BILL ANALYSIS                                                                                                                                                                                                    Ó






                             SENATE JUDICIARY COMMITTEE
                             Senator Noreen Evans, Chair
                              2011-2012 Regular Session


          AB 2492 (Blumenfield)
          As Amended April 16, 2012
          Hearing Date: June 12, 2012
          Fiscal: Yes
          Urgency: No
          TW   
                    

                                        SUBJECT
                                           
                                The False Claims Act

                                      DESCRIPTION  

          This bill would update the California False Claims Act (CFCA) to 
          conform to the Federal False Claims Act as follows:
           expands whistleblower protections to include contractors and 
            agents;
           requires the court to dismiss an action or claim, if 
            substantially the same allegations or transactions alleged in 
            the action or claim were publicly disclosed, as specified;
           provides a statute of limitations for the Attorney General to 
            file CFCA actions from six years from the date on which the 
            CFCA violation is committed or three years from the date when 
            facts material to the right of action are known or reasonably 
            should been known;
           authorizes government employees to file CFCA claims relating 
            to Medi-Cal Fraud in civil courts without having to exhaust 
            internal claims procedures;
           increases the range of civil penalties for violations of the 
            CFCA from $5,000-$10,000 to $5,500-$11,000; and
           updates various defined terms.

                                      BACKGROUND  

          The California False Claims Act (CFCA), enacted more than 20 
          years ago, is widely regarded as the most effective tool 
          available to detect, deter, and punish those who defraud the 
          government of public money.  In addition to making it unlawful 
          to intentionally commit specified acts - or false claims - 
          against the government, the CFCA is best known for two key 
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          components:  (1) it encourages private citizens to report fraud 
          by providing a right to share in any recovery; and (2) it 
          imposes treble damages on violators.  

          California's law is modeled after its federal counterpart, the 
          Federal False Claims Act (FFCA), which was first enacted during 
          the Civil War, reportedly for the purpose of combating fraud 
          against the federal government by suppliers to the Union Army.  
          Over the years, both Acts have been instrumental in recovering 
          billions of dollars in fraudulently obtained public money.  

          The CFCA permits private citizens to initiate and prosecute 
          false claims actions on behalf of the state or local government 
          entity whose funds are at issue.  Unlike most "private attorney 
          general" statutes, which usually provide for an award of 
          reasonable attorney's fees when private litigants prevail in 
          actions brought in the public interest, private suits under the 
          CFCA are permitted as "qui tam" actions, in which prevailing 
          private litigants are entitled to a percentage of the proceeds 
          recovered as payment for their efforts in successfully 
          prosecuting fraudulent claims against the government.  

          In May of 2009, President Barack Obama signed the Fraud 
          Enforcement and Recovery Act, which included amendments designed 
          to strengthen the FFCA.  In order to make similar improvements 
          to the CFCA, California enacted AB 1196 (Blumenfield, Ch. 277, 
          Stats. 2009).  The FFCA subsequently was updated further by the 
          Fraud Enforcement and Recovery Act of 2009, the Patient 
          Protection and Affordable Care Act, and the Dodd-Frank Wall 
          Street Reform and Consumer Protection Act.

          Pursuant to the federal Deficit Reduction Act, California 
          receives a ten percent federal bonus on all Medicaid-related 
          false claims recoveries because California has enacted the CFCA. 
           The California Attorney General (AG) reports that, since 2008, 
          California has recovered almost $95 million in additional 
          federal incentive awards on Medicaid-related false claims 
          recoveries.  Overall, the AG's office states that it "has 
          recovered more than $1 billion taxpayer dollars, on all types of 
          CFCA recoveries since 1999."  

          However, given the recent updates to the FFCA, the AG has been 
          advised by the Inspector General of the United States Department 
          of Human & Health Services that California is in danger of 
          losing its ten percent federal bonus on Medicaid-related false 
          claims recoveries because the CFCA is out of date and out of 
                                                                      



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          compliance with the Deficit Reduction Act.  

          This author-sponsored bill would conform the CFCA to the minimum 
          standards of the FFCA in order to maintain the federal bonus.

