All Pro Brace, LLC v. United States Department of Health and Human Services

CourtDistrict Court, N.D. Ohio
DecidedJuly 8, 2022
Docket1:21-cv-00896
StatusUnknown

This text of All Pro Brace, LLC v. United States Department of Health and Human Services (All Pro Brace, LLC v. United States Department of Health and Human Services) is published on Counsel Stack Legal Research, covering District Court, N.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
All Pro Brace, LLC v. United States Department of Health and Human Services, (N.D. Ohio 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF OHIO EASTERN DIVISION

ALL PRO BRACE, LLC, CASE NO. 1:21-CV-00896-PAB

Plaintiff, -vs- JUDGE PAMELA A. BARKER

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Secretary Xavier MEMORANDUM OPINION AND Becerra, in his official capacity, et al., ORDER

Defendants.

Currently pending is a Motion to Dismiss Plaintiff’s Complaint for lack of subject matter jurisdiction under Fed. R. Civ. P. 12(b)(1) filed by Defendants Xavier Becerra, Secretary, United States Department of Health and Human Services, Chaquita Brooks-LaSure, Administrator, Centers for Medicare and Medicaid Services, and Palmetto GBA (collectively, the “Federal Defendants”). (Doc. No. 36.) Plaintiff All Pro Brace, LLC filed an Opposition on March 24, 2022, to which the Federal Defendants replied on April 21, 2022. (Doc. Nos. 38, 41.) For the following reasons, the Federal Defendants’ Motion is GRANTED. I. Background A. Factual Allegations All Pro Brace is a distributor and seller of medical grade braces, supports, and other accessories, whose principal place of business is in North Ridgeville, Ohio. (Doc. No. 1, ¶ 2.) In September 2019, All Pro Brace submitted three competitive bids to be a Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (“DMEPOS”) supplier with the Centers for Medicare and Medicaid (“CMS”) in three Northeast Ohio territories. (Id. at ¶ 10.) CMS provides health coverage for qualified individuals via Medicare and Medicaid. (Id. at ¶ 4.) The Secretary of the Department of Health and Human Services administers the Social Security Act and oversees the Medicaid Program. (Id. at ¶ 3.) In conjunction with its bids, All Pro Brace procured three separate surety bonds, each worth $50,000. (Id. at ¶ 11.) All three bonds named CMS as the obligee and contained identical language providing that the bonds are null and void if All Pro Brace was not offered a contract by CMS. (Id.

at ¶¶ 11, 12.) All Pro Brace submitted its bids through an online portal administered by Palmetto GBA, a CMS contractor. (Id. at ¶ 6.) Palmetto contracts with CMS to administer the DMEPOS Competitive Bidding Program and is responsible “for conducting bid evaluations, selecting qualified suppliers, [and] setting payments for competitive bidding errors, among other responsibilities.” (Id. at ¶¶ 6, 7.) All Pro Brace alleges that on November 22, 2019, “before a contract was offered by CMS,” All Pro Brace’s “PTAN” number was suspended by CMS after CMS initiated an investigation into All Pro Brace through the Office of the Inspector General. (Id. at ¶ 13.) A PTAN “is a Medicare- only number issued to providers by Medicare Administrative Contracts (MACs) upon enrollment to Medicare.” (Id. at n.1.) “MACs issue an approval/notification letter, including PTAN information,

when an enrollment is approved.” (Id.) A provider needs a PTAN to access the CMS portal where bids are submitted. (Id. at ¶ 14.) All Pro Brace alleges that when its PTAN was suspended, it “had no access to the CMS Portal.” (Id.) As a result, All Pro Brace alleges that it was prevented from checking the status of or withdrawing its bids “after CMS’s unilateral suspension.” (Id.) Approximately one year later, on November 20, 2020, “while All Pro Brace was suspended and with no access to the CMS system,” All Pro Brace alleges that CMS offered it three contracts

2 based on its 2019 bids. (Id. at ¶ 15.) However, All Pro Brace alleges that it was unaware of these offers because it remained “locked out of the portal.” (Id.) All Pro Brace alleges that on February 2, 2021, Palmetto issued correspondence on CMS’s behalf to Merchants Bonding Company, the company that provided All Pro Brace’s surety bonds. (Id. at ¶¶ 7, 16.) Palmetto claimed that All Pro Brace’s surety bonds were subject to forfeiture under 42 C.F.R. § 414.412(g)(3)(i) because All Pro Brace failed to timely accept the offered contracts. (Id.)

