# Opposition Brief — Sandersonson v. HCA-The The Healthcare Healthcare Co Co (No. 06-220)

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URL: https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40386016_1318%3A2

## Record

- **Collection:** Supreme Court brief
- **Document type:** Opposition Brief
- **Published:** January 1, 2006

## Text

Supreme Court, U.S.

Q) “FILED

-

No. 06-220 ‘AUG 25 2006
CLERK
IN THE ‘
Supreme Court of the United States

PHILIP H. SANDERSON,

Petitioner,
v.

HCA-THE HEALTHCARE COMPANY;
COLUMBIA HEALTH CARE CORPORATION;
HOSPITAL CORPORATION OF AMERICA;
and HEALTHTRUST INC.,
Respondents.

On PETITION FOR A Writ OF CERTIORARI TO THE
UNITED STATES COURT OF APPEALS
FOR THE SIXTH CIRCUIT

anton

BRIEF IN OPPOSITION

ROBERT J. WALKER WALTER P. LOUGHLIN
KATHRYN Hays SASSER Counsel of Record
WALKER, Tipps & MALONE KIRKPATRICK & LOCKHART
2300 One Nashville Place §NicHoLSON GRAHAM LLP
150 Fourth Avenue North 599 Lexington Avenue
Nashville, TN 37219-2424 New York, NY 10022-6030
(615) 313-6000 (212) 536-3900

Joun R. HELLOwW

Hooper, LUNpy & Bookman, INc.
Watt Plaza, Suite 1600
1875 Century Park East
Los Angeles, CA 90067-2799
(310) 551-8111

Attorneys for Respondents

203104 ce

COUNSEL PRESS
(800) 274-3321 + (800) 359-6859

QUESTIONS PRESENTED FOR REVIEW

1. Whether the heightened pleadings requirement of
Rule 9(b) requires a qui tam plaintiff to specifically describe
more than the fraudulent accounting scheme underlying a
series of continuous and ongoing false hospital cost reports
which inflate the defendants’ opening claims for
reimbursement from the government?

2. Whether false claims submitted within the period of
limitations, but based upon a fraudulent accounting scheme
developed outside the limitations, but still in use, are time
barred?

il

“STATEMENT PURSUANT TO
SUPREME COURT RULE 29.6

Respondents HCA — The Healthcare Company, Columbia
Health Care Corporation, and Hospital Corporation of
America are predecessor companies to the company now
known as HCA Inc., which does not have a parent
corporation. There is no publicly held corporation that owns
10% or more of the stock of HCA Inc. Respondent
Healthtrust, Inc., a Delaware corporation, is a wholly owned
subsidiary of HCA Inc.

|
STATEMENT OF THE CASE

Petitioner, a qui tam relator, filed his original complaint
on June 28, 2001, on behalf of the United States as the real
party in interest, alleging that respondents had submitted false
claims to government healthcare programs in violation of
the False Claims Act, 31 U.S.C. § 3729, et seq. On July 1,
2003, following the decision of the Department of Justice
not to intervene in the action, respondents moved to dismiss
the complaint on the following grounds: (i) it was time-barred
by the applicable six-year statute of limitations, 31 U.S.C.
§ 3729(b), (ii) it failed to plead fraud with particularity as
required by Fed. Rule Civ. Proc. 9(b), and (iii) it failed to
state a claim upon which relief can be granted under Fed.
Rule Civ. Proc. 12 (b)(6). On July 27, 2003, the district court
- entered an order allowing petitioner to amend the initial
complaint. The amended complaint was filed on February
26, 2004. Respondents renewed the motion to dismiss. On
September 28, 2004, the district court granted the motion
and dismissed the amended complaint with prejudice.
Petitioner appealed to the Court of Appeals. On May 12,
2006, the Court of Appeals affirmed the judgment of the
district court. (Pet. App. la-21a)

REASONS FOR DENYING THE PETITION

I. The Petition Fails to Satisfy Any of this Court’s
Criteria for a Grant of Certiorari

The petition seeks review by this Court of the question
whether Rule 9(b)’s requirement that averments of fraud be
pleaded with particularity should apply to complaints alleging
violations of the False Claims Act but does not contend that
the decision of the circuit court on this issue is in conflict
with prior decisions of this Court or with any other circuit.
In the decision below, the circuit court held that the district
court’s dismissal of petitioner’s amended complaint “was

2

fully in conformity with existing Sixth Circuit precedent,”
ciling two recent decisions where it had applied Rule 9(b) to
complaints alleging violations of the False Claims Act. See,
e.g., United States ex rel. Bledsoe v. Cmty. Health Sys., Inc.,
342 F.3d 634 (6th Cir. 2003); Yuhasz v. Brush Wellman, Inc.,
341 F.3d 559, 563 (6th Cir. 2003). (Pet. App. 10a). The
decision below also cites to United States ex rel. Karvelas y.
Melrose-Wakefield Hospital, 360 F.3d 220 (1st Cir. 2004),
where the First Circuit observed that, “every circuit court
that has addressed this issue has concluded that the
heightened pleading requirements of Rule 9(b) apply to
claims brought under the [False Claims Act].” /d. at 228
(colleeting cases from the Third, Fourth, Fifth, Sixth, Ninth,
Eleventh, and District of Columbia circuits).

