Schmuckley v. Rite Aid Corporation ( 2020 )


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  • 1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 FOR THE EASTERN DISTRICT OF CALIFORNIA 10 11 UNITED STATES OF AMERICA, and the No. 2:12-cv-1699-KJM-EFB STATE OF CALIFORNIA, et al., ex rel 12 LOYD F. SCHMUCKLEY, JR., ORDER 13 Plaintiffs, 14 v. 15 RITE AID CORPORATION, 16 Defendant. 17 18 In this qui tam action, Relator Lloyd F. Schmuckley, Jr. and the State of California 19 (“plaintiffs”) move to strike defendant’s affirmative defenses under Federal Rule of Civil 20 Procedure 12(f). Defendant opposes. For the below reasons, plaintiffs’ motion is GRANTED in 21 part and DENIED in part. 22 I. BACKGROUND 23 Under the False Claims Act (FCA), a private individual can bring an action known 24 as a qui tam action on behalf of the United States government against any individual or company 25 who has knowingly presented a false or fraudulent claim to the government. United States ex rel. 26 Anderson v. Northern Telecom, 52 F.3d 810, 812–13 (9th Cir. 1995). Here, relator Loyd F. 27 Schmuckley alleges Rite Aid has submitted false claims for reimbursement in prescribing “Code 28 1 1” drugs, which may not be reimbursed unless certain requirements are met. First Am. Compl. 2 (FAC) ¶¶ 3, 21, ECF No. 79. Specifically, these Code 1 drugs have restrictions based on patient 3 age or diagnosis that must be met before the appropriate government entity, here Medi-Cal, will 4 reimburse for prescriptions for that medication. Id. ¶ 23. According to Schmuckley, “California 5 regulations explicitly state that the pharmacist must have documentation of the patient’s 6 diagnosis, in order for Medi-Cal to reimburse the prescription.” Id. ¶ 24. 7 California intervened in this case on claims under the California FCA (CFCA) and 8 filed its Complaint-In-Intervention, alleging Rite Aid failed to comply with “Code 1 restrictions.” 9 Complaint-In-Intervention (CII) ¶ 4, ECF No. 75. More specifically, California alleges that 10 “[f]rom 2007 to 2014, [Rite Aid] knowingly submitted false pharmacy claims to Medi-Cal and 11 expressly and impliedly made false certifications through the Medi-Cal electronic claims 12 submission and reimbursement process.” Id. ¶ 6. 13 Defendant filed a First Amended Answer to Relator’s First Amended Complaint 14 (“Relator Answer”), ECF No. 146, and a First Amended Answer to California’s Complaint-In- 15 Intervention (“State Answer”), ECF No. 147. Plaintiffs jointly moved to strike all affirmative 16 defenses under Rule 12(f). Mot., ECF No. 158. Defendant opposed, ECF No. 173, and plaintiffs 17 replied, ECF No. 186. The court heard oral argument on the motion on January 25, 2019, and 18 issued a bench order granting plaintiffs’ motion to strike the following affirmative defenses 19 (numbered according to defendant’s Answer to Relator’s Complaint): 5th (good faith), 7th (no 20 treble damages), 8th (no attorney’s fees), 10th (denial of actual injury), 13th (compliance with 21 industry standards), and 14th (not willful or knowledgeable). See ECF No. 187. In a joint 22 statement submitted after hearing, the parties asked the court to allow them until July 15, 2019 to 23 meet and confer and prepare a stipulation regarding the 11th affirmative defense in defendant’s 24 Answer to Relator’s Complaint. ECF No. 188. The court later extended this deadline to February 25 28, 2020. ECF No. 260. Because the parties are still attempting to agree on this issue, the court 26 declines to resolve it in this order, but instead resolves the remainder of the issues raised in 27 plaintiffs’ motion and not addressed at hearing, below. 