Palmetto demanded that Merchants Bonding Company forfeit the surety bonds within 30 days. (Id.) All Pro Brace alleges that Palmetto’s February 2, 2021 correspondence was the first notice it received that CMS had allegedly accepted All Pro Brace’s bids. (Id. at ¶ 17.) All Pro Brace subsequently demanded that CMS withdraw its demand for the bond forfeitures, but that it has yet to do so. (Id. at ¶ 18.) All Pro Brace alleges that it still has no access to the CMS Portal. (Id. at ¶ 19.) B. Procedural Background All Pro Brace filed the instant Complaint for Declaratory Judgment on April 29, 2021. (Doc. No. 1.) In addition to the Federal Defendants, All Pro Brace also named Merchants Bonding Company as a defendant. (Id. at ¶¶ 3-7.) All Pro Brace brings two counts against all defendants, each in the alternative to the other.

(Id. at ¶¶ 20-34.) Count 1 is captioned “DECLARATORY JUDGMENT CMS cannot rely upon 42 CFR § 414.412(g)(3)(i) to seek bond forfeiture.” (Id.) Therein, All Pro Brace alleges that forfeiture of a bid surety bond only happens after “the failure to accept a contract offer” under § 414.412(g)(3)(i). (Id. at ¶ 22.) All Pro Brace alleges that CMS never made a valid offer to All Pro Brace that would trigger forfeiture under the relevant regulation. (Id. at ¶ 24.) Therefore, according to All Pro Brace, it is entitled to a declaration that its surety bonds are not forfeited pursuant to the

3 regulation, and, further, a declaration that Palmetto and Merchants Bonding Company are bound by this Court’s decision. (Id. at ¶¶ 26, 27.) Count 2 is captioned “DECLARATORY JUDGMENT All Pro Brace’s performance was excused by a legal impossibility created by CMS.” (Id. at ¶¶ 28-34.) Therein, All Pro Brace alleges that, assuming, in the alternative, a valid contract between CMS and All Pro Brace existed, “it was impossible for All Pro Brace to perform.” (Id. at ¶ 29.) All Pro Brace alleges that after it submitted

its three bids, “an unforeseen event arose in the form of CMS’s investigation and suspension of All Pro Brace.” (Id. at ¶ 30.) All Pro Brace alleges that CMS’s unilateral suspension made it impossible for All Pro Brace to know that CMS offered it any contracts. (Id. at ¶ 31.) According to All Pro Brace, because it had no knowledge of these offers, it was impossible for All Pro Brace to perform under the terms of any contract. (Id. at ¶ 32.) Therefore, All Pro Brace asserts, it is entitled to a declaration that it was impossible to perform under any contract and “its bids1 should not be forfeited,” and that Palmetto and Merchants Bonding Company are bound by this Court’s decision. (Id. at ¶¶ 33, 34.) Merchants Bonding Company filed its Answer and a Counterclaim against All Pro Brace on July 13, 2021. (Doc. No. 17.) Therein, Merchants Bonding Company asserts two claims against All

Pro Brace: contractual indemnity and common law indemnification. (Id. at ¶¶ 5-14.) Merchants Bonding Company also filed a Third Party Complaint against Robert and Jenni Sammon and Michael and Libby Voll, the owners of All Pro Brace. (Doc. No. 18.) Therein, Merchants Bonding Company

1 In Paragraph 34, All Pro Brace alleges that its “bids” should not be forfeited, but it appears that All Pro Brace meant “bonds” as it does not allege anywhere in its Complaint that CMS should re-award those contracts to All Pro Brace or otherwise engage All Pro Brace on the terms of All Pro Brace’s September 2019 bids. 4 asserts a single claim of contractual indemnification against the Sammons and the Volls. (Id. at ¶¶ 14-20.) The Federal Defendants filed their Answer on September 7, 2021. (Doc. No.

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