Senate Bill text for SB0622

SENATE BILL 622

49th legislature - STATE OF NEW MEXICO - first session, 2009

INTRODUCED BY

Richard C. Martinez

AN ACT

RELATING TO CIVIL ACTIONS; AMENDING SECTIONS OF THE FRAUD AGAINST TAXPAYERS ACT; REPEALING THE MEDICAID FALSE CLAIMS ACT.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

Section 1. Section 44-9-2 NMSA 1978 (being Laws 2007, Chapter 40, Section 2) is amended to read:

"44-9-2. DEFINITIONS.--As used in the Fraud Against Taxpayers Act:

A. "claim" means a request or demand, whether pursuant to a contract or otherwise, for money or property [or services] that is made to a contractor, grantee or other recipient when all or a portion of the money or property [or services] requested or demanded issues from or is provided or reimbursed by the state;

B. "employer" includes an individual, corporation, firm, association, business, partnership, organization, trust and the state and any of its agencies, institutions or political subdivisions;

C. "knowingly" means that a person, with respect to information, acts:

(1) with actual knowledge of the truth or falsity of the information;

(2) in deliberate ignorance of the truth or falsity of the information; or

(3) in reckless disregard of the truth or falsity of the information;

D. "person" means an individual, corporation, [firm, association, organization, trust, business] partnership, limited liability company [joint venture] or any other legal [or commercial] entity; and

E. "state" means the state of New Mexico or any of its branches, agencies, departments, boards, commissions, officers, institutions or instrumentalities, including the New Mexico finance authority, the New Mexico mortgage finance authority and the New Mexico lottery authority."

Section 2. Section 44-9-3 NMSA 1978 (being Laws 2007, Chapter 40, Section 3) is amended to read:

"44-9-3. FALSE CLAIMS--LIABILITY--PENALTIES--EXCEPTION.--

A. A person shall not:

(1) knowingly present, or cause to be presented, to an employee or officer [or agent] of the state [or to a contractor, grantee or other recipient of state funds] a false or fraudulent claim for payment or approval;

(2) knowingly make or use, or cause to be made or used, a false, misleading or fraudulent record or statement to obtain or support the approval of or the payment on a false or fraudulent claim;

(3) conspire to defraud the state by obtaining approval or payment on a false or fraudulent claim;

[(4) conspire to make, use or cause to be made or used, a false, misleading or fraudulent record or statement to conceal, avoid or decrease an obligation to pay or transmit money or property to the state;

(5)] (4) when in possession, custody or control of property or money used or to be used by the state, [knowingly] and intending to defraud the state or willfully to conceal the property, deliver or cause to be delivered less property or money than the amount indicated on a certificate or receipt;

[(6)] (5) when authorized to make or deliver a document certifying receipt of property used or to be used by the state, [knowingly] and intending to defraud the state, make or deliver a receipt [that falsely represents a material characteristic of the property] without knowledge that all of the information on the receipt is true;

[(7)] (6) knowingly buy, or receive as a pledge of an obligation or debt, public property from any person that may not lawfully sell or pledge the property; or

[(8)] (7) knowingly make or use, or cause to be made or used, a false, misleading or fraudulent record or statement to conceal, avoid or decrease an obligation to pay or transmit money or property to the state [or

(9) as a beneficiary of an inadvertent submission of a false claim and having subsequently discovered the falsity of the claim, fail to disclose the false claim to the state within a reasonable time after discovery].

B. Proof of specific intent to defraud is not required for a violation of Subsection A of this section. C. A person who violates Subsection A of this section shall be liable for:

(1) three times the amount of damages sustained by the state because of the violation;

(2) a civil penalty of not less than five thousand dollars ($5,000) and not more than ten thousand dollars ($10,000) for each violation unless a penalty has been or will be imposed for that claim or violation pursuant to the federal False Claims Act in the same or a prior action; and

(3) the costs of a civil action brought to recover damages or penalties [and

(4) reasonable attorney fees, including the fees of the attorney general or state agency counsel].

D. A court may assess not less than two times the amount of damages sustained by the state if the court finds all of the following:

(1) the person committing the violation furnished the attorney general with all information known to that person about the violation within thirty days after the date on which the person first obtained the information;

(2) at the time that the person furnished the attorney general with information about the violation, a criminal prosecution, civil action or administrative action had not been commenced with respect to the violation and the person did not have actual knowledge of the existence of an investigation into the violation; and

(3) the person fully cooperated with any investigation by the attorney general.

