Concerned Home Care Providers, Inc. v. New York State Department of Health

41 Misc. 3d 278
CourtNew York Supreme Court
DecidedJuly 10, 2013
StatusPublished
Cited by1 cases

This text of 41 Misc. 3d 278 (Concerned Home Care Providers, Inc. v. New York State Department of Health) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Concerned Home Care Providers, Inc. v. New York State Department of Health, 41 Misc. 3d 278 (N.Y. Super. Ct. 2013).

Opinion

OPINION OF THE COURT

Emily Pines, J.

Factual and Procedural Background

Plaintiff, Concerned Home Care Providers, Inc., a not-for-profit trade organization, is made up of members consisting of home health agencies organized under Public Health Law article 36, all of which are located in the New York Metropolitan area. [280]*280Home Care Providers furnishes these members with educational, technical and legal support. Plaintiff seeks declaratory and injunctive relief against defendants, Governor Andrew Cuomo and the New York State Department of Health (DOH) (collectively, defendants), on the grounds that Cuomo, in mandating Executive Order No. 38 (9 NYCRR 8.38), and DOH, in adopting rules to effectuate the Governor’s mandate, committed an unconstitutional violation of the required separation of powers and improperly usurped the role delegated to the legislative branch of government. Plaintiff argues that in developing public policy, both the Governor and DOH acted far beyond the reach of their constitutional and/or statutory powers. As the subject regulations went into effect on July 1, 2013, Home Care Providers seeks a preliminary injunction (motion sequence 001) to avoid alleged immediate harm to the ability of its members to operate in an effective manner. Defendants oppose the motion, setting forth both that the Governor has the power to authorize Executive Order No. 38, calling for the subject regulations, and that DOH acted within its statutorily delegated powers to develop important regulations concerning the expenditure of state funds for proper health-related purposes. The defendants also move to change the venue of this action to Albany County (motion sequence 002), on the grounds that the rulemaking effectuated pursuant to Executive Order No. 38 affects numerous state agencies all located within Albany and that such transfer is desirable for the convenience of the witnesses who will need to be involved and in order to avoid numerous inconsistent verdicts. Plaintiff opposes the transfer of venue on the grounds that the current action is the sole one pending at this juncture; that the location of its offices in Suffolk County is sufficient; and that this case presents solely questions of law, not requiring any witnesses.

Plaintiff argues that DOH adopted the subject regulations pursuant to Executive Order No. 38 rather than via a legislative pronouncement, and without any other statutory authority. These regulations (10 NYCRR part 1002) have the effect of limiting the amount of state funds that can be used to pay for administrative expenses and executive compensation by entities that receive state funds or payments to provide health care services. Plaintiff asserts that it meets the three-pronged test to obtain preliminary injunctive relief. Plaintiff contends that it has shown a likelihood of success on the merits of its claim for declaratory relief because the promulgation of Executive Order No. 38 and the subsequent regulations involved the executive [281]*281and DOH in critical policy decisions, already specifically rejected by the legislature and delegated to that branch of government. Plaintiff asserts that this case falls squarely within tests set forth under what it terms the seminal Court of Appeals holding in Boreali v Axelrod (71 NY2d 1 [1987]). In that case, the Court of Appeals considered the constitutionality of actions taken by the Public Health Council (PHC) which had promulgated comprehensive regulations governing the use of tobacco in areas open to the public. The Court held that the regulatory act “stretched [the PHC’s enabling] statute beyond its constitutionally valid reach when it used the statute as a basis for drafting a code embodying its own assessment of what public policy ought to be.” (Id. at 9.)

The Court in Boreali found four existing factors to constitute “coalescing circumstances,” warranting its conclusion that PHC had usurped the legislature’s policy-making prerogative, when viewed in their entirety. (Id. at 11.) These included: (1) a code laden with exemptions based upon economic and social concerns; (2) provisions written on a clean slate without any broad legislation describing the overall policies to be implemented; (3) agency action where the legislative branch had repeatedly attempted and failed to reach agreement despite substantial public debate; and (4) lack of evidence of any use of experts to develop the subject rules. (Id. at 12-14.)

Plaintiff in this case contends that the regulations implementing Executive Order No. 38 suffer from each of the same frailties. The rules contain, for example, exceptions and exemptions clearly based upon economic and political concerns, including exemptions for Native American tribes, pharmacies, and medical equipment providers. Exempted from the salary caps are department chairs and chief medical officers at major hospitals; waivers are permitted based upon criteria selected by the Governor, including the size and complexity of the covered provider or the qualifications of the covered executive. According to Home Care Providers, the DOH regulations are based upon that agency’s own conclusions concerning the balance of trade-offs regarding costs and the industry involved. In arguing that DOH lacked any legislative input on the issues contained in the subject regulations, plaintiff specifically rejects DOH’s reference to authority allegedly relied upon by DOH and found in Public Health Law § 201 (1) (o), providing that such agency shall “regulate the financial assistance granted by the state in connection with all public health activities,” and section 201 (1) [282]*282(p) which delegates the agency with the authority: “as provided by law . . . [to] receive and expend funds made available for public health purposes pursuant to law.” Plaintiff asserts that there exists a huge gap between such general authority and the specific provisions of the subject regulations. Plaintiff also states that the legislature rejected legislation proposed by the Governor in his budget submissions essentially identical to Executive Order No. 38. Last, plaintiff asserts that there is no evidence that DOH consulted with any industry experts before drafting the subject regulations.

In support of its request for a preliminary injunction, plaintiff argues that the fact of a constitutional violation constitutes irreparable harm as a matter of law. In addition, plaintiff asserts that the regulations will adversely affect the ability of its member entities to generate or sustain revenues, thereby causing them to lose business opportunities and that money damages will not be an available option in a lawsuit involving an unlawful administrative regulation. As DOH has delayed implementation of the subject regulations for more than one year since they were first published in the State Register for comment, plaintiff also asserts that it prevails on the balancing of equities, clearly being in its favor.

In opposition to the motion, the defendants state that plaintiff cannot meet any of the three tests necessary prior to the grant of a preliminary injunction. Defendants argue that a party seeking to enjoin government action taken in furtherance of the public interest has a more rigorous burden of demonstrating the first test of a likelihood of success on the merits, which the plaintiff herein cannot meet.

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Bluebook (online)
41 Misc. 3d 278, Counsel Stack Legal Research, https://law.counselstack.com/opinion/concerned-home-care-providers-inc-v-new-york-state-department-of-health-nysupct-2013.