New York Therapeutic Technologies, Inc. v. Shalala (In Re Orthotic Center, Inc.)

193 B.R. 832, 1996 U.S. Dist. LEXIS 7467, 1996 WL 112312
CourtDistrict Court, N.D. Ohio
DecidedJanuary 30, 1996
Docket1:95CV1560
StatusPublished
Cited by2 cases

This text of 193 B.R. 832 (New York Therapeutic Technologies, Inc. v. Shalala (In Re Orthotic Center, Inc.)) is published on Counsel Stack Legal Research, covering District Court, N.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
New York Therapeutic Technologies, Inc. v. Shalala (In Re Orthotic Center, Inc.), 193 B.R. 832, 1996 U.S. Dist. LEXIS 7467, 1996 WL 112312 (N.D. Ohio 1996).

Opinion

MEMORANDUM OF OPINION AND ORDER

MATIA, District Judge.

This is an appeal from an order of the bankruptcy court entered in Bankruptcy Case No. 95-11675. After examination of the briefs and record, this Court determines that oral argument is not needed. Bankr. Rule 8012,11 U.S.C.

The bankruptcy court determined that the Secretary of Health and Human Services (“Secretary” or “HHS”) was in violation of the automatic stay when she suspended Medicare reimbursement to the debtors on the ground of suspected fraud. The reimbursement suspensions against two of the debtors occurred on December 16, 1994, and March 30, 1995. On April 13, 1995, the Secretary (through one of her carriers) notified both debtors that all of the claims they had billed were not covered under Medicare and that they had been overpaid in excess of $2,000,000, which was required to be repaid.

The very next day, April 14, 1995, the debtors commenced a Chapter 11 proceeding, and they subsequently filed a motion for a determination that the Secretary was in violation of the automatic stay. More than a month after the commencement of the Chapter 11 proceeding, the Secretary suspended reimbursement to the other debtors in this case, also on the ground of fraud.

The bankruptcy court orally ruled that the Secretary was in violation of the automatic stay and ordered her to turn over Medicare reimbursement amounts that were suspended and owing to the debtors. In its written decision and judgment issued a few days later, the bankruptcy court limited its ruling to the suspension of payments which had accrued postpetition. (That part of its ruling is the subject of an appeal by the debtors which is currently pending before another judge of this court.) The rulings of the bankruptcy court on questions of law are subject to de novo review, while any factual findings are reviewed under the “clearly erroneous” standard. Trident Assoc. Ltd. Partnership v. Metropolitan Life Ins. Co., 52 F.3d 127, 130 (6th Cir.1995); Michigan Assn. of Indept. Clinical Labs. v. Shalala, 52 F.3d 1340, 1346 (6th Cir.1994); In re Batie, 995 F.2d 85 (6th Cir.1993). Since the issue presented in this appeal is one of law, the review will be on a de novo basis.

The automatic stay provision of the bankruptcy code is found in 11 U.S.C. § 362(a), which provides as follows:

(a) Except as provided in subsection (b) of this section, a petition filed under section 301, 302, or 303 of this title, or an application filed under section 5(a)(3) of the Securities Investor Protection Act of 1970 [citation omitted], operates as a stay, applicable to all entities, of—
(1) the commencement or continuation, including the issuance or employment of *834 process, of a judicial, administrative, or other action or proceeding against the debtor that was or could have been commenced before the commencement of the case under this title, or to recover a claim against the debtor that arose before the commencement of the case under this title;
(2) the enforcement, against the debtor or against property of the estate, of a judgment obtained before the commencement of the case under this title;
(3) any act to obtain possession of property of the estate or of property from the estate or to exercise control over property of the estate;
(4) any act to create, perfect, or enforce any lien against property of the estate;
(5) any act to create, perfect, or enforce against property of the debtor any lien to the extent that such lien secures a claim that arose before the commencement of the case under this title;
(6) any act to collect, assess, or recover a claim against the debtor that arose before the commencement of the case under this title;
(7) the setoff of any debt owing to the debtor that arose before the commencement of the case under this title against any claim against the debtor; and
(8) the commencement or continuation of a proceeding before the United States Tax Court concerning the debtor.

However, there are exceptions to the automatic stay which are found in § 362(b) (only two of which are relevant to this appeal):

(b) The filing of a petition under section 301, 302, or 303 of this title, or of an application under section 5(a)(3) of the Securities Investor Protection Act of 1970 [citation omitted], does not operate as a stay—
Hi * * H? * *
(4) under subsection (a)(1) of this section, of the commencement or continuation of an action or proceeding by a governmental unit to enforce such governmental unit’s police or regulatory power;
(5) under subsection (a)(2) of this section, of the enforcement of a judgment, other than a money judgment, obtained in an action or proceeding by a governmental unit to enforce such governmental unit’s police or regulatory power;
H: H« * * Hs *

The narrow issue in this appeal is the following: Does the Secretary’s suspension of Medicare reimbursement payments come within the automatic stay exception for a governmental unit’s police or regulatory power? The bankruptcy court held that it did not. I respectfully disagree.

The decision of the bankruptcy court relied in great part on In re Medicar Ambulance Co., Inc., 166 B.R. 918 (Bkrtcy.N.D.Cal.1994). However, there is an important factual difference between Medicar and this case: in Medicar, HHS conceded that the suspended payments were property of the estate. HHS makes no such concession in this case. To the extent that that difference does not support a different result in this case, this court declines to follow Medicar.

In the instant case, the Secretary’s suspension of payments was not equivalent to the seizure of property of the estate because the right to receive payments is in dispute, and the payments are not the property of the debtor until the dispute is decided in its favor. As the court said in U.S. v. Inslaw, Inc., 932 F.2d 1467 (D.C.Cir.1991), “It is settled law that the debtor cannot use the turnover provisions to liquidate contract disputes or otherwise demand assets whose title is in dispute.” (p. 1472) (Citations omitted.)

This Court further disagrees with the Medicar court’s interpretation of the public policy test (p. 926). That court said:

The public policy test distinguishes between proceedings that effectuate public policy and those that adjudicate private rights.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
193 B.R. 832, 1996 U.S. Dist. LEXIS 7467, 1996 WL 112312, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-york-therapeutic-technologies-inc-v-shalala-in-re-orthotic-center-ohnd-1996.