Floyd v. Thompson

111 F. Supp. 2d 1097, 1999 U.S. Dist. LEXIS 21348, 1999 WL 33100654
CourtDistrict Court, W.D. Wisconsin
DecidedSeptember 3, 1999
Docket99-C-0268-C
StatusPublished
Cited by7 cases

This text of 111 F. Supp. 2d 1097 (Floyd v. Thompson) is published on Counsel Stack Legal Research, covering District Court, W.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Floyd v. Thompson, 111 F. Supp. 2d 1097, 1999 U.S. Dist. LEXIS 21348, 1999 WL 33100654 (W.D. Wis. 1999).

Opinion

*1099 OPINION AND ORDER

CRABB, District Judge.

This is a civil action for injunctive and declaratory relief brought under 42 U.S.C. § 1983 and 28 U.S.C. § 2201. Plaintiffs are representatives of a proposed class of Wisconsin residents, all of whom have received treatment for smoking-related illnesses and ailments that was paid for in whole or in part under Wisconsin’s Medical Assistance Program, Wis. Stat. §§ 49.43— 49.96, a coopérative federal-state program under Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 — 1396v. The defendants are state officials allegedly responsible for administering Wisconsin’s Medicaid program. This court has jurisdiction over plaintiffs’ claims under 28 U.S.C. § 1343(a)(3). The case is before the court on defendants’ motion to dismiss for failure to state a claim upon which relief can be granted. Because I find that plaintiffs’ suit is barred by the Eleventh Amendment, defendants’ motion will be granted.

Plaintiffs contend that defendants violated their rights under Title XIX of the Social Security Act, 42 U.S.C. § 1396k(b) and 42 C.F.R. § 433.154(c), by failing to disburse to them a portion of the settlement between the state of Wisconsin and various tobacco companies and tobacco industry organizations. Plaintiffs allege that in return for Medicaid’s payment for their treatment, they automatically assigned to the state their individual claims against third parties for payment of past or future medical expenses pursuant to federal and state mandatory assignment of rights requirements. See 42 U.S.C. § 1396k(a) and Wis. Stat. §§ 49.45(19)(a)(2), 49.89(3). The federal statutory scheme set forth at 42 U.S.C. § 1396k(b) and 42 C.F.R. § 433.154(c) mandates that recovery from third parties be distributed as follows: reimbursement of the state for its Medicaid expenditures, reimbursement of the federal government for its share of Medicaid expenditures and payment of the remainder to the Medicaid recipients. Plaintiffs assert that defendants released plaintiffs’ legal rights against the tobacco companies in the “Master Settlement Agreement,” an agreement signed by Wisconsin and 45 other states in November of 1998. Accordingly, plaintiffs claim they are entitled to a portion of the settlement proceeds that exceeds the state’s Medicaid expenditures. Specifically, plaintiffs seek “(1) any and all medical expenses incurred as a result of smoking related illnesses not paid by Medicaid; (2) the difference between the reasonable value of the medical treatment afforded them and the amount paid by Medicaid; and (3) the value of future medical treatment needed for smoking related illnesses suffered by plaintiffs and others similarly situated.” Complaint, ¶ 54. Plaintiffs also request class certification under Fed.R.Civ.P. 23.

Defendants rely on three arguments in support of their motion to dismiss. First, the suit is barred by sovereign immunity because plaintiffs are seeking to obtain funds belonging to the state pursuant to the Master Settlement Agreement. Second, plaintiffs have no claim to the state’s settlement proceeds because rather than suing the tobacco manufacturers on a sub-rogation theory, the state recovered damages on the basis of its own direct statutory and common law claims. Third, the present lawsuit is barred by laches because plaintiffs should have intervened in the initial litigation between the state and the tobacco companies rather than allowing defendants to assume all risks of litigation. Because I conclude that this suit is barred by Eleventh Amendment immunity, it is not necessary to address defendants’ second and third arguments or plaintiffs’ request for class certification.

With two exceptions, the Eleventh Amendment prohibits suits against the state by citizens of another state or by the state’s own citizens for monetary damages or equitable relief. See College Savings Bank v. Florida Prepaid Postsecondary Educ. Expense Bd., 527 U.S. 666, 119 S.Ct. 2219, 2222-23, 144 L.Ed.2d 605 (1999); Pennhurst State School and Hosp. v. Halderman, 465 U.S. 89, 100, 104 S.Ct. *1100 900, 79 L.Ed.2d 67 (1984). First, a state may waive the protections of the amendment and consent to suit in federal court. See Clark v. Barnard, 108 U.S. 436, 447-448, 2 S.Ct. 878, 27 L.Ed. 780 (1883); see also College Savings Bank, 119 S.Ct. 2219 (repudiating the doctrine of constructive waiver). Second, Congress may use its enforcement powers under the Fourteenth Amendment to abrogate the state’s Eleventh Amendment immunity through an unequivocal expression of its intent to do so and pursuant to a valid exercise of power. See Seminole Tribe of Florida v. Florida, 517 U.S. 44, 55, 116 S.Ct. 1114, 134 L.Ed.2d 252 (1996); Fitzpatrick v. Bitzer, .427 U.S. 445, 456, 96 S.Ct. 2666, 49 L.Ed.2d 614 (1976).

Ex parte Young, 209 U.S. 123, 28 S.Ct. 441, 52 L.Ed. 714 (1908), established an additional exception to sovereign immunity that allows prospective injunctive relief to restrain state officials from violating the Constitution even when the state itself is immune from suit under the Eleventh Amendment. Although Young itself concerned an alleged constitutional violation, the rule extends to violations of federal statutory law. See Idaho v. Coeur d’Alene Tribe of Idaho, 521 U.S. 261, 281, 117 S.Ct. 2028, 138 L.Ed.2d 438 (1997) (“An allegation of an on-going violation of federal law where the requested relief is prospective is ordinarily sufficient to invoke the Young fiction.”); see also Marie O. v. Edgar, 131 F.3d 610

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Cite This Page — Counsel Stack

Bluebook (online)
111 F. Supp. 2d 1097, 1999 U.S. Dist. LEXIS 21348, 1999 WL 33100654, Counsel Stack Legal Research, https://law.counselstack.com/opinion/floyd-v-thompson-wiwd-1999.