                                CHANGES TO EXISTING LAW
           
          1.  Existing law  establishes the California False Claims Act 
            (CFCA), which provides that a person who commits any one of 
            several specified acts relating to the submission of a false 
            claim to the state or a political subdivision shall be liable 
            to the state or political subdivision for triple the amount of 
            damages sustained by the government as well as the costs of 
            the civil action to recover the damages.  (Gov. Code Secs. 
            12650 and 12651(a).)
             Existing law  provides defined terms applicable to CFCA 
            actions.  (Gov. Code Sec. 12650.)

             Existing law  defines a claim as "any request or demand for 
            money, property, or services made to any employee, officer, or 
            agent of the state or of any political subdivision, or to any 
            contractor grantee, or other recipient, whether under contract 
            or not, if any portion of the money, property, or services 
            requested or demanded issued from, or was provided by the 
            state . . . or by any political subdivision thereofÝ.]"  (Gov. 
            Code Sec. 12650(b)(1).)
             
            This bill  would provide that "obligation" means an established 
            duty, whether or not fixed, arising from an express or implied 
            contractual, grantor-grantee, or licensor-licensee 
            relationship, from a fee-based or similar relationship, from 
            statute or regulation, or from the retention of any 
            overpayment.  

             This bill  would amend the structure of the existing state law 
            definitions of "claim," "political subdivision of funds," and 
            "state funds" to those definitions provided in the FFCA. 

          2.  Existing law  provides, in addition to treble damages, that a 
            person who commits specified violations of the CFCA shall be 
            liable for a civil penalty, ranging from $5,000 to $10,000, 
            for each false claim.  (Gov. Code Sec. 12651(a).)
            
            This bill  would increase these penalties, ranging from $5,500 
            to $11,000, for each false claim.

                                                                      



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          3.  Existing law  provides that no court has jurisdiction over a 
            CFCA action based upon the public disclosure of allegations or 
            transactions in a criminal, civil, or administrative hearing, 
            in an investigation, report, hearing, or audit conducted by or 
            at the request of the Senate, Assembly, auditor, or governing 
            body of a political subdivision, or by the news media unless 
            the action is brought by the Attorney General or prosecuting 
            authority of a political subdivision, or the person bringing 
            the action is an original source of the information.  (Gov. 
            Code Sec. 12652(d)(3)(A).)

             Existing law  provides that "original source" means an 
            individual who has direct and independent knowledge of the 
            information on which the allegations are based, who 
            voluntarily provided the information to the state or political 
            subdivision before filing an action based on that information, 
            and whose information provided the basis or catalyst for the 
            investigation, hearing, audit, or report that led to the 
            public disclosure.  (Gov. Code Sec. 12652(d)(3)(B).)
             
            This bill  would revise and recast these provisions to require 
            a court to dismiss a CFCA action or claim, unless opposed by 
            the Attorney General or prosecuting authority of a political 
            subdivision, if substantially the same allegations or 
            transactions as alleged in the action or claim were publicly 
            disclosed in any of the following:
                 a criminal, civil, or administrative hearing in which 
               the state or prosecuting authority of a political 
               subdivision or their agents are a party;
                 a report, hearing, audit, or investigation of the 
               Legislature, the state, or governing body of a political 
               subdivision; or
                 the news media.

             This bill  would except from this provision an action that is 
            brought by the Attorney General or prosecuting authority of a 
            political subdivision, or if the person bringing the action is 
            an original source of the information.

             This bill  would define "original source" to mean an individual 
            who either:
                 voluntarily discloses, prior to a public disclosure, to 
               the state or political subdivision the information on which 
               allegations or transactions in a claim are based; or
                 has knowledge that is independent of, and materially 
               adds to, the publicly disclosed allegations or 
                                                                      



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               transactions, and has voluntarily provided the information 
               to the state or political subdivision before filing an 
               action.

          4.  Existing law  provides that a person, or "qui tam plaintiff," 
            may bring a civil action for a violation of the CFCA for 
            himself or herself and either for the State of California in 
            the name of the state, if any state funds are involved, or for 
            a political subdivision in the name of the political 
            subdivision, if political subdivision funds are exclusively 
            involved.  (Gov. Code Sec. 12652(c).)
             
