Opinion

United States v. Premo

  • 470 F.3d 914
Court
Court of Appeals for the Ninth Circuit
Filed
Dec 13, 2006
Status
Published
Author
Canby
On the bench
Canby, Noonan, Berzon
Nature of suit
Civil
Cited by
1 cases
Authority
More cited than 54.4%

The opinion

FOR PUBLICATION

UNITED STATES COURT OF APPEALS

FOR THE NINTH CIRCUIT

UNITED STATES OF AMERICA, ex rel., 

Plaintiff,

and

CHARLOTTE RAE BLY-MAGEE,

Plaintiff-Appellant,

v.

No. 05-55556

BRENDA PREMO; CATHERINE

CAMPISI; JIM KAY; WARREN HAYES,

a/k/a Ronald E. Glousman, MD;

 D.C. No.

CV-01-08716-DDP

KEITH S. FOSTER; EDNA LARSON; OPINION

KENNETH SMEDBERG; VERNE

ALBRIGHT; LOS ANGELES COUNTY

DEPARTMENT OF MENTAL HEALTH,

e/s/a County of Los Angeles; LOS

ANGELES COUNTY OFFICE OF

EDUCATION,

Defendants-Appellees.

Appeal from the United States District Court

for the Central District of California

Dean D. Pregerson, District Judge, Presiding

Argued and Submitted

February 13, 2006—Pasadena, California

Filed December 13, 2006

Before: William C. Canby, Jr., John T. Noonan, and

Marsha S. Berzon, Circuit Judges.

Opinion by Judge Canby

19417

19420 BLY-MAGEE v. PREMO

COUNSEL

Joseph E. Deems, Sherman Oaks, California, for the appel-

lant.

Kenneth G. Lake, Deputy Attorney General, Los Angeles,

California; Joseph L. Stark, Joseph L. Stark & Associates,

Santa Clarita, California; for the defendants-appellees.

OPINION

CANBY, Circuit Judge:

In 2001 Charlotte Bly-Magee filed this qui tam action

under the False Claims Act, 31 U.S.C. § 3729. She accuses

the California Department of Rehabilitation (“CDR”) and its

employees of defrauding the federal government. The district

court dismissed her Second Amended Complaint, without

leave to amend. The district court held that Bly-Magee had

failed to overcome the False Claims Act’s jurisdictional bar

that precludes private actions based on public disclosure of

allegations unless the relator who is bringing the action is an

original source of the information. See 31 U.S.C.

§ 3730(e)(4)(A). Bly-Magee now appeals.

BLY-MAGEE v. PREMO 19421

Background

For over a decade, Bly-Magee has been pursuing qui tam

actions against CDR. She initially suspected CDR of filing

false claims while she was serving as the executive director

of Southern California Rehabilitation Services, a non-profit

organization that receives federal and state funds to serve the

disabled. Shortly after leaving Southern California Rehabilita-

tion Services, she filed the first of three qui tam actions (“Bly-

Magee I”). The government declined to intervene in this action.1

A district court granted summary judgment against Bly-

Magee, and she did not appeal.

Despite this loss, Bly-Magee continued to investigate what

she believed was CDR’s misappropriation of federal funds. In

1997 she filed a second qui tam action (“Bly-Magee II”)

against CDR. The government again declined to intervene.

The district court dismissed the action and Bly-Magee

appealed. In a memorandum disposition filed contemporane-

ously with this opinion, we have affirmed the district court’s

dismissal of Bly-Magee II.

While Bly-Magee II was pending, Bly-Magee filed her

third qui tam suit (“Bly-Magee III”), which is the subject of

this appeal. She accuses CDR and various CDR employees of

submitting false claims stemming from an alleged “kick-

back” scheme with state agencies. The district court dismissed

the Second Amended Complaint for failure to overcome the

False Claims Act’s jurisdictional bar. Bly-Magee now seeks

review of this decision.

1

The False Claims Act provides for a private qui tam complaint, which

asserts a claim in the name of the Government, to be served on the Gov-

ernment and filed under seal for at least 60 days. During that period (or

extensions of it), the Government may elect to intervene and conduct the

litigation, or may decline and leave the conduct of the litigation to the pri-

vate relator. See 31 U.S.C. § 3730(b)(2), (3) & (4).

