Petition for Writ of Certiorari — Ashwani Sheoran, Petitioner v. Walmart Stores East, LP, et al.
Supreme Court briefNov 8, 2021
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APPENDIX A
NOT RECOMMENDED FOR PUBLICATION
File Name: 21a0275n.06
Case No. 20-2128
UNITED STATES COURT OF APPEALS
FOR THE SIXTH CIRCUIT
UNITED STATES
OF AMERICA and
STATE OF MICHIGAN,
ex rel.,
Plaintiffs-Relators,
ASHWANI SHEORAN, RPh;
Plaintiff-Relator/
Appellant,
v.
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)
)
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)
)
)
)
)
ON APPEAL
FROM THE
UNITED
STATES
DISTRICT
COURT
FOR THE
EASTERN
DISTRICT
OF MICHIGAN
)
WAL-MART STORES
EAST, LP, TOI WALKER;
DOUG HENGER;
ALFRED RODRIGUEZ;
RICHARD LOCKARD, M.D.,
Defendants-Appellees.
)
)
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OPINION
2a
BEFORE: CLAY, McKEAGUE, and LARSEN,
Circuit Judges.
McKEAGUE, Circuit Judge. In 2013,
Ashwani Sheoran filed a sealed complaint under the
False Claims Act and the Michigan Medicaid False
Claims Act alleging that a doctor was writing
improper prescriptions for high dosages of opiates
and that Walmart was filling those prescriptions.
After five years, the United States and State of
Michigan declined to intervene and prosecute the
case on Sheoran’s behalf, and the district court
unsealed the complaint. The district court granted
the defendants’ motions to dismiss and denied
Sheoran’s motion for reconsideration. Sheoran
challenges the district court’s grant of the motions to
dismiss, its alleged failure to address claims under
the Michigan Medicaid False Claims Act, and its
decision not to hold oral argument for the motions.
We find Sheoran’s arguments to be without
merit and AFFIRM the judgment of the district
court.
I
In April 2012, Sheoran began working as a
full-time floater pharmacist for Walmart in
Michigan, which meant that he would work at
different pharmacies around the state. In July 2012,
Sheoran arrived to work at a Walmart in Bad Axe,
Michigan and observed a line of roughly ten
customers waiting for the pharmacy to open, all of
3a
whom were patients of Dr. Richard Lockard. Sheoran
claims that they all presented prescriptions for very
high doses of opiates, so high that one patient would
have died had he or she ‘‘actually taken” the
prescription.
Then, in August 2012, while working at the
same Walmart, Sheoran claims he received large
numbers of opiate prescriptions from Dr. Lockard’s
office and declined to fill them due to their high
doses. Sometime afterwards, Sheoran obtained one
unidentified patient’s “Medical Expenses Summary,”
which listed that patient’s prescriptions and costs
over a five-year period. Sheoran concluded that
because the cost to the patient was $1-2 for many of
the prescriptions, they must have been submitted to
Medicare or Medicaid for payment, which would
potentially trigger liability under the False Claims
Act. Claiming that this Medical Expenses Summary
was one example of thousands, he brought his
concerns to his supervisor. Walmart investigated and
found that the pharmacy was not following
Walmart’s internal procedures for filling faxed
prescriptions but did not conclude that any laws or
regulations were violated. After a meeting where
Sheoran was reprimanded for stealing the Medical
Expenses Summary (later attached to his complaint)
in violation of Walmart’s policies, he was fired on
January 21, 2013.
On February 11, 2013, about a month after he
was terminated, Sheoran filed a complaint under
4a
seal alleging False Claims Act (“FCA”) violations
against Walmart, three individual employees of
Walmart, and three doctors. After amending his
complaint, Sheoran alleged (1) presentation of false
claims under the FCA and Michigan Medicaid False
Claims [sic] Act (“MMFCA”); (2) use of false records
under the FCA and MMFCA; (3) conspiracy to violate
the FCA; and (4) retaliation under the FCA by
Walmart. After five years, the United States and
State of Michigan declined to intervene in the case,
so the district court unsealed the complaint on March
7, 2018. The Walmart defendants and one of the
doctors, Dr. Lockard, moved to dismiss, and the
district court granted their motions on August 20,
2019. Sheoran moved for reconsideration, which the
district court denied on September 28, 2020. This
appeal followed.
II
Sheoran challenges the decisions below in
three ways. The bulk of his briefing focuses on
whether the district court was incorrect in granting
the motions to dismiss. He also argues that that the
district court erred by failing to include his MMFCA
claims in its summary of claims in the orders and
that the district court abused its discretion by
waiving oral argument on the motions. We address
each argument in turn.1
1 Sheoran’s statement of issues does not address whether the
district court correctly granted the motions to dismiss, and
instead addresses only his MMFCA and oral argument claims.
5a
A. Dismissal for failure to state a claim
We review a district court’s dismissal for
failure to state a claim de novo. Yuhasz v. Brush
Wellman, Inc., 341 F.3d 559, 562 (6th Cir. 2003). Tb
survive a motion to dismiss, a complaint must
contain more than “labels and conclusions,” Bell Atl.
Corp. v. Twombly, 550 U.S. 544, 555 (2007), and we
may reject “mere assertions and unsupported or
unsupportable conclusions.” Sanderson v. HCA-The
Healthcare Co., 447 F.3d 873, 876 (6th Cir. 2006).
Complaints brought under the FCA require plaintiffs
to satisfy the particularity requirements of Federal
Rule of Civil Procedure 9(b). Yuhasz, 341 F.3d at 563.
This heightened standard requires that the plaintiff
“allege the time, place, and content of the alleged
misrepresentation ...[;] the fraudulent scheme; the
fraudulent intent of the defendants; and the injury
resulting from the fraud.” United States ex rel.
Therefore, we could restrict our analysis to those two claims
alone because Federal Rule of Appellate Procedure 28(a)(5)
specifies that “[t]he appellant’s brief must contain” the issues
presented in the statement of issues; therefore, issues not
included may be dismissed as forfeited. See United States u.
Calvetti, 836 F.3d 654, 664 (6th Cir. 2016). Nonetheless, given
its importance on appeal, we will address whether the district
court correctly granted the motions to dismiss, lb the extent
that Sheoran’s briefing raises other arguments, many of which
are undeveloped and presented in only a paragraph or two, we
deem them forfeited because of Sheoran’s perfunctory treatment
of them and because they were not included in Sheoran’s
statement of issues. See id.; United States v. Johnson, 430 F.3d
383, 397 (6th Cir. 2005); United States v. Burton, 828 F. App’x
290, 293 n.l (6th Cir. 2020); Barrett u. Detroit Heading, LLC,
311 F. App’x 779, 796 (6th Cir. 2009).
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Bledsoe v. Cmty. Health Sys., Inc., 342 F.3d 634, 643
(6th Cir. 2003) (quoting Coffey v. Foamex L.P., 2 F.3d
157, 161-62 (6th Cir. 1993)).