            Existing law  provides that a court does not have jurisdiction 
            over CFCA qui tam plaintiff actions based upon information 
            discovered by a present or former employee of the state or a 
            political subdivision during the course of his or her 
            employment unless that employee first, in good faith, 
            exhausted existing internal procedures for reporting and 
            seeking recovery of the falsely claimed sums through official 
            channels and unless the state or political subdivision failed 
            to act on the information provided within a reasonable period 
            of time.  (Gov. Code Sec. 12652(d)(4).)

             This bill  would exempt from this provision actions involving 
            Medi-Cal claims.

          5.  Existing law  provides that, if a CFCA action is one that the 
            court finds to be based primarily on information from a 
            present or former employee who actively participated in the 
            fraudulent activity, the employee is not entitled to any 
            minimum guaranteed recovery from the proceeds.  The court, 
            however, may award the qui tam plaintiff any sums from the 
            proceeds that it considers appropriate, but in no case more 
            than 33 percent of the proceeds if the state or political 
            subdivision goes forth with the action or 50 percent if the 
            state or political subdivision declines to go forth, taking 
            into account the significance of the information, the role of 
            the qui tam plaintiff in advancing the case to litigation, the 
            scope of the present or past employee's involvement in the 
            fraudulent activity, the employee's attempts to avoid or 
            resist the activity, and all other circumstances surrounding 
            the activity.  (Gov. Code Sec. 12652(g)(5).)

             This bill  would revise and recast this provision to conform it 
            to that provided by the FFCA.

                                                                      



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          6.  Existing law  provides that, if the state, a political 
            subdivision, or the qui tam plaintiff proceeds with the 
            action, the court may award to the defendant its reasonable 
            attorney's fees and expenses against the party that proceeded 
            with the action if the defendant prevails in the action and 
            the court finds that the claim was clearly frivolous, clearly 
            vexatious, or brought primarily for purposes of harassment.  
            (Gov. Code Sec. 12652(g)(9).)

             This bill  would provide these same attorney's fees provisions 
            separately as applied to a qui tam plaintiff and a government 
            entity plaintiff.

          7.  Existing law  prohibits an employer from preventing an employee 
            from disclosing information to a government agency or from 
            acting in furtherance of a false claims action.  (Gov. Code 
            Sec. 12653(a).)

             Existing law  prohibits an employer from taking adverse 
            employment actions, as specified, against an employee because 
            of lawful acts done by the employee on behalf of himself or 
            herself or others in disclosing information to a government 
            agency in furtherance of a false claims action.  (Gov. Code 
            Sec. 12653(b).)

             Existing law  requires an employer who violates these 
            provisions to be liable for all relief necessary to make the 
            employee whole, including reinstatement with the same 
            seniority status that the employee would have had but for the 
            discrimination, two times the amount of back pay, interest on 
            the back pay, compensation for any special damage sustained as 
            a result of the discrimination, and, where appropriate, 
            punitive damages.  In addition, the employer is required to 
            pay litigation costs and reasonable attorneys' fees of the 
            employee.  (Gov. Code Sec. 12653(c).)

             Existing law  also provides these remedies to an employee 
            against whom an adverse employment action, as specified, was 
            taken because of participation in conduct which directly or 
            indirectly resulted in a false claim being submitted to the 
            state or a political subdivision shall be entitled to the 
            remedies if, and only if, both of the following occur:
                 the employee voluntarily disclosed information to a 
               government or law enforcement agency or acted in 
               furtherance of a false claims action, including 
               investigation for, initiation of, testimony for, or 
                                                                      



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               assistance in an action filed or to be filed; and 
                 the employee had been harassed, threatened with 
               termination or demotion, or otherwise coerced by the 
               employer or its management into engaging in the fraudulent 
               activity in the first place. (Gov. Code Sec. 12653(d).)

             This bill  would revise and recast these whistleblower 
            protections and extend these protections to a contractor, or 
            agent.

             This bill  would repeal whistleblower protections provided to 
            an employee who participated in the false claim but 
            voluntarily reported the misconduct and was forced by the 
            employer to engage in the fraudulent conduct.

             This bill  would provide a statute of limitations for 
            whistleblowers of three years from the date the retaliation 
            occurs.

          8.  Existing law  provides a statute of limitations on CFCA 
            actions, which may not be filed more than three years after 
            the date of discovery by the Attorney General or prosecuting 
            authority or, in any event, not more than 10 years after the 
            date on which the CFCA violation was committed.  (Gov. Code 
            Sec. 12654(a).)