28 //// 1 II. LEGAL STANDARD 2 The court may strike “from a pleading an insufficient defense or any redundant, 3 immaterial, impertinent or scandalous matter.” Fed. R. Civ. P. 12(f). “A defense may be 4 insufficient as a matter of pleading or as a matter of law.” Cal. Brewing Co. v. 3 Daughters 5 Brewing LLC, No. 2:15-cv-02278-KJM-CMK, 2016 WL 4001133, at *1 (E.D. Cal. Jul. 26, 2016) 6 (citation omitted). 7 A. Affirmative Defenses Generally 8 “[A]n affirmative defense, under the meaning of Federal Rule of Civil Procedure 9 8(c), is a defense that does not negate the elements of the plaintiff’s claim, but instead precludes 10 liability even if all of the elements of the plaintiff’s claim are proven.” Barnes v. AT & T Pension 11 Ben. Plan–Nonbargained Program, 718 F. Supp. 2d 1167, 1173 (N.D. Cal. 2010) (citation 12 omitted). “It is a defense on which the defendant has the burden of proof.” Id. at 1174. On the 13 other hand, “[a] defense which demonstrates that plaintiff has not met its burden of proof is not an 14 affirmative defense,” but a negative defense. Zivkovic v. S. California Edison Co., 302 F.3d 15 1080, 1088 (9th Cir. 2002) (citation omitted). While courts rarely grant Rule 12(f) motions to 16 strike affirmative defenses, if an affirmative defense is, in actuality, a negative defense and should 17 instead be included as a denial in the answer, the motion to strike will be granted. See Barnes, 18 718 F. Supp. 2d at 1173–1174.1 19 B. Insufficiency as a Matter of Pleading 20 Consistent with the nomenclature, a party must affirmatively state its affirmative 21 defenses. Fed. R. Civ. P. 8(c)(1). Generally, the pleading standard is met if the affirmative 22 defense provides “fair notice.” Wyshak v. City Nat’l Bank, 607 F.2d 824, 827 (9th Cir. 1979) 23 24 1 District courts in this Circuit are split on this issue. Other courts have held that, where a defense is not a proper affirmative defense, but rather a “disguised denial,” a motion to strike is improper 25 and must be denied. Carlock v. RMP Fin., No. 03-CV-0688 W (AJB), 2003 WL 24207625, at *4 26 (S.D. Cal. Aug. 5, 2003); Kohler v. Staples the Office Superstore, LLC, 291 F.R.D. 464, 471 (S.D. Cal. 2013) (“The Court fails to see how identifying a defense as ‘affirmative,’ when in actuality it 27 is not, makes that defense legally insufficient”). This court followed the approach of the Northern District of California in Barnes in J & J Sports Prods., Inc. v. Angulo, No. 2:14-CV-02666-KJM, 28 2015 WL 5020725, at *2 (E.D. Cal. Aug. 21, 2015), and continues to follow that approach here. 1 (“The key to determining the sufficiency of pleading an affirmative defense is whether it gives 2 plaintiff fair notice of the defense.”), overruled on other grounds by Castro v. County of Los 3 Angeles, 833 F.3d 1060 (9th Cir. 2016) (en banc). To provide fair notice, the defendant must 4 “identify the nature and grounds for the affirmative defense, rather than plead a detailed statement 5 of facts upon which the defense is based.” Dodson v. Munirs Co., No. CIV. S-13-0399 6 LKK/DAD, 2013 WL 3146818, at *2 (E.D. Cal. June 18, 2013) (citation omitted). The fair 7 notice standard is a “low bar” that does not require great detail, but requires “some factual basis” 8 for the affirmative defense. Gomez v. J. Jacobo Farm Labor Contractor, Inc., 188 F. Supp. 3d 9 986, 992 (E.D. Cal. 2016) (citations omitted). Merely referring to the doctrine or statute 10 generally does not provide “fair notice” to the other party, though some courts will accept such 11 references where the defense is well-established. Id. at 992–93 (collecting cases). 