1. False claims and false records
Sheoran’s first two counts allege that the
defendants knowingly presented false claims to the
government and knowingly made false records for
use in those claims. To establish a claim under the
FCA, a plaintiff must allege that (i) the defendant
presented a claim of payment to the government, (ii)
the claim was false or fraudulent, (iii) the defendant
knew it was false or fraudulent, and (iv) the false
claim was material to the government’s payment. See
United States ex rel. Sheldon v. Kettering Health
Network, 816 F.3d 399, 408 (6th Cir. 2016). Sheoran’s
complaint falls short on all four elements.
a. Presentment
A critical component of an FCA complaint is
the allegation that a claim for payment was
presented to a government entity. See Sanderson,
447 F.3d at 878 (describing presentment as the “sine
qua non of a False Claims Act violation”). Under
Rule 9(b), specifics on presentment are required,
such as the types of employees involved and the
“specific dates” underlying the claims. United States
ex rel. Bledsoe v. Cmty. Health Sys., Inc., 501 F.3d
493, 515 (6th Cir. 2007); Sanderson, 447 F.3d at
877-78.
7a
Sheoran claims that Exhibit A of the
complaint, the Medical Expenses Summary,
establishes presentment, but that exhibit is simply a
summary of one unidentified patient’s prescriptions
and expenses. Nothing about the document indicates
that any of the entries were presented to a
government agency. Sheoran argues that because
some of the payments were for $1-2, the patient must
have received government reimbursement through
Medicare or Medicaid. But Rule 9(b) requires far
more than mere speculation. See Sanderson, 447 F.3d
at 877 (noting that plaintiffs cannot simply allege
that claims “must have been submitted, were likely
submitted, or should have been submitted to the
Government”) (quoting United States ex rel. Clausen
v. Lab’y Corp. of Am., Inc., 290 F.3d 1301, 1311 (11th
Cir. 2002)). As the district court noted, many reasons
could exist for the low costs to the patient, such as
subsidizing by private insurance companies. Because
this bare-bones assertion must be rejected, Sheoran
cannot satisfy the presentment element of his FCA
claims.
b. Falsity
The second element of an FCA claim is that
the claim submitted must be “false or fraudulent.” 31
U.S.C. § 3729(a)(1)(A), (B). Again, Sheoran relies
solely on Exhibit A to satisfy this element, claiming
that the “high doses” listed “would kill the person” if
taken as prescribed. But we must reject mere
“conclusions” and “naked assertions” in a complaint.
A
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See Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009).
Exhibit A simply lists one patient’s prescriptions and
expenses and contains no other medical information,
and Sheoran offers none in his complaint. It is
impossible to evaluate whether the doses were too
high without more information regarding the
patient’s medical history or needs. Therefore, there is
no way to conclude that Exhibit A establishes falsity.
c. Knowledge
Next, Sheoran must sufficiently allege that the
defendants “knowingly” presented false claims or
“knowingly” created false records for false claims. 31
U.S.C. § 3729(a)(1)(A), (B); see id. § 3729(b)(1). This
is a high bar, requiring “that a defendant knows of,
or ‘acts in deliberate ignorance’ or ‘reckless disregard’
of, the fact that he is involved in conduct that
violates a legal obligation to the United States.”
United States ex rel. Harper v. Muskingum
Watershed Conservancy Dist., 842 F.3d 430, 437 (6th
Cir. 2016) (quoting 31 U.S.C. § 3729(b)). Once again,
even assuming that the prescriptions in Exhibit A
were submitted to the government, nothing in those
prescriptions would indicate to Walmart that they
were illegal, false, or fraudulent. Sheoran’s complaint
does not describe how Walmart could have concluded
the prescriptions were false or fraudulent in some
way, so he fails to satisfy this element.
d. Materiality
9a
Finally, Sheoran must show that the alleged
misrepresentation made to the government was
“material” to the government’s decision to reimburse
the claim. Universal Health Servs., Inc. v. United
States, 136 S. Ct. 1989, 2001 (2016). This
“demanding” standard should go “to the very essence
of the bargain,” as the FCA was not enacted to
punish “garden-variety” violations. Id. at 2001-03 &
n.5. Assuming that Walmart actually submitted the
claims in Exhibit A to the government, the
government would have had access to the same
knowledge that Walmart had regarding the allegedly
“high doses” of controlled substances prescribed.
Even if we accept as true Sheoran’s representation
that the prescriptions in Exhibit A were submitted to
the government and that the exhibit, on its face,
shows false or fraudulent claims, then the
government’s decision to pay those claims despite
that knowledge “is very strong evidence that those
requirements are not material.” Id. at 2003.
Therefore, Sheoran fails to satisfy this element.
2. Conspiracy
Sheoran’s third count of FCA conspiracy
against Walmart falls with the two preceding
substantive claims. Conspiracy under the FCA is
derivative of the substantive claims of submitting a
false claim to the government or creating a false
record. See 31 U.S.C. § 3729(a)(1)(C); United States
ex rel. Crockett v. Complete Fitness Rehab., Inc., 721
F. App’x 451, 459 (6th Cir. 2018). As we have
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concluded in the preceding section, Sheoran’s first
two counts failed to meet the pleading standards of
Rules 12(b)(6) and 9(b), which means his conspiracyclaim fails as well. See Crockett, 721 F. App’x at 459
(holding that the plaintiff’s “inability to show that
false claims were actually submitted to the
government
means
that
her
false-claims-conspiracy counts are likewise subject to
dismissal, because the existence of such false claims
is a precondition to [this] theory”).
3. Retaliation
Finally, the district court correctly dismissed
Sheoran’s retaliation claim. FCA retaliation claims
are not subject to Rule 9(b)’s heightened standards,
see id. at 460, but “a plaintiff must show: (1) he
engaged in a protected activity; (2) his employer
knew that he engaged in the protected activity; and
(3)
his employer discharged or otherwise
discriminated against the employee as a result of the
protected activity.” Yuhasz, 341 F.3d at 566.
