United States v. Ford Motor Co ( 2008 )


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  •                             RECOMMENDED FOR FULL-TEXT PUBLICATION
    Pursuant to Sixth Circuit Rule 206
    File Name: 08a0249p.06
    UNITED STATES COURT OF APPEALS
    FOR THE SIXTH CIRCUIT
    _________________
    X
    Plaintiff-Appellant, -
    UNITED STATES OF AMERICA, ex rel. SNAPP, INC.,
    -
    -
    -
    No. 07-1474
    v.
    ,
    >
    FORD MOTOR COMPANY,                                  -
    Defendant-Appellee. -
    -
    -
    N
    Appeal from the United States District Court
    for the Eastern District of Michigan at Detroit.
    No. 06-11848—Avern Cohn, District Judge.
    Argued: April 24, 2008
    Decided and Filed: July 9, 2008
    Before: SUHRHEINRICH, CLAY, and COOK, Circuit Judges.
    _________________
    COUNSEL
    ARGUED: Jeffrey Dale Stamper, Louisville, Kentucky, for Appellant. Francis R. Ortiz,
    DICKINSON WRIGHT PLLC, Detroit, Michigan, for Appellee. ON BRIEF: E. Powell Miller,
    David Fink, THE MILLER LAW FIRM, Rochester, Michigan, for Appellant. Francis R. Ortiz,
    Kenneth J. McIntyre, DICKINSON WRIGHT PLLC, Detroit, Michigan, for Appellee.
    CLAY, J., delivered the opinion of the court. SUHRHEINRICH, J. (p. 13), delivered a
    separate concurring opinion. COOK, J. (p. 14), delivered a separate opinion concurring in part and
    dissenting in part.
    _________________
    OPINION
    _________________
    CLAY, Circuit Judge. Relator SNAPP, Inc. brings this qui tam action under the False
    Claims Act, 31 U.S.C. § 3729 et seq., claiming that Defendant Ford Motor Company (“Ford”)
    fraudulently induced the federal government to contract with Ford by inflating, in official reports
    to the government, the extent of Ford’s dealings with small and minority-owned businesses. The
    district court dismissed Relator’s complaint for failure to comply with Fed. R. Civ. P. 9(b)’s
    requirement that a party alleging fraud “state with particularity the circumstances constituting fraud
    . . . .” Because Relator failed to plead with such particularity the nature of Ford’s claim for payment
    from the federal government, we AFFIRM the district court’s decision dismissing Relator’s First
    1
    No. 07-1474                     SNAPP v. Ford Motor Co.                                                          Page 2
    Amended Complaint. However, because the district court did not have the benefit of our decision
    in United States ex rel Bledsoe v. Cmty. Health Sys., Inc., 
    501 F.3d 493
    , 502 (6th Cir. 2007)
    (“Bledsoe II”) before denying Relator’s motion to file an amended complaint, we VACATE the
    district court’s order denying the motion to file an amended complaint and REMAND the matter
    for consideration in light of Bledsoe II.
    STATEMENT OF FACTS
    A.       Factual Allegations
    Because Relator is appealing a district court order dismissing its complaint under Rule
    12(b)(6), this Court must accept as true all of the factual allegations contained the complaint.1
    Bovee v. Coopers & Lybrand C.P.A., 272 F.3d2 356, 360 (6th Cir. 2001). According to Relator, Ford
    is a “prime contractor” to the United States, and is accordingly required to comply with certain
    federal laws governing the use of small and minority-owned businesses as subcontractors. Among
    these requirements, a prime contractor may not contract with the federal government unless they
    establish a plan to “provide[] the maximum practicable opportunity”       for small businesses and
    minority-owned businesses to subcontract with the prime contractor.3 15 U.S.C. § 637(d)(4)(D).
    Failure to develop such a plan can render a prime contractor ineligible to receive federal contracts.
    See 
    id. Relator alleges
    that, from 1991 until 1999, Ford fraudulently exaggerated the extent of its
    dealings with small and minority-owned businesses, and that these exaggerations induced the federal
    government to contract with Ford, even though Ford never implemented a plan to “provide[] the
    maximum practicable opportunity” to such businesses. According to Relator, during this eight-year
    period Relator was controlled entirely by Ford. Ford nominated the majority of Relator’s board
    members, its organization charts included Relator and its employees, and Ford had full control over
    its dealings with Relator. Though Relator was nominally owned and managed by a person of color,
    Relator maintains that this nominal control was a sham, and that Relator actually operated as a
    subdivision of the Ford Motor Company. Moreover, Relator claims, even if it did qualify as a
    minority-owned business during its dealings with Ford, from 1995 until 1999, Relator had too many
    employees to qualify as a small business.
    Despite Relator’s claims that it functioned entirely as a subdivision of Ford, Ford filed
    official reports with the government stating that, between 1991 and 1998, Ford made significant
    improvements in the amount of business it subcontracted to small and minority-owned businesses.
    As a prime government contractor, Ford was required to file yearly reports documenting what
    percentage of the subcontracts related to its government contracts were made with small or minority-
    owned businesses. According to these reports, Ford increased its subcontracting with small
    businesses from 19.2% in 1991 to 22.9% in 1998, reaching a peak of 24% in 1993. Over the same
    period, Ford also increased its subcontracting with small minority-owned businesses from 2.6% of
    1
    Unless otherwise specified, the word “complaint” will refer to Relator’s First Amended Complaint, which is
    the subject of most of Relator’s claims on appeal.
    2
    The term “prime contractor” refers to a general contractor who is eligible to contract directly with the federal
    government. See United States ex rel. Sanders v. Allison Engine Co., Inc., 
    471 F.3d 610
    , 612 (6th Cir. 2006); vacated
    on other grounds by Allison Engine Co., Inc. v. United States ex rel. Sanders, — S.Ct. —, 
    2008 WL 2329722
    (June 9,
    2008).
    3
    Specifically, federal law requires prime contractors to establish a plan to provide opportunities to “socially
    and economically disadvantaged small business concern[s],” which is defined as a small business in which racial, ethnic
    and cultural minorities who have historically experienced discrimination hold at least a 51% ownership share of the
    business. 15 U.S.C. § 637(a)(4) & (5).
    No. 07-1474                       SNAPP v. Ford Motor Co.                                                         Page 3
    the total amount of its government-related subcontracts to 4.8%. In its 1999 report, Ford stated that
    23.3% of its government-related subcontracts were made with small businesses. Although this
    report also shows a sharp decline in the amount of subcontracts made with small minority-owned
    businesses, the report also indicates that Ford intended to purchase $3.3 billion worth of supplies
    from minority-owned businesses, a statement which, if true, would have reflected to an increase in
    Ford’s dealings with such businesses between 1998 and 1999.
    The crux of Relator’s complaint is that, despite Ford’s reports claiming that it had enacted
    and was successfully implementing a plan to “provide[] the maximum practicable opportunity” to
    small and minority-owned businesses, Ford had inflated the extent of its dealings with such
    businesses by fraudulently declaring money paid to Relator as a subcontract with a small and
    minority-owned business. According to Relator, “the Relator was being used by Ford as a conduit
    for the satisfaction of Ford’s, not the Relator’s, obligations to Ford’s majority suppliers of goods and
    services to Ford.” (J.A. 245) Ford, Relator claims, would subcontract with a large, majority-owned
    business; Ford would then launder its payments to that large, majority-owned business through
    Relator. Under this scheme, Relator would receive those payments only for the purpose of passing
    them through to the large, majority-owned subcontractor, but Ford would still report these
    transactions to the government as a subcontract with a small, minority-owned business.
    Relator further alleges that Ford knowingly or recklessly submitted reports that exaggerated
    its dealings with small and minority-owned businesses, and that these exaggerations were
    substantial. In 1998, for example, Ford reported that it paid $2.46 billion to small, minority-owned
    subcontractors. According to Relator, however, $461 million of this $2.46 billion were sham
    payments laundered through Relator. Similarly, in 1999 Ford predicted in its reports to the
    government that it would pay $3.3 billion to small, minority-owned subcontractors, but Relator
    claims that $556 million of this $3.3 billion were sham payments.
    In light of these alleged sham payments, Relator claims that had the federal government been
    aware that Ford was exaggerating its dealings with small and minority-owned businesses, it would
    not have permitted Ford to act as a prime contractor. Accordingly, Relator argues, none of the
