JOHN R. TUNHEIM, Chief District Judge.
Plaintiff David Feinwachs brings this action against the Minnesota Hospital Association and its subsidiary the MCCA (referred to collectively as "MHA"), alleging that MHA violated anti-retaliation provisions in the federal False Claims Act ("FCA") and the Minnesota False Claims Act ("MFCA") by terminating him because of his efforts to stop unlawful conduct by various HMOs. MHA moves to dismiss Feinwachs' action, arguing that his claim is barred by collateral estoppel. In a prior state court action, Feinwachs brought claims of tortious interference with his employment relationship against a number of healthcare organizations. The state court granted summary judgment against Feinwachs, finding that the stated reason for Feinwachs' termination, insubordination, was not pretext for improper interference by these organizations. Because the Court finds that this prior action did not involve the same issues as the present action, it will deny MHA's motion.
MHA is a "trade association representing Minnesota's hospitals and healthcare systems" that "advocates healthcare policy for its members." (Third Am. Compl. ("Compl.") ¶ 10, July 9, 2014, Docket No. 43.) Feinwachs worked at MHA for 30 years as general counsel and directed its legislative advocacy. (Id. ¶ 9.) Lawrence Massa, the executive director of MHA, was Feinwachs' supervisor. (Id.)
Starting in 2010, Feinwachs participated in "an intensive lobbying and political campaign" that he claimed was aimed at "warn[ing] Minnesota legislators and healthcare professionals about the apparent impropriety of the [Prepaid Medical Assistance Program (PMAP)] contractors receiving millions in excessive reserves from the state-federal Medical Assistance program without any true audits and inadequate accountability." (Id. ¶ 95.) In early 2010, Feinwachs introduced and testified on behalf of an amendment before the Minnesota House of Representatives that would have required HMOs to adopt certain accounting principles; however, the amendment was later withdrawn. (Id. ¶ 96.) Feinwachs alleges that following the defeat of this amendment, high-level workers from various healthcare organizations contacted Massa to complain about Feinwachs. (Id. ¶¶ 97, 99-100.)
In July 2010, Feinwachs directed his private attorney to question a retired Minnesota Department of Human Services employee about the "handling of Medicaid monies by the PMAP contractors." (Id. ¶ 101.) On July 20, 2010, Feinwachs produced a video for the Minnesota Provider Coalition (MPC) highlighting the issue of PMAP money and HMOs. (Id. ¶ 102.) High-level workers from various healthcare organizations again contacted Massa to complain about Feinwachs, this time about his investigation of HMOs and his involvement in the video. (Id. ¶¶ 101, 103, 105.) Because of these complaints, Massa told Feinwachs not to be involved with the MPC anymore. (Id. ¶ 105.) However, in September 2010, Feinwachs produced a second video, nearly identical to the first, but with added findings from a later report. (Id. ¶ 106.) Massa received more complaints from industry employees about Feinwachs after the second video. (Id. ¶¶ 107-09, 111-12.)
On October 14, 2010, Massa noted that he faced pressure to fire Feinwachs, but defended him, stating, "If the plans have any credibility issues to worry about, killing the messenger isn't going to resolve this for very long in my view." (Id. ¶ 110.) Massa warned Feinwachs "to desist from criticizing the PMAP contracts" and told him that others were angry about the second video, which may have been seen by legislators. (Id. ¶ 113.) On October 20, 2010, Massa placed Feinwachs on unpaid administrative leave, stating that he had "been insubordinate following [Massa's] direct order to disengage from membership and work with the [MPC]." (Id. ¶ 113; Id., Ex. 17.) Massa stated that by becoming involved in the second video, Feinwachs had disregarded his order. (Id., Ex. 17.) On October 26, 2010, Massa told Feinwachs that he was working on an outline of "prohibitive activities" if Feinwachs was going to continue working at MHA; however, this document never arrived, and Massa terminated Feinwachs on November 9, 2010. (Id. ¶¶ 113-14.) Massa initially offered Feinwachs a severance payment of $20,000 if he agreed "to restrict his communications with the public in the future" and to release legal claims against MHA. (Id. ¶ 114.) Feinwachs alleges that the amount was later increased to $150,000, but that he declined both offers. (Id.)