             This bill  would provide a statute of limitations of six years 
            after the date the CFCA violation was committed, or within 
            three years after the date when facts material to the right of 
            action are known or reasonably should have been known by the 
            Attorney General or prosecuting authority, but in no event 
            more than 10 years after the date on which the violation is 
            committed, whichever occurs last.

          9.  This bill  would provide that, for statute of limitations 
            purposes under the CFCA, any pleading filed by the Attorney 
            General or prosecuting authority shall relate back to the 
            filing date of the complaint of the person who originally 
            brought the action, to the extent that the claim of the state 
            or political subdivision arises out of the conduct, 
            transactions, or occurrences set forth, or attempted to be set 
            forth, in the prior complaint of that person. 

                                        COMMENT
           
          1.  Stated need for the bill  
                                                                      



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          The author writes:
          
            The bill is needed to preserve the ability of California to 
            receive tens of millions of dollars each year in federal 
            incentives when recovering fraudulent billings of Medicaid 
            (Medi-Cal in California) through the False Claims Act.  
            Federal law provides a 10 Ýpercent] federal bonus on all 
            Medicaid-related false claims recoveries for those states that 
            maintain a false claims act that is at least as stringent as 
            the federal False Claims Act.
          
          2.  Whistleblower protections  

          This bill would update whistleblower protections under the 
          California False Claims Act (CFCA) to those provided under the 
          recently updated Federal False Claims Act (FFCA).  

          The Office of Inspector General of the United States Department 
          of Health & Human Services (OIG) sent a letter to the California 
          Attorney General (AG) advising that, because the CFCA did not 
          conform to the FFCA, California is not in compliance with the 
          requirements of Section 1909 of the Social Security Act (SSA).  
          (Daniel R. Levinson, Inspector General, U.S. Dept. of Health & 
          Human Svcs., letter to Cal. Attorney General Kamala Harris, 
          recvd. Mar. 21, 2011 (OIG Letter), p.1.)  Section 1909 "provides 
          a financial incentive for States to enact laws that establish 
          liability to the State for individuals and entities that submit 
          false or fraudulent claims to the State Medicaid Program."  
          (Id.)

          The OIG Letter states that "Section 1909(b)(2) of the Act 
          requires the State law to contain provisions that are at least 
          as effective in rewarding and facilitating qui tam actions for 
          false and fraudulent claims as those described in sections 3730 
          through 3732 of the ÝFFCA].  The ÝFFCA], as amended by the FERA 
          ÝFraud Enforcement and Recovery Act of 2009] and the Dodd-Frank 
          ÝWall Street Reform and Consumer Protection] Act, provides 
          certain relief to any employees, contractor, or agent who is 
          retaliated against because of lawful acts done in furtherance of 
          Ýan FFCA] action or efforts to stop violations of the ÝFFCA]."  
          (Id. at p. 2; see 31 U.S.C.S. Sec. 3730(h).)  

              a.   Extending whistleblower protections to contractors and 
               agents
                
                                                                      



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               The CFCA currently only provides whistleblower protections 
               for employees, but not for contractors or agents.  This 
               bill would extend whistleblower protections to contractors 
               and agents and would recast the whistleblower protections 
               to conform to the FFCA.  In support of that extension, the 
               California Employment Lawyers Association (CELA) argues 
               that extending the whistleblower protections to independent 
               contractors and agents who are cooperating with anti-fraud 
               investigations under the CFCA is important because "many 
               people who do not necessarily have traditional 
               employer-employee relationships may be nonetheless subject 
               to retaliation if they are independent contractors or 
               otherwise associated with the defendants."  

              b.   Protection for whistleblowing employees who participated 
               in the false claim
                
               Existing law also provides whistleblower protection for 
               employees who participated in conduct that directly or 
               indirectly resulted in a false claim being submitted but 
               who subsequently voluntarily disclosed information in 
               furtherance of a false claims action and the employee was 
               harassed, threatened, or coerced by the employer or its 
               management into engaging in the fraudulent activity in the 
               first place.  (Gov. Code Sec. 12653.)  While this bill 
               would repeal this section, the AG's Office notes that 
               protection for these employees would be encompassed by the 
               provisions of this bill.

