Unites States Ex Rel. Poteet v. Medtronic, Inc.
Full Opinion (html_with_citations)
CLAY, J., delivered the opinion of the court, in which DAUGHTREY, J., joined. McKEAGUE, J. (p. 520), delivered a separate opinion concurring in the result.
OPINION
In this qui tam action, Relator, Jacqueline Kay Poteet (âPoteetâ), appeals the district courtâs dismissal of her complaint, brought pursuant to the False Claims Act (âFCAâ), 31 U.S.C. § 3729 et seq. (2000), as jurisdictionally barred by the statuteâs public disclosure provision, 31 U.S.C. § 3730(e)(4)(A), and first-to-file provision, 31 U.S.C. § 3730(a)(5). In addition to challenging the district courtâs application of these jurisdictional bars, Poteet also claims that the district court abused its discretion when it failed to grant her motion for discovery and when it failed to conduct an evidentiary hearing before dismissing her complaint. For the reasons that follow, we AFFIRM the district courtâs dismissal of Poteetâs action.
I. BACKGROUND
A. Statutory Framework
The FCA imposes civil liability on any person who âknowingly presents, or causes to be presented to an officer or employee of the United States Government ... a false or fraudulent claim for payment or approval; [or] conspires to defraud the Government by getting a false or fraudulent claim allowed or paid.â 31 U.S.C. § 3729(a)(1) & (3). Violators of the FCA are subject to civil penalties of up to $10,000 as well as double or treble damages. 31 U.S.C. § 3729(a)(7). To promote enforcement of the statute, Congress has directed that an FCA action may be initiated in one of two ways. First, the government itself may pursue a civil action against the alleged false claimant. 31 U.S.C. § 3730(a). Second, as is relevant in this case, a private individual (the relator) may bring a qui tam
Before bringing a qui tam suit, a relator must serve the complaint upon the government, and the complaint must remain under seal for at least sixty days. 31 U.S.C. § 3730(b)(2). During this time period, the government may âtake overâ the action, in which case all future litigation is conducted by the government. 31 U.S.C. § 3730(b)(4)(B). If the government declines to do so, however, the relator may serve the complaint on the defendant and proceed with the litigation at its own direction, with the caveat that the government may later intervene upon a showing of good cause. 31 U.S.C. § 3730(c)(3). As an incentive to bring qui tam claims, the FCA awards relators in successful suits a portion â ranging from fifteen to twenty-five percent if the government intervenes, and from twenty-five to thirty percent if it does not â of the proceeds recovered. 31 U.S.C. § 3730(d).
In addition to âencouraging] âwhistle-blowers to act as private attorneys-gener-aF in bringing suits for the common good,â Walburn v. Lockheed Martin Corp., 431 F.3d 966, 970 (6th Cir.2005) (quoting United States ex rel. Taxpayers Against Fraud v. General Elec. Co., 41 F.3d 1032, 1041-42 (6th Cir.1994)), the FCA also seeks âto discourage opportunistic plaintiffs from bringing parasitic lawsuits whereby would-be relators merely feed off a previous disclosure of fraud.â Id.; see also Grynberg, United States ex rel., 390 F.3d 1276, 1278 (10th Cir.2004) (âThe False Claim Actâs qui tam provisions are designed to encourage private citizens to expose fraud but to avoid actions by opportunists seeking to capitalize on public information.â); United States ex rel. LaCorte v. SmithKline Beecham Clinical Lab., Inc., 149 F.3d 227, 233 (3d Cir.1998) (âSection 3730 attempts to reconcile two conflicting goals, specifically, preventing opportunistic suits, on the one hand, while encouraging citizens to act as whistleblowers, on the other.â); United States ex rel. Springfield Terminal Ry. Co. v. Quinn, 14 F.3d 645, 649 (D.C.Cir.1994) (noting that, in drafting the qui tam provisions of the FCA, Congress sought to achieve âthe golden mean between adequate incentives for whistle-blowing insiders with genuinely valuable information and discouragement of opportunistic plaintiffs who have no significant information to contribute of their ownâ). Thus, the FCA places a number of jurisdictional limitations on qui tam actions, two of which are relevant for this appeal. First, the public disclosure provision removes federal jurisdiction from FCA actions âbased on the public disclosure of allegations or transactions in a criminal, civil, or administrative hearing ... 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.â 31 U.S.C. § 3730(e)(4)(A). Second, the first-to-file provision denies standing to certain potential relators by directing that once a qui tam action is filed âno person other than the Government may intervene or bring a related action based on the facts underlying the pending action.â 31 U.S.C. § 3730(b)(5). If a relatorâs complaint fails to comply with either of these jurisdictional provisions, it must be dismissed by the district court. Walburn, 431 F.3d at 970.
