Montana False Claims Act
Montana Whistleblower Laws
Montana Insurance Claims Fraud Prevention Act
It is imperative that you speak with a whistleblower law firm about your rights as a Montana whistleblower. The statutes listed here may not be up to date or may be enforced differently than written. Also, there are many procedural hurdles to properly file a Montana False Claims Act lawsuit, and if you don’t follow them you may lose your case before it even begins.
Highlights of the Montana False Claims Act:
Montana Whistleblower Awards – Here’s what you can potentially receive as a Montana Whistleblower commencing a Montana False Claims Act (FCA) lawsuit (awards vary depending on whether the government intervenes or not):
Montana False Claims Act Qui Tam Intervened Relator’s Award: 15% to 25% of the state’s Medicaid recovery.
Montana False Claims Act Qui Tam Non-Intervened Relator’s Award: 25% to 30% of the state’s Medicaid recovery
Whistleblower awards are based on a variety of factors including but not limited to how useful the whistleblower’s information was, cooperation of the whistleblower and their counsel, and length of time the relator knew about the information and did not blow the whistle.
Montana Whistleblower Statutory Penalties – Defendants who violate this statute by committing Montana Medicaid fraud or other fraud against the government may be liable for:
Fines ranging from $5,500 to $11,000
Frequent Asked Questions regarding how to blow the whistle in Montana:
Q. As a Montana whistleblower am I protected from retaliation?
A. Yes, the Montana False Claims Act protects employees from employer retaliation as a result of their whistleblowing.
Q. Will my employer find out if I file a Montana Qui Tam Action? When?
A. All False Claims Act lawsuits are initially filed under seal so the defendant is unaware that it is being sued. This allows the government time to investigate the case. Often Montana Qui Tam actions are filed in conjunction with Federal False Claims Act (FCA) actions and it can take years for the case to be unsealed or for your employer to learn about the action. It is critical not to delay and to consult with a Montana Whistleblower law firm as soon as possible.
Montana False Claims Act
The Montana False Claims Act allows whistleblowers to bring suit in the name of the State of Montana where a wrongdoer engages in conduct that defrauds the state or local governments of taxpayer dollars. The law is a broad reaching statute designed to address an array of wrongdoing from health care fraud to fraud involving any type of government contract or business relationship involving state or local money.
HOUSE BILL NO. 146
INTRODUCED BY GALLIK
AN ACT PROVIDING FOR A CIVIL ACTION AGAINST A PERSON MAKING A FALSE CLAIM AGAINST A GOVERNMENTAL ENTITY; REPEALING SECTION 17-8-231, MCA; AND PROVIDING AN APPLICABILITY DATE.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MONTANA:
Section 1. Short title. [Sections 1 through 12] may be cited as the “Montana False Claims Act”.
Section 2. Definitions. As used in [sections 1 through 12], the following definitions apply:
(1) “Claim” includes any request or demand for money, property, or services made to an employee, officer, or agent of a governmental entity or to a contractor, grantee, or other recipient, whether under contract or not, if any portion of the money, property, or services requested or demanded issued from, or was provided by, a governmental entity.
(2) “Government attorney” means:
(a) the chief attorney for a governmental entity; or
(b) the attorney general with respect to the state, except a unit of the university system.
(3) “Governmental entity” means:
(a) the state;
(b) a city, town, county, school district, tax or assessment district, or other political subdivision of the state; or
(c) a unit of the Montana university system.
(4) “Knowingly” means that a person, with respect to information, does any of the following:
(a) has actual knowledge of the information;
(b) acts in deliberate ignorance of the truth or falsity of the information; or
(c) acts in reckless disregard of the truth or falsity of the information.
(5) “Person” includes any natural person, corporation, firm, association, organization, partnership, limited liability company, business, or trust.
Section 3. False claims — procedures — penalties. (1) A person causing damages in excess of $500 to a governmental entity is liable, as provided in [sections 10 and 11], for any of the following acts:
(a) knowingly presenting or causing to be presented to an officer or employee of the governmental entity a false claim for payment or approval;
(b) knowingly making, using, or causing to be made or used a false record or statement to get a false claim paid or approved by the governmental entity;
(c) conspiring to defraud the governmental entity by getting a false claim allowed or paid by the governmental entity;
(d) having possession, custody, or control of public property or money used or to be used by the governmental entity and knowingly delivering or causing to be delivered less property or money than the amount for which the person receives a certificate or receipt;
(e) being authorized to make or deliver a document certifying receipt of property used or to be used by the governmental entity and knowingly making or delivering a receipt that falsely represents the property used or to be used;
(f) knowingly buying or receiving as a pledge of an obligation or debt public property of the governmental entity from any person who may not lawfully sell or pledge the property;
(g) knowingly making, using, or causing to be made or used a false record or statement to conceal, avoid, or decrease an obligation to pay or transmit money or property to the governmental entity or its contractors; or
(h) as a beneficiary of an inadvertent submission of a false claim to the governmental entity, subsequently discovering the falsity of the claim and failing to disclose the false claim to the governmental entity within a reasonable time after discovery of the false claim.