    federal government contracts Ford received during the period that it was allegedly inflating its
    dealings with small and minority-owned businesses would have been awarded to Ford. Because
    these contracts were allegedly awarded to Ford as a direct result of Ford’s fraudulent statements,
    Relator further claims that none of the payments made to Ford under these contracts would have
    been made had Ford not deceived the government.
    B.       Procedural History
    On April 30, 2003, Relator filed its original complaint, under seal, in the Southern District
    of Ohio. 4That complaint was unsealed on July 19, 2004, when the United States declined to
    intervene. Nevertheless, process was not served on Ford until February 10, 2006, and only after
    the Southern District of Ohio issued two orders inquiring into the reason for this delay. Despite the
    delay, Ford stipulated to its acceptance of this service, and does not allege on appeal that this case
    should be dismissed on account of the delay. On April5 14, 2006, the parties also stipulated to a
    transfer of this case to the Eastern District of Michigan.
    4
    A qui tam action is a False Claims Act claim brought by a relator, a private person alleging fraud by
    government contractors against the government. 31 U.S.C. § 3730. The relator must first serve the complaint upon the
    government, and the complaint then remains under seal for at least sixty days. § 3730(b)(2). During this time period, the
    government may elect to intervene. If the government does not intervene in the action, the relator may proceed with the
    action.§ 3730(b)(4)(B), (c)(3).
    5
    Except as otherwise indicated, we use the term “district court,” to refer to the Eastern District of Michigan.
    No. 07-1474                      SNAPP v. Ford Motor Co.                                                            Page 4
    On September 7, 2006, the district court issued an order dismissing a portion of Relator’s
    claim and ordering Relator to file an amended complaint. In issuing this order, the district court
    reached two holdings which are relevant to this appeal. First, the district court concluded that the
    statute of limitations for a qui tam action is six years, and accordingly held that any of Relator’s
    claims pre-dating April 30, 1997—six years prior to the filing of this claim—must be dismissed as
    untimely. Additionally, the district court held that Relator’s original complaint did not comply with
    the particularity requirements of Fed. R. Civ. P. 9(b), finding that this complaint “contains no
    allegations as to which claims submitted by Ford would not have been paid” but for Ford’s alleged
    fraudulent statements. (J.A. 208) Accordingly, the court ordered Relator to amend its complaint
    in order to bring it into compliance with Rule 9(b).
    Relator filed its First Amended Complaint on October 4, 2006, and shortly thereafter, it filed
    copies of the annual reports Ford had submitted to the government in order to retain its eligibility
    as a prime contractor. In a February 1, 2007 order, the district court dismissed this amended
    complaint, holding that it still had not “identified any contract that Ford was allegedly wrongfully
    awarded as a result of being a Prime Contractor.” (J.A. 356) On February 9, 2007, Relator filed a
    motion, which the district court construed as a motion to vacate its dismissal of this case under Rule
    59(e) and to permit Relator to subsequently file a Second Amended Complaint. Accompanying this
    motion were additional copies of Ford’s 1991–99 reports to the federal government. Although
    Relator argued that these reports constituted new evidence justifying the reconsideration of its case,
    the district court concluded that it had already considered these reports in the context of its decision
    dismissing the First Amended Complaint, and denied Relator’s motion.
    Relator now appeals to this Court, arguing that the district court erred in dismissing its
    complaint, in denying reconsideration of its case, and in holding that the statute of limitations in qui
    tam cases is six years.
    DISCUSSION
    I.       THE PARTICULARITY REQUIREMENT OF RULE 9(B) AND RELATOR’S FIRST
    AMENDED COMPLAINT
    Standard of Review
    Relator alleges fraud in its complaint, and therefore must comply with Fed. R. Civ. P. 9(b).
    Dismissal of a complaint for failure to comply with Rule 9(b) is reviewed as a dismissal for failure
    to state a claim. See United States ex rel Bledsoe v. Cmty. Health Sys., Inc., 
    501 F.3d 493
    , 502 (6th
    Cir. 2007) (“Bledsoe II”). Accordingly, such a dismissal is reviewed de novo. 
    Id. In the
    qui tam
    context, “the Court must construe the complaint in the light most favorable to the plaintiff, accept
    all factual allegations as true, and determine whether the complaint contains “enough facts to state
    a claim to relief that is plausible on its face.” 
    Id. (quoting Bell
    Atl. Corp. v. Twombly, 
    127 S. Ct. 1955
    , 1974 (2007)6). Under the special pleading rules contained in Rule 9(b), a complaint alleges
    6
    At present, there is some confusion as to when a court should require particular facts to be pled, as required
    by Twombly, and when a court should apply a more liberal pleading standard. See Iqbal v. Hasty, 
    490 F.3d 143
    , 155–58
    (2d Cir. 2007). Twombly held that in some cases, a plaintiff must plead particular facts in their 
    complaint. 127 S. Ct. at 1965
    . In Erickson v. Pardus, 
    127 S. Ct. 2197
    (2007), a case decided just two weeks after Twombly, the Supreme Court
    clarified Twombly by holding that a prisoner bringing a § 1983 claim against his captor is not required to state “[s]pecific
    facts” in their complaint; 
    Erickson, 127 S. Ct. at 2200
    , and Twombly itself suggests that its holding may be limited to
    cases likely to produce “sprawling, costly, and hugely time-consuming” 
    litigation. 127 S. Ct. at 1973
    n. 6; see also 
    Iqbal, 490 F.3d at 157
    –158.
    Nevertheless, the instant case arises under the heightened pleading standard applicable to allegations of fraud,
    which itself requires the party alleging fraud to “state with particularity the circumstances constituting fraud or mistake.”
    Fed. R. Civ. P. 9(b). As Rule 9(b)’s express language requires a pleading alleging fraud to state specific facts, applying
    No. 07-1474                     SNAPP v. Ford Motor Co.                                                         Page 5
    sufficient facts to survive a motion to dismiss when the plaintiff states “with particularity the
    circumstances constituting fraud or mistake.” Fed. R. Civ. P. 9(b).
    Analysis
    When a qui tam relator pleads “a complex and far-reaching fraudulent scheme” it must
    “provide[] examples of specific false claims submitted to the government pursuant to that scheme”
    in order to comply with Rule 9(b). Bledsoe 
    II, 501 F.3d at 510
    . For the reasons which follow, we
    hold that Relator has not met this standard, and therefore conclude that the decision of the district
    court should be affirmed with respect to the dismissal of Petitioner’s complaint on Rule 9(b)
    grounds.
    A.       Rule 9(b) Generally
    Although Rule 9(b)’s special pleading standard is undoubtedly more demanding than the
    liberal notice pleading standard which governs most cases, see 
    Erickson, 127 S. Ct. at 2200
    , Rule
    9(b)’s special requirements should not be read as a mere formalism, decoupled from the general rule
    that a pleading must only be so detailed as is necessary to provide a defendant with sufficient notice
    to defend against the pleading’s claims. See Bledsoe 
    II, 501 F.3d at 503
    (“[I]t is clear that the
    purpose of Rule 9 is not to reintroduce formalities to pleading, but is instead to provide defendants
    with a more specific form of notice as to the particulars of their alleged misconduct.”); see also
    Sanderson v. HCA-The Healthcare Company, 
    447 F.3d 873
    , 877 (6th Cir. 2006) (holding that a
    complaint may be dismissed under Rule 9(b) if it contains “no specific information about the filing
    of the claims themselves—nothing, that is, to alert the defendants ‘to the precise misconduct with
    which they are charged and to protect defendants against spurious charges of immoral and fraudulent
    behavior’ ” (quoting United States ex. rel. Clausen v. Lab. Corp. of Am., Inc., 
    290 F.3d 1301
    , 1310
    (11th Cir. 2002))). Instead, Rule 9(b) should be interpreted in harmony with Rule 8’s statement that
    a complaint must only provide “a short and plain statement of the claim” made by “simple, concise,
    and direct allegations.” 
    Id. (quoting Fed.
    R. Civ. P. 8(a)). This Rule 8 requirement is born out of
    a need to ensure fundamental fairness for defendants—a complaint need not provide an exhaustive
    roadmap of a plaintiff’s claims, but it must be sufficient to “give the defendant fair notice of what
    the . . . claim is and the grounds upon which it rests.” 
    Erickson, 127 S. Ct. at 2200
    (quoting
    