Sheoran’s retaliation claim fails because he failed to
plead that Walmart knew he was pursuing an FCA
action. Employees “must make clear their intentions
of bringing or assisting in an FCA action” to show
retaliation. Id. at 568. Sheoran claims that he told
his superiors about the allegedly false prescriptions,
but that is not enough. Even when an employee tells
their employer that they have witnessed illegal
conduct and that other companies have incurred
FCA liability for similar conduct, that fails to
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establish that an employee is pursuing an FCA
action. Id. at 567; McKenzie v. BellSouth Telecomms.,
Inc., 219 F.3d 508, 518 (6th Cir. 2000) (noting that
telling an employer about their alleged regulatory
violations was not sufficient to satisfy this
requirement). Therefore, Sheoran’s retaliation claim
was properly dismissed.
B. Michigan Medicaid False Claims Act
Next, Sheoran claims that the district court
erred by failing to address his MMFCA claims when
it summarized Sheoran’s claims in its order. But
first, contrary to Sheoran’s assertions on appeal, two
of the four claims in his complaint were not brought
under the MMFCA at all. Sheoran’s conspiracy and
retaliation claims referenced only federal FCA
provisions. There can be no error in the district
court’s failure to discuss claims that did not exist.
Second, the district court addressed the other
two claims, recognizing that Sheoran brought them
under “the Michigan Medicaid False Claims Act” as
well as the federal FCA. The district court’s analysis
applied to both sets of claims, and it dismissed the
state law claims along with the federal ones.
To the extent Sheoran argues that the
MMFCA claims should have been analyzed
differently than the federal FCA claims, that
argument is contradicted by both the proceedings
below as well as precedent. Neither the complaint
nor the motion to dismiss briefing identified any
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distinctions between the FCA and MMFCA in this
case. And that makes sense, because the FCA and
MMFCA are identical in every relevant respect here
and are frequently analyzed in tandem. See, e.g.,
Hendricks v. Bronson Methodist Hosp., Inc., No.
1:13—CV—294, 2014 WL 3752917, at *2-7 (W.D. Mich.
July 30, 2014) (analyzing FCA and MMFCA claims
together). The federal FCA prohibits “knowingly
present [ing]” a “false or fraudulent claim” as well as
“knowingly mak[ing]” a “false record” “material” to
such a claim, 31 U.S.C. § 3729(a)(1), and the
MMFCA contains two
substantially similar
provisions, see Mich. Comp. Laws § 400.607(1), (2);
Hendricks, 2014 WL 3752917, at *2. Therefore, there
was no error in the district court analyzing both sets
of claims the same way.
C. Oral argument
Sheoran suggests that the district court issued
“confusing” orders, dismissed his claims “without a
hearing or clear understanding of the factual and
legal issues,” and thereby erred in waiving oral
argument for the motions. We review whether a
district court impermissibly decided a motion
without oral argument for an abuse of discretion.
Mann u. Conlin, 22 F.3d 100, 103 (6th Cir. 1994).
We see no abuse of discretion here. The
Federal Rules of Civil Procedure and the district
court’s local rules expressly permit deciding motions
without oral argument. Fed. R. Civ. P. 78(b); E.D.
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Mich. Loc. R. 7.1(f). And doing so serves many
valuable functions for the judiciary, such as allowing
district courts to “effectively manage very crowded
case dockets,” especially in instances where “the
legal issues are abundantly clear and . . . firmly
settled.” Yamaha Corp of Am. v. Stonecipher’s
Baldwin Pianos & Organs, Inc., 975 F.2d 300, 301
n.l (6th Cir. 1992). Deciding motions on the briefs
also “encourages improved brief writing” and “forces
the parties to thoroughly research the legal basis on
which their positions rest.” Id. We routinely approve
of a district court’s decision to decide motions without
oral argument and see no reason to reject the court’s
decision to do so here.
In response, Sheoran claims the orders were
“very confusing” and that the district court failed to
“understand the complex issues in this case.” But as
the analysis above demonstrates, this was a
straightforward FCA case that was properly decided
on the briefs. And the specific claims that Sheoran
makes regarding the district court’s allegedly
“confusing” analysis do not show an abuse of
discretion. For example, Sheoran claims that the
district court failed to note that FCA liability can be
established if claims are submitted “to certain third
parties acting on the Government’s behalf’ and not
just to the government itself. Sheoran’s statement of
the law is accurate, see Cochise Consultancy, Inc. v.
United States ex rel. Hunt, 139 S. Ct. 1507, 1510
(2010), but irrelevant. Sheoran did not claim that the
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payments were submitted to third parties, so the
district court had no reason to discuss that aspect of
the law. Later, Sheoran claims that the district
court’s use of the phrase “appears to allege” was an
“admission” that confirmed “the district court was
not confident” about what Sheoran’s complaint was
alleging and that oral argument was necessary “to
clear up the court’s confusion.” We reject Sheoran’s
invitation to parse the words of the district court so
finely or conclude that the district court was
confused based on its use of that phrase. In sum,
Sheoran’s arguments have no merit and fail to show
an abuse of discretion in the district court’s decision
to decide the motions without oral argument.
Ill
We AFFIRM the judgment of the district
court.
15a
APPENDIX B
Case No. 20-2128
UNITED STATES COURT OF APPEALS
FOR THE SIXTH CIRCUIT
UNITED STATES
OF AMERICA and
STATE OF MICHIGAN,
ex rel.,
Plaintiffs-Relators,
)
)
)
)
ORDER
)
)
ASHWANI SHEORAN, RPh,
Plaintiff-Relator/
Appellant,
)
)
)
)
v.
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)
WAL-MART STORES
EAST, LP, TOI WALKER;
DOUG HENGER;
ALFRED RODRIGUEZ;
RICHARD LOCKARD, M.D.,
Defendants-Appellees.
)
)
)
)
)
)
BEFORE: CLAY, McKEAGUE, and LARSEN,
Circuit Judges.
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The court received a petition for rehearing en
banc. The original panel has reviewed the petition
for rehearing and concludes that the issues raised in
the petition were fully considered upon the original
submission and decision of the case. The petition
then was circulated to the full court.* No judge has
requested a vote on the suggestion for rehearing en
banc.
Therefore, the petition is denied.
The petition, brought by Plaintiff-Appellant,
included multiple specious allegations of judicial
corruption. Plaintiff-Appellant’s counsel cites to no
evidence to substantiate these inappropriate
allegations.
Plaintiff-Appellant’s counsel is
ORDERED to show cause as to why she should not
be sanctioned for violating Federal Rule of Civil
Procedure 11(b) within twenty-one (21) days
following the filing of this order. See Fed. R. Civ. P.
11(c)(1), (3).
