GRABER, Circuit Judge:
This qui tam action, brought under the False Claims Act, comes to us on interlocutory appeal from the district court's denial of summary judgment so that we can settle questions of law posed in the wake of Universal Health Services, Inc. v. United States ex rel. Escobar, ___ U.S. ___, 136 S.Ct. 1989, 195 L.Ed.2d 348 (2016). We affirm.
Defendant Stephens Institute, doing business as Academy of Art University, is an art school in San Francisco that offers undergraduate and graduate degrees. Defendant receives federal funding
In 2006, Defendant's admissions department instituted a new policy to encourage admissions representatives to enroll more students. The policy established an enrollment goal for each admissions representative. If a representative succeeded in enrolling that number of students, he or she would receive a salary increase of up to $30,000. Conversely, a representative could have his or her salary decreased by as much as $30,000 for failing to reach the assigned enrollment goal. Defendant characterized those adjustments as dependent on both quantitative success, meaning a representative's enrollment numbers, and qualitative success, meaning the representative's non-enrollment performance. But, in practice, the employees understood that their salary adjustments rested entirely on their enrollment numbers. Defendant rewarded one team of representatives with an expense-paid trip to Hawaii. The team received that reward solely because of their enrollment numbers.
That enrollment incentive policy remained in place until 2009, when Defendant instituted new enrollment goals and a "scorecard" system for calculating salary adjustments. The scorecard system involved separate salary adjustment calculations for qualitative and quantitative performance. An admissions representative could receive an adjustment of as much as $23,000 for quantitative performance alone; adjustments related to qualitative performance topped out at $6,000. Managers were told not to share those scorecards with admissions representatives because of concerns about compliance with the participation agreement. The scorecard policy remained in effect until 2010.
Relators Scott Rose, Mary Aquino, Mitchell Nelson, and Lucy Stearns, who are former admissions representatives for Defendant, brought this False Claims Act action in 2010, claiming that Defendant violated the incentive compensation ban from 2006 through 2010. Defendant filed a motion for summary judgment, which the district court denied on May 4, 2016. But on June 16, 2016, the Supreme Court decided Escobar, in which the Court clarified the law surrounding falsity and materiality in False Claims Act claims. 136 S.Ct. at 1999, 2001. Defendant filed a motion for reconsideration in light of Escobar, which the district court likewise denied. But the district court granted in part Defendant's motion for an interlocutory appeal, certifying to this court several questions relating to Escobar's effect on our precedent.
The Department of Education oversees the grant of Title IV funds to colleges and universities. To qualify for such funds, schools must comply with a number of statutory, regulatory, and contractual requirements. One such requirement is the incentive compensation ban, which is mandated by statute, regulation, and contractual program participation agreements. The incentive compensation ban prohibits schools from providing "any commission, bonus, or other incentive payment based directly or indirectly on success in securing enrollments or financial aid to any persons or entities engaged in any student recruiting or admission activities." 20 U.S.C. § 1094(a)(20); 34 C.F.R. § 668.14(b)(22). If individuals become aware of a school's violation of the incentive compensation ban, they can bring a qui tam action on behalf of the United States under the False Claims Act. When the Department becomes aware of such violations, it also can take direct action against noncompliant schools by, among other things, mandating corrective action; reaching a settlement agreement; imposing fines; or limiting, suspending, or terminating a school's participation in federal student aid programs.
The False Claims Act imposes liability on anyone who "knowingly presents, or causes to be presented, a false or fraudulent claim for payment or approval." 31 U.S.C. § 3729(a)(1)(A). We articulated the four elements of a False Claims Act claim in United States ex rel. Hendow v. University of Phoenix, 461 F.3d 1166 (9th Cir. 2006), another case that involved alleged violations of the incentive compensation ban. Under Hendow, a successful False Claims Act claim requires: "(1) a false statement or fraudulent course of conduct, (2) made with scienter, (3) that was material, causing (4) the government to pay out money or forfeit moneys due." Id. at 1174. But Escobar has unsettled the state of this circuit's law with regard to two of those elements: falsity and materiality.
The falsity requirement can be satisfied in one of two ways. The first is by express false certification, which "means that the entity seeking payment [falsely] certifies compliance with a law, rule or regulation as part of the process through which the claim for payment is submitted." Ebeid ex rel. United States v. Lungwitz, 616 F.3d 993, 998 (9th Cir. 2010). The other is by implied false certification, which "occurs when an entity has previously undertaken to expressly comply with a law, rule, or regulation [but does not], and that obligation is implicated by submitting a claim for payment even though a certification of compliance is not required in the process of submitting the claim." Id. (emphasis added).
