United States v. Gold Star Medical Services

UNITED STATES of America, Gary E. Flewelling, et al., Plaintiffs-Appellees,

v.

DBB, INC., G.S. Care Corp., et al., Defendants-Appellants.

United States of America, State of Florida, Plaintiffs-Appellants Cross-Appellees,

v.

Gold Star Medical Services, Inc., Unknown Company # 1, et al., Defendants-Appellees,

Bay Area Medical Products, Inc., Delphi Solutions, Inc., et al., Defendants-Appellees Cross-Appellants.

Nos. 98-3447, 99-2058.

United States Court of Appeals,

Eleventh Circuit.

July 14, 1999.

Appeals from the United States District Court for the Middle District of Florida. (No. 97-2005-CIV-T-17E),
Elizabeth A. Kovachevich, Judge.

Before COX and BIRCH, Circuit Judges, and GODBOLD, Senior Circuit Judge.

COX, Circuit Judge:

The United States and various defendants separately appeal from a district court order granting a

preliminary injunction pursuant to 18 U.S.C. § 1345(a)(2) freezing the defendants' assets that were traceable

to their fraudulent activities. We consolidated the appeals, and for the reasons that follow, we affirm in part

and vacate and remand in part.

I. Procedural History and Background

This action was originally filed by Gary E. Flewelling in August 1997 on behalf of the United States

and the State of Florida pursuant to the qui tam provisions of the federal False Claims Act, 31 U.S.C. §§ 3729

et seq., and Florida law. Flewelling's complaint alleges that various defendants in the medical business had

engaged in a comprehensive scheme to defraud the Medicare and Medicaid programs. In September of 1998,

the United States and the State of Florida ("the Government") jointly intervened and assumed control of the

litigation.
 After its entry into the case, the Government filed an amended complaint that named forty-six

defendants. The complaint divides the defendants into three categories: individual defendants, provider

defendants, and laundering defendants. The individual defendants are directors and officers of various

companies that provide Durable Medical Equipment ("DME") to Medicare/Medicaid beneficiaries or offer

services such as billing to DME providers. The complaint alleges that the individual defendants are using

the provider defendants to operate a scheme to defraud the United States and the State of Florida through the

submission of false or fraudulent Medicare and Medicaid claims.1 It further alleges that the individual

defendants are using the laundering defendants to divert the money obtained through this fraud to off-shore

accounts. The Government claims that the defendants have obtained more than $7.2 million through their

fraud. (R.1-21, Ex. 1 at 77-79.)

The amended complaint seeks damages and civil penalties under the False Claims Act and injunctive

relief under 18 U.S.C. § 1345 to prevent further dissipation of assets. It also includes a claim by the State of

Florida for a violation of the Florida False Claims Act, Fla. Stat. §§ 68.081 to 68.092, and state law claims

for unjust enrichment, payment by mistake of fact, and breach of contract.

After filing the amended complaint, the United States filed an ex parte motion pursuant to 18 U.S.C.

§ 1345(a)(2) seeking a temporary restraining order ("TRO") and a preliminary injunction. The United States

offered evidence in support of its motion in the form of an affidavit of Special Agent Gregory Hendrickson

of the Federal Bureau of Investigation. The district court granted the United States' motion for a TRO ex

parte on September 8, 1998, and entered a TRO freezing all of the defendants' assets. It also entered an order

1
Among other things, the alleged ongoing scheme to defraud involves: (1) providing kickbacks to
medical and other personnel; (2) "upcoding," or charging for higher priced medical equipment than they
actually delivered to beneficiaries; (3) failing to make legitimate attempts to collect the twenty percent
(20%) Medicare co-payment for DME; (4) altering Certificates of Medical Necessity ("CMN") that had
been signed by doctors; (5) completing CMNs by forging doctor signatures; and (6) using domestic and
foreign bank accounts to launder the proceeds of the fraud. (R.1-21 at ¶ 103.)