E. This section does not apply to claims, records or statements made pursuant to the provisions of Chapter 7 NMSA 1978."

Section 3. Section 44-9-4 NMSA 1978 (being Laws 2007, Chapter 40, Section 4) is amended to read:

"44-9-4. INVESTIGATION BY THE ATTORNEY GENERAL--DELEGATION--CIVIL ACTION.--[A.] The attorney general shall diligently investigate suspected violations of Section [3 of the Fraud Against Taxpayers Act] 44-9-3 NMSA 1978 and if the attorney general finds that a person has violated or is violating that section, the attorney general may bring a civil action against that person pursuant to the Fraud Against Taxpayers Act.

[B. The attorney general may in appropriate cases delegate the authority to investigate or to bring a civil action to the state agency to which a false claim was made, and when this occurs, the state agency shall have every power conferred upon the attorney general pursuant to the Fraud Against Taxpayers Act.]"

Section 4. Section 44-9-5 NMSA 1978 (being Laws 2007, Chapter 40, Section 5) is amended to read:

"44-9-5. CIVIL ACTION BY QUI TAM PLAINTIFF--STATE MAY INTERVENE.--

A. A person may bring a civil action for a violation of Section [3 of the Fraud Against Taxpayers Act] 44-9-3 NMSA 1978 on behalf of the person and the state. The action shall be brought in the name of the state. The person bringing the action shall be referred to as the qui tam plaintiff. Once filed, the action may be dismissed only with the written consent of the court [taking into account the best interest of the parties involved and the public purposes behind the Fraud Against Taxpayers Act].

B. A complaint filed by a qui tam plaintiff shall be filed in camera in district court and shall remain under seal for at least sixty days. No service shall be made on a defendant and no response is required from a defendant until the seal has been lifted and the complaint served pursuant to the rules of civil procedure.

C. On the same day as the complaint is filed, the qui tam plaintiff shall serve the attorney general with a copy of the complaint and written disclosure of substantially all material evidence and information the qui tam plaintiff possesses. The attorney general, on behalf of the state, may intervene and proceed with the action within sixty days after receiving the complaint and the material evidence and information. Upon a showing of good cause and reasonable diligence in the state's investigation, the state may move the court for an extension of time during which the complaint shall remain under seal.

D. Before the expiration of the sixty-day period or any extensions of time granted by the court, the attorney general shall notify the court that the state:

(1) intends to intervene and proceed with the action; in which case, the seal shall be lifted and the action shall be conducted by the attorney general on behalf of the state; or

(2) declines to take over the action; in which case, the seal shall be lifted and the qui tam plaintiff may proceed with the action.

E. When a person brings an action pursuant to this section, the federal False Claims Act or any similar provision of the law of any other state, no person other than the attorney general on behalf of the state may intervene or bring a related action based on the facts underlying the pending action."

Section 5. Section 44-9-6 NMSA 1978 (being Laws 2007, Chapter 40, Section 6) is amended to read:

"44-9-6. RIGHTS OF THE QUI TAM PLAINTIFF AND THE STATE.--

A. If the state proceeds with the action, it shall have the primary responsibility of prosecuting the action and shall not be bound by an act of the qui tam plaintiff. The qui tam plaintiff shall have the right to continue as a party to the action, subject to the limitations of this section.

B. The state may [seek to] dismiss the action [for good cause] notwithstanding the objections of the qui tam plaintiff if the qui tam plaintiff has been notified of the filing of the motion and the court has provided the qui tam plaintiff with an opportunity [to oppose the motion and to present evidence at] for a hearing on the motion.

C. The state may settle the action with the defendant notwithstanding any objection by the qui tam plaintiff if the court determines, after a hearing [providing the qui tam plaintiff an opportunity to present evidence], that the proposed settlement is fair, adequate and reasonable under all of the circumstances.

D. Upon a showing by the state that unrestricted participation during the course of the litigation by the qui tam plaintiff would interfere with or unduly delay the state's prosecution of the case, or would be repetitious, irrelevant or for the purpose of harassment, the court may, in its discretion, impose limitations on the qui tam plaintiff's participation, such as:

(1) limiting the number of witnesses the qui tam plaintiff may call;

(2) limiting the length of testimony of such witnesses;

(3) limiting the qui tam plaintiff's cross examination of witnesses; or

(4) otherwise limiting the qui tam plaintiff's participation in the litigation.

E. Upon a showing by a defendant that unrestricted participation during the course of litigation by the qui tam plaintiff would be for purposes of harassment or would cause the defendant undue burden or unnecessary expense, the court may limit the participation by the qui tam plaintiff in the litigation.

