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U.S. and 5 States Add Firepower to Whistleblower’s Claims Against Insys Therapeutics, Marketer of Opioid Spray

Former Salesperson Sparked Prosecution of Kickback Scheme That Included Bogus Speaker Fees, Visits to Strip Clubs, Lavish Meals

‘SUBSYS’ Spray Implicated in More Than 900 Patient Deaths

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WASHINGTON, D.C. (May 14, 2018) — The U.S. Department of Justice and five U.S. states have stepped into a previously secret lawsuit against Insys Therapeutics, Inc., revealing for the first time the central role played by whistleblower Maria Guzman in the government’s years-long pursuit of Insys for illegally marketing a dangerous opioid spray named SUBSYS. The resulting probe has led to a series of convictions, guilty pleas, and indictments of doctors and former Insys executives — including the company’s billionaire founder, John Kapoor, who was indicted in 2017 on federal racketeering charges.

The Employment Law Group® law firm filed the case in 2013 with close help from the Law Office of Mark Allen Kleiman, making it the earliest effective complaint against Insys (NASDAQ: INSY) under the federal False Claims Act and other laws for the company’s promotion of SUBSYS. The FCA encourages individuals to blow the whistle on fraud against U.S. taxpayers — in this case, via illegal reimbursement requests to Medicare and Medicaid — but keeps their lawsuits under wraps while prosecutors investigate the claims.

The complaint, now unsealed, was filed by The Employment Law Group on behalf of Ms. Guzman, a former Insys salesperson, on behalf of the U.S. government and, as amended, on behalf of two dozen states and the District of Columbia. It laid bare a nationwide scheme by Insys to defraud Medicare and Medicaid by inducing doctors, via kickbacks that ranged from cash to favors to sex, to prescribe large doses of SUBSYS for federally insured patients who never should have received the drug, a form of fentanyl that’s designed to be sprayed beneath the tongue of people who suffer from extreme pain due to cancer. Using a mantra of “pain is pain,” Insys illegally pushed the prescription of SUBSYS for lesser “off-label” conditions such as back pain and migraines, according to the complaint. Ms. Guzman was fired in 2013 after objecting to the potentially deadly scheme.

Fentanyl is the generic name for a synthetic opioid that’s 50 times as potent as heroin, according to the U.S. Drug Enforcement Administration. SUBSYS has been named as a primary suspect in more than 900 deaths reported to the U.S. Food and Drug Administration over a five-year period, according to a recent analysis by The Palm Beach Post.

In federal court filings unsealed today, the U.S. government and five U.S. states said they would take over litigation of the major part of Ms. Guzman’s action, specifically including her claims against Insys for kickbacks; for off-label marketing of SUBSYS; and for false claims about patients’ conditions. Subject to a stay in the case, Ms. Guzman remains free to pursue her retaliation claim against Insys, as well as claims of individual liability against Mr. Kapoor and two other former Insys executives under the federal False Claims Act and its state equivalents. All three men already have been indicted on multiple counts of criminal conspiracy for the scheme that was outlined in the 2013 complaint.

The most recent version of the complaint, filed in 2016 by The Employment Law Group, alleges violations of federal law and local laws in 24 states plus the District of Columbia. California, Indiana, New York, North Carolina, and Virginia all have opted to become actively involved in the case, while most of the remaining states plus D.C. have said that Ms. Guzman may continue litigating on their behalf. A full list of the involved states, and their status in this case, is at the end of this press release.

The Justice Department intervened simultaneously in four other SUBSYS-related lawsuits filed under the False Claims Act. All four were filed after the initial complaint filed by The Employment Law Group. The FCA, originally signed into law by President Abraham Lincoln in 1863, makes it illegal to deceive the federal government for financial gain. In addition to steep penalties for violators, it includes a “qui tam” provision that allows whistleblowers to file a legal complaint on behalf of taxpayers and — if they prevail — to receive a share of the proceeds.

“Ms. Guzman is no longer the hidden hero of the Insys investigation,” said David L. Scher, a principal of The Employment Law Group. “Now everyone knows that she was an early warrior against fentanyl abuse, taking action to save lives long before ‘opioid crisis’ became a household phrase — even at the price of her own job.”

“All the way back in 2013,” Mr. Scher said, “our initial complaint provided more than 40 pages of details for prosecutors to start pursuing. Our firm worked with Ms. Guzman to provide concrete evidence and grand jury testimony to build criminal cases against several top executives. As the FBI said when Mr. Kapoor was indicted in 2017, ‘The allegations [against former Insys leaders] of selling a highly addictive opioid cancer pain drug to patients who did not have cancer, make them no better than street-level drug dealers.’ We look forward to seeing these people face justice.”

The second amended complaint in the case, which is available here, stands as a compelling account of Ms. Guzman’s experience at Insys. In addition to outlining a fraudulent scheme against taxpayers, it alleges that Insys was a sordid and discriminatory workplace for women.

The Employment Law Group worked closely on the case with The Law Office of Mark Allen Kleiman, based in Venice, Calif.; with Assistant United States Attorney John Lee of the Central District of California; and with David Cohen, Senior Trial Counsel at the Department of Justice in Washington, D.C.

Case Information

United States ex rel. Guzman v. Insys Therapeutics, Inc.
No. CV 13-5861
U.S. District Court for the Central District of California, Western Division
Original complaint filed on August 12, 2013
Second amended complaint filed on June 13, 2016 (available here)

Intervened in part: United States, California, Indiana, New York, North Carolina, Virginia*

Declined to intervene: Delaware, District of Columbia, Florida, Georgia, Illinois, Louisiana, Massachusetts, Michigan, Montana, Nevada, New Hampshire, New Jersey, New Mexico, Oklahoma, Rhode Island, Tennessee, Texas, and Washington**

No decision so far: Hawaii, Minnesota

*The judge in the case consolidated all five SUBSYS-related actions, and Colorado intervened in part in the consolidated action. The state was not a party to Ms. Guzman’s action, however.

**Likewise, Connecticut, Iowa, Maryland, and Vermont declined to intervene in the consolidated action, and Maryland’s claims were dismissed as a result, but none of these states was named in Ms. Guzman’s action.

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About The Employment Law Group

The Employment Law Group® law firm represents whistleblowers and other employees who stand up to wrongdoing in the workplace. Based in Washington, D.C., the firm takes cases nationwide.

Plaintiffs Will Pick Up Labor Enforcement Slack: Study

The Trump administration’s expected pullback from big-ticket enforcement litigation will fuel more private lawsuits from plaintiffs firms seeking to “fill the void,” according to a Seyfarth Shaw LLP report issued Wednesday that also found the value of the 10 top workplace class action settlements reached a record $2.7 billion last year.

In 2017, the U.S. Equal Employment Opportunity Commission more than doubled the number of merits cases it filed from the prior year, including an increased number of high-impact cases alleging systemic violations, according to the management-side law firm’s annual Workplace Class Action Litigation report.

The U.S. Department of Labor’s Wage and Hour Division recovered more than $270 million in back pay for hundreds of thousands of workers last year, the report said. Agency figures show that is $4 million increase from 2016.

Overall, the report found that the top 10 settlements in government enforcement litigation increased nearly tenfold from $52.3 million in 2016 to over $485 million in 2017.

Gerald L. Maatman, a Seyfarth partner and the report’s author, attributed the enforcement scrutiny to a holdover of cases from the Obama administration, adding that the process for getting Trump administration nominees confirmed to key labor agency posts was slow and kept new agency priorities from taking hold.

Wells Fargo Fraud Case Could Help Reshape Whistleblower Program

Whistleblowers may face new options for how their retaliation complaints for reporting safety and fraud issues are investigated by federal worker safety regulators.

Changes to how the Occupational Safety and Health Administration handles whistleblower complaints — on issues ranging from dangerous working conditions to financial fraud — are up for discussion as the agency begins a series of public meetings following a review of the program.