ENTERED BY ORDER
OF THE COURT
s/Deborah S. Hunt
Deborah S. Hunt, Clerk
*Judges White, Readier, and Murphy, recused themselves from
participation in this ruling.
17a
APPENDIX C
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF MICHIGAN
SOUTHERN DIVISION
UNITED STATES OF
AMERICA and the
STATE OF MICHIGAN, ex rel.
ASHWANI SHEORAN, RPh,
Plaintiff-Relator,
Civil Case No.
13-10568
Hon. Linda V.
Parker
v.
WAL-MART STORES EAST, LP, d/b/a
WALMART, a foreign corporation,
TOI WALKER, DOUG HENGER,
ALFRED RODRIGUEZ,
RICHARD LOCKARD, M.D.,
NAVEED MAHFOOZ, M.D., and
TAREK EZZEDDINE, M.D.,
Defendants.
OPINION AND ORDER (1) GRANTING
DEFENDANT LOCKARD’S MOTION TO
DISMISS SECOND AMENDED COMPLAINT
(ECF NO. 581 AND (2) GRANTING WALMART
DEFENDANTS* MOTION TO DISMISS SECOND
AMENDED COMPLAINT (ECF NO. 611
18a
Plaintiff-Relator
(“Relator”),
Ashwani
Sheoran, RPh, on behalf of himself, the United
States and the State of Michigan, initiated this
lawsuit on February 11, 2013, filing a qui tarn
complaint under seal against Defendants (1)
Walmart, (2) Toi Walker, (3) Doug Henger, (4) Alfred
Rodriguez, (5) Richard Lockard, M.D., (6) Naveed
Mahfooz, M.D., and (7) Tarek Ezzeddine, M.D.
(Compl., ECF No. 1.) As a matter of course, on April
16, 2013, Relator filed his First Amended Complaint
(“FAC”) against the same Defendants and alleging
the same claims. (Am. Compl., ECF No. 3.)
On December 7, 2018, Relator filed his Second
Amended Complaint (“SAC”) alleging violations of (1)
the False Claims Act (“FCA”), 31 U.S.C. § 3729 et
seq., (2) the Fraud Enforcement Recovery Act of 2009
(“FERA”), 31 U.S.C. §§ 3729-3733, (3) the Michigan
Medicaid False Claims [sic] Act (“MMFCA”), MICH.
COMP. LAWS § 400.601 et seq., and (4) the
retaliation provisions of 31 U.S.C. § 3730(h). (Sec.
Am. Compl., ECF No. 57.) The federal and state FCA
claims are against all Defendants, Sec. Am. Compl.
at 25-28, Pg. ID 589-592, while the FCA retaliation
claim is only against Walmart, id. at 28, Pg. ID 592.
On March 8, 2018, this Court unsealed the
complaints after the United States and the State of
Michigan declined to intervene. (ECF Nos. 24, 25.)
Presently before the Court are Defendant
Lockard’s and Defendants Wal-Mart Stores East, LP,
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Toi Walker, Doug Henger, and Alfred Rodriguez’s (the
“Walmart Defendants”) respective Motions to
Dismiss1 pursuant to Federal Rule of Civil Procedure
12(b)(6). (Lockard Dismiss Mot., EOF No. 58;
Walmart Dismiss Mot., ECF No. 61.) The Motions
have been fully briefed. (ECF Nos. 58, 61, 62, 63, 64,
65.) Finding the facts and legal arguments
sufficiently presented in the parties’ briefs, the Court
is dispensing with oral argument pursuant to Local
Rule 7.1(f). For the reasons that follow, the Court
grants both motions and dismisses all claims against
Defendant Lockard and the Walmart Defendants2.
I. Legal Standard
A motion to dismiss pursuant to Rule 12(b)(6)
tests the legal sufficiency of the complaint. RMI
Titanium Co. v. Westinghouse Elec. Corp., 78 F.3d
1125, 1134 (6th Cir. 1996). Under Federal Rule of
Civil Procedure 8(a)(2), a pleading must contain a
“short and plain statement of the claim showing that
the pleader is entitled to relief.” To survive a motion
to dismiss, a complaint need not contain “detailed
factual allegations,” but it must contain more than
1 Defendants Tarek Ezzeddine and Naveed Mahfooz did not file
motions to dismiss but answered the complaint. (Ezzeddine
Answer, ECF No. 59; Mahfooz Answer, ECF No. 60.)
2 Any dismissal of Relator’s SAC shall be without prejudice as to
the United States. (U.S. Renewed Statement of Interest, ECF
No. 66 (citing United States ex rel. Williams v. Bell Helicopter
Textron, Inc., 417 F.3d 450, 455-56 (5th Cir. 2005) (holding that
it is improper to dismiss claims with prejudice as to the United
States in a declined qui tam case)).
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“labels and conclusions” or “a formulaic recitation of
the elements of a cause of action . . . Bell Atlantic
Corp. v. livombly, 550 U.S. 544, 555 (2007). A
complaint does not “suffice if it tenders ‘naked
assertions’ devoid of ‘further factual enhancement.’”
Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting
Twombly, 550 U.S. at 557). As the Supreme Court
provided in Iqbal and Twombly, “[t]o survive a
motion to dismiss, a complaint must contain
sufficient factual matter, accepted as true, to ‘state a
claim to relief that is plausible on its face.”’ Id.
(quoting Twombly, 550 U.S. at 570). “A claim has
facial plausibility when the plaintiff pleads factual
content that allows the court to draw the reasonable
inference that the defendant is liable for the
misconduct alleged.” Id. (citing Twombly, 550 U.S. at
556). The plausibility standard “does not impose a
probability requirement at the pleading stage; it
simply calls for enough facts to raise a reasonable
expectation that discovery will reveal evidence of
illegal [conduct].” Twombly, 550 U.S. at 556. In
deciding whether the plaintiff has set forth a
“plausible” claim, the court must accept the factual
allegations in the complaint as true. Erickson v.
Pardus, 551 U.S. 89, 94 (2007). This presumption is
not applicable to legal conclusions, however. Iqbal,
556 U.S. at 668. Therefore, “[tjhreadbare recitals of
the elements of a cause of action, supported by mere
conclusory statements, do not suffice.” Id. (citing
Twombly, 550 U.S. at 555).
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Additionally, claims brought under the FCA
have a heightened standard and must also comply
with Federal Rule of Civil Procedure 9(b). When
alleging fraud, “a party must state with particularity
the circumstances constituting fraud.” Fed. R. Civ. P.
9(b)3.
