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2012 New York Consolidated Laws
STF - State Finance
Article 13 - (187 - 194) NEW YORK FALSE CLAIMS ACT
190 - Civil actions for false claims.


NY State Fin L § 190 (2012) What's This?
 
    §  190.  Civil actions for false claims. 1. Civil enforcement actions.
  The attorney general shall have the authority to investigate  violations
  under  section  one hundred eighty-nine of this article. If the attorney
  general believes that  a  person  has  violated  or  is  violating  such
  section, then the attorney general may bring a civil action on behalf of
  the  people  of the state of New York or on behalf of a local government
  against such person. A local government also shall have the authority to
  investigate violations that may have resulted in damages to  such  local
  government  under  section  one hundred eighty-nine of this article, and
  may bring a civil action  on  its  own  behalf,  or  on  behalf  of  any
  subdivision  of  such  local government, to recover damages sustained by
  such local government as a result of such violations. No action  may  be
  filed  pursuant  to this subdivision against the federal government, the
  state or a local government, or any officer or employee  thereof  acting
  in his or her official capacity. The attorney general shall consult with
  the  office  of  medicaid  inspector  general prior to filing any action
  related to the medicaid program.
    2. Qui tam civil actions. (a) Any person may bring  a  qui  tam  civil
  action  for  a  violation  of  section  one  hundred eighty-nine of this
  article on behalf of the person and the people of the state of New  York
  or  a  local  government.  No  action  may  be  filed  pursuant  to this
  subdivision against  the  federal  government,  the  state  or  a  local
  government,  or  any  officer  or  employee thereof acting in his or her
  official capacity.
    For purposes of  subparagraphs  (i)  and  (iv)  of  paragraph  (a)  of
  subdivision  eight  of section seventy-three of the public officers law,
  any activity by a former government  employee  in  connection  with  the
  securing  of  rights,  protections  or  benefits related to preparing or
  filing an action under this  article  shall  not  be  deemed  to  be  an
  appearance or practice before any agency.
    (b)  A  copy  of the complaint and written disclosure of substantially
  all material evidence and information  the  person  possesses  shall  be
  served on the state pursuant to subdivision one of section three hundred
  seven  of  the  civil  practice  law and rules. Any complaint filed in a
  court of the state of New York  shall  be  filed  in  supreme  court  in
  camera,  shall  remain under seal for at least sixty days, and shall not
  be served on the defendant until the court so orders. The seal shall not
  preclude the attorney general,  a  local  government,  or  the  qui  tam
  plaintiff  from  serving  the  complaint,  any  other  pleadings, or the
  written  disclosure  of  substantially   all   material   evidence   and
  information  possessed  by  the  person bringing the action, on relevant
  state or local government agencies, or on law enforcement authorities of
  the state, a local government,  or  other  jurisdictions,  so  that  the
  actions may be investigated or prosecuted, except that such seal applies
  to  the agencies or authorities so served to the same extent as the seal
  applies to other parties in the action.
    If the allegations in the complaint allege a violation of section  one
  hundred  eighty-nine  of  this  article  involving  damages  to  a local
  government, then the attorney general may at any time provide a copy  of
  such  complaint  and  written  disclosure to the attorney for such local
  government; provided, however, that if the allegations in the  complaint
  involve damages only to a city with a population of one million or more,
  or  only  to  the state and such a city, then the attorney general shall
  provide such complaint and written disclosure to the corporation counsel
  of such city within thirty days.
    The state may elect to supersede or intervene  and  proceed  with  the
  action,  or  to  authorize  a  local  government that may have sustained
  damages to supersede or intervene, within sixty days after  it  receives

