Maniilaq Association v. Sebelius

CourtDistrict Court, District of Columbia
DecidedAugust 22, 2014
DocketCivil Action No. 2013-0380
StatusPublished

This text of Maniilaq Association v. Sebelius (Maniilaq Association v. Sebelius) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Maniilaq Association v. Sebelius, (D.D.C. 2014).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

MANIILAQ ASSOCIATION ) ) Plaintiff ) Civ. No. 13-380(TFH) v. ) ) ) SYLVIA BURWELL, Secretary of the ) Department of Health and Human Services, ) et al, ) ) Defendant. )

MEMORANDUM OPINION

Plaintiff Maniilaq Association (“Maniilaq” or “plaintiff”) administers healthcare systems

through a self-determination compact and annual funding agreements under the Indian Self-

Determination and Education Assistance Act (“ISDEAA”), 25 U.S.C. § 458aaa, et seq. Plaintiff is

seeking a declaration that a lease with the Indian Health Service (“IHS” or “defendant”) for one of

the clinics Maniilaq operates under its self-determination contract is incorporated into Maniilaq’s

2013 funding agreement as a matter of law. Pending before the Court are the parties’ cross motions

for summary judgment.1 For the reasons stated below, the Court GRANTS Plaintiff’s Motion for

Summary Judgment and DENIES Defendant’s Cross Motion for Summary Judgment. An

appropriate Order accompanies this opinion.

1 See Plaintiff’s Motion for Summary Judgment, ECF No. [17] (“Pl. Mot.”); Defendants’ Cross Motion for Summary Judgment and Opposition to Plaintiff’s Motion for Summary Judgment, ECF No. [21] (“Def. Mot.”); Plaintiff’s Opposition to Defendants’ Cross Motion for Summary Judgment and Reply to Defendants’ Opposition to Plaintiffs’ Motion for Summary Judgment, ECF No. [27] (“Pl. Rep.”); Defendants’ Reply in Support of Cross Motion for Summary Judgment, ECF No. [29] (“Def. Rep.”). I. FACTS

The facts of this case are substantially undisputed. The controversy between the parties

depends on the legal consequences of a letter and proposed lease agreement plaintiff Maniilaq sent to

the IHS concerning a clinic Maniilaq operates in the Village of Ambler, Alaska (“Amber Clinic”).

IHS is the agency within the Department of Health and Human Services (HHS) responsible

for providing federal health services to American Indians and Alaska Natives. Def. Mot. 3. A critical

component of those services is the Community Health Aide Plan (“CHAP”), which requires IHS to

train community health aides to provide healthcare to individuals in remote areas of rural Alaska. See

25 U.S.C. § 1616l. To facilitate CHAP, IHS leases Village Built Clinics (“VBCs”) from Alaska

villages in order to provide a suitable location to deliver services. Pl. Mot. 4.

Maniilaq is an Alaska Native Regional Non-Profit Corporation which operates a

comprehensive health services delivery program for its twelve member Alaska Native village tribes,

and other eligible American Indians and Alaska Natives, in the Northwest Arctic Borough. Pl. Mot.

1. Pursuant to the ISDEAA, the Indian Health Care Improvement Act, and its self-determination

compact with IHS, Maniilaq takes responsibility for delivering CHAP and other health care related

programs, functions, services, and activities which IHS would otherwise be required to provide. Def.

Mot. 5; see 25 U.S.C. § 450f(a)(1). The self-determination compact between IHS and Maniilaq is

implemented through yearly Funding Agreements (“FAs”). See 25 U.S.C. § 450f(a)(1). These

agreements cover a variety of programs and specify both parties’ obligation with respect to each

program. See generally Pl. Ex. G, FY 2009 FA between Maniilaq Assoc. and HHS, ECF No. [17-9].

In the 2009 fiscal year, Maniilaq received a total of $35,352,362 from IHS under its FA. Id. at 11.

-2- From 1985 to 2002, IHS leased a VBC from the village of Ambler, Alaska (“Ambler Clinic”).

See Poncho Decl., ECF No. [21-1], at ¶¶ 6-7. In January of 2003, Maniilaq asked IHS to cancel the

VBC lease with the city of Ambler because Maniilaq was taking ownership of the clinic. Id. ¶ 8. At

the time Maniilaq took ownership of the clinic, the lease required IHS to pay the City of Ambler

$28,923 for the Ambler Clinic and specified that the City of Ambler was responsible for the clinic’s

maintenance and utilities. Id. ¶¶ 7-8. When Maniilaq took over the operations of the clinic IHS

transferred the funds it had previously paid the City of Ambler to Maniilaq’s 2003 FA. Id. at ¶ 8. In

addition to providing upkeep and maintenance, Maniilaq is required to provide a wide array of patient

care services and programs at the Ambler Clinic. See generally Pl. Ex. G 2-9. Funding for the Ambler

Clinic remained part of each of Maniilaq’s FAs until 2012, but the amount that Maniilaq received

associated with that clinic has not increased beyond approximately $30,000 per year IHS had been

paying the City of Ambler under the VBC lease. According to Maniilaq, this amount is insufficient to

keep up with rising operational costs, forcing Maniilaq to “supplement federal CHAP funding with

millions of dollars annually.” Pl. Mot. 4.

To address this perceived funding shortfall, in February of 2012, Maniilaq informed IHS that

it was electing to retrocede the Ambler clinic back to IHS, and requested that IHS enter into a new

lease under the mandatory leasing provisions of 25 U.S.C. § 450j(l)(1). Pl. Mot. 11; see Pl. Ex. C,

Feb. 29, 2012 Memorandum to IHS from Maniilaq Assoc, ECF No. [17-5]. Section 450j(l) requires

IHS to lease tribally-owned facilities “used by the Indian tribe or tribal organization for the

administration and delivery of [healthcare] services” upon request of a tribal organization. 25 U.S.C.

-3- § 450j(l)(1). Maniilaq would continue to operate the clinic, with proceeds from the lease funding the

PFSAs in Maniilaq’s FA. Pl. Ex. C.

In a May 2012 letter, IHS responded and agreed § 450j(l)(1) required it to enter into the lease.

Pl. Ex. D, May 15, 2012 Letter to President/CEO of Maniilaq from Director of Tribal Programs,

AANHS, at 2 [ECF No 17-6]. However, citing a lack of appropriated funds, IHS informed Maniilaq

that it would pay only “non-monetary” compensation. Id. at 3. IHS also informed Maniilaq that it

believed that “leases are not attached to funding agreements by reference or otherwise.” Id. IHS took

the position that in order to enter into the lease, Maniilaq would have to submit to the IHS’s Lease

Priority System (“LPS”). Id. IHS and Maniilaq continued to discuss the Ambler lease, but could not

come to an agreement.

On November 28, 2012, Maniilaq sent IHS a letter describing the parties’ negotiations and

proposing that IHS enter into a § 450j(l)(1) lease for the Ambler VBC. Pl. Mot. at 11-13; see Pl. Ex.

E, Letter to Area Director, AANHS, from President/CEO of Maniilaq Assoc (“November 28 letter”),

ECF No. [17-7], at 4. The letter was four pages long and attached to the copy of the proposed lease.

In the final paragraph of the third page, Maniilaq wrote: “Enclosed please find a proposed lease for

the Ambler Clinic, submitted in accordance with the final offer provisions of Section 507 of the

ISDEAA, 25 U.S.C. § 458aaa-6.” Id. at 3. Maniilaq proposed a lease totaling $172,536 per year with

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