               The FFCA does not, and has not since it was enacted, 
               provided separate whistleblower protections for employees 
               who, because of pressure exerted by the employer, engaged 
               in wrongful conduct related to an FFCA claim.  Instead, the 
               FFCA provides that all whistleblowers, regardless of their 
               participation in the submission of a false claim to a 
               government entity, have protection from retaliation for 
               their lawful acts of disclosing information or 
               participating in the filing of a false claim action against 
               their employer.  The AG's Office argues that this bill 
               would provide more protection for these employees because 
               they would not have the additional burdens of proving that 
               they voluntarily disclosed information to a government 
               agency in furtherance of a false claims action and that 
               they were forced by their employer to participate in the 
               unlawful activity.  

                                                                      



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          3.  Statute of limitations on CFCA actions  

          Existing law provides a statute of limitations on CFCA actions, 
          which may not be filed more than three years after the date of 
          discovery by the AG or prosecuting authority or, in any event, 
          not more than 10 years after the date on which the CFCA 
          violation was committed.  (Gov. Code Sec. 12654(a).)  This bill 
          would provide a statute of limitations of six years after the 
          date the CFCA violation was committed, or within three years 
          after the date when facts material to the right of action are 
          known or reasonably should have been known by the AG or 
          prosecuting authority, but in no event more than 10 years after 
          the date on which the violation is committed, whichever occurs 
          last.  

          The OIG Letter states that the CFCA is not in compliance with 
          the SSA, in part, because the CFCA does not provide the same 
          statute of limitations as the FFCA.  (OIG Letter at p. 4.)  For 
          this reason, this bill would provide the same statute of 
          limitations provided in the FFCA.  CELA argues that providing 
          consistency with statutes of limitations will smooth out 
          cross-jurisdictional enforcement concerns.  Accordingly, the 
                                                                                CFCA would be as effective as the FFCA at rewarding and 
          facilitating qui tam actions.

          The OIG Letter also notes that the FFCA "provides that for 
          statute of limitations purposes, any Government complaint in 
          intervention, whether filed separately or as an amendment to the 
          relator's complaint, shall relate back to the filing date of the 
          relator's complaint, to the extent that the claim of the 
          Government arises out of the conduct, transactions, or 
          occurrences set forth, or attempted to be set forth, in the 
          relator's complaint."  (OIG Letter at p. 2; see 31 U.S.C.S. Sec. 
          3731(c).)  Since the CFCA does not include a conforming 
          "relate-back" provision, this bill would provide that, for 
          statute of limitations purposes under the CFCA, any pleading 
          filed by the AG or prosecuting authority shall relate back to 
          the filing date of the complaint of the person who originally 
          brought the action, to the extent that the claim of the state or 
          political subdivision arises out of the conduct, transactions, 
          or occurrences set forth, or attempted to be set forth, in the 
          prior complaint of that person.  
          4.  Statute of limitations on retaliation actions related to CFCA 
            disclosure  

          This bill would provide a statute of limitations for 
                                                                      



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          whistleblowers of three years from the date the retaliation 
          occurs following a whistleblower's efforts to stop or aid in the 
          prosecution of a false claim.  The CFCA currently does not 
          provide a statute of limitations for whistleblower actions, so 
          whistleblowers have to rely on the statute of limitations that 
          relates most closely to the employee's claims against the 
          employer.  (Graham County Soil & Water Conservation Dist. v. 
          United States ex rel. Wilson (2005) 545 US 409, 410-411.)

          Statutes of limitations vary depending upon the claim made 
          against the employer relating to retaliatory conduct.  Many CFCA 
          retaliation claims are based on either wrongful termination in 
          violation of public policy or breach of oral or implied 
          contract, which have a two year statute of limitations.  The 
          FFCA, as recently amended by the Dodd-Frank Wall Street Reform 
          and Consumer Protection Act, now provides a three year statute 
          of limitations for retaliation actions.  This bill, by 
          conforming to the FFCA statute of limitations, would provide 
          increased whistleblower protection by giving the whistleblower 
          more time to file an action.

