TX AG’s Office Continues Aggressive Enforcement Against Healthcare Entities Operating in Texas

In just the last week, the Texas Attorney General’s Office (“TX AG’s Office”) filed three actions against healthcare providers and entities, continuing an increasingly robust and aggressive enforcement regime that dates back to at least the beginning of 2025.

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DAAG Brenna Jenny Warns Heightened FCA Enforcement Is “The New Normal,” Addresses Enforcement Priorities and Policies

During her keynote speech at the Federal Bar Association’s Qui Tam Conference, Brenna Jenny,  Deputy Assistant Attorney General for the Commercial Litigation Branch, stated that robust FCA enforcement is “the new normal.” Key statistics, including those we discussed here, back her up: she revealed that DOJ has issued more than 1,000 Civil Investigative Demands (“CIDs”) in each of the last four years, noted that qui tam actions increased by 33% last year, and that 480 qui tam actions have already been filed so far in fiscal year 2026.  She attributed this dramatic increase at least in part to enhanced data mining being conducted by DOJ and whistleblowers.  Describing the FCA as a “flexible tool,” Jenny left no doubt that FCA enforcement will remain high even as she acknowledged that it is not “an all-purpose anti-fraud statute.”

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DAAG Jenny Reinforces Commitment to FCA Enforcement Premised on Discrimination

At the Federal Bar Association’s Qui Tam Conference, Brenna Jenny, the Deputy Assistant Attorney General of DOJ’s Commercial Litigation Branch, offered the most detailed description yet of the Trump Administration’s effort to employ the FCA to combat practices that violate federal antidiscrimination laws, as we have previously reported here, here, and here.  Jenny noted that while promoting diversity is not itself unlawful, it is also “not a protective talisman.” She stated that she believed some companies had “lost their way” in the pursuit of DEI and engaged in unlawful discrimination by pressuring their employees to make hiring and promotion decisions based on race or sex.

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DOJ Attorneys Underscore Heightened Focus on Trade Fraud During the Annual Qui Tam Conference

Speaking as part of a panel at the Federal Bar Association’s annual Qui Tam Conference today, a Senior Trial Counsel at the Department of Justice (DOJ), Christelle Klovers, emphasized the government’s focus on pursuing trade and customs-based False Claims Act (FCA) cases. This area was also identified as a focus during the keynote address by DOJ’s Deputy Assistant Attorney General for the Commercial Litigation Branch, Brenna Jenny. In a separate speech last month, Jenny also highlighted a 50% increase in trade and customs-based FCA cases in 2025 compared to the prior five-year average, in what today’s panel called an “explosion” of trade and customs-related FCA cases.

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FY 2025 FCA Settlements and Judgments Statistics Show Highest Recoveries Ever

Last week, DOJ released its annual report detailing FCA recoveries and new cases, which can be found here.  In the press release, accessible here, DOJ touts two records in fiscal year 2025 (“FY 2025”): (1) $6.89 billion in settlements and judgments (a 120% increase from FY 2024); and (2) 1,297 qui tam cases filed (a 32% increase from FY 2024).  FCA cases against the healthcare industry once again accounted for a significant portion (83%) of total recoveries.

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First Circuit Clarifies Application of Medicare’s “Reasonable and Necessary” Standard in FCA Cases Against Clinical Labs

Earlier this week, the First Circuit in OMNI Healthcare held that “in FCA cases alleging Medicare fraud based on laboratory testing, generally a laboratory can rely on a doctor’s order to show that the test is ‘reasonable and necessary’” under the Medicare statute.  U.S. ex rel. OMNI Healthcare Inc. v. MD Spine Solutions LLC, No. 25-1110 (1st Cir. Dec. 1, 2025).

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Court Refuses to Reduce $290 Million FCA Judgment, Finding Damages and Penalties Assessed To Be Constitutionality Appropriate

We have previously reported on two district court decisions from Minnesota and Texas analyzing FCA damages and penalties under the Eighth Amendment Excessive Fines Clause, with both courts finding the amounts awarded exceeded the amount permitted by the U.S. Constitution. In U.S. ex rel. Behnke v. CVS Caremark Corp. et al., No. 14-cv-824 (E.D. Pa. Aug. 19, 2025), the court engaged in a similar analysis but came out the other way, rejecting the defendant’s constitutional argument and entering a final judgment of $289,873,500.

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DOJ Reaches $9.8 Million Settlement with Genetic Testing Company Illumina Inc. to Resolve FCA Allegations

DOJ announced that genetic testing company Illumina Inc. will pay $9.8 million to resolve allegations that it sold genomic sequencing systems with cybersecurity vulnerabilities to the various federal Departments and agencies in violation of the FCA. According to DOJ Civil Division Assistant Attorney General Brett A. Shumate, “This settlement underscores the importance of cybersecurity in handling genetic information and the Department’s commitment to ensuring that federal contractors adhere to requirements to protect sensitive information from cyber threats.”

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