Fitch v. State of Maryland

CourtDistrict Court, D. Maryland
DecidedDecember 30, 2021
Docket1:18-cv-02817
StatusUnknown

This text of Fitch v. State of Maryland (Fitch v. State of Maryland) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fitch v. State of Maryland, (D. Md. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND

KENNETH FITCH, et al., * * Plaintiffs, * * v. * * Civil No. 18-2817 PJM STATE OF MARYLAND, et al., * * Defendants. * * *

MEMORANDUM OPINION This case arises from the State of Maryland’s attempt to transition certain retired state employees and certain active employees from a state-subsidized prescription drug benefit program to drug benefit programs available under Part D of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, Pub. L. No. 108–173, 117 Stat. 2066 (codified at 42 U.S.C. § 1395w-101 et seq. (“Part D”)). Suit has been brought against various state defendants1 in two separate complaints, one by currently retired employees2 and a second by active employees,3 all of whom started their service with the State on or before June 30, 2011. See ECF Nos. 123, 131. Plaintiffs claim contractual and constitutional rights to participate in the state-subsidized drug benefits program. All retirees either receive the benefits currently or submit they would otherwise

1 Defendants include the State of Maryland, Governor Larry Hogan, Secretary of the Department of Budget & Management David R. Brinkley, State Treasurer Nancy Kopp, State Comptroller Peter Franchot, and the State and Retiree Pension Systems Board of Trustees (collectively, “Defendants”). 2 Retired Plaintiffs include Kenneth Fitch, Phylis Reinard, Deborah Heim, Mary Frye, Michael Bridgett, Deborah Monroe, Alan Rivkin, Howard Kilian, Mark Henry, and Deborah Garlitz, who sue on behalf of themselves and others similarly situated (collectively, “Fitch Plaintiffs”). Third Amended Complaint, ECF No. 123 (“Fitch Compl.”). The Court notes that one of the Fitch Plaintiffs, Ms. Garlitz, is in fact alleged to be an active state employee. See Fitch Compl. ¶ 10. 3 Active state employees are represented by their organizational representative, the American Federation of State, County, and Municipal Employees, AFL-CIO (“AFSCME”). First Amended Complaint, ECF No. 131 (“AFSCME Compl.”). qualify for the benefits if and when they retire. Defendants have moved to dismiss all claims pursuant to Federal Rules of Civil Procedure 12(b)(1), 12(b)(6), and 21. For the following reasons, Defendants’ Motion is DENIED IN PART and GRANTED IN PART. I. A. For many years, Maryland offered certain of its retired employees healthcare subsidies coextensive with those available to active employees. Thus, as of October 1, 1993, with the establishment of the State Employee and Retiree Health and Welfare Benefits Program, for retirees who would have started their service on or before June 30, 2011, the State provided that: (4)(i) If a retiree receives a State disability retirement allowance or has 16 or more years of creditable service, the retiree or the retiree’s surviving spouse or dependent child is entitled to the same State subsidy allowed a State employee. (ii) In all other cases, if a retiree has at least 5 years of creditable service, the retiree or the retiree’s surviving spouse or dependent child is entitled to 1/16 of the State subsidy allowed a State employee for each year of the retiree’s creditable service up to 16 years.

1993 Maryland Laws Ch. 10 (S.B. 50), codified at Md. Code Ann., State Pers. & Pens. (“SPP”) § 2-508(b). See also SPP § 2-509. Restated: As of June 30, 2011, any retired employee receiving a disability retirement allowance or who had 16 or more years of creditable service or who had retired with at least 5 years of creditable service would be “entitled” to receive all or at least some portion of the benefit available to active employees. In July 2004, following the creation of Medicare Part D, 42 U.S.C. § 1395w-101 et seq., Maryland opted to “reaffirm” its commitment to providing its own prescription drug benefit plan for retirees. Thus, the General Assembly expressly declared that, “notwithstanding the enactment of [Part D] or any other federal law permitting states to discontinue prescription drug benefit plans to [state] retirees,” Maryland “shall continue to include a prescription drug benefit plan in the health insurance benefit options . . . available to retirees under §§ 2-508 and 2-509 of this subtitle.” 2004 Md. Laws ch. 296 (codified at SPP § 2-509.1). The measure was apparently motivated by concerns over a significant gap that existed in Part D’s prescription drug coverage, colloquially known as the “doughnut hole.” As of that time, Part D participants would receive no coverage once they received a certain benefit amount—before their out-of-pocket expenses would otherwise qualify for “catastrophic” coverage.

