AND 88 8 SER V H NC THE BE ING 1 BA R SINCE Monday, December 17, 2007 AND 88 8 H NC SER V HealtH Care law HealtH Care law New Risk From off-Label Activity NewPromotional Risk From off-Label Promotional Activity THE BE ING Web address: Monday,http://www.nylj.com December 17, 2007 1 BA R SINCE Wednesday, July 24, 2013 Dissent in Peugh as a Blueprint for Below-Guidelines Sentences By Anthony S. Barkow and Alison I. Stein Petitioner Marvin Peugh was convicted Criminal defense attorneys and their clients of five counts of bank fraud for conduct recently scored a win in Peugh v. United that occurred in 1999 and 2000. At his States, a U.S. Supreme Court decision which 2010 sentencing, Peugh argued that the held that a criminal defendant cannot be Ex Post Facto Clause required that he be sentenced based upon the current federal sentenced under the 1998 version of the Sentencing Guidelines if those guidelines call By Kenyanna M. Scott guidelines that were in Makes effect at an the time of for a harsher punishment than the guidelines What and catharine L. du BoiS his offense, rather than the 2009 version that were in place at the time of the underlying FCA Case? of the guidelines in effect at the time of offense.HE See FALSE Peugh v. CLAIMS United States, No. 12Generally, to establish a 1 imposes Act his sentencing. The applicable 62, 2013 WL (FCA) 2459523 (U.S. June 10, 2013). prima facie casesentencing pursuant to Anthony S. Barkow Alison I. Stein By Kenyanna M.and Scott liabilityCourt for, protects range under the the 2009 guidelines was 70 The Supreme found that imposing such What Makes an FCA, the plaintiff must and catharine L. du BoiS the federal government from, to 87 months, considerably higher than a sentence violates the Ex Post Facto Clause FCA Case? demonstrate that Anthony S. Barkow is a partner and Alison fraud inHEfinancial interactions; FALSEInterestingly, CLAIMS beyond the for of the Constitution. (Generally, 1provided ) t h e to d eestablish fine nthe d a n at I. Stein is an associate in Jenner & Block's the 30 to 37 months the law Act is intended to1encourage imposes (FCA) presented (or induced 1998 guidelines. The district court rejected obviously helpful holding, Justice Clarence white collar defense and investigations individuals who are protects either prima facie case pursuantthe to liability for, and presentment of) ahim claim for Peugh’s argument and sentenced to 70 Thomas’ dissent may offer significant, close observers or involved in the FCA, the plaintiff must group in New York. the federal government from, reimbursement by the federal months’ imprisonment. The U.S. Court of additional help to criminal defendants in the the to report the alleged demonstrate that fraudfraud in financial interactions; government, 2 Appeals for the Seventh Circuit affirmed, but the Supreme Court sentencing context. Accordingly, wrongdoing. ( 1 ) t h e d e f e n d a nt the law is intended to encourage (2) the claim was falsethe or either the Attorney General or presented (or induced reversed. individuals who are either fraudulent, and a private individual on behalf presentment of) a claim for In his observers dissent, which drew the close or involved in votes of four Justices, Justice (3) the defendant knew of the government, a “qui reimbursement by the federal In an opinion authored by Justice Sonia Sotomayor, joined byfalse Thomas argued that, because the Sentencing Guidelines the fraud to report the alleged that the claim was or tammerely relator,” an government, 2 may assert indeed 4 Justices Anthony Kennedy, Ruth Bader Ginsburg, Stephen Breyer, are advisory—and have “no legal effect on a Accordingly, wrongdoing. fraudulent. FCA (2) the claim was false or eitherclaim. the Attorney General ordo not create a sufficient risk of an and Elena Kagan, the court found that the Sentencing Guidelines, defendant’s sentence”—they Traditionally, fraudulent, and and apparent In event theon claim is do four justices now believe that a private individual behalf although not mandatory, have enough of from an (3) anchoring effectofon ex postthe facto violation. Not only the elements a prima the defendant knew brought a quiGuidelines tam relator, the relator stands to receive a portion of facie of Sentencing the by government, a “qui thesoFCA protect that against the false claims of districtcase, courts as toapplied create “atosufficient risk of a higher sentence” the have “no legal effect on a defendant’s the claim was false or any recovered damages. The FCA provides both treble damages and tam relator,” may assert an physicians, for reimbursement from 4 that a sentence for someonehealthcare in Peugh’sproviders position.and Thepatients court thus held sentence,” the four dissenters made clear their belief that the fraudulent. fines between $5,500 and $11,000 per fraudulent claim. FCA of claim. programs including Medicare and Medicaid. based upon Sentencing Guidelines that wereTraditionally, promulgatedand after Sentencing Guidelines “do not constrain the discretion” of the apparent In the healthcare arena, the