MANISH S. SHAH, District Judge.
Plaintiff Linda Li is a doctor who alleges that someone infiltrated her medical practice's server to alter her insurance information and submit false insurance claims. When she reported this crime, a series of events led to various undeserved sanctions that severely damaged her medical practice and reputation. She brings federal and state-law claims against several defendants, including Rockford police officers, the Illinois Department of Financial and Professional Regulation, the U.S. Department of Health and Human Services' Office of the Inspector General, and others. Most of the defendants move to dismiss the complaint, some have not been properly served, and some have not responded. Li is acting as her own lawyer and has filed many documents—complaints, amended complaints, and hundreds of pages of exhibits. Li's claims are difficult to follow, and she uses legal terms like false claims, equal protection, due process, and defamation, but without a full appreciation of those doctrines and how they might apply to the range of defendants she names and the conduct she complains about. Even when giving her the benefit of liberal construction, she has not alleged a viable federal lawsuit. Defendants' motions are granted, and the case is terminated in its entirety.
Federal Rule of Civil Procedure 8(a)(2) requires that a complaint contain "a short and plain statement of the claim showing that the pleader is entitled to relief." Because Li is pro se, I construe her complaint liberally and hold it to a less stringent standard than a complaint drafted by lawyers. Erickson v. Pardus, 551 U.S. 89, 94 (2007). Nevertheless, to survive a Rule 12(b)(6) motion to dismiss, Li's complaint must contain factual allegations that plausibly suggest a right to relief. Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). I assume that the facts alleged in the complaint are true and draw reasonable inferences from those facts in Li's favor, but I am not required to accept as true the complaint's legal conclusions. Id. at 678-79. I am limited to reviewing the complaint, "documents attached to the complaint, documents that are critical to the complaint and referred to in it, and information that is subject to proper judicial notice." Phillips v. Prudential Ins. Co. of Am., 714 F.3d 1017, 1019-20 (7th Cir. 2013) (citation omitted). I may take judicial notice of court filings "when the accuracy of those documents reasonably cannot be questioned." Parungao v. Cmty. Health Sys., Inc., 858 F.3d 452, 457 (7th Cir. 2017).
Li is a physician. [7] at 4.
In January 2014, Li reported a crime to the Rockford police—someone had stolen her "server CDs" and possibly used them to "set up [a] second server." [7] at 12. (I understand Li to allege that these stolen server CDs are how the cybercriminal was able to alter her billing identifiers and submit false claims under her name.) Li gave a police officer some documents as evidence, and then put them back in her purse after the police officer made copies. [7] at 12. Then Li went to a dinner with Tim Nycowskiy—her office assistant—and noticed afterwards that her purse had been stolen. [7] at 12. The next day, Li reported her stolen purse to Officer Mace, but the officer never wrote a police report about it. [7] at 13. Nycowskiy soon gave Li her purse back, claiming that he found it on his desk when he got to work. [7] at 13. Li reported this development to Officer Koschak, but the officer recorded the wrong story in her report—Officer Koschak did not mention Nycowskiy and instead wrote that Li found her missing purse on her own desk. [7] at 13. Later, Nycowskiy changed his story to match the false story in Officer Koshak's report, saying that Li found her missing purse on her own desk. [7] at 13. Years later, Li tried to contact Nycowskiy to find out what really happened, and he intentionally avoided her. [7] at 13.
At around the same time Li reported the theft to the Rockford police, Laura Forester, a medical prosecutor for the Illinois Department of Financial and Professional Regulation, got a phone call from Officer Hughes, who said that Li's crime reports were not supported by evidence. [7] at 14. Based on that call, Forester petitioned for Li to undergo a forensic psychiatric evaluation. [7] at 14. She did this without telling Li about Officer Hughes's allegation, investigating it, or providing evidence that it was true. [7] at 14-15. Forester also ignored reports from doctors saying that Li was fit to practice. [7] at 15.
In March 2014, Ashral Helmy conducted the psychiatric evaluation. [7] at 16. He falsely diagnosed Li with "delusional disorder." [7] at 16. In doing so, Helmy did not ask Li to bring evidence of her claims of identify theft and cybercrime, he did not view her evidence and lied under oath when he said he did, and he did not verify Li's criminal allegations with her family and colleagues. [7] at 16. The next month, Li's Illinois and California medical licenses were suspended. [7] at 17. Vladimir Lozovskiy, another IDFPR medical prosecutor, ignored Li's evidence when defending the IDFPR's decision to suspend her medical license. [7] at 18-19.
The suspension of Li's medical licenses triggered a chain reaction. In May 2014, the Illinois Office of the Inspector General (through its counsel, Martin Feldman) issued a Medicaid sanction based on the IDFPR's finding that Li was mentally impaired. [7] at 17. In October 2015, the federal Office of the Inspector General (through Bernice Smith) revoked Li's Medicare billing privileges. [7] at 20. And in August or October 2018, the Office of Personnel Management debarred her (though the letter, written by David Cope, was dated October 2015). [7] at 8, 21. None of these entities did their own investigation to see whether the IDFPR's claims were supported by fact, nor did they give Li an opportunity to show that her criminal allegations were true, not delusional. [7] at 17-22.