    Twombly, 127 S. Ct. at 1964
    ). So long as a complaint provides the defendant with such minimal
    notice, Rule 8’s requirements are met.
    Rule 9(b) adds additional pleading requirements for allegations of fraud or mistake, but it
    should not be read to defeat the general policy of “simplicity and flexibility” in pleadings
    contemplated by the Federal Rules. Michaels Bldg. Co. v. Ameritrust Co., N.A., 
    848 F.2d 674
    , 678
    (6th Cir. 1988) (quoting 5 CHARLES ALAN WRIGHT & ARTHUR R. MILLER, FEDERAL
    PRACTICE AND PROCEDURE: CIVIL § 1298, at 407 (1969)). Rather, Rule 9(b) exists
    predominantly for the same purpose as Rule 8: “to provide a defendant fair notice of the substance
    of a plaintiff ’s claim in order that the defendant may prepare a responsive pleading.” 
    Id. Rule 9(b),
    however, also reflects the rulemakers’ additional understanding that, in cases involving fraud and
    mistake, a “more specific form of notice” is necessary to permit a defendant to draft a responsive
    pleading. Bledsoe 
    II, 501 F.3d at 503
    .
    In our recent decision in Bledsoe II, we reiterated our long-standing holding that, under Rule
    9(b), a plaintiff must “allege the time, place, and content of the alleged misrepresentation . . . the
    fraudulent scheme; the fraudulent intent of the defendants; and the injury resulting from the fraud.”
    Erickson’s liberal pleading standard would be inappropriate in the instant case, regardless of whether this case involves
    the kind of “sprawling, costly and hugely time-consuming” litigation which generally triggers Twombly’s special
    pleading rule.
    No. 07-1474                SNAPP v. Ford Motor Co.                                             Page 6
    
