United States Ex Rel. Colquitt v. Abbott Laboratories
858 F.3d 365
5th Cir.2017Background
- Relator Kevin Colquitt, a former Guidant/Abbott salesman, sued Abbott under the False Claims Act (FCA) alleging off‑label promotion of biliary stents for vascular use led to false Medicare claims.
- He pursued three theories: (1) fraudulent inducement via misrepresentations in FDA 510(k) submissions, (2) claims rendered false by Anti‑Kickback Statute violations, and (3) false presentment caused by promotional activity inducing ineligible Medicare claims.
- The government declined to intervene. The district court dismissed the Anti‑Kickback claim for failure to satisfy Rule 9(b) and dismissed the fraudulent‑inducement claim under the public‑disclosure bar; the false‑presentment claim survived but was limited to periods when Colquitt worked for Guidant/Abbott.
- At trial the jury found for Abbott; Colquitt appealed, arguing errors in dismissal/summary judgment rulings, exclusion of evidence, and jury instructions.
- The Fifth Circuit affirmed, upholding: Rule 9(b) dismissal of kickback allegations, dismissal of fraudulent‑inducement claims under the public‑disclosure/original‑source rules, the temporal limitation on the false‑presentment theory, evidentiary exclusions, and rejection of proposed jury instructions.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Anti‑Kickback allegations met Rule 9(b) particularity | Colquitt asserted schemes (discounts, dinners, fellowships) caused certified Medicare claims to be false | Abbott argued complaint lacked specifics on who submitted claims, when, and how kickbacks produced claims | Dismissed: complaint failed Grubbs standard; allegations too vague and not tied to specific submitted claims |
| Whether fraudulent‑inducement claim is barred by public‑disclosure rule and whether Colquitt is an original source | Colquitt argued his insider observations gave independent knowledge of defendants’ intent and facts beyond public records | Abbott pointed to public 510(k) summaries, ads, and an FDA letter disclosing the core allegations | Dismissed: public materials disclosed the substance; Colquitt lacked direct, independent knowledge of FDA submissions to be an original source |
| Whether false‑presentment claim could be tried for periods before/after Colquitt’s employment or against Abbott independently of Guidant | Colquitt contended his knowledge and later materials supported broader timeframe and liability of Abbott post‑acquisition | Abbott contended Colquitt lacked firsthand knowledge outside his tenure and could not be original source for other periods/Abbott acts | Affirmed limitation: claim confined to periods when Colquitt had direct, first‑hand knowledge and to Guidant conduct as successor evidence was insufficient |
| Whether evidentiary exclusions and jury instruction refusals prejudiced Colquitt | Colquitt sought admission of FDA warning/compliance letters and Guidant felony conviction for impeachment; requested instructions on Medicare "reasonable and necessary" and that government knowledge is not a defense | Abbott argued letters were irrelevant or prejudicial (outside allowed timeframe); conviction was remote/prejudicial; proposed instructions misstated law or were unsupported | No reversible error: trial court did not abuse discretion in excluding evidence; refused instructions were legally incorrect or not required, and any error was not prejudicial |
Key Cases Cited
- Medtronic, Inc. v. Lohr, 518 U.S. 470 (U.S. 1996) (distinguishing 510(k) clearance and PMA process)
- Riegel v. Medtronic, Inc., 451 F.3d 104 (2d Cir. 2006) (premarket approval process discussion)
- Williams v. WMX Tech., Inc., 112 F.3d 175 (5th Cir. 1997) (Rule 9(b) "who, what, when, where, and how" standard)
- Grubbs v. Kanneganti, 565 F.3d 180 (5th Cir. 2009) (flexible Rule 9(b) in qui tam suits; scheme-plus-indicia rule)
- Fed. Recovery Servs., Inc. v. United States, 72 F.3d 447 (5th Cir. 1995) (three‑part public‑disclosure/original‑source test)
- Little v. Shell Exploration & Prod. Co., 690 F.3d 282 (5th Cir. 2012) (public‑disclosure synthesis test)
- Jamison v. McKesson Corp., 649 F.3d 322 (5th Cir. 2011) (public‑disclosure merits overlap; summary‑judgment treatment)
- Thompson v. Columbia/HCA Healthcare Corp., 125 F.3d 899 (5th Cir. 1997) (FCA claims plead with Rule 9(b) rigor)
- Bollinger Shipyards, Inc. v. United States, 775 F.3d 255 (5th Cir. 2014) (government knowledge can negate FCA scienter)