          5.  Additional conduct subject to the CFCA
           
          The OIG Letter states that "relevant to the . . . bases for 
          liability, the ÝFFCA], as amended by the FERA, defines the term 
          'obligation.' . . .  In contrast, the ÝCFCA] does not establish 
          liability for the same breadth of conduct as the ÝFFCA], as 
          amended."  (OIG Letter at p. 2.)  This bill would provide that 
          "obligation" means an established duty, whether or not fixed, 
          arising from an express or implied contractual, grantor-grantee, 
          or licensor-licensee relationship, from a fee-based or similar 
          relationship, from statute or regulation, or from the retention 
          of any overpayment.  Although case law provides a similar 
          definition of "obligation," it does not include an act of 
          retention of any overpayment.  As such, this bill would create 
          additional conduct that would be a violation of the CFCA.  

          The AG, in support of this bill, argues that it addresses, and 
          fixes, each of the deficiencies noted by the Inspector General, 
          and this bill is focused exclusively on curing those 
          deficiencies, while strengthening the CFCA.  Since this bill is 
          primarily directed at preserving the SSA discount for CFCA claim 
          recoveries related to Medi-Cal benefits, it appears appropriate 
          to include the act of retaining any overpayment of benefits in 
          the list of conduct that is a violation of the CFCA.

                                                                      



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          6.  Additional claims subject to the CFCA  

          This bill also would revise the definitions of "political 
          subdivision funds" and "state funds."  Existing law provides 
          that "political subdivision funds" and "state funds" only 
          include funds that are the subject of a claim presented to an 
          officer, employee, or agent of a political subdivision or state, 
          where the political subdivision or state provides, has provided, 
          or will reimburse any portion of the money, property, or service 
          requested or demanded.  (Gov. Code Sec. 12650(b)(6), (9).)  

          Unlike the CFCA, the FFCA does not restrict a false claim to 
          apply only to those submitted to an officer, employee, or agent, 
          of the federal governmental.  Rather, the FFCA also provides for 
          any request or demand that is made to a contractor, grantee, or 
          other recipient, if the money or property is to be spent or used 
          on the Government's behalf or interest, as specified.  (31 
          U.S.C.S. Sec. 3731(b)(2)(A)(ii).)  In determining whether a 
          false claim submitted to a wholly owned government corporation 
          qualified for FFCA remedies, the court in Rainwater v. United 
          States (1958) 356 U.S. 590, 592 noted that "the objective of 
          Congress in enacting Ýthe FFCA] was broadly to protect funds and 
          property of government from fraudulent claims, regardless of 
          particular form or function of government instrumentality upon 
          which such claims were made."

          CELA argues that, by expanding these definitions, this bill 
          would "make it clear that any state funds may be pursued.  This 
          bill put an end to specious arguments that some fraud could not 
          be prosecuted under the state because the fraud was not directly 
          aimed at a government official."  (Emphasis in original.)  As 
          such and in conformity with the FFCA, this bill would provide 
          that "political subdivision funds" and "state funds" mean funds 
          that are the subject of a claim.  This definition is broader 
          than existing law and would no longer require that, for the CFCA 
          to apply, the false claim must be submitted to an officer, 
          employee, or agent of a political subdivision or state.

          7.  Exemption from administrative procedure requirement for 
            Medi-Cal actions  

          Existing law prohibits a qui tam whistleblower action alleging 
          CFCA violations against an employer until the employee first, in 
          good faith, exhausts existing internal procedures for reporting 
          and seeking recovery of the falsely claimed sums through 
          official channels and unless the state or political subdivision 
                                                                      



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          failed to act on the information provided within a reasonable 
          period of time.  (Gov. Code Sec. 12652(d)(4).)  As noted in the 
          OIG Letter, the FFCA does not contain internal reporting or 
          exhaustion of administrative channels requirements, and because 
          the CFCA requires these procedures prior to the filing of a CFCA 
          qui tam action, the CFCA is not as effective or rewarding as the 
          FFCA and is in violation of the requirements of the SSA.  (OIG 
          Letter at p. 4.)

