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What can recent FCA decisions tell us about the Seventh Circuit pleading standard for health care billing fraud claims? | Thompson Coburn LLP


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False Claims Act (“FCA”) complaints are subject to the heightened pleading requirements of Rule 9(b),
Universal Health Servs., Inc. v. United States, 136 S. Ct. 1989, 2004, 195 L. Ed. 2d 348 (2016). But circuits are split on whether that requirement should be relaxed for relators, or whistleblowers, who lack direct access to the alleged fraud. 
The Fourth, Eighth, and Eleventh circuits seemingly apply Rule 9(b) more rigidly, while the First, Third, Fifth, Sixth, Seventh, Ninth and Tenth circuits have a more flexible approach. In 2019, the U.S. Supreme Court was expected to resolve this split, but before the Court issued its decision, the parties settled, leaving the circuit split in place. In this article, we examine recent decisions that illustrate a possible shift in the Seventh Circuit’s pleading standard. ....

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Biden's Buy American Executive Order May Lead to Increased Fraud Risk and Enforcement | Morgan Lewis


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US President Joe Biden’s focus on Buy American Act domestic preference regulations and agency practices of implementing regulations and issuing waivers is likely to lead to an increased focus on federal government contractors’ compliance with heightened requirements.
As we
previously reported, on January 27, President Biden signed the
Executive Order on Ensuring the Future Is Made in All of America by All of America’s Workers (EO). In an attempt to strengthen Buy American policies, the EO one of the first steps in the president’s Build Back Better Recovery Plan reflects a continued increase in focus on domestic preference requirements in the federal procurement process. Among other things, the EO seeks to create a centralized review and approval process for waivers to government contractors across agencies by designating a Made in America director within the Office of Management and Budget (OMB) ....

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