United States v. Gold Star Medical Services

[PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT FILED
________________________ U.S. COURT OF APPEALS
ELEVENTH CIRCUIT
07/14/99
No. 98-3447
THOMAS K. KAHN
________________________ CLERK
D. C. Docket No. 97-2005-CIV-T-17E

UNITED STATES OF AMERICA,
GARY E. FLEWELLING, et al.,
Plaintiffs-Appellees,

versus

DBB, INC., G. S. CARE CORP., et al.,

Defendants-Appellants.
______________________

No. 99-2058
______________________
D. C. Docket No. 97-2005-CIV-T-17E

UNITED STATES OF AMERICA, STATE OF FLORIDA.,

Plaintiffs-Appellants,
Cross-Appellees,

versus

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.

________________________

Appeals from the United States District Court
for the Middle District of Florida
_________________________

(July 14, 1999)

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

2
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.)

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.)

3
 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 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

4
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

5
the injunction to the freezing of assets traceable to fraud.2 Finally, Defendants

Madden Delphi Solutions, Inc. and Universal Medical, Inc. 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.

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.

6
 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

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.

7
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 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. 1999).

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

8
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

(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 clear evidence of contrary legislative intent. See Consolidated

Bank, N.A. v. Dep. of Treasury, 118 F.3d 1461, 1463-64 (11th Cir. 1997) (citations

omitted).

9
 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

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).

10
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 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

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.

11
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 and the Federal financial institution

regulatory agencies with respect to unlawful activities affecting federally insured

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.

12
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 abscound 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.

13
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

Defendants’ interpretation would frustrate the congressional intent and lead to

absurd results for several reasons. They argue that subsection (a)(2)(A), which

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 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. See136 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.”).

14
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 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

15
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),

16
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–

(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

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.

17
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. 858, 860, 106 S. Ct. 1600,

1606 (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. § 1345(a)(2) (“the Attorney General may commence a civil

18
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 (1992). A statute should be “interpreted so that no words shall be

19
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 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

20
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.

21