District of Massachusetts Rejects Per Se AKS Liability for Commissioned, Independent Contractor Sales Representatives But Allows FCA Claims to Proceed

On October 21, 2026, Judge Patti B. Saris of the District of Massachusetts granted in part and denied in part a medical device company’s (“Defendant”) motion for summary judgment in United States ex rel. Langer v. Zimmer Biomet Holdings, Inc., No. 21-cv-11293-PBS (D. Mass. Oct. 21, 2026). Relator alleged that Defendant’s commission-based payments to independent contractor sales representatives violated the Anti-Kickback Statute (“AKS”) and thereby the False Claims Act (“FCA”). The court rejected Relator’s broad reading of the AKS but held that a jury could still find that the Defendant violated the statute. It then allowed the FCA claims to proceed under the AKS’s “resulting from” pathway but not on a false certification theory.

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