Paul v. Biotronik, Inc.
Filing
71
ORDERED: Defendant's Motion to Dismiss 50, is GRANTED. Relator is granted leave to file a Third Amended Complaint on or before February 4, 2021, which cures the deficiencies discussed in this and the previous Order. Failure to file the amended complaint within the time provided will result in dismissal of this action without further notice. Signed by Judge Charlene Edwards Honeywell on 1/21/2021. (CSS)
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UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
TAMPA DIVISION
UNITED STATES OF AMERICA
and THE STATE OF FLORIDA ex
rel. CHRISTINA PAUL
Plaintiffs/Relator,
v.
Case No: 8:18-cv-396-T-36JSS
BIOTRONIK, INC.,
Defendant.
___________________________________/
ORDER
This matter comes before the Court upon Defendant Biotronik Inc.’s Motion to
Dismiss the Second Amended Complaint and Supporting Memorandum of Law [Doc.
50], Plaintiffs/ Relator’s Response in Opposition [Doc. 53], and Defendant’s Reply to
Plaintiff’s Opposition [Doc. 57]. The Court, having considered the motion, will
GRANT Defendant’s Motion to Dismiss for the reasons stated herein.
I.
BACKGROUND AND FACTS 1
Defendant, Biotronik, is a medical device company with products and services
related to patients suffering from cardiovascular and endovascular diseases. [Doc. 49
¶ 5]. Relator, Christina Paul, was an employee of Biotronik, from April 7, 2014 until
1
The following statement of facts is derived from Relator’s Second Amended Complaint
(Doc. 49), the allegations of which the Court must accept as true in ruling on the instant
Motion to Dismiss. See Linder v. Portocarrero, 963 F.2d 332, 334 (11th Cir. 1992); Quality Foods
de Centro Am., S.A. v. Latin Am. Agribusiness Dev. Corp. S.A., 711 F. 2d 989, 994 (11th Cir. 1983).
1
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June 2019. Id. ¶ 4. During that time, she worked as a Field Clinical Specialist, then as
a Diagnostic Specialist Id. In both of her positions, Relator provided technical and
clinical support to some of Defendant’s sales staff. Id. Since at least April of 2014,
Defendant has allegedly generated consumer demand for its services and devices
through a fraudulent scheme in which it induces medical professionals to use its
products and services through illegal incentives it pays, in violation of the federal antikickback statute. Id. ¶ 18.
Relator specifically alleges that from 2014 through June 2019, Defendant’s
employee, Paul McLoughlin, with Defendant’s knowledge, provided incentives—
including vacations and trips, meals, payments for cell phone bills, entertainment,
holiday gifts, grand opening expenses, parties, marketing events, and donations—to
referral sources and to physicians in exchange for their use of its services and products.
Id. ¶¶ 19, 21. Relator identifies eleven physicians who were involved in this scheme:
Dr. Ketul Chauhan; Dr. Rajesh Lall; Dr. Aung Tun; Dr. Ramanath Rao; Dr. Phillip
Owen; Dr. Osama Al-Suleiman; Dr. Binu Jacob; Dr. Oji Joseph; Dr. Luis Carillo; Dr.
Siva Bhashyam; and Dr. Irfan Siddiqui. Id. ¶¶ 22-31. Relator alleges she witnessed the
illegal procuring of these clients. Id. ¶ 32.
Through this fraudulent scheme, Defendant allegedly gained market share and
increased its profits in the form of an average $3,000 for each loop device, $7,000 for
each pacemaker, $13,500 for each defibrillator, and $26,000 for each biventricular
defibrillator. Id. ¶ 33. Defendant charged Medicare, Medicaid, and other Governmentfunded healthcare programs an additional $500-1,000 per implanted device under the
2
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guise of a home monitoring program that was not ordered by the physicians, was not
consented to by the patients, and never occurred. Id. ¶ 34. Relator provided a list of
eighty-five patients who were improperly placed on home monitoring or implanted
with Defendant’s products as a result of Defendant’s kickback scheme. Id. ¶ 44.
