Quinn v. District of Columbia
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Opinion
UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA
ANDREW QUINN and JILL COLGAN,
Plaintiffs, Civil Action No. 09-408 (CKK) v.
DISTRICT OF COLUMBIA,
Defendant.
MEMORANDUM OPINION (September 27, 2010)
This case arises under the Individuals with Disabilities Education Act (“IDEA”), 20
U.S.C. §§ 1400 et seq. Plaintiffs, Andrew Quinn and Jill Colgan, are parents of D.Q., a minor
child born approximately fourteen weeks premature in May of 2006. They bring the instant suit
against Defendant District of Columbia (“the District”), alleging that the District violated its
obligations to provide D.Q. with early intervention services under Part C of the IDEA (“Part C”),
20 U.S.C. §§ 1431-45, and seeking reimbursement of $71,430.01 in costs expended on night
nursing services provided to D.Q. from October 25, 2006, through July 2007. The District does
not dispute that it violated its statutory obligations under Part C, but maintains that Plaintiffs are
not legally entitled to reimbursement as they have failed to demonstrate that they are eligible for
financial assistance under the District’s regulations governing payments for Part C early
intervention services. The parties have filed Cross-Motions for Summary Judgment, which are
presently pending before the Court. Upon consideration of those motions, the parties’ respective
briefing, the administrative record, applicable case law, statutory, and regulator authority, as well
as the record of this case as a whole, the Court shall DENY Plaintiffs’ [12] Motion for Summary Judgment and shall GRANT Defendant’s [13] Cross-Motion for Summary Judgment, for the
reasons set forth below.
I. BACKGROUND
A. Statutory Background
The IDEA’s purpose is “to ensure that all children with disabilities have available to them
a free appropriate public education that emphasizes special education and related services
designed to meet their unique needs. . . .” 20 U.S.C. § 1400(d)(1)(A). To further this purpose,
the IDEA’s subchapter III (“Part C”) provides “financial assistance to States to develop and
implement a statewide . . . system that provides early intervention services for infants and
toddlers with disabilities and their families.” Id. § 1431(b)(1). Part C is intended to, inter alia,
“enhance the development of infants and toddlers with disabilities, to minimize the potential for
developmental delay, and to recognize the significant brain development that occurs during a
child’s first 3 years of life.” Id. § 1431(a)(1).
To be eligible to receive federal funds under Part C, the District is required to adopt “a
policy that appropriate early intervention services are available to all infants and toddlers with
disabilities in the State and their families . . . .” Id. § 1434(1). Included in this policy must be a
“comprehensive child find system” that endeavors to locate children in need of early intervention
services. Id. at § 1435(a)(3). Specifically, a Part C recipient state must (1) “[e]nsure that
referrals [of the child to the appropriate public agency] are made no more than two working days
after the child has been identified,” 34 C.F.R. § 303.321(d)(2)(ii); and (2) require that within
forty-five days of a referral an evaluation and assessment of the child are made, and an
Individualized Family Service Plan (“IFSP”) meeting is convened, id.§ 303.321(e)(2)(I)-(ii).
2 An IFSP meeting requires the attendance of, inter alia, the child’s parents, the public
agency employee responsible for implementing the IFSP, and the person evaluating and assessing
the child. See id. § 303.343(a)(I), (iv)-(v). The meeting’s purpose is to create an IFSP for the
child, which is a written document that includes “a statement of specific early intervention
services . . . necessary to meet the unique needs of the infant or toddler and the family, including
the frequency, intensity, and method of delivery services.” 20 U.S.C. § 1436(d)(4). Early
intervention services are services performed by “qualified personnel, including . . . (viii) nurses,”
id. § 1432(4)(F), “to meet the developmental needs of an infant or toddler with a disability,” id. §
1432(4)(D), including occupational therapy, id. § 1432(4)(E)(iv), physical therapy, id. §
1432(4)(E)(v), and “health services necessary to enable the infant or toddler to benefit from the
other early intervention services,” id. § 1432(4)(E)(x). Furthermore, public agencies must
provide “[w]ritten prior notice . . . to the parents of a child eligible under this part within a
reasonable time before a public agency or services provider proposes, or refuses, to initiate or
change . . . the provision of appropriate early intervention services to the child and the child’s
family.” 34 C.F.R. § 303.403(a); see also 20 U.S.C. § 1439(a)(6) (requiring written notice).