12 Some courts have applied a heightened pleading standard to affirmative defenses 13 since the Supreme Court’s articulation of heightened pleading standards for claims in complaints 14 in Bell Atl. Corp. v. Twombly, 550 U.S. 544 (2007) and Ashcroft v. Iqbal, 556 U.S. 662 (2009), 15 while others apply the more lenient fair notice standard reviewed above. Compare Gencarelli v. 16 Twentieth Century Fox Film Corp., No. 2:17-02818-ODW (AJW), 2018 WL 376664, at *2 (C.D. 17 Cal. Jan. 11, 2018) (Twombly/Iqbal apply to affirmative defenses), and Wang v. Golf Tailor, LLC, 18 No. 17-cv-00898-LB, 2017 WL 5068569, at *4 (N.D. Cal. Nov. 3, 2017) (Twombly and Iqbal 19 apply to affirmative defenses), with Am. GNC Corp. v. LG Electronics Inc., No. 17-cv-01090- 20 BAS-BLM, 2017 WL 4792373, at *2 (S.D. Cal. Oct. 24, 2017) (“fair notice” applies to 21 affirmative defenses), and Neylon v. Cty. of Inyo, No. 1:16-cv-0712 AWI JLT, 2017 WL 22 3670925, at *2 (E.D. Cal. Aug. 25, 2017) (“fair notice” applies to affirmative defenses). 23 Plaintiffs urge this court to apply the former. See Mot. at 12–13. 24 Consistent with its previous determinations, the court declines to apply the 25 heightened standard. See, e.g., L.F. by & through Brown v. City of Stockton, No. 2:17-CV-01648- 26 KJM-DB, 2018 WL 3817558, at *2 (E.D. Cal. Aug. 10, 2018) (clarifying court’s reasoning 27 regarding decision not to apply heightened standard). The “fair notice” standard therefore guides 28 the court’s analysis below. 1 C. Insufficiency as a Matter of Law 2 As noted, a motion to strike an affirmative defense is appropriate as a matter of 3 law if the affirmative defense is redundant, immaterial, impertinent or scandalous. Fed. R. Civ. P. 4 12(f). An allegation is “redundant” if it is needlessly repetitive or wholly foreign to the issues 5 involved in the action. Cal. Dep’t. of Toxic Substances Control v. Alco Pac., Inc., 217 F. Supp. 6 2d 1028, 1033 (C.D. Cal. 2002) (citation omitted). An allegation is “immaterial” if there is no 7 essential or important relationship to the pleaded claims or defenses. Fantasy, Inc. v. Fogerty, 8 984 F.2d 1524, 1528 (9th Cir. 1993) (quoting 5 Charles A. Wright & Arthur R. Miller, Federal 9 Practice and Procedure § 1382, at 706–07 (1990)), overruled on other grounds, Fantasy v. 10 Fogerty, 510 U.S. 517 (1994). An allegation is “impertinent” if it consists of statements “that do 11 not pertain, and are not necessary, to the issues in question.” Id. An allegation is “scandalous” if 12 it casts a “cruelly derogatory light on a party or other person.” In re 2TheMart.com, Inc. Sec. 13 Litig., 114 F. Supp. 2d 955, 965 (C.D. Cal. 2000). The court applies these standards in evaluating 14 each affirmative defense. 15 III. DISCUSSION 16 A. First Affirmative Defense: Failure to State a Claim 17 Defendant’s first affirmative defense states that plaintiffs’ complaints “fail[] to 18 state a claim upon which relief may be granted under Federal Rules of Civil Procedure 8 and 19 9(b).” Relator Answer at 9; State Answer at 25. However, affirmative defenses are meant to 20 “plead matters extraneous to the plaintiff’s prima facie case, which deny plaintiff’s right to 21 recover, even if the allegations of the complaint are true.” Federal Deposit Ins. Co. v. Main 22 Hurdman, 655 F. Supp. 259, 262 (E.D. Cal. 1987) (citing Gomez v. Toledo, 446 U.S. 635, 640–41 23 (1980)). As plaintiffs correctly asserts, defendant’s first affirmative defense challenges plaintiffs’ 24 prima facie case and therefore is not properly raised as an affirmative defense. See J & J Sports 25 Prods., Inc. v. Angulo, 2015 WL 5020725, at *2 (“Failure to state a claim is not an affirmative 26 defense, rather it is an assertion of a defect in a plaintiff's prima facie case.”) (citation omitted). 