19422 BLY-MAGEE v. PREMO

We have jurisdiction under 29 U.S.C. § 1291 to review the

district court’s final order. We review de novo the dismissal

for lack of subject matter jurisdiction. Botsford v. Blue Cross

& Blue Shield of Mont., Inc., 314 F.3d 390, 392 (9th Cir.

2002), amended by 319 F.3d 1078 (9th Cir. 2003). We affirm

in part, reverse in part, and remand.

Discussion

1. Public Disclosure Through Bly-Magee II

[1] The False Claims Act deprives the district court of juris-

diction over a qui tam action that is based on allegations or

transactions previously publicly disclosed, unless the relator

is the original source of the allegations. 31 U.S.C.

§ 3730(e)(4)(A). More specifically, the False Claims Act pro-

vides:

No court shall have jurisdiction over an action under

this section based upon the public disclosure of alle-

gations or transactions in a criminal, civil, or admin-

istrative hearing, in a congressional, administrative,

or Government Accounting Office report, hearing,

audit, or investigation, or from the news media,

unless the action is brought by the Attorney General

or the person bringing the action is an original

source of the information.

Id. The district court lacked jurisdiction over the complaint’s

allegations of false claims that occurred on or before June

1997 because they were publicly disclosed in Bly-Magee II

and because Bly-Magee did not establish that she was the

original source of the information.2

2

Bly-Magee has the burden of establishing subject matter jurisdiction by

a preponderance of the evidence. United States ex rel. Harshman v. Alcan

Elec. & Eng’g, Inc., 197 F.3d 1014, 1018 (9th Cir. 1999).

BLY-MAGEE v. PREMO 19423

[2] In Bly-Magee II, Bly-Magee accused the defendants of

violating the False Claims Act from October 1992 to June

1997. In Bly-Magee III, she accused the defendants of similar

violations from fiscal year 1995-1996 to fiscal year 1999-

2000. Thus, there is approximately a two-year overlap

between the complaints. Both complaints allege that the

defendants violated federal procurement standards in award-

ing contracts, forced the Government to “purchase unneces-

sary and duplicative services,” gave contracts to irresponsible

parties, and falsely certified that they had conducted audits.

The allegations in Bly-Magee III that occurred during the

complaints’ overlapping time period—on or before June 1997

— were therefore publicly disclosed in Bly-Magee II. See A-

1 Ambulance Serv., Inc. v. California, 202 F.3d 1238, 1243

(9th Cir. 2000) (requiring public disclosure “of the ‘allega-

tions or transactions’ giving rise to the relator’s claim, as

opposed to ‘mere information’ ”) (internal citation omitted).

[3] Bly-Magee has not demonstrated by a preponderance of

the evidence that she was the original source of the informa-

tion upon which these allegations were based. See Harshman,

197 F.3d at 1018. Her employment at Southern California

Rehabilitation Services and her claim that she conducted her

own investigation are insufficient to show that she had direct

knowledge of a scheme to submit false claims. See 31 U.S.C.

§ 3730(e)(4)(B) (defining an “original source” as “an individ-

ual who has direct and independent knowledge of the infor-

mation on which the allegations are based . . . .”). Bly-Magee

submitted a declaration to the district court that provided a

lengthy explanation of her involvement with Southern Cali-

fornia Rehabilitation Services and her investigation, but her

recital is fatally short of specifics on the most material point:

she still failed to show direct and independent knowledge of

the information underlying her complaint. Thus, Bly-Magee

did not establish that she was the original source of the allega-

tions publicly disclosed in Bly-Magee II.

19424 BLY-MAGEE v. PREMO

2. Public Disclosure Through the California Audit

The disclosure in Bly-Magee II extended only through June

1997. There was a further public disclosure, however, of the

facts underlying the false claims that Bly-Magee alleged were

made between June 1997 and June 30, 1999. That disclosure

occurred in a published audit report produced by the Califor-

nia State Auditor and entitled “California’s Vocational Reha-

bilitation Program: Although Federal Requirements Have

Contributed to its Rising Costs, by More Effectively Manag-

ing the Program, the Department of Rehabilitation Can Better

Serve More Californians with Disabilities.” The question then

arises whether disclosure in that report, issued by a state

agency, amounts to a “public disclosure” for purposes of the

False Claim Act.

