Court Opinion

ID: 63362
Source: CourtListenerOpinion
Date Created: 2010-04-26 04:55:37+00
Date Added: 2024-06-11T12:38:23.490477
License: Public Domain

IN THE UNITED STATES COURT OF APPEALS
                    FOR THE FIFTH CIRCUIT
                                                                               United States Court of Appeals
                                                                                        Fifth Circuit

                                                                                    FILED
                                                                                  August 7, 2008
                                       No. 07-20414
                                                                              Charles R. Fulbruge III
                                                                                      Clerk
UNITED STATES OF AMERICA, ex rel., RAMESH GUDUR,

                                                  Plaintiff–Appellant,
v.

DELOITTE & TOUCHE; NATIONAL HERITAGE INSURANCE COMPANY,

                                                  Defendants–Appellees.

                      Appeal from the United States District Court
                           for the Southern District of Texas
                                USDC No. 4:00-CV-1169

Before JOLLY, CLEMENT, and OWEN, Circuit Judges.
PER CURIAM:*
       Ramesh Gudur, as relator for the United States, sued Deloitte & Touche
(Deloitte) and National Heritage Insurance Company (NHIC) under the qui tam
provisions of the False Claims Act (FCA).1 In 2002, the district court dismissed
NHIC. Later, the district court granted Deloitte’s motion for summary judgment
and denied Gudur’s motions for partial summary judgment. Gudur appeals, and
we affirm.

       *
         Pursuant to 5TH CIR. R. 47.5, the court has determined that this opinion should not
be published and is not precedent except under the limited circumstances set forth in 5TH CIR.
R. 47.5.4.
       1
           31 U.S.C. § 3729 et seq.
                                           No. 07-20414

                                                 I
         Several years after the Texas Department of Health (TDH) terminated
Gudur, he brought this lawsuit under the FCA and alleged that Deloitte, TDH,
and approximately 900 Texas school districts conspired to defraud the
government by inflating reimbursement rates for services rendered to Medicaid-
eligible students under the Student Health and Related Services (SHARS)
program. During the years of litigation, the district court dismissed NHIC and
granted Deloitte summary judgment.
         Gudur now appeals and argues that (1) the district court improperly
granted summary judgment; (2) the district court erred in excluding Gudur’s
expert, Peter Figliozzi, and his Second Supplemental Expert Report; and (3) the
district court improperly dismissed NHIC.
                                                II
         We review de novo the district court’s grant of summary judgment.2
Summary judgment is appropriate “if the pleadings, the discovery and disclosure
materials on file, and any affidavits show that there is no genuine issue as to
any material fact and that the movant is entitled to judgment as a matter of
law.”3        We resolve any doubts and draw all reasonable inferences in the
nonmoving party’s favor.4
                                                 A
         Gudur alleges violations of 31 U.S.C. § 3729(a)(1)-(3). Those provisions of
the FCA impose liability on any person who “knowingly presents, or causes to
be presented, to an officer or employee of the United States Government . . . a

         2
             Rodriguez v. ConAgra Grocery Prods. Co., 436 F.3d 468, 473 (5th Cir. 2006).
         3
             FED. R. CIV. P. 56(c).
         4
             Rodriguez, 463 F.3d at 473.