    Id. at 504.
    As Bledsoe II also made clear, however, this requirement should be understood in terms
    of Rule 9(b)’s broad purpose of ensuring that a defendant is provided with at least the minimum
    degree of detail necessary to begin a competent defense. “Essentially, [a complaint] should provide
    fair notice to Defendants and enable them to ‘prepare an informed pleading responsive to the
    specific allegations of fraud.’” 
    Id. (quoting Advocacy
    Org. for Patients & Providers v. Auto Club
    Ins. Ass'n, 
    176 F.3d 315
    , 322 (6th Cir.1999)). So long as a relator pleads sufficient detail—in terms
    of time, place and content, the nature of a defendant’s fraudulent scheme, and the injury resulting
    from the fraud—to allow the defendant to prepare a responsive pleading, the requirements of Rule
    9(b) will generally be met. While additional detail may be “relevant to the inquiry of whether a
    relator had pled the circumstances constituting fraud with particularity, it is not mandatory.” 
    Id. at 506.
            It is worth noting, however, that although Rule 9(b)’s overarching purpose is to ensure that
    a defendant possesses sufficient information to respond to an allegation of fraud, two related
    concerns are implicit in this overarching purpose. See Banca Cremi, S.A. v. Alex. Brown & Sons,
    Inc., 
    132 F.3d 1017
    , 1036, n. 25 (4th Cir. 1997) (listing three purposes behind Rule 9(b)). First, by
    requiring a relator to state with particularity the basis for a claim of fraud, Rule 9(b) discourages
    “fishing expeditions and strike suits” which appear more likely to consume a defendant’s resources
    than to reveal evidences of wrongdoing. Bledsoe 
    II, 501 F.3d at 510
    . Because the defendant is
    informed of which of its specific actions allegedly constitute fraud, it can limit discovery and
    subsequent litigation to matters relevant to these allegations. Additionally, Rule 9(b)’s particularity
    requirement protects a qui tam defendant from unwarranted damage to its reputation caused by
    “spurious charges of immoral and fraudulent behavior.” 
    Sanderson, 447 F.3d at 873
    (quoting
    
