CARO EX REL. STATE v. Blagojevich

895 N.E.2d 1091, 385 Ill. App. 3d 704, 324 Ill. Dec. 376, 2008 Ill. App. LEXIS 939
CourtAppellate Court of Illinois
DecidedSeptember 26, 2008
Docket1-08-1061
StatusPublished
Cited by12 cases

This text of 895 N.E.2d 1091 (CARO EX REL. STATE v. Blagojevich) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
CARO EX REL. STATE v. Blagojevich, 895 N.E.2d 1091, 385 Ill. App. 3d 704, 324 Ill. Dec. 376, 2008 Ill. App. LEXIS 939 (Ill. Ct. App. 2008).

Opinion

PRESIDING JUSTICE FITZGERALD SMITH

delivered the opinion of the court:

Plaintiff-appellee Richard P. Caro, a State of Illinois taxpayer, joined by plaintiffs-intervenors-appellees Ronald Gidwitz and Gregory Raise (collectively, plaintiffs), moved the trial court for a preliminary injunction against defendants-appellants Governor of Illinois Rod Blagojevich, the Illinois Department of Healthcare and Family Services, and Director Barry S. Maram (defendants or as named), as well as defendants the Illinois Department of Public Health, Director Damon Arnold, and Comptroller Daniel W. Hynes, 1 to prohibit them from expanding, funding and operating a healthcare program as violative of statutory law and the Illinois Constitution. The trial court granted plaintiffs’ request and imposed the injunction. In this interlocutory appeal, defendants contend that the trial court erred in its decision to grant the injunction and failed to balance equitable factors which support its denial. Defendants ask that we overturn the trial court’s issuance of the injunction, uphold the validity of their healthcare program, and grant any other proper relief.

We note for the record that plaintiff Caro filed a pro se appellee brief in this matter in addition to joining in the separate brief filed by his coplaintiffs/intervenors Gidwitz and Baise. Gregory Jacaway filed an appearance on his behalf and on that of all others similarly situated as defendants-intervenors, but did not file a brief in this cause. Also, the State of Illinois, via the office of the Attorney General, filed a brief in its capacity as an intervenor, and the National Federation of Independent Business filed an amicus brief.

For the following reasons, we affirm.

BACKGROUND

The principal facts involved in this cause are not in dispute.

In 1997, the federal government enacted the State Children’s Health Insurance Program (SCHIP), which sought to provide health insurance to children whose families could not afford private insurance but who likewise did not qualify for Medicaid. Illinois participated in this program by enacting its own version pursuant to a statute entitled the Children’s Health Insurance Program Act (CHIPA), to be run by defendant the Department of Healthcare and Family Services (DHFS). In return, Illinois received a 65% federal match in funds expended for CHIPA coverage, compared to only a 50% federal match in funds expended for Medicaid coverage.

In 2001, the federal government permitted Illinois to submit waivers to obtain federal funds and extend health insurance coverage to the parents/caretakers of those children enrolled in CHIPA. Illinois did so, the federal government approved it, and the FamilyCare Program was created pursuant to the Illinois Administrative Code (89 Ill. Adm. Code §120.32, amended at 29 Ill. Reg. 820, eff. January 1, 2005) . Under this program, DHFS was able to expand CHIPA-like health insurance coverage to eligible adults — again, those whose family income exceeded the maximum allowed for eligibility under Medicaid but could not afford private health insurance. Initially, Illinois set the eligibility requirement to receive coverage under the FamilyCare Program at 49% of the federal poverty limit (FPL); that is, those adults whose income was at 49% of the FPL were eligible for health insurance under the program. Through the years, this level was increased, reaching 185% of the FPL in January 2006.

By 2007, the scope of the federal SCHIP program became uncertain as the United States Congress and the President could not agree on funding or the breadth of coverage, and SCHIP and its accompanying state waivers were set to expire (pending extension attempts) in December 2007. This jeopardized the 65% federal funding match for state programs such as Illinois’s CHIPA covering children and the FamilyCare Program covering adults. In an effort to preserve at least the 50% federal match Illinois received under Medicaid, DHFS declared on November 7, 2007, that an emergency existed warranting the promulgation of an “Emergency Rule” pursuant to the Public Aid Code, which governs Medicaid in Illinois. The Emergency Rule sought to not only preserve FamilyCare Program coverage at the levels already in place, but also insisted on the further expansion of coverage, via Medicaid, to adults with incomes up to and including 400% of the FPL (i.e., an income of $83,000 per year for a family of four), who would pay varying premiums for coverage received depending on their incomes. For this expansion to Medicaid and increase in percentage, DHFS relied on section 5 — 2(2)(b) of the Illinois Public Aid Code (305 ILCS 5/5 — 2(2)(b) (West 2006)), which permits the provision of medical assistance for all people who would be determined eligible for basic maintenance under the “Temporary Assistance for Needy Families” (TANF) article of the Public Aid Code (305 ILCS 5/4 — 0.5 et seq. (West 2006) ) by disregarding the maximum earned income permitted by federal law. Defendant Governor Blagojevich approved the expansion, and DHFS submitted the Emergency Rule and supporting documentation, along with a “Permanent Rule” to the same effect, to the Joint Committee on Administrative Rules (JCAR) in accordance with emergency rule-making procedures under the Illinois Administrative Procedure Act (5 ILCS 100/1 — 1 et seq. (West 2006)).

After review, JCAR objected to and suspended DHFS’ Emergency Rule, finding that no emergency situation existed warranting adoption of the proposed rule and that the rule was not in the public’s interest; JCAR effectively suspended and invalidated the Emergency Rule and the FamilyCare Program it created. Accordingly, the Illinois Secretary of State issued a filing to this effect, prohibiting implementation of the Emergency Rule. DHFS, however, enacted the Emergency Rule and began enrolling adults with incomes up to 400% of the FPL into Medicaid.

Plaintiffs filed suit against defendants, challenging the expansion of the FamilyCare Program on several grounds, including the lack of authority to collect premiums under Medicaid, the lack of constitutional authority to raise revenue, the lack of authority to expand the FPL eligibility percentage to 400%, the lack of an appropriation for the expansion, and the suspension of the Emergency Rule by JCAR. Plaintiffs sought to enjoin defendants from further implementing the FamilyCare Program.

While plaintiffs’ cause was pending, DHFS’ Permanent Rule came before JCAR. Again, JCAR found it to be contrary to public interest and prohibited defendants from implementing the FamilyCare Program, and again, the Illinois Secretary of State issued a filing to this effect. However, defendants continued to enroll adults with incomes up to 400% of the FPL into Medicaid.

In April 2008, the trial court held a hearing on plaintiffs’ motion for preliminary injunction. In its memorandum opinion and order, the court focused principally on defendants’ reliance on section 5 — 2(2)(b) of the Public Aid Code as the authority for their actions in expanding the FamilyCare Program under Medicaid.

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Bluebook (online)
895 N.E.2d 1091, 385 Ill. App. 3d 704, 324 Ill. Dec. 376, 2008 Ill. App. LEXIS 939, Counsel Stack Legal Research, https://law.counselstack.com/opinion/caro-ex-rel-state-v-blagojevich-illappct-2008.