FROUNFELTER v. Leavitt

563 F. Supp. 2d 1327, 2008 U.S. Dist. LEXIS 44274, 2008 WL 2312857
CourtDistrict Court, M.D. Florida
DecidedJune 3, 2008
Docket3:08-cv-00155
StatusPublished
Cited by1 cases

This text of 563 F. Supp. 2d 1327 (FROUNFELTER v. Leavitt) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
FROUNFELTER v. Leavitt, 563 F. Supp. 2d 1327, 2008 U.S. Dist. LEXIS 44274, 2008 WL 2312857 (M.D. Fla. 2008).

Opinion

ORDER

SUSAN C. BUCKLEW, District Judge.

This cause comes before the Court on Defendant’s Motion to Dismiss. (Doc. No. 15). This motion was considered by the United States Magistrate Judge, pursuant to a specific order of referral. (Doc. No. 19). Magistrate Judge McCoun has filed his report recommending that the motion be granted. (Doc. No. 28). All parties were furnished copies of the Report and Recommendation and were afforded the opportunity to file objections pursuant to 28 U.S.C. § 636(b)(1). Objections to the Magistrate’s Report were filed by Plaintiffs (Doc. No. 30), and Defendant filed a response in opposition (Doc. No. 31). Thereafter, Plaintiff filed a motion to strike Defendant’s response to Plaintiffs’ objections (Doc. No. 32), which was opposed by Defendant (Doc. No. 33). Upon consideration, the Court finds that Plaintiffs’ motion to strike (Doc. No. 32) should be denied, and as such, the Court has considered Defendant’s response to Plaintiffs objections to the Report and Recommendation.

Upon consideration of the Report and Recommendation and Plaintiffs objections thereto, and upon this Court’s independent examination of the file, .it is determined that the Report and Recommendation (Doc. No. 28) should be adopted. Accordingly, it is now ORDERED AND ADJUDGED that:

(1) Plaintiffs Motion to Strike (Doc. No. 32) is DENIED;
(2) The Magistrate Judge’s Report and Recommendation (Doc. No. 28) is adopted and incorporated by reference in this Order of the Court;
(3) Defendant’s Motion to Dismiss (Doc. No. 15) due to lack of subject matter jurisdiction is GRANTED;
(4) The Clerk is directed to terminate all pending motions and to close the case.

DONE AND ORDERED.

REPORT AND RECOMMENDATION

THOMAS B. McCOUN III, United States Magistrate Judge.

THIS MATTER is before the court on referral by. the Honorable Susan C. Bucklew for a Report and Recommendation on Plaintiffs Motion for Tem *1329 porary Restraining Order and for Preliminary Injunction (Doc. 2) and Defendant’s response in opposition (Doc. 14) and Defendant’s Motion to Dismiss (Doc. 15) and Plaintiffs response (Doc. 17). The court heard oral arguments on March 5, 2008.

I.

A.

Plaintiff Cary Frounfelter is a prosthe-tist-orthotist licensed by the State of Florida to practice prosthetics and orthotics. Frounfelter is the principal of Plaintiff East Orthotics and Prosthetics, Inc. (“East”)', a Florida corporation with its principal place of business in Largo, Florida. East is a supplier of durable medical equipment, prosthetics, orthotics, and supplies. East supplied orthotics and pros-thetics to inpatients at HealthSouth’s rehabilitation hospital in Largo, Florida. Some of its clients/patients were covered under the federal and federal/state health insurance programs, Medicare or Medicaid.

Defendant Michael O. Leavitt (“Secretary”) is sued in his official capacity as the head of the United States Department of Health and Human Services (“HHS”), the federal agency responsible for administrating Medicare and Medicaid. Under 42 U.S.C. § 1320a-7, the Secretary is authorized (or mandated) to exclude individuals and entities from participation in such federal health care programs under certain limited situations, including when an individual or entity has been convicted of a program-related crime. Under 42 U.S.C. § 1320a-7a, the Secretary is authorized to impose civil money penalties (“CMP”) and exclude a person from participation in a federal health care program for certain specified violations. The Secretary has delegated the enforcement of certain administrative sanctions to the HHS Office of Inspector General (“OIG”).

According to the allegations in the Complaint, in May 2004, OIG Agent Christian T. Jurs interviewed Frounfelter in relation to an investigation into allegedly improper billing practices of HealthSouth. In summary, Plaintiffs urge that Frounfelter was misled, duped, and coerced into cooperating with OIG agents believing that they were only investigating HealthSouth. At some point, Plaintiffs became the subject of the OIG’s investigation as well, and Plaintiffs contend that the OIG used incriminating statements made by Frounfel-ter at the May 2004 interview as grounds to initiate a CMP and exclusion proceeding against Plaintiffs.

By letter dated June 5, 2007, the OIG notified Plaintiffs that it was proposing to impose a CMP of $100,000.00, an assessment of $42,220.00, and a seven-year exclusion from participation in Medicare, Medicaid, and all federal health care programs. Such sanctions were based the OIG’s conclusion that Plaintiffs presented to Medicare claims for services that they knew or should have known were (1) not provided as claimed and/or (2) false or fraudulent. See (Doc. 1-3). 1 The claims concerned customized orthotic devices that East supplied to inpatients at HealthSouth’s rehabilitation hospital in Largo, Florida.

In August 2007, Plaintiffs requested a hearing before an Administrative Law Judge (“ALJ”) challenging the proposed CMP, assessment, and period of exclu *1330 sion. 2 Pursuant to the regulations, Plaintiffs propounded on the OIG requests for production of documents, to which the OIG objected. Ultimately, the ALJ denied Plaintiffs’ requests, chiefly on relevance grounds and the fact that he did not have the authority to hear and decide the defenses sought to be raised by Plaintiffs. See (Doc. 1-6). Plaintiffs also moved to dismiss the CMP and exclusion proceeding alleging that the OIG had violated applicable law by failing to obtain authorization from the Attorney General prior to initiating the proceeding; that discovery permitted under the regulation was constitutionally inadequate on its face and deprives the accused of an opportunity to defend against such claims; and that the OIG should be estopped from proceeding on the basis of its misconduct in violation of Plaintiffs’ due process rights. See (Doc. 1-7). The ALJ denied the motion by ruling dated December 12, 2007. See (Doc. 1-8). An evidentiary hearing before the ALJ was scheduled for March 10, 2008. 3 See id.

On January 22, 2008, Plaintiffs initiated this action seeking declaratory relief pursuant to 28 U.S.C. § 2201, injunctive relief, and mandamus. See (Doc. 1).

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Bluebook (online)
563 F. Supp. 2d 1327, 2008 U.S. Dist. LEXIS 44274, 2008 WL 2312857, Counsel Stack Legal Research, https://law.counselstack.com/opinion/frounfelter-v-leavitt-flmd-2008.