27 Additionally, defendant raised this argument in its motion to dismiss, and the court denied the 28 1 motion on the merits. See ECF Nos. 101, 134. Accordingly, plaintiffs’ motion to strike 2 defendant’s first affirmative defense is GRANTED, as it is insufficient as a matter of law. 3 B. Second Affirmative Defense: Laches 4 Defendant’s second affirmative defense states that plaintiffs’ complaint should be 5 dismissed because it is barred by the doctrine of laches. Specifically, defendant contends: “Based 6 on information and belief, the State of California has had since approximately June 2012 to 7 investigate and prosecute any claims it wished to pursue against Rite Aid. The State of California 8 did not file its Complaint in this action until September 2017.” Relator Answer at 9; State 9 Answer at 25. Defendant also adds “Rite Aid contends that the former three-year document 10 retention requirement [of the operative statute] applies as limitation [sic] on the State’s allegations 11 to the extent they concern the purported absence of records for prescriptions dating back to 12 2007.” Id. 13 To establish the affirmative defense of laches, “a defendant must allege neglect or 14 delay in bringing suit to remedy an alleged wrong, which taken together with lapse of time and 15 other circumstances, causes prejudice to the adverse party and operates as an equitable 16 bar.” Desert European Motorcars, Ltd. v. Desert European Motorcars, Inc., No. 11–197, 2011 17 WL 3809933, at *3 (C.D. Cal. Aug. 25, 2011) (internal quotation marks and citation omitted). 18 Here, the allegations of the second affirmative defense provide sufficient factual basis to put 19 plaintiffs on notice of the defense. Defendant’s statement regarding the former three-year 20 document retention requirement, though not explicitly phrased to invoke the prejudice 21 requirement, is sufficient to put plaintiffs on notice of defendant’s factual basis for showing 22 prejudice, a required element of laches. 23 Plaintiffs also claim the laches defense is insufficient as a matter of law, because 24 the government is “not subject to a defense of laches when enforcing its rights.” Mot. at 17. 25 Generally speaking, the government is not subject to a laches defense when enforcing a public 26 right. United States v. Summerlin, 310 U.S. 414, 416 (1940) (“It is well settled that the United 27 States is not . . . subject to the defense of laches in enforcing its rights.”) (citation omitted); (citing 28 United States v. Menatos, 925 F.2d 333, 335 (9th Cir. 1991) (“The government is not subject to 1 the defense of laches when enforcing its rights.”) (citations omitted), superseded by statute on 2 other grounds, as recognized in United States v. Phillips, 20 F.3d 1005, 1007 (9th Cir. 1994)). 3 However, the law on this issue is not as clear-cut as plaintiffs contend. The Ninth Circuit has 4 observed that a laches defense may be available if defendant can show “affirmative misconduct 5 on the part of the United States.” United States v. Ruby Co., 588 F.2d 697, 705 n.10 (9th Cir. 6 1978) (“It may be that th[e] rule [that laches is not available against the government] is subject to 7 evolution as was the traditional rule that equitable estoppel would not lie against the 8 government.”); see also United States v. Batson, 608 F.3d 630, 633 n.3 (9th Cir. 2010) (although 9 “laches traditionally is not a defense against the United States . . . that doctrine is not as rigid as it 10 once was”); United States v. Gibson Wine Co., No. 1:15-CV-1900-AWI-SKO, 2016 WL 11 1626988, at *6 (E.D. Cal. Apr. 25, 2016) (declining to strike laches defense against the 12 government as legally insufficient)). This defense is not insufficient as a matter of law and the 13 plaintiffs’ motion to strike the defense is DENIED. 14 C. Third Affirmative Defense: Statute of Limitations 15 Defendant’s third affirmative defense states that plaintiffs’ claims are barred by the 16 statutes of limitations for the CFCA and the FCA. See Relator Answer at 10; State Answer at 26. 