In Ebeid, we clarified that, to establish a claim under the implied false certification theory, a relator must show that "(1) the defendant explicitly undertook to comply with a law, rule or regulation that is implicated in submitting a claim for payment and that (2) claims were submitted (3) even though the defendant was not in compliance with that law, rule or regulation." Id. Thus, under Ebeid, a relator bringing an implied certification claim could show falsity by pointing to noncompliance with a law, rule, or regulation that is necessarily implicated in a defendant's claim for payment.
The Supreme Court subsequently addressed implied false certification in Escobar. There, the Supreme Court held that
Escobar, 136 S.Ct. at 2001 (emphases added).
We have addressed Escobar in two cases that create uncertainty about the ongoing validity of Ebeid's test for falsity in implied false certification cases. First, in United States ex rel. Kelly v. Serco, Inc., 846 F.3d 325, 332 (9th Cir. 2017), we considered only Escobar's two-part test in determining that the plaintiff's implied false certification claim failed; we did not consider whether the claim met the lower standard for falsity enunciated in Ebeid. Then, in United States ex rel. Campie v. Gilead Sciences, Inc., we noted that Escobar "`clarif[ied] some of the circumstances in which the False Claims Act imposes liability' under [an implied false certification] theory." 862 F.3d 890, 901 (9th Cir. 2017) (emphasis added) (quoting Escobar, 136 S.Ct. at 1995), petition for cert. filed, 86 U.S.L.W. 3519 (U.S. Dec. 26, 2017) (No. 17-936). But we then stated that the "Supreme Court held that although the implied certification theory can be a basis for liability, two conditions must be satisfied." Id. (emphasis added) (citing Escobar, 136 S.Ct. at 2000).
Were we analyzing Escobar anew, we doubt that the Supreme Court's decision would require us to overrule Ebeid. The Court did not state that its two conditions were the only way to establish liability under an implied false certification theory. But our post-Escobar cases — without discussing whether Ebeid has been fatally undermined — appear to require Escobar's two conditions nonetheless. We are bound by three-judge panel opinions of this court. Miller v. Gammie, 335 F.3d 889, 899 (9th Cir. 2003) (en banc). We conclude, therefore, that Relators must satisfy Escobar's two conditions to prove falsity, unless and until our court, en banc, interprets Escobar differently.
On this record, a reasonable trier of fact could conclude that Defendant's actions meet the Escobar requirements for falsity. In the Federal Stafford Loan School Certification form, Defendant specifically represented that the student applying for federal financial aid is an "eligible borrower" and is "accepted for enrollment in an eligible program." Because Defendant failed to disclose its noncompliance with the incentive compensation ban, those representations could be considered "misleading half-truths." That is sufficient evidence to create a genuine issue of material fact and, therefore, to defeat summary judgment.
Under the False Claims Act, "the term `material' means having a natural tendency to influence, or be capable of influencing, the payment or receipt of money or property." 31 U.S.C. § 3729(b)(4). In Hendow, we held that the relators had alleged adequately that the University of Phoenix "engaged in statements or courses of conduct that were material to the government's decision with regard to funding." 461 F.3d at 1177. In concluding that the alleged violations of the incentive compensation ban were material, we relied on the fact that the statute, regulation, and program participation agreement all explicitly conditioned payment on compliance with the incentive compensation ban. Id. We did not explicitly consider any other factors in determining that the relators properly pleaded the materiality of the university's violations. Id. We noted, with regard to materiality, that
In Escobar, the Supreme Court elaborated on what can and cannot establish materiality in the context of the False Claims Act. The Court clarified that "[w]hether a provision is labeled a condition of payment is relevant to but not dispositive of the materiality inquiry." Escobar, 136 S.Ct. at 2001 (emphases added). Therefore, "even when a requirement is expressly designated a condition of payment, not every violation of such a requirement gives rise to liability." Id. at 1996. Instead, the Court explained, "materiality looks to the effect on the likely or actual behavior of the recipient of the alleged misrepresentation," meaning the government. Id. at 2002 (internal quotation marks and brackets omitted).
The Supreme Court then laid out three scenarios that may help courts determine the likely or actual behavior of the government with regard to a given requirement. First, "proof of materiality can include, but is not necessarily limited to, evidence that the defendant knows that the Government consistently refuses to pay claims in the mine run of cases based on noncompliance with the particular statutory, regulatory, or contractual requirement." Id. at 2003. Second, the Court explained that, "if the Government pays a particular claim in full despite its actual knowledge that certain requirements were violated, that is very strong evidence that those requirements are not material." Id. (emphasis added). Third, "if the Government regularly pays a particular type of claim in full despite actual knowledge that certain requirements were violated, and has signaled no change in position, that is strong evidence that the requirements are not material." Id. at 2003-04 (emphasis added). The Court further noted that materiality "cannot be found where noncompliance is minor or insubstantial." Id. at 2003.
