A.H. v. N.Y. State Dep't of Health

CourtCourt of Appeals for the Second Circuit
DecidedAugust 13, 2025
Docket24-725
StatusPublished

This text of A.H. v. N.Y. State Dep't of Health (A.H. v. N.Y. State Dep't of Health) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
A.H. v. N.Y. State Dep't of Health, (2d Cir. 2025).

Opinion

24-725-cv(L) A.H. v. N.Y. State Dep’t of Health

United States Court of Appeals For the Second Circuit

August Term 2024 Argued: October 18, 2024 Decided: August 13, 2025

No. 24-725-cv(L), 24-728-cv(CON)

A.H., by her next friend E.H., R.D., by her next friend M.D., J.D., by his next friend D.D., H.L., on behalf of themselves and all others similarly situated, A.B., on behalf of themselves and all others similarly situated, J.S., on behalf of themselves and all others similarly situated, J.C.M., on behalf of themselves and all others similarly situated, L.P., by her next friend C.P., DISABILITY RIGHTS NEW YORK,

Plaintiffs-Appellants,

E.B., M.W., by his next friend T.D., J.D.C., J.P.S., by his next friend S.S., M.F., O.A., M.Y., by his next friend B.L., C.H.,

Intervenor-Plaintiffs-Appellants,

v. NEW YORK STATE DEPARTMENT OF HEALTH, JAMES V. MCDONALD, in his official capacity as Commissioner of the New York State Department of Health, NEW YORK STATE OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, WILLOW BAER, in her official capacity as Commissioner of the New York State Office for People With Developmental Disabilities

Defendants-Appellees.*

Appeal from the United States District Court for the Southern District of New York No. 22-cv-5045 Mary Kay Vyskocil, Judge.

* The Clerk of Court is respectfully directed to amend the caption accordingly.

2 Before: PARK, LEE, and PÉREZ, Circuit Judges. Plaintiffs in this case are an organization called Disability Rights New York (“DRNY”) and eight individuals with developmental disabilities (“Individual Plaintiffs”) who allege long delays in moving from restrictive institutional facilities to community-based residential settings. Plaintiffs sued various New York State defendants under the Medicaid Act, the Americans with Disabilities Act, the Rehabilitation Act, and the Fourteenth Amendment. Defendants moved to dismiss DRNY’s claims for lack of standing. They also argued later in a pre-motion letter that the Individual Plaintiffs’ claims were moot because they had since been moved out of institutional facilities. The district court (Vyskocil, J.) dismissed both DRNY’s and the Individual Plaintiffs’ claims and also denied a motion to intervene by additional proposed plaintiffs. Plaintiffs challenge all three rulings on appeal. We conclude that the district court correctly dismissed DRNY’s claims for lack of standing because DRNY suffered no injury in fact, and we reject its theory of “congressionally authorized representational standing.” But the district court erred in dismissing the Individual Plaintiffs’ claims as moot based solely on pre-motion letters. Finally, the district court did not abuse its discretion by denying the motion to intervene. We thus AFFIRM in part, VACATE in part, and REMAND.

Judge Pérez dissents from Section II.A in a separate opinion and otherwise concurs in the judgment of the Court.

ANDREW W. BRELAND, David J. Abrams, Stephen P. Thomasch, Yarden N. Hodes, Kasowitz Benson Torres

3 LLP, New York, NY, for Individual Appellants and Intervenor-Plaintiffs-Appellants.

JENNIFER J. MONTHIE, Julie Keegan, Ben Taylor, Disability Rights New York, Brooklyn, NY, for Appellant DRNY.

CLELAND B. WELTON II, Assistant Solicitor General; Matthew W. Grieco, Senior Assistant Solicitor General; Barbara D. Underwood, Solicitor General, for Letitia James, Attorney General of the State of New York, New York, NY, for Defendants-Appellees.

PARK, Circuit Judge: Plaintiffs in this case are an organization called Disability Rights New York (“DRNY”) and eight individuals with developmental disabilities (“Individual Plaintiffs”) who allege long delays in moving from restrictive institutional facilities to community-based residential settings. Plaintiffs sued various New York State defendants under the Medicaid Act, the Americans with Disabilities Act, the Rehabilitation Act, and the Fourteenth Amendment. Defendants moved to dismiss DRNY’s claims for lack of standing. They also argued later in a pre-motion letter that the Individual Plaintiffs’ claims were moot because they had since been moved out of institutional facilities. The district court dismissed both DRNY’s and the Individual Plaintiffs’ claims and also denied a motion to intervene by additional proposed plaintiffs. Plaintiffs challenge all three rulings on appeal. We conclude that the district court correctly dismissed DRNY’s claims for lack of standing because

4 DRNY suffered no injury in fact, and we reject its theory of “congressionally authorized representational standing.” But the district court erred in dismissing the Individual Plaintiffs’ claims as moot based solely on pre-motion letters. Finally, the district court did not abuse its discretion by denying the motion to intervene. We thus affirm in part, vacate in part, and remand.

I. BACKGROUND

A. Factual Background

The New York State Office for People with Developmental Disabilities (“OPWDD”) coordinates services for New Yorkers with developmental disabilities, including cerebral palsy, Down syndrome, autism spectrum disorders, and other neurological impairments. Part of OPWDD’s work is to administer Medicaid’s Home and Community Based Services (“HCBS”) Waiver Program, which provides services for disabled people in residential facilities. OPWDD licenses or operates over 34,000 certified community residence beds in New York.

OPWDD determines whether an individual is eligible for the HCBS Waiver Program. To qualify, the individual must (1) be diagnosed with a developmental disability; (2) be eligible for placement in an Intermediate Care Facility (“ICF”); (3) be enrolled or eligible for enrollment in Medicaid; (4) exercise freedom of choice between receipt of waiver services or placement in an ICF; (5) reside in an appropriate living arrangement at the time of enrollment (e.g., in a relative’s home and not an ICF); and (6) have demonstrated a need for waiver services. 14 N.Y. Comp. Codes R. & Regs. § 635-

5 10.3(b). OPWDD then considers an individual’s particular needs and the availability of suitable residential opportunities.

The eight Individual Plaintiffs here have developmental disabilities and were deemed eligible by OPWDD for placement in community-based settings. They allege, however, that they remained institutionalized. As of October 2022, the Individual Plaintiffs claim to have waited from nine months to six years for placement in community-based residences. They allege that this prolonged institutionalization caused them to suffer physical and psychological regression.

Plaintiff DRNY is an organization that advocates for the rights of New Yorkers with developmental disabilities. It is a Protection and Advocacy System authorized under federal law to “pursue legal, administrative, and other appropriate remedies or approaches to ensure the protection of, and advocacy for, the rights” of individuals with developmental disabilities. 42 U.S.C. § 15043(a)(2)(A)(i).

Defendants are OPWDD, the New York State Department of Health (“DOH”), and their respective commissioners, Willow Baer and James V. McDonald.

B. Procedural History

On June 16, 2022, Plaintiffs filed suit, bringing claims under the Medicaid Act, the Americans with Disabilities Act (“ADA”), and the Rehabilitation Act. They sought injunctive and declaratory relief on behalf of themselves and a purported class of similarly situated “[i]ndividuals who have been, or will be, determined by OPWDD to be eligible for HCBS Waiver services and certified residential

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A.H. v. N.Y. State Dep't of Health, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ah-v-ny-state-dept-of-health-ca2-2025.