    Clausen, 290 F.3d at 1310
    ). Because the defendant is notified immediately of the focus of a relator’s
    complaint, it can quickly resolve frivolous disputes by attacking the narrow basis of an allegation
    of fraud.
    B.     Rule 9(b) and the False Claims Act
    1.      The Elements of a Qui Tam Claim
    Having determined the requirements of Rule 9(b) generally, we now turn to its application
    in the qui tam context. In relevant part, the False Claims Act imposes liability on a person who
    “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.” 31 U.S.C. § 3729(a)(2). As this statutory
    language suggests, a claim under these portions of the False Claims Act has several elements. First,
    the defendant must have made a false statement or created a false record, and must have done so
    “with ‘actual knowledge,’ ‘deliberate ignorance,’ or ‘reckless disregard of the truth or falsity of the
    information.’” United States ex rel. Augustine v. Century Health Services, 
    289 F.3d 409
    , 413 (6th
    Cir. 2002). Second, the defendant must have submitted a claim for payment to the federal
    government. See United States ex rel. Marlar v. BWXT Y-12, L.L.C., 
    525 F.3d 439
    , 447 (6th Cir.
    2008). Third, the defendant’s false statement must have been made with the purpose of “getting a
    false or fraudulent claim ‘paid or approved by the Government.’” Allison Engine Co., Inc. v. United
    States ex rel. Sanders, — S.Ct. —, 
    2008 WL 2329722
    (June 9, 2008) (quoting § 3729(a)(2)).
    Finally, the defendant’s false statement or record must have been material to the government’s
    decision to make the payment sought in the defendant’s claim. United States ex rel. A+ Homecare,
    Inc. v. Medshares Management Group, Inc., 
    400 F.3d 428
    , 443 (6th Cir. 2005).
    2.      The Particularity Requirement
    Under Rule 9(b), “a party must state with particularity the circumstances constituting fraud
    or mistake. Malice, intent, knowledge, and other conditions of a person’s mind may be alleged
    generally.” Accordingly, insofar as a qui tam action is concerned with Ford’s “knowledge,” this
    No. 07-1474                     SNAPP v. Ford Motor Co.                                                          Page 7
    element does not need to be pled with particularity.7 Fed.R.Civ.P. 9(b). Similarly, it is not
    necessary for Relator to plead with particularity its claim that Ford made a false statement with the
    purpose of getting a false claim paid or approved by the government, as the question of whether
    Ford acted with a particular purpose inquires into the company’s state of mind, and an inquiry
    regarding Ford’s state of mind may only be pled generally. 
    Id. Nevertheless, Relator
    must comply
    with Rule 9(b)’s special pleading rules in pleading the remaining elements—that is, Relator must
    provide sufficient details regarding the time, place and content of Ford’s alleged false statements,
    Ford’s claim for payment from the federal government, and the manner in which the false statements
    induced the government to make a claimed payment to Ford, to allow Ford to adequately prepare
    a responsive pleading. See Bledsoe 
    II, 501 F.3d at 509
    .
    Relator has identified allegedly false or fraudulent statements made by Ford with sufficient
    particularity. According to Relator’s complaint:
    Ford fraudulently represented to the United States that payments made by Ford to
    Relator were payments to a small business concern owned and controlled by socially
    and economically disadvantaged individuals when, in fact, these payments were a
    sham; the Relator was being used by Ford as a conduit for the satisfaction of Ford’s,
    not the Relator’s obligations to Ford’s majority suppliers of goods and services to
    Ford.
    (J.A. 245) Moreover, Relator alleges, these fraudulent misrepresentations were made in particular
    reports filed annually with the federal government, and Relator has provided copies of these reports
    which are included in the record. In identifying these reports, Relator states with particularity “the
    time, place, and content of the alleged misrepresentation.” Bledsoe 
    II, 501 F.3d at 504
    .
    Accordingly, Relator has met its burden of identifying false or fraudulent statements made by Ford
    with particularity.
    The same cannot be said, however, with respect to the requirement that Relator identify with
    particularity a claim for payment by Ford. Under the False Claims Act, a “claim” is defined as
    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 the United States
    Government 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.
    § 3729(c). Relator essentially argues that, during the time that it was allegedly making false reports
    to the government, Ford entered into a large, undetermined number of contracts with the federal
    government, and that the government made hundreds of millions of dollars of payments to Ford as
    a result of these contracts. When a relator alleges such a “complex and far-reaching fraudulent
    scheme” to induce the government into making payments, however, Bledsoe II requires the relator’s
    complaint to include specific examples of the defendant’s claims for payment from the federal
    government. See 
    id. at 510.
    “In order for a relator to proceed to discovery on a fraudulent scheme,
    the claims that are pled with specificity must be ‘characteristic example[s]’ that are ‘illustrative of
    [the] class’ of all claims covered by the fraudulent scheme.” 
    Id. at 510–11
    (alterations in original);
    see also 
    id. at 514–15
    (affirming a claim of widespread Medicare and Medicaid fraud when the
    Relator identified a single, representative patient who was fraudulently diagnosed to induce payment
    from the government).
    7
    Relator expressly alleges in its complaint that Ford has been “knowingly or recklessly submitting to the United
    States claims that Ford knew were false and/or otherwise ineligible for payment,” (J.A. 244), and Ford does not contest
    that Relator has sufficiently pled the scienter element of its qui tam claim.
    No. 07-1474                SNAPP v. Ford Motor Co.                                              Page 8
    Despite the requirement that Relator must provide specific examples of claims submitted to
    the government as part of Ford’s alleged fraudulent scheme, Relator does not provide a single
    example of a specific claim made by Ford. Instead, Relator merely alleges that “[f]rom 1991
    through at least 2001, Ford was awarded contracts on an annual basis by the General Services
    Administration.” (J.A. 240) Although Relator also provides an estimate of the approximate value
    of these contracts during the years 1991–2000, Realtor does not identify any individual
    representative claim for payment made by Ford to the federal government during this time period.
    Accordingly, we hold that Relator has not complied with Bledsoe II’s mandate that “‘[i]n order for
    a relator to proceed to discovery on a fraudulent scheme,’ it must pled with specificity ‘characteristic
    example[s]’ that are ‘illustrative of [the] class’ of all claims covered by the fraudulent 
    scheme.” 501 F.3d at 510
    –11; see also 
    Sanderson, 447 F.3d at 877
    (“Rule 9(b) ‘does not permit a False Claims
    Act plaintiff merely to describe a private scheme in detail but then to allege simply . . . that claims
    requesting illegal payments must have been submitted, were likely submitted or should have been
    submitted to the Government.’” (quoting 
    Clausen, 290 F.3d at 1310
    )). We therefore affirm the
    decision of the district court dismissing Relator’s complaint.
    II.    RELATOR’S MOTION TO FILE AN AMENDED COMPLAINT
    Standard of Review
    Subsequent to the district court’s decision dismissing Relator’s complaint, Relator filed a
    motion seeking leave to file a Second Amended Complaint, which the district court properly
    construed as a motion to vacate the dismissal of Relator’s complaint under Rule 59(e). The district
    court has discretion to grant or deny such a motion, so its decision to deny the motion is reviewed
    for abuse of discretion. Intera Corp. v. Henderson, 
    428 F.3d 605
    , 619 (6th Cir. 2005).
    Analysis
    Subsequent to the district court’s decision dismissing its complaint, Relator sought leave to
    file a Second Amended Complaint, which included “a listing of the contracts, the contracts value,
    and the number of vehicles awarded to Ford Motor Company for the period from 1991 to 1999.”
    (J.A. 21) In a March 16, 2007 order, the district court denied Relator’s motion to file a Second
    Amended Complaint, holding that the amendment would be futile because Relator “has simply been
    unable to frame its allegations within the confines of the FCA.” (Id.) On September 6, 2007, this
    Court handed down a new rule of law in Bledsoe II, holding that a qui tam case may proceed to
    discovery if the relator’s complaint “pleads a complex and far-reaching fraudulent scheme with
    particularity, and provides examples of specific false claims submitted to the government pursuant
    to that 
    scheme.” 501 F.3d at 510
    . Because the district court did not have an opportunity to consider
    our holding in Bledsoe II before denying the motion to file an amended complaint, we remand
    Relator’s appeal of this denial for further consideration in light of Bledsoe II.
    Although Relator filed his motion to file a Second Amended Complaint subsequent to the
    district court’s final order dismissing Relator’s First Amended Complaint, we allow a district court
    discretion to set aside a prior judgment under Rule 59(e) and permit an amended complaint to be
    filed under such circumstances. See Oleson v. United States, 27 F. App’x 566, 570 n.1 (6th Cir.
    2001); see also 6 CHARLES ALAN WRIGHT ET AL., FEDERAL PRACTICE AND
    PROCEDURE § 1489 (2d ed. 1990) (“Most courts faced with the problem have held that once a
    judgment is entered the filing of an amendment cannot be allowed until the judgment is set aside or
    vacated under Rule 59 or Rule 60.”) Setting aside judgment in this manner is appropriate in four
    circumstances: if there is: “(1) a clear error of law; (2) newly discovered evidence; (3) an
    intervening change in controlling law; or (4) a need to prevent manifest injustice.” Henderson v.
    Walled Lake Consolidated Schools, 
    469 F.3d 479
    , 496 (6th Cir. 2006) (emphasis added).
    No. 07-1474                      SNAPP v. Ford Motor Co.                                                            Page 9
    Relator’s proposed Second Amended Complaint provides far greater detail than its First
    Amended Complaint, stating that “[f]rom 1991 through 1999, Ford was awarded 65 contracts by the
    GSA,” and even identifying many of those contracts by their “Ford Contract Nos.,” thus providing
    Ford with the specific  filing numbers it uses to identify individual contacts within its own internal
    accounting system.8 (J.A. 381–82) Nevertheless, the question of whether, in light of our
    intervening decision in Bledsoe II, the district court should grant the motion to file an amended
    complaint rests within the district court’s discretion. Insofar as Bledsoe II may now justify granting
    the motion to file an amended complaint, the district court should be permitted to exercise its
    discretion regarding that motion in the first instance—an appellate court generally should not
    substitute its own judgment for a district court’s unexercised discretion. See Bledsoe 
    II, 501 F.3d at 521
    n.22; Nash v. Eberlin, 
    437 F.3d 519
    , 526 n.10 (6th Cir. 2006). Accordingly, we vacate the
    district court’s denial of Relator’s motion to file a Second Amended Complaint, and remand the
    matter to allow the district court to decide whether to exercise its discretion in light of Bledsoe II.
    On remand, the district court should consider whether the following rule, which we
    articulated in Bledsoe II, justifies setting aside its prior judgment and allowing Relator to amend its
    complaint:
    We conclude that the concept of a false or fraudulent scheme should be construed as
    narrowly as is necessary to protect the policies promoted by Rule 9(b). Specifically,
    we hold that the examples that a relator provides will support more generalized
    allegations of fraud only to the extent that the relator's examples are representative
    samples of the broader class of claims. In order for a relator to proceed to discovery
    on a fraudulent scheme, the claims that are pled with specificity must be
    “characteristic example[s]” that are “illustrative of [the] class” of all claims covered
    by the fraudulent scheme. The examples of false claims pled with specificity should,
    in all material respects, including general time frame, substantive content, and
    relation to the allegedly fraudulent scheme, be such that a materially similar set of
    claims could have been produced with a reasonable probability by a random draw
    from the total pool of all claims. With this condition satisfied, the defendant will, in
    all likelihood, be able to infer with reasonable accuracy the precise claims at issue
    by examining the relator's representative samples, thereby striking an appropriate
    balance between affording the defendant the protections that Rule 9(b) was intended
    to provide and allowing relators to pursue complex and far-reaching fraudulent
    schemes without being subjected to onerous pleading 
    requirements. 501 F.3d at 510
    –11 (internal citations omitted). In reconsidering Relator’s motion in light of
    Bledsoe II, the “governing principle” guiding the district court’s consideration should be whether
    8
    Indeed, in contrast to the dissent’s contention, the new details included in the Second Amended Complaint
    include several examples of false claims. Similar to Relator’s First Amended Complaint, the Second Amended
    Complaint identifies specific false statements made by Ford, thereby fulfilling one of the elements of a false claim. See
    