The initial discussions, starting June 12 in Washington, are OSHA’s latest move to improve enforcement of the 22 laws it’s responsible for enforcing across several different industries, while grappling with a whistleblower caseload of more than 3,300 annual investigations and a stagnant budget.

“Based on my experience, OSHA has a lot on its plate,” employer-side attorney Steven Pearlman, co-head of Proskauer Rose LLP’s whistleblower and retaliation group in Chicago, told Bloomberg Environment.

OSHA reviewed its whistleblower program following allegations in 2016 that it didn’t adequately investigate Wells Fargo & Co. employee complaints that they were punished for raising financial fraud concerns. While the agency’s review of the Wells Fargo case began during the Obama administration, decisions on implementing changes will be up to Trump administration appointees.

Internal Ideas

A 2017 review summary, obtained by Bloomberg Environment through a Freedom of Information Act request, laid out several recommendations for the agency. Among the ideas were:

  • create a new Labor Department agency outside of OSHA to conduct whistleblower investigations;
  • improve the application process and initial review of complaints to weed out cases that should be handled by other agencies or were filed too late;
  • focus resources on complaints where a strong case can be made for the worker;
  • refer less favorable cases to arbitration;
  • establish performance goals for investigators, such as whether the investigation report was completed on time and the case file included a “well-written and succinct” explanation; and
  • designate some investigators as experts for statutes often involving complex investigations, such as finance whistleblower laws.

Personnel Moves May Expose Pruitt To Whistleblower Claims

U.S. Environmental Protection Agency Administrator Scott Pruitt’s deregulatory push has spawned a predictable flurry of lawsuits from green groups, but Pruitt may face legal battles on a different and perhaps unexpected front if agency workers who reportedly took flack after raising concerns about his actions decide to file whistleblower claims.

The New York Times last week said that five top advisers and security personnel who questioned some of Pruitt’s expenditures, travel habits and security-related moves — such as using a vehicle’s emergency lights and sirens to go to dinner — were either demoted to jobs with less responsibility, transferred to jobs further out of Pruitt’s orbit, placed on administrative leave without pay, asked to resign, or investigated.

The EPA defended the actions that were questioned and disputed there was any link between challenges to those actions and employment changes, according to the Times. The agency did not respond to a request for comment from Law360.

The Times report raised questions about whether those employees, or possibly others not named in the story and placed elsewhere in the agency but who’ve faced similar treatment, could have claims under the Whistleblower Protection Act, said Nicholas Woodfield, a principal at The Employment Law Group PC and the firm’s general counsel.

The WPA says an agency can’t materially change employees’ working conditions — by demoting them, firing them or transferring them to an inferior position, for example — if they engage in protected activity, he said.

“It looks like that’s what’s going on here,” Woodfield said. “I would take these cases, based on what I’ve seen. This is so overt. I think these are great cases.”

Top States for Qui Tam Lawsuits

By R. Scott Oswald [1]

Note: This paper is available as a PDF. An Excel spreadsheet with the underlying DOJ data is also available, as is the original DOJ document. Copyright © 2018 by The Employment Law Group, P.C.

Venue is an important consideration in all federal civil actions, but it’s uniquely important in qui tam lawsuits brought under the federal False Claims Act (FCA), where a whistleblower alleges that the government has been defrauded and sues on behalf of the United States. [2]

Why does venue matter so much for these lawsuits?

Qui tam complaints are filed under seal, and such filings generally trigger a secret investigation that’s directed by the USAO for the federal judicial district where the complaint was filed. [3] As a result, the local USAO has substantial sway over the fate of the complaint and, ultimately, over the size of the whistleblower’s reward, if any. (If a qui tam lawsuit ends in a recovery for taxpayers, the whistleblower is entitled to a share of the proceeds, with some caveats.) [4]

After the USAO investigates, it may opt to throw the government’s full weight behind the case, taking over prosecution (and much of the cost); or to allow the whistleblower, known as a “relator,” to proceed on its behalf while it watches from the sidelines; or to move to dismiss the case entirely, leaving the whistleblower high and dry.

The USAO’s decision will depend, in part, on several factors beyond the merits of the complaint, including the office’s workload, its comfort with certain types of FCA cases, and even its relationship with the law firm representing the relator. [5] Since qui tam cases typically are pursued on a contingency basis — making them expensive and risky for relator-side law firms — lawyers try to file FCA complaints in a federal district where venue is proper and where their client’s cause is most likely to be embraced.

Despite such considerations, many whistleblower law firms have an understanding of the national qui tam landscape that’s sketchy and anecdotal at best. They deal regularly with USAOs in the districts closest to their location(s), and in a few other districts where they’ve filed or defended important cases, and they may know some more districts by reputation — but there are still dozens of offices about which they know virtually nothing.

After all, there are more than 90 judicial districts nationwide.

In late 2017, seeking a fuller picture of the national scene, The Employment Law Group, P.C., filed a Freedom of Information Act request with the U.S. Department of Justice. We asked for district-by-district statistics on qui tam lawsuits brought over the past ten years, and were pleased to get a prompt response. Although these statistics are available within the DOJ, we don’t believe they’re typically shared with the public.

This paper will analyze the DOJ’s data in order to identify and rank hubs of qui tam activity — and to see what can be deduced from such rankings.

 

I.    RAW DISTRICT-BY-DISTRICT STATS

The most obvious lesson from our raw DOJ data is that qui tam lawsuits are heavily concentrated in a relative handful of federal districts. Over the past five years, the top 15 of 93 districts snagged about half of all such cases nationwide, with California, New York, and Florida each contributing two districts to the Top 15. (See Table 1.)

Table 1: Top 15 U.S. judicial districts by absolute qui tam lawsuit volume, FY2013–17

Perhaps surprisingly, the Middle District of Florida (M.D. Fla.) was the clear qui tam leader during this period, with 30% more filings than its closest rival — a contrast to the prior five-year stretch, when it was nip-and-tuck with the Central District of California (C.D. Cal.) and the District of Columbia (D.D.C.). Driven largely by the focus of now-departed U.S. Attorney Lee Bentley, M.D. Fla. also notched the largest absolute increase in qui tam lawsuits compared to the prior five years, followed closely by the Southern District of New York (S.D.N.Y.).

Other districts with fast-growing qui tam dockets included the District of Arizona (D. Ariz.), which almost tripled its filings compared to the prior five years, and the District of South Carolina (D.S.C.), which doubled its filings. (See Table 2.) Meanwhile, important districts going in the opposite direction included D.D.C., whose still-considerable qui tam filings dropped by 15%; the District of Massachusetts (D. Mass.), which fell by 14%; and the Southern District of Florida (S.D. Fla.), which fell by 13%.

Plenty of districts had virtually no qui tam activity at all: From FY2008 through FY2017, 12 districts saw an average of one or fewer cases per year, with the District of North Dakota (D.N.D.) having the smallest ten-year tally among the 50 states plus D.C. — just three qui tam lawsuits. The Northern District of West Virginia (N.D.W. Va.) had only four cases during the same decade, with just a solitary case filed in the five years ended in FY2017. (See Table 3 for data.) Seventeen additional districts had 20 or fewer qui tam cases in ten years; that’s two or fewer filings per year, on average.

Table 2: U.S. judicial districts with fastest growth in qui tam lawsuits, FY2013–17 v. FY2008–12; Table 3: U.S. judicial districts with lowest absolute qui tam lawsuit volume, FY2013–17

What these raw district-by-district statistics don’t tell us, however, is whether any particular district’s qui tam filing rate is high or low as compared to an average or “normal” level. How might we devise such a yardstick, which could help to identify areas where taxpayers may be defrauded with relative impunity — or to draw lessons from areas where prosecution is suitably vigorous?

