Connecticut Legal Services, Inc. v. Heintz

689 F. Supp. 82, 1988 U.S. Dist. LEXIS 5695, 1988 WL 64319
CourtDistrict Court, D. Connecticut
DecidedJune 16, 1988
DocketCiv. No. H-87-751 (PCD)
StatusPublished
Cited by1 cases

This text of 689 F. Supp. 82 (Connecticut Legal Services, Inc. v. Heintz) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Connecticut Legal Services, Inc. v. Heintz, 689 F. Supp. 82, 1988 U.S. Dist. LEXIS 5695, 1988 WL 64319 (D. Conn. 1988).

Opinion

RULING ON PENDING MOTIONS

DORSEY, District Judge.

I. Facts and Procedural History

Connecticut Legal Services (“CLS”) and intervenor, Center for Medicare Advocacy (“CMA”), are non-profit corporations providing legal services to low income persons. Stephen B. Heintz is the Commissioner of the Connecticut Department of Income Maintenance (“DIM”) and is sued in his official capacity. DIM is responsible for the administration of Connecticut’s Medicaid program.

Medicaid is a joint state-federal medical assistance program authorized under Title XIX of the Social Security Act (“Act”), 42 U.S.C. § 1396 et seq., to provide medical assistance to the indigent. A state choosing to participate in the Medicaid program [84]*84must comply with applicable federal law and regulations. 42 U.S.C. § 1396a. One such requirement is that the local administrative agency must “take all reasonable measures to ascertain the legal liability of third parties ... to pay for care and services available under the plan” § 1396a(a)(25); 42 C.F.R. § 433.138(a). “One of the areas in which [DIM] found substantial liability on the part of a third party payer has been the area of Medicare denials of payment to Medicaid beneficiaries when payment was actually appropriate under Federal law.” Defendant’s Memorandum in Support of Motion to Dismiss at 2. From February 1, 1982 through September 30, 1987, DIM contracted with CLS to provide legal services to those who were denied medicare.

In 1986, CMA emerged as a competitor providing such legal services. In March 1987, DIM issued a Request for Proposal (“RFP”) with regard to three legal services contracts to be funded with Title XIX Medicaid funds: (1) a contract to provide legal services to Title XIX recipients denied medicare coverage for care received in skilled nursing facilities and chronic disease hospitals (“representation contract”); (2)a contract to study the feasibility of providing legal representation for those denied medicare coverage for home health care services; and, (3) a contract to study the feasibility of providing legal representation for those denied medicare coverage for acute care hospitals (two and three collectively referred to as “feasibility studies”). In response, only CLS and CMA submitted bids. CMA was awarded the three contracts.

CLS now claims that defendant failed to comply with federal law and regulations in awarding the contracts to CMA. It claims that the loss of the DIM contract will cause it irreparable harm and will negatively affect its provision of legal services to the indigent throughout the state. It requested a declaration that defendant’s procedures violated § 1396 et seq., and 42 U.S.C. § 1983, a preliminary and permanent enjoinder of defendant from awarding the DIM contracts to CMA, and a preliminary and permanent enjoinder of defendant from refusing to award the representation contract to CLS. Plaintiff subsequently modified its request, however, to seek only that the court order defendant to reconsider the award in accordance with all applicable rules and regulations. During the reconsideration, plaintiff agreed that CMA could provide the requisite legal services. Ruling on Motion for More Definite Statement (January 8, 1988); Plaintiff’s Addendum to Motion for Preliminary Injunction.

This ruling addresses the following motions:

(1) Plaintiff’s Motion to Reconsider the Ruling on CMA’s Motion for Joinder
(2) CMA’s Motion to Dismiss
(3) Defendant’s Motion to Dismiss
(4) Plaintiff’s Motion for Preliminary Injunction

II. Discussion

A. Motion for Reconsideration

On November 30, 1987, CMA’s motions to intervene and defendant’s motion for joinder were granted inasmuch as it was determined that CMA’s interest would be directly affected if plaintiff’s request for relief was granted. Plaintiff argues that CMA is unnecessary to the case and will unduly complicate the litigation. The argument is disingenuous. CLS and CMA were the only two bidders for the three DIM contracts. Plaintiff seeks to preclude the award of those contracts to CMA. CMA has a very real interest in the relief CLS seeks. CMA’s intervention will not complicate the case. For all intents and purposes, CMA and defendant have presented similar arguments. The requirements of Fed.R.Civ.P. 19(a) (joinder) and 24(a)(2) (intervention) have been met. Accordingly, upon reconsideration, the court adheres to its prior rulings.

B. Motions to Dismiss

Defendant argues that plaintiff’s complaint is subject to a number of attacks. First, he claims that plaintiff’s claims are barred by the eleventh amendment, as plaintiff may not recover past monetary damages and may obtain redress only for [85]*85claims of unconstitutional conduct by defendant. See Ex Parte Young, 209 U.S. 123, 28 S.Ct. 441, 52 L.Ed. 714 (1908). Defendant argues that 28 U.S.C. §§ 1343 and 1331 provide no jurisdiction basis to present such claims. Defendant also contends that 42 U.S.C. § 1983 provides no relief as plaintiff has no constitutionally protected due process interest. Thus, as plaintiff has not alleged an independent jurisdictional basis for the suit and cannot show a constitutional deprivation, the court is without jurisdiction. Defendant further contends that, even if a proper jurisdictional basis is stated, a claim for relief is not stated as defendant was not bound to apply the procedures contained in Office of Management and Budget Circular, 45 C.F. R. Part 74, App. G. (“Circular” or “OMB Circular”) and, even if he was, the failure to do so does not confer on plaintiff a private cause of action. CMA’s motion to dismiss echoes defendant’s arguments.

Plaintiff disavows any standing based upon a deprivation of a property or liberty interest, but bases his claim instead on defendant’s failure to follow the mandate of Title XIX and the procedures in the Circular. It argues that a disappointed bidder has the right to challenge defendant’s conduct, the award of the contract to CMA, and to obtain reconsideration of the bidding in full compliance with the regulations.

1. Relevant Legal Principles and Outline of Approach
It is well settled that for purposes of a motion to dismiss the well pleaded material allegations of the complaint are taken as true. 2A Moore’s Federal Practice II 12.07 [2.-5] (2d Ed.1985).

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Bluebook (online)
689 F. Supp. 82, 1988 U.S. Dist. LEXIS 5695, 1988 WL 64319, Counsel Stack Legal Research, https://law.counselstack.com/opinion/connecticut-legal-services-inc-v-heintz-ctd-1988.