Aid Atlanta, Inc. v. Health and Human Services Agency

CourtDistrict Court, District of Columbia
DecidedOctober 29, 2018
DocketCivil Action No. 2017-0872
StatusPublished

This text of Aid Atlanta, Inc. v. Health and Human Services Agency (Aid Atlanta, Inc. v. Health and Human Services Agency) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Aid Atlanta, Inc. v. Health and Human Services Agency, (D.D.C. 2018).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

AID ATLANTA, INC.,

Plaintiff,

v. Case No. 1:17-cv-00872 (TNM)

UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES, et al.,

Defendants.

MEMORANDUM OPINION

AID Atlanta provides HIV testing, education, and prevention services to high-risk

populations in Atlanta, Georgia. In 2011, the Department of Health and Human Services’

Centers for Disease Control and Prevention (“CDC”) awarded the organization a grant to

implement certain HIV prevention programs. When the project period ended in 2016, the CDC

announced a new funding opportunity to provide similar services. AID Atlanta and over 130

other non-profits competed for funding. This time, AID Atlanta did not win a grant, and it now

challenges the CDC’s denial as arbitrary, capricious, and contrary to federal law in violation of

the Administrative Procedure Act (“APA”). The Court finds that the agency’s decision was

reasonable, sufficiently explained, based on a robust evaluation process, and legally permissible.

It will thus grant summary judgment for the Defendants.

I.

In September 2016, the CDC solicited grant applications through Funding Opportunity

Announcement PS17-1704. Defs.’ Mem. in Supp. of Mot. for Summ. J. 2, ECF No. 40 (“Defs.’

Mem.”). The Announcement noted that the agency planned to allocate $50 million to about 30 community-based organizations over a five-year project period (2017 – 2022). Id. The goal of

the program is to help the selected organizations provide HIV prevention services for high-risk

populations across the country. Id. Available monies were divided into two service categories;

only Category A is relevant here. Id. Any nonprofit or organization with a 501(c)(3) IRS status

was eligible to apply, so long as the entity could “demonstrate that they have consistently

provided HIV prevention or care services to the selected target population(s) for at least the last

24 months.” Admin. R. without Category A Redactions 30, ECF No. 41-1 (“J.A.”).

The CDC evaluated applications using a three-phase review process. J.A. 40. In the first

phase, all received applications were reviewed for completeness and eligibility. Id. Next, review

panels scored eligible applicants based on several criteria, including the proposed project

approach, performance measurement plans, and the organization’s implementation capacity.

J.A. 40-42. Applicants could score a maximum of 100 points in the Phase II review. Id. The

total possible score for each evaluative criterion was published in the Announcement. Id. For

example, an applicant’s proposed approach could receive a maximum of 40 points, including up

to ten points for the project overview and three points for outreach and recruitment plans. J.A.

40-41. Each Phase II review panel consisted of CDC volunteers who underwent an Objective

Review Panel Reviewer training and certified that they had no conflicts of interest with any of

the applicants. Explanatory Declaration to Accompany the Admin. R. Filing 4, ECF. No. 33-1

(“McCray Decl.”).

In the final review phase, officials conducted a “pre-decisional site visit” for selected

applicants. J.A. 43. Organizations could receive a maximum site visit score of 550 points. Id.

During the site visit, CDC staff further assessed implementation capacity, met with project

2 management staff and leadership, and conducted a technical review of application components.

Id.

Final funding determinations were based on applicants’ total scores and the “CDC’s

funding preferences.” Id. For example, the agency desired to “ensure [an] equitable balance in

terms of targeted racial or ethnic minority groups” and to achieve a “balance of funded

applicants based on (1) burden of HIV infection within jurisdictions and (2) disproportionately

affected geographic areas, as measured by CDC.” Id.

The CDC combined the overall application scores and its funding preferences using a

“Funding Selection Algorithm.” McCray Decl. at 7. See also J.A. 76-78; 100. To ensure

geographically balanced funding, the Algorithm used HIV data from the CDC’s “surveillance

branch.” J.A. 100. This data suggested that, in 2013, 38.5% of the high-risk target population

diagnosed with HIV resided in the South. J.A. 82. The agency thus recommended that no more

than 40% of the available funding be allocated to organizations from southern states. Id. The

agency’s regional balancing meant that only one Category A service provider would be selected

from Georgia. J.A. 84. See also J.A. 85 (showing that the CDC decided to select only one

service provider per state from Virginia, South Carolina, Mississippi, and Louisiana).

The Algorithm ranked each applicant’s combined Phase II and III scores from highest to

lowest, then applied the state and regional caps to determine which organizations CDC would

fund. J.A. 100-101. From this analysis, 23 organizations were awarded Category A grant

money. J.A. 117.

AID Atlanta was one of over 130 organizations that submitted applications. Defs.’ Mem.

at 10. The Atlanta HARM Reduction Coalition, another Georgia-based provider, also applied for

Category A funding. Because the Coalition’s application scored higher than AID Atlanta’s

3 submission, and because the agency decided to fund only one Georgia provider, AID Atlanta was

not awarded a grant. See J.A. 117. The Coalition received higher scores during both the Phase II

objective review panel and the Phase III site visit. Id.

AID Atlanta now contends that the CDC awarded funds “in an arbitrary and capricious

manner and in bad faith.” Pl.’s Cross-Mot. for Summ. J. 7, ECF No. 42 (“Pl.’s Mem.”). AID

Atlanta believes that it is the “most successful agency” that has participated in the CDC’s HIV

prevention programs, and that “the very fact that the CDC denied funding to its most successful

partner calls into question the methodology used by the CDC is [sic] choosing its new partners.”

Id. at 2. The organization also states that it has a “Federal assistance relationship” with the CDC

and suggests that it was impermissibly defunded in violation of 45 C.F.R. § 75.207. Id. at 11.

Naturally, the Federal Defendants disagree. They believe the CDC’s funding decisions

were based on a “thorough and fair evaluation of the applications submitted.” Defs.’ Mem. at

10. Both sides have moved for summary judgment based on the administrative record. 1

II.

A court must “hold unlawful and set aside agency action, findings, and conclusions” that

it determines are “arbitrary, capricious, an abuse of discretion, or otherwise not in accordance

1 Before filing their summary judgment motions, the parties sparred over the completeness of the administrative record. AID Atlanta sought to include all agency communications relating to the funding opportunity, competitors’ responses to the Funding Opportunity Announcement, the resumes for each evaluator who scored Atlanta applications, and other information. See February 6, 2018 Order 2-3, ECF No. 35. The Defendants represented that CDC’s leadership team relied only on a summary briefing held in February 2017 and documents in already in the record in making its final funding decisions. Id. at 2.

The Court denied AID Atlanta’s requests to supplement the record and for additional discovery. Id. at 4.

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