On March 15, 2016, Li filed a complaint in the Circuit Court of Cook County against Helmy and two Northwestern entities. [50-2] at 1.
On March 31, 2017, Li filed a complaint in this court against the IDFPR, Lozovskiy, Forester, the City of Rockford, Hughes, Helmy, and multiple Northwestern entities, alleging theories of constitutional violations under 42 U.S.C. § 1983 and intentional infliction of emotional distress. Amended Complaint, Li v. Hughes, et al., No. 17 CV 2498 (N.D. Ill. Apr. 21, 2017), ECF No. 7. I dismissed the complaint in its entirety, mostly with prejudice. Li v. Illinois Dep't of Fin. & Prof'l Regulation, No. 17 CV 2498, 2018 WL 1453551, at *7 (N.D. Ill. Mar. 23, 2018). I held that claims against the IDFPR defendants were barred by the Eleventh Amendment, claims against Rockford and Hughes were time-barred, claims against Helmy and Northwestern Memorial Hospital were barred by res judicata, and claim preclusion barred claims against the Northwestern University defendants. Id. at *3-7.
Li filed this case on December 18, 2018. [1]. The case was first assigned to the Chief Judge under this court's procedures for False Claims Act cases brought under 31 U.S.C. § 3729, et seq. The case was reassigned to another judge because review of the complaint showed that Li did not file the suit on behalf of the United States. [12]. The case was then reassigned to me because it was a refiling of the case I previously dismissed. [18].
Li is trying to sue many defendants for many different things. The main issues appear to relate to the disputed Medicare reimbursements, the police handling of her complaint, and then the professional licensing consequences from the psychiatric evaluation. From Li's complaint and responses to defendants' motions, I understand her to allege federal claims under (1) 42 U.S.C. § 1983—which allows lawsuits seeking money damages for violations of constitutional rights—against the California Medical Board, the IDFPR defendants, the Rockford defendants, the Illinois OIG defendants, the federal OIG defendants, and Cope (the OPM official); (2) the False Claims Act against all the defendants but Cigna, and (3) the Federal Tort Claims Act against the federal defendants.
Li also claims to allege crimes, some of which may be federal crimes. But as a private citizen, Li cannot prosecute crimes—only prosecutors have the power to do that. Nor can Li demand that prosecutors take action against defendants. See Linda R.S. v. Richard D., 410 U.S. 614, 619 (1973) ("[A] private citizen lacks a judicially cognizable interest in the prosecution or nonprosecution of another.")
Section 1983 "creates a species of tort liability for the deprivation of any rights, privileges, or immunities secured by the Constitution." Manuel v. City of Joliet, Ill., 137 S.Ct. 911, 916 (2017) (cleaned up). Section 1983 claims apply only to state actors, so Li cannot bring them against the federal defendants (even in their individual capacities). See D.C. v. Carter, 409 U.S. 418, 424-25 (1973). Nor do I see a viable avenue for liability under Bivens v. Six Unknown Named Agents of Fed. Bureau of Narcotics, 403 U.S. 388 (1971). And as I have explained to Li before, she cannot sue state agencies under § 1983. See Li, 2018 WL 1453551, at *3 (citing Will v. Michigan Dep't of State Police, 491 U.S. 58, 71 (1989)). Here, that includes the California Medical Board, the IDFPR, and the Illinois OIG.
That leaves claims against the individual Rockford police officers, the IDFPR prosecutors, and Feldman in their individual capacities. Those claims are time-barred.
Li's § 1983 claims are dismissed with prejudice for being time-barred or for the failure to state a claim (as to federal defendants and state agencies).
"The False Claims Act prohibits the submission of a false or fraudulent claim for payment to the government." U.S. ex rel. Ziebell v. Fox Valley Workforce Dev. Bd., Inc., 806 F.3d 946, 951 (7th Cir. 2015). A private citizen can bring suit under the act as a relator, but she must bring the action in the name of the government. See 31 U.S.C. § 3730(b)(1). Li has not done that here. See [12] ("The Court's initial review of Plaintiff's pro se complaint indicates that plaintiff has filed this lawsuit on her own behalf and not on behalf of the United States government in which a claim for payment or approval can be asserted."). Nor could she, because she is pro se. See Georgakis v. Illinois State Univ., 722 F.3d 1075, 1077 (7th Cir. 2013) ("[T]o maintain a suit on behalf of the government, the relator . . . has to be either licensed as a lawyer or represented by a lawyer."). Dismissal for "lack of proper representation" is usually without prejudice (so the plaintiff can get a lawyer), but dismissal with prejudice is warranted when the claim is frivolous. See Georgakis v. Illinois State Univ., 722 F.3d 1075, 1078 (7th Cir. 2013); U.S. ex rel. Lu v. Ou, 368 F.3d 773, 776 (7th Cir. 2004), abrogated on other grounds by U.S. ex rel. Eisenstein v. City of New York, New York, 556 U.S. 928 (2009). Many of Li's allegations of false claims do not involve claims submitted to the federal government. Those that do are claim submissions to Medicare, but the allegations about those claims are hopelessly vague. The allegations fall far short of Rule 9(b)'s heightening pleading requirements. See United States ex rel. Presser v. Acacia Mental Health Clinic, LLC, 836 F.3d 770, 775 (7th Cir. 2016) (Rule 9(b) applies to FCA claims). The claims are dismissed with prejudice.
