Klopfer v. Illinois Department of Public Aid

46 Ill. Ct. Cl. 4
CourtCourt of Claims of Illinois
DecidedSeptember 29, 1993
DocketNo. 81-CC-1479
StatusPublished

This text of 46 Ill. Ct. Cl. 4 (Klopfer v. Illinois Department of Public Aid) is published on Counsel Stack Legal Research, covering Court of Claims of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Klopfer v. Illinois Department of Public Aid, 46 Ill. Ct. Cl. 4 (Ill. Super. Ct. 1993).

Opinion

OPINION

Patchett, J.

This is a claim brought by Dr. Ulrich G. Klopfer, a licensed physician in the State of Illinois. Dr. Klopfer seeks the sum of $165,333.20 for 931 abortions performed by him for Public Aid recipients from June 1978 to February 1979.

This case has raised a myriad of interesting, complex, and difficult issues. The basic facts are these:

In September 1976, the United States Congress enacted legislation known as the “Hyde Amendment.” The Hyde Amendment was a provision which was enacted in varying forms into appropriation bills funding the Department of Health, Education and Welfare and the Labor department commencing with fiscal year 1977. The fiscal 1978 and 1979 versions of the Hyde Amendment provided as follows:

“None of the funds provided for in this Act shall be used to perform abortions except where the life of the mother would be endangered if the fetus were carried to term; or except for such medical procedures necessary for the victims of rape or incest, when such rape or incest has been reported promptly to a law enforcement agency or public health service; or except in those instances where severe and long-lasting physical health damage to the mother would result if the pregnancy were carried to term when so determined by two physicians.” Section 210 of Public Act 95 — 480; 92 Stat. 1586, October 18,1978.

Because of Illinois’ participation in the Medicaid program, the Illinois legislature, by Public Act 80 — 1091, effective November 17,1977, amended the Illinois Public Aid Code, sections 5 — 5, 6 — 1, and 7 — 1 as follows:

“ARTICLE V — MEDICAL ASSISTANCE
5 — 5 Medical Services
5 — 5 The Illinois Department, by rule, shall determine the quantity and quality of the medical assistance for which payment will be authorized, and the medical services to be provided, which may include all or part of the following: ” ° ° (16) any other medical care, and any other types of remedial care recognized under the laws of the State, but not including abortions, or induced miscarriages or premature births, unless, in the opinion of a physician, such procedures are necessary for the preservation of the life of the woman seeking such treatment, or except an induced premature birth intended to produce a live viable child and such procedure is necessary for the health of the mother or her unborn child.” Chapter 23, Charities and Public Welfare, Section 5 — 5. (Amendatory language italicized.)
“ARTICLE VI — MEDICAL ASSISTANCE
6— 1 Eligibility Requirements
6— 1 Eligibility Requirements. Financial Aid in meeting basic maintenance requirements for a livelihood compatible with health and well-being, plus any necessary treatment, care and supplies required because of illness or disability, shall be given under this Article to or in behalf of persons who meet the eligibility conditions of Sections 6 — 1.1 through 6 — 1.6. Nothing in this Article shall be construed to permit the granting of financial aid where the purpose of such aid is to obtain an abortion, induced miscarriage, or induced premature birth unless, in the opinion of a physician, such procedures are necessary for the preservation of the life of the woman seeking such treatment, or except an induced premature birth intended to produce a live viable child and such procedure is necessary for the health of the mother or her unborn child.” Chapter 23, Charities and Public Welfare, Section 6 — 1. (Amendatoiy language italicized.)
“ARTICLE VII—
LOCAL AID TO THE MEDICALLY INDIGENT
7— 1 Eligibility Requirements
7— 1 Eligibility Requirements. Aid in meeting the costs of necessary medical, dental, hospital, boarding or nursing care, or burial shall be given under this Article to or in behalf of any person who meets the eligibility conditions of Sections 7 — 1.1 through 7 — 1.3, except where such aid is for the purpose of obtaining an abortion, induced miscarriage, or induced premature birth unless, in the opinion of a physician, such procedures are necessary for the preservation of the life of the woman seeking such treatment, or except an induced premature birth intended to produce a live viable child and such procedure is necessary for the health of the mother or her unborn child.” Chapter 23, Charities and Public Welfare, Section 7 — 1. (Amendatory language italicized.)

Following the passage of the aforesaid act, certain individuals brought a class action in the United States District Court for the northern district of Illinois, eastern division, seeking to enjoin enforcement of the aforesaid Illinois statute. A quote from that case follows:

“Plaintiffs brought this class action under 42 U.S.C. Section 1983 to enjoin enforcement of a 1977 Illinois statute withdrawing medical assistance funding in Illinois for all abortions except those “necessary for tire preservation of the life of the (pregnant) woman.” P.A. 80 — 1091, Ill. Rev. Stat. Supp. 1978, Ch. 23, Sections 5 — 5, 6 — 1, 7 — 1. Plaintiffs are two doctors who perform medically necessary, but not necessarily life-preserving, abortions for indigent women; the Chicago Welfare Rights Organization, whose members include women dependent on Illinois medical assistance benefits; and Jane Doe, an indigent woman for whom an abortion is medically necessary, but not necessary for the preservation of her life. Defendant Arthur Quern is the Director of the Illinois Department of Public Aid, the State agency responsible for administering Illinois medical assistance programs. Intervenor-defendants include two doctors and the United States.
1. The classes certified by the District Court consist of (1) all pregnant women eligible for the Illinois medical assistance programs for whom an abortion is medically necessary, but not necessary for the preservation of their lives and who wish such abortion performed, and (2) all Illinois physicians who are certified to obtain reimbursement for necessary medical services rendered to, and who perform medically necessary abortions for, persons eligible for the Illinois medical assistance programs." Zbaraz v. Quern, 469 F. Supp. 1212, 1213-14 (1980).

On December 21, 1977, Judge Kirkland, of the aforesaid United States District Court, ordered the proceedings stayed, pending an interpretation of Public Act 80 — 1091 by an Illinois State court. The plaintiffs then appealed that order to the United States Court of Appeals, Seventh Circuit. That court overruled Judge Kirkland and remanded the case to the United States District Court. In its opinion, the United States Court of Appeals, Seventh Circuit, stated:

“In December 1977, the District Court issued an order abstaining from consideration of the case. Plaintiffs appealed, and this Court granted them an injunction pending appeal against enforcement of the Illinois statute insofar as it prohibits state funding for therapeutic abortions.
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Cite This Page — Counsel Stack

Bluebook (online)
46 Ill. Ct. Cl. 4, Counsel Stack Legal Research, https://law.counselstack.com/opinion/klopfer-v-illinois-department-of-public-aid-ilclaimsct-1993.