Leisure Hills of Grand Rapids, Inc. v. Minnesota Department of Human Services

480 N.W.2d 149, 1992 Minn. App. LEXIS 61, 1992 WL 10636
CourtCourt of Appeals of Minnesota
DecidedJanuary 28, 1992
DocketC4-91-1311
StatusPublished
Cited by3 cases

This text of 480 N.W.2d 149 (Leisure Hills of Grand Rapids, Inc. v. Minnesota Department of Human Services) is published on Counsel Stack Legal Research, covering Court of Appeals of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Leisure Hills of Grand Rapids, Inc. v. Minnesota Department of Human Services, 480 N.W.2d 149, 1992 Minn. App. LEXIS 61, 1992 WL 10636 (Mich. Ct. App. 1992).

Opinion

OPINION

DAVIES, Judge.

Relator argues that this action should be barred by laches and that the Commissioner of Human Services misconstrued the applicable cost reimbursement provisions. We affirm.

FACTS

Relator Leisure Hills of Grand Rapids, Inc., operated a nursing home, participating in the State Medical Assistance Program (MA). A significant portion of the nursing home was dedicated exclusively to physical therapy which, while available to residents of the nursing home, was primarily provided to non-residents on an outpatient basis. Leisure Hills accepted money from the state under the MA program for providing medical services, the amount of money due depending on the estimated costs of providing services to individual MA recipients. Under Rule 47 Leisure Hills was entitled to reimbursement for costs associated with physical therapy provided to MA recipients. Under Rule 49 1 Leisure Hills was entitled to reimbursement for nursing home costs not otherwise reimbursed.

Leisure Hills’ finances were audited for the periods 1976-78 and 1979-81. The audits suggested Leisure Hills had been compensated for certain overhead costs associated with the provision of physical therapy under both the Rule 47 provisions regarding physical therapy reimbursement and the Rule 49 provisions for reimbursement of nursing home costs not otherwise reimbursed. The MA program sought repayment from Leisure Hills alleging double or otherwise inappropriate payment and Leisure Hills appealed to the Commissioner of the Department of Human Services (DHS).

Respondent. DHS dismissed Leisure Hills' appeal from the second audit, claiming a lack of jurisdiction because the appeal was untimely. This court reversed. See Leisure Hills of Grand Rapids, Inc. v. Levine, 366 N.W.2d 302 (Minn.App.1985), pet. for rev. denied (Minn. July 11, 1985). Thereafter, however, an order for a contested case hearing was not issued by DHS for two years, or until August 1987. 2

After initiation of the contested case, both parties requested summary disposition — Leisure Hills requesting dismissal for laches and DHS requesting affirmance of the cost adjustments suggested by the audits. The AU concluded that the delay here did not prejudice Leisure Hills; thus, dismissal based on laches was inappropriate even though laches could apply against the state and the instant case involved an unreasonable delay. However, the AU refused in April 1990 to summarily affirm the physical therapy cost adjustments.

Six months later, the DHS Commissioner affirmed the AU’s refusal to summarily affirm the cost adjustments, but indicated that the AU’s rationale was not entirely correct. The Commissioner, while not addressing the laches issue, noted that “[Leisure Hills] was unique both in the amount of space devoted to physical therapy and its exclusive use for physical therapy.” The Commissioner told the AU to review the Rule 49 disallowances suggested by the audits to determine whether the disallo-wances were consistent with the aims of the applicable statutes and rule(s), or whether the amount was arrived at in an arbitrary and capricious manner.

*151 After the hearing on remand, the ALJ concluded that Leisure Hills had not presented sufficient evidence to avoid the cost disallowances. The ALJ also explicitly discounted the testimony of the Leisure Hills accountant. On appeal from that order, the Commissioner affirmed the ALJ’s refusal to dismiss for laches and also ruled: “[t]he AU’s conclusion^] and reasoning upholding [the DHS] position [regarding cost allocation] are well substantiated.”

Relator Leisure Hills now challenges both the laches ruling and the Commissioner’s application of Rules 47 and 49.

ISSUES

1. Was Leisure Hills entitled to dismissal of the case on grounds of laches?

2. Did the Commissioner correctly disallow Rule 49 reimbursement of physical therapy costs?

ANALYSIS

I.

Traditionally, laches has been available against the state when acting in its proprietary capacity, but not when acting in its sovereign capacity. Compare City of Staples v. Minnesota Power & Light Co., 196 Minn. 303, 306, 265 N.W. 58, 60 (1936) (“The doctrine of laches applies even to the state in its proprietary capacity.”), with, State v. Brooks, 183 Minn. 251, 254, 236 N.W. 316, 317 (1931) (“The collection of taxes is a governmental or sovereign function of the state, and procrastination or delay on the part of its officers in the discharge of such function is not permitted to prejudice the state’s right.”).

It is not contested here that running the MA program is a sovereign, rather than a proprietary, function. Leisure Hills argues, however, that the Minnesota Supreme Court eliminated the sovereign/proprietary distinction in equity cases involving attempts to equitably estop the state. See Mesaba Aviation Division v. County of Itasca, 258 N.W.2d 877, 880 (Minn.1977). Because laches, like estoppel, is an equitable defense, Leisure Hills argues the distinction should now be disregarded in laches cases against the state as it has been in estoppel cases. We disagree.

Leisure Hills cites no authority allowing application of laches against the government when it is acting in its sovereign capacity. Thus, we conclude that prior authority is still binding. We are not persuaded by Leisure Hills’ argument based on Mesaba. Laches and equitable estoppel are distinctly different concepts. “The emphasis in laches is on delay; the emphasis on estoppel is on misleading.” Modern American Remedies, 964 (Douglas Lay-cock ed. 1985). Given this distinction we cannot say that the two defenses should be treated identically, especially where, as here, there is no indication that the delay misled Leisure Hills into believing the state would not attempt ultimately to recoup the alleged overpayments. 3 And even assuming the applicability of a laches defense, dismissal would not be appropriate because a dismissal requires prejudice to the moving party resulting from delay. Klapmeier v. Town of Center of Crow Wing, 346 N.W.2d 133, 137 (Minn.1984). Here, relator’s claims depend upon documentary evidence, see Minn.R. 9510.0150, subpt. 1 and 3 (1983), and the record does not indicate the delay in this case caused relator to lose any documentation related to the questioned expenses.

II.

A MA participant like Leisure Hills is entitled under Rule 47 to reimbursement for physical therapy provided to MA recipients.

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Bluebook (online)
480 N.W.2d 149, 1992 Minn. App. LEXIS 61, 1992 WL 10636, Counsel Stack Legal Research, https://law.counselstack.com/opinion/leisure-hills-of-grand-rapids-inc-v-minnesota-department-of-human-minnctapp-1992.