Behavioral Healthcare Partners, Inc. v. Gonzalez-Rivera

392 F. Supp. 2d 191, 2005 U.S. Dist. LEXIS 22608, 2005 WL 2397490
CourtDistrict Court, D. Puerto Rico
DecidedSeptember 28, 2005
DocketCiv. 04-1378(PG)
StatusPublished
Cited by1 cases

This text of 392 F. Supp. 2d 191 (Behavioral Healthcare Partners, Inc. v. Gonzalez-Rivera) is published on Counsel Stack Legal Research, covering District Court, D. Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Behavioral Healthcare Partners, Inc. v. Gonzalez-Rivera, 392 F. Supp. 2d 191, 2005 U.S. Dist. LEXIS 22608, 2005 WL 2397490 (prd 2005).

Opinion

*197 OPINION AND ORDER

PEREZ-GIMENEZ, Judge.

Before the Court is defendants’ motion to dismiss the instant complaint on abstention grounds, for failure to state a claim, and based on sovereign and qualified immunity. Having parsed the complaint, the record and the applicable law, for the reasons elucidated below, the motion is GRANTED IN PART AND DENIED IN PART.

/. BACKGROUND

The relevant facts, accepted at this stage as true, are drawn from the complaint. See Fed.R.Civ.P. 12(b)(6). Plaintiff Behavioral Healthcare Partners, Inc. (“BHP”), is a corporation incorporated and authorized to conduct business in the Commonwealth of Puerto Rico. As a managed behavioral healthcare company, BHP coordinated the delivery of mental healthcare services to persons eligible for Medicare and Medicaid coverage under service contracts executed between BHP and the Puerto Rico Health Insurance Administration, or the Administración de Seguros de Salud (“ASES”).

On April 19, 2002, ASES cancelled the first contract citing its new designs for healthcare reform and indicating that it would issue new requests for contract proposals. Following negotiations, BHP and ASES entered into a second contract on June 19, 2002, where BHP was awarded a contract in six regions. Co-defendant Orlando Gonzalez, Executive Director of ASES, allegedly based on knowledge that BHP would be forced out of business if it did not contract with ASES, provided BHP with less than 11 days to expand its operations and services to administer the transition of 600,000 new beneficiaries to BHP.

In October of 2002, BHP verbally informed Gonzalez that there was insufficient funding by ASES and that the healthcare reform was mismanaged. Later in October and November, Mark Blackburn, cofounder and shareholder of BHP, made public statements pertaining to the mismanagement of Puerto Rico’s mental health system.

Within days, plaintiffs claim that co-defendant Gonzalez informed BHP that it would be required to perform a compliance audit. The complaint goes on to specify details regarding the alleged falsity of the audit findings, defendants’ arbitrary and unreasonable denials of plaintiffs’ right to respond to the findings, and the ultimate cancellation of the contract. Plaintiffs likewise assert that defendants disseminated false information to the press and federal authorities which resulted in unreasonable searches and seizures of plaintiffs’ property. Plaintiffs further aver that the cancellation of the contract, the seizures and the public announcements stemming therefrom were concerted retaliation for plaintiffs’ exercise of their constitutional rights, ultimately stigmatizing plaintiffs by destroying their ability to qualify for future government contracts and employment.

BHP and the other co-plaintiffs 1 filed the present complaint on April 30, 2004 pursuant to 42 U.S.C. § 1983 alleging that defendants 2 “acting under color of state law intentionally, arbitrarily, capriciously *198 and unreasonably engaged in an unconscionable scheme to hurt plaintiffs’ reputation and business goodwill in order to justify ... the cancellation of a legitimately executed healthcare services contract.” (Docket No. 1 at 3)

In redress, plaintiffs sought declaratory judgment to the effect that defendants violated their civil and constitutional rights, an award of compensatory and consequential damages in an amount not less than $10,000,000 each, and punitive damages, as well as attorney fees and costs.

Defendants Gonzalez and Lourdes Pagan filed a motion to dismiss on July 29, 2004 (Docket No. 7), arguing that the present complaint is the improper elevation of a contract dispute to constitutional stature. They further allege that this is merely the latest of several related proceedings; to wit, the federal criminal investigation of the activities of BHP and its principal shareholders, the civil action filed by the Commonwealth of Puerto Rico for breach of contract against BHP, and BHP, Blackburn and Grafals’ countersuit, also pending before the state court.

Following their recitation of this history, defendants prayed for abstention under the Burford, and Colorado River doctrines, submitting that the exceptional circumstances which warrant abstention are present in this case. Among other arguments, defendants submitted that there were important state policies at issue, characterizing this matter as a “camouflaged” breach of contract case sufficiently parallel to the state actions to trigger abstention. Defendants further argued that plaintiffs had failed to state a procedural due process, substantive due process, First Amendment, Fourth Amendment, or equal protection claim. Finally, defendants maintain that they were entitled to sovereign immunity and/or qualified immunity.

Plaintiffs responded to the motion arguing that abstention is the exception and not the rule. (Docket No. 16) They contend they proffered sufficient allegations to carry their constitutional claims. The invocation of sovereign immunity was deflected by pointing out that defendants had also been sued in their personal capacity. As for the qualified immunity defense, plaintiffs assert that it is unavailable here because the alleged violations injured clearly-established constitutional rights.

II. STANDARD OF REVIEW

In ruling on a motion to dismiss under Rule 12(b)(6), a court must accept all well-pleaded factual averments as true and must draw all reasonable inferences in the plaintiffs favor. Leatherman v. Tarrant County Narcotics Intelligence and Coordination Unit, 507 U.S. 163, 164, 113 S.Ct. 1160, 122 L.Ed.2d 517 (1993). A Court should not dismiss a complaint for failure to state a claim unless it is clear that plaintiff will be unable to recover under any viable theory. Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957). This deferential standard is not a “toothless tiger,” Doyle v. Hasbro, Inc., 103 F.3d 186, 190 (1st Cir.1996), and the Court is not obliged to credit “bald assertions, unsupportable conclusions, periphrastic circumlocutions, and the like.” Aulson v. Blanchard, 83 F.3d 1, 3 (1st Cir.1996).

Additionally, there is no longer a heightened pleading standard in civil rights cases. Educadores Puertorriqueños en Acción v. Hernandez, 367 F.3d 61 (1st Cir.2004). “[T]he [Supreme] Court has signaled its disapproval of all heightened pleading standards except those that emanate from either congressional or Rule-based authority.” Id. at 66.

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Cite This Page — Counsel Stack

Bluebook (online)
392 F. Supp. 2d 191, 2005 U.S. Dist. LEXIS 22608, 2005 WL 2397490, Counsel Stack Legal Research, https://law.counselstack.com/opinion/behavioral-healthcare-partners-inc-v-gonzalez-rivera-prd-2005.