17 Defendant argues that “[q]uestions of fact exist as to what Plaintiffs knew and 18 when concerning the factual bases of its allegations against Rite Aid,” Opp’n at 11. The FCA 19 contains a statute of limitations of “six years after the date on which the violation [of the statute] 20 is committed” or “three years after the date when facts material to the right of action are known” 21 by the prosecuting authority, but in no event more than 10 years after the date of the violation 22 itself. At all times relevant, the FCA’s statute of limitations included the phrase “whichever 23 occurs last, meaning “[w]hichever period provides the later date serves as the limitations period.” 24 Cochise Consultancy, Inc. v. United States ex rel. Hunt, 139 S. Ct. 1507, 1510 (2019) 25 (interpreting FCA statute of limitations); 31 U.S.C. § 3731(b). In other words, the date plaintiffs 26 learned of the alleged violations serves to extend the limitations period as to the FCA claims if 27 that date occurs more than three years after the violation, but it does not serve to shorten the 28 statute of limitations. Regardless, Relator’s complaint is not expressly limited to any time period, 1 so could theoretically include claims dating back further than would be allowed. See Relator’s 2 First Am. Compl. at 11(FCA claim), 13 (CFCA claim). As such, the statute of limitations is 3 relevant with respect to the Relator’s FCA and CFCA claims, as it may serve to limit the time 4 period available for claims. The court DENIES the motion to strike this defense in the Answer to 5 the Relator’s complaint. 6 By contrast, at the time of the alleged violations and when Relator’s original 7 complaint was filed, the CFCA’s statute of limitations ran “three years after the date of discovery 8 by the Attorney General or prosecuting authority . . . or, in any event, not more than 10 years after 9 the date on which the violation . . . was committed.” Cal. Gov’t Code § 12654(a) (effective 1987 10 to Dec. 31, 2009); Cal. Gov’t Code § 12654(a) (effective Jan. 1, 2010 to Dec. 31, 2012). The 11 statute did not include the caveat contained in the FCA provision, though that provision has been 12 incorporated in the post-January 1, 2013 version. Compare Cal. Gov’t Code § 12654(a) 13 (effective through 2012), with Cal. Gov’t Code § 12654(a) (effective Jan. 1, 2013 to present) 14 (“. . . whichever of the aforementioned occurs last.”). Thus, the pre-2013 version of the statute 15 limits the time period for filing a claim to three years after the date the “prosecuting authority” 16 learns of the violations. 17 “[A] newly enacted statute that lengthens the applicable statute of limitations may 18 not be applied retroactively to revive a plaintiff's claim that was otherwise barred under the old 19 statutory scheme because to do so would alter the substantive rights of a party and increase a 20 party’s liability.” Chenault v. U.S. Postal Serv., 37 F.3d 535, 539 (9th Cir. 1994) (internal 21 quotation marks omitted). The court applies the statute of limitations in effect at the time of the 22 alleged violations. See Benjamin v. Coker, No. CV-06-1207-PHX-SMM, 2006 WL 3741934, at 23 *2 (D. Ariz. Nov. 3, 2006), on reconsideration, No. CV061207PHXSMM, 2007 WL 433574 (D. 24 Ariz. Feb. 6, 2007) (applying version of statute of limitation in effect when plaintiff discovered 25 violations leading to his Fair Credit Reporting Act claims). Therefore, the date of plaintiffs’ 26 knowledge is relevant insofar as it may serve to trigger the three-year statute of limitations period 27 for the state’s CFCA claims. See U.S. ex rel. Hoggett v. Univ. of Phoenix, No. 2:10-CV-02478- 28 MCE, 2012 WL 2681817, at *6 (E.D. Cal. July 6, 2012) (discussing pre-amendment statute of 1 limitations as potentially limited to three years where defendant can show relevant officials put on 2 notice); Safeco Ins. Co. of Am. v. City of Los Angeles, No. CV1009162RGKJCGX, 2011 WL 3 13217763, at *4 (C.D. Cal. Sept. 26, 2011) (same). Plaintiffs have not shown that “under no set 4 of circumstances could the defense succeed,” with respect to California’s complaint-in- 5 intervention; the court DENIES the motion to strike the defense in the State Answer as well. See 6 Oracle Am., Inc. v. Hewlett Packard Enter. Co., 16-CV-01393-JST, 2017 WL 635291, at *4 7 (N.D. Cal. Feb. 16, 2017). 