The Maine False Claims Act
Be it enacted by the People of the State of Maine as follows:
5 MRSA §215 is enacted to read:
§ 215 Maine False Claims Act
§
215-A Short Title:
This chapter will be known as and may be cited as the "Maine False Claims Act".
§ 216 Definitions:
The following words, as used in this Act, unless the
context otherwise requires or a different meaning is specifically required,
shall mean:
1. Government Defined. For purposes of this Act, the term
"government" refers to the State of Maine or it's municipalities or any other
political subdivision(s) thereof including quasi-municipal organizations,
Agencies, Commissions, Authorities
2. Knowing And Knowingly Defined. For purposes of this Act, the
terms "knowing" and "knowingly" mean that a person, with respect to
information:
(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, and no proof of specific intent to defraud is required.
3. Claim Defined: For purposes of this Act, "claim" includes any
request or demand, whether under a contract or otherwise, for money or
property which is made to a contractor, grantee, or other recipient if any
government entity provides any portion of the money or property which is
requested or demanded, or if the government will reimburse such contractor,
grantee, or other recipient for any portion of the money or property which is
requested or demanded.
4. Person: Any individual; group of individuals; business;
coalition; or any other organization; any unit or sub-unit of any government
or political body.
5. Relator: Original person bringing an action under this section.
Relator must be an original source as defined herein.
6. Original source: means an individual who has direct and
independent knowledge of the information on which the allegations are based
and has voluntarily provided the information to the State before filing an
action under this section that is based on that information.
§ 217 Legislative Intent
Intent. It is the intent of the Legislature that this chapter shall be construed and applied in a manner that reflects the congressional intent behind the Federal False Claims Act, including the legislative history underlying the 1986 amendments to the Federal False Claims Act; in construing this section the courts will be guided by the interpretations given by the Federal Courts to 31 U.S.C. §3729.
§ 218 Enforcement
Rules and regulations. The Attorney General may make rules and regulations interpreting this section. Such rules and regulations shall not be inconsistent with the rules, regulations and decisions of the Federal Courts interpreting the provisions of 31 U.S.C. §3729 (The Federal False Claims Act) as from time to time amended. Evidence of a violation of a rule or regulation made by the Attorney General shall constitute prima facie evidence of an act or practice declared to be unlawful by this chapter in any action thereafter brought under this chapter.
§ 219
Statute of limitation: A civil action under §230 may not be brought:
(1) more than (6)(10) years after the date on which the violation of §229 is committed, or
(2) more than (3)(10) years after the date when facts material to the right of action are known or reasonably should have been known by the official of the government charged with responsibility to act in the circumstances, but in no event more than (10)(15) years after the date on which the violation is committed, whichever occurs last.
§ 220 Confidentiality
§ 229 False claims
(a) Liability For Certain Acts. Any person who:
(1) knowingly presents, or causes to be presented, to an officer or employee of the government a false or fraudulent claim for payment or approval;
(2) 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;
(3) conspires to defraud the government by getting a false or fraudulent claim allowed or paid;
(4) has possession, custody, or control of property or money used,
or to be used, by the government and, intending to defraud the government or
willfully to conceal the property, delivers, or causes to be delivered, less
property than the amount for which the person receives a certificate or
receipt;
(5) authorized to make or deliver a document certifying receipt of
property used, or to be used, by the government and, intending to defend the
government, makes or delivers the receipt without completely knowing that
the information on the receipt is true;
(6) knowingly buys, or receives as a pledge of an obligation or
debt, public property from an officer or employee of the government who
lawfully may not sell or pledge the property; or
(7) knowingly makes, uses, or causes to be made or used, a false
record or statement to conceal, avoid, or decrease an obligation to pay or
transmit money or property to be government, is liable to the government for
a civil penalty of not less than $5,000 and not more than $10,000, plus 3
times the amount of damages which the government sustains because of the act
of that person, except that if the court finds that:
(A) the person committing the violation of this subsection furnished
officials of the government responsible for investigating false claims
violations with all information known to such person about the violation
within 30 days after the date on which the defendant first obtained the
information;
(B) such person fully cooperated with any government
investigation of such violation; and
(C) at the time such person furnished the government with the information about the violation, no criminal prosecution, civil action, or administrative action had commenced under this title with respect to such violation, and the person did not have actual knowledge of the existence of an investigation into such violation; the court may assess not less than 2 times the amount of damages which the government sustains because of the act of the person. A person violating this subsection shall also be liable to the government for the costs of a civil action brought to recover any such penalty or damages.
