Group Health Inc. v. Schweiker

549 F. Supp. 135, 30 Cont. Cas. Fed. 70,858, 1982 U.S. Dist. LEXIS 9726
District Court, S.D. Florida·Decided September 23, 1982·No. 82-1695-CIV-EPS·Published·Cited by 9 cases

Opinion

*137 ORDER DISMISSING ACTION AND MEMORANDUM OPINION

SPELLMAN, District Judge.

THIS CAUSE came before the Court on Motion for Preliminary Injunction, and upon the Complaint filed in this action along with supporting affirmations and memorandum of law and responses and replies filed thereafter, and on defendants’ Motion to Dismiss.

The plaintiffs in this action are Group Health Incorporated (GHI); the Office and Professional Employees International Union (OPEIU) [local 153 of the OPEIU represents the GHI employees in Florida and New York]; and Dorothy Arthur and Edna Coler [beneficiaries of medical insurance pursuant to Part B of the Medical Act, 42 U.S.C. §§ 1395j et seq.]. The defendants are Richard S. Schweiker, Secretary of the Department of Health & Human Services (Secretary); Carolyne Davis, current Administrator of the Health Care Financing Administration (Administrator) [Health Care Financing Administration (HCFA) administers the federal health care programs]; George A. Thompson (Thompson), who is an Associate Administrator for Operations within HCFA; and the United States of America.

Under the Medicare Program there are two parts: part A concerns hospital benefits and part B concerns non-hospital benefits. 42 U.S.C. § 1395, et seq. Pursuant to the act, the Secretary may enter contracts with private organizations to provide part *138 B. The Secretary entered into a contract with GHI to provide part B.

The agreement between the Secretary and GHI contained a Jurisdictional provision, Art. IV. This provision, along with the rider attached, provided that GHI was to carry part B for Dade and Monroe County in Florida and Queens County in New York. Also contained in the agreement Article XXVII provided for Term of Agreement. 1 Under this article, the Secretary is required to give 90 days notice before the end of the current period which expires on September 30, 1982, if he intends not to • renew the agreement.

On July 1, 1982, 91 days before the contract was to end, Mr. Thompson sent a letter to GHI indicating that the agreement as to Dade and Monroe County would not be renewed. GHI contends this letter was ineffective because it only terminated part of the agreement. According to GHI, the defendants’ actions constituted a modification of the agreement pursuant to Article XXVIII 2 and, therefore, required mutual consent of the parties. Moreover, GHI views the termination of Monroe and Dade Counties as a termination under Article XXIX which requires reasonable notice and an opportunity to be heard.

The original'complaint in this action was filed on August 10, 1982. Since the original filing, plaintiffs have been offered a hearing on the question of nonrenewal. However, the plaintiff asked for a stay of that hearing pending our determination of questions of law. In this regard, plaintiff claims that this Court’s decision on certain questions of law will alleviate the need for a hearing.

The plaintiffs argue that the Thompson letter of July 1 was ineffective as the formal 90-day Notice required by Article XXVII of the Agreement for the following reasons:

1. An “Associate Administrator for Operations” is not authorized to take such action by the terms of the Contract;
2. If an Associate Administrator for Operations were authorized to take such action by the Memorandum, the Limitation on Authority contained in the Memorandum was not satisfied at the time Thompson acted on July 1, 1982, in that the Limitation specifically states that the “authority may be exercised only after the . . . carrier ... is given an opportunity for a hearing”; 3
3. The defendants’ attempt to rebew only part of the Agreement under the automatic renewal clause, while purporting to terminate another part of the *139 Agreement, is in violation of the law and the terms of the Agreement.
4. The defendants have violated plaintiffs’ Constitutional right to due process of law by acting to terminate the Florida portion of the GHI Agreement before providing the hearing to which GHI was entitled.

GHI moves this Court for a preliminary injunction. The government opposes the issuance of a preliminary injunction and as an initial objection claims that this Court does not have jurisdiction. Subsequent to its initial response to the plaintiffs’ pleadings, the government filed a Motion to Dismiss for Lack of Subject Matter Jurisdiction.

On September 15, 1982, the plaintiffs moved for a Temporary Restraining Order. Apparently the defendants established a Transition Committee to implement the defendant Thompson’s decision to “nonrenew” GHI’s agreement. As of September 17, 1982, GHI was informed that the incoming claims were to be transferred to Blue Shield. Instead of opening the mail and processing the Part B claims, GHI was instructed to forward the unopened mail to Blue Shield for processing. In addition, GHI was to transfer its post office mail box number to Blue Shield on Thursday, September 14, 1982, and measures were taken for GHI employees to stuff notices of the transition into its outgoing mail to the Medicare beneficiaries.

The defendants agreed to maintain the status quo as to the above transfer of mail boxes and claims until Tuesday, September 21,1982, at 5:00 o’clock p.m. On September 20, 1982, this Court heard oral argument with regard to the issue of jurisdiction.

The government argues that the court of claims has exclusive jurisdiction over the plaintiffs’ claims. The Contract Disputes Act provides only two methods of review for resolving government contract disputes: appeal of a contracting officer’s decision to the Board of Contract Appeals, 41 U.S.C. § 606 or seek relief directly in the Court of Claims 41 U.S.C. § 609; Paragon Energy Corp. v. United States, 645 F.2d 966, 970 (Ct.C1.1981).

Also, the Act amended 28 U.S.C. § 1346(a)(2) by stripping the district courts of jurisdiction of any civil action or claim against the United States “which are subject of the Contract Disputes Act.”

In response, the Plaintiff argues that the Contract Disputes Act pertains to claims of money damages against the United States based on contracts. 41 U.S.C. § 605(c)(1). The act was never meant to divest the District Courts of their traditional authority to grant preliminary injunctions and render declaratory relief. G. Coburn, The Contracts Disputes Act of 1978, at 21 n. 12.

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Group Health Inc. v. Schweiker, 549 F. Supp. 135, 30 Cont. Cas. Fed. 70,858, 1982 U.S. Dist. LEXIS 9726 (S.D. Fla. 1982).

549 F. Supp. 135 (Group Health Inc. v. Schweiker) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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