    Augustine, 289 F.3d at 413
    . Unlike the First Amended Complaint, however, the Second Amended Complaint also
    identifies numerous claims for payment Ford submitted to the federal government—another necessary element of a false
    claim. 
    Marlar, 525 F.3d at 447
    . For example, in ¶45 of the Second Amendment Complaint, Relator alleges that the
    federal government paid Ford’s claims for payment pursuant to “Ford Contract Nos. 10048, 10099, 10147, 10152, 10162,
    10165, 95021, and 95042,” and these payments were in the “respective amounts of $28,778,143.00, $12,181,678.00,
    $3,132,114.00, $31,556.00, $8,960,822.00, $32,409,513.52, $11,116,100.00, $16,319,424.00 and $168,397,635.00.”
    (J.A. 382) Moreover, the Second Amended Complaint also alleges “[i]n response to Ford’s claims for payment, the GSA
    paid Ford money under each contract that it would not have paid Ford had it been aware that the Subcontract Plans and
    SF-295 Forms submitted by Ford were false.” (J.A. 384) This allegation complies with Rule 9(b)’s requirement that
    Relator plead with particularity that Ford’s alleged false statement or record was material to the government's decision
    to make the payment requested by Ford. A+ Homecare, 
    Inc., 400 F.3d at 443
    . As we have already explained in Part
    I of this opinion, Rule 9(b) does not require a relator to plead any additional elements of a false claim with particularity.
    No. 07-1474                 SNAPP v. Ford Motor Co.                                             Page 10
    vacating its order dismissing Relator’s complaint, and allowing the amended complaint, “is required
    in order to prevent an injustice; and where an injustice will otherwise result, the trial judge has the
    duty as well as the power to order a new trial.” Davis by Davis v. Jellico Community Hospital, Inc.,
    