B. Factual and Procedural History
Medtronic, Inc. (âMedtronicâ), is a medical technology firm which manufactures and distributes various types of medical equipment and supplies. Medtronic Sofa-mor Danek USA, Inc. (âMSDâ), a subsidiary of Medtronic, is a manufacturer and seller of spinal implants and other surgical devices. Both Medtronic and MSD market their products to healthcare providers throughout the United States. The doc
On October 5, 2001, Scott Wiese (âWieseâ), a former Regional Sales Manager for MSD, filed a wrongful termination suit against Medtronic, MSD, and others in superior court in Los Angeles, California. Wiese alleged that he had been fired because he had refused to comply with his supervisorsâ directives to pay illegal kickbacks and bribes to MSDâs physician customers in exchange for their business. To support this claim, his complaint described in detail MSDâs alleged practice of providing doctors with extravagant travel arrangements, sham consulting agreements, and company-sponsored âThink Tanksâ to ensure their continued use of MSD products.
On September 11, 2002, John Doe (âDoeâ),
On December 29, 2003, more than a year after the filing of the Doe complaint and two years after the filing of the Wiese complaint, Poteet, a former MSD Senior Manager for Travel Services, filed the instant qui tam action against twelve physicians (including two physicians named as defendants in the Doe complaint) and five healthcare providers in the United States District Court for the Western District of Tennessee. Poteet alleged that the named defendants had filed numerous false, fraudulent, and ineligible claims for Medicare and Medicaid reimbursement in violation of the FCA. Specifically, Poteet claimed that MSD had paid the defendant physicians large amounts of money and provided them with lavish travel and recreational opportunities â âupgraded lodging for physicians, dinners, entertainment and activities such as golf, snorkeling, sailing, fishing, shopping trips, horse-back rid
In accordance with the FCAâs requirements, see 31 U.S.C. § 3730(b)(2), Poteet filed her complaint in camera to remain under seal for sixty days. During this sixty-day period, Poteet met with attorneys from the United States Attorneyâs Office for the Western District of Tennessee and the Civil Division of the Department of Justice, as well as officials from the United States Postal Inspectorâs Office, the Federal Bureau of Investigation, and the Department of Health and Human Servicesâ Office of the Inspector General. At these meetings, Poteet was informed of the existence of the Doe complaint as well as its general allegations and its named defendants. Following these meetings, the government requested and was granted a six month extension of the seal from March 1, 2004, through September 1, 2004, so that it could investigate the case. Thereafter, several additional extensions were granted, with Poteetâs approval, as the government continued its investigation, which included numerous additional meetings between Poteet and government officials.
During this investigation period, Poteet amended her complaint three times to include additional defendants. In her third amended complaint, filed on February 10, 2005, Ppteet named Medtronic and MSD as defendants along with sixteen physicians and nine healthcare providers. This complaint contained the same allegations of fraud against the government as her prior complaints â sham consulting and royalty agreements between MSD and the defendant healthcare providers, as well as lavish travel provided to individual physicians and their families in return for the use of MSD products â but added some further details. The complaint also was accompanied by a âSupplement to Third Amended Complaintâ in which Poteet alleged new and continuing payments by MSD to physicians to induce them to use and to persuade others to use MSD medical devices. Each of these complaints as well as the supplement were filed under seal as required by the FCA.
The government allowed the seal in Po-teetâs case to expire on December 20, 2005. On January 13, 2006, the district court denied the governmentâs motion for a further extension of the seal, and the case was subsequently unsealed on January 20, 2006. On January 25, 2006, the district court partially reinstated the seal with respect to all pleadings filed on or prior to January 25, 2006, with the exception of Poteetâs complaints, amended complaints, and supplements to complaints. However, the district court directed that all future pleadings be filed without seal.
On July 18, 2006, after completing its investigation into Poteetâs allegations, the government filed a motion to dismiss Po-teetâs complaint, arguing that it was barred by the first-to-file provision and the public disclosure provision of the FCA. In this motion, the government also informed the district court that it recently had entered into a settlement agreement with Medtronic and MSD (the âSettlement Agreementâ), under which those firms would pay $40 million to settle claims alleging that they had, between 1998 and
On July 31, 2006, Poteet filed her response to the governmentâs motion to dismiss. Shortly thereafter, on August 28, 2006, Poteet filed a âMotion for Production and Discovery,â seeking a copy of the already publicly available Settlement Agreement and requesting production of âall correspondence relating thereto, together with such other discovery as may be necessary to determine the exact nature and extent of Poteetâs role in bringing the defendants to justice herein.â J.A. at 610. Although Poteet claims in her brief that her discovery motion âwas neither granted nor denied nor otherwise ruled on at any time,â Relator Br. at 12, the record clearly reflects that the district court denied this motion on October 5, 2006 because of Po-teetâs failure to comply with a local court rule requiring consultation with the opposing party before filing a discovery motion.