8 Additionally, the defense in both Answers states that, to the extent plaintiffs’ 9 claims “concern the purported absence of records for prescriptions dating back to 2007,” “the 10 former three-year document retention requirement of the pre-2018 operative version of Cal. Wel. 11 & Inst. Code § 14124.1 . . . applies as a limitation . . . .” Relator Answer at 10. Plaintiffs do not 12 cite any contrary authority, but rather simply point to the statutes of limitations included in the 13 FCA and the CFCA. This defense is not legally insufficient. The court declines to strike it in 14 either of defendant’s Answers. 15 D. Fourth Affirmative Defense: Waiver, Consent, Ratification, and/or Acquiescence 16 Defendant’s fourth affirmative defense states: “Based upon information and belief, 17 and subject to discovery of facts in support of this defense before trial, Rite Aid contends that the 18 facts discovered will show that the circumstances surrounding any alleged regulatory violation by 19 Rite Aid would not, and in fact did not, affect the State’s payment decision even if known to the 20 State, constituting a ratification and/or waiver of any alleged wrongdoing.” Relator Answer at 21 10; State Answer at 26. When pressed at hearing, counsel for defendant was unable to clarify the 22 applicability of consent, ratification and acquiescence to this case and essentially conceded the 23 defense is intended as simply a waiver defense. The court GRANTS the motion to strike the 24 “consent, ratification and/or acquiescence” defenses and analyzes only the waiver defense. 25 Plaintiffs argue that, as a matter of law, waiver is not an available defense in an 26 FCA action. Mot. at 19 (citing United States ex rel. Jordan v. Northrop Grumman Corp., 2002 27 WL 35454612, at *7 (C.D. Cal. August 5, 2002)). However, the Jordan court actually held that it 28 was “appropriate for Defendant to assert the affirmative defense of ratification or waiver against 1 the Government’s FCA claim at this stage” because “the knowledge possessed by officials of the 2 United States may be highly relevant . . . [and] may show that defendant did not submit its claim 3 in deliberate ignorance or reckless disregard of the truth.” Jordan, 2002 WL 35454612, at *8 4 (quoting United States ex rel. Hagood v. Sonoma County Water Agency, 929 F.2d 1416, 1420 5 (9th Cir. 1991)); but see United States v. DynCorp Int’l LLC, 282 F. Supp. 3d 51, 57 (D.D.C. 6 2017) (striking waiver defense in FCA case because defendant could not show “the government 7 waived its FCA and fraud claims without showing that DOJ had the unmistakable intent to 8 waive”). In light of this authority, the gravamen of defendant’s fourth affirmative defense is not 9 insufficient as a matter of law. 10 Specifically, to establish a defense of waiver, a defendant must show the plaintiff 11 “intentionally relinquished or abandoned a known right.” Desert European Motorcars, Ltd., 2011 12 WL 3809933, at *2 (citing United States v. Perez, 116 F.3d 840, 845 (9th Cir. 1997)). 13 Defendant’s Answers put plaintiffs on notice that defendant alleges plaintiffs intentionally 14 relinquished a right when they allegedly ratified defendant’s conduct by processing the payment 15 with knowledge of defendant’s alleged falsities. See Relator Answer at 10 (“Rite Aid contends 16 that the facts discovered will show that the circumstances surrounding any alleged regulatory 17 violation by Rite Aid would not, and in fact did not, affect the State’s payment decision even if 18 known to the State, constituting a ratification and/or waiver of any alleged wrongdoing.”). 