New York State Health Facilities Ass'n v. Carey

76 F.R.D. 128, 23 Fed. R. Serv. 2d 1576, 1977 U.S. Dist. LEXIS 14487
CourtDistrict Court, S.D. New York
DecidedAugust 15, 1977
DocketNo. 75 Civ. 3246
StatusPublished
Cited by7 cases

This text of 76 F.R.D. 128 (New York State Health Facilities Ass'n v. Carey) is published on Counsel Stack Legal Research, covering District Court, S.D. 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 Health Facilities Ass'n v. Carey, 76 F.R.D. 128, 23 Fed. R. Serv. 2d 1576, 1977 U.S. Dist. LEXIS 14487 (S.D.N.Y. 1977).

Opinion

OPINION

WARD, District Judge.

Defendants move for an order pursuant to Rule 60(b), Fed.R.Civ.P.,1 vacating and setting aside the default judgment entered against them on April 20, 1976. For the reasons hereinafter stated, the motion is granted.

Plaintiff, New York State Health Facilities Association, Inc. (“the Association”), is a non-profit association of proprietary nursing homes in New York State. It commenced this action on July 2,1975 and filed an amended complaint on December 3,1975, seeking to challenge certain amendments to regulations of the New York State Department of Health, contained in 10 New York Code of Rules and Regulations (“N.Y.C.R. R.”), Part 86. The amendments were promulgated on April 25, 1975, effective as of March 6, 1975. Plaintiff contends that 10 N.Y.C.R.R. §§ 86.23(d), 86.24(e), 86.30(a), 86.30(b) and 86.32(b), relating to property cost reimbursement to nursing homes, violate Title XIX of the federal Social Security Act, 42 U.S.C. §§ 1396 et seq. (“Title XIX”).

Title XIX authorities a joint federal-state grant-in-aid program. Federal funds are made available to states which have submitted, and had approved by the Secretary of Health, Education and Welfare (“H.E. W.”), state plans for medical assistance. These funds are distributed to the participating states which, in turn, transmit them to nursing homes and health-related facilities rendering services to eligible Medicaid recipients. The challenged regulations were in response to state findings that the prior regulations afforded excessive profits to Medicaid providers. In the past, nursing home operators were able to fully depreciate their facilities, after which they could sell the building to a new owner who would be entitled to reimbursement for the full cost of the facility, not the depreciated cost. The challenged regulations were intended to put an end to this practice. On the other hand, the Association views the new regulatory scheme as an unlawful taking of property.

Defendants failed to answer plaintiff’s amended complaint. On March 15, 1976, plaintiffs filed an Application and Notice for Entry of Default Judgment, pursuant to Rule 55(b), Fed.R.Civ.P. Defendants again failed to respond and this Court granted the unopposed motion on March 29, 1976. Judgment by default was entered against defendants on April 20, 1976. It declared the controverted regulations to be violative of both federal and state law, as well as the United States and New York State Constitutions. Further, the judgment enjoined [130]*130implementation of the challenged regulations. Finally, defendants were ordered to reimburse skilled proprietary nursing homes for property costs based upon the regulations in effect prior to March 6, 1975. The parties agree that reimbursement involves only the period from April 1, 1975 to December 31, 1975.2

The eleventh amendment to the United States Constitution provides:

The Judicial power of the United States shall not be construed to extend to any suit in law or equity, commenced or prosecuted against one of the United States by Citizens of another State, or by Citizens or Subjects of any Foreign State.

The amendment does not literally apply to suits brought against a state by its own citizens; however, for nearly a century, the Supreme Court has construed it to bar such suits. Hans v. Louisiana, 134 U.S. 1, 10 S.Ct. 504, 33 L.Ed. 842 (1890); Employees v. Department of Public Health and Welfare, 411 U.S. 279, 93 S.Ct. 1614, 36 L.Ed.2d 251 (1973).

The default judgment ordered both retroactive and prospective relief. The initial question presented is whether the eleventh amendment deprived this Court of jurisdiction to order the retroactive monetary payments, covering the period April through December 1975.

Though the State of New York is not named as a party to this action, the individual defendants are sued in their official capacities. As recently as May 27,1977, the Second Circuit Court of Appeals has stated:

While there are many factors which must be considered in determining whether a state instrumentality can raise the bar of the Eleventh Amendment in a particular suit, the most significant is whether any liability against the agency must be paid from public funds in the state treasury. Trotman v. Palisades Interstate Park Commission, 557 F.2d 35, 38 (2d Cir., 1977).

This approach is in accord with the Supreme Court rule that the eleventh amendment bars a suit to impose a liability which must be paid from public funds in the state treasury. Great Northern Life Insurance Co. v. Read, 322 U.S. 47, 64 S.Ct. 873, 88 L.Ed. 1121 (1944); Scheuer v. Rhodes, 416 U.S. 232, 94 S.Ct. 1683,40 L.Ed.2d 90 (1974).

The default judgment herein orders the defendants to “recompute and pay over the real property reimbursement due under the Medicaid Program beginning March 6, 1975 without regard to the [challenged amendments].” As defendants correctly contend, this retroactive relief will, as a practical matter, require New York to make payments to the Association from public funds in the state treasury. Thus, the State of New York is the real party in interest.

“It is inherent in the nature of sovereignty not to be amenable to the suit of an individual without its consent.” THE FEDERALIST No. 81, at 508 (H. Lodge ed. 1888) (A. Hamilton). Of course, a state may waive its immunity. However,

[i]n deciding whether a State has waived its constitutional protection under the Eleventh Amendment, we will find waiver only where stated “by the most express language or by such overwhelming implications from the text as [will] leave no room for any other reasonable construction.” Murray v. Wilson Distilling Co., 213 U.S. 151, 171, 29 S.Ct. 458, 464, 53 L.Ed. 742 (1909). Edelman v. Jordan, 415 U.S. 651, 763, 94 S.Ct. 1347, 1361, 39 L.Ed.2d 662 (1974).

On December 31,1975, Congress amended Title XIX. The new law, which was to become effective on January 1, 1976, gave participating states the choice of either including in their state plans a provision consenting to certain suits brought with respect to payment for in-patient hospital services, or facing a 10% reduction in their federal funding. P.L. 94-182, § 111, 89 Stat. 1054, codified at 42 U.S.C. §§ 1396a(g) and 1396b(/). Consequently, on March 30, [131]*1311976, New York executed a waiver of its eleventh amendment immunity. Thereafter, on October 18, 1976, Congress repealed the waiver requirement, by enacting P.L. 94-552, 90 Stat.

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Bluebook (online)
76 F.R.D. 128, 23 Fed. R. Serv. 2d 1576, 1977 U.S. Dist. LEXIS 14487, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-york-state-health-facilities-assn-v-carey-nysd-1977.