2
indefinitely extending the duration of the TRO until a ruling was entered on the motion for a preliminary

injunction.

The amended complaint and motion for a preliminary injunction were then served on the defendants.

The district court referred the case to a magistrate judge to consider the United States' motion for a

preliminary injunction. After a hearing, the magistrate judge issued a report and recommendation concluding

that the United States had established a reasonable probability that the defendants were disposing of

fraudulently-obtained funds. The magistrate judge therefore recommended that a preliminary injunction be

issued pursuant to § 1345(a)(2)(A) to freeze the defendants' assets that were traceable to the alleged fraud.

The district court adopted the magistrate judge's report and recommendation, and a preliminary

injunction was entered on December 10, 1998. The district court provided the United States 30 days to file

a memorandum indicating the defendants' assets that were traceable to the alleged fraud. The United States

filed a motion to amend the injunction to freeze assets equivalent in value to the amount obtained by the

defendants through fraud whether traceable to the fraud or not. The district court denied the motion. It

concluded that the plain language of the statute required the United States to trace to the fraud any assets that

it wished to freeze through a preliminary injunction.

Both the United States and various defendants filed notices of appeal from the district court rulings.

Defendants Goldstar Healthcare, Inc., DBB, Inc., G.S. Care Corp., Trans-Capital Investment Group, Inc.,

Fulcrum Services, Inc., Birotech Corp., Douglas Haught II, Peggy L. Haught, Brian Haught, and Robert

Haught ("the Haught Defendants") jointly filed a notice of appeal challenging the district court's indefinite

extension of the TRO. They later amended their appeal to include challenges to the preliminary injunction.

The United States appealed the district court's decision to limit the injunction to the freezing of assets

traceable to fraud.2 Finally, Defendants Madden Delphi Solutions, Inc. and Universal Medical, Inc.

2
The United States also filed a motion asking this court for an emergency injunction to prevent the
defendants, pending appeal, from disposing of the assets frozen by operation of the TRO. We granted the
motion.

3
cross-appealed, raising several challenges to the district court's entry of the preliminary injunction. On

January 8, 1999, we consolidated the Haught Defendants' appeal with the United States' appeal.

II. Issues on Appeal and Contentions of the Parties

Although the parties raise numerous issues in their briefs, only one of them warrants discussion.3 The

United States argues on appeal that the district court erred in concluding that § 1345(a)(2)(B) does not

authorize the issuance of an injunction to freeze property equal in value to the amount a defendant obtains

through fraud. The statutory section at issue in this case reads as follows:

(a)(2) If a person is alienating or disposing of property, or intends to alienate or dispose of property,
obtained as a result of a [Federal health care offense] or property which is traceable to such violation,
the Attorney General may commence a civil action in any Federal court—

(A) to enjoin such alienation or disposition of property; or

(B) for a restraining order to—

(i) prohibit any person from withdrawing, transferring, removing, dissipating, or disposing of any such
property or property of equivalent value; and

(ii) appoint a temporary receiver to administer such restraining order.

18 U.S.C. § 1345(a)(2) (emphasis added). Both parties agree that subsection (a)(2)(A) authorizes injunctions

to freeze property obtained through fraud or traceable to fraud and that subsection (a)(2)(B) authorizes TROs

that freeze property of equivalent value. Their disagreement arises over whether subsection (a)(2)(B), which

may reach "property of equivalent value" whether or not it is traceable to fraud, also authorizes the court to

grant injunctions. The United States contends that it does because the phrase "restraining order" in subsection

(a)(2)(B) refers in a general sense to any injunctive relief, including preliminary injunctions. The defendants

3
The Defendants argue in their appeals and cross-appeals that the district court erred in: (1)
maintaining the blanket asset freeze contained in the TRO beyond the 20 day limit imposed by Rule 65 of
the Federal Rules of Civil Procedure; (2) considering an "Estimated Overpayment Chart" as evidence in
granting the Government a preliminary injunction; (3) shifting a portion of the burden to the defendants
to determine the eventual scope of the injunction; and (4) including insufficient factual findings in its
order granting injunctive relief. We find no merit in these arguments and reject them without discussion.
See 11th Cir. R. 36-1.

