Birth Hope Adoption Agency, Inc. v. Arizona Health Care Cost Containment System

218 F.3d 1040, 2000 Cal. Daily Op. Serv. 5714, 2000 Daily Journal DAR 7657, 2000 U.S. App. LEXIS 15922
CourtCourt of Appeals for the Ninth Circuit
DecidedJuly 12, 2000
Docket99-16057
StatusPublished

This text of 218 F.3d 1040 (Birth Hope Adoption Agency, Inc. v. Arizona Health Care Cost Containment System) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Birth Hope Adoption Agency, Inc. v. Arizona Health Care Cost Containment System, 218 F.3d 1040, 2000 Cal. Daily Op. Serv. 5714, 2000 Daily Journal DAR 7657, 2000 U.S. App. LEXIS 15922 (9th Cir. 2000).

Opinion

218 F.3d 1040 (9th Cir. 2000)

BIRTH HOPE ADOPTION AGENCY, INC., an Arizona corporation, Plaintiff-Appellant, v.
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM, an agency of the State of Arizona, aka, Arizona Health Care Cost Containment System, aka AHCCCS; MABEL CHEN, as Director of the Arizona Health Care Cost Containment System Administration; JOHN H. KELLY, Acting Director of the Arizona Health Care Cost Containment System Administration, Defendants-Appellees.

No. 99-16057

Office of the Circuit Executive

U.S. Court of Appeals for the Ninth Circuit

Argued and Submitted April 5, 2000--Phoenix, Arizona
Filed July 12, 2000

[Copyrighted Material Omitted]

Steven S. Lubliner, Furth, Fahrner & Mason, San Francisco, California, for the plaintiff-appellant.

Logan T. Johnston, Johnston & Dodd, Phoenix, Arizona, for the defendants-appellees.

Frederick W. Reif, Pelham Manor, New York, for the amicus.

Appeal from the United States District Court for the District of Arizona, Earl H. Carroll, District Judge, Presiding; D.C. No. CV-96-00644-EHC

Before: Edward Leavy, Thomas G. Nelson, and Michael Daly Hawkins, Circuit Judges.

LEAVY, Circuit Judge:

Birth Hope Adoption Agency, Inc., an adoption and child placement agency licensed by the State of Arizona, brought this action seeking a declaration that Ariz. Rev. Stat. S 8548.07 violates the Commerce Clause. Section 8-548.07 requires out-of-state persons who adopt children from Arizona to reimburse the State of Arizona for the full cost of prenatal care and delivery of the adopted child when such costs have been paid by the Arizona Health Care Cost Containment System ("AHCCCS"). The district court granted summary judgment in favor of AHCCCS on the ground that the state seeks reimbursement of the same costs from in-state adoptive parents under Ariz. Rev. Stat. S 36-2903.G. We reverse and remand for entry of summary judgment in favor of Birth Hope Adoption Agency.

FACTS AND PRIOR PROCEEDINGS

The Interstate Compact on the Placement of Children (the Compact), which has been adopted by all 50 states, governs placement of children in adoptive homes among the signatory states. The Compact is codified in Arizona at Ariz. Rev. Stat. S 8-548 et seq. In 1995, the State of Arizona passed Senate Bill 1167, which added a provision to the Compact, Ariz. Rev. Stat. S 8-548.07. The new provision states in pertinent part:

The state shall be reimbursed by the adoptive parents or by the person obligated to reimburse the adoptive parents in full for costs of prenatal care and delivery of the child for any child placed pursuant to the interstate compact upon the placement of children for the total costs for prenatal care and delivery of the child including capitation, reinsurance and any fee-for-service costs incurred by the Arizona health care cost containment system.

Ariz. Rev. Stat. S 8-548.07.A (2000).

Appellant, Birth Hope Adoption Agency, places children in adoptive homes outside of Arizona pursuant to the Compact. According to its complaint: "More than ninety percent (90%) of birth mothers working with Birth Hope are within the purview of AHCCCS and all of the children placed for adoption by Birth Hope are placed in foreign states."

After passage of SB 1167, AHCCCS sent Birth Hope demand letters seeking recovery of AHCCCS' expenditures for payment of prenatal care and delivery services rendered on behalf of birth mothers whose children were placed by Birth Hope. AHCCCS told Birth Hope that it "mayqualify as a third party liability source" to which AHCCCS may look for recovery of its expenditures.

Birth Hope brought this declaratory judgment action, seeking a declaration that S 8-548.07 is unconstitutional because its facial discrimination against non-resident adoptive parents violated the Commerce Clause, and an injunction against its enforcement. Cross-motions for summary judgment were filed. In support of its motion for summary judgment, the State of Arizona argued that, while S 8-548.07 did not require reimbursement of adoption related costs by adoptive parents resident in Arizona, the State of Arizona sought reimbursement of such costs from residents, under a different Arizona statute, S 36-2903.G, which provides:

Except for reinsurance obtained by providers, the administrator shall coordinate benefits provided under this article to any eligible person who is cov ered by workers' compensation, disability insurance, a hospital and medical service corporation, a health care services organization, an accountable health plan or any other health or medical or disability insurance plan including coverage made available to persons defined as eligible under section 36-2901, paragraph 4, subdivisions (d), (e), (f) and (g), or who receives payments for accident-related injuries, so that any costs for hospitalization and medical care paid by the system are recovered from any other available third party payors. The administrator may require that providers and nonproviders are responsi ble for the coordination of benefits for services pro vided under this article. Requirements for coordination of benefits by nonproviders under this section shall be limited to coordination with standard health insurance and disability insurance policies and similar programs for health coverage. The system shall act as a payor of last resort for persons defined as eligible pursuant to section 36-2901, paragraph 4, subdivision (a), (c) or (h). The system shall also act a payor of last resort for persons defined as eligible pursuant section 36-2901, paragraph 4, subdivision (b) or section 36-2974 unless specifically prohibited by federal law. The director may require eligible per sons to assign to the system and a county rights to all types of medical benefits to which the person is entitled, including but not limited to first party medi cal benefits under automobile insurance policies based on the order of priorities established pursuant to S 36-2915. The state has a right to subrogation against any other person or firm to enforce the assignment of medical benefits. The provisions of this subsection are controlling over the provisions of any insurance policy which provides benefits to an eligible person if the policy is inconsistent with the provisions of this subsection.

Ariz. Rev. Stat. S 36-2903.G (2000).

The state submitted the affidavit of Steven Kohls, Management Analyst for AHCCCS, in which he asserted that AHCCCS established an "Adoption Recovery Program " after enactment of S 8-548.07. According to Kohls,

that program attempts to recover amounts paid by AHCCCS for the costs of prenatal care and delivery for children placed out-of-state, pursuant to A.R.S. S 8-548.07, and for children placed in Arizona, pursuant to A.R.S. S 36-2903.G. AHCCCS seeks to recover the same costs for the same services using the same recovery policy and procedures regardless whether the adoptive parents reside in or out of Arizona.

The district court denied Birth Hope's motion for summary judgment and granted the state's motion. Birth Hope's motion for a new trial or to alter or amend judgment was denied on March 18, 1999.

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218 F.3d 1040, 2000 Cal. Daily Op. Serv. 5714, 2000 Daily Journal DAR 7657, 2000 U.S. App. LEXIS 15922, Counsel Stack Legal Research, https://law.counselstack.com/opinion/birth-hope-adoption-agency-inc-v-arizona-health-care-cost-containment-ca9-2000.