Colvin v. Sullivan

939 F.2d 153, 1991 WL 117981
CourtCourt of Appeals for the Fourth Circuit
DecidedJuly 3, 1991
DocketNo. 90-2690
StatusPublished
Cited by4 cases

This text of 939 F.2d 153 (Colvin v. Sullivan) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Colvin v. Sullivan, 939 F.2d 153, 1991 WL 117981 (4th Cir. 1991).

Opinion

OPINION

KISER, District Judge:

This case involves a reimbursement program operated by. the Department of Health and Human Services under the Title IV-E of the Social Security Act, the Adoption Assistance and Child Welfare Act (hereinafter “Title IV-E”). Maryland sought additional reimbursement for administrative expenses incurred between 1983 and 1985. The district court granted summary judgment to plaintiffs, and directed HHS to recalculate its reimbursements during that time period. HHS has appealed that decision. We find that the decision appealed was final, reverse the district court’s order, and remand to the district court for entry of final judgment for the United States.

I.

Congress passed Title IV-E in 1980, establishing a program through which states could receive reimbursement for expenses associated with foster care programs. Title IV-E requires states to submit a “Cost Allocation Plan” (CAP) explaining how administrative costs would be allocated among various programs run by the state. 42 U.S.C. § 671(a).

Maryland submitted a CAP in December 1981, which HHS approved. This CAP utilized the “Random Moment Study” (RMS) method for determining how much of a social worker’s time was eligible for Title IV-E fund reimbursement. RMS apparently measured only one activity of social workers that was eligible for reimbursement, and failed to record other reimbursable time. Over time, Maryland became aware that RMS substantially underreport-ed the reimbursable time spent by social workers.

On December 30, 1985, Maryland proposed to change the way it measured the time spent by state and local workers to the “Social Services Time Study” (SSTS) method. SSTS required an observer to determine which activity social workers were engaged in at random moments over a five week period every quarter. SSTS, unlike RMS, also measured all potentially reimbursable activities of social workers. HHS approved the change effective October 1, 1985, the date that Maryland began using the SSTS measuring system.

Maryland also wished to use an estimation drawn from the SSTS data of the final quarter of 1985 to recalculate reimbursements for the previous two years. However, it had no means of measuring the time spent by social workers in the previous quarters on reimbursable activities. It based these estimates on the percentage of time its social workers spent on permissible administrative activities in the final quarter of 1985, adjusted to reflect the number of Title IV-E children in Maryland foster homes in the previous eight quarters. Ma[155]*155ryland estimated that it was owed $4,896,-479.

HHS denied Maryland’s request for retroactive reimbursements. In considering whether to apply the amended CAP retroactively, HHS relied on 45 C.F.R. § 95.515. That regulation creates a rebuttable presumption against retroactive adjustments, subject to limited exceptions, only one of which is arguably relevant here:

As a general rule, the effective date of a cost allocation plan amendment shall be the first day of the calendar quarter following the date of the event that required the amendment. However, the effective date of the amendment may be earlier or later under the following conditions: (a) An earlier date is needed to avoid a significant inequity to either the State or the Federal Government.

Maryland argued that the regulatory presumption against retroactive adoption of CAP amendments was inconsistent with the statute of limitations provision of the Social Security Act, 42 U.S.C. § 1320b-2. Maryland argued in the alternative that retroactive adoption of its plan amendment was necessary to avoid a “significant inequity.” HHS determined that its regulation was valid, and that the exception was inapplicable. Maryland appealed the denial of retroactive reimbursements to HHS’ Departmental Appeals Board, and then to the District Court of Maryland.

The district court reversed the Departmental Appeals Board and granted summary judgment in favor of Maryland. It found that 45 C.F.R. § 95.515 was invalid, at least as applied to the facts of this case, because it conflicted with 42 U.S.C. § 1320b-2, which states:

[A]ny claim by a State for payment with respect to an expenditure made during any calendar quarter by the State ... shall be filed (in such form and manner as the Secretary shall by regulations prescribe) within the two-year period which begins on the first day of the calendar quarter immediately following such calendar quarter.

(Emphasis added.) The district court found that the statute allows states to request retroactive adjustments of their reimbursements in the two year period, and that HHS’ regulation impermissibly restricted that right. The district court remanded the matter to HHS with instructions to determine the proper reimbursement for expenses between October 1, 1983 and October 1, 1985. HHS has appealed the remand order. The district court granted summary judgment based on its review of the agency’s administrative record, which has also been presented before us. “[O]nce appealed, the district court decision is accorded no particular deference.” Brown v. Department of Interior, 679 F.2d 747, 749 (8th Cir.1982).

II.

The district court’s remand order was a final judgment, allowing appeal under 28 U.S.C. § 1291. The procedural posture is functionally equivalent to that in Sullivan v. Finkelstein, — U.S. —, 110 S.Ct. 2658, 110 L.Ed.2d 563 (1990). In that case, a district court had ruled that an HHS regulation was invalid, and directed the Secretary to reconsider its earlier decision denying benefits without regard to the regulation. Although the order directed a remand and did not enter judgment for a particular sum of money for the petitioner, the Supreme Court held that it was an appealable judgment:

[I]t terminated the civil action challenging the Secretary’s final determination that respondent was not entitled to benefits, set aside that determination, and finally decided that the Secretary could not follow his own regulations in considering the disability issue. Furthermore, should the Secretary on remand undertake the inquiry mandated by the District Court, there would be grave doubt ... whether he could appeal his own order.

Finkelstein, 110 S.Ct. at 2664. In this case as well, the Secretary might have no opportunity to defend 45 C.F.R. § 95.515 before an appellate court if he were to comply with the remand order and recalculate Maryland’s reimbursement for the past 1983-1985 period. We shall therefore consider the merits of this appeal.

[156]*156III.

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939 F.2d 153, 1991 WL 117981, Counsel Stack Legal Research, https://law.counselstack.com/opinion/colvin-v-sullivan-ca4-1991.