Diversified Investment Partnership v. Department of Social & Health Services

775 P.2d 947, 113 Wash. 2d 19, 1989 Wash. LEXIS 83
CourtWashington Supreme Court
DecidedJuly 6, 1989
Docket55809-4
StatusPublished
Cited by52 cases

This text of 775 P.2d 947 (Diversified Investment Partnership v. Department of Social & Health Services) is published on Counsel Stack Legal Research, covering Washington Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Diversified Investment Partnership v. Department of Social & Health Services, 775 P.2d 947, 113 Wash. 2d 19, 1989 Wash. LEXIS 83 (Wash. 1989).

Opinion

*21 Dolliver, J.

On July 17, 1984, plaintiff Diversified Investment Partnership (Diversified) entered into an initial agreement to purchase Pioneer Ridge Healthcare (Pioneer), a licensed nursing home in Ferndale, Washington. On August 8, 1984, a formal purchase agreement was signed which conditioned the transaction on plaintiff's receipt of a property reimbursement rate under the Medicaid program sufficient to fund the cost of the transaction.

The Medicaid program is a federal program administered by the State, under which the State of Washington and the federal government share the cost of nursing home care for Medicaid patients. Under this program, nursing home providers receive cost reimbursement payments determined on a prospective basis under approval of the federal Department of Health and Human Services (HHS). The reimbursement rate is broken down into five cost centers: administration and operations, nursing services, food, return on investment, and property. The valuation of the property reimbursement rate is at issue in this case.

The defendant, Department of Social and Health Services (DSHS), is the state agency charged with the administration of the Nursing Homes Auditing and Cost Reimbursement Act of 1980, RCW 74.46. Laws of 1980, ch. 177. Under the act, DSHS reimburses nursing home providers for the use of property used for Medicaid recipients. The property reimbursement rate is calculated based upon the straight line depreciation of the asset. Generally, the depreciation base is the historical cost of the asset. However, RCW 74.46.360(4)(b) and WAC 388-96-559(7) provided for two exceptions allowing a stepped-up depreciation base, determined by the acquisition cost of the buyer, for changes of ownership for the first sale after January 1, 1980, and for sales every 10 years thereafter. Laws of 1980, ch. 177, § 36, p. 581. Plaintiff needed to obtain a stepped-up depreciation base in order to fund the cost of the purchase of Pioneer.

On July 18, 1984, the Deficit Reduction Act of 1984 (DEFRA) was enacted. Deficit Reduction Act of 1984, Pub. *22 L. No. 98-369, 98 Stat. 494 (1984). This act required state Medicaid programs to provide satisfactory assurances to the Secretary of HHS that the methods used to establish state property reimbursement rates would not result in higher rates than those resulting from application of the Medicare requirements. 42 U.S.C. 1396a(a)(13)(B), (C). In turn, DEFRA also changed the Medicare requirements. DEFRA restricted the revaluation of assets after a change in ownership under Medicare to the lesser of the acquisition price of the owner of record as of July 18, 1984, or the acquisition price of the buyer, with depreciation recaptured from the seller. 42 U.S.C. 1395x(v)(l)(0)(i), (ii).

DEFRA had the potential to affect the state property reimbursement rate due to RCW 74.46.840 which provided that any provision of the state act found to be in conflict with federal law such that federal funding was jeopardized would be inoperative to the extent of the conflict. RCW 74.46.840 also provided for the Secretary of DSHS to promulgate interim rules to be submitted to the next session of the Legislature.

Plaintiff learned of the passage of DEFRA within 10 days after its enactment. After this time, plaintiff was in contact with DSHS as to the possible adverse effect of DEFRA on the ability of plaintiff to receive the needed stepped-up depreciation base. While no official determination had yet been made as to whether the state statute conflicted with DEFRA, plaintiff, relying solely on a rate quoted orally by a DSHS representative, waived the contingency and closed the transaction about September 27, 1984. On October 5, 1984, DSHS sent Diversified a written confirmation of the quoted rate, but stated that the rate was conditional because of the uncertainty as to the application of DEFRA.

Pursuant to DEFRA, the State attempted to provide the necessary assurances to HHS that the State method for establishing Medicaid property reimbursement would not result in higher reimbursement than would result from application of the Medicare requirements. However, the State was unable to make adequate assurances, and on *23 June 4, 1985, HHS notified DSHS in writing that a noncompliance action was to be initiated.

Because the conflict with federal law threatened the loss of federal funding, RCW 74.46.840 came into operation to render inoperative the two exceptions contained in RCW 74.46.360(4)(b). Then, pursuant to RCW 74.46.840, the Secretary of DSHS promulgated an interim rule amending the existing regulation to reflect the Secretary's decision to eliminate the two exceptions from the statute. See WAC 388-96-559(7), as amended by State Register 85-14-018 (1985) (emergency rule) and State Register 85-17-052 (1985) (permanent rule). The Secretary submitted rule changes to the Legislature recommending that the two exceptions be eliminated to conform with DEFRA. The Legislature amended RCW 74.46.360 accordingly. Laws of 1986, ch. 175.

Plaintiff brought suit for declaratory relief in the Thurston County Superior Court claiming DSHS was equitably estopped from enforcing WAC 388-96-559(7), as amended, against plaintiff in setting the property reimbursement rate for Pioneer. At trial the equitable estoppel claim was dismissed with prejudice.

During the trial, testimony was allowed as to the validity of WAC 388-96-559(7) as amended; argument was heard on this issue after trial. The trial court held the amended regulation to be invalid as it was promulgated under authority of RCW 74.46.840, which constituted an unconstitutional delegation of legislative authority to the federal government. Defendant DSHS appealed to Division Two of the Court of Appeals. Plaintiff did not appeal the dismissal of the equitable estoppel claim. The Court of Appeals certified the case to this court pursuant to RCW 2.06.030. We reverse.

A statute is presumed constitutional and the party challenging it has the burden to prove it is unconstitutional beyond a reasonable doubt. State v. Brayman,

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Bluebook (online)
775 P.2d 947, 113 Wash. 2d 19, 1989 Wash. LEXIS 83, Counsel Stack Legal Research, https://law.counselstack.com/opinion/diversified-investment-partnership-v-department-of-social-health-wash-1989.