FCA protects the government against The efficacy of an FCA claim to police a manufacturer’s truthful In the event the claim is a defendant committed his criminal act, and which increase that sentencing judge, that sentencing judges can depart from a from the elements of a prima false claims for reimbursement from medical assistance programs off-label promotion of its product is reflected in its power to induce brought by sentence a qui tam on relator, the relator stands to receive a portion case, the FCA applied to protect false claims of defendant’s sentencing range, violates theagainst Ex Postthe Facto Clause. guidelines the basis of policy disagreement, and thatof facie including Medicaid or Medicare—for example, claims filed for medical settlement. To date, few courts have addressed whether the FCA is any recovered damages. The FCA provides both treble damages and physicians, healthcare providers and patients for reimbursement from aservices sentence on older, harsh Sentencing Guidelines is notbased rendered or and for less overpriced medical services. properly applied to manufacturers and truthful off-label promotional fines of between $5,500 $11,000 per fraudulent claim. programs including Medicare and The courtbecause gave several reasons forMedicaid. its holding. it noted that, likely be found on appeal to the be substantively reasonable. As In atoremarkable FCA, a recent trend has emerged the threat of treble damages andFirst, stiff fines encourage In the healthcareextension arena, theofFCA protects the government against activities The efficacy of an FCA claim to police a manufacturer’s truthful using it to police off-label promotion and subjecting manufacturers although advisory, the guidelines range is “intended to, and usually atoward result, the dissent is useful to support arguments for sentences settlement, often at a terrific cost to the manufacturer. false claims for reimbursement from medical assistance programs off-label promotion of its product is reflected in its power to induce to verythe large fines, despite the factGuidelines that the same fines would not be does, controlling influence on the sentence that theincludes court will below applicable range. Theexert government’s promoting suchwhether claims including Medicaid or Sentencing Medicare—for example, claims filed for medical To date, rationale few courtsforhave addressed the FCAthe is 3 This settlement. available under the Food, Drug and Cosmetics Act (FDCA). purported deterrence “vital to public health and safety” of pharmaceutical impose.” District courts must begin their sentencing determination services not rendered or for overpriced medical services. properly applied to manufacturers and truthful off-label promotional article will analyze the elements the FCA andtrend its application to companies “improperly marketing their drugs toand doctors and patients to by calculating thethe applicable range, and major The Decision InPeugh a remarkable extension of theofFCA, a recent has emerged activities because threat of guidelines treble damages stiff“afines encourage 5 pharmaceutical manufacturer’s promotional activities and will address According treat illnesses that these drugs are not approved to treat.” toward using it to police off-label andEx subjecting manufacturers departure should beasupported bytoa more significant justification In Peugh, the Supreme Court promotion held that the Post Facto Clause settlement, often at terrific cost the manufacturer. thevery emerging trenddespite of using the FCA asthe a tool tofines extract enormous aThe U.S. Attorney, “[t]he illegal marketing ofjudge’s prescription medications to large fines, the fact that same would not be to than a minor one.” Second, a district court sentencing of the Constitution is violated when a defendant is sentenced government’s rationale for promoting such claims includes the settlementunder amounts from manufacturers. 3 for unauthorized medical uses is a serious crime that poses significant This available the Food, Drug and Cosmetics Act (FDCA). purported to public health and safety” of pharmaceutical decision isdeterrence anchored“vital by the appellate review process. A court of under the current federal Sentencing Guidelines and those public health risks [and]marketing [d]rug manufacturers have a legal obligation article will analyzeprovide the elements of the sentencing FCA and itsrange application “improperly their within drugs tothe doctors and patients to appeals may presume that a for sentence guidelines range is current guidelines for afederal higher than theto companies to market their products only medical uses that have been approved Kenyanna M. Scott, a former prosecutor, is a partner in Jenner pharmaceutical manufacturer’s promotional activities and will address treat illnesses that these drugs are not approved to treat.”5 According reasonable, and may further “consider the extent of the deviation” guidelines that were in effect at the time of the crime. 