Forum
U.S. Supreme Court
Case Status
Decided
Docket Number
Term
2015 Term
Oral Argument Date
April 19, 2016
Lower Court Opinion
Questions Presented
1. Whether the First Circuit, by sua sponte identifying and relying upon a regulatory provision not invoked by respondents at any point in the proceedings below to reverse the district court’s dismissal of respondents’ complaint, has so far deviated from the adversary system’s party presentation rule “so as to call for an exercise of this Court’s supervisory power” under this Court’s Rule 10(a).
2. Whether the “implied certification” theory of legal falsity under the FCA—applied by the First Circuit below but recently rejected by the Seventh Circuit—is viable.
3. If the “implied certification” theory is viable, whether a government contractor’s reimbursement claim can be legally “false” under that theory if the provider failed to comply with a statute, regulation, or contractual provision that does not state that it is a condition of payment, as held by the First, Fourth, and D.C. Circuits; or whether liability for a legally “false” reimbursement claim requires that the statute, regulation, or contractual provision expressly state that it is a condition of payment, as held by the Second and Sixth Circuits.
Case Updates
Outcome
June 16, 2016
The Supreme Court held that a defendant can be held liable under the implied certification theory when “two conditions” are met: (1) “the claim does not merely request payment, but also makes specific representations about the goods or services provided” and (2) “the defendant’s failure to disclose noncompliance with material statutory, regulatory, or contractual requirements makes those representations misleading half-truths.” However, the Court also clarified that any such misrepresentation must meet a “demanding” materiality standard, and misrepresentations will not classify as material simply because the government conditions payment on compliance with a particular requirement or could legitimately refuse payment if it knew that the defendant did not comply with the condition. Moreover, the Court reiterated that a misrepresentation cannot be material if the noncompliance is “minor or insubstantial.”
U.S. Chamber urges Supreme Court to reject implied-certification theory as basis for FCA liability
January 26, 2016
The U.S. Chamber filed an amicus brief urging the Supreme Court to reject the First Circuit’s implied-certification theory of False Claims Act (“FCA”) liability in a case involving a counseling service’s failure to comply with state licensing requirements as a condition to payment under the FCA.
The brief argues that the implied-certification theory increases risk and uncertainty for government contractors, grantees, and program participants and invites abuse by bounty-hunting relators. Additionally, the implied-certification theory deprives defendants of fair notice about what actions may lead to FCA liability.
The National Defense Industrial Association, Professional Services Council, and International Stability Operations Association joined the U.S. Chamber on the brief.
John P. Elwood, Craig D. Margolis, Jeremy C. Marwell, Tirzah S. Lollar, Kathleen C. Neace, and Ralph C. Mayrell of Vinson & Elkins LLP served as co-counsel for the amici with the U.S. Chamber Litigation Center.
Case Documents
- Opinion -- U.S. ex rel. Escobar v. Universal Health Services (CA1).pdf
- Cert. Petition -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Brief in Opposition -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Reply Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Petitioner Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- American Health Care Association Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- CareSource Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- CTIA Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- American Hospital Association Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Interested Healthcare Providers Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Association of Private Sector Colleges and Universities Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Pharmaceutical Research and Manufacturers of America Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Generic Pharmaceutical Association Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Washington Legal Foundation Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- U.S. Chamber Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- National Association of Criminal Defense Lawyers Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Coalition for Government Procurement Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- American Medical Association Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Brief for Respondents -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Brief for the United States -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- AARP Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Illinois, et al. Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Judge Bazelon Center For Mental Health Law Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Law Professors Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Mark McGrath Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Massachusetts Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- National Whistleblower Center Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Professor Engstrom Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Professor Hesch Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Taxpayers Against Fraud Education Fund Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- U.S. Senator Grassley Amicus Brief -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Reply Brief for Petitioner -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Transcript of Oral Argument -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf
- Opinion -- Universal Health Services v. U.S. ex rel. Escobar (SCOTUS).pdf