United States, ex rel. Hayes v. Allstate Ins. Co.
16-705
| 2d Cir. | Apr 4, 2017Background
- Relator J. Michael Hayes brought a qui tam action under the False Claims Act (FCA) alleging insurers and trucking companies failed to reimburse Medicare as required by the Medicare Secondary Payer Act.
- The district court (W.D.N.Y.) found Hayes had falsely asserted personal knowledge of defendants’ nationwide scheme and imposed dismissal with prejudice as a Rule 11 sanction.
- Hayes appealed the Rule 11 dismissal and denial of leave to amend; all defendants defended the sanction on appeal.
- Several defendants (the non‑FedEx defendants) raised an alternative ground: that the district court lacked subject‑matter jurisdiction because Hayes’s suit violated the FCA’s first‑to‑file rule due to an earlier related suit (Takemoto) pending when Hayes filed.
- The Second Circuit considered whether the FCA first‑to‑file rule is jurisdictional and, joining the D.C. Circuit, held it is not jurisdictional but a merits‑type limitation; because the court affirmed the Rule 11 dismissal in a companion summary order, it did not decide the first‑to‑file merits.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the FCA first‑to‑file rule is jurisdictional | Hayes argued his case should be decided on merits; implicitly that jurisdiction existed | Non‑FedEx defendants argued that Takemoto was pending first, so district court lacked subject‑matter jurisdiction under §3730(b)(5) | The first‑to‑file rule is nonjurisdictional; it governs the merits (claim‑bar) not subject‑matter jurisdiction |
| Whether the district court erred by dismissing under Rule 11 | Hayes argued misstatements were not in bad faith and he should have leave to amend | Defendants maintained Hayes acted in bad faith and dismissal with prejudice was proper | Court affirmed district court’s Rule 11 dismissal (decision on this issue in accompanying summary order) |
Key Cases Cited
- Arnold v. Lucks, 392 F.3d 512 (2d Cir. 2004) (appellate courts must satisfy themselves of subject‑matter jurisdiction)
- Kellogg Brown & Root Servs., Inc. v. U.S., ex rel. Carter, 135 S. Ct. 1970 (Sup. Ct. 2015) (describes FCA qui tam structure and first‑to‑file rule application)
- U.S. ex rel. Heath v. AT&T, Inc., 791 F.3d 112 (D.C. Cir. 2015) (first‑to‑file rule is nonjurisdictional)
- Arbaugh v. Y & H Corp., 546 U.S. 500 (clarifies test for treating statutory limitations as jurisdictional)
- Sebelius v. Auburn Reg'l Med. Ctr., 133 S. Ct. 817 (warns against overbroad use of "jurisdictional" label)
- Ruhrgas AG v. Marathon Oil Co., 526 U.S. 574 (Article III requires courts to address jurisdiction before merits)
- Zipes v. Trans World Airlines, Inc., 455 U.S. 385 (statutory language that does not refer to jurisdiction is ordinarily nonjurisdictional)
- Kucana v. Holder, 558 U.S. 233 (textual differences within a statute suggest different congressional intent)
