Estate of Smith v. O'Halloran

930 F.2d 1496, 1991 U.S. App. LEXIS 6800, 1991 WL 58788
CourtCourt of Appeals for the Tenth Circuit
DecidedApril 22, 1991
DocketNo. 90-1105
StatusPublished
Cited by7 cases

This text of 930 F.2d 1496 (Estate of Smith v. O'Halloran) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Estate of Smith v. O'Halloran, 930 F.2d 1496, 1991 U.S. App. LEXIS 6800, 1991 WL 58788 (10th Cir. 1991).

Opinion

BARRETT, Senior Circuit Judge.

Plaintiffs-appellants seek review of three orders of the district court denying in part and granting in part their request for attorneys’ fees under the Equal Access to Justice Act (EAJA), 28 U.S.C. §§ 2412(b) and (d)(1)(A)1 and the Civil Rights Attorney’s [1498]*1498Fees Awards Act, 42 U.S.C. § 1988.2 A summary of the lengthy litigative history will facilitate our review.

Plaintiffs initiated this class action in 1975 against the Secretary of Health and Human Services (Secretary) seeking relief under 42 U.S.C. § 1983 on behalf of medicaid recipients residing in nursing homes in Colorado. Plaintiffs alleged that the Secretary had a statutory duty under 42 U.S.C. §§ 1396-1396n (1982), commonly referred to as the Medicaid Act, to develop and implement a system of nursing home review designed to ensure that medicaid recipients residing in medicaid certified nursing homes actually receive the optimal medical and psychological care they are entitled to under the Medicaid Act. The plaintiffs further alleged that the enforcement system developed by the Secretary was “facility oriented” and not “patient oriented,” and thereby failed to meet the statutory mandate of the Act.

On February 8, 1983, the district court dismissed plaintiffs’ claims and entered judgment in favor of the Secretary, finding that although a “patient oriented” system was feasible, the Secretary did not have the duty to introduce and require the use of such a system. Estate of Smith v. O’Halloran, 557 F.Supp. 289 (D.Colo.1983). Specifically, the district court found that:

Particularly at issue in this case is ... [the] ... development of the forms required for the states to demonstrate that facilities participating in the Medicaid program under an approved state plan meet the conditions of participation which are contained in the Act. Form SSA-1569 is the form which HHS has required the states to use. It is said to be defective because it is “facility-oriented” rather than “patient-oriented.” That characterization is appropriate and HHS has admitted it repeatedly.
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It is clear from the evidence in this case that it is feasible for the Secretary to require the use of a patient care management system which would control the assessment of patient needs, facilitate the development of an appropriate patient care plan, provide the mechanism for monitoring the delivery of care by the facility itself ... and probably improve the quality of health care services provided for all Medicaid recipients. The question then, is not whether such a system is possible or feasible, or whether it is desirable. The issue before this court is whether the failure to introduce and require the use of such a system is a violation of a statutory duty. The answer is no.
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Based on the evidence presented at trial and on my analysis of the Medicaid Act, I hold that the Secretary’s failure to introduce and require the use of a patient care management system of the sort advocated by the plaintiffs is not a violation of her statutory duties under the Act. Therefore, the plaintiffs’ claims against the federal defendant must be dismissed.

557 F.Supp. at 295, 299.

Plaintiffs appealed. On October 29, 1984, this court reversed and remanded, holding that the Secretary’s failure to promulgate patient oriented regulations was an abdication of her duty and that the Secretary’s failure to follow the Act’s focus on a patient oriented enforcement system was arbitrary and capricious. Estate of Smith v. Heckler, 747 F.2d 583 (10th Cir.1984). We there held that:

[1499]*1499After carefully reviewing the statutory scheme of the Medicaid Act, the legislative history, and the district court’s opinion, we conclude that the district court improperly defined the Secretary’s duty under the statute....
Nothing in the Medicaid Act indicates that Congress intended the physical facilities be the end product. Rather, the purpose of the Act is to provide medical assistance and rehabilitative services. 42 U.S.C. § 1396. The Act repeatedly focuses on the care to be provided, with facilities only being part of that care....
* * * * * *
... In fact, the quality of care provided to the aged is the focus of the Act. Being charged with this function, we must conclude that a failure to promulgate the regulations that allow the Secretary to remain informed, on a continuing basis, as to whether facilities receiving federal money are meeting the requirements of the Act, is an abdication of the Secretary’s duty....
The district court made a factual finding that the Secretary’s current method of informing herself as to whether the facilities in question are satisfying the statutory requirements is “facility oriented” rather than “patient oriented”.... Having determined that the purpose and the focus of the Act is to provide high quality medical care, we conclude that by promulgating a facility oriented enforcement system [in lieu of a patient oriented system] the Secretary has failed to follow that focus and such failure is arbitrary and capricious.

747 F.2d at pp. 589-590.

On April 29, 1985, the district court ordered the Secretary to file a plan of action and timetable to be followed in compliance with this court’s remand. On May 14, 1985, plaintiffs filed an application for $352,689 in attorneys’ fees pursuant to § 1988 and the EAJA. On June 10, 1985, the Secretary filed a plan. On August 9, 1985, the district court entered an opinion and order in which it denied plaintiffs’ motion for attorneys’ fees. Estate of Smith v. Heckler, 622 F.Supp. 403 (D.Colo.1985).

In so doing, the district court found that attorneys’ fees were not recoverable under § 1988 against a federal defendant whose challenged action was based on federal rather than state law. The court utilized the same basic reasoning in finding that plaintiffs were not entitled to recover attorneys’ fees under § 2412(b), but the court further determined that attorney fees were not recoverable under § 2412(d)(1)(A) since the Secretary’s position was reasonable and therefore substantially justified. The court observed:

It is true that this court’s decision was reversed by the Tenth Circuit Court of Appeals. However, in view of the fact that this court saw fit to rule in favor of the Secretary on every claim asserted against her, it cannot be said that the Secretary’s position, both legal and factual, was not reasonable.

622 F.Supp. at p. 408.

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Bluebook (online)
930 F.2d 1496, 1991 U.S. App. LEXIS 6800, 1991 WL 58788, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estate-of-smith-v-ohalloran-ca10-1991.