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DOJ Doubles False Claim Act Civil Monetary Penalties

As required by last November's Bipartisan Budget Act of 2015, the Department of Justice on June 30 released an interim final rule making inflationary adjustments to civil monetary penalties under its jurisdiction, including those authorized by the federal False Claims Act, 31 U.S.C. § 3729(a). 

The potential impact on civil fraud defendants of the DOJ's rule, which doubles current civil monetary penalty amounts, is difficult to overstate. In health care cases, which frequently involve the submission of thousands and thousands of claims for payment, the effects could be immense. Even if the individual claims for payment are relatively small, FCA penalties, which are assessed on a per-claim basis, can add up, and add up quickly. The result is often a penalty amount that is grossly disproportionate to the amount of actual, proven damages to the government. Consequently, these changes to the per-claim penalty ranges should amplify efforts by defense counsel to mount Eighth Amendment challenges to the constitutionality of False Claims Act penalties, particularly where the penalty amounts far surpass actual economic harm and bear little or no relation to the degree of the defendant's culpability or wrongdoing.

Key takeaways of the rule include:

  • As we predicted in May, DOJ's proposed rule, which is based on the Bureau of Labor Statistics' Consumer Price Index for October 2015, increases the minimum and maximum per claim penalties for false claims under the False Claims Act to a staggering $10,781.40 and $21,562.80, respectively.

  • These amounts will become effective August 1, but will apply only to violations occurring after November 2, 2015.

The DOJ's adjusted penalty amounts apply only to civil penalties that are assessed after August 1 and whose associated violations occurred after November 2, 2015, when the 2015 Amendments were enacted. Violations occurring on or before November 2, 2015, and assessments made prior to this coming August 1, whose associated violations occurred after November 2, 2015, are still subject to the current penalty amounts set forth in DOJ's existing regulations.

Importantly, DOJ and other federal agencies may, after the initial catch-up adjustment, make automatic annual adjustments without any formal rulemaking process evaluating the need for additional increases, opening up the possibility of challenges under the Administrative Procedures Act (APA).

© Polsinelli PC, Polsinelli LLP in California


About this Author

Emma R. Cecil, Polsinelli PC, Government Investigations Lawyer, White Collar Defense Attorney, Atlanta

With the goal of advancing and protecting each client’s unique interests, Emma Cecil brings a keen attention to detail, strategic thinking, and a practical, results-oriented approach to all of her cases. As part of the firm’s Government Investigations and White Collar Defense group, Emma focuses her practice on defending individuals in a range of white collar matters and representing health care providers in whistleblower actions brought under the False Claims Act, including those involving the Anti-Kickback Statute and Stark law. Emma also regularly represents health...

R. Ross Burris III, Polsinelli PC, Health care Compliance, Attorney, Medical Billing Audits Lawyer

Ross Burris benefits clients by applying a strong business acumen to understanding the goals and challenges clients face, and by leveraging a commanding ability to counsel on intricate legal matters. His experience includes advising clients regarding the complex and ever-changing federal and state regulatory environment. Ross approaches each issue with a practical application that is unique to the client’s context, and draws on a strong background of working with numerous regional and national healthcare providers, including:

  • Hospitals

  • Healthcare systems

  • Skilled nursing facilities 

  • Ancillary providers

Noam Fischman, commercial litigation attorney, polsinelli law firm

Noam Fischman serves as a trusted guide leading clients through commercial litigation matters in federal and state courts, as well as government investigations and matters involving regulatory agencies. Noam has extensive experience advising clients about risk management and risk mitigation efforts in highly regulated industries, including health care, the EB-5 foreign investor program, telecommunications, non-profit organizations, and higher education.

Within these fields, Noam regularly represents clients in complex litigation and...