United States ex rel. Colquitt v. Abbott Laboratories
864 F. Supp. 2d 499
N.D. Tex.2012Background
- Relator Colquitt sues Abbott, Cordis, and Boston Scientific under FCA and analogous state false-claims statutes for promoting biliary stents for off-label vascular use and inducing false reimbursements.
- Colquitt alleges the Defendants fraudulently obtain FDA clearance by misclassifying biliary stents as vascular stents, enabling cheaper 510(k) clearance.
- Allegations include false statements to the FDA, off-label promotion, inducement of reimbursement, and kickbacks.
- Relator asserts these activities caused false claims submitted to Medicare/Medicaid; Government/States decline to intervene; Court considers motions to dismiss under 12(b)(1)/12(b)(6) with government interests.
- Procedural posture: motions to dismiss granted in part; public-disclosure bar issues addressed; Colquitt granted leave to amend some claims; Abbott’s motion granted in part and denied in part.
- Court addresses public-disclosure jurisdiction, Rule 9(b) pleading standards, and state-law claims; decision ultimately that fraudulent-inducement and some off-label-promotion claims are dismissed for lack of jurisdiction; AKS claims dismissed without prejudice; leave to amend granted.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Public-disclosure bar applicability | Claims based on public disclosures can be pursued if Colquitt is an original source. | Disclosures in 510(k) summaries, FDA letters, and ads publicly disclose the alleged fraud; relator may be barred. | Fraudulent inducement claims lack jurisdiction; Colquitt not an original source; off-label-promotion claims partly based on disclosures; AKS survives. |
| Pleading of off-label-promotion claims under Rule 9(b) | TAC provides detailed promotional scheme and reimbursement guides. | Cordis/Boston Scientific lack specific false statements; Boston Scientific/ Cordis insufficiently pleaded. | Off-label-promotion claims against Abbott adequate; against Cordis and Boston Scientific not sufficiently pleaded. |
| State-law claims under public-disclosure bars | States have similar public-disclosure bars; should survive with original-source analysis. | Same jurisdictional bars apply; states lack independent basis. | State fraudulent-inducement/off-label claims dismissed for lack of jurisdiction; AKS-related state claims dismissed without prejudice. |
| Antikickback statute (AKS) viability | AKS theory supports FCA false claims via kickbacks and false certifications. | Insufficient 9(b) pleading tying kickbacks to actual submitted false claims or certifications. | AKS claims dismissed without prejudice for failure to adequately plead under Rule 9(b). |
Key Cases Cited
- Buckman Co. v. Plaintiffs’ Legal Comm., 531 U.S. 341 (U.S. 2001) (federal preemption of misrepresentation claims in regulatory approvals)
- Rockwell Int’l Corp. v. United States, 549 U.S. 457 (U.S. 2007) (original-source analysis for FCA jurisdiction under public disclosure)
- United States ex rel. Jamison v. McKesson Corp., 649 F.3d 322 (5th Cir. 2011) (public-disclosure bar analyzed; amending complaint cannot retroactively create jurisdiction)
- United States ex rel. Reagan v. E. Tex. Med. Cent. Reg’l Healthcare Sys., 384 F.3d 168 (5th Cir. 2004) (three-part test for public-disclosure bar: public disclosure, basis, and original-source)
- Minn. Ass’n of Nurse Anesthetists v. Allina Health Sys. Corp., 276 F.3d 1032 (8th Cir. 2002) (original-source requirement and public-disclosure interplay)
- Gear v. Emergency Med. Assoc. of Ill., Inc., 436 F.3d 726 (7th Cir. 2006) (industry-wide disclosures and identifiable defendants rule)
- Baltazar v. Warden, 635 F.3d 866 (7th Cir. 2011) (industry-wide disclosures not identifying a defendant do not trigger FCA bar)
- Schindler Elevator Corp. v. United States ex rel. Kirk, 131 S. Ct. 1885 (S. Ct. 2011) (broad interpretation of ‘news media’ and statutory disclosures)
- Springfield Terminal Ry. v. Quinn, 14 F.3d 645 (D.C.Cir. 1994) (fraud element structure for public-disclosure analysis)