As is of particular relevance to the present litigation, early intervention services “are
provided at no cost except where Federal or State law provides for a system of payments by
families, including a schedule of sliding fees.” 20 U.S.C. § 1432(4)(B) (emphasis added). The
District is a recipient of Part C federal funds and, pursuant to section 1432(4)(B), has enacted a
sliding fee scale governing payments for certain early intervention services covered under Part C
3 of the IDEA.1 Under these regulations, “[a] family of an eligible child with an income of two
hundred percent (200%) or greater of the federal poverty guidelines . . . shall be required to pay
the cost or a percentage of the cost for early intervention services” in accordance with the sliding
fee scale set forth in D.C. MUN . REGS. tit. 22-B, § 3028.7. Specifically, a family with an annual
income of less than $28,701 pays 0% of the cost of early intervention services, with increasing
responsibility for the percentage of the cost as the level of the family’s income compared to the
number of family members increases, until annual family income reaches $72,981, at which point
the family becomes ineligible for financial assistance from the District and is responsible for
100% of the cost of early intervention services. Id. at § 3028.1. Accordingly, in approving an
application for early intervention services under Part C, the Infant and Toddlers with Disabilities
Division (“ITDD”), which is responsible for administering the District’s Part C program, must
determine what, if any, percentage of costs are assigned to the family under the District’s sliding
fee scale. Id. §§ 3028.3-4.
B. Factual Background
1. D.Q.
Plaintiffs’ minor child, D.Q., was born fourteen weeks premature in May 2006. Pls.’
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UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA
ANDREW QUINN and JILL COLGAN,
Plaintiffs, Civil Action No. 09-408 (CKK) v.
DISTRICT OF COLUMBIA,
Defendant.
MEMORANDUM OPINION (September 27, 2010)
This case arises under the Individuals with Disabilities Education Act (“IDEA”), 20
U.S.C. §§ 1400 et seq. Plaintiffs, Andrew Quinn and Jill Colgan, are parents of D.Q., a minor
child born approximately fourteen weeks premature in May of 2006. They bring the instant suit
against Defendant District of Columbia (“the District”), alleging that the District violated its
obligations to provide D.Q. with early intervention services under Part C of the IDEA (“Part C”),
20 U.S.C. §§ 1431-45, and seeking reimbursement of $71,430.01 in costs expended on night
nursing services provided to D.Q. from October 25, 2006, through July 2007. The District does
not dispute that it violated its statutory obligations under Part C, but maintains that Plaintiffs are
not legally entitled to reimbursement as they have failed to demonstrate that they are eligible for
financial assistance under the District’s regulations governing payments for Part C early
intervention services. The parties have filed Cross-Motions for Summary Judgment, which are
presently pending before the Court. Upon consideration of those motions, the parties’ respective
briefing, the administrative record, applicable case law, statutory, and regulator authority, as well
as the record of this case as a whole, the Court shall DENY Plaintiffs’ [12] Motion for Summary Judgment and shall GRANT Defendant’s [13] Cross-Motion for Summary Judgment, for the
reasons set forth below.
I. BACKGROUND
A. Statutory Background
The IDEA’s purpose is “to ensure that all children with disabilities have available to them
a free appropriate public education that emphasizes special education and related services
designed to meet their unique needs. . . .” 20 U.S.C. § 1400(d)(1)(A). To further this purpose,
the IDEA’s subchapter III (“Part C”) provides “financial assistance to States to develop and
implement a statewide . . . system that provides early intervention services for infants and
toddlers with disabilities and their families.” Id. § 1431(b)(1). Part C is intended to, inter alia,
“enhance the development of infants and toddlers with disabilities, to minimize the potential for
developmental delay, and to recognize the significant brain development that occurs during a
child’s first 3 years of life.” Id. § 1431(a)(1).