(2) In a civil action brought under [section 5 or 6], a court shall assess not less than two times and not more than three times the amount of damages that a governmental entity sustains because of the person’s act, along with costs and attorney fees, and may impose a civil penalty of up to $10,000 for each act. The court may not assess a civil penalty if the court finds all of the following:
(a) The person committing the act furnished the government attorney with all information known to that person about the act within 30 days after the date on which the person first obtained the information.
(b) The person fully cooperated with any investigation of the act by the government attorney.
(c) At the time that the person furnished the government attorney with information about the act, a criminal prosecution, civil action, or administrative action had not been commenced with respect to the act and the person did not have actual knowledge of the existence of an investigation into the act.
(3) Liability under this section is joint and several for any act committed by two or more persons.
(4) This section does not apply to claims, records, or statements made in relation to claims filed with the state compensation insurance fund under Title 39, chapter 71 or 72, or to claims, records, payments, or statements made under the tax laws contained in Title 15 or 16 or made to the department of natural resources and conservation under Title 77.
(5) A private citizen may not file a complaint or civil action:
(a) against a governmental entity or an officer or employee of a governmental entity arising from conduct by the officer or employee within the scope of the officer’s or employee’s duties to the governmental entity;
(b) that is based upon allegations or transactions that are the subject of a civil suit or an administrative civil penalty proceeding in which an agency of the governmental entity is already a party;
(c) that is based upon the public disclosure of allegations or transactions in a criminal, civil, or administrative hearing or in an investigation, report, hearing, or audit conducted by or at the request of the senate or house or representatives, the state auditor or legislative auditor, the auditor or legislative body of a political subdivision, or the news media, unless the private citizen has direct and independent knowledge of the information on which the allegations are based and, before filing the complaint or civil action, voluntarily provided the information to the agency of the governmental entity that is involved with the claim that is the basis for the complaint or civil action and unless the information provided the basis or catalyst for the investigation, report, hearing, or audit that led to the public disclosure; or
(d) that is based upon information discovered by a present or former employee of the governmental entity during the course of employment unless the employee first, in good faith, exhausted existing internal procedures for reporting and seeking recovery of the falsely claimed sums through official channels and the governmental entity failed to act on the information provided within a reasonable period of time.
Section 4. Limitation of actions. A complaint or civil action may not be filed under [section 5 or 6] more than 3 years after the date on which an official of the governmental entity charged with responsibility to act in the circumstances discovers the act or more than 10 years after the date on which the act occurred, whichever occurs first.
Section 5. Investigation and civil action by government attorney. A government attorney may investigate an alleged violation of [section 3] and file a civil action.
Section 6. Complaint by private citizen — civil action. (1) A private citizen may file with the government attorney a notice alleging a violation of [section 3] against a governmental entity of which the private citizen is a resident. The private citizen shall file a complaint with the government attorney that includes a written disclosure of material evidence and information alleging violations.
(2) Within 60 days after receiving a notice and complaint, the government attorney may elect to file a civil action and may, for good cause shown, move the court for extensions of the time for filing an action.
(3) If the government attorney files a civil action, the private citizen may enter the action as a coplaintiff, but the government attorney has control of the plaintiffs’ strategy, tactics, and other decision-making. If the government attorney does not file a civil action within the time allowed under subsection (2), the private citizen may file a civil action.
(4) The court shall permit the government attorney to intervene in an action that the government attorney declined to file under subsection (2) if the court determines that the interests of the governmental entity are not being adequately represented by the private citizen. If intervention is allowed, the private citizen retains principal responsibility for and control of the action and any damages, civil penalty, costs, and attorney fees must be awarded under [sections 10 and 11] as if the government attorney had not intervened.
(5) After a private citizen files a civil action, no other private citizen may file a civil action based on the facts underlying the pending action.
Section 7. Dismissal of private citizen’s civil action. On the motion of a government attorney, the court may dismiss a private citizen’s civil action for good cause. If an intervening government attorney seeks dismissal of a private citizen’s civil action, the private citizen must be notified by the government attorney of the filing of the motion to dismiss and must be given an opportunity to oppose the motion and present evidence at a hearing.