(b) Exemption From Disclosure. - - Any information furnished
pursuant to subparagraphs (A) through (C) of subsection (a) shall be exempt
from disclosure under 1 MRSA §402(3)(B).
(c) Exclusion. - - This section does not apply to claims, records,
or statements made under Local, State or Federal Tax Codes.
§230. Civil actions for false claims
(a) Responsibilities Of The Attorney General. The Attorney General
diligently shall investigate a violation under §229. If the Attorney General
finds that a person has violated or is violating §229, the Attorney General
may bring a civil action under this section against the person.
(b) Actions By Private Persons.
(1) A person may bring a civil action
for a violation of §229 for the person and for the government. The action
shall be brought in the name of the government. The action may be dismissed
only if the court and the Attorney General give written consent to the
dismissal and their reasons for consenting.
(2) A copy of the complaint and
written disclosure of substantially all material evidence and information
the person possesses shall be served on the government pursuant to Rule 4 of
the Maine Rules of Civil Procedure. The complaint shall be filed in camera,
shall remain under seal for at least 60 days, and shall not be served on the
defendant until the court so orders. The government may elect to intervene
and proceed with the action within 60 days after it receives both the
complaint and the material evidence and information.
(3) The government may, for good
cause shown, move the court for extensions of the time during which the
complaint remains under seal under paragraph (2). Any such motions may be
supported by affidavits or other submissions in camera. The defendant shall
not be required to respond to any complaint filed under this section until
20 days after the complaint is unsealed and served upon the defendant
pursuant to Rule 4 of the Maine Rules of Civil Procedure.
(4) Before the expiration of the
60day period or any extensions obtained under paragraph (3) the government
shall:
(A) proceed with the action, in
which case the action shall be conducted by the government; or
(B) notify the court that it declines to take over the action, in which case
the person bringing the action shall have the right to conduct the
action.
(5) When a person brings an action
under this subsection, no person other than the government may intervene or
bring a related action based on the facts underlying the pending
action.
(c) Rights Of The Parties To Qui Tam Actions.
(1) If the government proceeds with the action, it shall have the
primary responsibility for prosecuting the action, and shall not be bound by
an act of the person bringing the action. Such person shall have the right
to continue as a party to the action, subject to the limitations set forth
in paragraph (2).
(2)
(A) The government may dismiss the action notwithstanding the
objections of the person initiating the action if the person has been
notified by the government of the filing of the motion and the court has
provided the person with an opportunity for a hearing on the motion.
(B) The government may settle the action with the defendant
notwithstanding the objections of the person initiating the action if the
court determines, after a hearing, that the proposed settlement is fair,
adequate, and reasonable under all the circumstances. Upon a showing of
good cause, such hearing may be held in camera.
(C) Upon a showing by the government that unrestricted
participation during the course of the litigation by the person initiating
the action would interfere with or unduly delay the government's
prosecution of the case, or would be repetitious, irrelevant, or for
purposes of harassment, the court may, in its discretion, impose
limitations on the person's participation, such as:
(i) limiting the number of witnesses the person may call;
(ii) limiting the length of the testimony of such witnesses;
(iii) limiting the person's cross-examination of witnesses; or
(iv) otherwise limiting the participation by the person in the litigation.
(D) Upon a showing by the defendant that unrestricted participation
during the course of the litigation by the person initiating the action
would be for purposes of harassment or would cause the defendant undue
burden or unnecessary expense, the court may limit the participation by
the person in the litigation.
(3) If the government elects not to proceed with the action, the person
who initiated the action shall have the right to conduct the action. If the
government so requests, it shall be served with copies of all pleadings
filed in the action and shall be supplied with copies of all deposition
transcripts (at the government's expense). When a person proceeds with the
action, the court, without limiting the status and rights of the person
initiating the action, may nevertheless permit the government to intervene
at a later date upon a showing of good cause.