F. If the state elects not to proceed with the action, the qui tam plaintiff shall have the right to conduct the action. If the attorney general so requests, the qui tam plaintiff shall serve the attorney general with copies of all pleadings filed in the action and all deposition transcripts in the case, at the state's expense. When the qui tam plaintiff proceeds with the action, the court, without limiting the status and rights of the qui tam plaintiff, may permit the attorney general to intervene at a later date upon a showing of good cause.

G. Whether or not the state proceeds with the action, upon a showing by the attorney general on behalf of the state that certain actions of discovery by the qui tam plaintiff would interfere with the state's investigation or prosecution of a criminal or civil matter arising out of the same facts, the court may stay such discovery for a period of not more than sixty days. The showing by the state shall be conducted in camera. The court may extend the sixty-day period upon a further showing in camera that the state has pursued the criminal or civil investigation or proceeding with reasonable diligence and any proposed discovery in the civil action will interfere with the ongoing criminal or civil investigation or proceeding.

H. Notwithstanding the provisions of Section [5 of the Fraud Against Taxpayers Act] 44-9-5 NMSA 1978, the attorney general may elect to pursue the state's claim through any alternate remedy available to the state, including an administrative proceeding to determine a civil money penalty. If an alternate remedy is pursued, the qui tam plaintiff shall have the same rights in such a proceeding as the qui tam plaintiff would have had if the action had continued pursuant to this section. A finding of fact or conclusion of law made in the other proceeding that has become final shall be conclusive on all parties to an action under the Fraud Against Taxpayers Act. For purposes of this subsection, a finding or conclusion is final if it has been finally determined on appeal to the appropriate court, if all time for filing an appeal with respect to the finding or conclusion has expired or if the finding or conclusion is not subject to judicial review."

Section 6. Section 44-9-7 NMSA 1978 (being Laws 2007, Chapter 40, Section 7) is amended to read:

"44-9-7. AWARDS TO QUI TAM PLAINTIFF AND THE STATE.--

A. Except as otherwise provided in this section, if the state proceeds with an action brought by a qui tam plaintiff and the state prevails in the action, the qui tam plaintiff shall receive:

(1) at least fifteen percent but not more than twenty-five percent of the proceeds of the action or settlement, depending upon the extent to which the qui tam plaintiff substantially contributed to the prosecution of the action; or

(2) no more than ten percent of the proceeds of the action or settlement if the court finds that the action was based primarily on disclosures of specific information, not provided by the qui tam plaintiff, relating to allegations or transactions in a criminal, civil, administrative or legislative hearing, proceeding, report, audit or investigation or from the news media, taking into account the significance of the information and the role of the qui tam plaintiff in advancing the case to litigation. However, if the attorney general determines and certifies in writing that the qui tam plaintiff provided a significant contribution in advancing the case, then the qui tam plaintiff shall receive the share of proceeds set forth in Paragraph (1) of this subsection.

B. If the state does not proceed with an action brought by a qui tam plaintiff and the state prevails in the action, the qui tam plaintiff shall receive an amount that is not less than twenty-five percent or more than thirty percent of the proceeds of the action or settlement, as the court deems reasonable for collecting the civil penalty and damages.

C. Whether or not the state proceeds with an action brought by a qui tam plaintiff:

(1) if the court finds that the action was brought by a person that planned, [or] initiated or participated in the violation of Section [3 of the Fraud Against Taxpayers Act] 44-9-3 NMSA 1978 upon which the action was based, the court may reduce the share of the proceeds that the person would otherwise receive under Subsection A or B of this section to no more than ten percent, taking into account the role of the person as the qui tam plaintiff in advancing the case to litigation and any relevant circumstances pertaining to the violation; or

(2) if the person bringing the action is convicted of criminal conduct arising from that person's role in the violation of Section [3 of the Fraud Against Taxpayers Act] 44-9-3 NMSA 1978 upon which the action was based, that person shall be dismissed from the civil action and shall not receive a share of the proceeds. The dismissal shall not prejudice the right of the state to continue the action.

D. If an action pursuant to Section 44-9-5 NMSA 1978 is based upon allegations or transactions of which the qui tam plaintiff became aware while employed by, under contract to or serving as an agent for a defendant and the qui tam plaintiff failed to make an effective disclosure of those allegations or transactions under that defendant's corporate compliance plan, the court shall reduce the share of the proceeds of the actions that the qui tam plaintiff would otherwise receive to no more than ten percent of the proceeds of the action.

[D.] E. Any award to a qui tam plaintiff shall be paid out of the proceeds of the action or settlement, if any. The qui tam plaintiff shall also receive an amount for reasonable expenses incurred in the action plus reasonable attorney fees that shall be paid by the defendant.