19 Accordingly, the court DENIES plaintiffs’ motion to strike defendant’s waiver 20 defense. 21 E. Sixth Affirmative Defense: Failure to Mitigate 22 In this defense, defendant pleads that “[b]ased upon information and belief . . . 23 Rite Aid contends that the facts discovered will show that the State failed to take reasonable steps 24 to mitigate any potential damages it claims in its Complaint.” Relator Answer at 11; State 25 Answer at 27. 26 Plaintiffs argue that, as a matter of law, this defense must fail because “the 27 Government has no duty to mitigate damages in fraud actions, including those under the FCA.” 28 Mot. at 21 (quoting United States ex rel. Monahan v. Robert Wood Johnson Univ. Hops., No. 02- 1 5702 (JAG), 2009 U.S. Dist. Lexis 111347, at *21 (D.N.J. Dec. 1, 2009)). Although there is 2 some authority for the argument that the United States does not have a duty to mitigate damages 3 for a claim under the FCA, see Jordan, 2002 WL 35454612, at *16, the same authority also 4 concludes the government does have a duty to mitigate damages with respect to a claim for 5 payment by mistake, id. at *17. Because the State also brings a claim for payment by mistake, 6 this defense is not insufficient as a matter of law. See CII ¶¶ 127–130. 7 Defendant has sufficiently pleaded the affirmative defense as a factual matter. A 8 generalized statement meets a party’s pleading burden with respect to a damages mitigation 9 affirmative defense. Kaur v. City of Lodi, No. 2:14-CV-00828-TLN-AC, 2016 WL 627308, at *2 10 (E.D. Cal. Feb. 17, 2016) (citing Eurow & O’Reilly Corp. v. Superior Mfg. Grp., Inc., No. CV 14- 11 6595-RSWL VBKX, 2015 WL 1020116, at *3 (C.D. Cal. Mar. 6, 2015)). When, as here, 12 discovery has barely begun, defendants are not required to plead with more facts; this defense is 13 sufficiently pleaded without additional facts. Ganley v. Cty. of San Mateo, No. C06-3923 TEH, 14 2007 WL 902551, at *6 (N.D. Cal. Mar. 22, 2007). 15 Plaintiffs’ motion to strike defendant’s sixth affirmative defense for failure to 16 mitigate is DENIED. 17 F. Ninth Affirmative Defense: Failure to Exhaust Administrative Remedies 18 Defendant’s ninth affirmative defense, pleaded only in response to the State’s 19 common count of payment by mistake, states “the court lacks jurisdiction of this cause of action 20 because the State has failed to exhaust administrative remedies for resolution of its claims.” State 21 Answer at 28. Plaintiffs argue this defense is insufficient as a matter of law, because there is no 22 authority requiring the exhaustion of administrative remedies for claims of payment by mistake. 23 Mot. at 24. Defendant does not cite any authority in support of their position. Opp’n at 12. 24 Conversely, neither party has identified authority for the proposition that a public entity need not 25 exhaust administrative remedies for such a claim. There is some authority suggesting exhaustion 26 of administrative remedies may be necessary for a claim of payment by mistake, if it “arises 27 under” the Medicare statute or is subject to the Contract Disputes Act. See United States v. 28 Kaiser Found. Health Plan, Inc., No. 12-CV-03896-WHO, 2013 WL 4605096, at *2 (N.D. Cal. 1 Aug. 28, 2013) (discussing defendant’s argument that plaintiffs’ FCA claim actually “arises 2 under” the Medicare Act and therefore must be dismissed for failure to exhaust administrative 3 procedures, but ultimately holding for government); Jordan, 2002 WL 35454612, at *5 4 (discussing defendant’s affirmative defense that court lacked jurisdiction over payment by 5 mistake claim because government failed to exhaust administrative remedies available under the 6 Contract Disputes Act, 41 U.S.C. § 605(a)). Given the lack of controlling authority on the subject 7 and the stage of the case, the court DENIES the motion to strike this defense. 