II. Factual and Procedural Background
On or about May 2012 to January 2013,
Relator worked for Walmart as a “full-time floater
pharmacist.” (SAC H1I 7, 36-37, 166.) This lawsuit
concerns observations that Relator made at various
Walmart pharmacies between July 14 and August
30, 2012. (Id. HU 41-125.)
Allegations Related to Defendant Lockard
On or about July 31, 2012, Relator was
assigned to work at a Walmart store in Bad Axe,
Michigan. (Id. 1| 73.) Upon arriving that day before 8
a.m., he observed a line of roughly ten customers
waiting for the pharmacy to open—each one a
patient of Defendant Lockard’s. (Id. UH 74, 75.)
Relator alleges that each of these patients was
of
controlled
“high
prescribed
doses”
substances—methadone, morphine sulfate, and/or
oxycodone—and that Medicare or Medicaid was used
in paying for them. (Id. HU 76-78.)
3 <
‘Malice, intent, knowledge, and other conditions of a person's
mind may be alleged generally.” Fed. R. Civ. P. 9(b).
22a
On or about August 6, 2012, while working at
the same Walmart in Bad Axe, Relator observed
“large numbers of controlled substances” prescribed
from Defendant Lockard’s office being presented to
the pharmacy, and he declined to fulfill them. (Id. 1H1
97, 100.) Relator contends that Defendant Lockard’s
prescriptions were either false, fraudulent or
submitted to the Walmart pharmacy in violation of
state and federal healthcare law. (Id.
168, 172,
176.)
Allegations Related to Walmart Defendants
Relator also alleged that, while working at
various Walmart pharmacies, he observed a
customer
attempting
to
refill prescriptions
prematurely, customers presenting allegedly “high
dose[ ]” prescriptions, a customer attempting to use a
stolen prescription pad, and customers presenting
out-of-area prescriptions. (See id.
68, 73-81, 87,
97, 114.)
Relator further alleged that he shared his
observations and suspicions with his direct
supervisor, Defendant Toi Walker, and with other
members of Walmart management, including
Defendant Doug Henger. (Id. DU 119-21.) Walmart
investigated, and on September 12, 2012, Relator
received an email stating that the investigation had
been closed. (Id.
130-131, 146.) Defendant Alfred
Rodriguez, a Walmart Human Resources Director,
sent Relator an email stating that the investigation
23a
found “that the defined practice of filling
prescriptions that are received via fax or e*scribe
were not being completed properly.” {Id. 153.)
On January 21, 2013, Relator was terminated.
{Id. 1 166.)
III. Applicable Law and Analysis
To sufficiently plead a claim under the FCA, a
plaintiff must allege that:
[1] that the defendant [made] a false
statement or create [d] a false record [2]
with actual knowledge, deliberate
ignorance, or reckless disregard of the
truth or falsity of the information; [3]
that the defendant... submitted a claim
for payment to the federal government;
... and [4] that the false statement or
record
[was]
material
to
the
Government's decision to make the
payment sought in the defendant's
claim.
U.S. ex rel. Sheldon v. Kettering Health Network, 816
F.3d 399, 408 (6th Cir. 2016) (quoting U.S. ex rel.
SNAPP, Inc. v. Ford Motor Co., 618 F.3d 505, 509
(6th Cir.2010) (“SNAPP II”)); see also United States
ex rel. Carnpie v. Gilead Sciences,Inc., 862 F.3d 890,
902 (9th Cir. 2017).
24a
Relator alleges that on two occasions while
working in the Bad Axe Walmart, he observed
patients of Defendant Lockard’s present allegedly
false or fraudulent prescriptions. His only evidence
that the prescriptions were in fact false or fraudulent
is his characterization that “these customers
presented controlled substances prescriptions for
high doses (ranging from 450, 600, 800 and 12004) of
methadone, morphine sulfate and/or oxycodone.”
Also, he provided one example of one of Defendant
Lockard’s patient’s “Medical Expenses Summary”
(Exh. A, ECF 57 at 32-37, Pg. ID 596-601.) This
document lists the patient’s prescriptions over five
years and details the date filled, drug name,
quantity, number of days’ supply, and cost paid by
the patient—along with some other information not
relevant here. (Id.) Relator argues that this exhibit is
representative “of thousands of Dr. Lockard’s alleged
patients,” and that each entry “can be considered a
separate FCA violation . . . because if the
combination of drugs prescribed in Exhibit A were
actually taken, they would kill a person.” (SAC % 77
(emphasis added).)
Defendant Lockard
The Court concludes that Relator has failed to
sufficiently plead a FCA claim against Defendant
Lockard. There is an absence of facts and evidentiary
4 The Court notes that a dosage refers to the total amount of
milligrams (mg) contained within one tablet.
25a
support to conclude that any of Defendant Lockard’s
prescriptions were false or fraudulent. Relator’s
allegations are based on his own speculations as to
Defendant Lockard’s prescribing practices with all
his patients, the proper medication dosages
necessary to treat varying patients, and the proper
administration or combination of medications for
differing patients. Accepting Relator’s claims
requires this Court to make a series of unwarranted
and wholly unsupported inferences.
First, Relator only observed a handful of
Defendant Lockard’s patients on two occasions but
argues that the customers he observed represents all
of Defendant’s Lockard’s patients. Relator alleges
this without verifying or supporting that any of
Defendant Lockard’s prescriptions exceeded that of
any particular patient’s medical needs.
Second, Relator’s only evidence to support an
inference of falsity or fraud is his characterization
that Defendant Lockard’s prescriptions were “high
doses” of controlled substances. Relator alleged
Defendant Lockard prescribed doses of methadone,
morphine sulfate and/or oxycodone from “450-1200”
mg. However, Relator’s supporting evidence:—one
patient’s Medical Expenses Summary—directly
contradicts that allegation. It showed that not one
prescription for methadone, morphine sulfate and/or
26a
oxycodone exceeded 30 mg5 over the course of five
years. (ECF No. 57 at 32-37, Pg. ID 596-601.)
Third, Relator seeks to establish that false
claims were submitted to the government because
one patient was charged between $1-2 (also shown in
Exhibit A), which demonstrates that Medicaid or
Medicare must have been used. (Id. H 78.) This is
not a specific allegation of a false claim being
submitted to the government but rather a transitive
inference without the supporting links.
Finally, the Court would need to infer that the
government relied on Defendant Lockard’s allegedly
false prescriptions in making a payment to
Defendant Lockard. But Relator has not alleged that
the government made any payments to Defendant
Lockard—nor is the Court able to infer the same.