  both  the complaint and the material evidence and information; provided,
  however, that if the allegations in the complaint involve  damages  only
  to  a  city  with a population of one million or more, then the attorney
  general  may  not  supersede  or  intervene  in  such action without the
  consent of the corporation counsel of such city.  The  attorney  general
  shall consult with the office of the medicaid inspector general prior to
  superseding  or  intervening  in  any  action  related  to  the medicaid
  program. The attorney general may, for good cause shown, move the  court
  for extensions of the time during which the complaint remains under seal
  under  this subdivision. Any such motions may be supported by affidavits
  or other submissions in camera.
    (c) Prior to the expiration of the sixty day period or any  extensions
  obtained  under  paragraph (b) of this subdivision, the attorney general
  shall notify the court that he or she:
    (i) intends to file a complaint against the defendant on behalf of the
  people of the state of New York or a local government,  and  thereby  be
  substituted as the plaintiff in the action and convert the action in all
  respects  from a qui tam civil action brought by a private person into a
  civil enforcement action by the attorney general under  subdivision  one
  of this section;
    (ii)  intends  to  intervene in such action, as of right, so as to aid
  and assist the plaintiff in the action; or
    (iii) if the action involves damages sustained by a local  government,
  intends  to grant the local government permission to: (A) file and serve
  a complaint against the defendant, and thereby  be  substituted  as  the
  plaintiff  in  the  action and convert the action in all respects from a
  qui  tam  civil  action  brought  by  a  private  person  into  a  civil
  enforcement action by the local government under subdivision one of this
  section;  or (B) intervene in such action, as of right, so as to aid and
  assist the plaintiff in the action.
    The attorney general shall provide the local government with a copy of
  any such notification at the same time the court is notified.
    (d) If the state  notifies  the  court  that  it  intends  to  file  a
  complaint  against  the  defendant  and  thereby  be  substituted as the
  plaintiff in the action, or to permit a local government to do so,  such
  complaint must be filed within thirty days after the notification to the
  court.  For statute of limitations purposes, any such complaint filed by
  the state or a local government shall relate back to the filing date  of
  the  complaint of the qui tam plaintiff, to the extent that the cause of
  action of the state or local  government  arises  out  of  the  conduct,
  transactions, or occurrences set forth, or attempted to be set forth, in
  the prior complaint of the qui tam plaintiff.
    (e)  If  the  state notifies the court that it intends to intervene in
  the action, or to permit a local government to do so, then  such  motion
  for   intervention   shall   be  filed  within  thirty  days  after  the
  notification to the court.
    (f) If the state declines to participate in the action or to authorize
  participation by a local government, the  qui  tam  action  may  proceed
  subject  to  judicial  review under this section, the civil practice law
  and rules, and other applicable law.
    The qui tam plaintiff shall provide the state or any applicable  local
  government  with a copy of any document filed with the court on or about
  the date it is filed, or any order issued by the court on or  about  the
  date  it  is  issued.  A qui tam plaintiff shall notify the state or any
  applicable local government within five business days of  any  decision,
  order  or  verdict  resulting in judgment in favor of the state or local
  government.

    3. Time to answer. If the state decides to participate in  a  qui  tam
  action  or  to  authorize  the  participation of a local government, the
  court shall order that the qui tam complaint be unsealed and  served  at
  the  time  of  the filing of the complaint or intervention motion by the
  state  or  local  government.  After  the complaint is unsealed, or if a
  complaint is filed by the  state  or  a  local  government  pursuant  to
  subdivision  one of this section, the defendant shall be served with the
  complaint and summons pursuant to article three of  the  civil  practice
  law  and  rules. A copy of any complaint which alleges that damages were
  sustained by a local government shall  also  be  served  on  such  local
  government.  The  defendant  shall be required to respond to the summons
  and complaint within the time allotted under rule three  hundred  twenty
  of the civil practice law and rules.
    4.  Related  actions. When a person brings a qui tam action under this
  section,  no  person  other  than  the  attorney  general,  or  a  local
  government  attorney  acting pursuant to subdivision one of this section
  or paragraph (b) of subdivision two of this section,  may  intervene  or
  bring a related civil action based upon the facts underlying the pending
  action,  unless  such  other person has first obtained the permission of
  the attorney general to intervene  or  to  bring  such  related  action;
  provided,  however,  that nothing in this subdivision shall be deemed to
  deny persons the right, upon leave  of  court,  to  file  briefs  amicus
  curiae.
    5.  Rights  of  the  parties  of  qui tam actions. (a) If the attorney
  general elects to convert the qui tam  civil  action  into  an  attorney
  general  enforcement  action,  then  the  state  shall  have the primary
  responsibility for prosecuting  the  action.  If  the  attorney  general
  elects  to  intervene in the qui tam civil action then the state and the
  person  who  commenced  the  action,  and  any  local  government  which
  sustained  damages  and  intervenes  in  the action, shall share primary
  responsibility for prosecuting  the  action.  If  the  attorney  general
  elects  to  permit a local government to convert the action into a civil
  enforcement  action,  then  the  local  government  shall  have  primary
  responsibility  for  investigating  and  prosecuting  the action. If the
  action involves damages to a local government but not the state, and the
  local government intervenes in the qui tam civil action, then the  local
  government  and  the person who commenced the action shall share primary
  responsibility for prosecuting the action. Under no circumstances  shall
  the  state  or  a  local  government  be  bound  by an act of the person
  bringing the original action.  Such  person  shall  have  the  right  to
  continue  as a party to the action, subject to the limitations set forth
  in paragraph (b) of this subdivision. Under no circumstances  shall  the
  state  be  bound  by the act of a local government that intervenes in an
  action involving damages to the state. If neither the  attorney  general
  nor a local government intervenes in the qui tam action then the qui tam
  plaintiff  shall  have  the  responsibility  for prosecuting the action,
  subject to the attorney general's right to intervene  at  a  later  date
  upon a showing of good cause.
    (b)(i)  The  state  may move to dismiss the action notwithstanding the
  objections of the person initiating the action if the  person  has  been
  served  with the motion to dismiss and the court has provided the person
  with an opportunity to be heard on the motion. If  the  action  involves
  damages  to  both the state and a local government, then the state shall
  consult with such local government before moving to dismiss the  action.
  If  the  action involves damages sustained by a local government but not
  the state, then the local government may  move  to  dismiss  the  action
  notwithstanding  the  objections  of the person initiating the action if