6 & New trend York office and athe member firm’stolitigation Food and Drug Administration as safe and effective.” theBlock’s emerging of using FCAofasthe a tool extractdepartment. enormous by to athe U.S. Attorney, “[t]he illegal marketing of prescription medications catharine L. du Bois is an associate in the firm’s Chicago office. Such protection is afforded by regulation ofposes the Food and settlement amounts from manufacturers. for unauthorized medical uses is a serious crime that significant These False Claims Act cases are arguably improper. New sco m.c om New sco m.c om T T These False Claims Act cases are arguably improper. public health risks [and] [d]rug manufacturers have a legal obligation Kenyanna M. Scott, a former federal prosecutor, is a partner in Jenner to market their products only for medical uses that have been approved & Block’s New York office and a member of the firm’s litigation department. by the Food and Drug Administration as safe and effective.”6 catharine L. du Bois is an associate in the firm’s Chicago office. Such protection is afforded by regulation of the Food and Reprinted with permission from the July 24, 2013 issue of the New York Law Journal @ 2013 ALM Media Properties, LLC. Further duplication without permission is prohibited. All rights reserved. NEW YORK LAW JOURNAL from the guidelines range as part of its reasonableness review on appeal. In addition, a district court judge’s failure to calculate the correct guidelines range is procedural error, which “ensures that [the guidelines] remain the starting point for every sentencing calculation in the federal system.” For these reasons, the court found that the guidelines remain the “lodestone of sentencing,” and thus, a “retrospective increase in the Guidelines range applicable to a defendant creates a sufficient risk of a higher sentence to constitute an ex post facto violation.”1 In dissent, Justice Thomas, joined by Chief Justice John Roberts and Justices Antonin Scalia and Samuel Alito, argued that, although the Sentencing Guidelines may “nudge the sentencing judge toward a sentencing range,” they are merely advisory. As such, they “do not constrain the discretion of district courts and, thus, have no legal effect on a defendant’s sentence.” Accordingly, the retroactive application of the Sentencing Guidelines does not create a “sufficient risk” of increasing a defendant’s punishment, and thus, cannot constitute an ex post facto violation.2 As discussed more fully below, the dissent contains strong language about the Sentencing Guidelines that criminal defense attorneys can rely upon to argue for belowguidelines sentences for their clients. Landscape Before Peugh The court’s statements in Peugh—in both the majority opinion and the dissent—are hardly a surprise to those who have watched the Supreme Court’s sentencing revolution unfold during the past dozen or so years. Through a series of sentencing decisions, the court has provided criminal defendants with multiple avenues to argue for lower sentences, and has more generally called into question the persuasive force of the federal Sentencing Guidelines. The dissent in Peugh can—and should—be viewed by criminal defense attorneys as another iteration of this revolution. The primary catalyst for this change was Apprendi v. New Jersey, 530 U.S. 466 (2000), in which the court held that the Sixth Amendment right to a trial by jury required that, other than the fact of a prior conviction, any fact necessary to authorize a defendant’s sentence beyond the statutory maximum sentence for a crime must be found by a jury beyond a reasonable doubt. Apprendi ushered in a new era of sentencing decisions in which the court strengthened criminal defendants’ Sixth Amendment rights. Four years later, in Blakely v. Washington, 542 U.S. 296 (2004), the court found that the State of Washington’s sentencing scheme violated Blakely’s Sixth Amendment rights because it allowed the sentencing judge to increase his sentence beyond the statutory maximum for the underlying crime based on additional facts not found by the jury. Because of the similarities between WEDNESDAY, JULY 24, 2013 Washington’s sentencing scheme and the federal Sentencing Guidelines, after Blakely, the constitutionality of the federal Sentencing Guidelines became immediately suspect. The next year, in United States v. Booker, 542 U.S. 220 (2005), the court held that the federal Sentencing Guidelines violate the Sixth Amendment because they allow a judge to impose a sentence based on facts not found by a jury. A separate fivejustice majority determined that the appropriate remedy would be to sever and excise 18 U.S.C. §3553(b)(1), the portion of the sentencing statute that made the guidelines mandatory. In addition, the court severed and excised 18 U.S.C. §3742(e), the provision of the same statute that set forth the standard of review on appeal, instead reading into the statute a “reasonableness” standard of review. By so doing, the court rendered the federal Sentencing Guidelines merely advisory. Finally, the court recently held in Alleyne v. United States that, because mandatory minimum