Relator specifically alleges that McLoughlin was authorized by Defendant to
set up and bill to Medicare and Medicaid home monitoring services for patients
without the approval of the attending physicians. Id. ¶ 35. For example, in June 2017
McLoughlin set up home monitoring services for several of Dr. Ahmed’s patients,
despite the doctor’s refusal, and billed these services to Medicare and Medicaid. Id. ¶¶
36-37. On August 23, 2017, Dr. Ahmed’s nurse, Ursula Morrow, contacted Relator
advising that Dr. Ahmed’s patients were coming into the clinic with home monitoring
devices and asking what needed to be done. Id. ¶ 38. Ms. Morrow told Relator that
neither she nor Dr. Ahmed knew about or had access to the home monitoring
accounts, and requested an explanation. Id. Relator reported this to Defendant’s Home
Monitoring Department Management Representative, John Fitzke, in August 2017. 2
Id. ¶¶ 40-41. Defendant never took any steps to remedy the Home Monitoring issue or
address the misconduct reported by Relator, and its Vice President of Regulatory
Affairs subsequently instructed all employees not to put conversations with physicians
or among staff in writing, and warned employees written communications could be
subject to subpoena. Id. at ¶¶ 42-43, 46.
2
Relator’s August 25, 2017 letter to Defendant regarding the home monitoring practices
taking place within Dr. Ahmed’s practice is provided with the complaint.
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On May 14, 2020, Relator filed a Second Amended Complaint 3 against
Defendant, asserting claims under the federal False Claims Act, 31 U.S.C. § 3729, and
Florida’s False Claims Act, § 68.082(2)(a), Fla. Stat. [Doc. 49]. Defendant has again
moved to dismiss for failure to state a claim and failure to meet the heightened pleading
requirements for fraud claims. [Doc. 50]. Among other things, it argues that the
complaint does not sufficiently plead a kickback scheme; does not provide particular
facts about fraudulent submissions to the government; fails to state which federal
programs received and paid the claims; fails to identify any payment obligation
Defendant had to the government; and does not allege a causal connection between
Defendant’s action and the submission of any false claim. Id. at pp. 7-15. Relator
contends that the Second Amended Complaint satisfies all of the requirements
identified by the Court in the order dismissing the original complaint and is sufficient
to meet the necessary pleading standard for causes of action under the False Claims
Acts. [Doc. 53].
II.
LEGAL STANDARD
To survive a motion to dismiss under Rule 12(b)(6), a pleading must include a
“short and plain statement of the claim showing that the pleader is entitled to relief.”
Ashcroft v. Iqbal, 556 U.S. 662, 677-78 (2009) (quoting Fed. R. Civ. P. 8(a)(2)). Labels,
3
This lawsuit was originally filed on February 15, 2018. [Doc. 1]. Both the United States and
the State of Florida declined intervention. [Docs. 18, 27]. Defendant moved to dismiss the
complaint for failure to state a claim and failure to meet the heightened pleading requirements
for fraud claims and the motion was granted with leave to amend the complaint. [Docs. 26,
45].
4
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conclusions and formulaic recitations of the elements of a cause of action are not
sufficient. Id. (citing Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007)). Furthermore,
mere naked assertions are not sufficient. Id. A complaint must contain sufficient
factual matter, which, if accepted as true, would “state a claim to relief that is plausible
on its face.” Id. (quoting Twombly, 550 U.S. at 570). “A claim has facial plausibility
when the plaintiff pleads factual content that allows the court to draw the reasonable
inference that the defendant is liable for the misconduct alleged.” Id. (citation omitted).
The court, however, is not bound to accept as true a legal conclusion stated as a
“factual allegation” in the complaint. Id.
Additionally, Federal Rule of Civil Procedure 9(b) places more stringent
pleading requirements on claims alleging fraud. Fed. R. Civ. P. 9(b). “[U]nder Rule
9(b) allegations of fraud must include facts as to time, place, and substance of the
defendant’s alleged fraud.” United States ex rel. Clausen v. Lab. Corp. of Am., Inc., 290
F.3d 1301, 1308 (11th Cir. 2002) (citation and internal quotations omitted). Plaintiffs
are thereby required to set forth “the details of the defendants' allegedly fraudulent
acts, when they occurred, and who engaged in them.” Hopper v. Solvay Pharm., Inc.,
588 F.3d 1318, 1324 (11th Cir. 2009) (internal quotation marks omitted) (citing
Clausen, 290 F.3d at 1310). Failure to satisfy the particularity requirement under Rule
9(b) amounts to failure to state a claim until Rule 12(b)(6). See, e.g., Corsello v. Lincare,
Inc., 428 F.3d 1008, 1012 (11th Cir. 2005).