8 G. Ninth/Tenth Affirmative Defenses: No Jurisdiction Because Relator is not an “Original Source” 9 10 Defendant’s ninth affirmative defense to Relator’s claims and tenth affirmative 11 defense to the State’s claims pleads that “the court lacks jurisdiction over the allegations under 12 the False Claims Act because the Relator is not an ‘original source’ of the information as defined 13 by 31 U.S.C. § 3730(e)(4)(B).” Relator Answer at 11–12; State Answer at 28. Rather, defendant 14 contends the information relating to plaintiffs’ claims “was publicly disclosed in the news media 15 prior to Relator’s filing his original complaint . . . .” Id. 16 Defendant pleads sufficient facts to put plaintiffs on notice of defendant’s 17 argument that Relator may not be the “original source.” The statute’s original-source requirement 18 is an appropriate affirmative defense. Prather v. AT&T, Inc., 847 F.3d 1097, 1102 (9th Cir.) 19 (FCA’s original-source requirement, once a jurisdictional bar, is now an affirmative defense), 20 cert. denied, 137 S. Ct. 2309 (2017). The court DENIES the motion to strike this defense. See 21 United States v. Ctr. for Diagnostic Imaging, Inc., No. C05-0058RSL, 2011 WL 6300174, at *3 22 (W.D. Wash. Dec. 16, 2011) (declining to strike similar defense in FCA action). 23 H. Leave to Amend 24 Unless it would prejudice the opposing party, courts freely grant leave to amend 25 stricken pleadings. Fed. R. Civ. P. 15(a)(2); Wyshak, 607 F.2d at 826 (9th Cir. 1979). However, 26 courts may deny leave to amend where “any amendment would be futile.” Leadsinger, Inc. v. 27 BMG Music Pub., 512 F.3d 522, 532 (9th Cir. 2008). As to the defenses of consent, ratification 28 1 and/or acquiescence, the court does not grant leave to amend, because counsel has conceded the 2 defenses are not relevant. The defense of failure to state a claim is insufficient because it is not 3 properly pled as an affirmative defense; to the extent defendant did not include this denial in the 4 appropriate section of the Answer, the court grants defendant leave to amend to do so. 5 IV. CONCLUSION 6 For the above reasons, plaintiffs’ motion to strike is GRANTED in part and 7 DENIED in part, as follows. Specifically, the motion to strike the 8  First Affirmative Defense (failure to state a claim) is GRANTED; 9  Second Affirmative Defense (laches) is DENIED; 10  Third Affirmative Defense (statute of limitations) is DENIED; 11  Fourth Affirmative Defense (waiver, consent, ratification, and/or 12 acquiescence) is GRANTED as to consent, ratification and acquiescence, and 13 DENIED as to waiver; 14  Sixth Affirmative Defense (failure to mitigate) is DENIED; 15  Ninth Affirmative Defense (State) (failure to exhaust administrative remedies) 16 is DENIED; and 17  Ninth (Relator)/Tenth (State) Affirmative Defense (no original source) is 18 DENIED. 19 Leave to amend is GRANTED to the extent provided by the court’s order with 20 respect to defendant’s first affirmative defense (failure to state a claim), but DENIED as to 21 consent, ratification, and/or acquiescence. 22 This order resolves ECF No. 158, except with respect to defendant’s improper 23 defendant defense, which will be resolved either by stipulation or by a motion to amend the 24 complaint subject to the parties’ agreement and timeline discussed in ECF No. 260. 25 IT IS SO ORDERED. 26 DATED: January 14, 2020. 27 28

Document Info

Docket Number: 2:12-cv-01699

Filed Date: 1/15/2020

Precedential Status: Precedential

Modified Date: 6/19/2024