  the person has been served with the motion to dismiss and the court  has
  provided the person with an opportunity to be heard on the motion.
    (ii)  The  state  or a local government may settle the action with the
  defendant notwithstanding the objections of the  person  initiating  the
  action  if  the court determines, after an opportunity to be heard, that
  the proposed settlement is fair, adequate, and reasonable  with  respect
  to  all  parties  under  all  the  circumstances. Upon a showing of good
  cause, such opportunity to be heard may be held in camera.
    (iii) Upon a showing by the attorney general  or  a  local  government
  that  the  original  plaintiff's  unrestricted  participation during the
  course of the litigation  would  interfere  with  or  unduly  delay  the
  prosecution  of the case, or would be repetitious or irrelevant, or upon
  a showing by  the  defendant  that  the  original  qui  tam  plaintiff's
  unrestricted  participation during the course of the litigation would be
  for purposes of harassment or would cause the  defendant  undue  burden,
  the  court  may,  in  its discretion, impose limitations on the original
  plaintiff's participation in the case, such as:
    (A) limiting the number of witnesses the person may call;
    (B) limiting the length of the testimony of such witnesses;
    (C) limiting the person's cross-examination of witnesses; or
    (D)  otherwise  limiting  the  participation  by  the  person  in  the
  litigation.
    (c)  Notwithstanding  any  other  provision of law, whether or not the
  attorney general or a local government elects to supersede or  intervene
  in  a  qui  tam  civil  action,  the  attorney  general  and  such local
  government may elect to pursue any remedy available with respect to  the
  criminal  or  civil  prosecution  of  the  presentation of false claims,
  including any administrative  proceeding  to  determine  a  civil  money
  penalty  or  to refer the matter to the office of the medicaid inspector
  general for medicaid related matters. If any such alternate civil remedy
  is pursued in another proceeding, the person initiating the action shall
  have the same rights in such proceeding as such person would have had if
  the action had continued under this section.
    (d) Notwithstanding any other provision of law,  whether  or  not  the
  attorney  general  elects  to  supersede or intervene in a qui tam civil
  action, or to permit a local government to supersede or intervene in the
  qui tam civil action, upon a showing by the state  or  local  government
  that  certain  actions  of discovery by the person initiating the action
  would interfere with the state's or a local  government'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.  Such a showing shall be conducted in camera. The court may
  extend the period of such stay upon a further showing in camera that the
  state  or  a  local  government  has  pursued  the  criminal  or   civil
  investigation  or proceedings with reasonable diligence and any proposed
  discovery in the civil action will interfere with the  ongoing  criminal
  or civil investigation or proceedings.
    6.  Awards to qui tam plaintiff. (a) If the attorney general elects to
  convert the qui tam civil action into an  attorney  general  enforcement
  action,  or  to  permit  a local government to convert the action into a
  civil enforcement action by such local government, or  if  the  attorney
  general  or  a local government elects to intervene in the qui tam civil
  action, then the person or persons  who  initiated  the  qui  tam  civil
  action  collectively  shall  be  entitled to receive between fifteen and
  twenty-five percent of the  proceeds  recovered  in  the  action  or  in
  settlement  of  the  action. The court shall determine the percentage of
  the proceeds to which a person commencing a  qui  tam  civil  action  is
  entitled, by considering the extent to which the plaintiff substantially

