Physicians' Specialty Hospital, LLC v. Arkansas Department of Human Services, Division of Medical Services And the Arkansas Hospital Association

2023 Ark. App. 197, 666 S.W.3d 107
CourtCourt of Appeals of Arkansas
DecidedApril 5, 2023
StatusPublished

This text of 2023 Ark. App. 197 (Physicians' Specialty Hospital, LLC v. Arkansas Department of Human Services, Division of Medical Services And the Arkansas Hospital Association) is published on Counsel Stack Legal Research, covering Court of Appeals of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Physicians' Specialty Hospital, LLC v. Arkansas Department of Human Services, Division of Medical Services And the Arkansas Hospital Association, 2023 Ark. App. 197, 666 S.W.3d 107 (Ark. Ct. App. 2023).

Opinion

Cite as 2023 Ark. App. 197 ARKANSAS COURT OF APPEALS DIVISION II No. CV-22-197

Opinion Delivered April 5, 2023

PHYSICIANS’ SPECIALTY HOSPITAL, LLC APPEAL FROM THE WASHINGTON APPELLANT COUNTY CIRCUIT COURT [NO. 72CV-16-1370] V.

ARKANSAS DEPARTMENT OF HUMAN HONORABLE CRISTI BEAUMONT, SERVICES, DIVISION OF MEDICAL JUDGE SERVICES; AND THE ARKANSAS HOSPITAL ASSOCIATION APPELLEES AFFIRMED

MIKE MURPHY, Judge

Physicians’ Specialty Hospital (PSH) appeals the decision of the Washington County

Circuit Court granting summary judgment on the issue of liability in favor of the Arkansas

Department of Human Services, Division of Medical Services (DHS). On appeal, PSH argues

that the circuit court erred in finding that the fee levied against it was a lawful assessment.

Oral argument was held, and all counsel present provided thoughtful discussion helpful to

this decision. We affirm.

On July 5, 2016, DHS commenced this action to recover unpaid assessments from

PSH totaling $873,173.28, pursuant to the Hospital Assessment Fee Program, found at

Arkansas Code Annotated sections 20-77-1901 et seq. (Repl. 2018). The stated purpose of

the program is “to levy an assessment fee on hospitals to improve health care access for the citizens of Arkansas.” Act 562 of 2009. To do so, the program imposes a yearly assessment

on nonexempt Arkansas hospitals in an amount calculated as a percentage of each hospital’s

net patient revenue. Ark. Code Ann. § 20-77-1902.

The assessments are paid into a designated “Hospital Assessment Account,” which is

a part of the Arkansas Medicaid Program Trust Fund. Ark. Code Ann. § 20-77-1904. That

account is explicitly designated as “separate and distinct” from the General Revenue Fund

Account of the State Apportionment Fund, and funds in it are supplementary to the

Arkansas Medicaid Program Trust Fund. Id. “Moneys in the Hospital Assessment Account

shall not be used to replace other general revenues appropriated and funded by the General

Assembly or other revenues used to support Medicaid.” Ark. Code Ann. § 20-77-1904(d).

This money is matched by the United States Department of Health and Human Services,

Centers for Medicare and Medicaid Services (CMS) and then distributed back to the

participating hospitals pro rata to how many patients on Medicaid each hospital treats. Ark.

Code Ann. § 20-77-1904(d).

The parties agree that a great majority of the levied hospitals realize a net gain under

the program. PSH, however, does not. Over a four-year period, PSH alleges to have lost over

a million dollars to the program, whereas other hospitals have realized a net gain of twenty

million and more. Without question, if PSH accepted more Medicaid patients, it would

receive more in access payments. But, PSH argues, it is a specialty hospital (a term of art in

this area of law discussed in greater detail later) with twenty beds, “no real emergency room,”

and is “not equipped to ‘accept’ large numbers of Medicaid patients in order to make this

2 system work.” PSH contends that because it is not “on the same footing” as “larger public

hospitals” it could never accept enough Medicaid patients to have its tax bear a reasonable

relationship to its assessment.

To that end, when DHS brought this action to recover unpaid assessment fees, PSH

counterclaimed, alleging that the assessment was (1) an illegal exaction, (2) in violation of

federal law, and (3) in violation of equal-protection principles. The counterclaim further

sought to recoup $717,713.74 of assessments already paid by PSH under the program.

DHS moved for summary judgment on the issue of liability, which the circuit court

granted. In that order, the court wrote that the program does not involve a “public fund”

under article 16, section 13 of the Arkansas Constitution and that it is not a “tax.” The court

explained that “[t]he actual benefit of the [program] is maximized federal contribution, with

greater payment to Medicaid hospital providers,” resulting in lessened expenses for hospitals

and Arkansans. It found that PSH benefits from the payments from the program directly in

proportion to its Medicaid discharges. The court further found that the program, fees, and

payments are fair and reasonable and in compliance with federal regulations and the CMS

waiver requirements. Finally, the court found that the program is rationally based on

legitimate government objectives, and PSH did not demonstrate any equal-protection

violations.

PSH timely appealed the grant of summary judgment.

As we have often stated, summary judgment is to be granted by a circuit court if the

pleadings, depositions, answers to interrogatories and admissions on file, together with

3 affidavits, if any, show that there is no genuine issue of material fact and that the moving

party is entitled to judgment as a matter of law. Ark. R. Civ. P. 56; Gonzales v. City of DeWitt,

357 Ark. 10, 14–15, 159 S.W.3d 298, 301 (2004). The purpose of summary judgment is not

to try the issues but to determine whether there are any issues to be tried. Fryar v. Roberts,

346 Ark. 432, 57 S.W.3d 727 (2001).

Summary judgment is to be granted by a circuit court only when there are no genuine

issues of material fact to be litigated and the moving party is entitled to judgment as a matter

of law. Id. Once a moving party has established a prima facie entitlement to summary

judgment, the opposing party must meet proof with proof and demonstrate the existence of

a material issue of fact. Id. On appeal, we determine if summary judgment was appropriate

by deciding whether the evidentiary items presented by the moving party in support of its

motion leave a material fact unanswered. Id. This court views the evidence in a light most

favorable to the party against whom the motion was filed, resolving all doubts and inferences

against the moving party. Id. Our review is not limited to the pleadings—we also focus on the

affidavits and other documents filed by the parties. Id. After reviewing undisputed facts,

summary judgment should be denied if, under the evidence, reasonable men might reach

different conclusions from those undisputed facts. Allen v. Allison, 356 Ark. 403, 413, 155

S.W.3d 682, 689 (2004).

I. Fee or Tax

PSH does not argue that there are material facts in dispute; instead, it contends that

the court erred in its application of the facts to the law. It first explains that the circuit court

4 erred in finding that the fee imposed by the program is not a “tax.” The distinction is

important because unless the fee is a “tax,” PSH’s illegal-exaction arguments automatically

fail.

Illegal-exaction lawsuits in Arkansas are authorized under article 16, section 13 of the

Arkansas Constitution, which provides, “Any citizen of any county, city or town may institute

suit on behalf of himself and all others interested, to protect the inhabitants thereof against

the enforcement of any illegal exactions whatever.” An illegal exaction is defined as any

exaction that either is not authorized by law or is contrary to law. McCafferty v. Oxford Am.

Literary Project, Inc., 2016 Ark. 75, at 2–3, 484 S.W.3d 662, 664. Two types of illegal-exaction

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