BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair


          AB 2492 (Blumenfield) - California False Claims Act.
          
          Amended: June 18, 2012          Policy Vote: Judiciary 4-0
          Urgency: No                     Mandate: No
          Hearing Date: July 2, 2012      Consultant: Jolie Onodera
          
          This bill may meet the criteria for referral to the Suspense 
          File.


          Bill Summary: AB 2492 would amend specific provisions of the 
          California False Claims Act (CFCA) to conform to the Federal 
          False Claims Act (FFCA), as specified. 

          Fiscal Impact:
             Enacting conforming changes to the CFCA preserves the 
             state's qualification for federal financial incentive awards 
             related to recoveries of Medicaid false claims. Since 2009, 
             annual federal incentive awards received have been in the 
             range of $20 million to $40 million, which are deposited in 
             the Health Care Deposit Fund and the False Claims Act Fund.
             Minor, absorbable costs to the Department of Justice (DOJ) 
             Medi-Cal Fraud Control Unit (MFCU) and the Department of 
             Health Care Services (DHCS) Medical Review Branch internal 
             claims processes and investigations.
             Potential ongoing costs in the range of $23,000 to $76,000 
             (General Fund) to the Judicial Branch to the extent there is 
             an increase in the number of limited and/or unlimited civil 
             filings under the CFCA, offset to a degree by increased civil 
             penalty revenues. 

          Background: Existing law establishes the California False Claims 
          Act, 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.

          The CFCA is modeled after the Federal False Claims Act FFCA, 
          which was enacted during the Civil War and imposes liability on 
          persons and entities who defraud governmental programs. The FFCA 








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          includes a "qui tam" provision that allows individuals who are 
          not affiliated with the government to file actions on behalf of 
          the government (whistleblowing). Persons filing under the FFCA 
          stand to receive a percentage of any recovered damages. Claims 
          under the law have typically involved health care, military, or 
          other government spending programs. The government has recovered 
          billions of dollars under the FFCA in fraudulently obtained 
          public funds.

          Under Section 1909 of the Social Security Act (SSA), states that 
          have false claims acts may qualify to receive a federal 
          incentive award of a ten percentage point increase in their 
          share of any amounts recovered under Medicaid-related false 
          claims. To qualify for the federal incentive, a state's false 
          claims act must:

                 Establish liability to the state for false or fraudulent 
               claims, as described in the FFCA with respect to Medicaid 
               spending;
                 Contain provisions that are at least as effective in 
               rewarding and facilitating qui tam actions for false or 
               fraudulent claims as those described in the FFCA;
                 Contain a requirement for filing an action under seal 
               for 60 days with review by the State Attorney General (AG); 
               and,
                 Contain a civil penalty that is not less than the amount 
               of the civil penalty authorized under the FFCA.

          The FFCA was amended by the Fraud Enforcement and Recovery Act 
          of 2009 (FERA), the Patient Protection and Affordable Care Act 
          (PPACA) in 2010, and the Dodd-Frank Wall Street Reform and 
          Consumer Protection Act (Dodd-Frank Act) in 2010. These three 
          federal acts amended the bases for liability in the FFCA and 
          expanded certain rights of qui tam relators.
                                                       
          The federal Office of the Inspector General (OIG) of the U.S. 
          Department of Health and Human Services (HHS) notified the AG in 
          a formal letter dated March 21, 2011, that upon its review of 
          the CFCA, it determined after consulting with the U.S. 
          Department of Justice, that the CFCA no longer meets the 
          requirements of Section 1909 of the SSA, both with regard to 
          compliance pursuant to the FERA, PPACA, and Dodd-Frank Act 
          amendments, as well as with other identified provisions of the 
          FFCA. A subsequent OIG letter dated August 31, 2011, identified 








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          one additional provision of non-compliance. The OIG has provided 
          the state with a two-year grace period until August 31, 2013, in 
          order for the state to resubmit an amended CFCA to address the 
          issues identified in both letters. Accordingly, the state will 
          continue to qualify for the financial incentive under Section 
          1909 of the SSA until August 31, 2013. 

