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Hope S. Foster

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[email protected]

+1.202.661.8758

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Hope is the immediate past Chair of the firm’s Health Care Enforcement Defense Practice. She has also served on the firm’s Pro Bono Committee and Policy Committee.

Hope defends and resolves large, multifaceted federal and state investigations arising under criminal and civil statutes barring, among other things, the submission of false claims and the provision of remuneration to induce referrals. In connection with such cases, Hope negotiates and structures global settlements with the US Department of Justice and its US Attorneys’ Offices and state Attorneys' General Offices as well as corporate integrity agreements with the Department of Health and Human Services Office of Inspector General.

Many of the cases that she has handled have arisen as a result of qui tam cases filed by whistleblowers under federal and state False Claims Acts. Hope also develops and implements compliance programs and advises clients in connection with voluntary disclosures to the government. Hope defends administrative actions initiated by federal and state agencies, including recoupment actions and proceedings involving licensure and certification. She has a comprehensive understanding of the Medicare and Medicaid programs and the rules governing reimbursement. In her work before the US Congress on behalf of clients, Hope has supported enactment of statutes including the Clinical Laboratory Improvement Amendments and the Stark self-referral bans.

She also represents health care providers, product manufacturers, payors, and investors, and specializes in statutory and regulatory issues affecting the provision of health care services. Her practice includes counseling, structuring, and litigating fraud and abuse issues as well as reimbursement matters.

Hope frequently speaks on topics of interest to health care providers, payors, and product manufacturers. She also has written extensively on issues confronting health care providers.

 

"Hope is very smart and really knows the ins and outs of the industry. She is wonderful at identifying issues and problem-solving."

— Health Care Client, Chambers USA 2026

"Hope understands our business and is aware of how to help advise on complicated issues. She has a good sense of what is important and what is not."

— Health Care Client, Chambers USA 2026

"Hope's industry experience is a huge asset. She also creates and manages good teams."

— Health Care Client, Chambers USA 2026

"Hope is outstanding. She provides excellent, practical, business-oriented advice, and has extensive knowledge and experience in the healthcare industry. She is able to quickly identify issues."

— Health Care Client, Chambers USA 2025

"Hope is one of the best attorneys I have worked with. She is knowledgeable, creative and provides excellent advice."

— Health Care Client, Chambers USA 2025

"Hope is an excellent attorney who is responsive and has a great work ethic."

— Health Care Client, Chambers USA 2024

Experience

  • Represented a diagnostics company in a national criminal and civil investigation involving multiple US Attorneys’ Offices and state Attorneys' General Offices. The investigation involved alleged kickback issues and billing violations.
  • Defended a physician, from a Southeastern state, in a broad-based False Claims Act investigation alleging kickback issues.
  • Defended a publicly traded medical device company in connection with the alleged failure to substantiate marketing and promotional claims.
  • Represented a clinical laboratory in connection with a False Claims Act investigation, arising from a qui tam case, alleging issues with the manner in which specimens were obtained and transported to the laboratory prior to testing. The government declined the case and both the relator and government dismissed the complaint with prejudice.
  • Represented four specialty laboratories in False Claims Act investigations in connection with the payment of processing and handling fees for specimen collection.
  • Defending several providers in state False Claims Act investigations throughout the country regarding alleged violations of Medicaid billing rules.
  • Represented and continuing to represent a number of providers in investigations conducted by the Federal Trade Commission involving alleged consumer protection violations.
  • Representing a provider in defending against multistate investigations by numerous attorneys general involving alleged violations of state consumer protection laws.
  • Settled a number of False Claims Act investigations of various providers without corporate integrity agreements.
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viewpoints

Unbridling the FTC and Giving POWER to the NYC People

Introduced Legislation Would Expand Federal and Local Consumer Protection Enforcement

October 27, 2026 | Blog | By Hope Foster, Robert Kidwell, Samantha Kingsbury, Lexie Gallo-Cook, Jane Haviland, Melody Tangellamudi

Proposed legislation would expand FTC enforcement powers and New York City consumer protections, increasing civil penalties and private litigation risks.

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Handy, But Not Quite “Up to” Snuff: FTC Commissioners Clash over “Up To” Earnings Claims and Scope of Penalty Offense Authority

July 17, 2026 | Blog | By Hope Foster, Lexie Gallo-Cook, Robert Kidwell, Jane Haviland, Samantha Kingsbury

The FTC's action against Handy over “up to” earnings claims serves as a reminder that the agency remains focused on seeking civil penalties, while internal disagreement persists over the scope of its penalty offense authority.

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Consumer Protection or Business Protection: New York Updates Consumer Protection Law to Go Beyond Protecting Consumers

April 6, 2026 | Blog | By Hope Foster, Lexie Gallo-Cook, Robert Kidwell, Samantha Kingsbury, Sherwet H. Witherington

Kathy Hochul’s FAIR Business Practices Act significantly expands New York’s consumer protection law, broadening the NYAG’s enforcement authority over unfair and abusive practices—including in purely commercial conduct—with health care as a key priority.