Section 8. Settlement. An action may be settled if the court determines after a hearing that the proposed settlement is fair, adequate, and reasonable under all the circumstances. In a private citizen’s action in which the government attorney intervened and seeks a settlement, the private citizen may present evidence at the settlement hearing.
Section 9. Burden of proof — effect of criminal conviction. (1) The plaintiff in an action under [section 5 or 6] shall prove each essential element of the cause of action, including damages, by a preponderance of the evidence.
(2) A person convicted of or who pleaded guilty or nolo contendere to a criminal offense may not deny the essential elements of the offense in an action under [section 5 or 6] that involves the same event or events as the criminal proceeding.
Section 10. Distribution of damages and civil penalty. If an action is settled or the governmental entity or private citizen prevails in an action:
(1) filed by a governmental entity under [section 6(2)] and the private citizen elected not to enter the action as a coplaintiff, except as provided in subsection (3), the private citizen is entitled to between 10% and 15%, as determined by the court, of any damages and civil penalty awarded the governmental entity in the settlement or judgment;
(2) filed by a private citizen either as plaintiff or as coplaintiff, except as provided in subsection (3), the private citizen is entitled to between 15% and 50%, as determined by the court, of any damages and civil penalty awarded the governmental entity in the settlement or judgment;
(3) and if a private citizen referred to in subsection (1) or (2) participated in the act or acts found to be in violation of [section 3], an award of damages and civil penalty to the private citizen are at the discretion of the court;
(4) the governmental entity is entitled to any damages and civil penalty not awarded to a private citizen and the damages and civil penalty must be deposited in the general fund of the governmental entity, except that if a trust fund of the governmental entity suffered a loss as a result of the defendant’s actions, the trust fund must first be fully reimbursed for the loss and the remainder of the damages and any civil penalty must be deposited in the general fund of the governmental entity.
(5) Unless otherwise provided, the remedies or penalties provided by [sections 1 through 12] are cumulative to each other and to the remedies or penalties available under all other laws of the state.
Section 11. Costs and attorney fees. A governmental entity in an action in which its government attorney filed a civil action or intervened is entitled to its reasonable costs and attorney fees if the action is settled favorably for the governmental entity or the governmental entity prevails. In an action in which outside counsel represents a governmental entity, the costs and attorney fees awarded a governmental entity must equal the outside counsel’s charges reasonably incurred by the governmental entity for costs and attorney fees in prosecuting the action. In any other actions in which costs and attorney fees are awarded a governmental entity, they must be calculated by reference to the hourly rate charged by the department of justice agency legal services bureau for the provision of legal services to state agencies, multiplied by the number of attorney hours devoted to the prosecution of the action, plus the actual cost of any expenses reasonably incurred in the prosecution of the action. A private citizen who is a plaintiff or coplaintiff is entitled to reasonable costs and attorney fees if the action is settled favorably for the governmental entity or the governmental entity prevails in the action. A person who is the subject of a civil action and who prevails in an action that is not settled and that the court finds was clearly frivolous or brought solely for harassment purposes is entitled to the person’s reasonable costs and attorney fees, which must be equitably apportioned against the private citizen and governmental entity if a private citizen and a governmental entity were coplaintiffs.
Section 12. Prohibitions on employers — employee remedies. (1) A governmental entity may not adopt or enforce a rule, regulation, or policy preventing an employee from disclosing information to a government or law enforcement agency with regard to or from acting in furtherance of an investigation of a violation of [section 3] or an action brought pursuant to [section 5 or 6].
(2) A governmental entity may not discharge, demote, suspend, threaten, harass, or deny promotion to or in any other manner discriminate against an employee in the terms and conditions of employment because of the employee’s disclosure of information to a government or law enforcement agency pertaining to a violation of [section 3].
(3) (a) A governmental entity that violates the provisions of subsection (2) is liable for:
(i) reinstatement to the same position with the same seniority status, salary, benefits, and other conditions of employment that the employee would have had but for the discrimination;
(ii) back pay plus interest on the back pay;
(iii) compensation for any special damages sustained as a result of the discrimination; and
(iv) reasonable court or administrative proceeding costs and reasonable attorney fees.
(b) An employee may file an action for the relief provided in this subsection (3).
Section 13. Repealer. Section 17-8-231, MCA, is repealed.
Section 14. Applicability. [This act] applies to causes of action arising after [the effective date of this act].