In February 2011, Feinwachs filed an action in state court against the Minnesota Council of Health Plans ("MCHP"), Blue Cross Blue Shield of Minnesota, HealthPartners, Inc., and UCare Minnesota (collectively "the health plan defendants"), alleging that they tortiously interfered with his employment relationship with MHA; he also brought a defamation claim against MCHP. Feinwachs v. Minn. Council of Health Plans ("Feinwachs I"), 62-CV-11-910, 2011 Minn. Dist. LEXIS 258, at *2 (Minn. Dist. Ct. Dec. 30, 2011). The court granted the health plan defendants' motion to dismiss, finding that Feinwachs
Id. at *3. The court noted that the test for tortious interference required: (1) an agreement, (2) the defendants knew of the agreement, (3) "intentional procurement of the severance of the relationship by the [d]efendants," (4) lack of justification on part of the defendants, and (5) damages to the plaintiff. Id. at *16. Feinwachs' claim failed on the third and fourth elements, as the court found that he did not show that the health plan defendants caused his termination or that, if they did, their actions were not justified. Id. at *17. The court found that the "stated reason for termination, i.e., insubordination, was not a pretext for an improper inducement of his firing." Id. at *18-19. The court emphasized Massa's testimony, including the following statement:
Id. at *23 (alteration in original). The court found that "there can be no genuine fact dispute that once [Massa] was confronted with Mr. Feinwachs' behavior (the September video) that was directly contrary to express orders, Mr. Massa's claim of an insubordination-based termination is unassailable." Id. at *24-25. Finally, the court stated, "In sum, Mr. Feinwachs has not shown that there are genuine issues of material fact as to whether Defendants improperly induced his termination." Id. at *26.
The Minnesota Court of Appeals affirmed, stating, "Seeing no genuine issue of material fact regarding the reasons for appellant's discharge, we affirm." Feinwachs v. Minn. Council for Health Plans ("Feinwachs II"), No. A12-0375, 2012 WL 4329115, at *1 (Minn. Ct. App. Sept. 24, 2012). More narrowly, the court found, "To the extent that there was interference with Feinwachs' employment relationship evidenced by [internal emails], it clearly did not account for his discharge." Id. at *5. The court emphasized Massa's testimony that he supported Feinwachs until he realized that Feinwachs did not follow his direction to stop working with the MPC, that Feinwachs had been "blatantly insubordinate," and that he had to "take some sort of action." Id. Crediting Feinwachs' allegation that Massa secretly supported his actions and placed him on administrative leave as a ruse, the court found that Feinwachs would have to show some evidence of interference by the health plan defendants in the three weeks between his placement on leave and his termination, which he failed to do. Id. at *6. Therefore, the court found that "no genuine issue of material fact exists on whether a breach of Feinwachs' employment relationship was procured before Massa decided to place him on administrative leave or on whether respondents thereafter interfered with Feinwachs' employment relationship with MHA." Id. The court declined to address any other arguments, including whether any interference was justified. Id.
On January 3, 2011, Feinwachs filed a qui tam action alleging FCA claims against a number of HMOs in addition to his retaliation claims against MHA. However, after the government chose not to intervene, the Court granted Feinwachs' motion to dismiss his claims against the HMO defendants, including HealthPartners, Inc., Medica Health Plans, HMO Minnesota, Inc., and UCare. (Order, June 1, 2015, Docket No. 48.) The only claims that remain are Feinwachs' whistleblower retaliation claims against MHA and its subsidiary MCCA under the FCA and state law, found in counts eight and nine of the complaint. (See Compl. ¶¶ 189-92.)
In reviewing a motion to dismiss brought under Federal Rule of Civil Procedure 12(b)(6), the Court considers all facts alleged in the complaint as true to determine if the complaint states a "claim to relief that is plausible on its face." See, e.g., Braden v. Wal-Mart Stores, Inc., 588 F.3d 585, 594 (8
Feinwachs brings a retaliation claim under the FCA. The applicable statute provides that:
31 U.S.C. § 3730(h)(1). To establish an FCA retaliation claim, a plaintiff must show that "(1) he engaged in conduct protected by the FCA; (2) [the employer] knew he engaged in the protected activity; (3) [the employer] retaliated against him; and (4) the retaliation was motivated solely by [the employee's] protected activity." Townsend v. Bayer Corp., 774 F.3d 446, 456-57 (8
Feinwachs also alleges two state law claims. First, Feinwachs brings a claim under Minnesota's version of the FCA.
