Arizona Rehabilitation Hospital, Inc. v. Shalala

185 F.R.D. 263, 1998 U.S. Dist. LEXIS 22224, 1998 WL 1034257
CourtDistrict Court, D. Arizona
DecidedNovember 13, 1998
DocketNo. Civ.97-1305 PHX ROS (VAM)
StatusPublished
Cited by4 cases

This text of 185 F.R.D. 263 (Arizona Rehabilitation Hospital, Inc. v. Shalala) is published on Counsel Stack Legal Research, covering District Court, D. Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arizona Rehabilitation Hospital, Inc. v. Shalala, 185 F.R.D. 263, 1998 U.S. Dist. LEXIS 22224, 1998 WL 1034257 (D. Ariz. 1998).

Opinion

ORDER

MATHIS, United States Magistrate Judge.

BACKGROUND

Plaintiffs, eight health care institutions, provide rehabilitation care and furnish services under Medicare. Medicare traditionally allowed providers reimbursement for the reasonable cost of furnishing services to Medicare recipients. Under provisions first enacted in 1972, health care providers like Plaintiffs were permitted reimbursement for the lower of their costs or charges (“LCC”). This provision did not specify the time period used for determining the LCC, but legislative reports stated that the LCC principle should not be used to penalize Medicare providers for short-range discrepancies between costs and charges. As a result, in 1974, a regulation was enacted which allowed providers to carry forward reasonable costs disallowed in a particular year to succeeding years.

Although refined and adjusted over the next fourteen years, the LCC carry-forward regulations were repealed in 1988. Plaintiffs assert this change has damaged them and contend that repeal of the LCC carry-forward provisions is illegal. (Doe. 1).

The present discovery dispute arises out of Plaintiffs’ request for production of documents and Defendant’s motion for a protective order. Plaintiffs requested various documents from Defendant including the complete administrative record. Defendant produced certain documents and moved for a protective order on others arguing they are covered by the deliberative process privilege and attorney-client privilege. (Does.17, 26, 31, 41). On August 26, 1998, the Honorable Roslyn 0. Silver referred this matter to the Magistrate Judge to “resolve the applicability of the privilege.” (Doc. # 38). The matter is now fully briefed, the in camera documents were filed and have been reviewed thoroughly by the Magistrate Judge.

DISCUSSION

The parties agree this case is governed by the judicial review section of the Administrative Procedures Act (APA) found at 5 U.S.C. § 701, et. seq. The APA does not provide for a de novo proceeding but rather a review of the record. 5 U.S.C. § 706. Therefore, arguments regarding what constitutes the administrative rulemaking record are related to the claims of privilege by Defendant and claim of entitlement to production by Plaintiff.

Defendant contends that, in response to Plaintiffs’ discovery requests, she has provided “the rulemaking record for the challenged regulations, and other non-privileged documents related to issuance of the regulations.” (Doc. 17 at p. 1). Defendant asserts that the rulemaking record includes “Federal Register documents, public comments, and other material considered and relied upon by the Agency in the course of eliminating the carryover provisions of the LCC.” (Doc. 17 at pp. 1-2). However, Defendant objects to production of certain documents arguing the items contain “the advice, opinions, and recommendations on legal policy issues that were provided by the Agency’s attorneys and other staff as the challenged regulations were being developed.” (Doc. 17 at p. 2). Defendant states that such documents are protected by the deliberative process privilege and, in some instances, the attorney-client privilege. Further, Defendant contends that “internal, confidential documents that would reveal the internal workings of the Agency’s deliberative process and its communications with agency counsel are not [266]*266required to be included in the rulemaking record.” (Doc. 17 at p. 2).

Plaintiffs oppose the motion for protective order arguing the withheld documents are not covered by the deliberative process privilege and, even if privileged, the privilege is not absolute and they have established then-need for the documents since they are part of the administrative record. Plaintiffs also argue that documents to and from legal counsel are not covered by the attorney-client privilege since Defendant’s lawyers were acting as administrators not legal counsel to the agency. Further, Plaintiffs argue Defendant has not made the proper showing of the confidential nature of the documents. (Docs.23, 33, 40).

A. Law Generally

1. Administrative Record

The Administrative Procedure Act (“APA”) provides that “[a] person suffering legal wrong because of agency action ... is entitled to judicial review thereof.” 5 U.S.C. § 702. Section 704 of that title states that “[ajgency action made reviewable by statute and final agency action for which there is no other adequate remedy in a court are subject to judicial review.” Judicial review is permitted to providers under the Medicare statute for review of final decisions of the Provider Reimbursement Review Board such as in the case at bar. 42 U.S.C. § 1395oo(f).

In reviewing agency actions, such as those challenged by Plaintiffs, the APA states that the Court “shall review the whole record or those parts of it cited by a party”.1 5 U.S.C. § 706. Thus, “[i]f a court is to review an agency’s action fairly, it should have before it neither more nor less information than did the agency when it made its decision.” Walter O. Boswell Memorial Hospital v. Heckler, (“Boswell”), 749 F.2d 788, 792 (D.C.Cir.1984).2 Likewise, this Circuit has concluded that “ ‘the “whole” administrative record ... consists of all documents and materials directly or indirectly considered by agency decision-makers and includes evidence contrary to the agency’s position.’ ” Thompson v. United States Department of Labor, 885 F.2d 551, 555 (9th Cir.1989) (quoting Exxon Corp. v. Department of Energy, 91 F.R.D. 26, 33 N.D.Tex.1981) (emphasis in original).

Further, in Portland, Audubon Society v. The Endangered Species Committee, 984 F.2d 1534 (9th Cir.1993), the Ninth Circuit reiterated that 'the whole record, for purposes of 5 U.S.C. § 716, “includes everything that was before the Agency pertaining to the merits of its decision.” Id. at 1548. In Portland Audubon there was a dispute regarding whether improper ex parte communications occurred during the formal rule-making process. The dispute over the record concerned whether the record must be supplemented with these improper ex parte communications. Where, as in the instant case, “an agency [is] changing its course by rescinding a rule [it] is obligated to supply a reasoned analysis for the change beyond that which may be required when an agency does not act in the first instance.” Motor Vehicle Manufacturer’s Association of the United States v. State Farm Mutual Automobile Insurance Co.,

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Bluebook (online)
185 F.R.D. 263, 1998 U.S. Dist. LEXIS 22224, 1998 WL 1034257, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arizona-rehabilitation-hospital-inc-v-shalala-azd-1998.