On January 23, 2007, the district court granted the governmentâs motion to dismiss Poteetâs complaint. The district court found that Poteetâs complaint was jurisdictionally barred by the first-to-file rule as well as the public disclosure rule, and dismissed the case. This appeal timely followed.
II. STANDARD OF REVIEW
We review de novo a district courtâs dismissal of an FCA case for lack of subject matter jurisdiction. Walburn, 431 F.3d at 969; accord United States ex rel. McKenzie v. BellSouth Telecommunications, Inc., 123 F.3d 935, 938 (6th Cir.1997). Because federal courts are courts of limited jurisdiction, the relator bears the burden of establishing a courtâs subject matter jurisdiction over her FCA claim. Walburn, 431 F.3d at 969; McKenzie, 123 F.3d at 938. The basis for jurisdiction must be apparent from the facts existing at the time the complaint is brought. See Steel Co. v. Citizens for a Better Envât, 523 U.S. 83, 94-95, 118 S.Ct. 1003, 140 L.Ed.2d 210 (1998); Smith v. Sperling, 354 U.S. 91, 93 n. 1, 77 S.Ct. 1112, 1 L.Ed.2d 1205 (1957) (âThe jurisdiction of the Court depends upon the state of things at the time of the action brought.â).
We review a district courtâs decisions regarding discovery requests and the conducting of evidentiary hearings for abuse of discretion. See Popovich v. Sony Music Entmât, Inc., 508 F.3d 348, 360 (6th Cir.2007); Ivory v. Jackson, 509 F.3d 284, 297 (6th Cir.2007). âAbuse of discretion is defined as a definite and firm conviction that the trial court committed a clear error of judgment.â Scottsdale Ins. Co. v. Flowers, 513 F.3d 546, 554 (6th Cir.2008) (quoting Tahfs v. Proctor, 316 F.3d 584, 593 (6th Cir.2003)).
III. DISCUSSION
On appeal, Poteet raises two claims. First, Poteet challenges the district courtâs dismissal of her complaint as jurisdiction-ally barred by the FCAâs public disclosure rule and first-to-file provision. Second, Poteet contends that the district court abused its discretion when it failed to grant her motion for discovery and when it failed to conduct an evidentiary hearing
A. Dismissal of Poteetâs Complaint
Poteetâs primary argument on appeal is that the district court erred in finding her q%d tam action to be jurisdictionally barred by both the FCAâs public disclosure rule and its first-to-file provision. On de novo review, we find the first-to-file rule technically inapplicable to Poteetâs complaint. However, we agree with the district court that Poteetâs complaint is jurisdictionally barred by the public disclosure provision, and accordingly affirm the district courtâs dismissal of Poteetâs suit on that basis.
1. Public Disclosure Rule
The FCAâs public disclosure provision, 31 U.S.C. § 3730(e)(4)(A), âlimits the subject matter jurisdiction of federal courts over qui tam actions based upon previously disclosed information.â Walburn, 431 F.3d at 973; see also Rockwell Intâl Corp. v. United States, 549 U.S. 457, 127 S.Ct. 1397, 1405-06, 167 L.Ed.2d 190 (2007). Specifically, § 3730(e)(4)(A) provides:
No court shall have jurisdiction over an action under this section based upon the public disclosure of allegations or transactions in a criminal, civil, or administrative 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.
31 U.S.C. § 3730(e)(4)(A). Section 3730(e)(4)(B) defines âoriginal sourceâ as âan individual who has direct and independent knowledge of the information on which the allegations are based and has voluntarily provided the information to the Government before filing an action under this section which is based on the information.â 31 U.S.C. § 3730(e)(4)(B).
