Zoe Ajjahnon v. St Josephs University Medical

U.S. Court of Appeals for the Third Circuit

Zoe Ajjahnon v. St Josephs University Medical

Opinion

BLD-031 NOT PRECEDENTIAL

UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT ___________

No. 20-2386 ___________

ZOE AJJAHNON,

Appellant

v.

ST. JOSEPH’S UNIVERSITY MEDICAL CENTER; RWJ BARNABAS HEALTH, INC. ____________________________________

On Appeal from the United States District Court for the District of New Jersey (D.C. Civil Action No. 2-19-cv-16990) District Judge: Honorable Brian R. Martinotti ____________________________________

Submitted for Possible Dismissal Pursuant to

28 U.S.C. § 1915

(e)(2)(B) or Summary Action Pursuant to Third Circuit LAR 27.4 and I.O.P. 10.6 November 12, 2020

Before: AMBRO, SHWARTZ and PORTER, Circuit Judges

(Opinion filed: November 27, 2020) _________

OPINION* _________

PER CURIAM

* This disposition is not an opinion of the full Court and pursuant to I.O.P. 5.7 does not constitute binding precedent. Appellant Zoe Ajjahnon filed a complaint against two healthcare providers in

which she brought a qui tam action under the False Claims Act and a civil rights claim

under

42 U.S.C. § 1983

, alleging that they violated her due process rights with a bogus

diagnosis and were part of a scheme “to falsify billing claims to government funded

healthcare programs.”1 Specifically, Ajjahnon alleged that after she was arrested for

threatening her mother with a knife, she was taken to St. Joseph’s Medical Center and

was diagnosed with bipolar disorder by a social worker, which led to a period of

involuntary commitment. She was admitted to a short-term care facility operated by

RWJ Barnabas Health, Inc., where her bipolar diagnosis was confirmed by a psychiatrist

and an independent medical doctor. Ajjahnon claimed that the healthcare providers

violated her due process rights by failing to give her an adequate clinical evaluation

before diagnosing her. She asserts that her diagnosis was “done to falsify billing claims

to government funded healthcare programs.”

The United States declined to intervene in the qui tam action. The District Court

dismissed the complaint, reasoning that “a pro se litigant may not pursue a qui tam action

on behalf of the government.” Ajjahnon appealed.

We have jurisdiction under

28 U.S.C. § 1291

and review the District Court’s

dismissal de novo.2 See Allah v. Seiverling,

229 F.3d 220, 223

(3d Cir. 2000). We may

1 Because we write primarily for the benefit of the parties, we will recite only the facts necessary for the discussion. 2 The District Court’s sua sponte dismissal of the complaint was permissible under

28 U.S.C. § 1915

(e).

2 summarily affirm on any ground supported by the record if the appeal fails to present a

substantial question. See Murray v. Bledsoe,

650 F.3d 246, 247

(3d Cir. 2011) (per

curiam); 3d Cir. L.A.R. 27.4; I.O.P. 10.6.

The False Claims Act enables private parties, known as relators, to bring

enforcement actions on behalf of the United States to recover funds which were

fraudulently obtained, and to share in any resulting damages award.

31 U.S.C. § 3729

, et

seq.; see also United States ex rel. Wilkins v. United Health Grp., Inc.,

659 F.3d 295, 304-05

(3d Cir. 2011). When a relator files a qui tam suit, the action is deemed to be

brought “for the person and for the United States Government.”

31 U.S.C. § 3730

(b)(1).

Indeed, “while the False Claims Act permits relators to control the False Claims Act

litigation, the claim itself belongs to the United States.” United States ex rel. Mergent

Servs. v. Flaherty,

540 F.3d 89, 93

(2d Cir. 2008). We have held, however, that an

individual proceeding pro se may not represent third parties in federal court. See

Lazaridis v. Wehmer,

591 F.3d 666, 672

(3d Cir. 2010); see also

28 U.S.C. § 1654

(providing that in federal court, “parties may plead and conduct their own cases

personally or by counsel”). Therefore, a pro se litigant may not pursue a qui tam action

on behalf of the Government. See Wojcicki v. SCANA/SCE&G,

947 F.3d 240, 245

(4th

Cir. 2020) (recognizing that “[t]his stance is in accord with the decisions of our sister

circuits that have addressed this issue”).

The District Court properly dismissed the complaint. The United States remains

the party in interest in this action. See United States ex rel. Eisenstein v. City of New

York,

556 U.S. 928, 934-35

(2009); Mergent Servs.,

540 F.3d at 93

. Ajjahnon brought 3 the action to recover on behalf of the government for the defendants’ allegedly fraudulent

billing practices. As such, the District Court did not err in concluding that Ajjahnon may

not maintain this qui tam action in her pro se capacity as a relator on behalf of the United

States. We will, however, amend the District Court’s judgment to reflect that the

dismissal is without prejudice. See Georgakis v. Ill. State Univ.,

722 F.3d 1075, 1077

(7th Cir. 2013) (“Dismissals for lack of proper representation [in qui tam actions] are . . .

normally without prejudice, to give the plaintiff a chance to find a lawyer to handle the

case.”).

It also appears that, pursuant to

42 U.S.C. § 1983

, Ajjahnon challenged her

involuntary commitment and diagnosis of bipolar disorder. She claims that she was not

clinically diagnosed under New Jersey law3 and that the evaluation procedure violated

her due process rights. However, a § 1983 claim may only be brought against “a person

who may fairly be said to be a state actor.” Lugar v. Edmondson Oil Co.,

457 U.S. 922, 937

(1982). “[A] State normally can be held responsible for a private decision only when

it has exercised coercive power or has provided such significant encouragement, either

overt or covert, that the choice must in law be deemed to be that of the State.” Blum v.

Yaretsky,

457 U.S. 991, 1004

(1982). The healthcare providers named in this action are

private actors and the diagnosis—even though it may have been done with the aid of state

3 To the extent that she alleges that workers at the healthcare facilities violated a New Jersey state law, there can be no § 1983 claim for a violation of state law. Benn v. Universal Health Sys., Inc.,

371 F.3d 165

, 174 (3d Cir. 2004); Brown v. Grabowski,

922 F.2d 1097, 1113

(3d Cir. 1990). 4 statutory guidelines—was made independently of any state coercion or influence. See

Pino v. Higgs,

75 F.3d 1461, 1466-67

(10th Cir. 1996).

Accordingly, we will summarily affirm the judgment of the District Court, but amend it to reflect that the dismissal of the qui tam claim is without prejudice.

5

Reference

Status
Unpublished