Indiana Protection & Advocacy Services v. Indiana Family & Social Services Administration

573 F.3d 548, 2009 U.S. App. LEXIS 16709
CourtCourt of Appeals for the Seventh Circuit
DecidedJuly 28, 2009
Docket08-3183
StatusPublished
Cited by4 cases

This text of 573 F.3d 548 (Indiana Protection & Advocacy Services v. Indiana Family & Social Services Administration) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Indiana Protection & Advocacy Services v. Indiana Family & Social Services Administration, 573 F.3d 548, 2009 U.S. App. LEXIS 16709 (7th Cir. 2009).

Opinion

EASTERBROOK, Chief Judge.

Each state that accepts federal grants under the Developmental Disabilities Assistance and Bill of Rights Act must establish “a system to protect and advocate the rights of individuals with developmental disabilities.” 42 U.S.C. § 15043. A second statute, the Protection and Advocacy for Individuals with Mental Illness Act, 42 U.S.C. §§ 10801-51 (PAIMI), provides extra funding for systems established under § 15043. A system that receives money under § 10803 is entitled to investigate “incidents of abuse and neglect of individuals with mental illness” (§ 10805(a)(1)(A)) *550 and, to carry out its investigations, to see patient-care records, unless a legal guardian is in charge of the patient’s interests. 42 U.S.C. §§ 10805(a)(4), 10806. Indiana has taken the federal grants. Its system is called Indiana Protection and Advocacy Services (“Advocacy Services” for short).

Advocacy Services asked for records about J.Y.G., a mentally disabled patient at LaRue Carter Memorial Hospital. J.Y.G. had died, and Advocacy Services wanted to learn whether she was a victim of abuse, so that it could propose improvements in medical procedures. The Hospital, a part of the state, see Ind.Code § 12-7-2-184, declined to furnish all of the records that Advocacy Services wanted. Some of them are covered by state privacy protections, the Hospital asserted, and the disclosure of others would violate the privacy interests of J.Y.G.’s parents. Advocacy Services then filed this suit in federal court, naming as defendants not only the Hospital but also the Indiana Family and Social Services Administration (which superintends the Hospital), plus several state officials. The district court held that defendants must hand over the records, because J.Y.G. was an adult at the time of death and her parents had not been appointed as her legal guardians. The absence of a guardian brought J.Y.G. within the scope of Advocacy Services’ authority under § 10805(a)(4) and 42 C.F.R. § 51.2, the commentary to which says that parents are deemed guardians of minor children but not of adult children, unless the parents are appointed to that role by a court.

Defendants (collectively “Indiana”) contend on appeal that the regulation is invalid and that parents should be treated as guardians of their (mentally disabled) adult as well as their minor children, whether or not a court appoints them to that role. If J.Y.G.’s parents were her guardians, then Advocacy Services needs their consent. Disclosure without consent, Indiana maintains, would violate the parents’ constitutional and statutory rights.

Underneath this apparently simple dispute lies a bushel full of issues that the parties did not mention in the district court, or this court. For example: How does Advocacy Services, which describes itself as an ombudsman rather than a law-enforcement agency, have standing to obtain information that pertains to J.Y.G.? What is Advocacy Services’ injury? (The answer may be that the lack of information is injury in itself; this argument has carried the day under the Freedom of Information Act, and we need not decide whether it applies to § 10805 and § 10806 too.) Conversely, why is Indiana entitled to assert the privacy interests of J.Y.G.’s parents? They can speak for themselves. It is not as if Advocacy Services wanted to rummage through the parents’ diaries. The medical records are already in the possession of state government, and allowing another state agency to see them differs from disclosing them to the public, which Advocacy Services is forbidden to do. 42 U.S.C. § 10806(a), (b). Cf. Bowen v. Roy, 476 U.S. 693, 106 S.Ct. 2147, 90 L.Ed.2d 735 (1986).

Then there is the question whether Advocacy Services is entitled to sue in federal court. Neither federal statute gives “systems” an express right of action. These statutes are enacted under the Spending Clause, and the usual way in which such laws are enforced is by withholding grants from states that do not satisfy the conditions. See Brunner v. Ohio Republican Party, — U.S.—, 129 S.Ct. 5, 172 L.Ed.2d 4 (2008); Gonzaga University v. Doe, 536 U.S. 273, 122 S.Ct. 2268, 153 L.Ed.2d 309 (2002); Alexander v. Sandoval, 532 U.S. 275, 121 S.Ct. 1511, 149 L.Ed.2d 517 (2001). Cf. Pennhurst State School & Hospital v. Halderman, *551 451 U.S. 1, 101 S.Ct. 1531, 67 L.Ed.2d 694 (1981). In response to a request for supplemental briefs, Advocacy Services and the United States (as amicus curiae) have argued that §§ 10805 and 10806 are specific enough to create personal rights that are enforceable through litigation, under the approach of Wilder v. Virginia Hospital Ass’n, 496 U.S. 498, 110 S.Ct. 2510, 110 L.Ed.2d 455 (1990), and Wright v. Roanoke Redevelopment & Housing Authority, 479 U.S. 418, 107 S.Ct. 766, 93 L.Ed.2d 781 (1987). And four courts have held that these statutes create specific federal rights — though none of the four cites Wilder, Wright, Gonzaga, or Alexander. See Protection & Advocacy for Persons with Disabilities v. Mental Health & Addiction Services, 448 F.3d 119 (2d Cir.2006) (Sotomayor, J.); Pennsylvania Protection & Advocacy, Inc. v. Houstoun, 228 F.3d 423, 428 (3d Cir.2000) (Alito, J.); Missouri Protection & Advocacy Services v. Missouri Department of Mental Health, 447 F.3d 1021 (8th Cir.2006); Center for Legal Advocacy v. Hammons, 323 F.3d 1262, 1272 (10th Cir.2003).

All four of these decisions assume that, if the rights in §§ 10805 and 10806 are specific, then they must be enforceable in federal court. But this begs an important question. Usually statutes that induce state cooperation through the lure of federal grants leave to states the implementation of the grant’s conditions. See South Dakota v. Dole, 483 U.S. 203, 107 S.Ct. 2793, 97 L.Ed.2d 171 (1987). The Protection and Advocacy for Individuals with Mental Illness Act may or may not follow that approach — yet another question that the parties have not addressed. The statutory language is equivocal. Section 10805(a)(1), for example, says that the system “shall ... have the authority to ... investigate incidents of abuse” and obtain records.

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Bluebook (online)
573 F.3d 548, 2009 U.S. App. LEXIS 16709, Counsel Stack Legal Research, https://law.counselstack.com/opinion/indiana-protection-advocacy-services-v-indiana-family-social-services-ca7-2009.