndrewsWashington Legal Foundation, Amicus