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III.
DISCUSSION
Relator has alleged federal and Florida False Claims Act violations arising from
an alleged unlawful kickback scheme between Defendant and eleven doctors. [Doc.
49 at ¶¶ 22, 48-81]. The False Claims Act, 31 U.S.C. § 3729 et seq., imposes civil
liability on “any person who ... knowingly presents, or causes to be presented, a false
or fraudulent claim for payment” to the federal government or who “knowingly
makes, uses, or causes to be made or used, a false record or statement material to a
false or fraudulent claim.” United States v. AseraCare, Inc., 938 F.3d 1278, 1284 (11th
Cir. 2019) (quoting 31 U.S.C. § 3729(a)(1)(A)–(B)). It also “imposes liability on any
person who knowingly makes, uses, or causes 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 Government[.]” U.S. ex rel. Matheny v. Medco Health Sols., Inc., 671 F.3d
1217, 1221–22 (11th Cir. 2012). “Florida has . . . a parallel statutory scheme with
similar provisions.” Carrel v. AIDS Healthcare Found., Inc., 898 F.3d 1267, 1272 (11th
Cir. 2018) (citing Fla. Stat. §§ 68.082(2)(a), (b), (g); 68.083(2)). 4 The Act “serves as a
mechanism by which the Government may police noncompliance with Medicare
reimbursement standards after payment has been made.” AseraCare, Inc., 938 F.3d at
1284.
4
“Because the Florida False Claims Act is modeled after the Federal False Claims act, the
claims will be analyzed using the same general standards.” United States ex rel. Watine v. Cypres
Health Sys. Fla., Inc., No. 1:09-cv-0137-SPM-GRJ, 2012 WL 467894, and *1 (N.D. Fla. Feb.
14, 2012). Claims brought under Florida’s False Claims Act require proof of the same
elements as its federal counterpart. United States v. Sand Lake Cancer Ctr., P.A., No. 8:13- CV2724-T-27MAP, 2019 WL 423156, at *2 (M.D. Fla. Feb. 4, 2019).
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A. The Kickback Scheme
As an initial matter, Defendant contends, and the Court agrees that Relator has
not sufficiently pleaded that Defendant was engaged in a kickback scheme with any of
the eleven doctors or any referral source. [Doc. 50 at p. 4]. The Eleventh Circuit
explained in Carrel v. AIDS Healthcare Found., Inc., 898 F.3d 1267, 1272 (11th Cir. 2018)
that
The Anti-Kickback Statute creates liability for anyone who
“knowingly and willfully offers or pays any remuneration
... to any person to induce such person ... to refer an
individual to a person for the furnishing ... of any item or
service for which payment may be made in whole or in part
under a Federal health care program.” Id. § 1320a-7b(b)
(citing 42 U.S.C. § 1320a-7b(b)(2)). The statute “broadly forbids kickbacks, bribes, and
rebates in the administration of government healthcare programs.” Id. A violation of
the statute occurs when the defendant (1) knowingly and wilfully, (2) pays money,
directly or indirectly, to doctors, (3) to induce the doctors to refer individuals to the
defendants for the furnishing of medical services, (4) paid for by a Federal health care
program. U.S. ex rel. Mastej v. Health Mgmt. Assocs., Inc., 591 F. App'x 693, 698 (11th
Cir. 2014) (citing United States v. Vernon, 723 F.3d 1234, 1252 (11th Cir. 2013)).