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FTC’s Launch of Healthcare Task Force: Expanded Enforcement and Policy Advocacy

March 25, 2026 | Blog | By Lexie Gallo-Cook, Hope Foster, Jane Haviland, Robert Kidwell, Samantha Kingsbury

Federal Trade Commission (FTC) Chairman Andrew Ferguson announced the launch of a Healthcare Task Force on March 20, 2026, signaling a significant escalation in the FTC’s approach to healthcare oversight. The directive aligns with President Trump’s February 25, 2025 Executive Order, Making America Healthy Again by Empowering Patients with Clear, Accurate, and Actionable Healthcare Pricing Information (Executive Order), and reflects FTC’s intent to institutionalize and broaden healthcare enforcement while shaping policy moving forward. 

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Cognitive Dissonance II: Oral Arguments at Second Circuit in Quincy Bioscience’s Brain Health Dietary Supplements Case

March 11, 2026 | Blog | By Hope Foster, Robert Kidwell, Lexie Gallo-Cook, Samantha Kingsbury, Sherwet H. Witherington, Wali Miller

The Second Circuit weighs materiality under New York Executive Law Section 63(12), the scope of FTC injunctions, and the NYAG’s bid for damages in the Prevagen case.

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Cognitive Dissonance: State and Federal Enforcers’ Case Against Brain Health Dietary Supplement Due For Oral Arguments at the Second Circuit

February 20, 2026 | Blog | By Hope Foster, Robert Kidwell, Lexie Gallo-Cook, Samantha Kingsbury, Sherwet H. Witherington

Legal battle over Prevagen heads to the Second Circuit as FTC and NYAG dispute nationwide injunction, state authority, and standards for dietary supplement claims.

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Health Care Enforcement Trends & 2025 Outlook

January 17, 2025 | Blog | By Karen Lovitch , Samantha Kingsbury, Keshav Ahuja, Eoin Beirne, Grady Campion, Daniel Cody, Tara E. Dwyer, Laurence Freedman, Hope Foster, Jane Haviland, Nicole Henry, Caitie Hill, Robert Kidwell, Nick A. LaPalme, Scott Lashway, Kevin McGinty, Payton Thornton, Matthew Stein, Rachel Yount

Our 2025 edition of EnforceMintz reflects on health care enforcement trends, predicts how health care enforcement may evolve, and offers practical guidance about what these trends and predictions mean for health care providers, payors, and other stakeholders.

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In 2024, the HHS Office of Inspector General added the University of Colorado Health d/b/a/ UCHealth, an established provider, to the Heightened Scrutiny list after UCHealth settled an FCA case for $23 million, without an admission of wrongdoing.

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In a resounding unanimous 9-0 decision, the Supreme Court rejected the argument that a defendant’s subjective belief is irrelevant under the False Claims Act (FCA) when evaluating whether a defendant “knowingly” submitted a false claim to the government for payment. On June 1, 2023, the Court issued its highly anticipated opinion in the consolidated cases U.S. ex rel. Schutte v. SuperValu, Inc. and U.S. ex rel. Proctor v. Safeway, Inc. (SuperValu) and addressed the question of whether a defendant is liable under the FCA if its conduct is consistent with an “objectively reasonable” interpretation of ambiguous statutory or regulatory language. Justice Thomas, writing for the Court, held that an “objectively reasonable” interpretation does not provide a complete legal defense to liability under the FCA. Rather, a defendant meets the FCA’s intent (scienter) requirement if the defendant’s subjective beliefs indicate it had knowledge that its submission of claims was “false or fraudulent,” regardless of whether the defendant’s conduct could be supported by a later “objectively reasonable” interpretation of the ambiguous legal or regulatory issue. Further, the Court articulated new standards for what might constitute “deliberate ignorance” or “reckless disregard” under the “knowledge” prong of the FCA.

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SBA Issues Additional Guidance Regarding “Necessity” Certification Required under the CARES Act

May 13, 2020 | Blog | By Hope Foster, Karen Lovitch , Joseph Price, Sahir Surmeli

Today the Small Business Administration (SBA) issued additional guidance with respect to the “necessity” certification required under the CARES Act in connection with the Paycheck Protection Program (PPP). The relevant guidance appears in FAQ 46, and it is very good news for borrowers who received PPP loans under $2 million (together with PPP loans to affiliates, if any). The SBA, in consultation with the U.S. Department of Treasury, has determined that a safe harbor will apply with respect to SBA’s review of the certification of necessity in connection with respect to such loans. Specifically, “[a]ny borrower that, together with its affiliates, received PPP loans with an original principal amount of less than $2 million will be deemed to have made the required certification concerning the necessity of the loan request in good faith.”
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News & Press

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Recognition & Awards

  • Best Lawyers in America: Health Care Law (2011 – 2026)

  • Chambers USA: District of Columbia (Band 1) – Healthcare (2009 – 2026)

  • Washington DC Super Lawyers: Health Care list (2012 – 2020)

  • Recognized by The Legal 500 United States for Healthcare: Service Providers (2018 – 2020, 2022 – 2023); Leading Partner (2024 – 2026)

  • Martindale-Hubbell AV Preeminent

  • Nightingale’s Healthcare News: Outstanding Healthcare Fraud and Compliance Lawyer (2008, 2010)

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Involvement

  • Member, American Health Lawyers Association
  • Member, District of Columbia Bar Association
  • Member, American Bar Association (ABA)
  • Member, ABA White Collar Crime Committee
  • Member, ABA Health Care Committee
  • Member, ABA Antitrust Committee
  • Member, ABA Subcommittee on Health Care Fraud and Abuse
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