anti-kickback-statute

13 cases — ← All topics

Case Title Lower Court Docketed Status Flags Tags Question Presented
25-157 Richard Hall v. United States Fifth Circuit 2025-08-11 Denied Response Waived anti-kickback-statute burden-of-persuasion criminal-defense federal-health-care-program safe-harbor statutory-interpretation Which party bears the burden of persuasion for an AKS safe harbor, once the defendant has produced sufficient evidence to put the defense in play
24-235 Asif Sayeed, et al. v. Stop Illinois Health Care Fraud, LLC Seventh Circuit 2024-08-30 Denied Response Waived anti-kickback-statute false-claims-act indirect-referral legal-knowledge referral-definition willful-conduct Must a defendant know their conduct violates the law to act 'willfully' under the Federal Anti-Kickback Statute?
24-5032 Jackson Jacob v. United States Fifth Circuit 2024-07-09 Denied Response RequestedResponse WaivedRelisted (5)IFP anti-kickback-statute criminal private-health-insurers restitution scope sixth-amendment Does the Anti-Kickback Statute extend to services paid for by private health insurers?
23-1293 United States, ex rel. Adam Hart, et al. v. McKesson Corporation, et al. Second Circuit 2024-06-11 Denied Response RequestedResponse WaivedRelisted (2) anti-kickback-statute circuit-split criminal-intent criminal-law federal-health-care-program health-care-fraud mens-rea statutory-interpretation willful-conduct To act 'willfully' within the meaning of the Anti-Kickback Statute, must a defendant know that its conduct violates the law?
23A1059 Jackson Jacob v. United States Fifth Circuit 2024-05-29 Presumed Complete anti-kickback-statute federal-criminal-statute healthcare-conspiracy medical-services out-of-network-billing reimbursement Whether the Anti-Kickback Statute (42 U.S.C. § 1320a-7(b)) extends to medical services paid for by private health insurers
23A1057 Mrugeshkumar Kumar Shah v. United States Fifth Circuit 2024-05-28 Presumed Complete anti-kickback-statute constitutional-fact-finding criminal-restitution healthcare-conspiracy jury-determination sixth-amendment Whether the Sixth Amendment requires a jury to find facts supporting the amount of criminal restitution beyond a reasonable doubt
23-716 Shawn Mark Henry v. United States Fifth Circuit 2024-01-03 Denied Response Waived anti-kickback-statute criminal-intent federal-benefits federal-healthcare-benefits healthcare-fraud interstate-commerce mens-rea statutory-interpretation travel-act Does the Anti-Kickback Statute require proof of knowledge of federal healthcare benefits?
23-139 United States, ex rel. Shannon Martin, M.D., et al. v. Darren Hathaway, M.D., et al. Sixth Circuit 2023-08-15 Denied Response Waived anti-kickback-statute false-claims-act federal-health-care-program government-claims healthcare-fraud liability remuneration statutory-interpretation Does the term 'remuneration' under the Anti-Kickback Statute encompass solicitation or receipt of any kind of reward or compensation, or is it limited…
22-6653 Jayson Montgomery v. United States Sixth Circuit 2023-01-27 Denied IFP anti-kickback-statute circuit-split controlled-substances-act criminal-law due-process healthcare-fraud intent ruan-v-united-states subjective-intent Does the government need to prove subjective intent for anti-kickback statute violations?
22-685 Jerry Wayne Wilkerson, et al. v. United States Sixth Circuit 2023-01-24 Denied anti-kickback-statute commission-payment controlled-substances-act healthcare-fraud objective-intent-standard pharmacy-benefit prescription-marketing sixth-circuit subjective-intent Must the government establish subjective intent to engage in unlawful conduct in order to convict a defendant of healthcare fraud and violation of the…
22-339 Pfizer Inc. v. Department of Health and Human Services, et al. Second Circuit 2022-10-12 Denied Amici (5) advisory-opinion-process anti-kickback-statute criminal-intent healthcare-fraud medical-decision-making medicare mens-rea remuneration rule-of-lenity statutory-interpretation Whether the Anti-Kickback Statute is violated only if the person offering the remuneration intends to corrupt the recipient's medical decision-making
21-445 Floyd Calhoun Dent, III v. United States, et al. Fourth Circuit 2021-09-22 Denied Response Waived anti-kickback-statute federal-healthcare-programs healthcare-fraud independent-contractor independent-contractors marketing medical-referral referral remuneration sales-commission statutory-interpretation Whether the Anti-Kickback Statute prohibits the payment of sales commissions to independent contractors who make marketing presentations to physicians…
19-866 Emmanuel E. Ubinas-Brache v. Surgery Center of Texas, LP Texas 2020-01-10 Denied Response Waived anti-kickback-statute healthcare-fraud limited-partnership medicaid medicare partnership-agreement preemption state-contract-law surgical-center Does applying state contract law to enforce a partnership agreement's clause permitting expulsion 'for any reason or no reason' obstruct Congress's ef…