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United States Department of Health and Human Services
DEPARTMENTAL APPEALS BOARD
Civil Remedies Division
In the Case of:
Date:
Petitioner,
- v. -
The Inspector General.
INFORMAL BRIEF OF PETITIONER
The Inspector General (I.G.) argues that he is authorized to exclude you from
participating in Medicare, Medicaid, and other federally-funded health care
programs for at least three years, because you have been convicted of a crime that
is described at section 1128(b)(3) of the Social Security Act.
The issues in this case are whether:
1. The I.G. is authorized to exclude you; and
2. The length of the exclusion that the I.G. determined to impose is
reasonable.
I. Were you convicted of a misdemeanor criminal offense?
Docket No. C-
-
)
)
)
)
)
)
)
)
)
)
No
Yes
XXX
XX
The I.G. argues that you were convicted of a misdemeanor criminal offense. Do
you agree that you were convicted of a misdemeanor criminal offense?
If you disagree, explain why you disagree. State which exhibits support your
argument and explain why they do.
II. Were you convicted of an offense for which exclusion is authorized?
Do you disagree with the I.G.’s argument that he is authorized to exclude you
because your conviction is of a misdemeanor relating to the unlawful manufacture,
distribution, prescription or dispensing of a controlled substance?
If you disagree, explain why you disagree. State which exhibits support your
argument and explain why they do.
III. Is the length of your exclusion unreasonable? The I.G. argues that the
length of the exclusion that he determined to impose is reasonable.
Do you believe that a mitigating factor or factors exist(s) that support(s)
reducing the length of your exclusion (before answering this question read the
list of potentially mitigating factors that is set forth at 42 C.F.R. § 1001.401(c)
(3))?
If you believe that a mitigating factor or factors exist(s), state what it is/they are
and explain why the presence of the factor or factors should support reducing the
No
Yes
No
Yes
No
Yes
length of your exclusion. State which exhibits support your argument(s) and
explain why they do.
IV. Do you believe that an in-person hearing is necessary to decide your
case?
Do you have any testimony that you wish to offer at an in-person hearing?
If you have testimony that you wish to offer provide the following:
1. The name of each witness whose testimony you want to offer.
2. A description of each witness’ proposed testimony and an explanation of
why you believe that the testimony relates to any of the arguments you
want to offer in connection with items I, II, and III.
3. An explanation of why the proposed testimony does not duplicate
something that is already stated in an exhibit.
No
Yes
No
Yes
V. Do you have any other arguments you wish to make? If so, please state
them here. State which exhibits support your argument(s) and explain why they
do.
Petitioner or Petitioner’s Representative
Date:
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Completed 22 February 2020

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