To determine whether § 3730(e)(4)(A)âs jurisdictional bar applies, a court must consider âfirst whether there has been any public disclosure of fraud, and second whether the allegations in the instant case are âbased uponâ the previously disclosed fraud.â United States ex rel. Gilligan v. Medtronic, Inc., 403 F.3d 386, 389 (6th Cir.2005); accord United States ex rel. Bledsoe v. Cmty. Health Sys., Inc., 342 F.3d 634, 645 (6th Cir.2003) (hereinafter âBledsoe Iâ); see also Walbum, 431 F.3d at 974 (âIn determining whether the jurisdictional bar of § 3730(e)(4) applies to a relatorâs case, we consider: â(A) whether there has been a public disclosure; (B) of the allegations or transactions that form the basis of the relatorâs complaint; and (C) whether the relatorâs action is âbased uponâ the publicly disclosed allegations or transactions.â â (quoting United States ex rel. Jones v. Horizon Healthcare Corp., 160 F.3d 326, 330 (6th Cir.1998))). âIf the answer is ânoâ to [either] of these questions, the inquiry ends, and the qui tam action may proceed; however, if the answer to each of the above questions is âyes,â then we must determine whether the relator nonetheless qualifies as an âoriginal sourceâ under § 3730(e)(4)(B), in which case the suit may proceed.â Walburn, 431 F.3d at 974; accord Jones, 160 F.3d at 330.
a. Public Disclosure of Fraud
For a relatorâs qui tam action to be barred by a prior âpublic disclosureâ of the underlying fraud, the disclosure must have (1) been public, and (2) revealed the same kind of fraudulent activity against the government as alleged by the relator. See 31 U.S.C. § 3730(e)(4)(A); United States ex rel. Burns v. A.D. Roe Company, Inc., 186 F.3d 717, 723 (6th Cir.1999). With respect to this first element, the FCA clarifies that
As for the second element, we have held that a public disclosure reveals fraud if âthe information is sufficient to put the government on notice of the likelihood of related fraudulent activity.â Gilligan, 403 F.3d at 386; see Walburn, 431 F.3d at 975 (â[T]he âallegations and transactionsâ forming the basis of a qui tam have been disclosed âwhen enough information exists in the public domain to expose the fraudulent transaction or the allegation of fraud.â â (quoting Jones, 160 F.3d at 331)); Dingle v. Bioport Corp., 388 F.3d 209, 214 (6th Cir.2004) (âAll that is required is that public disclosures put the government on notice to the possibility of fraud.â). To qualify as a public disclosure of fraud, the disclosure is not required to use the word âfraudâ or provide a specific allegation of fraud. See Gilligan, 403 F.3d at 390; Dingle, 388 F.3d at 214 (âThe words fraud or allegation need not appear in the disclosure for it to qualify.â); Burns, 186 F.3d at 724 (â[PJublicly disclosed documents need not use the word âfraud,â but need merely to disclose information which creates âan inference of impropriety.â â (quoting Jones, 160 F.3d at 332)). Moreover, the information suggesting fraud need not even come from the same source as long as the different sources âtogether provide information that leads to a conclusion of fraud.â Gilligan, 403 F.3d at 390; see also Dingle, 388 F.3d at 214 (âThe fact that the information comes from different disclosures is irrelevant.â).
Following the lead of our sister circuits, we generally have found two types of disclosures sufficient to put the government on notice of fraud. See, e.g., Dingle, 388 F.3d at 212 (âEither a public disclosure which includes an allegation of fraud, or a public disclosure that describes a transaction that includes both the state of the facts as they are plus the misrepresented state of facts must be present to eliminate jurisdiction in a case.â). âFirst, if the information about both a false state of facts and the true state of facts has been disclosed, we [will] find that there has been an adequate public disclosure because fraud is implied.â Gilligan, 403 F.3d at 389; accord Walburn, 431 F.3d at 975 (âWhen the âmisrepresented state of facts and a true state of factsâ have been disclosed, there is enough information in the public domain to give rise to âan inference of impropriety.â â (quoting Jones, 160 F.3d at 332)); see also Jones, 160 F.3d at 331 (adopting the X + Y = Z analysis from the D.C. Circuitâs decision in United States ex rel Springfield Terminal Ry. Co. v. Quinn, 14 F.3d 645 (D.C.Cir.1994)).