To be eligible to receive federal funds under Part C, the District is required to adopt “a
policy that appropriate early intervention services are available to all infants and toddlers with
disabilities in the State and their families . . . .” Id. § 1434(1). Included in this policy must be a
“comprehensive child find system” that endeavors to locate children in need of early intervention
services. Id. at § 1435(a)(3). Specifically, a Part C recipient state must (1) “[e]nsure that
referrals [of the child to the appropriate public agency] are made no more than two working days
after the child has been identified,” 34 C.F.R. § 303.321(d)(2)(ii); and (2) require that within
forty-five days of a referral an evaluation and assessment of the child are made, and an
Individualized Family Service Plan (“IFSP”) meeting is convened, id.§ 303.321(e)(2)(I)-(ii).
2 An IFSP meeting requires the attendance of, inter alia, the child’s parents, the public
agency employee responsible for implementing the IFSP, and the person evaluating and assessing
the child. See id. § 303.343(a)(I), (iv)-(v). The meeting’s purpose is to create an IFSP for the
child, which is a written document that includes “a statement of specific early intervention
services . . . necessary to meet the unique needs of the infant or toddler and the family, including
the frequency, intensity, and method of delivery services.” 20 U.S.C. § 1436(d)(4). Early
intervention services are services performed by “qualified personnel, including . . . (viii) nurses,”
id. § 1432(4)(F), “to meet the developmental needs of an infant or toddler with a disability,” id. §
1432(4)(D), including occupational therapy, id. § 1432(4)(E)(iv), physical therapy, id. §
1432(4)(E)(v), and “health services necessary to enable the infant or toddler to benefit from the
other early intervention services,” id. § 1432(4)(E)(x). Furthermore, public agencies must
provide “[w]ritten prior notice . . . to the parents of a child eligible under this part within a
reasonable time before a public agency or services provider proposes, or refuses, to initiate or
change . . . the provision of appropriate early intervention services to the child and the child’s
family.” 34 C.F.R. § 303.403(a); see also 20 U.S.C. § 1439(a)(6) (requiring written notice).
As is of particular relevance to the present litigation, early intervention services “are
provided at no cost except where Federal or State law provides for a system of payments by
families, including a schedule of sliding fees.” 20 U.S.C. § 1432(4)(B) (emphasis added). The
District is a recipient of Part C federal funds and, pursuant to section 1432(4)(B), has enacted a
sliding fee scale governing payments for certain early intervention services covered under Part C
3 of the IDEA.1 Under these regulations, “[a] family of an eligible child with an income of two
hundred percent (200%) or greater of the federal poverty guidelines . . . shall be required to pay
the cost or a percentage of the cost for early intervention services” in accordance with the sliding
fee scale set forth in D.C. MUN . REGS. tit. 22-B, § 3028.7. Specifically, a family with an annual
income of less than $28,701 pays 0% of the cost of early intervention services, with increasing
responsibility for the percentage of the cost as the level of the family’s income compared to the
number of family members increases, until annual family income reaches $72,981, at which point
the family becomes ineligible for financial assistance from the District and is responsible for
100% of the cost of early intervention services. Id. at § 3028.1. Accordingly, in approving an
application for early intervention services under Part C, the Infant and Toddlers with Disabilities
Division (“ITDD”), which is responsible for administering the District’s Part C program, must
determine what, if any, percentage of costs are assigned to the family under the District’s sliding
fee scale. Id. §§ 3028.3-4.
B. Factual Background
1. D.Q.
Plaintiffs’ minor child, D.Q., was born fourteen weeks premature in May 2006. Pls.’
1 Certain early intervention services are provided at no cost to the family, regardless of the family’s financial ability to pay, including: “(a) Implementation of child find requirements; (b) Evaluation and assessment, for the purpose of determining whether an infant or toddler has a delay or disabilities which meet the District of Columbia definition of developmental delay; (c) Service coordination services; and (d) Administrative and coordinated activities related to: (1) The development, review, and evaluation of Individualized Family Service Plans; and (2) Implementation of the procedural safeguards.” D.C. MUN . REGS. tit. 22-B, §§ 3028.12-13. Payment for all other early intervention services is governed by the District’s shifting fee scale set forth in section 3028.1.
4 Stmt.2 ¶ 1-2; Admin. Record (“A.R.”) at 5 (HOD), 125-26 (Letter from Alison Greenleaf, Nurse
Practitioner, Coordinator of the High Risk/BPD/Apnea Clinic, Georgetown Univ. Hospital (Nov.