    912 F.2d 129
    , 133 (1990).
    Finally, we acknowledge that, in light of the Supreme Court’s recent decision in Allison
    Engine Co. v. United States ex rel. Sanders, the law in this Circuit is now less friendly to qui tam
    plaintiffs than it was prior to that decision. In Sanders, the Supreme Court held that a qui tam
    plaintiff may only prevail upon a showing that the defendant made a false statement with the purpose
    of “getting a false or fraudulent claim ‘paid or approved by the Government.’” 
    2008 WL 2329722
    ,
    at *5 (quoting § 3729(a)(2)). Because Rule 9(b) exempts allegations of “malice, intent, knowledge,
    and other conditions of a person’s mind” from its heightened pleading requirement, it is not
    necessary, at least at this early stage of the litigation, for Relator to allege with particularity facts
    showing that Ford acted with a particular purpose. Fed. R. Civ. P. 9(b). Nevertheless, because the
    district court has not had the opportunity to consider Relator’s proposed Second Amended
    Complaint in light of Sanders, it would also be inappropriate for us to impose our view of whether
    Sanders prevents Relator from filing his Second Amended Complaint when the district court has not
    had the opportunity to consider this question in the first instance. See Bledsoe 
    II, 501 F.3d at 521
    n.22; 
    Nash, 437 F.3d at 526
    n.10. Accordingly, we will allow the district court to consider this issue
    on remand.
    III.    STATUTE OF LIMITATIONS
    Finally, Relator challenges the district court’s determination that the statute of limitations
    in a qui tam case brought by a private party relator is always six years. The False Claims Act
    permits a suit alleging fraud against the government to proceed in multiple ways. First, the Attorney
    General, upon discovering a potential violation of the Act, may initiate a civil action against the
    person committing fraud. 31 U.S.C. § 3730(a). Additionally, any person who is the “original
    source” of information implicating a potential defendant in an act of fraud against the government
    may bring a suit as a relator in the name of the United States. § 3730(b)(1) & (e)(4)(A). Before
    filing such a suit, the relator must first serve the complaint upon the government, and the complaint
    must remain under seal for at least sixty days. § 3730(b)(2). During this time period, the
    government may “take over” the action, in which case all future litigation is conducted by the
    government. § 3730(b)(4)(B). If the government declines to do so, however, the relator may
    proceed with the litigation at its own direction, with the caveat that the government may later
    intervene upon a showing of good cause. § 3730(c)(3). Should a suit initiated by a relator prove
    meritorious, the relator is entitled to a share of the proceeds, although the lion’s share of these
    proceeds will be awarded to the government. § 3730(d).
    Under 31 U.S.C. § 3731, the statute of limitations for a claim brought under the False Claims
    Act is as follows:
    No. 07-1474                      SNAPP v. Ford Motor Co.                                                        Page 11
    (b) A civil action under section 3730 may not be brought--
    (1) more than 6 years after the date on which the violation of section 3729 is
    committed, or
    (2) more than 3 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
    United States charged with responsibility to act in the circumstances, but
    in no event more than 10 years after the date on which the violation
    is committed,
    whichever occurs last.
    § 3731(b). The applicability of the § 3731(b)(2) tolling provision to suits litigated       entirely by
    private party relators appears to be an issue of first impression before this Circuit.9 Relying on the
    Ninth Circuit’s decision in United States ex rel. Hyatt v. Northrop Corp., 
    91 F.3d 1211
    (9th Cir.
    1996), Relator argues that, notwithstanding § 3731(b)(2)’s reference to an “official of the United
    States charged with responsibility to act in the circumstances,” the extended statute of limitations
    period contained in that subsection should nonetheless be applied to suits litigated by a private-party
    relator. Under the Ninth Circuit’s view, “the statute of limitations begins to run once [the] qui tam
    plaintiff knows or reasonably should have known the facts material to this right of action.” 
    Id. at 1217.
            United States courts of appeal are not united around the Ninth Circuit’s view. Ford argues
    that we should apply the Tenth Circuit’s decision in United States ex rel. Sikkenga v. Regence
    Bluecross Blueshield of Utah, 
    472 F.3d 702
    (10th Cir. 2006), which held that “the tolling provision
    of § 3731(b) was not intended to apply to private qui tam suits.” 
    Id. at 725.
    Additionally, a handful
    of federal judges confronted with the question of § 3731(b)(2)’s applicability to private party relators
    have adopted a third view. Under this third way of resolving the statute of limitations question,
    “[t]he appropriate standard for determining when the three year limitation period in § 3731(b)(2)
    began to run is when the Department of Justice received information as to the violation.” United
    States ex rel. Colunga v. Hercules, Inc., No. 89-CV-954B, 
    1998 WL 310481
    , at *5 (D.Utah Mar.6,
    1998); see 
    Sikkenga, 472 F.3d at 735
    (Hartz, J., dissenting).
    Because we affirm the district court’s dismissal of Relator’s complaint on Rule 9(b) grounds,
    however, it is not necessary for us to resolve whether the § 3731(b)(2) tolling provision applies to
    private party relators. Moreover, inasmuch as this statute of limitations question could be raised
    again should the district court grant Relator’s motion for leave to file an amended complaint, the
    district court has not yet granted that motion, and thus the issues raised by Relator’s proposed
    Second Amended Complaint do not currently raise a live controversy before this Court.
    Accordingly, the statute of limitations question is not presently ripe for review by this Court. See
    United States v. Lee, 
    502 F.3d 447
    , 450 (6th Cir. 2007).
    CONCLUSION
    The district court correctly determined that Relator’s First Amended Complaint does not
    comply with the particularity requirement of Rule 9(b). However, because our recent decision in
    Bledsoe II alters the law governing Relator’s motion to file a Second Amended Complaint, the
    district court should be permitted to decide whether to exercise its discretion in light of the currently
    9
    Bledsoe II stated that six years is “the statute of limitations under the [False Claims 
    Act],” 501 F.3d at 515
    ,
    but it contains no discussion of § 3731(b)(2)’s tolling provision, and the applicability of that provision to private-party
    relators does not appear to have been raised in Bledsoe II.
    No. 07-1474            SNAPP v. Ford Motor Co.                                 Page 12
    applicable rule of law. Accordingly, we AFFIRM the dismissal of Relator’s First Amended
    Complaint, VACATE the order denying the motion to amend that complaint, and REMAND for
    further consideration of that motion in light of Bledsoe II.
    No. 07-1474                SNAPP v. Ford Motor Co.                                          Page 13
    _________________
    CONCURRENCE
    _________________
    SUHRHEINRICH , Circuit Judge, concurring. I concur in Judge Clay’s opinion, except to
    the extent footnote 8 suggests that the Second Amended Complaint, as drafted, complies with Fed.
    R. Civ. Proc. 9(b). Our instruction for the district court to consider Bledsoe II should not be taken
    to imply that the district court must grant Relator leave to file an amended complaint, or that the
    Second Amended Complaint, as drafted, is sufficient.
    No. 07-1474                     SNAPP v. Ford Motor Co.                                                      Page 14
    _______________________________________________
    CONCURRING IN PART, DISSENTING IN PART
    _______________________________________________
    COOK, Circuit Judge, concurring in part and dissenting in part. The majority reaches the
    right conclusion with regard to the district court’s dismissal of Relator’s First Amended Complaint.
    Relator’s failure to “provide a single example of a specific [false] claim” doomed that complaint
    because Fed. R. Civ. P. 9(b) “‘does not permit a False Claims Act plaintiff merely to describe a
    private scheme in detail but then to allege simply . . . that claims requesting illegal payment must
    have been submitted, were likely submitted or should have been submitted to the Government.’”
    Maj. Op. at 13, 14 (quoting Sanderson v. HCA-The Healthcare Co., 
    447 F.3d 873
    , 877 (6th Cir.
    2006)).
    But having correctly concluded that Relator’s First Amended Complaint deserves dismissal,
    the majority nevertheless keeps alive the Second Amended Complaint, despite the district court’s
    finding that it too failed to identify a false claim. JA 21. 1Although the majority cannot point to a
    false claim identified by the Second Amended Complaint, it vacates and remands after concluding
    that United States ex rel. Bledsoe v. Cmty. Health Sys., Inc. (“Bledsoe II”), 
    501 F.3d 493
    (6th Cir.
    2007), announced an intervening change in controlling law which the district court ought to apply
    in the first instance. Bledsoe II, however, broke new ground on an impertinent issue—whether every
    false claim must be identified by a False Claims Act plaintiff alleging a complex, fraudulent scheme.
    