In the instant case, we find the Wiese complaint sufficient to qualify as a public disclosure of fraud which could potentially bar Poteetâs qui tarn complaint.
b. Qui Tam Complaint âBased Uponâ Disclosed Fraud
After finding a public disclosure of fraud, the next step in the public disclo
In the instant case, we find that Poteetâs qui tam complaint is âbased uponâ the information contained in the Wiese complaint. Despite the presence of one major allegation that was not made in the Wiese complaint â namely, Poteetâs claim that the named â defendants had filed false claims for Medicare and Medicaid reimbursement in violation of the FCA â the primary focus of Poteetâs complaint is the same MSD illegal kickback scheme which Wiese described in his complaint. Moreover, even though the particular details concerning the kickbacks paid and the defendants involved are slightly different, the illegal kickback scheme described in Poteetâs complaint is essentially the same as the scheme alleged by Wiese in his complaint. Like Wiese, who claimed that doctors named in his complaint received illegal compensation from MSD in the form of âhunting and/or fishing tripsâ and other âextravagant trips for doctors and their familiesâ which were disguised as âThink Tanks,â J.A. at 380-81, Poteet contends that the doctors named in her complaint were rewarded for their use of MSD products with âdiscounted and upgraded [travel] lodgings[,] dinners, entertainment and activities such as golf, snorkeling, sailing, fishing, shopping trips, horse-back riding, hiking and other such activities, all of which were paid by MSD.â J.A. at 140. Similarly, Poteetâs claim that MSD provided this unlawful compensation during physician âtraining and educationâ meetings and in the form of sham âconsulting contracts,â J.A. at 136-37, seems to mirror Wieseâs allegations that MSD presented some of its illegal kickbacks during âThink Tanksâ and disguised others as âconsulting contracts.â J.A. at 381-82.
In short, while Poteetâs complaint presents new details concerning MSDâs illegal kickback scheme and describes its operation in relation to different doctors, her allegations bear a substantial likeness to Wieseâs prior and publicly disclosed allegations, and consequently are âbased uponâ
c. Original Source
Under the FCA, an original source is âan individual: (1) with direct and independent knowledge of the information on which the allegations are based; and (2) who has voluntarily provided the information to the government before filing an action under the FCA which is based upon the information.â Jones, 160 F.3d at 333 (citing 31 U.S.C. § 3730(e)(4)(B)); see generally Rockwell, 127 S.Ct. at 1407-09. With respect to this second element, we have clarified that â[i]n addition to the requirement that a relator must have provided information to the government prior to filing her FCA suit, ... a relator must also provide the government with the information upon which the allegations are based prior to any public disclosure.â Jones, 160 F.3d at 333-34 (citing McKenzie, 123 F.3d at 942).
Poteet wisely does not contend that she qualifies as an original source. While Po-teet, due to her former position as MSDâs Senior Manager for Travel Services, arguably has direct and independent knowledge of most of the facts alleged in her complaint, she undisputedly failed to provide this information to the government before filing her complaint and before the filing of the Wiese complaint. Thus, she cannot qualify as an original source under the FCA.
Accordingly, we conclude that Poteetâs qui tam complaint is jurisdictionally barred by the FCAâs public disclosure provision, 31 U.S.C. § 3730(e)(4)(A). As this public disclosure rule provides a sufficient basis for dismissing Poteetâs complaint, we need not consider whether Poteetâs complaint is also barred by the FCAâs first-to-file rule, 31 U.S.C. § 3730(b)(5). However, in order to provide clarity to district courts regarding the proper application of the first-to-file rule, we find it appropriate to explain why the first-to-file rule does not technically preclude jurisdiction in this case. It is to this explanation that we now turn.
2. First-to-File Rule
The FCAâs first-to-file rule provides that â[w]hen a person brings an action under this subsection, no person other than the Government may intervene or bring a related action based on the facts underlying the pending action.â 31 U.S.C. § 3730(b)(5). By its own terms, this statutory provision âunambiguously establishes a first-to-file bar, preventing successive plaintiffs from bringing related actions based on the same underlying facts.â Walburn, 431 F.3d at 971 (quoting United States ex rel. Lujan v. Hughes Aircraft Co., 243 F.3d 1181, 1187 (9th Cir.2001)). In other words, for a qui tam relator to
In order to determine whether a relatorâs complaint runs afoul of the § 3730(b)(5)âs first-to-file bar, a court must compare the relatorâs complaint with the allegedly first-filed complaint. Walburn, 431 F.3d at 971. If both complaints âallege âall the essential factsâ of the underlying fraud, the earlier filed [ ] action bars [the later] action, even if [the later] complaint âincorporates somewhat different details.â â Id. (quoting LaCorte, 149 F.3d at 232-33); accord United States ex rel. Hampton v. Columbia/HCA Healthcare Corp., 318 F.3d 214, 217 (D.C.Cir.2003) (holding that â§ 3730(b)(5) bars any action incorporating the same material elements of fraud as an action filed earlierâ). The later complaint âneed not rest on precisely the same facts as a previous claim to run afoul of this statutory bar.â LaCorte, 149 F.3d at 232; accord Grynberg, 390 F.3d at 1279 (The âfirst-to-file bar is not limited to situations in which the original and subsequent complaints rely on identical facts.â); Hampton, 318 F.3d at 218 (rejecting âanother possible testâ which would only âbar[ ] claims based on âidentical factsâ â); Lujan, 243 F.3d at 1183 (holding that âa âmaterial facts,â not âidentical facts,â test should be used to determine if a ârelated action [is] based on the facts underlying the pending actionâ â). âRather, so long as a subsequent complaint raises the same or a related claim based in a significant measure on the core fact or general conduct relied upon in the first qui tam action, § 3730(b)(5)âs first-to-file bar applies.â Grynberg, 390 F.3d at 1279.