4
respond that the plain meaning of the term "restraining order" as it is used in the subsection refers only to

TROs.

The issue that we must decide, therefore, is whether the term "restraining order" in subsection

(a)(2)(B) authorizes a district court to grant any injunctive relief to freeze assets of equivalent value or

whether it only authorizes the issuance of temporary restraining orders. This is an issue of statutory

interpretation that we review de novo. United States v. Veal, 153 F.3d 1233, 1245 (11th Cir.1998).

III. Discussion

A. Introduction

The United States bases its argument upon three grounds. First, it argues that the plain language of

the statute supports a broad reading of the term "restraining order." Second, it argues that its interpretation

of the statute is consistent with congressional intent and that any other reading would frustrate that intent and

lead to absurd results. Finally, it contends that the identical term was interpreted broadly in a statutory section

included in the same act and that both terms should be construed consistently. Defendants argue that the plain

language supports their reading of the statute and that any other interpretation would make subsection

(a)(2)(A) superfluous. We will address each of these contentions in turn.

There are several canons of statutory construction that guide our interpretation of the statute. The

starting point for all statutory interpretation is the language of the statute itself. See, e.g., Watt v. Alaska, 451

U.S. 259, 265, 101 S.Ct. 1673, 1677, 68 L.Ed.2d 80 (1981). We assume that Congress used the words in a

statute as they are commonly and ordinarily understood, and we read the statute to give full effect to each of

its provisions. United States v. McLymont, 45 F.3d 400, 401 (11th Cir.1995) (per curiam). We do not look

at one word or term in isolation, but instead we look to the entire statutory context. United States v.

McLemore, 28 F.3d 1160, 1162 (11th Cir.1994) (citation omitted). We will only look beyond the plain

language of a statute at extrinsic materials to determine the congressional intent if: (1) the statute's language

is ambiguous; (2) applying it according to its plain meaning would lead to an absurd result; or (3) there is

5
clear evidence of contrary legislative intent. See Consolidated Bank, N.A. v. Office of Comptroller of

Currency, 118 F.3d 1461, 1463-64 (11th Cir.1997) (citations omitted).

B. Plain Language of the Statute

Applying these principles, we turn first to the statutory language at issue in this case. On its face,

the statute authorizes the issuance of a "restraining order" to freeze property obtained through fraud, property

traceable to fraud, or property of equivalent value. See § 1345(a)(2)(B). The United States argues that the

absence of the word "temporary" prior to the term "restraining order" indicates that Congress meant to use

the term in a general sense to mean any form of injunctive relief. Defendants, relying in part on the definition

in Black's Law Dictionary, argue that the term "restraining order" means only a TRO.4 As a result, they

contend, Congress's failure to insert the word "temporary" into the statute is meaningless.

The term "restraining order" is often used to refer to temporary restraining orders within the meaning

of Rule 65 of the Federal Rules of Civil Procedure. Indeed, the definition in Black's Law Dictionary arguably

supports the defendants' narrow reading of the statute. There are several factors, however, that compel us to

conclude that the term as it is used in this statute is ambiguous. First, the term "restraining order" is not

always used in such a restricted manner, and it may be read to mean all forms of injunctive relief. The

definition in Webster's Third New International Dictionary, for example, is "a preliminary legal order

sometimes issued to keep a situation unchanged pending decision upon an application for an injunction."

Webster's Third New International Dictionary 1937 (1981). This definition is broad enough to include both

temporary restraining orders and preliminary injunctions as those terms are used in the Federal Rules of Civil

4
The definition relied upon by the defendants defines a restraining order as:

[a]n order which may issue upon filing of an application for an injunction forbidding the
defendant to do the threatened act until a hearing on the application can be had, and is
distinguishable from an injunction, in that the former is intended only as a restraint until
the propriety of granting an injunction can be determined and it does no more than
restrain the proceedings until such determination.