In our view, Hendow is not "clearly irreconcilable with the reasoning or theory of" Escobar and, therefore, has not been overruled. Miller, 335 F.3d at 893. It is true that Hendow explicitly considered only the facts that the defendant had violated a statute, regulation, and contract — by not complying with the incentive compensation ban — and that payment was conditioned on compliance with the ban. 461 F.3d at 1175. But Hendow did not state that noncompliance is material in all cases. For instance, Hendow itself may have been decided differently had there been countervailing evidence of immateriality.
Applying the Escobar standard of materiality to the facts here, we conclude that Defendant has not established as a matter of law that its violations of the incentive compensation ban were immaterial. A reasonable trier of fact could find materiality here because the Department's payment was conditioned on compliance with the incentive compensation ban, because of the Department's past enforcement activities, and because of the substantial size of the forbidden incentive payments.
We consider first the same factor that Hendow did: the government conditioned the payment of Title IV funds on compliance with the incentive compensation ban through statute, regulation, and contract. Had Defendant not certified in its program participation agreement that it complied with the incentive compensation ban, it could not have been paid, because Congress required as much.
We next consider how the Department has treated similar violations. We look to the three scenarios bearing on materiality that the Supreme Court enunciated in Escobar, though none of them is necessarily required or dispositive. See Escobar, 136 S.Ct. at 2003-04 (laying out scenarios that can constitute proof of materiality or immateriality, but noting that such proof "is not necessarily limited to" those scenarios).
First, we ask whether there is "evidence that the defendant knows that the Government consistently refuses to pay claims in the mine run of cases based on noncompliance" with the incentive compensation ban, because such a showing can help establish that the requirement was material. Escobar, 136 S.Ct. at 2003. There is no such evidence in this case and, therefore, that inquiry does not factor into our analysis.
Third, we examine whether the Department "regularly pays a particular type of claim in full despite actual knowledge that certain requirements were violated, and has signaled no change in position, [because] that is strong evidence that the requirements are not material." Id. at 2003-04 (emphasis added). To show that the Department does regularly pay claims in full despite knowing about violations of the incentive compensation ban, Defendant points to two 2010 Government Accountability Office ("GAO") reports. The first report identifies 32 instances in which schools violated the incentive compensation ban between 1998 and 2009, and the second documents the Department's responses to those 32 violations. Because the Department "did not limit, suspend, or terminate any [of those] school[s'] access to federal student aid," Defendant argues, the Department regularly paid claims in full despite actual knowledge of violations of the incentive compensation ban.
Defendant's argument does not tell the whole story. Of the 32 schools with substantiated violations, the Department ordered 25 of them to take corrective action, which included terminating bonus payments to recruiters and ending referral fees to students. And 2 of those 25 schools were required to pay fines as a penalty, which together totaled $64,000. The Department also identified a liability of more than $187 million in misspent student aid funds at 1 of the 32 schools, meaning that the Department required the school to repay improperly awarded federal funds. The Department recouped more than $16 million of the total liability. The GAO reports also show that the Department took no further enforcement action at six schools with violations. But, of those six schools, three of them closed, two were terminated for other reasons, and one school's violations fell within a "safe harbor provision." The GAO reports further reveal that the Department reached settlement agreements with 22 additional schools, which allowed it to recoup funds totaling more than $59 million in payments.
There is evidence, then, that the Department did care about violations of the incentive compensation ban and did not allow schools simply to continue violating the ban while receiving Title IV funds. And in many cases, through one means or another, the Department recouped many millions
As mentioned, the Supreme Court also noted in Escobar that materiality does not exist "where noncompliance is minor or insubstantial." 136 S.Ct. at 2003. For instance, were a school to offer admissions representatives cups of coffee or $10 gift cards for recruiting higher numbers of students, there would be no viable claim under the False Claims Act. That is not the case here. Under Defendant's 2006-2008 compensation scheme, admissions representatives stood to gain as much as $30,000 and a trip to Hawaii simply by hitting their enrollment goals. And under Defendant's 2009-2010 scorecard compensation scheme, representatives' salaries could be adjusted by as much as $23,000 for meeting their enrollment goals.