Consequently, there are neither facts nor
evidence from which this Court could conclude or
infer that: (1) a false record was in fact made or
created, (2) Defendant Lockard submitted to the
government a false claim for payment, and (3) the
government
relied
on
Defendant
Lockard’s
submission to make a payment to him. Concluding
5 Assuming—for arguments [sic] sake—that Relator was not
referencing the concentrate (mg) but the quantity (#) of tablets,
his allegation is still rebutted by Exhibit A which shows no
prescription having a quantity over 480. (ECF No. 57 at 32—37,
Pg. ID 596-601.) This quantity was prescribed only in a few
instances, was the highest quantity of any medication
prescribed, and was always noted as a 30-days’ supply. (Id.)
27a
such would require this Court to make “unwarranted
factual inferences.” See Sheldon, 816 F.3d at 409
(quoting Debevec v. Gen. Elec. Co., 121 F.3d 707, 1997
WL 461486, at *2 (6th Cir.1997) (table)). Having
failed to satisfy the first, third, and fourth elements
of a FCA claim, Relator fails to sufficiently plead a
claim upon which relief could be granted. Because
Relator’s remaining claims are derivative or in
conjunction with his FCA claim, as discussed in
further detail below, they too fail.
Walmart Defendants
The Court concludes that Relator has failed to
sufficiently plead a FCA claim against the Walmart
Defendants. Relator wholly fails to identify any
claims that any Walmart Defendant presented to the
government, let alone sufficiently provide any factual
or evidentiary support to infer that any claim was in
Relator relies on his exhibit to
fact false.
demonstrate “specific claims” that were presented to
the government. However, Exhibit A is no more than
a summary of one unidentified patient’s prescriptions
and expenses. As discussed earlier, this cannot serve
to establish a false claim because there is no factual
or evidentiary support for the Court to conclude that
any of the entries listed demonstrate a fraudulent
prescription with an incorrect and/or improper
dosage in relation to that particular patient’s needs.
This Court cannot accept Relator’s unsupported
assertions of fraud or falsity because it cannot accept
his speculations, as a pharmacist, as to what
28a
constitutes “high doses” for unidentified patients
from whom he had no other medical information.
Neither can it accept Relator’s bare-bone assertion
that each entry shows the patient used Medicare or
Medicaid funds.
Having failed to satisfy the first, third, and
fourth elements of the FCA claim, Relator again fails
to sufficiently plead a claim upon which relief could
be granted.
Conspiracy and Retaliation
Relator’s remaining conspiracy and retaliation
claims must also fail because they are derivative of
his FCA claim.
The FCA’s conspiracy provision establishes
liability for those who “conspire [ ] to commit a
violation” of § 3729(a)(1)(A) or (B) of the Act. 31
U.S.C. § 3729(a)(1)(C). Relator’s conspiracy claim
fails simply because this Court has concluded that
Relator failed to sufficiently allege any underlying
violations of the FCA that would support it. A claim
of conspiracy to present false claims to the
government cannot survive dismissal when the
allegations are insufficient to show a false claim even
existed. See United States ex rel. Crockett v. Complete
Fitness Rehab., Inc., 721 F. App’x 451, 459 (6th Cir.
2018) (“[Plaintiff’s] lack of specification as to the
existence of any false claim also precludes her
false-claims conspiracy count.”); see also U.S. ex rel.
29a
Winkler v. BAE Sys., Inc., 957 F. Supp. 2d 856, 876
(E.D. Mich. 2013).
Additionally, Relator did not allege that
Walmart found any violation of any law or regulation
during the course of their investigation. And
Walmart’s own investigatory finding that “the
defined practice of filling prescriptions that are
received via fax or e-scribe were not being completed
properly” says nothing regarding the falsity of such
prescriptions or their knowingly fraudulent
presentation to the government for payment.
Regardless, Relator attempts to assign knowledge of
and compliance with the alleged scheme to the
Individual Walmart Defendants6 as a result of the
“multiple meetings and discussions each had with
Relator” about his suspicions and their choice to not
act on them. (ECF No. 63 at 14, Pg. ID 766.)
However, Relator’s bare-bones allegation of a
conspiracy also finds no support.
Finally, Relator’s retaliation claim fails
because he pleads no facts showing that Walmart
knew that he was pursuing an FCA claim at the time
of his discharge.
To establish a claim for retaliatory discharge
under 31 U.S.C. § 3730(h), a plaintiff must show,
among other things, that his employer knew that he
engaged in a protected activity and that his employer
discharged or otherwise discriminated against him
6 Toi Walker, Doug Henger, and Alfred Rodriguez.
30a
as a result of the protected activity.” Yuhasz v. Brush
Wellman, Inc., 341 F.3d 559, 566 (6th Cir. 2003).
Relator plead neither facts establishing that
Walmart had knowledge of his intent to file an FCA
claim nor that he was discharged as a result of his
FCA claim (filed almost a month after his discharge).
Indeed, Relator relayed his suspicions concerning the
presentation of false prescriptions to the Individual
Walmart Defendants, but this does not constitute
notice of an intent to file an FCA claim. As such, the
Court concludes that Relator has failed to sufficiently
state his retaliation claim.
For the foregoing reasons, Defendant
Lockard’s Motion to Dismiss and the Walmart
Defendants’ Motion to Dismiss are granted. Relator’s
causes of action against Defendant Lockard—Counts
I—III—are dismissed, and Relator’s causes of action
against the Walmart Defendants—Counts I-IV—are
dismissed.
IV. Conclusion
Accordingly,
IT IS ORDERED, that Defendant Lockard’s
Motion to Dismiss (ECF No. 58) is GRANTED; and
IT IS FURTHER ORDERED, that the
Walmart Defendants’ Motion to Dismiss (ECF No.
61) is GRANTED; and
31a
IT IS FURTHER ORDERED, that Counts
I—III of Relator’s Second Amended Complaint (ECF
No. 57) is DISMISSED WITH PREJUDICE7
against Defendant Lockard; and
IT IS FURTHER ORDERED, that Counts
I-IV of Relator’s Second Amended Complaint (ECF
No. 57) is DISMISSED WITH PREJUDICE8
against the Walmart Defendants.
IT IS SO ORDERED.
s/ Linda V. Parker
LINDA V. PARKER
U.S. DISTRICT JUDGE
Dated: August 20, 2019
7 Any dismissal of Relator’s SAC shall be without prejudice as to
the United States. (See U.S. Renewed Statement of Interest,
ECF No. 66; see also supra n. 2.)
8
Supra n. 7.
