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Sixth Circuit Recognizes Exception to Heightened Standard for Pleading False Claim

Client Alert | less than 1 min read | 10.12.16

In U.S. ex rel. Prather v. Brookdale Senior Living Communities Inc. (Sept. 30, 2016), the Sixth Circuit held that a relator pled the “presentment” element even though the relator did not allege information regarding the submission of a specific request for payment. The court reasoned that, in the majority of cases, plaintiffs would need to plead representative false claims but that a relator could survive a motion to dismiss by pleading specific facts based on personal, billing-related knowledge that support a strong inference that specific false claims were submitted for payment.

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Client Alert | 10 min read | 12.24.25

CMS Proposed Rules Prohibit Provision and Coverage of "Sex-Rejecting Procedures" for Minors Enrolled in Medicare and Medicaid

Since the signing of Executive Order 14187 (“Protecting Children from Chemical & Surgical Mutilation”) in late January 2025, the Trump Administration has made its skeptical stance on gender-affirming care—especially regarding services provided to minors—clear....