Blacks Law Dictionary 1314 (Sixth ed.1990).

6
Procedure since both serve to maintain the status quo until a final decision on a matter can be reached. See

Fed.R.Civ.P. 65.5 Second, the text of the statute does not contain the limiting word "temporary" in front of

the term even though Congress has used the phrase "temporary restraining order" in other sections of Title

18. See, e.g., 18 U.S.C. § 1963(d)(2); 18 U.S.C. § 2253(c)(2). In light of these conflicting meanings of the

term and the fact that Congress has not always used terminology consistent with that used in Rule 65, the

language of the statute does not clearly answer our question.6 As a result, we must look beyond the text and

determine the legislative intent.7

C. Legislative History

The legislative history is sparse. The original version of § 1345 was enacted in 1984 as part of the

Comprehensive Crime Control Act of 1984, Pub.L. No. 98-473, § 1205(a), 98 Stat. 1837, 2152 (1984). It

was then substantially amended, and subsection (a)(2) was added to the statute in November 1990 as part of

the Comprehensive Thrift and Bank Fraud Prosecution and Taxpayer Recovery Act of 1990, Title XXV of

the Crime Control Act of 1990, Pub.L. No. 101-647, 104 Stat. 4859 (1990). Title XXV was entitled "Banking

Law Enforcement" and its subtitle B, which included section 1345(a)(2), was entitled "Protecting Assets from

Wrongful Disposition." The Act was passed in the wake of well-publicized problems in the savings and loan

industry. The purpose of Title XXV was "to enhance the enforcement powers of the Department of Justice

5
A Rule 65 TRO often functions to preserve the status quo until a court can enter a decision on a
preliminary injunction application, while a Rule 65 preliminary injunction is often used to maintain the
status quo until a court can enter a final decision granting a permanent injunction or some other final
relief.
6
Besides referring to "restraining orders" in the clause at issue in this case, Congress referred to
"temporary injunctions" in other sections of the statute. See 18 U.S.C. § 1345(a)(3). That term is not
contained in Rule 65 of the Federal Rules of Civil Procedure.
7
We recognize that the Fourth Circuit in United States v. Cohen, 152 F.3d 321, 324 n. 4 (4th
Cir.1998), stated in a footnote, without any analysis, that "subsection (a)(2)(A) refers to injunctions
whereas subsection (a)(2)(B) refers to restraining orders." This conclusion appears to be based on the text
of the statute. To the extent that it suggests that the language of the statute is clear and unambiguous, we
disagree.

7
and the Federal financial institution regulatory agencies with respect to unlawful activities affecting federally

insured financial institutions." 136 Cong. Rec. E3684 (Nov. 2, 1990) (extension of remarks of Rep.

Schumer). Section 1345(a)(2), as originally enacted, only applied to banking fraud. Congress amended the

section in 1996 to make it applicable to health care fraud as well. See Health Insurance Portability and

Accountability Act of 1996, Pub.L. No. 104-191, § 247, 110 Stat.1936, 2018 (1996).

Regarding the authorization of prejudgment attachments, the legislative history indicates that

Congress intended to enhance the government's ability to enjoin the dissipation of assets wrongfully obtained

through fraud. See 136 Cong. Rec. E3684 (Nov. 2, 1990); 136 Cong. Rec. H13288, H13293 (Oct. 27, 1990)

(Statement of Rep. Fish) (the Title "strengthens the banking enforcement agencies' ability to recover funds

from the S & L wrong-doers."); 136 Cong. Rec. H13288, H13296 (Oct. 27, 1990) (Statement of Rep.

