Thomas Prose v. Molina Healthcare of Illinois,, No. 20-2243 (7th Cir. 2021)

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This opinion or order relates to an opinion or order originally issued on August 19, 2021.

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United States Court of Appeals For the Seventh Circuit Chicago, Illinois 60604 November 15, 2021 Before DIANE S. SYKES, Chief Judge DIANE P. WOOD, Circuit Judge DAVID F. HAMILTON, Circuit Judge No. 20-2243 UNITED STATES OF AMERICA and the STATE OF ILLINOIS ex rel. THOMAS PROSE, Plaintiffs-Appellants, v. Appeal from the United States District Court for the Northern District of Illinois, Eastern Division. MOLINA HEALTHCARE OF ILLINOIS, INC. and MOLINA HEALTHCARE, INC., Defendants-Appellees. Virginia M. Kendall, Judge. No. 17 C 6638 ORDER Defendants-Appellees filed a petition for rehearing and rehearing en banc on September 2, 2021. All judges on the original panel have voted to deny rehearing and a majority of judges in active service have voted to deny rehearing en banc, with the following amendments to the opinion: On page 14 of the Slip Opinion, the first full paragraph is amended to remove: “and so Molina is mistaken when it suggests that the implied version requires express representations about the goods or services to be provided. Material omissions can suffice.” The final sentence of the amended paragraph now reads: “Implied and express statements raise distinct issues, however.” No. 20-2243 Page 2 On page 15 of the Slip Opinion, the final sentence of the carryover paragraph is amended to read: “The complaint must include specific allegations that show that the omission in context significantly affected the government’s actions.” On page 29 of the Slip Opinion (Dissent of Chief Judge Sykes), the first paragraph after “C. Implied False Certification” is amended to remove: “That is, the majority simply states, without explanation, that material omissions are implied false certifications. Majority op. at 14 (‘Material omissions can suffice.’)” In the same paragraph, the final sentence is amended to read: “That approach cannot be squared with Escobar’s requirements for this type of FCA claim.” IT IS HERBY ORDERED that the petition for panel rehearing and rehearing en banc is DENIED. IT IS FURTHER ORDERED that this court’s opinion dated November 15, 2021, is amended as indicated in this order in a separately filed opinion released on today’s date.

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