Certainly we expect the absolute number of qui tam cases to be lower in, say, rural Wyoming than in a metropolitan area such as S.D.N.Y., which includes Manhattan. But what’s a proper level for each? As a prelude to addressing such questions, we first rolled the DOJ’s district-by-district stats up to the state level (including D.C.), since any non-judicial data that might help us to gauge qui tam levels isn’t easily tabulated by judicial district.

Predictably, the largest states bubbled to the top. The top ten qui tam states remained fairly consistent across our decade of statistics, as FCA filings rose in most places. California was a steady leader. Pennsylvania and Georgia gained in rank during the second five years, while D.C. and Massachusetts dropped over the same span — the latter being replaced by Ohio on the leaderboard. (See Table 4.)

Table 4: Top ten states by absolute qui tam lawsuit volume, FY2008–17

The states with lowest qui tam volume were largely as expected, too. Almost without exception each consisted of a single, low-volume judicial district, with North Dakota and Hawaii at the rear. The lowest-volume states with multiple judicial districts included West Virginia, Iowa, and Arkansas.

With the DOJ data in friendlier form, we considered how to move beyond raw statistics.

 

II.    TOWARD A YARDSTICK FOR QUI TAM LAWSUITS

To address the obvious: There’s no bulletproof way to estimate a “proper” level of qui tam lawsuits for any state — which anyhow should be framed as a forgiving range. Every FCA lawsuit is a highly individual, fact-dependent affair, and even the biggest states see only a few dozen of these filings each year. Annual fluctuations are natural and don’t demand explanation, while conclusions based on small numbers can be treacherous.

That said, qui tam law remains a rational exercise — in the aggregate and over the long run, at least — and should be amenable to rough modeling based on a full decade’s worth of national data. To guide our analysis, we relied on two rules of thumb that we believe ought to be valid:

  • All things being equal, a state that receives more federal spending — of all sorts, including social programs such as Medicare — should experience more fraud against that same spending, which should lead to more qui tam lawsuits; and
  • All things being equal, a more populous state should contain more whistleblowers who may witness frauds on the government, which should lead to more qui tam actions.

These correlations can be debated, are somewhat entangled, and don’t capture the entire picture. They certainly don’t add up to a mathematical formula. Still, they are measurable and each bespeaks a baseline potential for qui tam lawsuits. This led us to a couple of statistics for which we could calculate a nationwide level — benchmarks against which we might gauge state-by-state performance.

First, we calculated the number of qui tam cases filed per $100 billion in federal spending. The ten-year rate for 50 states plus D.C. is 21.5 cases, with a median of 17.7 cases. [6]

And second, we calculated the number of qui tam cases filed per 1 million state residents. The ten-year rate for 50 states plus D.C. is 19.4 cases, with a median of 15.7 cases. [7]

A state that measures significantly above the national rate on either statistic for a complete decade, we think, is a state where qui tam litigation has become a relatively effective tool for identifying fraud, at least compared to other states. (We’re agnostic on the “right” level for either statistic — although our experience as relator’s counsel tells us that even some of the highest-ranking states have room to grow.)

For a further comparison point, we calculated the number of qui tam cases filed per 1,000 resident lawyers. The ten-year rate for 50 states plus D.C. is 5.0 cases, with a median of 4.6 cases. [8] This is a different sort of benchmark, since the national rate likely indicates an equilibrium for qui tam caseloads. A state with a rate that’s significantly above this equilibrium — South Carolina triples the median rate, for example — is likely attracting a lot of qui tam filings from out-of-state attorneys and/or has an unusually active qui tam bar.

Since each of our statistics tells only part of the story, we combined them to triangulate the top qui tam states for the past ten years. If a state’s numbers were significantly above the norm [9] on both of our benchmarks for effective pursuit of fraud — filings per federal dollar and filings per capita — we called it a “hot state” for qui tam actions. If the state also showed a disproportionately high per-lawyer caseload, then we guessed that its status was driven, at least in part, by out-of-state law firms and/or local firms that attract out-of-state relators.

By the same token, if a state measured well below [10] its peers on both of our main stats, we would call it a “dormant state” — and we would be surprised to see much interest from out-of-state firms. Such dormant states, however, might harbor potential for future development.

Before we identified these hot states and dormant states, however, we looked at each of our statistics on a standalone basis.

For qui tam cases per federal dollar spent, we saw a clear outlier at each end of the scale. At the top end, Washington, D.C. obviously attracts qui tam lawsuits for reasons well beyond the raw federal money that’s spent in the district: At 86 cases per $100 billion in spending, its filing rate was more than double the nearest competitor, Nevada, and quadrupled the national rate. From Nevada downward there was a much smoother progression, indicating differences of degree rather than kind. (See Table 5.)

Table 5: States with most qui tam lawsuits per $100 billion in federal spending, FY2008–17

North Dakota was a similar outlier on the opposite end. At just 1 case per $100 billion in spending, its ten-year filing rate was less than a fifth of the next-lowest state, Hawaii, and less than a twentieth of the national rate. Comparisons are less reliable here, since numbers are minuscule, but the gap was striking. Meanwhile, number-two Hawaii’s rate was half that of Iowa, the next state — after which the differences became much less stark. (See Table 6.)

Table 6: States with fewest qui tam lawsuits per $100 billion in federal spending, FY2008–17

D.C. was even more of an outlier on per-capita filings, eclipsing the 50 states by more than an order of magnitude; clearly its outsize filing rate is mostly unconnected to resident whistleblowers. Setting aside D.C., per-capita filing rates peaked at around 50% above the national rate, in Massachusetts and Alabama, and declined smoothly from there. (See Table 7.)

Table 7: States with most qui tam lawsuits per 1 million residents, FY2008–17

Among states with low per-capita filing rates, meanwhile, North Dakota was again at the bottom, again followed by Hawaii. This time no state was a clear outlier. (See Table 8.)

Table 8: States with fewest qui tam lawsuits per 1 million residents, FY2008–17

When it came to high per-lawyer qui tam lawsuit rates, we saw some states that weren’t on any other lists — South Dakota, for instance. Such states still showed “underfiling” compared to their active peers, but may have piqued the interest of non-resident lawyers. (See Table 9.)

Table 9: States with most qui tam lawsuits per 1,000 resident lawyers, FY2008–17

Finally, the states with lowest per-lawyer filing rates were mostly a familiar bunch — but surprisingly included New York, which was on the top lists for our other measures. The simplest explanation here is that New York has the country’s largest population of lawyers and is, at least with regard to its sizable docket of qui tam cases, overlawyered. (See Table 10.)

Table 10: States with fewest qui tam lawsuits per 1,000 resident lawyers, FY2008–17

Our individual components now in hand, we proceeded to combine them.

 

III.    OUR RANKING OF HOT, DORMANT, AND TRENDING STATES

To recap, our working definition of a “hot state” is a state that, over the past decade, substantially outran its peers in qui tam lawsuits per federal dollar and in qui tam lawsuits per capita. Only four states, along with D.C., met this standard.

Putting our hot states in rank order isn’t an exact science — except for giving D.C. the number-one spot, a no-brainer because of its outlier status. We settled on calculating the average percentage by which each state outpaced the national rate on both of our measures, which gave us New York as a runner-up and Massachusetts in bronze position. (See Table 11.)

Similarly, a “dormant state” is a state that substantially underperformed its peers on both measures during the same period. We found ten such states, with North Dakota as the laggard. We ranked these in the same way as hot states — although it’s worth repeating that our scrutiny of low performers may be unreliable, given the low numbers. (See Table 12.)

Table 11: Hot states for qui tam lawsuits, FY2008–17; Table 12: Dormant states for qui tam lawsuits, FY2008–17

We also thought it worthwhile to identify “trending” states that didn’t yet qualify as hot states but that still ranked well above their peers for either filings per federal dollar or filings per capita — indicating healthy qui tam activity — and also showed themselves to be attracting national attention via a high per-lawyer caseload. All things being equal, we believe, qui tam rates in these states should continue to grow until they approach the levels of a mature hot state such as New York.