The complaint does not sufficiently plead the who, what, when, or how as to
the payment of money, directly, or indirectly, to the doctors identified nor any referral
source. The complaint is deficient as to when the alleged payments occurred. Relator
alleges generally that “[t]he practices referenced herein occurred from 2014 through
the June 2019.” [Doc. 49 ¶ 21]. That is not enough. Relator also provided specific dates
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or periods as to some acts, for example, the purchase of custom “Boxed cookies” on
December 9, 2015 to give to Dr. Bhashyam as Christmas cookies so that he could use
them as referral physician gifts. Id. ¶ 30. But still, Relator does not allege when these
cookies were actually given to Dr. Bhashyam, which is the relevant time for purposes
of alleging the scheme. See Sampson v. Washington Mut. Bank, 453 F. App'x 863, 866
(11th Cir. 2011) (“Because Sampson fails to allege in his complaint who made the
misrepresentations, what their precise content was, when they were made, and where
they were made, he has not set forth facts sufficient to plead fraud.”); United States ex
rel. Silva v. VICI Mktg., LLC, 361 F. Supp. 3d 1245, 1254 (M.D. Fla. 2019) (denying
dismissal of count against Z Stat Medical and reasoning that “[t]he Complaint in
partial intervention . . . describes how Z Stat Medical maintained spreadsheets
outlining the kickbacks due under each kickback scheme. The United States pled the
dates and amounts of various kickback payments paid through Z Stat Medical and
the details of some representative false claims. Thus, there are sufficient allegations
about Z Stat Medical individually to support the FCA claim.”) (docket cites omitted).
Allegations as to purported payments to some doctors were entirely devoid of a date
the payment was made. See, e.g., id. ¶¶ 22(a),(c),(d),(e),(f). Because of the lack of
particularity, none of the allegations as to payment is sufficient for purposes of Rule
9(B), such that the Court must find that Relator has not met the heightened standard
for pleading a kickback scheme.
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B. The False Claims Counts
Even if Relator had sufficiently alleged a kickback scheme, the complaint suffers
additional deficiencies in pleading the counts asserted, which warrant dismissal of the
complaint.
To establish a cause of action under § 3729(a)(1)(A), a
relator must prove three elements: (1) a false or fraudulent
claim, (2) which was presented, or caused to be presented,
for payment or approval, (3) with the knowledge that the
claim was false. 31 U.S.C. § 3729(a)(1)(A). To prove a
claim under § 3729(a)(1)(B), a relator must show that: (1)
the defendant made (or caused to be made) a false
statement, (2) the defendant knew it to be false, and (3) the
statement
was
material
to
a
false
claim. 31 U.S.C. § 3729(a)(1)(B).
United States ex rel. Phalp v. Lincare Holdings, Inc., 857 F.3d 1148, 1154 (11th Cir. 2017).
To establish a reverse false claim, pursuant to 31 U.S.C. § 3729(a)(1)(G), a relator must
prove: (1) a false record or statement; (2) the defendant's knowledge of the falsity; (3)
that the defendant made, used, or causes to be made or used a false statement or
record; (4) for the purpose to conceal, avoid, or decrease an obligation to pay money
to the government; and (5) the materiality of the misrepresentation. Medco Health Sols.,
Inc., 671 F.3d at 1222. Again, claims brought under Florida’s False Claims Act require
proof of the same elements as its federal counterpart. United States v. Sand Lake Cancer
Ctr., P.A., No. 8:13- CV-2724-T-27MAP, 2019 WL 423156, at *2 (M.D. Fla. Feb. 4,
2019). The Court will address an additional deficiency that is fatal as to each count.
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i.
Presentment of False Claims
Count I alleges a claim pursuant to § 3729(a)(1)(A) and Count IV alleges the
corresponding claim under Florida law. As noted in the Court’s prior order, “[t]he
submission of a claim is . . . the sine qua non of a False Claims Act violation.” U.S. ex
rel. Clausen v. Lab. Corp. of Am., 290 F.3d 1301, 1311 (11th Cir. 2002). “The False
Claims Act does not create liability merely for a health care provider's disregard of
Government regulations or improper internal policies unless, as a result of such acts,
the provider knowingly asks the Government to pay amounts it does not owe.” Id. “To
satisfy the presentment requirement, a relator ‘must allege the actual presentment of a
claim ... with particularity, meaning particular facts about the who, what, where,
when, and how of fraudulent submissions to the government.’ ” United States v.
Choudhry, 262 F. Supp. 3d 1299, 1308-09 (M.D. Fla. 2017) (quoting Urquilla–Diaz v.
Kaplan Univ., 780 F.3d 1039, 1052 (11th Cir. 2015)).
