Planned Parenthood Association of Utah v. Richard S. Schweiker, Secretary, U.S. Department of Health and Human Services

700 F.2d 710, 226 U.S. App. D.C. 139, 1983 U.S. App. LEXIS 30396
CourtCourt of Appeals for the D.C. Circuit
DecidedFebruary 18, 1983
Docket82-2334
StatusPublished
Cited by11 cases

This text of 700 F.2d 710 (Planned Parenthood Association of Utah v. Richard S. Schweiker, Secretary, U.S. Department of Health and Human Services) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Planned Parenthood Association of Utah v. Richard S. Schweiker, Secretary, U.S. Department of Health and Human Services, 700 F.2d 710, 226 U.S. App. D.C. 139, 1983 U.S. App. LEXIS 30396 (D.C. Cir. 1983).

Opinion

McGOWAN, Senior Circuit Judge:

In past years the Utah Department of Health and two private nonprofit organizations, Planned Parenthood Association of Utah and Park City Community Clinic, have all received annual funds under title X of the Public Health Service Act to provide comprehensive family planning services, excluding abortions, to Utah citizens. See 42 U.S.C.A. §§ 300 to 300a-6a (1982). In its most recent title X award, however, the Department of Health and Human Services (HHS) granted all funds bound for Utah to the state health department. Planned Parenthood and Park City challenged the award in the District Court, chiefly on the grounds that the award violated title X and applicable regulations because (1) the state health department seems forbidden by a recent state enactment from providing services to unmarried minors whose parents do not first consent in writing, and (2) either HHS did not pay sufficient heed to the private organizations’ statutory right to apply directly for a grant, or Utah did not give them an adequate opportunity to par *712 ticipate in the development of its consolidated grant application.

The District Court denied the plaintiffs’ claim for a preliminary injunction and granted HHS’s motion for summary judgment. In doing so it avoided ruling on the effect that the Utah consent law had on the propriety of HHS’s decision to grant all title X funds to the state health department. Although we find that the District Court erred in failing to consider the plaintiffs’ consent contentions, we nonetheless affirm the District Court’s disposition. We find that Utah has provided adequate assurances that it will give unmarried minors who lack parental consent access to title X services, and that the procedures through which HHS consolidated this grant at the state level were adequate under the statute and regulations.

I

Title X authorizes the Secretary of HHS “to make grants to and enter into contracts with public or nonprofit private entities to assist in the establishment and operation of voluntary family planning projects which shall offer a broad range of acceptable and effective family planning methods and services.” Id. § 300(a). 1 Before July 1977 Planned Parenthood received funds under this program directly from HHS. With the grant awarded in July 1977, for reasons not entirely clear, Planned Parenthood began to receive title X funds as a “delegate” agency of the state of Utah. This new arrangement had no apparent consequences on Planned Parenthood’s programs or level of funding; it simply meant that Planned Parenthood’s funds passed first through the state of Utah’s hands.

In July 1980 Planned Parenthood once again began to receive funds directly from HHS. This switch was prompted by a statement of intent passed by the Utah legislature which declared that, in administering title X funds, the state could contract only with other public entities and thus that private organizations like Planned Parenthood could no longer serve as delegates of the state. Appellant’s Addendum at 73 (affidavit of Planned Parenthood’s executive director). Thus, to continue Planned Parenthood’s funding, HHS returned in its July 1980 award to its prior practice of funding the private organization directly. 2

Before HHS awarded its July 1981 grant, the Utah state legislature passed Senate Bill 3. 3 Although the reach of S.B. 3 is now *713 somewhat in doubt, the bill seemed at the time to prohibit state agencies from providing even title X contraceptive services to unmarried minors who lacked parental consent. HHS officials in the regional office responsible for Utah were concerned that a consent requirement for minors might violate department regulations, which require title X projects to provide services “without regard to ... age,” 42 C.F.R. § 59.5(a)(4) (1982). See Appellant’s Addendum at 67 (memorandum to regional health administrator). The problem, however, was not new. In the previous grant year, before S.B. 3 was passed, the Utah state health department was already refusing to serve unmarried minors whose parents had not consented. HHS’s regional health administrator believed that this informal policy did not necessarily violate the regulations, because the state health department referred these minors to Planned Parenthood or Park City, “which, in effect, satisfied the requirements of title X since they were seeing that these individuals received their services.” Id. at 68 (letter from regional health administrator to deputy director of Office of Intergovernmental Affairs). The regional health administrator, however, was apparently unsure whether S.B. 3 would affect this prior practice, and he asked for advice from an HHS regional attorney. See id. at 70 (letter from regional health administrator to assistant secretary for health). Yet before the legal questions were fully answered, the date for awarding the grant slipped by, and after a brief delay HHS awarded its July 1981 funds as it had the year before: some directly to Planned Parenthood and Park City, some to the state health department. Presumably, the regional health administrator thought that if the state continued to refer minors to the other title X grantees, the grant would conform with the regulations. And the grant decision was not irreversible: “if these organizations don’t fulfill the requirements of title X,” he reasoned, “we can take the money back.” Id. at 69 (regional health administrator to deputy director of Office of Intergovernmental Affairs).

It is the next year’s grant, originally scheduled to be awarded in July 1982, that is the subject of this appeal. In March 1982 each of the three Utah grantees submitted applications for renewal of their grants, the state health department requesting all the title X money slated to finance projects within the state. Based on its application as it then stood, however, the state health department would never have received all the funds bound for the state. Dr. Edward D. Martin, then director of HHS’s Bureau of Community Health Services, 4 found the application incomplete in two respects. Martin Deposition at 57-59. First, it made assurances for serving only approximately 4,000 of the 12,000 eligible patients in the state. Second, it did not reflect consultation with the other grantees, Planned Parenthood and Park City. HHS regulations require that applications to consolidate services in a single grantee document that “local or regional entities” that have previously provided family planning services, or that propose to do so, have been given, “to *714 the maximum feasible extent, an opportunity to participate in the development of the [consolidated] application.” 42 C.F.R. § 59.5(a)(10)(i) (1982). 5

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700 F.2d 710, 226 U.S. App. D.C. 139, 1983 U.S. App. LEXIS 30396, Counsel Stack Legal Research, https://law.counselstack.com/opinion/planned-parenthood-association-of-utah-v-richard-s-schweiker-secretary-cadc-1983.