(4) Whether or not the government proceeds with the action, upon a
showing by the government that certain actions of discovery by the person
initiating the action would interfere with the government's investigation or
prosecution of a criminal or civil matter arising out of the same facts, the
court may stay such discovery for a period of not more than 60 days. Such a
showing shall be conducted in camera. The court may extend the 60 day period
upon a further showing in camera that the government has pursued the
criminal or civil investigation or proceedings with reasonable diligence and
any proposed discovery in the civil action will interfere with the ongoing
criminal or civil investigation or proceedings.
(5) Notwithstanding subsection (b), the government may elect to
pursue its claim through any alternate remedy available to the government,
including any administrative proceeding to determine a civil money penalty.
If any such alternate remedy is pursued in another proceeding, the person
initiating the action shall have the same rights in such proceeding as such
person would have had if the action had continued under this section. Any
finding of fact or conclusion of law made in such other proceeding that has
become final shall be conclusive on all parties to an action under this
section. For purposes of the preceding sentence, a finding or conclusion is
final if it has been finally determined on appeal to the appropriate court
of the State of Maine, if all time for filing such an appeal with respect to
the finding or conclusion is not subject to judicial
review.
(d) Award To Qui Tam Plaintiff.
(1) If the government proceeds with an action brought by a person under
subsection (b), such person shall, subject to the second sentence of this
paragraph, receive at least 15 percent but not more than 25 percent of the
proceeds of the action or settlement of the claim, depending upon the extent
to which the person substantially contributed to the prosecution of the
action. Where the action is one which the court finds to be based primarily
on disclosures of specific information (other than information provided by
the person bringing the action) relating to allegations or transactions in a
criminal, civil, or administrative hearing, in a congressional, legislative,
administrative, or government oversight report, hearing, audit, or
investigation, or from the news media, the court may award such sums as it
considers appropriate, but in no case more than 10 percent of the
proceedings, taking into account the significance of the information and the
role of the person bringing the action in advancing the case to litigation.
Any payment to a person under the first or second sentence of this paragraph
shall be made from the proceeds. Any such person shall also receive an
amount for reasonable expenses which the court finds to have been
necessarily incurred, plus reasonable attorneys' fees and costs. All such
expenses, fees, and costs shall be awarded against the defendant.
(2) If the government does not proceed with an action under this
section, the person bringing the action or settling the claim shall receive
an amount which the court decides is reasonable for collecting the civil
penalty and damages. The amount shall be not less than 25 percent and not
more than 33.3 percent of the proceeds of the action or settlement and shall
be paid out of such proceeds. Such person shall also receive an amount for
reasonable expenses which the court finds to have been necessarily incurred,
plus reasonable attorneys' fees and costs. All such expenses, fees, and
costs shall be awarded against the defendant.
(3) Whether or not the government proceeds with the action, if the
court finds that the action was brought by a person who planned and
initiated the violation of §229 upon which the action was brought, then the
court may, to the extent the court considers appropriate, reduce the share
of the proceeds of the action which the person would otherwise receive under
paragraph (1) or (2) of this subsection, taking into account the role of
that person in advancing the case to litigation and any relevant
circumstances pertaining to the violation. If the person bringing the action
is convicted of criminal conduct arising from his or her role in the
violation of §229, that person shall be dismissed from the civil action and
shall not receive any share of the proceeds of the action. Such dismissal
shall not prejudice the right of the government to continue the action,
represented by the Attorney General.
(A) Any recoveries forfeited as a result of this section will be paid
into a fund to be used for the litigation of civil cases on behalf of
indigent or otherwise unable plaintiffs.
(4) If the government does not proceed with the action and the person
bringing the action conducts the action, the court may award to the
defendant its reasonable attorneys' fees and expenses if the defendant
prevails in the action and the court finds that the claim of the person
bringing the action was clearly frivolous, clearly vexatious, or brought
primarily for purposes of harassment.
(e) Certain Actions Barred.
(1)
(A) No court shall have jurisdiction over an action brought under
subsection (b) against a member of the Legislature, a member of the
Judiciary, or a senior Executive Branch official if the action is based on
evidence or information known to the government when the action was
brought.
(B) For purposes of this paragraph, "senior executive branch
official" means any officer or employee listed in section 201(f) of the
Ethics in Government Act of 1978 (5 U.S.C. App.).
(2) In no event may a person bring an action under subsection (b) which
is based upon allegations or transactions which are the subject of a civil
suit or an administrative proceeding in which the government is already a
party.