Those large monetary awards are quite unlike a small, occasional perk. Rather, those awards are precisely the kind of substantial incentive that Congress sought to prevent in enacting the ban on incentive compensation. Therefore, the tremendous bonuses that Defendant's admissions representatives could receive by achieving their enrollment goals (and the similar decreases that could result from falling short of the targets set by Defendant) also counsel against a finding that Defendant's noncompliance was immaterial.
Overall, then, when we construe the evidence in the light most favorable to Relators, we conclude that a reasonable trier of fact could find that Defendant's noncompliance with the incentive compensation ban was material.
Finally, Defendant argues that, even if there is a question of fact as to one or more of Hendow's four requirements for claims under the False Claims Act, it should win on summary judgment because any violations of the incentive compensation ban fell within the Department's safe harbor provision. The now-repealed safe harbor provision was in effect from 2003 through 2010. Compare Federal Student Aid Programs, 67 Fed. Reg. 67,048-01, 67,072 (Nov. 1, 2002), with 34 C.F.R. § 668.14(b)(22)(i)(B). That provision required, among other things, that "any adjustment [in compensation] is not based solely on the number of students recruited, admitted, enrolled, or awarded financial aid." Federal Student Aid Programs, 67 Fed. Reg. at 67,072.
Defendant's argument fails, at least on summary judgment. Viewed in the light most favorable to Relators, the record contains evidence that Defendant did make compensation adjustments based solely on admissions representatives' enrollment numbers.
N.R. SMITH, Circuit Judge, dissenting in part:
I agree with the Majority's opinion through Section B of the Discussion Section, however we part ways regarding: (1) the validity of United States ex rel. Hendow v. University of Phoenix, 461 F.3d 1166 (9th Cir. 2006), in light of the Supreme Court's decision in Universal
The Majority makes three errors in its analysis. First, it fails to recognize that Hendow's materiality holding is no longer good law after Escobar. Second, it fails to fully articulate the Supreme Court's materiality standard as outlined in Escobar. Finally, the Majority applies its erroneous legal standard to the facts at hand, reaching an erroneous conclusion. Let me explain.
The Majority erroneously concludes that it can still rely — at least in some regard — on Hendow's materiality holding, because it "may have been decided differently had there been countervailing evidence of immateriality." Maj. Op. at 1131-32. Escobar, the Majority concludes, merely "creat[ed] a `gloss' on the analysis of materiality." Maj. Op. at 1132. I disagree. Instead, Escobar explicitly overruled Hendow's materiality standard and imposed a new materiality analysis that we must follow and apply.
The Majority's theory that Hendow could have reached a different conclusion in light of "countervailing evidence" does not acknowledge Hendow's own reasoning. Hendow explicitly rejected the "countervailing evidence" before it: "questions of enforcement power are largely academic, because the eligibility of the University under Title IV and the Higher Education Act of 1965 ... is explicitly conditioned, in three different ways, on compliance with the [ICB]." Hendow, 461 F.3d at 1175 (last emphasis original). Put another way: the government's enforcement power — much less what it actually did with that power — did not matter. Rather, Hendow clearly held that "expressly condition[ing] [payment] in three different ways" on compliance with the ICB was sufficient to make compliance with the ICB material. Id. at 1177.
However, Escobar rejected this Hendow materiality standard. In Escobar, the First Circuit followed Hendow and concluded that the "express and absolute language of the regulation in question, in conjunction with the repeated references to supervision throughout the regulatory scheme, constitute[d] dispositive evidence of materiality." United States ex rel. Escobar v. Universal Health Servs., Inc., 780 F.3d 504, 514 (1st Cir. 2015) (citations and quotation marks omitted), vacated and remanded by Escobar, 136 S.Ct. at 1996. Rejecting that reasoning, the Supreme Court instead held that "the label the Government attaches to a requirement" is not dispositive. Escobar, 136 S.Ct. at 1996. Accordingly, the Supreme Court outlined that the proper inquiry is "whether the defendant knowingly violated a requirement that the defendant knows is material to the Government's payment decision." Id. at 1996 (emphasis added); see also id. at 2001 ("[S]tatutory, regulatory, and contractual requirements are not automatically material, even if they are labeled conditions of payment."); id. at 2003 ("In sum, when evaluating materiality under the False Claims Act, the Government's decision to expressly identify a provision as a condition of payment is relevant, but not automatically dispositive.").
Thus, under Escobar, the analysis focuses not on whether payment is conditioned on compliance, but whether the Government
There is no question that the Majority outlines part of the Escobar materiality standard. However, it leaves out two very significant aspects, both of which are required to determine whether a misrepresentation is actually material.