Schumer) ("We provide for prejudgment attachment and set freezes. You do not want the savings and loan

crooks to abscond and escape with their money. This bill will stop it."). When interpreting an ambiguous

statute, a court should "consider the purpose, the subject matter and the condition of affairs which led to its

enactment, and so construe it as to effectuate and not destroy the spirit and force of the law and not to render

it absurd." Lambur v. Yates, 148 F.2d 137, 139 (8th Cir.1945) (citations omitted). The only plausible

construction that gives effect to the Congressional intent is the construction of the statute urged by the United

States.8

8
The legislative history indicates that the final version of Title XXV grew out of several bills that were
passed by the House and Senate, including: (1) S.1970, an omnibus crime bill passed by the Senate on
July 11, 1990; (2) H.R. 5401, the Banking Law Enforcement Act of 1990 which passed the House on
July 31, 1990; and (3) H.R. 5269, the Comprehensive Crime Control Act of 1990, which was passed by
the House on October 5, 1990 and which contained a title dealing with bank law enforcement that was
based on an amendment offered by Rep. Schumer. See 136 Cong. Rec. E3684 (Nov. 2, 1990) (extension
of remarks of Rep. Schumer).

The draft version of § 1345 that was passed by the Senate in S.1970 read, in relevant part,
as follows:

... the Attorney General may initiate a civil proceeding in a district court of the United
States to enjoin the violation or alienation or disposition of property or assets of

8
 Defendants' interpretation would frustrate the congressional intent and lead to absurd results for

several reasons. They argue that subsection (a)(2)(A), which authorizes enjoining the alienation or

disposition of property obtained as a result of health care fraud or property traceable to such fraud, includes

all forms of injunctive relief, but that subsection (a)(2)(B), which also permits freezing "property of

equivalent value" to that obtained by fraud, includes only TROs. Under this interpretation, if a defendant is

alienating or disposing of property obtained by fraud (or intends to do so), the government may obtain a TRO

to freeze "property of equivalent value." But under Fed.R.Civ.P. 65(b) this TRO generally will expire in no

more than 10 or 20 days, after which the defendant would be free to transfer the "property of equivalent

value" which had been frozen unless by then the government could trace the property to health care fraud.

Given the realities and practicalities of litigation, such a TRO would be of dubious value to the government.

Congress could not have intended such a result unless it thought that 10 or 20 days would suffice to enable

the government to establish that the "property of equivalent value" frozen by the TRO was traceable to the

equivalent value. In any such case, the Attorney General may petition for a restraining
order to prohibit any person from withdrawing, transferring, removing, dissipating, or
disposing of any such funds, assets, or other property and to appoint a temporary receiver
to administer such restraining order.

136 Cong. Rec. S10184, S10246 (July 11, 1990) (emphasis added). This language can only be
interpreted as authoring a preliminary injunction that would freeze assets of equivalent value of
the property obtained through fraud.

H.R. 5401 and H.R. 5269 both contained the language that was ultimately enacted in the
final statute. See 136 Cong. Rec. H5995, H5996 (July 31, 1990) (H.R.5401);136 Cong. Rec.
H8758, H8778 (Oct. 5, 1990) (H.R.5269). This language differed from S.1970. The fact that the
language in S.1970 existed and was not adopted does not alter our interpretation of the statute
because the legislative history is silent as to why this language was not adopted. Congress could
have decided that the form of § 1345 actually enacted had the same meaning as the Senate draft
version. See 136 Cong. Rec. H5431, H5433 (July 24, 1990) (introducing Schumer Amendment
to H.R. 5269 and describing it as authorizing under § 1345 "an order enjoining such violation or
restraining any person from disposing of the property, or property of equivalent value. The court
can also appoint a temporary receiver to administer the restraining order."); see also 136 Cong.
Rec. H5995, H6016 (July 31, 1990) (stating that H.R. 5401 allows for "... prejudgment
attachment of the crooks' assets. Many of the wrongdoers transfer and hide their assets when they
think that the Federal Government is closing in. The bill will allow the Government to have the
assets seized by the court pending the outcome of the trial for damages.").

9
fraud in question and to obtain a preliminary injunction. Common sense requires that we reject the idea that

Congress entertained any such notion.

