Cause of Action Institute v. U.S. Department of Veterans Affairs

CourtDistrict Court, District of Columbia
DecidedApril 20, 2021
DocketCivil Action No. 2020-0997
StatusPublished

This text of Cause of Action Institute v. U.S. Department of Veterans Affairs (Cause of Action Institute v. U.S. Department of Veterans Affairs) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cause of Action Institute v. U.S. Department of Veterans Affairs, (D.D.C. 2021).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

CAUSE OF ACTION INSTITUTE,

Plaintiff, Civil Action No. 20-997 (BAH) v. Chief Judge Beryl A. Howell U.S. DEPARTMENT OF VETERANS AFFAIRS,

Defendant.

MEMORANDUM OPINION

Plaintiff Cause of Action Institute (“COA”), a “non-profit strategic oversight group

advocating for economic freedom and individual opportunity advanced by honest, accountable,

and limited government,” Compl. ¶ 6, ECF No. 1, challenges the response of defendant, the U.S.

Department of Veterans Affairs (“VA”), to a request submitted pursuant to the Freedom of

Information Act (“FOIA”), 5 U.S.C. § 552, for records related to pilot market assessments

created by a VA contractor in preparation for VA’s implementation of the congressionally

mandated Market Area Health System Optimization (“MAHSO”) analysis, part of a broader

national plan to improve the delivery of health care to veterans, see Compl., Ex. 1, Letter from

John E. McGlothlin, Counsel, COA, to VA FOIA Service (Jan. 16, 2019) (“FOIA Request”),

ECF No. 1-1. Specifically, plaintiff alleges in a single claim that VA unlawfully withheld

records responsive to plaintiff’s FOIA Request. Compl. ¶¶ 24–30; see also Pl.’s Mem. P. & A.

Opp’n Def.’s Mot. Summ. J. & Supp. Pl.’s Cross-Mot. Summ. J. (“Pl.’s Opp’n”) at 1, ECF No.

17-1.

Pending before the Court are the parties’ cross-motions for summary judgment. Def.’s

Mot. Summ. J. (“Def.’s Mot.”), ECF No. 16; Pl.’s Opp’n Def.’s Mot. Summ. J. & Cross-Mot.

1 Summ. J. (“Pl.’s Mot.”), ECF No. 17. For the reasons set forth below, VA’s Motion for

Summary Judgment is granted and plaintiff’s Cross-Motion for Summary Judgment is denied.

I. BACKGROUND

Pertinent background underlying plaintiff’s FOIA Request is briefly described, followed

by review of the FOIA Request and VA’s responses thereto, both before and after initiation of

this lawsuit.

A. Pertinent Background

“VA maintains a complex of medical facilities dedicated to Veteran health care that is

managed by the Veterans Health Administration (VHA),” including “approximately 140 [VA]

Medical Centers and nearly 1700 outpatient centers,” as well as Residential Treatment Facilities

and Community Living Centers. Def.’s Mot., Ex. 2, Decl. of Christine M. Stuppy, MBA

(“Stuppy Decl.”) ¶ 4, ECF No. 16-3. VA’s facilities are organized into eighteen geographic

regions, “known as Veterans Integrated Services Networks (VISNs),” that together “serve 96

geographic markets.” Id. In December 2014, Congress directed that the Secretary of VA

develop and deliver to Congress “a report including . . . a national realignment strategy that

includes a detailed description of realignment plans within each [VISN], including an updated

Long Range Capital Plan to implement realignment requirements” (the “National Realignment

Strategy”). Consolidated and Further Continuing Appropriations Act, 2015 (“2015 Act”), Pub.

L. No. 113-235, § 235, 128 Stat. 2130, 2566 (2014); see also Stuppy Decl. ¶ 5. The report was

also required to provide “an explanation of the process by which” VA developed its National

Realignment Strategy and “a cost vs. benefit analysis of each planned realignment.” 2015 Act

§ 235.

The VA MISSION Act of 2018 (“MISSION Act”), Pub. L. No. 115-182, 132 Stat. 1393

(2018), imposed additional procedural requirements on VA’s development of its realignment 2 strategy, see id. tit. II, subtit. A, § 203, 132 Stat. at 1446. This statute obligates the VA Secretary

to “publish in the Federal Register and transmit to the Committees on Veterans’ Affairs of the

Senate and the House of Representatives” the proposed and final criteria “to be used by [VA] in

assessing and making recommendations regarding the modernization or realignment of [VHA]

facilities.” Id. § 203(a)(1); see also id. § 203(a)(3). The deadline for publication of the final

criteria is May 31, 2021. Id. § 203(a)(3). By January 31, 2022, the Secretary must “publish in

the Federal Register and transmit,” id. § 203(b)(1), to Congress and the Asset and Infrastructure

Review Commission (“AIR Commission”) created by the MISSION Act, see id. § 202, “a report

detailing the recommendations regarding the modernization or realignment of facilities of the

[VHA] on the basis of the final criteria” previously submitted by the agency, id. § 203(b)(1).