32a
APPENDIX D
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF MICHIGAN
SOUTHERN DIVISION
UNITED STATES OF
AMERICA and the
STATE OF MICHIGAN, ex rel.,
ASHWANI SHEORAN, RPh,
Plaintiff-Relator,
Civil Case No.
13-10568
Hon. Linda V.
Parker
v.
WAL-MART STORES EAST, LP, d/b/a
WALMART, a foreign corporation,
TOI WALKER, DOUG HENGER,
ALFRED RODRIGUEZ,
RICHARD LOCKARD, M.D.,
NAVEED MAHFOOZ, M.D., and
TAREK EZZEDDINE, M.D.,
Defendants.
OPINION AND ORDER DENYING
PLAINTIFF-RELATOR’S MOTION FOR
RECONSIDERATION (ECF NO. 10)
33a
Plaintiff-Relator Ashwani Sheoran, RPh
(“Relator”), on behalf of himself, the United States
and the State of Michigan, initiated this lawsuit on
February 11, 2013, by filing a qui tarn complaint
under seal against Defendants Walmart, Toi Walker,
Doug Henger, and Alfred Rodriguez (collectively
“Walmart Defendants”), as well as Defendants
Richard Lockard, M.D., Naveed Mahfooz, M.D., and
Tarek Ezzeddine, M.D. (ECF No. 1.) On December 7,
2018, Relator filed his Second Amended Complaint
(“SAC”), alleging (i) presentation of false claims in
violation of the False Claims Act (“FCA”) (31 U.S.C. §
3729(a)(1)(A)), Fraud Enforcement Recovery Act of
2009 (“FERA”), and Michigan Medicaid False Claims
Act (“MMFCA”); (ii) a false record or statement
material to a false claim in violation of the FCA (31
U.S.C. § 3729(a)(1)(B)), FERA, and MMFCA; (iii)
conspiracy to defraud in violation of the FCA (31
U.S.C. § 3729(a)(1)(C)); and (iv) retaliation in
violation of the FCA (31 U.S.C. § 3730(h)). (ECF No.
57.) The first three claims are against the Walmart
Defendants, while the fourth claim is against
Walmart only. (Id. at Pg. ID 589-92.) On March 8,
2018, the Court unsealed the complaints after the
United States and the State of Michigan declined to
intervene. (ECF Nos. 24, 25.) Dr. Lockard and the
Walmart Defendants subsequently filed motions to
dismiss. (ECF Nos. 58, 61.) In an Opinion and Order
34a
entered on August 20, 2019, the Court granted both
motions. (ECF No. 68.)
Presently before the Court is Relator’s Motion
for Reconsideration, in which Relator contends the
Court committed palpable error when analyzing his
3729(a)(1) claims. (ECF No. 70.) The motion has been
briefed. (ECF Nos. 72, 73.) For the reasons that
follow, the Court denies the motion.
LEGAL STANDARD
Local Rule 7.1 provides the following standard
of review for motions for reconsideration:
Generally, and without restricting the
court’s discretion, the court will not
grant motions for rehearing or
reconsideration that merely present the
same issues ruled upon by the court,
either expressly or by reasonable
implication. The movant must not only
demonstrate a palpable defect by which
the court and the parties and other
persons entitled to be heard on the
motion have been misled but also show
that correcting the defect will result in a
different disposition of the case.
E.D. Mich. LR 7.1(h)(3). Palpable defects are those
which are “obvious, clear, unmistakable, manifest or
plain.” Mich. Dep’t of Treasury v. Michalec, 181 F.
Supp. 2d 731, 734 (E.D. Mich. 2002). “It is an
35a
exception to the norm for the Court to grant a motion
for reconsideration.” Maiberger v. City of Livonia,
724 F. Supp. 2d 759} 780 (E.D. Mich. 2010). “[A]
motion for reconsideration is not properly used as a
vehicle to re-hash old arguments or to advance
positions that could have been argued earlier but
were not.” Smith ex rel. Smith v. Mount Pleasant
Pub. Sch., 298 F. Supp. 2d 636, 637 (E.D. Mich. 2003)
(citing Sault Ste. Marie Tribe of Chippewa Indians v.
Engler, 146 F.3d 367, 374 (6th Cir. 1998)).
ANALYSIS
In his SAC, Relator alleges three causes of
action pursuant to 31 U.S.C. § 3729(a)(1) et seq. The
applicable provisions impose liability on any person
who:
(A) knowingly presents, or causes to be
presented, a false or fraudulent claim
for payment or approval;
(B) knowingly makes, uses, or causes to
be made or used, a false record or
statement material to a false or
fraudulent claim; [or]
(C) conspires to commit a violation of
subparagraph (A) [or] (B). . . .
31 U.S.C. § 3729(a)(1).
1 In 2009, Congress passed the FERA, which amended and
renumbered the liability provisions of the FCA. Because
Relator’s claims in this case involve conduct that occurred after
36a
(i) Did Defendants Violate §§ 3729(a)(1)(A) or
(B)?
In his SAC, Relator appears to allege that the
Walmart Defendants and Dr. Lockard are liable
under §§ 3729(a)(1)(A) or (B) for four reasons: the
relevant claims involved (i) “out-of-the-area
prescriptions for controlled substances” that were not
properly verified; (ii) unauthorized entry of
non-pharmacy
[Walmart]
employees
in
the
Pharmacy; (iii) faxed prescriptions bearing a
physician’s unverified electronic signature, which the
law prohibits as it concerns controlled substances
found on Schedules III-V; and (iv) prescriptions that
contained a [sic] “excessively high” quantity of
controlled substances, which “if actually taken would
kill the person” and “indicated] illegal diversion
activities.” (ECF No. 57 at Pg. ID 574, 577, 582, 590.)
Regarding the first two allegations, even
assuming they are true, Plaintiff does not allege that
the conduct led to the submission of requests for
anticipated payment to the government. See 31
U.S.C. § 3729(a)(l)(A)-(B) (requiring a “false or
fraudulent claim”); see also U.S. ex rel. Marlar v.
BWXT Y-12, L.L.C., 525 F.3d 439, 447 (6th Cir. 2008)
(“While [Relator] is correct that we have previously
held that proof of ‘presentment’ is not required for
actions under subsections [(a)(1)(B)] and [(a)(1)(C)], .
. . we have repeatedly held that proof of a false claim
the 2009 amendments, the post-2009 version of the FCA
(quoted above) applies.
37a
is required.”) For this reason, the conduct outlined in
the first two allegations do not make out claims
under §§ 3729(a)(1)(A) or (B) as to the Walmart
Defendants or Dr. Lockard.