[4] Section 3730(e)(4)(A) lists the sources of public disclo-

sure that give rise to a jurisdictional bar when the relator is

not an original source of the information. The listed sources

can be divided into three categories: (1) “a criminal, civil, or

administrative hearing”; (2) “a congressional, administrative,

or Government Accounting Office report, hearing, audit, or

investigation”; and (3) “the news media.” Id. The California

audit report would appear to fall under category (2) as an “ad-

ministrative . . . report [or] audit.” Some doubt arises, how-

ever, because the other sources in category (2), such as

congressional reports or reports of the Government Account-

ing Office, refer exclusively to federal agency materials.

[5] This court has not previously addressed whether an

administrative report, audit, or investigation prepared by a

state entity (as opposed to the federal government) qualifies

as a source of public disclosure under the second category.3

Two circuits that have addressed the question have reached

3

We have held that state and local administrative hearings can qualify

as sources of public disclosure under the first category. A-1 Ambulance,

202 F.3d at 1243-44.

BLY-MAGEE v. PREMO 19425

opposite conclusions. In United States ex rel. Dunleavy v.

County of Delaware, 123 F.3d 734, 745 (3d Cir. 1997), the

Third Circuit applied the doctrine of noscitur a sociis and held

that, because the word “administrative” is placed between

“congressional” and “Government Accounting Office,” when

read with the word “report” it “refers only to those adminis-

trative reports that originate with the federal government.” Id.

In Hays v. Hoffman, 325 F.3d 982, 988 (8th Cir. 2003), the

Eighth Circuit rejected Dunleavy and concluded that Medic-

aid audits prepared by a state agency are public disclosures

within the meaning of the Act. We agree with the Eighth Cir-

cuit and now hold that the second category of sources

includes non-federal reports, audits, and investigations.4

[6] Even when it is read literally, the language of

§ 3730(e)(4)(A) does not compel a conclusion that “adminis-

trative” in category (2) means “federal administrative” — a

phrase that Congress could have used but did not. The words

“congressional” “administrative” and “Government Account-

ing Office” are separated by commas and the conjunction

“or.” Id. Accordingly, each word may be read as a separate

modifier for the nouns that follow. See generally Flora v.

United States, 362 U.S. 145, 150 (1960) (confirming that

grammar can be relevant to statutory interpretation). As long

as this reading of the plain language produces a reasonable

interpretation consistent with the rest of the statute, it should

control. See Robinson v. Shell Oil Co., 519 U.S. 337, 340

(1997) (explaining that the process of statutory interpretation

4

In holding in A-I Ambulance that category (1) included state and local

administrative hearings as sources of disclosure, we distinguished Dun-

leavy as dealing with category (2). 202 F.3d at 1244-45. We did state,

however, that Dunleavy buttressed our conclusion because one may pre-

sume that Congress intended different contexts in repeating “administra-

tive” in the two clauses. See id. at 1245. We nevertheless did not purport

to construe category (2) authoritatively in A-1 Ambulance, but simply

observed that if Dunleavy was correctly decided that circumstance would

lend additional support to the statutory interpretation adopted in A-1

Ambulance.

19426 BLY-MAGEE v. PREMO

ceases if the language is plain and “ ‘the statutory scheme is

coherent and consistent’ ”) (citation omitted).

This interpretation is consistent with our holding in A-1

Ambulance that state and local administrative hearings are

sources of public disclosure. 202 F.3d at 1244. Indeed, the

statute would seem to be inconsistent if it included state and

local administrative hearings as sources of public disclosures

and then, in the next breath, excluded state administrative

reports as sources. The purpose of requiring public disclo-

sures to come from these sources is to deter opportunistic

relators from filing qui tam suits based on information already

known to the federal government. See Wang v. FMC Corp.,

975 F.2d 1412, 1418-19 (9th Cir. 1992) (explaining the his-

tory of the 1986 amendments to the False Claims Act that cre-

ated these categories). The federal government is no less

likely to obtain information from a state administrative audit

than it is from a state administrative hearing.

[7] The likelihood that the information will be brought to

the federal government’s attention is heightened in cases like

this where the audited program is connected significantly to

federal regulations and funds. See Hays, 325 F.3d at 989 (not-

ing that a state investigation into Medicaid fraud can lead to

federal enforcement actions because Medicaid is a heavily

regulated federal program). CDR primarily administers the

Vocational Rehabilitation Program, supported by both federal

and state funds and authorized by the federal Rehabilitation

Act of 1973, 29 U.S.C. § 504, as amended 29 U.S.C. § 794.

California is required to submit annual reports to the federal

government on the administration of the program. 29 U.S.C.

