Price v. Wolford

608 F.3d 698, 2010 U.S. App. LEXIS 12411, 2010 WL 2403530
CourtCourt of Appeals for the Tenth Circuit
DecidedJune 17, 2010
Docket09-6139
StatusPublished
Cited by84 cases

This text of 608 F.3d 698 (Price v. Wolford) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Price v. Wolford, 608 F.3d 698, 2010 U.S. App. LEXIS 12411, 2010 WL 2403530 (10th Cir. 2010).

Opinion

HARTZ, Circuit Judge.

The Oklahoma Health Care Authority (OHCA) asserted a $544,282.26 Medicaid lien on a $1.1 million settlement of Plaintiffs’ malpractice suit against Dr. Dale Wolford. The district court, however, allotted OHCA only $67,666.67 in full satisfaction of the lien. OHCA appeals, contending (1) that the district court lost jurisdiction of the malpractice litigation when OHCA’s intervention as a defendant destroyed diversity of citizenship; (2) that the district court erred in not conducting an evidentiary hearing at which OHCA could challenge the reduction of its lien; and (3) that the district court did not comply with Oklahoma law when it reduced OHCA’s lien. We reject the jurisdictional argument because the supplemental-jurisdiction statute, 28 U.S.C. § 1367, permitted the joinder of OHCA as a nondiverse defendant. We reject OHCA’s second contention because it did not timely request an evidentiary hearing. As for its final contention, we hold that the district court correctly construed Oklahoma law but erred in finding that the settling parties had proved by clear and convincing evidence that only $67,666.67 of the settlement could be attributed to medical care paid by Medicaid. We therefore reverse and remand for further proceedings.

I. BACKGROUND

On May 21, 2004, plaintiff Stacy Price gave birth to her daughter, K.J., at Grady Memorial Hospital in Chickasha, Oklahoma. The father is plaintiff Chad James. K.J. was born with severe brain damage and other disabilities, which have required and will continue to require significant medical care. Ms. Price, on behalf of K.J., applied for and received Medicaid benefits. As a condition of receiving benefits, she assigned to OHCA — the Medicaid agency for Oklahoma — the right to receive any payments from a third party for K.J.’s medical care. See 42 U.S.C. § 1396k(a)(l)(A) (states must require Medicaid recipients to assign such rights). In addition, Oklahoma law places a statutory lien on such payments. See Okla. Stat. tit. 63, § 5051.1(D) (2009).

On September 25, 2007, Ms. Price and Mr. James, individually and as next friends of K.J., sued Dr. Wolford, who had delivered K.J., for alleged negligence during labor and delivery. The United States District Court for the Western District of Oklahoma had jurisdiction under 28 U.S.C. *701 § 1332 because Plaintiffs were residents of Oklahoma and Dr. Wolford was a resident of Maryland. Plaintiffs claimed damages for medical expenses and loss of consortium with then- daughter. Their expert, Lon Huff, estimated the lifetime cost of K.J.’s care at just over $12 million. Dr. Wolford moved to limit or exclude Mr. Huffs testimony as unreliable, but the district court denied the motion after a hearing to determine whether the testimony satisfied the requirements of Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579, 113 S.Ct. 2786, 125 L.Ed.2d 469 (1993). During a settlement conference on June 30, 2008, the parties agreed to settle for $1.1 million; counsel for OHCA was present and did not object to the settlement total. As of June 22, 2008, OHCA had paid $544,282.26 of KJ.’s medical expenses.

On July 24 Plaintiffs and Dr. Wolford filed a joint motion asking the district court to approve the settlement. The motion, which was served on OHCA, attached a proposed order allocating $37,666.67 to OHCA in full satisfaction of its lien. On August 6 the court held a “friendly suit” hearing attended by attorneys for Plaintiffs, Dr. Wolford, and OHCA. The court was informed that the case had settled for $1.1 million, of which $30,000 was to go to Mr. James for the expenses he had incurred in caring for K.J., and $37,666.67 was to go to OHCA. OHCA objected to the allocation. In response, Plaintiffs’ attorney pointed to Mr. Huffs $12 million estimate of the cost of K. J.’s lifetime care and contended that “Medicaid is only entitled to its proportionate share of the settlement proceeds versus what the overall damages were that could have been claimed in the case.” Aplt.App. at 142. OHCA’s attorney responded that Plaintiffs had provided OHCA with no information regarding the asserted $12 million value of their claim.

Upon a suggestion by Plaintiffs’ attorney, the court invited briefing, and OHCA’s attorney requested permission to file a motion to intervene so that she could file a brief. The court granted the request and deferred its decision on the settlement pending full briefing by the parties on the allocation to OHCA. OHCA filed its motion to intervene and supporting brief on August 15, attaching a proposed answer and counterclaim. The motion and brief argued against the proposed lien payment of $37,666.67, but did not request an evidentiary hearing to present additional evidence. The proposed answer stated the cost of K.J.’s care, and the counterclaim asserted OHCA’s entitlement to recover $544,282.26 from the settlement proceeds. OHCA also submitted a brief on legal issues regarding Medicaid liens. Addressing the proposed settlement allocation, the brief noted that “no evidence has been submitted regarding Plaintiffs’ valuation of their case[;] the OHCA has certainly not stipulated to any valuation other than the amount Plaintiffs determined was appropriate to settle KJ.’s claims for.” Id. at 74.

The district court granted OHCA’s motion to intervene, but gave little relief. Finding that Plaintiffs and Dr. Wolford had proved the propriety of their proposed allocation by clear and convincing evidence, as required by Oklahoma law, see Okla. Stat. tit. 63, § 5051.1(D)(1)(d), it ordered that OHCA be paid $67,666.67 in full satisfaction of its lien. It agreed with Plaintiffs and Dr. Wolford that the ratio of the $37,666.66 set aside for OHCA’s lien to the total lien of $544,288.26 is roughly equal to the ratio of the $1.1 million settlement amount to Plaintiffs’ damages (including K.J.’s lifetime expenses of $12 million); but it then redirected to OHCA the $30,000 that the settlement agreement had allocated to Mr. James for KJ.’s medical expenses.

*702 On November 6, 2008, OHCA filed a motion under Fed.R.Civ.P. 59 asking the district court to modify its judgment or dismiss the action on the ground that OHCA’s intervention destroyed diversity. The court denied the motion and OHCA appealed. It asserts (1) that its intervention destroyed diversity because it is not a citizen of a state, (2) that it was entitled to an evidentiary hearing on the propriety of the settlement allocation, and (3) that Oklahoma law requires that it be paid its full lien amount from the settlement proceeds because Plaintiffs have not proved the propriety of their allocation of those proceeds.

II. DISCUSSION

A. Jurisdiction

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Bluebook (online)
608 F.3d 698, 2010 U.S. App. LEXIS 12411, 2010 WL 2403530, Counsel Stack Legal Research, https://law.counselstack.com/opinion/price-v-wolford-ca10-2010.