Degregorio v. O'Bannon

86 F.R.D. 109, 1980 U.S. Dist. LEXIS 12640
CourtDistrict Court, E.D. Pennsylvania
DecidedFebruary 19, 1980
DocketCiv. A. No. 75-2033
StatusPublished
Cited by5 cases

This text of 86 F.R.D. 109 (Degregorio v. O'Bannon) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Degregorio v. O'Bannon, 86 F.R.D. 109, 1980 U.S. Dist. LEXIS 12640 (E.D. Pa. 1980).

Opinion

MEMORANDUM

LOUIS H. POLLAK, District Judge.

This suit was filed as a class action in 1975 by Daniel B. Degregorio and the Philadelphia Welfare Rights Organization against various persons and agencies entrusted with administering the Pennsylvania Medical Assistance Program and against various private nursing homes and their directors. The suit alleges that persons in Pennsylvania eligible for medical assistance and determined to be in need of skilled nursing facility care are being systematically excluded from skilled nursing facilities because of the low level of reimbursement for such care by the state and that this is in violation of federal statutory and constitutional law.

This opinion first addresses the Commonwealth defendants’ motion partially to reconsider the orders of May 1,1978 by Judge Fogel, to whom this case was previously assigned. Specifically, the Commonwealth asks me to reconsider Judge Fogel’s conclusions that: (1) plaintiff Degregorio’s claim was not moot, and (2) therefore a plaintiff class should be certified consisting of:

all Pennsylvania citizens who are applicants for and recipients of medical assistance and who have been or will be determined eligible for skilled nursing facility care under the Pennsylvania Medical Assistance Program, but who have been or will be unable to obtain a bed in a skilled nursing facility participating in the . Program;

and (3) the Philadelphia County Board of Assistance should not be dismissed from these proceedings as a party defendant. The Commonwealth also objected, in oral argument on this motion and in a supplemental memorandum, to the attempted dismissal of the defendant nursing homes by stipulation between some of the parties; this opinion will also consider that objection.

I.

That part of defendants’ motion that challenges the certification of the class described above, with Degregorio as its sole named representative, requires me to summarize the complex litigative scenario that Judge Fogel confronted when he issued his orders of May 1, 1978.

Plaintiff Degregorio was, at the time the suit was filed, in July of 1975, eligible to receive medical assistance, and he had been determined by the state to be medically and financially eligible for skilled nursing home care. Complaint at ¶ 27. In July, 1976, however, Degregorio’s eligibility for skilled nursing facility care under the Pennsylvania Medical Assistance Program expired, apparently because he had failed to renew it. Commonwealth Defendants’ Motion for Partial Reconsideration 4 (October 23, 1978).

Prior to this date, on January 19, 1976, Pearl Gouedy, another person eligible for such care, but unable to obtain a bed in almost all of the scores of skilled nursing facilities to which she had applied, moved to intervene through her son, Von Gouedy, as guardian ad litem.1 On February 24, 1976, [112]*112however, before Judge Fogel could rule on this motion, Pearl Gouedy drowned in her bathtub.

Roughly one-and-one-half-years later, on June 20,1977, a second person, Harry Klein-man, moved to intervene through his daughter Frances Jacobs, as guardian ad litem. Unlike Degregorio and Gouedy, Kleinman had been admitted to a skilled nursing facility before he had become eligible for medical assistance. His allegation was that the skilled nursing facility in which he resided had refused to convert him from-private to public status. Complaint of Intervening Plaintiff (Harry Kleinman). By March 7, 1978, before Judge Fogel had ruled on his motion for intervention, Klein-man entered into a stipulation with the skilled nursing facility agreeing to drop his claims for damages in return for his retention there as a medical assistance patient.

Finally, mention should be made of the claim by the Philadelphia Welfare Rights Organization that a number of persons, eligible for medical assistance and skilled nursing facility care but denied admission, had sought assistance from that Organization and were, therefore, members of the Philadelphia Welfare Rights Organization by virtue of that request for help. Plaintiffs’ Reply Memorandum in Further Support of their Motion for Determination of a Class Action at 6 n.4 (March 25, 1977). Included among these were Pearl Gouedy, John Lowris and “five unidentified members whose case records have not been found.” Id. 5 n.3. John Lowris, along with one of the unidentified “members,” found placement in a skilled nursing facility other than that where they were residing as private patients. Id. 7. Another of the unidentified “members” died before class certification was ruled on. Id. 5 n.3.

Given this complex set of facts, Judge Fogel did not rule on the motions to intervene, decided that the Philadelphia Welfare Rights Organization had no standing since the membership status of Gouedy and Lowris was not adequately demonstrated, and concluded that Degregorio had standing, despite the lapse of eligibility. Order of May 1, 1978 (filed May 3, 1978). He then proceeded to certify the class described above. Order of May 1, 1978 (filed May 4, 1978).

With this as predicate, I now turn to the legal issues posed by the Commonwealth defendants’ current challenge to the class certified by Judge Fogel in May of 1978. Defendants insist that plaintiff Degregorio’s failure to take the necessary steps to extend his eligibility for nursing home care beyond July of 1976 had the additional consequence of mooting his own plaintiff status and, so the argument runs, vitiating the class certification decreed by Judge Fogel almost two years after Degregorio’s lapse of eligibility, thus requiring dismissal of the entire litigation. Degregorio says that while a termination of his eligibility for nursing home care one year after the commencement of this litigation may arguably have operated to take him out of the subclass of those who “will be determined eligible” and “will be unable to obtain a bed,” it did not take him out of the sub-class of those who “have been . . . eligible” and “have been . . . unable to obtain a bed,” and thus he was and is a member of the class as certified. Wherefore, so Degregorio argues, he is still actively engaged in genuinely adversary litigation on behalf of a class he is qualified to champion. Alternatively, Degregorio argues that Judge Fogel’s certification was correct since even if Degregorio’s 1975 claim became moot in 1976, the injury Degregorio complained of was “capable of repetition, yet evading review” and thus the certification could be said to relate back to the time of the filing of his complaint. Finally, Degregorio argues that even if it be concluded that he no longer has a viable personal stake in this litigation — if, for example, his claim be deemed so vestigial and retrospective as not to support a class action principally oriented towards fashioning a decree which would revise governmental and nursing home practice in the future — the class action which bears his name has in fact and in law [113]*113continued in full vigor notwithstanding his own unwitting defection from the class almost two years before it was certified. So, Degregorio contends, the case should not be dismissed as moot. He does, however, propose that the class be rejuvenated by allowing Harry Kleinman to intervene nunc pro tunc as of May 1, 1978. Plaintiffs’ Supplemental Memorandum of Law regarding Class Certification, filed November 5, 1979, at pp. 8-10.

In advancing these arguments, plaintiff2

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Bluebook (online)
86 F.R.D. 109, 1980 U.S. Dist. LEXIS 12640, Counsel Stack Legal Research, https://law.counselstack.com/opinion/degregorio-v-obannon-paed-1980.