Furthermore, we note that subsection (a)(2)(B)(ii) authorizes the court to appoint a temporary receiver

to administer the frozen assets. If the "restraining order" language in § 1345(a)(2)(B) only authorizes a court

to grant a TRO, the provision allowing for the appointment of a temporary receiver would have little purpose.

It does not seem practical for a district court to find and appoint a receiver for such a short period of time.

In contrast, under the United States' interpretation of the statute, the Attorney General would have

broad power to freeze assets and prevent the dissipation of them prior to a final judgment. The Attorney

General could obtain an ex parte TRO upon the filing of the complaint to freeze assets of equivalent value

until a hearing on a motion for a preliminary injunction could be held. At the hearing, the United States could

obtain an injunction freezing assets of equivalent value and secure the appointment of a temporary receiver

to administer the assets pending a final decision in the case. This construction of the statute would preserve

the defendant's assets until a judgment requiring restitution or forfeiture could be obtained.

D. Context of Enactment and Interpretation of Similar Terms

The context in which § 1345(a)(2) was enacted also provides support for the United States'

interpretation of the statute. As discussed above, § 1345(a)(2) was enacted in 1990 as part of the

Comprehensive Thrift and Bank Fraud Prosecution and Taxpayer Recovery Act of 1990, Title XXV of the

Crime Control Act of 1990, Pub.L. No. 101-647, 104 Stat. 4859 (1990). As originally enacted, subtitle B of

Title XXV of this Act contained two similarly-worded provisions. Section 2521(b)(2), which is now codified

at 18 U.S.C. § 1345(a)(2), authorized the Attorney General to obtain injunctive relief to freeze assets in

certain circumstances. Section 2521(b)(1), which is now codified at 12 U.S.C. § 1818(i)(4), authorized

federal banking agencies to obtain injunctive relief to freeze assets. When enacted in 1990, this latter

statutory section provided in relevant part that:

(A) In general—In any action brought by an appropriate Federal banking agency ... pursuant to this
section ... the court may, upon application of the agency, issue a restraining order that—

10
(i) prohibits any person subject to the proceeding from withdrawing, transferring, removing, dissipating,
or disposing of any funds, assets or other property; and

(ii) appoints a temporary receiver to administer the restraining order.

(B) Standard.-A permanent or temporary injunction or restraining order shall be granted without
bond upon a prima facie showing that money damages, restitution, or civil money penalties, as sought
by such agency, is appropriate.

12 U.S.C. § 1818(i)(4) (1991) (emphasis added).9 Although this section only provides that a district court

may enter a "restraining order," the standard applicable to the granting of the restraining order provides that

"a permanent or temporary injunction or restraining order" shall be issued when a certain showing is made.

This language suggests that the term "restraining order" in section 2521(b)(1) was used broadly and in a

generic sense to include both preliminary injunctions and temporary restraining orders.

In accordance with this broad reading, courts have treated 12 U.S.C. § 1818(i)(4) as authorizing the

issuance of preliminary injunctions. See Director of the Office of Thrift Supervision, U.S. Department of

Treasury v. Lopez, 960 F.2d 958 (11th Cir.1992) (reversing and remanding a district court order denying a

preliminary injunction under § 1818(i)(4)); see also Board of Governors v. DLG Financial Corp., 29 F.3d

993 (5th Cir.1994) (affirming district court preliminary injunction issued under § 1818(i)(4)). Since the

statutes now codified at 12 U.S.C. § 1818(i)(4) and 18 U.S.C. § 1345(a)(2)(B) were enacted as part of the

same Bank Fraud Act with the same purposes, the identical terms contained in each should be construed to

have the same meaning. See Sorenson v. Sec. of Treasury, 475 U.S. 851, 860, 106 S.Ct. 1600, 1606, 89

L.Ed.2d 855 (1986) (stating canon of statutory construction that "identical words used in different parts of

the same act are intended to have the same meaning" (citation and internal quotation marks omitted)).