  contributed to the prosecution of the action. Where the court finds that
  the  action  was  based primarily on disclosures of specific information
  (other than information provided by  the  person  bringing  the  action)
  relating  to  allegations  or  transactions  in  a  criminal,  civil  or
  administrative hearing,  in  a  legislative  or  administrative  report,
  hearing,  audit  or investigation, or from the news media, the court may
  award such sums as it considers appropriate, but in no  case  more  than
  ten percent of the proceeds, taking into account the significance of the
  information and the role of the person or persons bringing the action in
  advancing the case to litigation.
    (b)  If  the  attorney general or a local government does not elect to
  intervene or convert the action, and the action is successful, then  the
  person  or  persons  who  initiated  the  qui  tam  action which obtains
  proceeds shall be entitled to receive  between  twenty-five  and  thirty
  percent  of  the  proceeds  recovered in the action or settlement of the
  action. The court shall determine the  percentage  of  the  proceeds  to
  which  a  person  commencing  a  qui  tam  civil  action is entitled, by
  considering the extent to which the plaintiff substantially  contributed
  to the prosecution of the action.
    (c)  With  the  exception  of  a  court  award  of  costs, expenses or
  attorneys' fees, any payment to a  person  pursuant  to  this  paragraph
  shall be made from the proceeds.
    7.  Costs,  expenses, disbursements and attorneys' fees. In any action
  brought pursuant to this article,  the  court  may  award  the  attorney
  general, on behalf of the people of the state of New York, and any local
  government  that  participates  as a party in the action, and any person
  who is a qui tam plaintiff, an amount for reasonable expenses which  the
  court   finds   to  have  been  necessarily  incurred,  plus  reasonable
  attorneys' fees, plus costs pursuant to article eighty-one of the  civil
  practice  law  and  rules.  All  such  expenses, fees and costs shall be
  awarded directly against the defendant and shall not be charged from the
  proceeds, but shall only be awarded if the state or a  local  government
  or the qui tam civil action plaintiff prevails in the action.
    8.  Exclusion from recovery. If the court finds that the qui tam civil
  action was brought by a person who planned or initiated the violation of
  section one hundred eighty-nine of this article upon  which  the  action
  was  brought,  then  the  court  may,  to the extent the court considers
  appropriate, reduce the share of the proceeds of the  action  which  the
  person  would  otherwise be entitled to receive under subdivision six of
  this section, taking into account the role of such person  in  advancing
  the  case to litigation and any relevant circumstances pertaining to the
  violation. If the person bringing the qui tam civil action is  convicted
  of  criminal  conduct  arising  from his or her role in the violation of
  section one hundred eighty-nine of this article, that  person  shall  be
  dismissed  from the qui tam civil action and shall not receive any share
  of the proceeds of the action. Such dismissal shall  not  prejudice  the
  right  of  the attorney general to supersede or intervene in such action
  and to civilly prosecute the same on behalf of  the  state  or  a  local
  government.
    9.  Certain  actions  barred.  (a)  The  court shall dismiss a qui tam
  action under this article if:
    (i) it is based on allegations or transactions which are  the  subject
  of a pending civil action or an administrative action in which the state
  or a local government is already a party;
    (ii) the state or local government has reached a binding settlement or
  other  agreement  with  the  person  who  violated  section  one hundred
  eighty-nine of this article resolving the matter and such agreement  has

  been  approved  in writing by the attorney general, or by the applicable
  local government attorney; or
    (iii)  against a member of the legislature, a member of the judiciary,
  or a senior executive branch official if the action is based on evidence
  or information known to the state when the action was brought.
    (b) The court shall dismiss a  qui  tam  action  under  this  article,
  unless opposed by the state or an applicable local government, or unless
  the  qui  tam  plaintiff  is  an  original source of the information, if
  substantially the same allegations or transactions  as  alleged  in  the
  action were publicly disclosed:
    (i)  in a state or local government criminal, civil, or administrative
  hearing in which the state or a local  government  or  its  agent  is  a
  party;
    (ii) in a federal, New York state or New York local government report,
  hearing,  audit,  or  investigation that is made on the public record or
  disseminated  broadly  to  the  general  public;  provided   that   such
  information  shall  not  be  deemed  "publicly disclosed" in a report or
  investigation because it was disclosed or provided pursuant  to  article
  six  of  the  public  officers law, or under any other federal, state or
  local law, rule or program enabling the public to  request,  receive  or
  view  documents  or information in the possession of public officials or
  public agencies;
    (iii)  in  the  news  media,  provided  that   such   allegations   or
  transactions  are  not  "publicly  disclosed" in the "news media" merely
  because information of allegations or transactions have been  posted  on
  the internet or on a computer network.
    10.  Liability.  Neither  the  state nor any local government shall be
  liable for any expenses which any person incurs in bringing  a  qui  tam
  civil action under this article.

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