Regarding the third allegation, the Court
accepts as true that, in an email from Rodriguez to
Henger, Rodriguez conceded “that the investigation
into Relator’s concerns about ‘the validity of
prescriptions that appeared to not have an original
signature’ was validated” and that Walmart “did find
that the defined practice of filling prescriptions that
are received via fax or e-scribe were not being
completed properly.”2 (ECF No. 57 at Pg. ID 587.)
Still, Relator does not allege that the conduct led to
claims for payment that were actually submitted to
the government and Relator has not identified a
characteristic example of such a claim submitted to
the government.3 See 31 U.S.C. § 3729 (a)(l)(A)-(B)
(requiring a “false or fraudulent claim”); see also
2 Plaintiff relies on a theory of FCA liability commonly referred
to as “implied false certification.” (See ECF No. 57 at Pg. ID
591.) Under this theory, "when a defendant submits a claim, it
impliedly certifies compliance with all conditions of payment.
But if that claim fails to disclose the defendant’s violation of a
material statutory, regulatory, or contractual requirement, . . .
the defendant has made a misrepresentation that renders the
claim 'false or fraudulent.’” Universal Health Servs., Inc. v.
United States, 136 S. Ct. 1989, 1995 (2016).
3 According to the SAC, Exhibit A “contains a list of filled
prescriptions for one person over the course of five (5) years that
if actually taken would kill the person.” (ECF No. 57 at Pg. ID
577.) Notably, Relator does not allege that Exhibit A lists
prescriptions for which Walmart received faxed prescriptions
with unverified electronic signatures.
38a
Chesbrough v. VPA, PC., 655 F.3d 461, 470 (6th Cir.
2011) (“Where a relator alleges a ‘complex and
far-reaching fraudulent scheme,’ in violation of §
3729(a)(1), it is insufficient to simply plead the
scheme; he must also identify a representative false
claim that was actually submitted.”).
Regarding the fourth allegation, Relator
argues in his Motion for Reconsideration that the
Court overlooked his allegation that the claims
associated with the prescriptions detailed in Exhibit
A were “false” because the prescriptions contained an
“excessively high” quantity of controlled substances,
which “if actually taken would kill the person.” (ECF
No. 70 at Pg. ID 821; see also ECF No. 56 at Pg. ID
577.) Even assuming that this allegation is true,
Relator’s claim fails because he has not plead with
particularity a “key fact”: “[t]he actual submission of
a specific request for anticipated payment to the
government.”
United States ex rel. Prather v.
Brookdale Senior Living Communities, Inc., 838 F.3d
750, 768-69 (6th Cir. 2016) (emphasis added). Relator
argues that Exhibit A contains a list of filled
prescriptions, for which the patient paid only $1 to
$2. (ECF No. 70 at Pg. ID 823.) Relator contends
that an affidavit attached to his Motion for
Reconsideration shows that the $1 to $2 charges
“mean that Medicare or Medicaid was used.” (Id.)
The affidavit of Amrinder Thind, a pharmacist,
states that “[t]he reason [he] know[s] that Medicare
or Medicaid was used is because the prices being
39a
charged to the allege patients were around $l-$2”
and “Pie is] not aware of any other reason for a
patient’s co-pay to be around $l-$2 except for
Medicare or Medicaid usage.” {Id. at Pg. ID 827.)
Even if the Court were to consider the Thind
Affidavit, while the fact that the patient associated
with Exhibit A paid $1 to $2 dollars for each filled
prescription may suggest that the prescriptions were
subsidized, it does not suggest that Medicare or
Medicaid—as opposed to, for example, a private
insurance company—did the subsidizing. In addition,
though Relator may have “observed a log book kept
by Walmart that contained over 5,000 records of
people who were overprescribed by Dr. Lockard,” {id.
at Pg. ID 821), Relator again fails to allege that any
of these 5,000 records are related to submissions of
specific requests for anticipated payment to the
government.
The Sixth Circuit has hypothesized that “the
requirement that a relator identify an actual false
claim may be relaxed when, even though the relator
is unable to produce an actual billing or invoice, he or
she has pled facts which support a strong inference
that a claim was submitted.” Cheshrough, 655 F.3d at
471 (citations omitted). As the Sixth Circuit has
further explained:
These cases have suggested that the
exception could be applied when a
relator
alleges
specific
personal
40a
knowledge that relates directly to
billing practices. See Chesbrough, 655
F.3d at 471. This could include “personal
knowledge that the claims were
submitted by Defendants . . . for
payment” or other “personal knowledge
of billing practices or contracts with the
government,” id. at 471-72 (internal
quotation marks omitted), as well as
“‘personal knowledge’ that was based
either on working in the defendants’
billing departments, or on discussions
with employees directly responsible for
submitting claims to the government,”
United States ex rel. Sheldon v.
Kettering Health Network, 816 F.3d 399,
413 (6th Cir. 2016).
Prather, 838 F.3d at 769. Relator does not allege to
have personal knowledge of Walmart’s billing
practices. Thus, Relator’s allegations do not meet the
requirements of this exception and his claims under
§§ 3729(a)(1)(A) and (B) as to Walmart Defendants
and Dr. Lockard fail.
(ii) Did Defendants Violate § 3729(a)(1)(C)?
To
establish
a
conspiracy
under
§
3729(a)(1)(C), the plaintiff must show that the
defendant “conspi [sic] Amrinder Thind [sic] re[d] to
commit a violation of subparagraph (A) [or] (B).”
Because Relator failed to make out claims under
41a
subsections (A) or (B), Relator has failed to plead a
conspiracy in violation of § 3729(a)(1)(C) as to Dr.
Lockard and the Walmart Defendants. United States
ex rel. Crockett v. Complete Fitness Rehab., Inc., 721
F. App’x 451, 459 (6th Cir. 2018) (explaining that the
plaintiff’s “inability to show that false claims were
actually submitted to the government means that
her . . . false-claims-conspiracy counts are likewise
subject to dismissal, because the existence of such
false claims is a precondition to [this] theory”).
CONCLUSION
Because Relator fails to demonstrate palpable
defects the correction of which would result in a
different disposition of the case, the Court denies the
Motion for Reconsideration.
Accordingly,
IT IS ORDERED that Plaintiff-Relator’s
Motion for Reconsideration (ECF No. 70) is
DENIED.
IT IS SO ORDERED.
9,1 Linda V. Parker
LINDA V. PARKER
U.S. DISTRICT JUDGE
Dated: September 28, 2020
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