OPINION AND ORDER DENYING DEFENDANTS’ MOTION FOR REHEARING
Dеfendants were indicted by a United States Grand Jury upon a 37-eount indictment, combined with a 42-count information, charging violations of the Racketeer Influenced and Corrupt Organizations Act (“RICO”), 18 U.S.C. § 1961
et seq.,
on September 21, 1978. Count 1 of the indictment charges сonspiracy to acquire an interest in an enterprise and to participate in the affairs of an enterprise through a pattern of racketeering activities, in violation of 18 U.S.C. § 1962(d). Count 2 of the indictment charges a substantive violation of the provisions of 18 U.S.C. § 1962(b) (maintenance of an interest in an enterprise through a pattern of racketeering activities). Count 3 of the indictment alleges substantive violations of 18 U.S.C. § 1962(c) (conducting of and participation in thе affairs of an enterprise through a pattern of racketeering activities). Counts 4 through 37 of the indictment each allege substantive violations of 18 U.S.C. § 1341 (mail fraud). Some or all of the substantive violations set forth in Counts 4 through 37 are relied upоn by the government as predicate acts of racketeering necessary to charge and convict under 18 U.S.C. § 1962. On March 16, 1979, the court denied the motion of one defendant to dismiss the indictment, which incorporated by reference other defendants’ motions to dismiss. On March 21, 1979, the United States Court of Appeals for the Fifth Circuit issued its decision in
United States v.
*412
Porter,
Defendants in the instant case were charged in the information counts with having violated 42 U.S.C. § 1396h(b)(l), which at the relevant time provided:
(b) Whoever furnishes items or services to an individual for which payment is or may be made in whole or in part out of Federal funds under a State plan approved under this subchapter and who solicits, offers, or receives any—
(1) kickback or bribe in connection with the furnishing of such items or services or the making оr receipt of such payment, .
shall be guilty of a misdemeanor and upon conviction thereof shall be fined not more than $10,000 or imprisoned for not more than one year, or both.
Relying on Porter, defendants argued orally that “kickback” cannot refer to a payment made to a party other than the party which initially transferred the sum to the payor; and that since the alleged scheme involved no payments by doctors to the laboratories but only referral of specimens, the payments by the labs to the doctors were not illegal “kickbacks.” Hence, defendants argue, the indictment and information charge no crime.
In
Porter,
eight doctors and one laboratory operator were charged with violating 42 U.S.C. § 1395nn(b)(l), in connection with a scheme of payments for supplying medicare services. In a typical transaction a physician would determine that tests for the presence of various diseases should be performed on blood samples taken from the patient. Two types of labs offered testing services — the manual type, with a number of machines each designed to do one test, and the automated type, with one machine capаble of simultaneously performing an entire battery of tests. The manual labs charged significantly higher rates for the same service; for a particular blood test an automated lab would receive a medicare reimbursement of $35, while the comparable figure for a manual lab was $214. The doctors sent their blood samples to the manual lab operated by Porter, who paid the doctors up to $35 for each sample sent. Under the “AdServ” system employed by defendants, the doctors would be paid a “handling fee” (which the government contended was a bribe, kickback, or rebate) by a third party, AdServ, for submitting blood specimens from medicare beneficiaries and would accept lab work for non-medicare patients at a reduced price or at cost. “Under this arrangement, therefore,” as the court noted, “the doctors profited and non-Medicare patients were subsidized by the Medicare Progrаm.”
The weight of the cases, however, indicates that the term “kickback” in both
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legal and lay usage may refer not only to “a return of a part of a sum received . . ”
(Webster’s Seventh New Collegiate Dictionary,
1969 ed.),
see also Boehm v. United States,
2: REFUND: as (a): a percentage payment exacted as a condition for granting assistance by one in a position to open up or control a source of income or gain (appointees paid a — to the ward boss out of each paycheck).
Thus where a vending company installed its cigarette machines in restaurants in a chain of which appellant was president, upon clandestine payments by the vending company to the appellant, such payments were permissibly labelled by a government witness as “kickbacks.”
United States v. Engle,
The Supreme Court, in
United States v. Brewster,
The Sixth Circuit has often used the term “kickback” in this fashion. In
United States v. Thompson,
Indeed the Fifth Circuit as well has used the term in this way or referred to such usage. In
United States v. Joseph,
‘[H]ow was Mr. DeLaigle going to get the job? Mr. Dunn was the Mayor. He gоt them from Mr. Dunn. Whether those accounts (amounts?) (sic) were reimbursement for expenses or kickbacks— any of you gentlemen that know anything about politics, when you throw out that much money, why, somebody is going to have to take (pay?) (sic) somеbody else.’
Porter
cites (
No deduction shall be allowed under subsection (a) for any payment madе, directly or indirectly, to an official or employee of any government, or of any agency or instrumentality of any government, if the payment constitutes an illegal bribe or kickback or, if the payment is to an official or emрloyee of a foreign government, the payment would be unlawful under the laws of the United States if such laws were applicable to such payment and to such official or employee.
Subsequent references to “kickbacks,” at 954(a)(4) and 995(b)(l)(F)(iii), refer to this section (payments “within the meaning of” § 162(c)). This large body of legal and lexicographical authority confirming a broader meaning for “kickback” is more persuasive than the bare analysis offered in Porter.
Further, this court cannot agree with
Porter
in its holding that the government has failed to demonstrate interference with any of its lawful functions in alleging that it was defrauded of its right to have the medicare program conducted honestly and fairly.
Accordingly, defendants’ motion for rehearing is DENIED.
IT IS SO ORDERED.
