New England Health Care, Employees Union, District 1199 v. Rowland

170 F. Supp. 2d 199, 2001 U.S. Dist. LEXIS 5292
CourtDistrict Court, D. Connecticut
DecidedApril 17, 2001
DocketCivil Action 301CV464JCH
StatusPublished
Cited by3 cases

This text of 170 F. Supp. 2d 199 (New England Health Care, Employees Union, District 1199 v. Rowland) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
New England Health Care, Employees Union, District 1199 v. Rowland, 170 F. Supp. 2d 199, 2001 U.S. Dist. LEXIS 5292 (D. Conn. 2001).

Opinion

RULING ON PLAINTIFF S MOTION FOR TEMPORARY RESTRAINING ORDER AND PRELIMINARY INJUNCTION [DKT. NO. 1]

HALL, District Judge.

This is an action for injunctive relief and declaratory judgment arising from the conduct of the defendants, the Honorable John G. Rowland, Governor of the State of Connecticut, and Patricia Wilson-Coker, Commissioner of the Department of Social Services (“defendants”), in connection with a one-day strike by members of the plaintiff Union, New England Health Care Employees Union, District 1199, SEIU/AFL-CIO (“District 1199”). District 1199 alleges that the defendants’ use of State power in connection with an ongoing labor dispute and'strike between District 1199 and *201 forty Connecticut nursing homes violated its members’ First Amendment rights and interfered with its members’ rights protected by the National Labor Relations Act (“NLRA”). This action is brought pursuant to 42 U.S.C. § 1983. 1

Pending before the court is District 1199’s motion for a Temporary Restraining Order and Preliminary Injunction [Dkt. No. I]. 2 District 1199 asks the court to enjoin the defendants from:

1. [ajpplying Conn. Gen.Stat. § 17b-340 in a manner that permits the [Department of Social Services (“DSS”) ] to make direct and/or expedited reimbursement to licensed nursing homes for strike preparations or strike-related costs, as described in Deputy Commissioner Michael Starkowski’s February 7, 2001 letter to providers .... [and] 2.[d]eploying National Guard/State Militia personnel, during any nursing home strike conducted by Plaintiff union, to perform routine tasks on behalf of nursing home owners that are normal strike operation responsibilities of nursing home owners, absent emergency conditions affecting the health or safety of residents in any affected nursing home.

Plaintiffs Proposed Order of Relief [Dkt. No. 27],

The issue presented by District 1199’s motion is whether federal labor policy preempts the authority of the State to reimburse immediately the Medicaid portion of the costs of replacement workers for struck private sector nursing homes, to provide other state services to support the employers’ ability to withstand a strike, and to use the National Guard to provide transportation for replacement workers. 3 Because the court concludes that, on the record before it, District 1199 has not established a likelihood of success on the merits, the motion for preliminary injunction is denied.

I. FINDINGS OF FACT 4

A. District 1199 and Connecticut Nursing Homes

District 1199 is a labor organization within the meaning of Section 2(a) of the *202 National Labor Relations Act (“NLRA”), 29 U.S.C. § 152(5). District 1199 represents approximately 7,000 union members who are employed at seventy-one nursing homes in Connecticut. These members are employed as registered nurses, licensed practical nurses, nurses’ aides, housekeepers, and in maintenance, laundry, clerical, and other positions.

The State of Connecticut currently has approximately 250 licensed nursing homes, with 30,000 licensed nursing home beds. Connecticut nursing homes are regulated by the State of Connecticut under the auspices of the Department of Public Health (“DPH”). DPH establishes and monitors the level of care and staffing required to maintain the safety, health, and welfare of the nursing home residents. Conn. Gen. Stat. §§ 19a~493, 19a-496. DPH is responsible by state statute for assessing the care and services provided to these nursing home residents in order to determine that the residents’ health, safety, and welfare are being properly cared for. Id.

In order to ensure the safety of nursing home residents during any strike, DPH requires nursing homes to submit strike contingency plans. Id. § 19a-497. In the past, nursing homes have prepared for strikes or other job actions by making alternative preparations for the care of residents- obtaining volunteers, hiring temporary replacement workers, or requiring supervisors to provide resident care. In some instances, nursing homes have moved residents, stopped admitting new residents, or otherwise curtailed operations. During previous nursing home strikes, the State has sent inspectors or monitors to the nursing homes to ensure that residents were continuing to receive care during the strike. In addition, should the health and safety of nursing home residents be jeopardized by a strike, the State, through the Commissioner of the Department of Public Health, can seek the appointment of a receiver, stop admissions, move nursing home residents, or limit the license of a nursing home. See id. §§ 19a-485 through 19a-560.

Approximately 76% of the residents in the nursing homes affected by the strike at issue in this case are covered by the federal Medicaid program. See 42 U.S.C. §§ 1396-1396v. Under that program, the State, through its Department of Social Services (“DSS”), reimburses nursing homes for the cost of the food, shelter, and medical care of those residents covered by the Medicaid Program. 5 The federal government reimburses the State for 50% of its allowable Medicaid costs. Approximately 10% of the State’s budget is spent on Medicaid for nursing homes.

DSS reimburses each Connecticut nursing home the facility’s “base rate” for care provided to Medicaid-eligible residents. Conn. Gen.Stat. § 17b-340. Each facility’s “base rate” is determined by DSS periodically under a methodology that utilizes the historical costs of providing care at a particular nursing home. A facility’s historical costs of providing care are determined from a report that the facility is required to provide annually to DSS itemizing all expenditures for the fiscal year ending on September 30. Id. § 17b-340(a). State law puts caps on spending in many different áreas, which caps affect the provision in the law that allows reimbursement for reasonable costs mandated by collective *203 bargaining agreements. Id. State law provides for calculation of each facility’s base reimbursement rate once every two to four years. Id. § 17b-340(f)(8). DSS has concluded that the cap does not apply to “extraordinary” costs as allowed under Connecticut General Statute § 17b-340(a).

B. 1999 Strike-related Reimbursements

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Bluebook (online)
170 F. Supp. 2d 199, 2001 U.S. Dist. LEXIS 5292, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-england-health-care-employees-union-district-1199-v-rowland-ctd-2001.