1. Maryland’s Eventual Transition to Part D In 2010, the U.S. Congress took steps to increase prescription drug discounts for Medicare Part D beneficiaries, aiming to close the “doughnut hole.”4 With this development, in June 2011 Maryland’s General Assembly decided to enact legislation seeking to transition all Medicare- eligible retirees to Part D. The legislation provided, in pertinent part, that: “the State shall discontinue prescription drug benefits for Medicare-eligible retirees in fiscal year 2020 [i.e., beginning on July 1, 2019].” 2011 Md. Laws ch. 397 (codified at SPP §2-509.1(b)). On that date, Medicare-eligible retirees would have to obtain their prescription drugs directly through Part D, in effect ending their participation in the state-subsidized prescription drug program. At the same

time, the General Assembly also revised § 2-508(d) to provide that, “Notwithstanding subsections (b) and (c) of this section and §§ 2–509 and 2–509.1 of this subtitle, the State may establish separate health insurance benefit options for retirees that differ from those for active State employees.” The revisions went on to provide that starting “on or after July 1, 2011, the health insurance benefit option for retirees shall include a prescription drug benefit that” would still “ha[ve] the same co-payments, coinsurance, and deductible that apply to the prescription drug benefit for active State employees;” but modified certain premium and out-of-pocket payment levels. See 2011 Md. Laws ch. 397 (codified at SPP §2-508.1(b)).

4 See Paula Span, “Medicare’s Part D Doughnut Hole Has Closed! Mostly. Sorta.” The New York Times (Jan. 17, 2020), https://www.nytimes.com/2020/01/17/health/medicare-drug-costs.html. By 2018, the federal government had further mandated greater discounts for Part D participants. As a result, the “doughnut hole” was anticipated to close on January 1, 2019—six months earlier than expected. In view of this, Maryland’s General Assembly decided to advance the date by which all Medicare-eligible retirees would have to switch to Part D to January 1, 2019. See 2018 Md. Laws ch. 10 (codified at SPP § 2-509.1(b)). Notices regarding the imminent change

were mailed to retirees in May 2018. 2. Maryland’s Investment Funds To support its existing healthcare programs, Maryland has established two tax-exempt investment funds. The first, the State Employees and Retirees Health and Welfare Benefits Fund (“Benefits Fund”), “consists of money appropriated for State Employee and Retiree Health Insurance or authorized to be transferred to that purpose in the State budget.” SPP § 2-516(c). The Benefits Fund is used to pay for healthcare subsidies of active and retired employees. See id. § 2- 516(b)(1) (“A special reserve fund is established to retain certain State revenues and State general and special funds for the purpose of funding the State Employee and Retiree Health and Welfare

Benefits Program established under this subtitle.”).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Dodge v. Board of Ed. of Chicago
302 U.S. 74 (Supreme Court, 1937)
Indiana Ex Rel. Anderson v. Brand
303 U.S. 95 (Supreme Court, 1938)
Whitmore Ex Rel. Simmons v. Arkansas
495 U.S. 149 (Supreme Court, 1990)
Lujan v. Defenders of Wildlife
504 U.S. 555 (Supreme Court, 1992)
Erickson v. Pardus
551 U.S. 89 (Supreme Court, 2007)
Bell Atlantic Corp. v. Twombly
550 U.S. 544 (Supreme Court, 2007)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
State Ex Rel. City of Wheeling Retirees Ass'n v. City of Wheeling
407 S.E.2d 384 (West Virginia Supreme Court, 1991)
Pavel Enterprises, Inc. v. AS Johnson Co., Inc.
674 A.2d 521 (Court of Appeals of Maryland, 1996)
City of Downey v. Board of Administration
47 Cal. App. 3d 621 (California Court of Appeal, 1975)
Bargale Industries, Inc. v. Robert Realty Co.
343 A.2d 529 (Court of Appeals of Maryland, 1975)
Murphy v. Edmonds
601 A.2d 102 (Court of Appeals of Maryland, 1992)
City of Frederick v. Quinn
371 A.2d 724 (Court of Special Appeals of Maryland, 1977)
Robert Cherry, Jr. v. Mayor and City Council
762 F.3d 366 (Fourth Circuit, 2014)
Dean Born v. City of Slidell
180 So. 3d 1227 (Supreme Court of Louisiana, 2015)
Van Buren v. United States
593 U.S. 374 (Supreme Court, 2021)

Cite This Page — Counsel Stack

Bluebook (online)
Fitch v. State of Maryland, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fitch-v-state-of-maryland-mdd-2021.