Li's common law tort claims against the federal defendants can only be brought under the FTCA. See Levin v. United States, 568 U.S. 503, 509 (2013) (FTCA action against the United States is the exclusive remedy for non-constitutional torts committed by federal employees acting within the scope of their employment). The only federal employee defendants are Smith, the OIG employee who revoked Li's Medicare billing privileges, and Cope, the OPM employee who wrote Li the letter about her debarment. Li has not stated any viable tort claims against them. They are immune from intentional torts like defamation. See 28 U.S.C. § 2680(h). And despite Li's unsupported arguments to the contrary, I do not see why they owe Li a fiduciary duty or duty of care. See Mathis v. New York Life Ins. Co., 133 F.3d 546, 548 (7th Cir. 1998) ("[E]ven pro se litigants . . . must expect to file a legal argument and some supporting authority." (citation omitted)). And the federal defendants' alleged conduct does not meet the demanding standard required to state an intentional infliction of emotional distress claim. See Dixon v. Cty. of Cook, 819 F.3d 343, 351 (7th Cir. 2016) (Illinois IIED claim requires showing of "extreme and outrageous conduct" and "be so extreme as to go beyond all possible bounds of decency and be regarded as intolerable in a civilized community").
All federal claims have been dismissed, and only state-law claims remain.
Li has requested leave to amend her complaint several times, and I instructed her to wait until the motions to dismiss were resolved. I have reviewed her proposed amended complaints, and I see no viable federal causes of action in them.
In her proposed second amended complaint, Li claims she is entitled to payments from Medicare and Medicaid under the Social Security Act, Equal Pay Act, and Fair Labor Standards Act. See, e.g., [73] at 29.
Li's proposed second amended complaint also requests a writ of mandamus compelling the IDFPR, the California Medical Board, and the Illinois and United States OIGs to reverse their suspensions and exclusions. [73] at 7. Once again, federal mandamus jurisdiction only applies to federal actors. And with respect to the federal OIG, "[t]he common-law writ of mandamus . . . is intended to provide a remedy for a plaintiff only if he has exhausted all other avenues of relief and only if the defendant owes him a clear nondiscretionary duty." Heckler v. Ringer, 466 U.S. 602, 616 (1984). The documents she has filed show that Li's Medicare eligibility has been reinstated and her OPM debarment has been terminated. See [86-1]; [86-7]. There is no clear nondiscretionary duty owed to her at this point.
In her late response to Cigna's motion to dismiss, Li requests leave to amend her complaint or move Cigna to a new, separate complaint to allege claims under the "Fair Claim Practices Act and Consumer Fraud Protection Acts." [101] at 2. She mentions ERISA (Cigna raised ERISA in its motion to dismiss) and HIPAA. Li argues that Cigna should have not processed the claims submitted under name without her authorization several years ago, and Cigna should have a better system to check for errors. But these allegations do not suggest a plausible, timely, and exhausted federal claim for relief. It would be futile to allow Li to bring a separate action against Cigna.
Including her previous lawsuits, Li has now had several chances to plead a viable cause of action against defendants based on these events, but her complaints remain unintelligible and her proposed amendments fare no better. I decline to give Li yet another chance. See Griffin v. Milwaukee Cty., 369 Fed.App'x 741, 743 (7th Cir. 2010) ("The complaint is unintelligible, and it was not an abuse of discretion for the district court to dismiss the case with prejudice after the plaintiffs failed to cure the deficiencies."); Wade v. Barr, No. 18-2487, 2019 WL 3937385, at *2 (7th Cir. Aug. 20, 2019) ("Judges ordinarily should give a pro se plaintiff at least one opportunity to amend a complaint unless amendment would be futile.").
Defendants' motions to dismiss [17] [30] [32] [47] [49] [50] are granted. All federal claims against all defendants and all claims against Helmy are dismissed with prejudice, and any remaining state-law claims are dismissed without prejudice under 28 U.S.C. § 1367(c). Enter judgment and terminate civil case. This concludes Li's lawsuit in this court.