Failure to sufficiently plead that a claim was submitted justifies dismissal of a
claim alleging a violation of § 3729(a)(1)(A). In Clausen, for example, the district court
found that the First Amended Complaint’s failure to identify any specific claims that
were submitted to the United States or identify the dates on which those claims were
presented to the government was a fatal flaw and that the Second Amended
Complaint’s addition of conclusory statements that LabCorp submitted for specified
tests on the “date of service or within a few days thereafter,” suffered from the same
defect. Clausen, 290 F.3d at 1311. The appellate court agreed, finding that the
allegations in the Second Amended Complaint were conclusory and reasoning that
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“[i]f Rule 9(b) is to carry any water, it must mean that an essential allegation and
circumstance of fraudulent conduct cannot be alleged in such conclusory fashion.” Id.
at 1311, 1313. As in this case, Clausen provided patient identities, dates of testing and
testing procedures, but without information about claims actually submitted, the
appellate court held that dismissal was proper. Id. at 1313-15.
The Court acknowledges, as Relator points out in her response, that she has
provided eighty-five examples of patients implanted with Defendant’s products and/
or placed on home monitoring as a result of the alleged kickback scheme—including
information as to dates, products used, procedures performed, invoice numbers,
insurance entities, as well as which doctors performed the procedures. [Doc. 53 pp. 6,
10]. As to each patient, Relator alleges that “[t]hese medical devices, services, and
procedures were ultimately paid for by Medicare, Medicaid, or another government
funded healthcare provider.” [Doc. 49, ¶ 44(a-cg)]. It is not sufficient for Relator to
allege merely that claims must have been submitted, were likely submitted, or should
have been submitted to a federally-funded healthcare provider. U.S. ex rel. Clausen, 290
F.3d 1311. Without providing certain details such as dates that false claims were
submitted, amounts listed in those claims, or similar details, a complaint does not meet
the standards of Fed. R. Civ. P. 9(b). Sanchez, 596 F.3d at 1302. This is the case here
as Relator fails to identify any claims submitted for payment to a government funded
healthcare provider as a result of Defendant’s alleged kickback scheme. She has
provided the “who,” “what,” “where,” “when,” and “how” of improper practices, but
has failed to allege the “who,” “what,” “where,” “when,” and “how” of fraudulent
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submissions to the government. Corsello, 428 F.3d at 1014. Moreover, while it is true
that personal knowledge—as a result of employment or conversations with billing
employees—can provide support for an FCA complaint, Unites States ex rel. Walker v.
R&F Properties of Lake Cnty. Inc., 433 F.3d 1349, 1360 (11th Cir. 2005), no such
allegation is presented here and the Court cannot find the indicia of reliability that
could otherwise cure any deficiency as to the sufficiency of the allegations. See United
States v. HPC Healthcare, Inc., 723 F. App'x 783, 789 (11th Cir. 2018) (“[T]his Court has
deemed indicia of reliability sufficient where the relator alleged direct knowledge of
the defendants’ submission of false claims based on her own experiences and on
information she learned in the course of her employment.”). As a result, Relator has
not sufficiently pleaded a claim that Defendant presented or caused to be presented to
a federal healthcare program, a false or fraudulent claim for payment, which further
warrants dismissal of Counts I and IV.
ii.
False Record or Statement
Counts II and V both allege that Defendant made, used, or caused to be made
or used false or fraudulent records and statements to get a false claim paid or approved
by the government. [Doc. 49]. Defendant argues, among other things, the complaint
fails to allege any false statement or record made or caused to be made by Defendant.
[Doc. 50 pp. 2, 11]. In response, relator contends that she has described in detail how
Defendant used dummy home monitoring sites to create a false record that patients
had been monitored. [Doc. 53 at p. 11]. The Court has reviewed the allegations of the
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complaint, and specifically those cited by Relator in her response, and finds that they
too, are conclusory.
Relator alleges that Defendant was billing for home monitoring of patients that
was never ordered by the physician, never consented to by the patient and never
occurred, and that home monitoring accounts were not being used. [Doc. 49 §¶¶ 3439, 44]. Additionally, she alleges that Defendant engaged in a practice of creating
dummy accounts. Id. Importantly, Relator has not identified any specific statement or
record. This Court has previously dismissed complaints for this very reason. See United
States ex rel. McFarland v. Fla. Pharmacy Sols., 358 F. Supp. 3d 1316, 1330 (M.D. Fla.