The MISSION Act sets out a list of “factors” that the Secretary must consider in making

recommendations, id. § 203(b)(2), and requires the agency to “assess the capacity of each

[VISN] and medical facility . . . to furnish hospital care or medical services,” including through

“a commercial health care market assessment of designated catchment areas . . . conducted by a

non-governmental entity” and “consult[ation] with veterans service organizations and veterans,”

id. § 203(b)(3), which assessments must be submitted with the agency’s recommendations, id.

§ 203(c), but does not otherwise limit VA’s discretion to develop its recommendations.

Upon submission, the agency’s recommendations will be subject to review by the AIR

Commission, see id., which may only change the recommendations if, among other mandatory

findings, it “determines that the Secretary deviated substantially from the final criteria”

published by VA, id. § 203(c)(2)(B)(i). By the end of January 2023, the AIR Commission will

“transmit to the President a report containing [its] findings and conclusions based on a review

and analysis of the recommendations made by the Secretary, together with the Commission’s

3 recommendations.” Id. § 203(c)(2)(A). Within two weeks of receiving the report, by February

15, 2023, the President must “transmit to the Commission and to the Congress a report

containing the President’s approval or disapproval of the Commission’s recommendations,” id.

§ 203(d)(1), and VA then “shall begin to implement” the approved recommendations, id.

§ 204(a).

VA determined that, to formulate its National Realignment Strategy, a study was

necessary of all ninety-six VISN markets, known as the MAHSO analysis. Stuppy Decl. ¶ 5.

The agency entered a contract with PricewaterhouseCoopers (“PWC”), an outside consulting

firm, “to develop a uniform methodology to perform market assessments . . . on healthcare

markets within the VISNs,” with the goal of generating “a consistent method of conducting

market assessments across all 96 [VISN] markets” (the “market assessment methodology”). Id.

¶ 6. This contract (the “Pilot Study Contract”) was assigned VA Contract No. VA101F-17-C-

2843. See id.; Def.’s Mot., Ex. 1, Decl. of Barbara Swailes (“Swailes Decl.”) ¶ 15, ECF No. 16-

2. As part of the contract, PWC was to test the market assessment methodology “in three diverse

markets by conducting pilot market assessments.” Stuppy Decl. ¶ 6. PWC completed the three

pilot market assessments, which utilized an “eight-step draft methodology,” id. ¶ 8, in Spring

2017 and provided to VA “deliverables that memorialized the work,” consisting of the three pilot

market assessments and a briefing document on each assessment, id. ¶ 7; see also Swailes Decl.

¶¶ 13, 15.

B. The FOIA Request

On January 16, 2019, plaintiff submitted the FOIA Request at issue to VA. FOIA

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Environmental Protection Agency v. Mink
410 U.S. 73 (Supreme Court, 1973)
Department of the Air Force v. Rose
425 U.S. 352 (Supreme Court, 1976)
Federal Bureau of Investigation v. Abramson
456 U.S. 615 (Supreme Court, 1982)
United States Department of Justice v. Julian
486 U.S. 1 (Supreme Court, 1988)
United States Department of Justice v. Tax Analysts
492 U.S. 136 (Supreme Court, 1989)
United States Department of Justice v. Landano
508 U.S. 165 (Supreme Court, 1993)
Bennett v. Spear
520 U.S. 154 (Supreme Court, 1997)
Students Against Genocide v. Department of State
257 F.3d 828 (D.C. Circuit, 2001)
Sussman v. United States Marshals Service
494 F.3d 1106 (D.C. Circuit, 2007)
Morley v. Central Intelligence Agency
508 F.3d 1108 (D.C. Circuit, 2007)
Juarez v. Department of Justice
518 F.3d 54 (D.C. Circuit, 2008)
Loving v. Department of Defense
550 F.3d 32 (D.C. Circuit, 2008)
Larson v. Department of State
565 F.3d 857 (D.C. Circuit, 2009)

Cite This Page — Counsel Stack

Bluebook (online)
Cause of Action Institute v. U.S. Department of Veterans Affairs, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cause-of-action-institute-v-us-department-of-veterans-affairs-dcd-2021.