We found six such trending states — to which we added Tennessee, which also met our “trending” standard even after hitting hot status. To rank our trending states, we took the average outperformance statistic we had used for hot states and combined it with the percentage by which these up-and-comers outperformed in per-lawyer filings. The average of these two numbers is a reasonable proxy for qui tam filing momentum over the past decade, we believe. The resulting number-one rank for South Carolina was no surprise, given the efforts of former U.S. Attorney Bill Nettles to evangelize his district as a mecca for qui tam filers. (See Table 13.)

Table 13: Trending states for qui tam lawsuits, FY2008–17

The opposite of qui tam momentum is inertia: A filing rate that’s already low and shows no sign of attracting new lawyer interest. Of our ten dormant states in Table 12, above, the first six — from North Dakota through New Hampshire — also had per-lawyer caseloads that were well below average. Without a shove, perhaps from new U.S. Attorneys, we think they’re unlikely to grow much in the short run. The same is true for states such as Connecticut, which ranks low on just one of our core measures (filings per federal dollar) but also has a per-lawyer caseload that’s half the national rate. We didn’t tabulate such non-trending locales, since they didn’t add much to our understanding.

So what lessons may we draw from our state rankings?

For one thing, a state’s raw volume of qui tam lawsuits may be important — a high rate means, for instance, that local USAOs must be intimate with the False Claims Act — but it doesn’t necessarily translate to vigorous prosecutorial interest. Several states with high qui tam volume failed to rank as hot states or as trending states, according to our measures: California, Texas, and Illinois, for instance, clearly could be busier.

For another, the mere existence of one or more Affirmative Civil Enforcement (ACE) units — USAO resources that are dedicated to pursuing qui tam and other affirmative cases — doesn’t guarantee that a state will have a vigorous qui tam regime. USAOs in several dormant states, including North Dakota, Oregon, and Maine, boast an ACE unit. [11]

One factor that’s likely holding back some of these dormant states: Unless an FCA defendant is based there, it may be a stretch to establish legal venue in states that are far-flung, like Hawaii, and/or sparsely populated, like North Dakota and Maine. Another factor, even if venue could be proper and a friendly ACE unit beckons: National-level qui tam firms are less likely to have established relationships with local counsel in such states. Neither of these factors is fatal, however — Utah was a “trending” state, for instance — and neither explains the dormancy of a state such as North Carolina.

Looking at all of our rankings, we concluded that the best correlator of a healthy qui tam action rate is a U.S. Attorney who sells his or her district as a welcoming venue for relators and their cases — ideally in an easily accessible state. Exhibit #1 is Lee Bentley, previously mentioned as the former U.S. Attorney for M.D. Fla., the leading judicial district for qui tam lawsuits from FY2013–17. Mr. Bentley is perhaps the single largest reason for Florida’s status as a trending qui tam venue, which he sealed by attending numerous qui tam conferences and promising strong investigative support and a generous relator’s share to successful whistleblowers.

Similar stories can be told about Bill Nettles in South Carolina; Preet Bharara in S.D.N.Y., whose district drove statewide qui tam increases; Daniel Bogden in Nevada; Paul Fishman in New Jersey; and others. The impact of activist U.S. Attorneys over the past decade is made plain by the DOJ’s year-by-year filing statistics.

In a few cases, a state’s ten-year ranking was earned over a shorter interim period — but again, such spikes aligned with concerted pushes by individual U.S. Attorneys. In Tennessee, for instance, qui tam cases surged in FY2011–13, matching the tenure of Jerry Martin in the state’s Middle District. Cases in Utah peaked similarly during the stint of David Barlow, who left office in 2015.

Even where a long-serving U.S. Attorney oversaw both increases and declines in qui tam filings, there’s usually a ready explanation. In Massachusetts, for instance, filings rose sharply after the arrival of Carmen Ortiz — but then dropped again after FY2013. As many practitioners know, this coincided with a tactical switch by Ms. Ortiz’s office to focus its assistance on qui tam cases with larger dollar values.

Still other states have remained steadily busy under a succession of qui tam-friendly U.S. Attorneys. Alabama’s status as a “trending” state, for example, was built mostly in its Northern District, where the proactivity of Alice Martin — an appointee of George W. Bush — was followed by Obama appointee Joyce White Vance, with continuity into the tenure of Jay Town ensured by ACE Coordinator Don Long.

Another factor that’s notable in Alabama: The presence of Beasley Allen, a national-scale qui tam law firm in a relatively small state. There’s a similar dynamic in Georgia, where several notable qui tam firms are based in Atlanta, including Wilbanks & Gouinlock.

Finally there’s the special case of the District of Columbia, the locale with the highest qui tam lawsuit rates by far. The USAO in D.D.C. is sui generis, heavily staffed and deeply connected with many federal agencies for which it investigates non-qui tam FCA actions. As such it’s the obvious choice for a large number of qui tam lawsuits, too, especially in areas such as procurement fraud, a practice area that involves federal dollars from areas far beyond D.C.’s borders. The office has developed a special relationship with the General Services Administration, which builds and manages federal facilities nationwide.

Another factor: D.C. has a truly extraordinary concentration of lawyers, and is home to many national-level qui tam firms. That’s why, despite its sky-high filing rates, D.C. is only average in its per-lawyer caseload.

 

IV.    FINAL THOUGHTS — AND AN INVITATION

While we hope our peers find it engaging, this brief analysis of qui tam lawsuit rates surely omits some important factors. What’s more, its backward-looking characterizations may limit its predictive value: With the Trump administration’s purge of U.S. Attorneys in 2017, a new crop of prosecutors is reviewing each district’s posture toward qui tam relators — and as we have seen, filing rates are heavily swayed by such personality-driven decisions.

Changes in DOJ policy and in qui tam case law, too, loom large. In 2018, the ground on which qui tam lawyers stand is mushier than it was five years ago, when annual filings peaked at more than 750 nationwide. We expect that many new U.S. Attorneys will promote a “retreat to quality” — fewer, stronger qui tam cases, even in districts that previously cast a wider net.

Nonetheless, we are believers in momentum: Our “hot” and “trending” states will continue to lead the way for years, we think, regardless of regime. And a meritorious qui tam complaint will be embraced by any U.S. Attorney in the land, as always.

What do you think? Would you like to dig further into the DOJ’s per-district statistics for the past decade — to draw your own conclusions, to look more closely at districts we have (or have not) mentioned here, or just to check our math?

We invite you to do so. We’ve put the data in an Excel spreadsheet here.

In the meantime, if you have corrections or other feedback on this paper, please e-mail me at soswald@employmentlawgroup.com.

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My thanks to Laurence Hooper and Ashleigh College Callaway for their help with this project.

FOOTNOTES

 

[1] Managing Principal of The Employment Law Group, P.C. Mr. Oswald is a whistleblower attorney who serves as vice chair of the Qui Tam Section of the Federal Bar Association.

[2] Qui tam actions under the FCA are governed by 31 U.S.C. § 3730.

[3] In some larger cases, the investigation may be directed from “main Justice,” the DOJ headquarters in Washington, D.C. For such cases the role of the local USAO is diminished but usually not eliminated.

[4] See 31 U.S.C. § 3730(d).

[5] At the Federal Bar Association’s recent Qui Tam 2018 conference, for example, several Assistant U.S. Attorneys said they give added credence to claims filed by law firms with whom their USAOs have had previous success.

[6] Official year-by-year federal spending numbers are available at USASpending.gov. For this project we took the ten-year spending total for each state, measured from FY2008–17, and compared it to the ten-year total of qui tam lawsuits for that state. We used $100 billion as our denominator so that the resulting ratios would be rendered as 1.0 or better, making them easy to compare at a glance. (We made similar choices for our other denominators in this project — 1 million residents and 1,000 lawyers.) The median rate, as for our other statistics, is the rate for the 26th-ranked state out of 51 (50 + D.C.), here Rhode Island.