MHA brings this motion to dismiss on the basis that collateral estoppel bars Feinwachs' suit because the legitimacy of Feinwachs' termination was already decided in the prior state court proceedings.
In determining whether a state court decision precludes an action in federal court, the Court applies state law. Hintz v. JPMorgan Chase Bank, N.A., 686 F.3d 505, 509 (8
Hauschildt v. Beckingham, 686 N.W.2d 829, 837 (Minn. 2004) (citing Care Inst., Inc.-Roseville v. County of Ramsey, 612 N.W.2d 443, 448 (Minn. 2000)). Collateral estoppel is not to be rigidly applied, but rather, "the focus is on whether [its] application would work an injustice on the party against whom the doctrine[is] urged." Id. at 837. Neither party disputes that there was a final judgment on the merits and Feinwachs was a party to the earlier suit. The application of collateral estoppel in this case turns on whether or not the issues are identical.
In arguing that the issues are identical, MHA points to the similarities between the Feinwachs I complaint and the present complaint. However, to decide whether collateral estoppel applies, the Court looks to the issues actually litigated, not the factual similarities.
The parties have differing views on how broadly to categorize issues decided in the prior state court proceedings. MHA argues that the state court decided the issue of whether Feinwachs' termination was legitimate, whereas Feinwachs argues that the state court only decided whether his termination was based on improper interference by third parties. In some cases, a finding of legitimate termination in one context may bar subsequent litigation over the termination. See, e.g., Bechtold v. City of Rosemount, 104 F.3d 1062, 1067 (8
However, the Court must compare the specific issues involved to determine if the present issue is the "same as that adjudicated in the prior action," including whether it was "necessary and essential to the resulting judgment in that action" and whether it was "distinctly contested and directly determined." Hauschildt, 686 N.W. 2d at 837-38. Feinwachs' state case turned on whether Massa made the termination decision himself, rather than due to improper interference from third parties. Here, the pertinent issue is whether Massa made the decision based on Feinwachs' protected activity. Some portions of the Feinwachs I opinion suggest a broad finding that Feinwachs' termination was legitimate in all respects. See 2011 Minn. Dist. LEXIS 258, at *24-25 (finding "there can be no genuine fact dispute that once he was confronted with Mr. Feinwachs' behavior (the September video) that was directly contrary to express orders, Mr. Massa's claim of an insubordination-based termination is unassailable"). However, other portions of the opinion suggest a narrower holding, confined solely to the issue of whether the "stated reason for termination, i.e., insubordination, was not a pretext for an improper inducement of his firing" by third parties. Id. at *18-19. This narrower interpretation is strengthened by the fact that Feinwachs I and Feinwachs II relied, at least partially, on the timing of Feinwachs' termination, which suggested that the termination decision stemmed from Massa himself, rather than from third party interference. The district court wrote:
Feinwachs I, 2011 Minn. Dist. LEXIS 258, at *24. The appellate court similarly relied on the timing of Massa's decision: after crediting Feinwachs' testimony that Massa still supported him even when placing him on leave, the court found no evidence of third party influence during the three weeks between Feinwachs' placement on leave and his termination. Feinwachs I, 2012 WL 4329115, at *6. This finding contributed to the appellate court's ultimate holding that no fact issue remained as to whether Feinwachs was terminated because of interference from third parties. Id. This holding does not foreclose the possibility that Massa's decision was based on protected activity, or that "insubordination" was pretext for an improper motive, such as retaliation.
Overall, while portions of the state court decisions suggest a broad finding that Feinwachs' termination was legitimate and based on insubordination, the legal issue and the court's findings were narrower. The state court found that Feinwachs' termination was not based on tortious interference by third parties, and the court had no reason to go beyond that issue and determine whether Feinwachs' termination was proper in all respects. Thus, the Court finds that Feinwachs' claim is not barred by collateral estoppel.
Based on the foregoing, and all the files, records, and proceedings herein,