          These administrative reporting requirements were enacted in AB 
          1441 and have remained largely untouched for twenty-five years.  
          The legislative analyses of AB 1441 do not specifically discuss 
          the reasons for enacting these administrative reporting 
          requirements.  However, case law provides insight as to the 
          purpose of the administrative reporting requirements.  In State 
          of California ex rel. Bowen v. Bank of America Corp. (2005) 126 
          Cal.App.4th 225, 236-237, the court discussed the reasoning 
          behind the CFCA:

            The ÝCFCA] is designed to supplement governmental efforts to 
            identify and prosecute fraudulent claims made against state 
            and local governmental entities by authorizing private parties 
            (referred to as qui tams or relators) to bring suit on behalf 
            of the government. . . .  The ultimate purpose of the ÝCFCA] 
            is to protect the public fisc. . . .  To that end, the ÝCFCA] 
            must be construed broadly so as to give the widest possible 
            coverage and effect to its prohibitions and remedies.

          The Bowen court also recognized the need for limitations on the 
          right of CFCA actions:

            ÝT]he ÝCFCA] creates substantial financial incentives for 
            private "whistleblowers" to help uncover and prosecute 
            fraudulent claims made to the government.  In an attempt to 
            curb "opportunistic" or "parasitic" actions, however, it also 
            includes a number of provisions that limit the circumstances 
            in which a private person may bring or prosecute a qui tam 
            action.  (Id. at p. 241.)

          The internal reporting and administrative requirements currently 
          in the CFCA provide the employer an opportunity to correct an 
          erroneous claim before a CFCA action is brought against the 
          mistaken employer, which may curb such opportunistic but valid 
          actions.  However, this bill would exempt Medi-Cal claims from 
          the requirement that CFCA violation be internally report and 
          investigated through official channels prior to the filing of a 
                                                                      



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          CFCA action.  

          The AG "supports AB 2492 because it would amend Ýthe CFCA] to 
          conform to federal law, which is necessary for California to 
          continue to receive the 10 Ýpercent] federal incentive for 
          Medi-Cal fraud recoveries achieved under the CFCA."  The AG 
          argues that this limited exemption would satisfy the 
          requirements of the SSA because the SSA requires the State to 
          establish liability for the submission of false or fraudulent 
          claims to the State Medicaid program.  Further, the AG has been 
          working closely with the OIG to resolve the conflicts between 
          the CFCA and the FFCA, and the OIG has not raised an issue with 
          this provision.

          8.  Public disclosure
           
          Existing law prohibits a CFCA action based upon the public 
          disclosure of allegations or transactions in a criminal, civil, 
          or administrative hearing, in an investigation, report, hearing, 
          or audit conducted by or at the request of the Senate, Assembly, 
          auditor, or governing body of a political subdivision, or by the 
          news media unless the action is brought by the AG or prosecuting 
          authority of a political subdivision, or the person bringing the 
          action is an original source of the information.  (Gov. Code 
          Sec. 12652(d)(3)(A).)

          The OIG Letter notes that the CFCA "requires a court to dismiss 
          a broader category of cases based on a public disclosure and 
          does not give California the opportunity to oppose the 
          dismissal. "  (OIG Letter at p. 3.)  Although the CFCA 
          prohibition of actions based on a publicly disclosed CFCA 
          violation is substantially similar to the FFCA, the exception to 
          this prohibition based on information coming from an original 
          source is substantially more limited than in the FFCA.  Existing 
          law provides that a publicly disclosed CFCA violation action can 
          be brought by an individual who is the original source of the 
          information and:
           who has direct and independent knowledge of the information on 
            which the allegations are based;
           who voluntarily provided the information to the state or 
            political subdivision before filing an action based on that 
            information; and 
           whose information provided the basis or catalyst for the 
            investigation, hearing, audit, or report that led to the 
            public disclosure.  (Gov. Code Sec. 12652(d)(3)(B).)

                                                                      



          AB 2492 (Blumenfield)
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          This bill would revise and recast the prohibition on publicly 
          disclosed CFCA violation actions to require a court to dismiss a 
          CFCA action or claim, unless opposed by the AG or prosecuting 
          authority of a political subdivision, if substantially the same 
          allegations or transactions as alleged in the action or claim 
          were publicly disclosed in any of the following:
           a criminal, civil, or administrative hearing in which the 
            state or prosecuting authority of a political subdivision or 
            their agents are a party;
           a report, hearing, audit, or investigation of the Legislature, 
            the state, or governing body of a political subdivision; or
           the news media.