One important caveat to this first-to-file rule, however, is that, in order to preclude later-filed qui tam actions, the allegedly first-filed qui tam complaint must not itself be jurisdictionally or otherwise barred. See Walburn, 431 F.3d at 972 (finding that an earlier filed complaintâs failure to comply with Rule 9(b) rendered it legally infirm from its inception, and thus unable to preempt a later-filed action); Campbell v. Redding Med. Ctr., 421 F.3d 817, 825 (9th Cir.2005) (holding that âthe first-to-file rule of § 3730(b)(5) bars only subsequent complaints filed after a complaint that fulfills the jurisdictional prerequisites of § 3730(e)(4)â). Indeed, if the first complaint is either jurisdictionally precluded, see 31 U.S.C. § 3730(e), or legally incapable of serving as a complaint, see Fed. R.Civ.P. 9(b); United States ex rel. Bledsoe v. Cmty. Health Sys., Inc., 501 F.3d 493, 504 (6th Cir.2007) (hereinafter âBledsoe II â), then it does not properly qualify as a âpending actionâ brought under the FCA. 31 U.S.C. § 3730(b)(5). However, if the first-filed qui tam action has been dismissed on its merits or on some other grounds not related to its viability as a
In the instant case, we find that Poteetâs complaint is sufficiently similar to the Doe complaint as to generally preclude jurisdiction under the first-to-file rule. However, because the Doe complaint, like the Poteet complaint, is jurisdictionally barred by the public disclosure provision, the Doe complaint does not technically preclude the filing of Poteetâs complaint under the first-to-file rule.
A comparison of the Doe and Poteet complaints reveals that they allege the same essential facts regarding the fraud against the government committed by MSD and its physician customers. While Poteetâs complaint contains different (and, indeed, not as extensive) details, both complaints allege that MSD violated the FCA and the Anti-Kickback statute by providing monetary and in kind compensation to physicians as an inducement to use MSD surgical products. Both Doe and Poteet indicate that these kickbacks took the form of lavish trips to desirable locations, sham consulting agreements, and sham royalty arrangements. Likewise, both complaints identify the FCA violation as involving false or ineligible claims for Medicare and Medicaid reimbursement.
The only potentially significant differences between the two complaints is that, with the exception of two overlapping physician defendants and Medtronic and MSD, the complaints identify different physician defendants. However, because the purpose of the FCAâs first-to-file provision is to prevent the filing of more qui tam suits once the government already has been made aware of the potential fraud perpetrated against it, see Walburn, 431 F.3d at 970; Grynberg, 390 F.3d at 1279, the fact that the later action names different or additional defendants is not dispositive as long as the two complaints identify the same general fraudulent scheme. See Hampton, 318 F.3d at 218 (finding that differences in named defendants âare not differences in the material elements of the fraudâ). Similarly, the fact that the allegations in the Poteet and Doe complaints may cover somewhat different time periods is irrelevant because they both allege the same type of fraudulent activity by the same general group of actors. See, e.g., United States ex rel. Ortega v. Columbia Healthcare, Inc., 240 F.Supp.2d 8, 13 (D.D.C.2003) (âIf the later-filed complaint alleges the same type of wrongdoing as the first, and the first adequately alleges a broad scheme encompassing the time and location of the later filed, the fact that the later complaint describes a different time period or geographic location that could theoretically lead to a separate recovery does not save it from the absolute first-to-file bar of § 3730(b)(5).â). Indeed, âonce the government knows the essential facts of a fraudulent scheme, it has enough information to discover related frauds,â and the rationale behind allowing private plaintiffs to bring qui tam suits is fulfilled. LaCorte, 149 F.3d at 234.