[7] Official year-by-year population estimates are available at Census.gov. For this project we took the average population for each state for the eight years from July 1, 2010, through July 1, 2017 — the period since the last national census — and compared it to the ten-year total of qui tam lawsuits for that state.

[8] The American Bar Association produces year-by-year estimates of resident lawyer populations, which it makes available at AmericanBar.org. For this project we took the average of the 2008 and 2017 estimates for each state and compared it to the ten-year total of qui tam lawsuits for that state.

[9] We defined this as at least 25% above the national rate and at least 25% above the rate of the median state.

[10] At least 25% below the national rate and at least 25% below the rate of the median state.

[11] As far as we know, there’s no publicly available listing of ACE units and their current/historical staffing levels by federal judicial district. Our firm compiled some data for this project via Web research and phone outreach, but nothing that was complete and reliable. A FOIA request is a logical next step.

Ambulance firm, PRMC under federal Medicare fraud investigation

Federal authorities are investigating whether a private ambulance company, with Peninsula Regional Medical Center’s cooperation, knowingly overbilled Medicare on thousands of nonemergency trips.

The probe stems from a whistleblower’s lawsuit alleging that Hart to Heart Transportation Services falsified Medicare claims to make the case that ambulances were necessary to ferry newly-discharged hospital patients.

Dollar amounts of fraudulent claims filed by Hart to Heart were likely “in the millions,” court documents say.

“It’s a big deal in the state of Maryland, and a huge deal in the region in which they operate because they’re one of the biggest (ambulance) operators,” said David Scher, the Washington-based attorney who filed the federal suit on behalf of former Hart to Heart driver Bryan Arvey of Salisbury. “People in this region should be concerned.”

The lawsuit claims it all began with a bedside ruse.

If patients could sit comfortably or walk — abilities that would likely disqualify Medicare reimbursement — Hart to Heart paramedics often would ask hospital staff to have them lie down in bed, the lawsuit contends. The paramedics would then strap the patient to a stretcher, potentially foisting unnecessary stress onto the patients, Scher said.

» View full story on Delmarva Now (Daily Times Web site)

 

[ADDITIONAL COVERAGE]

Medicare Fraud Lawsuit Names Private Ambulance Company & PRMC

From WBOC-TV, Salisbury, Md. (Feb. 22, 2018)

BALTIMORE — Federal authorities are investigating claims a private ambulance company committed Medicare fraud with the participation of Peninsula Regional Medical Center in Salisbury.

A lawsuit filed in federal court outlines an alleged scheme to rake in tens of millions of dollars by over-billing Medicare on tens of thousands of non-emergency trips. The plaintiffs include the United States of America and [Bryan] Arvey, a whistleblower who was formerly employed by the company at the center of the lawsuit, Hart to Heart Transportation Services Inc.

Arvey alleges Hart to Heart Transportation Services, or HHTS, required him and other drivers or EMTs to falsify their reports and use inaccurate billing codes to reflect that ambulance transport was necessary even when it wasn’t.

According to the lawsuit, PRMC staff “acquiesced in and facilitated the false narratives by placing patients who were not bedridden in their beds on the instruction of Hart to Heart, so that EMTs could justify transporting them by stretcher.”

The defendants named are HHTS, EMS Billing Solutions Inc, PRMC, & John, Terry and Richard Skidmore, who operate HHTS. The lawsuit states the Skidmores submitted false Medicare claims when they billed Medicare for ambulance transportation that they knew was not medically necessary.

» View full story and video on WBOC.com

 

Hart To Heart Lawsuit Alleges Medicare Fraud

From Patch.com (Feb. 23, 2018)

BALTIMORE, MD — A former employee of Forest Hill-based Hart to Heart Transportation Services has filed a lawsuit alleging the company committed Medicare fraud by billing for millions of dollars for trips that were not medically necessary. The lawsuit was filed in 2013, unsealed in 2015, stayed in 2017 and is set to go to trial this spring, according to court filings.

Heart to Heart owners John and Terry Skidmore are accused of submitting false claims to Medicare saying ambulance transport was required when it was not. Vice President Richard Skidmore allegedly directed employees to create false records and threatened to suspend or terminate those who would not go along with the plan.

» View full story on Patch.com

Whistleblowing, Leaking, and Employment Discrimination

(Transcribed and edited for readability by The Employment Law Group)

Michael Baranowski (host): Welcome to The Politics Guys. I’m Michael Baranowski, a political scientist at Northern Kentucky University. My guest today is attorney Scott Oswald, managing principal at The Employment Law Group.

[Scott] has extensive experience with whistleblower, employment discrimination, and wrongful termination cases; he regularly lectures on employment and whistleblower law; and he’s authored numerous articles on federal and state whistleblower and employment law protections.

Welcome to the show, Scott.

R. Scott Oswald: Hey, I’m happy to be here, Michael. Thanks for having me.

Baranowski: You know, to start with I was hoping you could maybe clear up some terminology for me. I hear the terms ‘whistleblower’ and ‘leaker’ a lot and I’m wondering if you could explain what exactly they mean.

Oswald: Yeah I completely get it, I mean you hear it a lot out there, [they’re] almost interchangeable in the media. But they really do have distinct definitions, both under the law in particular and really in how [they’re] used in the federal sector.

So let’s look at it, I mean — a whistleblower really is somebody who is disclosing information that ultimately is for the public good. The purpose behind the disclosure generally is to get the information to people, who — maybe it’s an organization, maybe it’s government agencies — actually can do something about it.

The nature of the disclosure itself, the extent of the disclosure is just enough to do that, to meet that purpose so [that] we’re not, for instance, just disclosing information indiscriminately. And really the person is using an established mechanism. So a mechanism that either is provided for by law, or provided for by the [whistleblower’s] organization with the expectation then that the organization itself will do the right thing and, in fact, investigate.

And what the law then requires organizations to do is actually to do something with that information. Assuming a whistleblower does her part and actually discloses using that established mechanism, then there are rules out there for publicly traded corporations and the federal sector space as it relates to, for instance, sexual misconduct, that requires an organization then to investigate and then promptly do something about the underlying allegations.

Leaking is very different.

Leaking is where maybe an individual is providing the information for reasons apart from … the public good, as an example. Indiscriminately disclosing information, for instance to WikiLeaks, where there might be another alternative that is provided for by law. And where the individual is not careful in terms of what they’re disclosing: For instance, classified information would potentially put us into the realm of being a leaker as opposed to someone who is in fact a whistleblower.

So a whistleblower is someone who is doing the right thing; following the established mechanism; and … disclosing only what is necessary in order to potentially correct the harm or the illegality.

Baranowski: Right so it sounds like established mechanism is a really important part of that, if I’m understanding you correctly then.

Oswald: It really is and, you know, there are rules. For instance, the Securities and Exchange Commission has rules that require certain types of whistleblowers — attorneys, accountants, people who are in let’s say the audit function — to actually use [internal company mechanisms] first, before they go outside [their own] organization. And that’s a requirement of those rules.

And the Department of Justice, when evaluating whistleblowers, for instance, in the space that deals with public monies, will give additional credit to individuals who have disclosed in their corporations internally first, as an example.

So identifying the appropriate mechanism for whistleblowers is important and if they follow that mechanism then they’re going to be on really firm, firm ground.

Baranowski: So then, by that sort of definition, Edward Snowden, Chelsea Manning, they would not be whistleblowers — but I guess you would call them leakers, right?

Oswald: You know I’ll tell you, that … that’s a tough — certainly as it relates to Edward Snowden, I think it’s a tough call. I mean we have a judge that has come out, a very conservative judge, in our federal district court here that has said that what Edward Snowden disclosed was illegal behavior on the part of the federal government. That’s the classic type of information that, if disclosed by an individual, would bring them well within the realm of being a whistleblower. So from that perspective, you know, I think that that very much inures to his benefit.