2017) (dismissing false statement count for lack of particularity and reasoning that
“McFarland attaches, for example, no false statement or record to the complaint and
fails to identify the date of any statement or record.”). The Court recognizes that
Relator provided some specifics as to Dr. Ahmed, but finds that she has still not alleged
the how, what, or other relevant details regarding the claimed fraudulent billing or use
of dummy accounts, which is required when pleading fraud. See United States ex rel.
Stepe v. RS Compounding LLC, 304 F. Supp. 3d 1216, 1225 (M.D. Fla. 2018) (“To the
extent the Court can divine what false records or statements Stepe intended to
reference in this count, the Court finds those statements insufficiently pled under Rule
9(b). Stepe still has not sufficiently pled how the pre-printed script pads specifying a
high refill number constitute a false statement, given that physicians are free to mark
out the default refill number and fill in another.”). As such, the Court finds that Relator
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has not met the heightened standard of pleading as to the claims alleged in Counts II
and V.
iii.
Obligation to the Government
The Court agrees with Defendant that Relator has not adequately pleaded a
reverse false claim pursuant § 3729(a)(1)(G). “[L]iability [under that section] results
from avoiding the payment of money due to the government, as opposed to submitting
to the government a false claim.” United States ex rel. Matheny v. Medco Health Sols., Inc.,
671 F.3d 1217, 1222 (11th Cir. 2012) (citing United States v. Pemco Aeroplex, Inc., 195
F.3d 1234, 1235–36 (11th Cir.1999)); United States ex rel. Stepe v. RS Compounding LLC,
304 F. Supp. 3d 1216, 1226 (M.D. Fla. 2018) (same). Relator has not sufficiently
pleaded that Defendant had a payment obligation to the government. As Defendant
contends, nowhere in the Amended Complaint does Relator plead with particularity
any overpayments to Defendant based on false submissions, which in turn created an
obligation to refund the government. Instead, Relator provides conclusory allegations
that Defendant’s kickback scheme allowed it to collect money it was not entitled to
and that by concealing this scheme Defendant has denied the government the ability
to demand a return of the money. [Doc. 49 ¶¶ 59-61, 78-79. In fact, Relator has only
generally alleged throughout the complaint that the patient’s procedures were believed
to have been paid out by Medicare, Medicaid, or another government funded
healthcare provide. Id. ¶ 37, 44. This is not enough to serve as the basis of an obligation
to the government for purposes of reverse false claim liability. Counts III and VI are
therefore also subject to dismissal on this basis.
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C. Leave to Amend
Finally, the parties raise an issue as to whether the dismissal should be granted
with prejudice or whether Relator should be allowed to file an amended complaint.
“[A] district court's discretion to dismiss a complaint without leave to amend is
‘severely restrict[ed]’ by Fed. R. Civ. P. 15(a), which directs that leave to amend ‘shall
be freely given when justice so requires.’ ” Thomas v. Town of Davie, 847 F.2d 771, 773
(11th Cir. 1988) (quoting Dussouy v. Gulf Coast Investment Corp., 660 F.2d 594, 597
(Former 5th Cir.1981)). “In the absence of any apparent or declared reason—such as
undue delay, bad faith or dilatory motive on the part of the movant, repeated failure
to cure deficiencies by amendments previously allowed, undue prejudice to the
opposing party by virtue of allowance of the amendment, futility of amendment, etc.—
the leave sought should, as the rules require, be ‘freely given.’ ” Garfield v. NDC Health
Corp., 466 F.3d 1255, 1270 (11th Cir. 2006) (quoting Foman v. Davis, 371 U.S. 178, 182
(1962)). Nothing on the record in this case suggests undue delay, bad faith, or dilatory
motive on the part of Relator, nor that Defendant will be unduly prejudiced if the
Court allows Relator to amend the complaint. Additionally, the Court finds that a
more carefully drafted complaint could sufficiently state a claim. Therefore, the Court
will allow Relator one final opportunity to amend her complaint.
Accordingly, it is hereby ORDERED:
1. Defendant’s Motion to Dismiss [Doc.50], is GRANTED. Relator is
granted leave to file a Third Amended Complaint on or before February
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4, 2021, which cures the deficiencies discussed in this and the previous
Order. Failure to file the amended complaint within the time provided
will result in dismissal of this action without further notice.
DONE AND ORDERED in Tampa, Florida on January 21, 2021.
Copies to:
Counsel of Record and Unrepresented Parties, if any
16
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