          CELA argues that "this bill will clarify the conditions under 
          which a case may be subject to the 'public disclosure' bar.  
          This is important because the only interests these provisions 
          are intended to protect are those of the State.  By making sure 
          that Ýwhistleblowers] with new and significantly helpful 
          information may still be rewarded, and by giving the AG the 
          right to oppose dismissal of actions on public disclosure 
          grounds, the bill strengthens the state's anti-fraud efforts."

          This bill also would revise the existing definition of "original 
          source" to include an individual who either:
           voluntarily discloses, prior to a public disclosure, to the 
            state or political subdivision the information on which 
            allegations or transactions in a claim are based; or
           has knowledge that is independent of, and materially adds to, 
            the publicly disclosed allegations or transactions, and has 
            voluntarily provided the information to the state or political 
            subdivision before filing an action.

          With the revised and recast prohibition relating to publicly 
          disclosed CFCA violation actions and the broader definition of 
          "original source," this bill would conform the CFCA to the FFCA 
          and provide more effective enforcement of false claims as 
          required by the SSA.

          9.  Increased civil penalties for violations of the CFCA  

          The OIG Letter states that "Section 1909(b)(4) of the ÝSSA] 
          requires the State law to contain a civil penalty that is not 
          less than the amount of the civil penalty authorized under 
          section 3729 of the ÝFFCA].  As amended by the FERA, the ÝFFCA] 
          now expressly provides that its civil penalty shall be adjusted 
          by the Federal Civil Penalties Inflation Adjustment Act of 1990. 
                                                                      



          AB 2492 (Blumenfield)
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          . . . Pursuant to the Federal Civil Penalties Inflation 
          Adjustment Act, a civil penalty under the ÝFFCA] is not less 
          than $5,500 and not more than $11,000."  (OIG Letter at p. 4.)

          The CFCA provides, in addition to treble damages, that a person 
          who commits specified violations of the CFCA shall be liable for 
          a civil penalty, ranging from $5,000 to $10,000, for each false 
          claim.  (Gov. Code Sec. 12651(a).)  As noted in the OIG Letter, 
          this penalty range is not consistent with that provided in the 
          FFCA.  In support of this bill, CELA argues that civil penalties 
          in the CFCA "have not been increased since the statute was first 
          passed more than twenty-five years ago.  It is due time these 
          penalties account for today's inflation."  Accordingly, this 
          bill would increase the civil penalties, ranging from $5,500 to 
          $11,000, for each false claim.

          10.  Technical amendments  

          This bill contains a technical error, which the author has 
          agreed to amend in Committee.

             Author's Amendment  :

            On page 15, at line 29, delete and replace "reasonable" with 
            "reasonably"


           Support  :  California Attorney General; California Employment 
          Lawyers Association; Consumer Attorneys of California

           Opposition  :  None Known

                                        HISTORY
           
           Source  :  Author

           Related Pending Legislation  :  None Known

           Prior Legislation  :

          AB 2760 (Tran, 2010) would have restricted awards of attorney's 
          fees in CFCA actions.

          AB 1196 (Blumenfield, Ch. 277, Stats. 2009) See Background.

          AB 2761 (Adams, 2008) would have made minor revisions to the 
                                                                      



          AB 2492 (Blumenfield)
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          CFCA; this bill died at the Assembly desk.

          AB 940 (Keeley, 2002), among other things, would have eliminated 
          the minimum civil fine for false claims and provided that a 
          person would be liable for a civil penalty for twice the amount 
          falsely claimed when that claim had not been paid.  The bill was 
          not amended and referred in time for Committee consideration.

          AB 222 (Wiggins, Ch. 69, Stats. 2001) established CFCA appellate 
          service provisions.

          AB 3257 (Baugh, Ch. 700, Stats. 1996) required a qui tam 
          plaintiff to provide a written disclosure of material evidence 
          and information to the Attorney General as a part of the 
          complaint.

          AB 1441 (Floyd, Ch. 1420, Stats. 1987) See Comment 7.

           Prior Vote  :

          Assembly Floor (Ayes 46, Noes 26)
          Assembly Committee on Appropriations (Ayes 12, Noes 4)
          Assembly Committee on Judiciary (Ayes 7, Noes 3)

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