The problem I think with Edward Snowden — and certainly it’s the issue with Chelsea Manning … is the extent to which information was disclosed. I mean with Edward Snowden’s case, as an example, the fact that we were monitoring the communications of foreign leaders: That’s not illegal, and certainly was classified, and so the fact that he disclosed that information along with what turns out to have been illegal is kind of a strike against him, if you will.

So I think both of those are tough calls. … It’s a fact that they indiscriminately disclosed information rather than disclosing information in a targeted way and only enough to expose the illegality.

Baranowski: So it sounds like that’s, that gets into a really sort of tricky part when you’re talking about classified information. Any sort of release of [that] of course would, I guess, by definition be illegal? And so if the classified activity also happens to be itself illegal it’s kind of a — it puts a person into a difficult position.

Oswald: It really does. And you can imagine someone in that situation even saying, ‘Look, I mean I don’t even think that this should be classified information. And how can a government agency’s illegal conduct be classified?’

I think those are really good points, and that’s the conundrum that someone who is in the classified space is in. So, you know, what do you do? I mean if you’re a — [if] you have a security clearance, you have access to classified information, [and] you know that what you’ve discovered in fact would constitute illegal behavior that ought to be exposed?

Well, there are some mechanisms that an individual has — some options [whistleblowers] have in that situation.

The first [option] is a disclosure to the Inspector General within the [appropriate government] agency. The Inspector General Act of 1978 requires [federal] agencies to create separate functions within [each] agency: The Inspector Generals, whose responsibility is rooting out corruption and illegality in those agencies, so that’s a really good first place to start. And the law provides protections for individuals who use that route. So that’s a really good place to begin.

The second possibility is to disclose to Congress. So you know we have a different branch of government here. There is a mechanism by which one can disclose information that is classified to a congressional committee that has the responsibility for the oversight for that area and those — the individuals on that committee — are themselves … clear[ed] to view that information. It has to be carefully done; there are some prerequisites that a whistleblower would have to meet. But that’s a possibility.

And the final possibility is to actually notify the third branch of government, the judiciary, and to file a complaint under seal with a federal district judge to notify [the] judge that, in fact, illegality has occurred. The mechanism — or one of the mechanisms — to do that is a statute called the False Claims Act, which was passed in the wake of the Civil War by — championed by President Lincoln in 1863. …

Baranowski: Do you think that employees of the federal government, or of state governments I guess, are aware of these options? I’m thinking again, you know, in terms of someone like an Edward Snowden. Would he, you think, have been aware of these options that would have put him in I guess a lot better position legally than the route that he chose to take?

Oswald: You know I suspect that a lot don’t, and this is a fault of both our contracting system and those arms within agencies that are responsible for disseminating information about these various options to employees.

So you know one of the things that is required of contractors, when they contract with the federal government, is that they’re required to disseminate, to their employees, information about disclosure of potential illegality that they may … come upon — and the option in particular to go to the Inspector General with that information.

Unfortunately, you know what we see is that many of these contractors don’t conduct that training. They just simply don’t do what they’re required to do under the law to notify employees of the routes that those employees have. And so it is far too infrequent that we see agencies either requiring these contractors to conduct the training or that the contractors are actually doing it when they win these awards and they come in to take over that business.

Baranowski: You mentioned that there’s an obligation for the organization to consider and act on these claims but I’m wondering, what about the whistleblower him- or herself? What sort of protections do people who come forward and use the correct mechanism have?

Oswald: There are a number of different statutes that do protect employees in these situations. An important one is the statute that protects individuals who disclose fraud on the government, and this is — this emanates from the False Claims Act, the one we just talked about earlier. It prohibits an employer from retaliating against an employee because that employee has used the employer’s stated mechanism to disclose a potential fraud on the United States government — billing fraud, as an example, or healthcare fraud, mortgage fraud, these kinds of things. To the extent that an employee in the private sector is aware of and discloses the information, she can be protected under those circumstances.

Federal government contractors have even broader protections in the workplace to the extent that they disclose illegality or a workplace-rule violation that relates to that contract, and they do so either internally or to the federal government, they’ll be protected from any kind of harm that an employer might beat out.

So there are statutes that are out there. And what we see at The Employment Law Group on a routine basis is the fact that employees know about wrongdoing [but] they just don’t know what the established mechanism is within their company. They don’t know that there are protections that apply.

One of the first things that we do is, we counsel employees to get a copy of their handbook — let’s say their employee manual or their internal ethics guide — and most of those manuals or ethics guides will [list] in there a point of contact, someone that you can go to and disclose information that you believe there might be illegality afoot.

And what we recommend is that the employee do so in writing. A lot of employees say, ‘Look, I don’t want to go out on a limb that way, it would be — there’d be a record of my disclosure.’ But it’s exactly because there is a record of the disclosure that we recommend it. Then the organization really is compelled to look into it, to investigate. There’s no question what the employee in fact disclosed to the organization, and when the employee disclosed the information.

So at The Employment Law Group we’re always counseling employees to give their employers a chance to do the right thing at the outset. Because there really are organizations that will do the right thing, that have an interest in stamping out illegality in the workplace. They just don’t know about it, and they need to know about it.

But it is also that internal disclosure — and doing so consistent with the employer’s stated mechanism for disclosure — that is going to trigger the organization’s obligations to do something and … cloak that employee in the protections of the statutes that we just talked about.

Baranowski: Yeah, now what about at the state level? Do most states have fairly similar protections for whistleblowers, or are there pretty big differences?

Oswald: There really are big differences. Some states have broad protections, like New Jersey as an example, which probably has the nation’s broadest whistleblower protections for employees of private companies. Other states have protections that are very broad for public employees, those who work for the government or maybe work for a contractor of the government. Still others have very minimal protections. Georgia is a really good example; New York is another good example of that.

So it really is going to depend upon the state in which the employee works, or where the employer is located, the extent to which those protections apply. It’s always a good thing under the circumstances to get in touch with a lawyer to ask questions about, ‘Hey, you know, what are those protections? What do I need to say in my disclosure in order to trigger the particular protections that state law might provide under the circumstances? And where [should I] disclose?’

Because, for instance, an employee who works in Georgia but discloses to their corporate headquarters in New Jersey might in fact be protected by New Jersey’s law, so long as that employee makes the disclosure — in essence, sends the e-mail to the right place.

Baranowski: Given that there are a lot of differences at the state level, I want to just focus on the federal level for one final question before we move on. Are current whistleblower protections, in your view, at the federal level pretty good? Or are there certain changes that you think would improve the situation?

Oswald: Well that’s a really good question. In part the Supreme Court is going to answer that question later this term. It heard oral arguments in a case where corporate America is arguing that the Dodd-Frank Act’s whistleblower protections do not apply to an individual who discloses internally — that it’s only an external disclosure to the Securities and Exchange Commission that will protect that employee in the workplace. …

If the Supreme Court, as is likely, comes down in favor of an interpretation of the statute where employees are not protected, maybe the most important thing to know is that the [other] protections that are out there require employees to act quickly.

The Department of Labor’s Office of Safety and Health Administration administers a whole host of statutes, more than 20, that protect individuals who work for publicly traded corporations, who work in the nuclear field, in surface transportation, airlines, just to name a few. Some of these statutes have very short deadlines, some as little as 30 days.

An employee, in order to protect himself fully, will need to notify the Department of Labor within that very short period of time in order to take advantage of those protections. So it’s really important to talk to a lawyer early so that you know what protections are out there. …

Baranowski: I’d like to move on now to another area that I’d really like to talk with you about, another area of expertise for you, and that’s employment discrimination and wrongful termination. First off, how big of a problem is this, in your view?

Oswald: I think it’s an endemic problem, and we’re really seeing some … not-so-implicit bias coming to the surface over the course of the last year. Illegal discrimination in the workplace is alive and well, unfortunately, and it manifests itself in many different ways.