30, 2006)). Due to severe heath complications, D.Q. remained hospitalized for the first five and
a half months of his life. Pls.’ Stmt. ¶ 3; A.R. at 5 (HOD). D.Q. was eventually discharged from
the Hospital for Sick Children (“HSC”) on October 25, 2006, with a diagnosis of chronic lung
disease, gastroesophageal reflux, oral motor dysfunction, and a Grade III to IV intraventricular
hemorrhage with hydrocephalus. Pls.’ Stmt. ¶ 10; Def.’s Stmt. ¶ 2; A.R. at 5 (HOD).
After being discharged, D.Q. continued to require nearly 24 hour care and monitoring.
Pls’. Stmt. ¶ 11-14; A.R. at 125-26. To assist with D.Q.’s care, Plaintiffs hired a night nursing
service immediately upon D.Q.’s discharge from the hospital on October 25, 2006; Plaintiffs
continued to receive night nursing services through July 2007. Def.’s Stmt. ¶ 12; A.R. at 6
(HOD). In addition to those night nursing services, D.Q. also received occupational therapy,
physical therapy, and speech therapy. Def.’s Stmt. ¶¶ 13-15.
2. Early Intervention Services
Although HSC is an authorized evaluation site for ITDD, only staff in HSC’s outpatient,
and not inpatient, section had received the training necessary to act as an authorized evaluator for
2 The Court strictly adheres to the text of Local Civil Rule 7(h) when resolving motions for summary judgment. See Burke v. Gould, 286 F.3d 513, 519 (D.C. Cir.2002) (finding district courts must invoke the local rule before applying it to the case). The Court has advised the parties that it strictly adheres to Rule 7(h) and has stated that it “assumes facts identified by the moving party in its statement of material facts are admitted, unless such a fact is controverted in the statement of genuine issues filed in opposition to the motion.” [8] Order at 3-4 (August 18, 2009). Thus, in most instances the Court shall cite only to one party’s Statement of Material Facts (“Stmt.”) unless a statement is contradicted by the opposing party, in which case the Court may cite a party’s Response to the Statement of Material Facts (“Resp. Stmt.”). The Court shall also cite directly to evidence in the record, where appropriate.
5 Part C early intervention services. Pls.’ Stmt. ¶¶ 18-20. Consequently, D.Q. was not referred to
ITDD until October 27, 2006, shortly after his discharge from HSC. Id. ¶¶ 22-23. At that time,
Plaintiffs received a letter from ITDD advising Plaintiffs that D.Q. may be eligible to receive
early intervention services. Def.’s Stmt. ¶ 4; A.R. at 226. An IFSP meeting was subsequently
scheduled for December 15, 2009, nearly two months after D.Q.’s release from the hospital.
Pls.’ Stmt.¶ 24; Def.’s Resp. Stmt. ¶ 24. However, no representative from ITDD attended the
meeting, as required, and only Ms. Colgan and a representative from HSC were in attendance.
Pls.’ Stmt. ¶ 26; A.R. at 6 (HOD).
Shortly thereafter, ITDD sent Plaintiffs a letter dated December 19, 2006, welcoming
them to ITDD and providing Plaintiffs with a financial application. Def.’s Stmt. ¶ 5; A.R. at 227
(Letter from Tammy Proctor, Child Find Coordinator, ITDD). The letter advised that “[t]he
application process allows families to request and receive financial assistance and is necessary to
determine the family’s cost participation for early intervention services based on the District of
Columbia’s sliding fee scale.” A.R. at 227. Plaintiffs were further advised that if they failed to
provide the required financial information, ITDD would “have no way of knowing how much the
Part C office should contribute toward the payment of your child’s services (if anything)” and the
parents would therefore “be expected to bear all costs for the services your child may need.” Id.