(3)
(A) No court shall have jurisdiction over an action under this
section based upon the public disclosure of allegations or transactions in
a criminal, civil, or administrative hearing, in a legislative,
administrative, or government oversight report, hearing, audit, or
investigation, or from the news media, unless the action is brought by the
Attorney General or the person bringing the action is an original source
of the information.
(f) Government Not Liable For Certain Expenses. The
government is not liable for expenses which a person incurs in bringing an
action under this section.
(g) Fees And Expenses To Prevailing
Defendant. In civil actions brought under this section by the Attorney
General, the provisions of Chapter 311 of Title 14 shall apply.
(h) Retaliation Prohibited.
Any employee who is discharged, demoted, suspended, threatened, harassed, or
in any other manner discriminated against in the terms and conditions of
employment by his or her employer because of lawful acts done by the employee
on behalf of the employee or others in furtherance of an action under this
section, including investigation for, initiation of, testimony for, or
assistance in an action filed or to be filed under this section, shall be
entitled to all relief necessary to make the employee whole. Such relief shall
include reinstatement with the same seniority status such employee would have
had but for the discrimination, 2 times the amount of back pay, interest on
the back pay, and compensation for any special damages sustained as a result
of the discrimination, including litigation costs and reasonable attorneys'
fees. An employee may bring an action in the appropriate court of the State of
Maine for the relief provided in this subsection.
§231.
False Claims Procedure.
(a) A subpoena requiring the attendance of a witness at a trial or
hearing conducted under §230 of this title may be served at any place in
Maine.
(b) In any action brought under §230, the government or relator shall
be required to prove all essential elements of the cause of action, including
damages, by a mere preponderance of the evidence.
(c) Notwithstanding any other provision of law, the Maine Rules of
Criminal Procedure, or the Maine Rules of Evidence, a final judgment rendered
in favor of the government in any criminal proceeding charging fraud or false
statements, whether upon a verdict after trial or upon a plea of guilty or
nolo contendere, shall estop the defendant from denying the essential elements
of the offense in any action which involves the same transaction as in the
criminal proceeding and which is brought under subsection (a) or (b) of §230.
§232.
False Claims Jurisdiction.
(a) Actions under §230. Any action under §230 may be brought in any
judicial district in which the defendant or, in the case of multiple
defendants, any one defendant can be found, resides, transacts business, or in
which any act proscribed by §229 occurred. A summons as required by the Maine
Rules of Civil Procedure shall be issued by the appropriate court and served
at any place within or outside the United States.
(b) Claims under state law. The district courts shall have
jurisdiction over any action brought under the laws of any State for the
recovery of funds paid by a State or local government if the action arises
from the same transaction or occurrence as an action brought under
§230.
"There is no kind of dishonesty into which otherwise good people more easily and frequently fall than that of defrauding the government."
Benjamin Franklin
Related Information
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• U.S. DOJ FCA
process (pdf)
• WikiPedia
Qui Tam background
•
Taxpayers Against Fraud State FCA
model**
** In this era of limited state Medicaid budgets and mounting fiscal pressures, the U.S. Congress has given the states an opportunity to partner with the Federal Government in the fight against Medicaid fraud, all the while providing the States an additional source of needed revenue. Specifically, under Section 1909(b) of the Socal Security Act, 42 U.S.C. § 1396h(b), as enacted by Section 6031 of the Deficit Reduction Act of 2005, the Federal Government will pay the States an increased share of the amounts recovered for protecting the federal Medicaid dollar. Traditionally, when States prosecute fraudfeasors for defrauding Medicaid, the States are required to forward the Federal Government its share of the recovered funds. Now,
for those States with qualifying False Claims Acts, the Federal Government will allow those States to retain an additional ten percentage points of the federal share. In this way, States can effectively increase their revenues while at the same time protecting their own Medicaid funds from fraud. This report details the necessary elements of a qualifying state False Claims Act and includes a Model State False Claims Act that satisfies the requirements of Section 1909(b).
"Future attacks on the False Claims Act are undoubtedly around the corner despite the fact that the law's success is in many ways unparalleled in the enforcement community.
Consequently, the False Claims Act is, and will remain, a target of those industries that accept billions and billions of taxpayer dollars annually and balk at strict accountability."
Sen. Charles Grassley (R-IA)