sentences increase the penalty for a crime, any fact necessary to impose a mandatory minimum sentence is an “element” of a crime that must be found by the jury. No. 11-9335, 2013 WL 2922116 (U.S. June 17, 2013). The Peugh Dissent Peugh’s majority opinion is obviously helpful to criminal defendants. But the Peugh dissent can also be relied upon by criminal defense attorneys when advocating for a belowguidelines sentence for their clients. First, the dissent, joined by four justices, makes clear that the Sentencing Guidelines are sufficiently non-persuasive and non-binding on district court judges as to not even create a risk of a cognizable ex post facto violation. Indeed, in perhaps the strongest rhetoric by any members of the court to date regarding the diminished force of the Sentencing Guidelines, the dissent proclaims that the Sentencing Guidelines “do not constrain the discretion of district courts, and, thus, have no legal effect on a defendant’s sentence.” The dissent further notes that a district court “may not presume that a within-Guidelines sentence is appropriate,” but rather, “must make an individualized assessment of the appropriate sentence based on the facts presented.” Criminal defense attorneys can and should cite this language when encouraging a sentencing judge to depart or vary downward from the guidelines. Second, the dissent, reinforcing recent Supreme Court precedent, explicitly acknowledges the fact that a district court may “freely depart” from the guidelines range not only because of the court’s individualized factual assessment, but also because the court simply disagrees with the Sentencing Commission’s views. In NEW YORK LAW JOURNAL other words, the dissent makes clear that a departure from the guidelines can be based solely on a “policy disagreement with the Guidelines themselves.” This sort of explicit acceptance of policybased arguments by the Supreme Court should be embraced by criminal defense attorneys in their sentencing submissions. Third, with respect to any possible constraints imposed upon a sentencing judge because of subsequent appellate review of that sentence (a factor relied upon by the majority in finding an ex post facto violation), the dissent acknowledges that the reason a district judge must provide an explanation for an outside-the-guidelines sentence is to ensure “meaningful appellate review.” However, the dissent reiterates that an appellate court may not presume that a sentence outside the applicable guidelines range is unreasonable. Rather, appellate courts must review all sentences—within the guidelines range or outside the guidelines range—under the deferential abuseof-discretion standard. The dissent reiterates that a sentencing judge’s “freedom to impose a reasonable sentence outside the [guidelines] range is unfettered.” Finally, and perhaps most significantly, the dissent strongly suggests that a sentence based upon older, lower Sentencing Guidelines is likely to be found substantively reasonable on appeal. In response to petitioner Peugh’s argument that the guidelines limit district court discretion because sentences falling outside the guidelines are more likely to be reversed on WEDNESDAY, JULY 24, 2013 appeal for substantive unreasonableness, the dissent notes its doubt…that reversal is a likely outcome when a district judge can justify his sentence based on agreement with either of two Guidelines—the old or the new. If a district court calculated the sentencing range under the new Guidelines but sentenced the defendant to a below-Guidelines sentence that fell within the range provided by the old Guidelines, it would be difficult to label such a sentence “substantively unreasonable.” To do so would cast doubt on every within-Guidelines sentence issued under the old Guidelines. This passage of the dissent should encourage criminal defense attorneys to include in their sentencing submissions a calculation of the sentencing range that would have been applied to their client under older, lower Sentencing Guidelines. Indeed, postPeugh, there is a greater likelihood that a sentence that falls within an older, lower Sentencing Guidelines range will be found to be substantively reasonable on appeal. In sum, the dissent in Peugh—joined by four Justices— explicitly states that the federal Sentencing Guidelines do not create “any hurdle at all” for district courts wishing to depart from a guidelines sentencing range. This is another significant step forward in the sentencing revolution. Criminal defense attorneys should seize upon this strong rhetoric when advocating for below-guidelines sentences on behalf of their clients, and should brace themselves for further developments to come. Endnotes: 1. Justice Anthony Kennedy did not join another part of the opinion which discusses the “basic principles of fairness that animate the Ex Post Facto Clause.” 2. Justice Thomas also argued for a reformulation of ex post facto doctrine in two parts of the dissent not joined by any other justices.
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