[E.] F. The state is entitled to all proceeds collected in an action or settlement not awarded to a qui tam plaintiff. [The state is also entitled to reasonable expenses incurred in the action plus reasonable attorney fees, including the fees of the attorney general or state agency counsel that shall be paid by the defendant.] Proceeds and penalties collected by the state shall be deposited as follows:

(1) proceeds in the amount of the false claim paid [and attorney fees] and costs shall be returned to the fund or funds from which the money or property [or services] came;

(2) civil penalties shall be deposited in the current school fund pursuant to Article 12, Section 4 of the constitution of New Mexico; and

(3) all remaining proceeds shall be deposited as follows:

(a) one-half into a fund for the use of the attorney general in furtherance of the obligations imposed upon that office by the Fraud Against Taxpayers Act; and

(b) one-half into the general fund."

Section 7. Section 44-9-9 NMSA 1978 (being Laws 2007, Chapter 40, Section 9) is amended to read:

"44-9-9. CERTAIN ACTIONS BARRED.--

A. No court shall have jurisdiction over an action brought pursuant to Section [5 of the Fraud Against Taxpayers Act] 44-9-5 NMSA 1978 by a present or former employee of the state unless the employee, during employment with the state and in good faith, exhausted existing internal procedures for reporting false claims and the state failed to act on the information provided within a reasonable period of time.

B. No court shall have jurisdiction over an action brought pursuant to Section [5 of the Fraud Against Taxpayers Act] 44-9-5 NMSA 1978 against an elected or appointed state official, a member of the state legislature or a member of the judiciary if the action is based on evidence or information known to the state agency to which the false claim was made or to the attorney general when the action was filed.

C. Unless the attorney general determines and certifies in writing that the action is in the interest of the state, no court shall have jurisdiction over an action brought pursuant to Section [5 of the Fraud Against Taxpayers Act] 44-9-5 NMSA 1978 when that action is based on allegations or transactions that are the subject of a criminal, civil or administrative proceeding in which the state is a party.

D. [Upon motion of the attorney general, a court may, in its discretion, dismiss an action brought pursuant to Section 5 of the Fraud Against Taxpayers Act if the elements of the alleged false or fraudulent claim have been publicly disclosed in the news media or in a publicly disseminated governmental report at the time the complaint is filed.] No court shall have jurisdiction over an action brought pursuant to Section 44-9-5 NMSA 1978 based upon the public disclosure of allegations or transactions in a criminal, civil or administrative hearing; in an investigation, report, hearing or audit conducted by or at the request of the legislature, the state auditor or any agency of a city, county, town or other political subdivision of the state; or from the news media, unless the action is brought by the attorney general or the person bringing the action is an original source of the information. For purposes of this subsection, "original source" means an individual who has direct and independent knowledge of the information on which the allegations are based and who has voluntarily provided the information to the state before filing an action pursuant to Section 44-9-5 NMSA 1978 that is based on the information.

E. A person shall not bring an action pursuant to Section 44-9-5 NMSA 1978 that is based on allegations or transactions that the person knew or had reason to know were known to the attorney general or the state's other law enforcement officials prior to that person filing the action or serving the disclosure of material evidence."

Section 8. Section 44-9-12 NMSA 1978 (being Laws 2007, Chapter 40, Section 12) is amended to read:

"44-9-12. LIMITATION OF ACTIONS--ESTOPPEL--STANDARD OF PROOF.--

A. [A civil action pursuant to the Fraud Against Taxpayers Act may be brought at any time. A civil action pursuant to the Fraud Against Taxpayers Act may be brought for conduct that occurred prior to the effective date of that act, but not for conduct that occurred prior to July 1, 1987.] A civil action pursuant to the Fraud Against Taxpayers Act shall not be brought:

(1) more than six years after the date on which the violation of Section 44-9-3 NMSA 1978 is committed; or

(2) more than three years after the date when facts material to the right of action are known or reasonably should have been known by the official charged with responsibility to act in the circumstances, but in no event more than ten years after the date on which the violation is committed, whichever occurs last.

B. Notwithstanding any other provision of law, a final judgment rendered in a criminal proceeding charging fraud or false statement, whether upon a guilty verdict after trial or upon a plea of guilty or nolo contendere, shall estop the defendant from denying the essential elements of a fraud against taxpayers action where the criminal proceeding concerns the same transaction that is the subject of the fraud against taxpayers action.

C. In an action brought pursuant to the Fraud Against Taxpayers Act, the state or the qui tam plaintiff shall be required to prove all essential elements of the cause of action, including damages, by a preponderance of the evidence."

Section 9. REPEAL.--Sections 27-14-1 through 27-14-15 NMSA 1978 (being Laws 2004, Chapter 49, Sections 1 through 15) are repealed.

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