Cedar Crest Health Center, Inc. v. Bowen

129 F.R.D. 519, 16 Fed. R. Serv. 3d 1242, 1989 U.S. Dist. LEXIS 16643, 1989 WL 168996
CourtDistrict Court, S.D. Indiana
DecidedOctober 12, 1989
DocketNo. IP 87-958-C
StatusPublished
Cited by3 cases

This text of 129 F.R.D. 519 (Cedar Crest Health Center, Inc. v. Bowen) is published on Counsel Stack Legal Research, covering District Court, S.D. Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cedar Crest Health Center, Inc. v. Bowen, 129 F.R.D. 519, 16 Fed. R. Serv. 3d 1242, 1989 U.S. Dist. LEXIS 16643, 1989 WL 168996 (S.D. Ind. 1989).

Opinion

ORDER ON CROSS MOTIONS FOR SANCTIONS

McKINNEY, District Judge.

The federal defendant, the Secretary of the United States Department of Health and Human Services (the “Department”), pursuant to Rule 11 of the Federal Rules of Civil Procedure, moved for sanctions in this cause against the plaintiffs’ attorneys (the “Attorneys”) and the administrator and official representative (the “Administrator”) of plaintiff, Cedar Crest Health Center, [521]*521Inc., (“Cedar Crest”)1. In its response to the Department’s motion for sanctions, the respondents asked that this Court grant sanctions against counsel for the Department. The Court, having read the parties’ briefs and being duly advised of all the relevant issues contained therein, now GRANTS the Department’s motion for sanctions and DENIES the respondents’ motion for sanctions. The appropriate sanctions are discussed herein.

I. FACTUAL AND PROCEDURAL BACKGROUND

This cause originated September 3, 1987, when the Attorneys sought and were granted ex parte a temporary restraining order (“TRO”). This Order, inter alia, prohibited the defendants and their agents from taking any action to deny Cedar Crest full status as a provider certified for participation in the Medicaid program created by Title XIX of the Social Security Act, pending a hearing on whether a preliminary injunction should issue. The plaintiffs sought this order to maintain Cedar Crest’s certification as a skilled nursing facility (“SNF”), and therefore remain eligible for federal funding. Cedar Crest’s provider status came in jeopardy after two separate certification surveys found Cedar Crest in non-compliance with the SNF requirement conditions of participation. See 42 C.F.R. 405.1124.

Following these findings of non-compliance, Cedar Crest made a decision to renew only its Medicaid agreement, and not its Medicare agreement. The Health Care Financing Administration (“HCFA”) nevertheless informed Cedar Crest that the facility’s eligibility to receive reimbursement for both Medicaid and Medicare would be terminated September 4, 1987, because of the uniform standards for SNFs under Medicaid and Medicare. It was Cedar Crest’s position that because it chose not to renew its Medicare agreement, HCFA could not “unilaterally” terminate its Medicaid certification.

Prior to the preliminary injunction hearing, the district judge dismissed the plaintiffs’ complaint based upon lack of subject matter jurisdiction.2 Notice of intent to appeal this decision was filed December 9, 1987, and a praecipe for the record of proceedings was filed December 16, 1987. The Department filed its motion for sanctions December 23, 1987. The appeal ended January 13, 1988, when the respondents asked that the cause be dismissed.

The Department’s motion for sanctions included the following allegations:

(1) Cedar Crest’s assertion that the end of Medicaid reimbursement was imminent was not well grounded in fact, in that the reimbursement would continue for thirty days after the termination date;

(2) no irreparable harm would result, as alleged by Cedar Crest, since SNF beds could be recertified for intermediate nursing facility use, at a difference of only $10.20 per day;

(3) claims that the Department was only interested in “paper compliance” were untrue and misleading to the district judge who issued the TRO, in that the plaintiffs knew of at least nine incidents of improper care, and these incidents were the foundation of the decision to terminate Cedar Crest’s Medicare provider agreement;

(4) the Attorneys’ claim that the Department was notified that a motion requesting a TRO would be filed is not well grounded in fact because notice was insufficient;

(5) the plaintiffs’ claim that the government had not certified that the Cedar Crest facility has been notified of the deficiencies and has failed to correct them is not well grounded in fact;

(6) the named patient-plaintiffs had no standing to challenge the termination of Cedar Crest’s Medicaid provider certifi[522]*522cation pursuant to the Supreme Court’s holding in O’Bannon v. Town Court Nursing Center, 447 U.S. 773, 100 S.Ct. 2467, 65 L.Ed.2d 506 (1980); and

(7) jurisdictional allegations were insufficient pursuant to the Seventh Circuit’s holding in Americana Healthcare Corp. v. Schweiker, 688 F.2d 1072 (7th Cir.1982), and furthermore these allegations were not well grounded in fact.

Respondents filed a. counter-motion for Rule 11 sanctions against the Department’s counsel, claiming counsel’s motion for sanctions was not warranted by existing law or the good faith extension of existing law. Furthermore, respondents claim counsel’s Rule 11 motion was filed vexatiously or for the purpose of harassment. Additionally, respondents assert sanctions cannot be imposed in favor of the Department because its motion for sanctions was not timely filed and therefore this Court is without jurisdiction to consider the matter.

II. RULE 11 STANDARDS

Before considering whether sanctions are appropriate in a particular case, this Court must necessarily determine the appropriate standards to be applied when considering a Rule 11 motion. The starting point for such a determination is the language of the rule itself. Rule 11 states in relevant part:

The signature of an attorney or party constitutes a certificate by the signer that the signer has read the pleading, motion, or other paper; that to the best of the signer’s knowledge, information, and belief formed after reasonable inquiry it is well grounded in fact and is warranted by existing law or a good faith argument for the extension, modification, or reversal of existing law, and that it is not interposed for any improper purpose, such as to harass or to cause unnecessary delay or needless increase in the cost of litigation.

The rule goes on to state:

If a pleading, motion, or other paper is signed in violation of this rule, the court, upon motion or upon its own initiative, shall impose upon the person who signed it, a represented party, or both, an appropriate sanction, which may include an order to pay the other party or parties the amount of the reasonable expenses incurred because of the filing of the pleading, motion, or other paper, including a reasonable attorney’s fees. (Emphasis added.)

As the Seventh Circuit has explained in several decisions, there are two grounds for sanctions in Rule 11: the “frivilousness clause” and the “improper purpose clause.” See Mars Steel Corp. v. Continental Bank N.A., 880 F.2d 928 (7th Cir.1989); Insurance Ben. Administrators, Inc. v. Martin, 871 F.2d 1354 (7th Cir.1989).

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Bluebook (online)
129 F.R.D. 519, 16 Fed. R. Serv. 3d 1242, 1989 U.S. Dist. LEXIS 16643, 1989 WL 168996, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cedar-crest-health-center-inc-v-bowen-insd-1989.