                                                 2
                                          No. 07-20414

false or fraudulent claim for payment or approval,”5 “knowingly makes, uses, or
causes to be made or used, a false record or statement to get a false or fraudulent
claim paid or approved by the Government,”6 or “conspires to defraud the
Government by getting a false or fraudulent claim allowed or paid.”7 A person
acts knowingly if he “(1) has actual knowledge of the information; (2) acts in
deliberate ignorance of the truth or falsity of the information; or (3) acts in
reckless disregard of the truth or falsity of the information.”8
      Without the expert report, Gudur lacks evidence establishing falsity as the
district court discussed in its thorough opinion and order. Moreover, even with
the report, Gudur has presented no evidence establishing “knowledge,” an
element of all three FCA sections that Gudur alleges Deloitte violated. Nor has
Gudur presented evidence establishing the intent both § 3729(a)(2) and
(3) require. In Allison Engine Co. v. United States ex rel. Sanders, the Supreme
Court held that § 3729(a)(2) requires proof that the defendant intended that “the
false record or statement be material to the Government’s decision to pay or
approve the false claim”9 and that § 3729(a)(3) requires proof that “the
conspirators intended to defraud the Government.”10
      Gudur essentially argues that evidence of a regulatory violation coupled
with Deloitte’s profit motive is sufficient to create a fact issue as to knowledge
and intent. The FCA is an anti-fraud statute and not the appropriate vehicle for

      5
          31 U.S.C. § 3729(a)(1).
      6
          Id. § 3729(a)(2).
      7
          Id. § 3729(a)(3).
      8
          Id. § 3729(b)(1)-(3).
      9
          128 S. Ct. 2123, 2126 (2008).
      10
           Id. at 2130 (internal quotation marks omitted).

                                               3
                                            No. 07-20414

policing regulatory compliance.11 Gudur’s argument, if accepted, would collapse
the FCA into such a vehicle and eviscerate the knowledge and intent
elements—one of which the Supreme Court has just detailed in Allison Engine.
Surely the Court would not have expended the time to elucidate the intent
element if simply presenting evidence as to the falsity element sufficed.
         Since summary judgment was appropriate even with Figliozzi’s expert
report and testimony, we do not address in detail the district court’s order to
exclude Figliozzi as a witness and strike his Second Supplemental Expert
Report—though a review of the district court’s detailed order demonstrates no
abuses of discretion.
                                                   B
         Gudur argues he alleged three claims against NHIC, two of which were
dismissed due to the FCA’s public-disclosure bar.12 The third claim, Gudur
argues, was dismissed on sovereign immunity grounds.                           Since this court
subsequently held NHIC was not entitled to sovereign immunity in a different
FCA case,13 Gudur contends the third claim was improperly dismissed. Gudur’s
complaint pleaded no specific acts of NHIC with respect to the third claim and
in fact alleged specific facts only against other defendants by name. He argues
that he alleged the third claim against NHIC because he occasionally used the
generic term “defendants.” Given the heightened pleading requirements for

         11
          United States v. Southland Mgmt. Corp., 326 F.3d 669, 682 (5th Cir. 2003) (en banc)
(Jones, J., concurring) (citing United States ex rel. Lamers v. City of Green Bay, 168 F.3d 1013,
1019 (7th Cir. 1999)).
         12
              31 U.S.C. § 3730(e)(4)(A).
         13
              United States ex rel. Barron v. Deloitte & Touche, L.L.P., 381 F.3d 438, 442 (5th Cir.
2004).

                                                   4
                                       No. 07-20414

fraud actions14 and our precedent,15 we do not find Gudur’s argument persuasive
that his pleading properly alleged the third claim against NHIC.
                                      *       *        *
       For the foregoing reasons, we AFFIRM the district court’s grant of
summary judgment and its dismissal of NHIC.

       14
            FED. R. CIV. P. 9(b).
       15
          See Griggs v. State Farm Lloyds, 181 F.3d 694, 699 (5th Cir. 1999) (“Griggs’[s]
original and amended petitions name Lark Blum as a defendant, but allege no actionable facts
specific to Blum. The only factual allegation even mentioning Blum merely states that
‘Defendants [sic], through its local agent, Lark Blum issued an insurance policy.’ The
remainder of Griggs’[s] pleadings refer to conduct by the ‘Defendants’ that can in no way be
attributed to Blum. . . . We cannot say that Griggs’[s] petition, which mentions Blum once in
passing, then fails to state any specific actionable conduct on her part whatsoever, meets even
the liberalized requirements that permit notice pleading.” (second alteration in original)).

                                              5