There’s a real pay disparity between men and women in the workplace. That’s not new, but maybe the extent to which it’s out there, I think, is coming into sharp focus. We also see, still, vestiges of race discrimination, national origin discrimination on a routine basis. And what’s interesting is where … certain supervisors who maybe harbored these biases were nuanced in their approach until the last year, what we see now is people coming forward and [expressing bias] in a much more open way.

We’re also seeing a backlash of political discrimination — of views individuals might have on both sides that are getting them into real hot water in the workplace. … I think that’s [also] much more in the open today than it was before. For civil rights lawyers like myself, it’s a real challenge because what we have to do is not only uncover it, but then prosecute these actions against these companies that, in many instances, don’t want to do anything about it.

So it’s a real challenge, for sure.

Baranowski: How difficult is that to demonstrate? I would think in a lot of cases it would come down to he-said-she-said situations — or employers could find plausible reasons for why they didn’t promote somebody or give someone a raise, that sort of thing, because so much of this seems to be very subjective. So how does that work exactly?

Oswald: Yeah, it’s a really good question. Well, the way it works legally may be a little bit different than how it works in practice before a jury, so maybe just a quick distinction.

The law provides for two ways to show discrimination in the workplace. The first is the kind of discrimination that is out there in the open: Where someone says, ‘Look, I’m not giving you the raise because you’re female,’ or ‘I just don’t like you because of your race or your national origin.’

Those kinds of situations we’re seeing more of over the last year, but they’re still certainly a minority. I mean, most supervisors are — you know, they’re more careful and nuanced … about what their true intentions are. It’s those cases, where someone isn’t saying this kind of thing, that [are] harder to prove. So what we’re looking at is what the law calls circumstantial evidence.

We put people to death in this country on circumstantial evidence. So the law does embrace circumstantial evidence. It’s just as powerful as direct evidence of discrimination, but it’s harder to root out, it’s harder to show. Generally what we’re doing is we’re showing that an employer has treated a certain class of individuals very differently than other classes — or that they, you know, violated their own internal protocols, their own internal rules in discipline or in promotion opportunities.

When we can show these kinds of things to a jury and we can show that it really goes beyond simply one case [and] there’s a larger problem afoot within an organization, juries are more apt to act in those situations than in a one-off case. So what we’re looking to do is to show that there’s a larger problem within the organization that a jury has to address.

Baranowski: Now, one thing I hear from some people is, ‘Well, geez, I’m all for you know, not having overt discrimination — and of course I’d never do that. But I feel like things have gotten to the point when I can’t make an innocent remark. I have walk on egg shells around anyone who is of a different gender or of a different race.’

They feel that, it seems to me, that things have gone too far the other way. How do you respond to that sort of comment or concern?

Oswald: Well, you know, I completely get it. And we’re hearing a lot of that in the wake of some of the high-profile instances that we’re seeing in the media today.

One thing I want to point out is that the allegations against some of the individuals that we’ve heard about are certainly not in this [egg shells] category. You know, the fact that people are using their power in order to, for instance, compel women to engage in sexual acts or other kinds of behavior — that is completely beyond the pale. That’s really what we’re seeing right now in the news, and there just is no excuse for any of that under any circumstance.

What you’re really referring to is a situation where someone might make a one-off comment in the workplace. The thing to know is that the law does not necessarily require an individual be disciplined for the one-off comment. Generally what’s unlawful, and therefore what a corporation must act upon, is a pattern of behavior on the part of somebody. So you’re making comments on a routine basis, as an example. But even the one-off comment, if severe enough, can be enough to get you fired — and rightly so. I mean, certain words are inappropriate … in any context, including the workspace.

My advice to individual employees is simply not to say in the workspace what you wouldn’t say to your nine-year old daughter, quite frankly. If that’s something that you wouldn’t repeat in your own house, then don’t bring it in the workspace. I mean, that’s a pretty clear rule that all of us should follow.

My sense is that employers have an obligation to create a safe and healthful workspace for all of us. This is the space where we’re all thrown together — different backgrounds, different ages, different perspectives — and we have to be sensitive to the point of view of others in the workspace.

Employers really walk a tightrope to ensure that that’s the case, so we just need to check our biases at the door to the extent that we can.

Baranowski: Yes, absolutely. You know the U.S. Equal Employment Opportunity Commission, that’s the agency responsible for enforcing federal anti-discrimination laws — I’m wondering if you’ve noticed any differences in approach, aggressiveness, or I guess really anything else between the Trump and Obama EEOC?

Oswald: Well there sure has been, for sure.

First off, I think what’s important to know is that we’re seeing an uptick in certain kinds of discrimination [being brought to] the EEOC. For example, we’ve seen a real uptick in claims of age discrimination in the workplace and I think that this a product of two things.

The first is that we’ve got people that are having to stay in the workforce much longer than they otherwise would, [in anticipation of] the shredding of the safety net that may be coming in Congress, as an example. This has a real impact on real human beings and if that’s allowed to occur and, you know, we see a change in Medicare and Social Security, as an example, it’s just going to accelerate this process and people are going to have remain in the workplace longer and longer in order to support themselves and their families. So I think that age discrimination claims are going to increase maybe quite a bit over the course of the next five to ten years.

We also see an uptick in retaliation claims before the EEOC, where individuals are coming forward in good faith [with internal complaints to their employers] and they’re experiencing retaliation. And I think most of the time this is happening because companies don’t have vigorous anti-retaliation policies in place — or if they do, they don’t train upon them. …

With the EEOC, I think the change will be that the EEOC is simply not going to prosecute the number of cases that it did during the Obama administration. The EEOC during the Obama administration was very willing to prosecute individual cases that they felt were meritorious and that’s a real investment of time and resources. …

[But] even under the Obama administration, the EEOC’s budget remained mostly static. I think what we’ll see in the [Trump] era of the EEOC is a lot less prosecutions and a lot more of what they will call ‘voluntary compliance’ with employers.

The reality is, though, that there simply is a sector of corporate America that will not comply with our EEO laws unless they’re forced to. And so this change in approach will have a real impact, especially on companies that are not in the top tier [and] don’t have … anti-discrimination policies and human resource organizations that are dedicated to eradicating discrimination in the workplace. …

Baranowski: One final question for you. Are there any changes — whether legislative or in terms of enforcement — that you think would improve on the current state of things in employment law/anti-discrimination?

Oswald: If the Supreme Court comes down the way we think it will under the Dodd-Frank Act, and finds that internal disclosures do not trigger the protections of that important law, I think that would be a change that Congress can make, for sure, to protect individuals who disclose potential illegality within publicly traded corporations.

Another change that has been out there, but has not yet been enacted, would be a whistleblower provision that would protect individuals who disclose tax wrongdoing — for instance, tax evasion or potential violations of other tax laws. There is not currently a statute to protect individuals who disclose that information within corporate America, so protections for tax whistleblowers would be an important change as well.

And you know, given the fact that the Internal Revenue Service has a decreasing budget and fewer resources to enforce our tax laws, a change in the False Claims Act, which right now excludes tax whistleblowing from its provisions.

The reality is that there are literally billions and billions of dollars that are being improperly withheld from the federal government that should be paid as part of corporate America, or in individual taxes, that are escaping detection right now. If the False Claims Act were changed to include this kind of tax evasion, that would potentially make a huge dent in that area as well.

So these are changes that Congress could enact almost immediately to protect the federal fisc and to protect shareholders who are investing in corporate America from being fleeced.

Baranowski: That sounds like some reasonable changes to me. So with that we will close. Scott Oswald, thank you so much for taking the time to talk with me today.

Oswald: Hey, you are welcome. It is my pleasure and I look forward to being with you again.

Baranowski: That’s it for this Politics Guys interview. Thanks for listening — we hope you like what you heard.

When Is Sexual Harassment a Crime?

