Donovan v. Cuomo

126 A.D.2d 305, 513 N.Y.S.2d 878, 1987 N.Y. App. Div. LEXIS 41234
CourtAppellate Division of the Supreme Court of the State of New York
DecidedApril 2, 1987
StatusPublished
Cited by3 cases

This text of 126 A.D.2d 305 (Donovan v. Cuomo) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Donovan v. Cuomo, 126 A.D.2d 305, 513 N.Y.S.2d 878, 1987 N.Y. App. Div. LEXIS 41234 (N.Y. Ct. App. 1987).

Opinion

OPINION OF THE COURT

Mahoney, P. J.

Plaintiffs commenced this citizen taxpayer action pursuant to State Finance Law article 7-A challenging current and recent appropriations for medical assistance (Medicaid) funds within the State budget for abortion services. Under the Medicaid program, needy persons are provided with "medical assistance”, which is defined as: "payment of part or all of the cost of care, services and supplies which are necessary to prevent, diagnose, correct or cure conditions in the person that cause acute suffering, endanger life, result in illness or infirmity, interfere with his capacity for normal activity, or threaten some significant handicap” (Social Services Law § 365-a [2]). Thus, the Medicaid program is not applicable to medical services which are termed "elective” or not medically necessary. Such principle is not peculiar to abortion services, but applies to all medical services and supplies and has been applied to surgical procedures, nursing and support services, equipment, nutrition services, sterilization procedures and transportation (see, e.g., Matter of Coffey v D’Elia, 61 NY2d 645; Matter of Denise R. v Lavine, 39 NY2d 279; Matter of Mobley v Perales, 108 AD2d 690; Matter of Denton v Blum, 95 AD2d 854; O’Neill v Blum, 95 AD2d 357; Matter of Clink v Lavine, 79 Misc 2d 421). The Department of Social Services is charged with the responsibility of administering the Medicaid program and, in particular, determining eligibility (Social Services Law §§ 363-a, 364). The Department, in manuals and claim forms provided to physicians and hospitals, devised the following classification for abortion services:

[307]*307A. Induced Abortion—Danger to the woman’s life.

B. Induced Abortion—Physical health damage to the woman.

C. Induced Abortion—Victim of Rape or incest.

D. Induced Abortion—Medically necessary.

E. Induced Abortion—Elective—i.e., not considered medically necessary by the attending physician.

The attending physician determines the appropriate classification and indicates it on the form. The Department has determined that classifications A, B, C and D are eligible for Medicaid, but classification E is not. Included in the information given to providers is the definition of medically necessary found in Social Services Law § 365-a (2).

Plaintiffs’ complaint alleges that State Medicaid funds have illegally been spent on abortions not properly established to have been medically necessary. After issue was joined, defendants moved for summary judgment. Ultimately, an amended complaint was served. Defendants answered, describing the Medicaid procedures involved and denying any impropriety. Defendants then moved for summary judgment again. Plaintiffs opposed this motion and cross-moved for disclosure. Supreme Court denied defendants’ motions and granted discovery and inspection of certain State records. This appeal by defendants ensued.

All parties agree that only abortions which are medically necessary are eligible for Medicaid funding.

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Related

Michaelis v. State
135 A.D.2d 1005 (Appellate Division of the Supreme Court of New York, 1987)
Chrysler Capital Corp. v. Hilltop Egg Farms, Inc.
129 A.D.2d 927 (Appellate Division of the Supreme Court of New York, 1987)

Cite This Page — Counsel Stack

Bluebook (online)
126 A.D.2d 305, 513 N.Y.S.2d 878, 1987 N.Y. App. Div. LEXIS 41234, Counsel Stack Legal Research, https://law.counselstack.com/opinion/donovan-v-cuomo-nyappdiv-1987.