In light of the substantial similarity between Poteetâs qui tam complaint and the Doe qui tam complaint, the first-to-file rule generally would apply to bar Poteetâs complaint. However, as noted above, Doeâs earlier-filed action cannot bar a later-filed action under the first-to-file rule if the Doe action is itself jurisdictionally barred, see Campbell, 421 F.3d at 825, or has failed to comply with the special pleading requirements of Rule 9(b). See Walburn, 431 F.3d at 972. While the Doe complaint is not deficient under Rule 9(b), it is jurisdictionally barred by the FCAâs public disclosure provision.
In the instant case, Doeâs complaint specifically identifies the false claims submitted to the government in violation of the FCA as âall claims for payment related to [MSD] products ... associated with physicians that were receiving remuneration as describedâ in the complaint. J.A. at 415-16. The Doe complaint also outlines in great detail the overall fraudulent scheme and identifies the particular doctors and healthcare providers involved in it. These detailed allegations are more than sufficient to enable the named defendants to prepare a responsive pleading to the charges presented. The Doe complaint thus satisfies the pleading requirements of Rule 9(b).
Nevertheless, we note that the Doe complaint appears to be jurisdictionally barred by the FCAâs public disclosure rule. In the same way that Poteetâs complaint is supported by prior public disclosures, the Doe complaint also is âbased uponâ the publicly available Wiese complaint. Indeed, similar to Poteetâs complaint, the primary focus of the Doe complaint is the same illegal kickback scheme described in detail in the Wiese complaint. While Doe does provide significant additional details regarding MSDâs monetary and in-kind payments to physicians, many of Doeâs allegations, like those in Poteetâs complaint, are substantially similar to the allegations in the Wiese complaint. In short, the Doe complaint, just like Poteetâs complaint, is âbased uponâ the public disclosures in the Wiese complaint. Moreover, the record indicates that it is unlikely that Doe can qualify as an âoriginal source,â because the record suggests that Doe never shared his information about Medtronic and MSD with the government prior to filing his qui tam complaint. Accordingly, we conclude that, despite the fact that the Doe complaint and Poteet complaint allege all of the same essential facts concerning the fraud against the government, the Doe complaint technically cannot bar Poteetâs complaint under the first-to-file rule.
B. Denial of Poteetâs Requests for Discovery and an Evidentiary Hearing
In addition to challenging the district courtâs dismissal of her complaint pursuant to the FCAâs first-to-file and public disclosure provisions, Poteet contends that the district court abused its discretion by not granting her discovery request and by failing to conduct an evidentiary hearing prior to ruling on the governmentâs motion to dismiss her claims. In particular, Poteet argues that her discovery request should have been granted so that the court could âobtain factual information necessary in
The district court denied Poteetâs discovery request because Poteet failed to comply with Local Rule 7.2(a)(1)(B), which required Poteet to first seek production of the documents requested from the government before filing the motion. Poteet un-disputedly failed to comply with this rule. Indeed, had she attempted to comply with the rule, the government likely would have informed her that no discovery request was needed as the Settlement Agreement was publicly available online. Thus, the district courtâs denial of Poteetâs discovery request on such grounds cannot be deemed an abuse of discretion.
Moreover, contrary to Poteetâs suggestion, she was not entitled to any discovery prior to the district courtâs ruling on the governmentâs motion to dismiss the complaint for lack of jurisdiction. As noted above, the basis for a federal courtâs subject matter jurisdiction over an action must be apparent from the facts existing at the time the complaint is brought. See Citizens for a Better Envât, 523 U.S. at 94, 118 S.Ct. 1003; Smith, 354 U.S. at 93 n. 1, 77 S.Ct. 1112. In determining whether the facts supported jurisdiction over Poteetâs action, the district court did not need any evidence that was not already present in the record. To determine whether the public disclosure provision barred jurisdiction, the district court needed only to compare Poteetâs complaint to the allegedly publicly disclosed materials, including the Wiese complaint, which the government had provided as an attachment to its motion to dismiss. See Walburn, 431 F.3d at 974. Likewise, to determine whether the first-to-file rule denied Poteet standing, the district court needed only to compare Poteetâs complaint to the previously-filed Doe- complaint, which also had been included as an attachment to the governmentâs motion to dismiss. See id. at 971. As no discovery was needed to rule on the governmentâs motion to dismiss, no evidentia-ry hearing was warranted.