    Id. at 509–10.
    It did not disturb, alter, or modify the requirement to specifically identify at least one
    false claim—“the sine qua non of a False Claims Act violation.” 
    Sanderson, 447 F.3d at 878
    (internal quotation marks omitted); see also Maj. Op. at 5–8 (affirming dismissal of Relator’s First
    Amended Complaint for failing to identify “a specific [false] claim”). Because the Second Amended
    Complaint also identifies no false claim, I see no reason to remand to the district court so that it may
    reissue the same decision. Nor do I see a reason to require another panel of this court to re-confront
    this case—it should be resolved today.
    Accordingly, I respectfully dissent from part II of the majority’s opinion.
    1
    In his footnote 8, Judge Clay highlights specific contracts that the plaintiffs allege the government awarded
    to Ford as a result of Ford’s fraud and the dollar value attached to those contracts. But a contract is not a claim.
    

Document Info

Docket Number: 07-1474

Filed Date: 7/9/2008

Precedential Status: Precedential

Modified Date: 9/22/2015

Authorities (19)

united-states-of-america-ex-rel-edyth-l-sikkenga-and-edyth-l-sikkenga , 472 F.3d 702 ( 2006 )

United States Ex Rel. Clausen v. Laboratory Corp. of ... , 290 F.3d 1301 ( 2002 )

Intera Corporation v. George Henderson III , 428 F.3d 605 ( 2005 )

Darell Nash, Sr. v. Michelle Eberlin , 437 F.3d 519 ( 2006 )

fed-sec-l-rep-p-90106-banca-cremi-sa-institucion-de-banca , 132 F.3d 1017 ( 1997 )

javaid-iqbal-v-dennis-hasty-former-warden-of-the-metropolitan-detention , 490 F.3d 143 ( 2007 )

United States of America, Ex Rel. Edward T. Augustine v. ... , 289 F.3d 409 ( 2002 )

Teresa Anne Henderson v. Walled Lake Consolidated Schools, ... , 469 F.3d 479 ( 2006 )

united-states-of-america-ex-rel-roger-l-sanders-and-roger-l-thacker , 471 F.3d 610 ( 2006 )

US Ex Rel. Marlar v. Bwxt Y-12, LLC , 525 F.3d 439 ( 2008 )

Jackie Davis, by Next Friend, Edward Davis v. Jellico ... , 912 F.2d 129 ( 1990 )

United States v. Community Health Systems, Inc. , 501 F.3d 493 ( 2007 )

michaels-building-company-barbara-l-abbe-and-joseph-l-sigler-etc-v , 848 F.2d 674 ( 1988 )

advocacy-organization-for-patients-and-providers-a-non-profit-michigan , 176 F.3d 315 ( 1999 )

united-states-ex-rel-michael-a-brian-hyatt-v-northrop-corporation-a , 91 F.3d 1211 ( 1996 )

Philip H. Sanderson v. Hca-The Healthcare Company Columbia ... , 447 F.3d 873 ( 2006 )

United States of America, Ex Rel. A+ Homecare, Inc. v. ... , 400 F.3d 428 ( 2005 )

Bell Atlantic Corp. v. Twombly , 127 S. Ct. 1955 ( 2007 )

Erickson v. Pardus , 127 S. Ct. 2197 ( 2007 )

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