First, the Supreme Court stated four times that the materiality test was "rigorous" or "demanding." Escobar, 136 S.Ct. at 1996 ("We clarify below how that rigorous materiality requirement should be enforced." (emphasis added)); id. at 2002 ("[The materiality and scienter] requirements are rigorous." (emphasis added)); id. at 2003 ("The materiality standard is demanding." (emphasis added)); id. at 2004 n.6 ("The standard for materiality that we have outlined is a familiar and rigorous one." (emphasis added)). The Majority states that these descriptors of the analysis merely "give flavor to the Court's discussion," but otherwise ascribes no use to them. Maj. Op. at 1131, n.3. Descriptions of how the test is to be applied are not just "flavor[ing]," they are the key in conducting the analysis the Supreme Court has instructed us to do. Anything less is insufficient and the Majority's application of Escobar reveals its lack of rigor.
Second, the Supreme Court provided a very clear standard for evaluating whether the misrepresentation was "material to the Government's payment decision." Id. at 1996; see also id. at 2002-03. The Supreme Court stated that the primary inquiry "looks to the effect on the likely or actual behavior of the recipient of the alleged misrepresentation." Id. at 2002 (emphasis added and quotation marks omitted). To illustrate what the inquiry looks like, the Supreme Court then explicitly referenced both tort and contract law materiality standards. These standards require an analysis of what, for example, "a reasonable man would attach importance to ... in determining his choice of action in the transaction" or whether "the defendant knew or had reason to know that the recipient of the representation attaches importance to the specific matter in determining his choice of action, even though a reasonable person would not." Id. at 2002-03 (quotation marks omitted) (citing Restatement (Second) of Torts § 538 at 80); see also id. at 2003 n.5.
In sum, though expressly suggesting that payment can be relevant, Escobar requires that the primary inquiry of whether a misrepresentation is material mandates a "rigorous" and "demanding" inquiry into the "likely or actual behavior" of the Government
The Majority, like the district court, fails to properly apply the "demanding" and "rigorous" Escobar standard to the evidence in this case. Id. at 2002-03.
First, there is simply no evidence before us regarding how the Government would respond to the specific ICB violations alleged against Stephens Institute. At most, the Majority relies on aggregate data regarding the Government's general enforcement of the ICB.
Second, with no specific evidence regarding how the Government would respond
However, the sole fact that compliance is a condition of payment is not enough. Escobar, 136 S.Ct. at 2003 ("In sum, when evaluating materiality under the False Claims Act, the Government's decision to expressly identify a provision as a condition of payment is relevant, but not automatically dispositive." (emphasis added)). Yes, certification of compliance with the ICB is required for payment, but so is certification of compliance with a host of additional statutes, regulations, and contractual requirements. There is no indication that the Government holds the ICB out as an exceptionally important requirement and, under Escobar, misrepresentations regarding compliance "must be material to the Government's payment decision." Id. at 1996. Therefore, absent additional evidence demonstrating that in this situation, the Government treated a violation as material, and in that situation, it did not, conditioning compliance with the ICB is simply not enough to prove materiality. Id. at 2003 & n.5 (holding the misrepresentation must go "to the very essence of the bargain" (quoting Junius Constr. Co. v. Cohen, 257 N.Y. 393, 178 N.E. 672, 674 (1931))).
As such, all we have before us is (1) general, aggregate evidence that the Government cares about ICB violations (not that what Stephens Institute is specifically accused of doing is, indeed, material such that it would influence a payment decision by the Government), and (2) the fact that payment is triple-conditioned on compliance with the ICB. This is not enough to meet the "rigorous" and "demanding" inquiry into the "likely or actual behavior" of the Government to determine whether it "would attach importance to [the misrepresentation] in determining [its] choice of action in the transaction." Id. at 2002-03 (quotation marks omitted).
It is apparent from both the district court's order and the parties' briefing that there was confusion regarding the materiality question, particularly the role of Hendow in light of Escobar. And, there is insufficient evidence to establish that the allegations against Stephens Institute would be considered material. However, the clarification of the interaction between Hendow and Escobar could change what the parties seek in discovery and the district court's ultimate conclusion. Therefore, in light of the clarified reasoning, I would reverse the district court's denial of Stephens Institute's motion for summary judgment, vacate the judgment, and remand for (1) additional discovery to develop the summary judgment record; (2) additional briefing; and, after that, (3) a re-examination by the district court.
Although we structure our discussion differently, we have endeavored to answer those questions.