Poteet attempts to avoid this conclusion by suggesting that she was entitled to an evidentiary hearing under 31 U.S.C. § 3730(c)(2)(A). However, in making this argument, Poteet fails to read this statutory provision in its proper context. Section 3730(c)(2)(A) applies only when the government has decided to âproceed[] with the actionâ and has assumed âprimary responsibility for prosecuting the action.â 31 U.S.C. § 3730(c)(1). Once the government has taken over the case in this way, § 3730(c)(2)(A) provides that it âmay dismiss the action notwithstanding the objections of the person initiating the action if the person has been notified by the Government of the filing of the motion and the court has provided the person with an opportunity for a hearing on the motion.â 31 U.S.C. § 3730(c)(2)(A). Such a hearing is required because, at that point in the litigation, it is clear that the- relator has brought a jurisdictionally valid claim, has standing to pursue the claim, and is precluded from pursuing the claim only because the government has decided to intervene. This statutory requirement to provide a hearing does not, by its own terms, apply when the government does not yet have âprimary responsibility for prosecuting the ' action.â 31 U.S.C.
IV. CONCLUSION
For the foregoing reasons, the judgment of the district court dismissing Poteetâs qui tam action is AFFIRMED.
. Qui tam is short for the Latin phrase qui tam pro domino rege quam pro si ipso in hac parte sequitur, which means "who pursues this action on our Lord the Kingâs behalf as well as his own.â Vermont Agency of Natural Res. v. United States ex rel. Stevens, 529 U.S. 765, 768 n. 1, 120 S.Ct. 1858, 146 L.Ed.2d 836 (2000); accord Blackâs Law Dictionary 1282 (8th ed.2004).
. The real name of this relator is not publicly available information as the Doe complaint remains under seal.
. The Anti-Kickback statute provides that:
Whoever knowingly and willfully solicits or receives [or offers or pays] any remuneration (including any kickback, bribe or rebate) directly, or indirectly, overtly, or covertly, in cash or in kind ... in return for referring an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part under a Federal health care program ... shall be guilty of a felony and upon conviction thereof, shall be fined not more than $25,000 or imprisoned for not more than five years, or both.
42 U.S.C. §§ 1320a-7b(b)(l)(A) & (2)(A).
. Pursuant to Department of Justice policy, the Settlement Agreement, with a few minor redactions to account for material still under seal, was immediately made public and posted on the internet. See http://www.usdoj.gov/ civi]/foia/elecread/2006/July/MedtronicJUL 2006.pdf (last visited November 24, 2008).
. In Springfield, the D.C. Circuit used the following mathematical illustration to demonstrate what information must be publicly disclosed in order for the government to be put on notice of fraud:
[I]f X + Y = Z, Z represents the allegation of fraud and X and Y represent its essential elements. In order to disclose a fraudulent transaction publicly, the combination of X and Y must be revealed, from which readers or listeners may infer Z, i.e., the conclusion that fraud has been committed.
[Q]ui tam actions are barred only when enough information exists in the public domain to expose the fraudulent transaction (the combination of X and Y), or the allegation of fraud (Z). When either of these*513 conditions is satisfied, the government itself presumably can bring an action under the FCA and there is no place in the enforcement scheme for qui tarn suits.
Springfield, 14 F.3d at 654.
. In addition to the Wiese complaint, the government suggests that two other "public disclosuresâ bar Poteet's complaint: (1) Med-tronicâs 10-Q reports filed with the Securities and Exchange Commission ("SECâ); and (2) numerous media reports about the government's investigation of the Doe complaint. We do not find these sources sufficient to qualify as public disclosures of fraud. As the district court aptly noted, these SEC filings and news reports "consist of little more than headlines announcing that someone was alleging illegal kickbacks to doctors by MSD.â J.A. at 632. Such rumors of reported fraud are not the kind of "allegations or transactionsâ which the FCA requires in order for a public disclosure to bar jurisdiction. 31 U.S.C. § 3730(e)(4)(A); see Bums, 186F.3dat 724.
. Poteet suggests in her brief that, even if her other allegations are based on the Wiese complaint, the allegations made in the supplement to her third amended complaint cannot be based upon the Wiese complaint since they describe how MSD has changed the way in which it currently disguises its kickbacks to physicians in response to the federal authorities' discovery of the fraud alleged in the Wiese complaint. We find this contention to be without merit. Under our jurisprudence, a relatorâs entire complaint will be jurisdiction-ally barred if it is "based even partly upon public disclosures.â McKenzie, 123 F.3d at 940 (emphasis added). Because at least some parts of Poteetâs complaint are clearly "based uponâ the Wiese complaint, Poteetâs whole complaint is jurisdictionally barred unless she can show that she is an "original source.â
. In making this argument, Poteet repeats her factually erroneous claim that the district court ânever ruledâ on her motion for discovery and production of documents. Relator Br. at 18.