JM Banks v. United States

190 F. Supp. 3d 618, 2016 U.S. Dist. LEXIS 72022
CourtDistrict Court, E.D. Texas
DecidedJune 2, 2016
DocketCIVIL ACTION NO. 4:15-cv-00341-GHD-CMC
StatusPublished
Cited by1 cases

This text of 190 F. Supp. 3d 618 (JM Banks v. United States) is published on Counsel Stack Legal Research, covering District Court, E.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
JM Banks v. United States, 190 F. Supp. 3d 618, 2016 U.S. Dist. LEXIS 72022 (E.D. Tex. 2016).

Opinion

MEMORANDUM OPINION GRANTING MOTION TO DISMISS DUÉ TO LACK OF SUBJECT-MATTER JURISDICTION

GLEN H. DAVIDSON, SENIOR UNITED STATES DISTRICT JUDGE

Presently before the Court is a motion to dismiss [9] filed by Defendant, United States of America (the “Government”), [622]*622pursuant to Rules 12(b)(1) and 12(b)(6) of the Federal Rules of Civil Procedure. Upon due consideration, the Court finds the motion should be granted on Rule 12(b)(1) grounds, because the Court lacks subject-matter jurisdiction over the case.

A. Factual and Procedural Background

In the case sub judice, Plaintiff Norris JM Banks (“Plaintiff’) alleges that he injured his back while working at the North Chicago VA Medical Center on or around November 13, 2002, and thereafter filed a claim for compensation and medical benefits with the Department of Labor (“DOL”), Office of Workers’ Compensation Programs (“OWCP”), due to lumbar back strain, aggravation of lumbar stenosis, and aggravation of neurogenic claudication.1 Plaintiff began receiving temporary total disability benefits pursuant to the Federal Employees’ Compensation Act (“FECA”) effective January 2, 2003.2 Plaintiff avers that on -or around April 3, 2007, Dr. Paul E. Barkhaus, a “referee medical examiner” for OWCP, examined Plaintiff and reported to OWCP that his medical conditions had ceased or were no longer injury-related.3 Plaintiff further avers that based on that report OWCP terminated Plaintiffs compensation and medical benefits on July 18, 2007.4

Plaintiff alleges that “[ajfter [he] suffered moré than a three-year loss of benefits and compensation,” the attorney who represented Plaintiff in the OWCP case filed a motion for reconsideration of that decision, because he discovered Dr. Bark-haus was employed by the Milwaukee Veterans Administration Medical Center, and “[ujnder OWCP rules, physicians who are employed by or who are associated with federal agencies are prohibited from serving as referee medical examiners.”5 Plaintiff further maintains that “[u]pon consideration of said motion for reconsideration, OWCP determined that there was clear evidence on the part of OWCP in terminating [Plaintiffs] benefits due to Dr. Bark-haus’ employment by the Veterans Administration Medical Center” and “affiliation with the Milwaukee Veterans Administration Medical Center” during “the time of [Dr. Barkhaus’] referee medical report to OWCP.”6 It is undisputed that OWCP committed an error of its own procedures in relying on Dr. Barkaus’ report to resolve a conflict of medical opinion,7 and [623]*623that due to that error, on September 1, 2010, OWCP granted Plaintiff’s motion for reconsideration and restored full benefits to him; specifically, OWCP opened Plaintiffs claim for medical care and ordered that Plaintiffs compensation be reinstated for the period, July 18, 2007 to the present.8,9 However, Plaintiff maintains, that “in the process of seeking reinstatement of his benefits, [he] accumulated legal expense[s] of $32,551.05 and ,$ 1,200.00 in out-of-pocket medications and medical expenses,” necessitating the taking out of a loan and an interest expense of approximately $15,000.00.10 Plaintiff also maintains that he “suffered other financial adversities resulting from the suspension of [his] benefits,” including his inability to afford health insurance, “the monthly cost of which rose from $270.00 to $800.00 during the suspension of [his] benefits,” as well as his inability to afford regular medication for his pain and suffering.11

Plaintiff maintains that he, submitted a claim to DOL’s Employees’ Compensation Appeals Board (“ECAB”)/OWCP, Senior Claims Examiner, pursuant to 28 U.S.C. § 2675(a), for the alleged damages he sustained while pursuing the reinstatement of his benefits; the claim was sent on or about October 30, 2013 and was received by the DOL/OWCP on November 4, 2013.12 The Government acknowledges that Plaintiff sent a Standard Form 95 to OWCP and that the same was received on November 5, 2013 and “put in [Plaintiffs] FECA case record,” but that “the proper place to file a claim of that amount was with the DOL’s Office of the Solicitor.”13 It is undisputed that the Government took no action on Plaintiffs submission. Plaintiff asserts that DOL’s failure to make a final disposition of the claim for more than six months constitutes the agency’s denial of his claim14 (though he acknowledges the claim “never has been formally rejected”); subsequently, on May 15, 2015, Plaintiff filed this suit against the Government pursuant to 28 U.S.C. § 1346(b) of the Federal Tort Claims Act (the “FTCA”).15 Plaintiff seeks a judgment against the Government in the amount of $200,000.00 for the legal and medical expenses allegedly incurred while [624]*624Plaintiff sought the reinstatement of his benefits from July 18, 2007 (the date his benefits were terminated) until September 1, 2010 (the date his benefits were fully restored).16

In lieu of an answer, the Government has filed the present motion to dismiss [9] pursuant to Rule 12(b)(1) and Rule 12(b)(6). Plaintiff has filed a response, and the Government has filed a reply. The matter is now ripe for review. Because the Court finds that dismissal is proper on the Government’s first argument for dismissal, that the Court lacks subject-matter jurisdiction to review the DOL’s determinations under FECA, 5 U.S.C. § 8101 et seq„ the Court need not and does not reach the Government’s other arguments for dismissal in the motion.17

B. Rule 12(b)(1) Motion to Dismiss Standard

Rule 12(b)(1) provides that a party may assert the defense of lack of subject-matter jurisdiction by motion. Fed. R. Civ. P. 12(b)(1). A court must address a Rule 12(b)(1) jurisdictional challenge before addressing a challenge on the merits under Rule 12(b)(6). Braatz, L.L.C. v. Red Mango FC, L.L.C., No. 15-10498, 642 Fed. Appx. 406, 408-09, 2016 WL 1253679, at *2 (5th Cir. Mar. 30, 2016) (per curiam) (citing Ramming v. United States, 281 F.3d 158, 161 (5th Cir.2001)). Addressing Rule 12(b)(1) arguments first “prevents a court without jurisdiction from prematurely dismissing a case with prejudice.” Ramming, 281 F.3d at 161.

“Federal courts are courts of limited jurisdiction; without jurisdiction conferred by statute, they lack the power to adjudicate claims.” In re FEMA Trailer Formaldehyde Prods. Liab. Litig., 668 F.3d 281, 286 (5th Cir.2012) (citing Kokkonen v. Guar. Life Ins. Co. of Am., 511 U.S. 375, 377, 114 S.Ct. 1673, 128 L.Ed.2d 391 (1994); Stockman v. Fed. Election Comm'n, 138 F.3d 144, 151 (5th Cir.1998)). “Subject-matter jurisdiction ...

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

Related

Edwards v. United States
District of Columbia, 2020

Cite This Page — Counsel Stack

Bluebook (online)
190 F. Supp. 3d 618, 2016 U.S. Dist. LEXIS 72022, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jm-banks-v-united-states-txed-2016.