New York State Ass'n v. Axelrod

213 A.D.2d 18, 629 N.Y.S.2d 335
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJuly 13, 1995
StatusPublished
Cited by5 cases

This text of 213 A.D.2d 18 (New York State Ass'n v. Axelrod) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
New York State Ass'n v. Axelrod, 213 A.D.2d 18, 629 N.Y.S.2d 335 (N.Y. Ct. App. 1995).

Opinion

OPINION OF THE COURT

White, J.

This contempt application has its origins in the adoption by the State Department of Health (hereinafter DOH) of a new method for Medicaid reimbursement to nursing homes called the "Long Term Care Case Mix Reimbursement System”.1 After a few months of experience with this system, DOH concluded that a downward adjustment of the rates was necessary to account for their purported artificial increase due to improved reporting of patient care, known as "paper optimization”. Accordingly, it promulgated a regulation imposing an [21]*21across-the-board 3.035% reduction, or "recalibration”, in the direct component of the Medicaid reimbursement rate (10 NYCRR former 86-2.31 [a]). The implementation date for this regulation was July 1, 1987, retroactive to January 1, 1987 (10 NYCRR former 86-2.31 [b]).

Plaintiff, a nonprofit association of all 62 counties in New York, 42 of which own and operate nursing homes or residential health facilities, brought a CPLR article 78 proceeding in October 1987 challenging the regulation. Supreme Court converted the proceeding into a declaratory judgment action and subsequently declared the recalibration regulation null and void. Its judgment, entered May 1, 1989, directed DOH "to recompute the Medicaid reimbursement rate in effect from January 1, 1987 onward for each county nursing home without reference to, or utilization of, the recalibration regulation.” On appeal, we reversed on the ground, inter alia, that the proceeding was barred by the four-month Statute of Limitations (New York State Assn. of Counties v Axelrod, 156 AD2d 14, 17). The Court of Appeals reversed and, on June 27, 1991, reinstated Supreme Court’s judgment (New York State Assn. of Counties v Axelrod, 78 NY2d 158, 177). DOH then recalculated the 1987 and 1988 reimbursement rates for the nursing homes of plaintiffs members without any recalibration adjustment and paid the withheld recalibration moneys to the nursing homes in September 1991.2 For the 1989, 1990 and 1991 rate years, DOH promulgated a new recalibration methodology providing for a recalibration rate of between 0% and 3.035% based on facility-specific factors rather than Statewide average data (10 NYCRR 86-2.31 [a]).

Plaintiff responded by moving by order to show cause to enforce the reinstated judgment and to restrain DOH from retroactively applying the new recalibration regulation. Supreme Court granted the motion and in an order entered April 10, 1992 directed DOH, inter alia, to recalculate the county nursing home rates for the years 1989 through 1991 "so as to include an additional 3.035 percent in the direct component in said rates” and to pay the moneys due within 45 days. By memorandum and order entered March 18, 1993, we affirmed (New York State Assn. of Counties v Axelrod, 191 AD2d 932). On March 26, 1993, DOH served a notice of intention to seek leave to appeal to the Court of Appeals and ultimately moved for such relief, which motion was dismissed [22]*22on July 1, 1993 (New York State Assn. of Counties v Axelrod, 82 NY2d 705). DOH then submitted a motion for leave to appeal to this Court which we denied on August 11, 1993. At that point, DOH recalculated the nursing homes’ 1989 through 1991 rates without any recalibration adjustment and issued payment ($13,498,376) to them in late September 1993.

On August 30, 1993, plaintiff brought on this contempt application wherein it also sought an award of postdecision and postjudgment interest along with an injunction restraining DOH from imposing the gross receipts assessment set forth in Public Health Law § 2807-d on the reimbursement moneys the nursing homes received for the 1989 through 1991 rate years. Supreme Court found DOH in civil contempt for failing to comply with its May 1989 judgment and April 1992 order, levied a fine of $13,498,876 and restrained DOH from withholding any moneys pursuant to Public Health Law § 2807-d, but denied plaintiffs request for interest. On reargument, Supreme Court, pursuant to CPLR 5002 and 5003, awarded plaintiff postdecision and postjudgment interest amounting to $6,797,730. These appeals ensued.

The first issue we confront is whether DOH was properly found to be in civil contempt. To sustain a civil contempt, it must be shown, inter alia, that a lawful judicial order expressing an unequivocal mandate was in effect and was disobeyed (see, McCain v Dinkins, 84 NY2d 216, 226). Applying this standard, an order of contempt was not warranted where the order that was allegedly disobeyed was ambiguous or did not specifically direct or prohibit the performance of a certain act (see, Lubitz v Mehlman, 187 AD2d 97, 103, lv dismissed 82 NY2d 705; Matter of Korn v Gulotta, 186 AD2d 195, 197, lv dismissed 81 NY2d 759; Town of Virgil v Ford, 184 AD2d 901, 903). Here, Supreme Court’s May 1989 judgment did not dictate a specific methodology to be used upon the recomputation of the reimbursement rates (see, Matter of Jewish Home & Infirmary v Commissioner of N. Y. State Dept. of Health, 84 NY2d 252, 269 [Levine, J., dissenting]). Moreover, at the time of Supreme Court’s judgment, when a rate determination was judicially annulled, case law indicated that, upon remittal, it was within DOH’s discretion to determine the proper reimbursement rate (see, Matter of Cabrini Med. Ctr. v Axelrod, 177 AD2d 824, 825, lv denied 79 NY2d 755; Matter of Brook-dale Hosp. Med. Ctr. v Axelrod, 120 AD2d 144, 148). Therefore, for these reasons and as it was not settled until recently that DOH lacked the authority to apply the new recalibration [23]*23regulation retroactively to the 1989 through 1991 rate years (see, Matter of Jewish Home & Infirmary v Commissioner of N. Y. State Dept. of Health, supra, at 265), we find that an order of contempt cannot be predicated upon Supreme Court’s May 1989 judgment.

Indisputably, Supreme Court’s April 10, 1992 order expresses an unequivocal mandate; however, it is equally clear that its enforcement was stayed until March 24, 1993 by reason of DOH’s appeal to this Court (see, CPLR 5519 [a] [1]; [e]). The critical question is whether it was stayed beyond that date. Plaintiff maintains that it was not because DOH did not file its notice of intention to seek leave to appeal until March 26, 1993, two days beyond the five-day period provided for in CPLR 5519 (e).

In our view, the only effect of DOH’s delay , was that the automatic stay lapsed for two days before being reinstated under CPLR 5519 (a) (1) when the notice of intention was filed (see, Matter of Willoughby Nursing Home v Axelrod, 113 AD2d 617, 620). Inasmuch as the stay, once reinstated, continued until we denied DOH’s motion for leave to appeal in August 1993, and as DOH was not obligated to comply with the order during the two-day period the automatic stay had lapsed, it cannot be found to have disobeyed the order.

For the foregoing reasons, and as the record shows that DOH complied with the April 10, 1992 order within 45 days of the termination of the appellate process, we shall reverse the contempt citation against it which necessarily negates the fine imposed by Supreme Court.

We also reverse Supreme Court’s award of interest in light of our consistent holdings that there is no statutory authority, express or implied, for such an award under these circumstances (see, Matter of New York State Health Facilities Assn. v Axelrod, 199 AD2d 752, 754,

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Bluebook (online)
213 A.D.2d 18, 629 N.Y.S.2d 335, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-york-state-assn-v-axelrod-nyappdiv-1995.