          Proposed Law: This bill seeks to amend specific provisions of 
          the CFCA to conform to the FFCA in order to maintain 
          qualification for federal incentive awards. Specifically, this 
          bill:
                 Increases the civil penalty for specified violations of 
               the CFCA that currently ranges from $5,000 to $10,000 for 
               each false claim to $5,500 to $11,000.
                 Requires a court to dismiss a CFCA action or claim 
               unless opposed by the AG or prosecuting authority if 
               substantially the same allegations were publicly disclosed, 
               as specified.
                 Provides a statute of limitations for the AG to file 
               CFCA actions of six years from the date on which the CFCA 
               violation was committed or three years from the date when 
               facts material to the right of action are known, but in no 
               event more than 10 years after the date on which the 
               violation was committed.
                 Provides a statute of limitations for whistleblowers of 
               three years from the date the retaliation occurs.
                 Extends whistleblower protections to contractors and 
               agents.
                 Authorizes government employees to file CFCA claims 
               relating to Medi-Cal fraud in civil courts without having 
               to exhaust internal claims procedures.
                 Updates definitions of various terms to conform to the 
               FFCA.

          Prior Legislation: AB 2760 (Tran) 2010 would have restricted 
          awards of attorney's fees in CFCA actions. This bill was not 
          heard in the Assembly Judiciary Committee.

          AB 1196 (Blumenfield) Chapter 277/2009 amended the CFCA to 
          conform its structure to federal law, increased civil liability 
          for violations, and strengthened the government's ability to 
          prevent improper dismissal of false claims lawsuits.   

          Staff Comments: The DHCS has indicated no significant impact is 








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          anticipated on existing procedures related to its internal false 
          claims processes and investigations as a result of the 
          provisions of this bill, as the filing of a qui tam complaint 
          would not bar the DHCS from conducting internal corrective 
          procedures or investigations. To the extent additional qui tam 
          claims are filed as a result of eliminating the requirement of 
          having to exhaust internal claims procedures may potentially 
          result in an increased level of Medi-Cal fraud recoveries.

          The provisions of this bill will preserve the state's 
          qualification for federal financial incentive awards related to 
          recoveries of Medicaid false claims. Information provided by the 
          DOJ reflects federal incentive awards of $26.4 million in 2009, 
          $19.2 million in 2010, and $43.3 million in 2011. 
          Medicaid-related fraud recoveries are divided between the Health 
          Care Deposit Fund administered by the DHCS and the False Claims 
          Act (FCA) Fund, administered by the DOJ. 

          The DOJ only receives incentive funds when a settlement or 
          judgment is reached which results in a recovery that exceeds the 
          amount identified as a loss sustained by Medi-Cal. Any funds 
          deposited into the FCA Fund are available to the DOJ upon 
          appropriation by the Legislature to support ongoing 
          investigations and prosecution of false claims. Staff notes the 
          FCA Fund condition statement reflects a $15.7 million loan to 
          the General Fund in 2010-11 pursuant to the Budget Act of 2010 
          and a transfer of $20 million to the General Fund in 2011-12 
          pursuant to the Budget Act of 2011.

          By broadening the activities that may lead to the filing of a 
          false claims complaint, extending the time for filing actions, 
          and eliminating barriers to proceeding with a case, the Judicial 
          Council may experience an increased number of limited and 
          unlimited civil filings. It is unknown how many additional 
          filings might occur, however, to the extent there are 50 
          additional limited or unlimited civil filings, additional costs 
          would be in the range of $23,000 to $76,000 (General Fund). 
          These costs would be offset to a degree by increased civil 
          penalty revenues. Moreover, to the extent the increased filings 
          result in additional Medi-Cal fraud recoveries, increased 
          revenues to the state to the Health Care Deposit Fund and FCA 
          Fund would more than offset any additional costs to the courts 
          on an ongoing basis.









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