Defendants argue that Title 12 is a civil code section while Title 18 is a criminal code section. As a result,

they argue, the meaning of the term "restraining order" in each code section should be interpreted differently.

There is no basis for this distinction, however, as § 1345(a)(2)(B) is clearly civil in nature. See 18 U.S.C.

9
This section was amended effective December 1993 to replace subsection B with a new subsection.
See Pub.L. 103-204; 12 U.S.C. § 1818(i)(4)(B) (1994). This change does not affect our analysis.

11
§ 1345(a)(2) ("the Attorney General may commence a civil action in any Federal court...."). Furthermore,

although they were assigned to different sections of the United States Code, both statutory sections were

enacted as part of the same congressional act and both were passed with the intent to strengthen the

government's ability to prevent the dissipation of wrongfully obtained property.

E. A Final Caveat: Avoiding Superfluous Terms

Based on all the factors that we have discussed, we conclude that Congress used the phrase

"restraining order" in its general sense to mean all forms of injunctive relief. We must, however, address one

final argument raised by the defendants. They contend that our interpretation of the phrase "restraining order"

would make both § 1345(a)(2)'s introduction paragraph and subsection (a)(2)(A) superfluous. First, they

assert that if subsection (a)(2)(B) is read to authorize preliminary injunctions, then there would be no need

to have the language in subsection (a)(2) defining the types of covered assets because the "equivalent value"

language in subsection (a)(2)(B) would engulf the other types of property. Second, they contend that if

subsection (a)(2)(B) is read to authorize preliminary injunctions, then there would be no need to have

subsection (a)(2)(A) also authorizing preliminary injunctions.

It is true that "courts should disfavor interpretations of statutes that render language superfluous."

Connecticut Nat. Bank v. Germain, 503 U.S. 249, 253, 112 S.Ct. 1146, 1149, 117 L.Ed.2d 391 (1992). A

statute should be "interpreted so that no words shall be discarded as meaningless, redundant, or mere

surplusage." See United States v. Canals-Jimenez, 943 F.2d 1284, 1287 (11th Cir.1991). We do not believe,

however, that our interpretation renders § 1345(a)(2)'s introductory paragraph or subsection (a)(2)(A)

unnecessary parts of the statute.

Under the construction of the statute that we adopt today, the introductory paragraph in § 1345(a)(2)'s

list of the covered property remains a necessary part of the statute because it defines the requisite showing

that the United States must make to receive any of the injunctive relief authorized under subsections (a)(2)(A)

and (a)(2)(B). In order to obtain relief, the United States must show that a defendant is alienating or disposing

12
of property obtained through, or traceable to, health care fraud. Furthermore, under our interpretation, the

two subsections provide broad avenues of relief that complement each other and further congressional intent.

Subsection (a)(2)(A) offers the government the ability to prevent the sale or other disposition of a particular

piece of property that it has traced to fraud. Subsection (a)(2)(B), on the other hand, explicitly provides

broader relief for situations where the property obtained through fraud is not as easily identified. It allows

the government to prevent the withdrawing, transferring, removing, and dissipating of an amount of the

defendant's assets equal to that obtained through fraud and to have a temporary receiver appointed to

administer the assets until a final judgment is reached. In addition, the use of the phrase "any person" in

subsection (a)(2)(B) appears to also authorize injunctions that prevent third parties from removing a

defendant's assets. We do not have to decide in this case why Congress provided for these overlapping

remedies; we only have to note that our reading of the statute does not read (a)(2)(A) out of the statute.

IV. Conclusion

For all of these reasons, we conclude that the term "restraining order," as it is used in 18 U.S.C. §

1345(a)(2)(B), is used in the general sense to mean any form of injunctive relief and is not limited to

"temporary restraining orders." As a result, the decision of the district court that section 1345(a)(2)(B) did

not apply to preliminary injunctions is reversed and the matter is remanded for proceedings consistent with

this opinion. The district court's orders are affirmed in all other respects.

AFFIRMED IN PART, REVERSED AND REMANDED IN PART.

13