(Transcribed and edited for readability by The Employment Law Group)

David Pakman (host): I’m joined today by attorney Scott Oswald, who represents employees, has litigated nearly 50 trials to verdict — and we’re going to be talking today about some different elements related to the recent string of sexual harassment and sexual assault allegations that we’ve seen. So first, speaking very generally, Scott — and it’s really great to have you …

R. Scott Oswald: Thanks for having me.

Pakman: … when we talk very generally about the term “sexual harassment” or “sexual assault,” not everything that falls under that umbrella is necessarily criminal. Is that right?

Oswald: Yeah that’s exactly right. I mean, any kind of offensive touching most certainly would be, in most jurisdictions. But you know, the kinds of things that we see in the workplace all the time — things like boorish behavior, jokes that are sexually tinged — can [also] be a violation of our employment laws and certainly, for employers, create real problems, potentially, when unchecked.

Pakman: So when we talk about what is potentially criminal and what is not, and how employees who — at least in the work place — are being targeted or victims of this type of behavior or actions, what’s important for employees to know? When potentially am I supposed to be talking to the police, and when are these [better treated as] human resource matters that need to be dealt with?

Oswald: Yeah, I think if we want to draw a bright line — and it’s not always easy to do so — I think we certainly can start with touching. Any time there is physical touching that is offensive, and certainly if it [comes] with some kind of sexual proposition, that is out of bounds. And in most cases, if it is unwanted, that may be something that would require outside examination, including potentially a criminal charge.

I think we can use our common sense, too. Anything where there is a sexual assault, as an example, that certainly would warrant potential … law enforcement involvement. [For] other kinds of things in the workplace, it’s always a good idea to notify the company — because the company has an obligation, David, to actually create a safe and healthful workplace. And if they don’t do so, that company can be liable.

So it’s always a good thing to notify the company right away if you think that something has happened in the workplace that you think just isn’t quite right.

Pakman: Can you talk a little bit about how power dynamics influence how a lot of these incidents are dealt with by employers? Because we can all imagine a situation where, if there is a C-level executive, for example, or someone that is above human resources in the organizational chart, who is maybe engaging in some of this behavior, we can all imagine [that] going to human resources is not necessarily going to be an experience where human resources will be an unbiased arbiter of what took place, if they also are subject to those exact same power dynamics. So can you address how that might be managed in some way?

Oswald: Well, first off, to begin with, that’s a bad system. And anytime human resources is reporting into a person, or persons, that they then have to investigate — I mean, that’s just a recipe for impotence.

Societies like the Society for Human Resource Management, [or] other employer organizations, [recommend] systems … where you can report, for instance, outside human resources [channels] or maybe anonymously to the board [of directors] when you feel as if human resources is influenced inappropriately by someone above them that might be involved in the harassment.

But I think generally that the first place to go is human resources — and the reason I say that, David, is that the law says that. Our Supreme Court has said that. When an employee notifies his or her human resources department, and does so promptly, and does so in a specific way, the law then will protect them.

The key, though, is to make sure people in the company are aware of what’s going on, and doing so as soon as you possibly can.

Pakman: We know from experience that there is a degree of stigma in society about coming forward and saying I was a victim of X, Y, or Z. Can you talk a little bit about, from a legal standpoint, how statutes of limitations can actually create an issue when there is a delay in coming forward? But also about ways in which it doesn’t matter, in which claims are just as valid later [as] they would be immediately after an alleged incident.

Oswald:You know, I think that’s really important because there is this stigma … out there — this sense that, if I’m coming forward, I necessarily am a victim, I’m the one who should be blamed.

And I think it should be just the opposite.

The reality is that, in the employment space in particular, we all ought to be on equal footing and certainly we all ought to expect from our employers that [they’re] going to create that safe space for us. I mean, the law requires that. And so there is nothing wrong about coming forward and I think it’s an employer’s obligation to make that very clear to its employees.

So how does an employer do that? I think the best way is really in training.

The employers that routinely train their employees — and I’m not talking about just some sort of online module where you go and you check some boxes, but real training where you bring employees in and you explain to them the importance of coming forward and notifying the company so the company can do something about bad actors and create that safe space — [those employers can] make it very clear to employees that the company will take any complaint seriously; will move quickly to investigate; will take prompt corrective action; [and] will potentially remove that employee that’s been a sexual harasser, as an example, from the workspace.

So it really is the company’s obligation to remove that stigma — to make employees feel as if, if they come forward, they’re going to be lauded, and they’re going to be listened to, and not retaliated against.

Pakman: So that certainly tells us about how the employer can manage circumstances when there have been allegations which create an environment where people are comfortable coming forward and saying, “Hey, here’s what happened.”

I got a call from one of our viewers last week saying something along the lines of: “Hey, how can employers prevent sexual harassment in the first place?”

And I think that that’s difficult. I mean my reaction was [that], if by the time you’re an adult and you get hired somewhere, you don’t yet know that it’s not okay to do these things, I don’t know how much an employer can really do.

Can you talk about that a little bit?

Oswald: So the first thing is to make sure the people you let in the door know those things. Background checks. Careful review of references.

What we’re seeing, I think, in each one of these instances in the media, is that these are not one-off situations. These are men that seem to do this over and over and over again. So they develop a reputation. And if an employer does its job in vetting employees at the outset, especially senior people that they’re bringing in, to make sure that they are not individuals who have a track record of doing these types of things, I think that’s critical.

So the first —

Pakman: How do you do that though? Because presumably, I mean I’m just thinking through — like, OK, you check references very carefully. You can’t necessarily go and talk to people that were managed by your applicant, right? Because more than likely their references are either colleagues or people senior to them or, in C-level cases, maybe even boards of directors.

How can you say — how can you get access to, I guess, the people who might actually know or be willing to talk about that prior track record?

Oswald: So I think the first place is those previous employers. And what we’re seeing is employers know a lot more about some of these people than maybe they let on at the outset. So, getting releases from prospective employees and saying, “Look, we are going to contact your former employers and we’re going to ask lots of questions.” That kind of careful review of the person’s background at least puts us in a position that, if it’s known to a previous employer, you’re going to uncover it.

You know, even in situations where a former employer is reluctant, maybe, to go into all the details, they’re going to send you signals. For instance, you might ask, “Would you hire this person again? Would you rehire Mr. X for a position of trust?” And if you don’t get the right answer, that’s someone that you need to stay away from, as an example. I think it all begins [with] a thorough vetting of people that you’re bringing in to your organization — into your safe space.

And the second component of this is that, you know, you’re right, David: Clearly some people have not been — they haven’t had a proper upbringing in terms of what is OK and what is not. And so some people need to be taught.

I mean, [this is] just like [when] you bring people in and you teach them about your I.T. systems, you teach them about your culture in the company. [Here,] you teach them what is right and what is wrong — and, in particular, what is wrong in the workplace when dealing with your colleagues. What kinds of interactions you can [have] and what kind of interactions you shouldn’t have. Making sure that you’re not putting your employees in a position where they’re vulnerable.

When you are sending your employees offsite, as an example, let’s say for travel, I mean having very clear guidelines of what people should and should not do when they’re on travel. For instance, we’re seeing in the news … some people coming forward and saying, “Look, this is what happened to me when I was on travel with this person.” If there had been clear rules, guidelines, the do’s and don’ts when you’re away from the office, maybe those things wouldn’t have happened in the first instance.

So I think that the onus really is on the employer to set those guidelines — to make sure that they’re not having company events that are going late into the night [with] alcohol being served, as an example. These kinds of things. If you take a few of these steps to ensure that your people are, and continue to be in, safe spaces, then the chances that you’re going to have people who will slip is much reduced.

Pakman: We’ve been speaking with attorney Scott Oswald. He is an attorney who represents employees. He’s also managing principal of The Employment Law Group.

A very important and timely topic. Scott, thanks so much for talking to us about it.

Oswald: Hey David, you’re welcome. It is my pleasure.

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