On April 13, 2007, the Georgia General Assembly passed a bill titled "State False Medicaid Claims Act" ("SFMCA"), HB 551, which is widely expected to be signed by Georgia Governor Sonny Perdue by mid-summer. The SFMCA will add a new statute (i.e., O.C.G.A. § 49-4-168) to Title 49, Chapter 4 of the Georgia Code, which relates to state public assistance.
Georgia’s SFMCA includes a qui tam provision that allows private citizens to file actions against any party that recklessly submits false or fraudulent claims for payment of Georgia Medicaid funds to the state or any other party handling such funds. As an incentive to bring an action under the act, the Georgia SFMCA allows these private plaintiffs -- commonly known as “relators,” see Cook County, Ill. v. U.S. ex rel. Chandler, 538 U.S. 119, 122 (2003) -- to recover a percentage of the proceeds obtained by the state government. In general, this percentage varies between 15-30% of the proceeds recovered by the state depending on (1) whether the government intervenes in a case and handles the litigation (rather than the relator) and (2) the relator’s overall contribution to the action.
National Wave of Similar State False Claims Acts Passed in Response to the DRA
Georgia’s passage of a state false claims act targeting Medicaid fraud is part of a national wave of similar state enactments over the past 18 months.