Blog
Original Source
By Sidley Austin LLP Visit the blog
56 published works
Original Source
Texas Supreme Court Imposes Materiality Requirement on Texas Healthcare Fraud Omissions Claims
By Kwaku A. Akowuah, Scott D. Stein, Jaime L.M. Jones, Kenneth G. Coffin, Matt Bergs
In a significant decision for healthcare providers, the Texas Supreme Court reversed a court of appeals decision that had revived claims against a laboratory testing company and reinstated summary judgment…
Original Source
Texas AG Secures Nearly $34 Million Settlement with Pharmaceutical Company, Reinforcing Active Ongoing THFPA Enforcement
By Jaime L.M. Jones, Kenneth G. Coffin, Matt Bergs, Anna M. Schmitt
The Texas Attorney General (“Texas AG”) recently announced a settlement with AstraZeneca Pharmaceuticals LP (“AstraZeneca”) for $33,998,000 to resolve allegations under the Texas Health Care Program Fraud Prevention Act (“THFPA”)…
Original Source
HHS-OIG Decertifies New York Medicaid Fraud Control Unit, Escalating Federal Scrutiny of State Medicaid Fraud Enforcement
By Jaime L.M. Jones, Lisa H. Miller, Kenneth G. Coffin, Lauren E. McBride
The Administration has taken another significant step in its effort to increase pressure on state Medicaid Fraud Control Units (“MFCUs”). On July 2, 2026, the United States Attorney’s Office for…
Original Source
In House Hearing, DAAG Jenny Discusses FCA Enforcement Priorities Related to Grants, Faces Questioning on Using FCA to Target Discrimination
By Kristin Graham Koehler, Jaime L.M. Jones, H. Boyd Greene IV, Kyle J. Fiet, Joseph R. LoCascio
On June 24, 2026, the Investigations and Oversight Subcommittee of the U.S. House of Representatives Committee on Science, Space, and Technology held a hearing on “Federal Research Funds: The False…
Original Source
DOJ Reaches $507,144 Settlement with Defense Contractor, Signals Increased FCA Scrutiny of Cybersecurity Self-Assessments
By Kristin Graham Koehler, Jaime L.M. Jones, H. Boyd Greene IV, Kenneth G. Coffin, David Lashway, Anna M. Schmitt
On June 18, 2026, DOJ announced a settlement with LOGZONE Inc., a defense contractor, to pay $507,144 to resolve allegations that it violated the False Claims Act through its failure…
Original Source
Challenging Executive Order on DEI, States Say It Gets FCA Materiality Wrong
By Kristin Graham Koehler, Jaime L.M. Jones, Scott D. Stein, H. Boyd Greene IV, Kyle J. Fiet, Joseph R. LoCascio
On June 10, 2026, nineteen states and the District of Columbia filed an Administration Procedure Act suit challenging President Trump’s Executive Order No. 14398 (the EO), on which we have…
Original Source
DOJ Announces Accelerated Review of FCA Qui Tams Alleging Fraud Against State-Administered Benefits Programs
By Kristin Graham Koehler, Jaime L.M. Jones, Lisa H. Miller, Kenneth G. Coffin
It is not business as usual at DOJ. In the latest announcement related to the Department’s efforts to fight alleged fraud, on May 27, 2026, Assistant Attorney General Brett Shumate…
Original Source
DOJ and Texas AG Announce First Settlement in National Investigation of Gender-Affirming Care for Minors
By Doreen M. Rachal, Shu Min Ho, Kenneth G. Coffin, Lucia Radder Quick, Nicole A. Heise
On May 15, 2026, the U.S. Department of Justice (“DOJ”) and Texas Attorney General Ken Paxton announced agreements with Texas Children’s Hospital (“TCH”) resolving allegations related to TCH’s provision of…
Original Source
Vice President and CMS Announce Suite of New Administrative Actions to Further Federal Anti-Fraud Health Care Initiatives
By Jaime L.M. Jones, Kenneth G. Coffin, Lauren E. McBride
Last week, the White House and CMS announced a set of new administrative actions to further the Administration’s anti-fraud mission, including in particular CMS’s CRUSH (Comprehensive Regulations to Uncover Suspicious…
Original Source
Tariff Enforcement at the Forefront: Importer Agrees to Pay $549.5 million in Largest-Ever Trade-Related False Claims Act Settlement
By Kristin Graham Koehler, Ted Murphy, Craig Francis Dukin, Aaron M. Applebaum, Gwen Ellis-Joyce
On May 12, 2026, the U.S. Department of Justice (“DOJ”) announced a $549.5 million settlement with Perfectus Aluminum Acquisitions LLC (“Perfectus Aluminum”) and four affiliated warehousing companies (collectively, “the Warehouses”)…