Petitioner also docs not contend that the decision below
is inconsistent with this Court’s precedents. Instead, the
petition effectively invites this Court to overrule the unbroken
line of precedent sct forth above by reference solely to Dura
Pharmaceuticals v. Broudo, 544 U.S. 336 (2005). Yet in Dura
Pharmaceuticals, this Court reversed as unduly permissive
a Ninth Circuit decision on the pleading standard with respect
to the clement of loss causation in a securities fraud complaint
— an issue irrelevant to the False Claims Act. /d.

In sum, the petition presents no “compelling reasons” in
support of the grant of certiorari. See S. Ct. R. 10.

il. The Petition Mischaracterizes the Decisions Below

The petition asserts that the court below affirmed the
dismissal of the amended complaint on the sole ground that
it failed to comply with the pleading requirement of Rule
9(b), and “indicated in dicta that the trial court was correct
in its determination that the claims were time barred and did
not state a claim under Rule 12(b)(6).” (Pet. 2). This ts a
misleading characterization of the record below.

The circuit court had no doubt that the amended
complaint was legally insufficient on multiple grounds,
stating that: “The district court granted the motion on all
three grounds... .” (Pet. App. 4a-5a) (emphasis added). Far
from being dicta, the circuit court found that the district court
had correctly decided each of these issues on the merits,
Stating:

om

’

~ We conclude that the-district court was likewise
correct in determining that the complaint was not
timeiy filed and did not state a cause of action on
which relief could be granted, both grounds for
dismissal under Rule 12(b)(6). Because the basis
for the Rule 9(b) determination is so clearly
indicated, however, we find it unnecessary to
discuss the remaining tssucs raised under Rule

12(b)(6).
(Pet. App. ila).

The petition’s apparent purpose in mischaracterizing the
record relates to the second of the questions presented
whether the courts below applied the statute of iimitations
crroneously. However, the circuit court held that it was the
failure of the amended complaint to allege any facts or law
or regulation in support of its theory — and not any allegedly
erroneous application of the statute of limitations — which
required dismissal. (Pet. App. 9a). Petitioner tried below to
cure the statute of limitations defect by alleging “on
information and belief” that conduct occurring in 1981-86
continued into the limitations period, but this effort failed
because, according to the circuit court, petitioner alleged no
“factual basis for such belicf.” Jd. Allowing such a pleading
to go forward would amount to “a license to base claims of
fraud on speculation and conclusory allegations.” /d., citing
United States ex rel. Thompson v. Columbia/HCA Healthcare

4

Corp., 125 F.3d 899, 903 (Sth Cir. 1997) (quoting Tuchman
v. DSC Commc’n Corp., 14 F.3d 1061, 1068 (Sth Cir. 1994)).'

Turning to the merits, the courts below correctly
determined that the amended complaint was time barred. The
district court held that the amended pleading failed to “set
forth specific allegations of fraudulent conduct in violation
of the False Claims Act within six years of the filing date of
the action.” (Pet. App. 19a). Even though the court had
allowed petitioner to amend the initial complaint, and he was
therefore “on notice that the statute of limitations was at
issue,” petitioner failed to cure that deficiency. /d. Indeed,
as the circuit court stated, “the amended complaint was
virtually unchanged fromthe original. . . .” (Pet. App. 3a).

1. The petition relies upon United States v. Bornstein, 423 U.S.
303 (1976), in support of the grant of certiorari on this point.
Bornstein, however, neither involved the issue of the legal sufficiency
of a False Claims Act pleading nor the application of the applicable
statute of limitations, but rather how the Act should be interpreted
for purposes of determining the proper measure and calculation of
damages following its violation. /d. at 306-07.

5

CONCLUSION

The petition for a writ of certiorari should be denied.

Rosert J. WALKER
KATHRYN Hays SASSER
WALKER, Tipps & MALONE
2300 One Nashville Place
150 Fourth Avenue Nosth
Nashville, TN 37219-2424
(615) 313-6000

Respectfully submitted,

WALTER P. LOUGHLIN
Counsel of Record
KIRKPATRICK & LOCKHART
NICHOLSON GRAHAM LLP
599 Lexington Avenue
New York, NY 10022-6030
(212) 536-3900

JouHn R. HELLOw

Hooper, LUNDY & Bookman, INc.

Watt Plaza, Suite 1600

1875 Century Park East
Los Angeles, CA 90067-2799
(310) 551-8111

Attorneys for Respondents

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40386016_1318%3A2. Public record. Not legal advice.
