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Sunday, May 10, 2026

U.S. Supreme Court turns down chance to review False Claims Act standard - Reuters.com

(Reuters) - The U.S. Supreme Court on Monday declined to hear three cases over whether whistleblowers accusing providers of defrauding the government must provide details about alleged false claims submitted by the providers.

Whistleblowers in all three cases had argued that fraud could be inferred from circumstances, even without details about false claims.

The Supreme Court's decision leaves in place a ruling by the 7th U.S. Circuit Court of Appeals allowing a whistleblower case to go forward against managed care company Molina Healthcare, and rulings by the 6th and 11th Circuits upholding the dismissal of whistleblower cases against home health provider Care Connection of Cincinnati and hospice provider Bethany Hospice & Palliative Care, respectively.

Following its usual practice, the Supreme Court did not explain the reason for its dismissal.

Tejinder Singh of Sparacino, who represents the whistleblowers in all three cases, declined to comment. Lawyers for the defendants did not immediately respond to requests for comment.

Illinois-based Molina was sued in 2017 by Thomas Prose, the founder of a former contractor for the company, who claimed that it improperly billed the state's Medicaid program for a higher level of care than it was actually able to provide its nursing facility residents. The difference in billing could be more than $3,000 per patient per month, he said.

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