§ 721(a)(15). California also must create a State Rehabilita-

tion Council, id. § 725(a)(1), that provides progress reports to

the federal government. Id. § 725(c)(2)(B). Essentially,

CDR’s operation depends on federal funding and compliance

with federal regulations. It thus is similar to the Medicaid pro-

gram in Hays. See 325 F.3d at 989 (explaining the significant

federal regulation and cooperation for Medicaid). In light of

BLY-MAGEE v. PREMO 19427

the federal government’s significant involvement with the

Vocational Rehabilitation Program, it is just as likely that the

government would become aware of fraud through a state

audit as through a state hearing.

Finally, our interpretation of § 3730(e)(4)(A) does not

create the anomalous situation feared by the court in Dun-

leavy. See 123 F.3d at 745. There, the Third Circuit expressed

concern that state and local governments that are committing

fraud might artfully craft reports or audits sufficient to consti-

tute disclosure under the False Claims Act but insufficient to

alert the federal government to the fraud. Id. The court feared

that legitimate qui tam suits thus could be barred on the

ground that the allegations were disclosed in reports or audits

produced by the entity accused of fraud. Id. This fear is

unfounded in this case because the State Auditor is an entity

independent of CDR. The fear is unfounded in general

because it is unlikely that an agency trying to cover up its

fraud would reveal the requisite “allegations or transactions”

underlying the fraud in a public document. The public disclo-

sure of “mere information” relating to the claims is insuffi-

cient to trigger a jurisdictional bar to a False Claims suit; the

“material elements of the allegedly fraudulent ‘transaction’ ”

must be disclosed. A-1 Ambulance, 202 F.3d at 1243 (quoting

Hagood v. Sonoma County Water Agency, 81 F.3d 1465, 1473

(9th Cir. 1996)). Even if such a fear were well-founded, it

would extend equally to state administrative hearings, which

can be sources of public disclosure under the first category.

Thus, the concern that doctored state reports will bar legiti-

mate qui tam actions is an insufficient basis for distinguishing

between state hearings and state audits, reports, and investiga-

tions.

In sum, our holding that the California administrative audit

is a source of public disclosure is supported by § 3730’s text,

19428 BLY-MAGEE v. PREMO

is consistent with A-1 Ambulance, and accomplishes the goals

of the jurisdictional bar.5

[8] The allegations upon which Bly-Magee’s present law-

suit is based are clearly set forth in the State Auditor’s report,

which discusses CDR’s administration until June 30, 1999.

The audit thus publicly disclosed the allegations.

[9] For the same reasons that Bly-Magee failed to establish

that she was an original source of the disclosure in Bly-Magee

II, she failed to establish that she was an original source of the

information in the State Auditor’s report. The district court

accordingly lacked jurisdiction to entertain any of Bly-

Magee’s false claims allegations relating to events occurring

on or before June 30, 1999.

3. Bly-Magee’s Allegations After June 30, 1999

[10] Bly-Magee alleges in her complaint, however, that the

false claims continued through the 1999-2000 fiscal year,

which ended June 30, 2000. We conclude, therefore, that on

the present record the district court appears to have had juris-

diction over allegations in the complaint of false claims

occurring after June 30, 1999, because they were not publicly

disclosed.

[11] We accordingly reverse the dismissal of those portions

of the complaint alleging the making of false claims after June

30, 1999. We remand for further proceedings regarding those

5

Our recent decision in United States ex rel. Haight v. Catholic Health-

care West, 445 F.3d 1147 (9th Cir. 2006), has no bearing on this holding.

In that case, we observed in a footnote that the first and second categories

in § 3730(e)(4)(A) are “a form of work product originating with the gov-

ernment” and that “[t]he contents of those sources is expected to be well-

known to the government.” Id. at 1153 n.3. Although the government at

issue in Haight was the federal government, the question of whether these

categories were limited to federal government work products was not

before the Haight panel.

BLY-MAGEE v. PREMO 19429

allegations. We note that the complaint’s allegations of false

claims made after June 30, 1999, are exceedingly general, and

our remand does not foreclose the district court from further

actions to clarify the complaint and to ensure that false claims

made after this date are indeed subjects of the complaint. We

also express no opinion regarding the sufficiency of the alle-

gations under Fed. R. Civ. P. 9(b) — a question not reached

by the district court.

Each party will bear its own costs on this appeal.

The judgment of the district court is AFFIRMED in part,

REVERSED in part, and REMANDED.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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