Plaintiffs were subsequently assigned an ITDD case manager, Badiya Sharif, then-
Supervisory Transition Coordinator at ITDD. Pls.’ Stmt. ¶¶ 31-32; Def.’s Resp. ¶¶ 31-32. Based
upon Plaintiffs’ December 2006 financial application, which included their previous year’s tax
return, see Administrative Hearing Transcript (“Tr.”) at 202, Ms. Sharif concluded that “it did
not look like [P]art C would pick up any costs for therapy services.” Tr. at 195. This conclusion
6 was affirmed in the January 4, 2007 referral for early intervention services issued by Intervention
Specialist Angela Herring on D.Q.’s behalf. Def.’s Stmt. ¶ 6; A.R. at 228 (Memorandum from
Angela M. Herring, Intervention Specialist, ITDD (Jan. 4, 2007)). As set forth therein, Plaintiffs
were noted to have private health insurance and were determined to be 100% responsible for the
costs of D.Q.’s early intervention services under Part C. A.R. at 228. The referral memorandum
further indicates that the family was attempting to negotiate a rate of reimbursement with their
private insurance and that payment arrangements should be discussed before the start of services.
Id.
Although Plaintiffs and Ms. Sharif informally engaged in several conversations during the
next few months regarding D.Q.’s therapy needs, an IFSP meeting was not held until
approximately three months later, on March 19, 2007. Pls.’ Stmt. ¶ 36; Def.’s Stmt. ¶ 10; A.R. at
79-88 (the March 19, 2007 IFSP). During the intervening time period, Ms. Sharif assisted
Plaintiffs in identifying and obtaining referrals to a physical therapist and an occupational
therapist for D.Q. Tr. 139-40. Both services were being paid for at that time through Plaintiffs’
insurance. See id. at 178-82. Plaintiffs also informed Ms. Sharif that they were providing night
nursing services for D.Q., which services were at the time being paid directly by Plaintiffs
themselves. See id. at 112, 156-57.
Upon being advised by Plaintiffs that they were paying for D.Q.’s night nursing services
out-of-pocket, Ms. Sharif asked Plaintiffs to provide her with documents showing that the night
nursing expenses had been paid for by Plaintiffs themselves. Id. at 196. Ms. Sharif believed that
the costs associated with the night nursing services could be subtracted from Plaintiffs’ annual
income for purposes of determining Plaintiffs’ eligibility for financial assistance under the
7 District’s sliding fee scale. Id. at 200. Ms. Sharif therefore reduced Plaintiffs’ income by the
amount they had expended on the night nursing services and used this adjusted income figure to
determine Plaintiffs’ eligibility for financial assistance; using this method, she concluded that
Plaintiffs were in fact eligible for 100% coverage of early intervention services under Part C. See
id. at 200-03.
At the March 19, 2007 meeting, an IFSP was created for D.Q. See A.R. at 80-90 (March
19, 2007 IFSP). As is relevant here, Part IV of the standardized IFSP form, which is entitled
“Services Needed to Achieve Early Intervention Outcomes,” lists those services that ITDD has
agreed to make available to the child. Pls.’ Stmt. ¶ 38; A.R. at 88. Part IV of D.Q.’s March 19,
2007 IFSP specified that ITDD was to provide D.Q. with the following services: physical
therapy, occupational therapy, and night nursing. Pls.’ Stmt. ¶ 37; Def.’s Stmt. ¶ 10; A.R. at 6
(HOD), 88 (March 19, 2007 IFSP). Part IV of the IFSP further indicated that the form of
payment — i.e., whether the services would be paid by the family, through insurance or
medicaid, or through Part C funding — for each of these services was “to be determined.” A.R.
at 88. Despite this indication, both Plaintiffs and Ms. Sharif shared the expectation at that time
that ITDD would be financially responsible for each of these services, including the night nursing
services, based on her finding that Plaintiffs were eligible for 100% coverage for the cots of Part
C services. Pls.’ Stmt. ¶¶ 54-55, 59; Def.’s Resp. Stmt. ¶¶ 54-55, 59. However, because the
“cost participation letter had not been completed at that point in time” and ITDD therefore did
not yet have the “official documents that made [the early intervention services] billable to our
office,” Ms. Sharif indicated on the IFSP only that the form of payments was “to be determined.”
Tr. at 242-43.
8 In a follow-up email dated April 6, 2007, Plaintiffs inquired of Ms. Sharif if arrangements
had yet been made with the night nursing service for direct billing. Pls.’ Stmt. ¶ 61; A.R. at 127.
Ms. Sharif responded that no such arrangement had been made, but that Plaintiffs should forward
their credit card statements for the night nursing expenses to ITDD in the meantime. Pls.’ Stmt.
¶ 62; A.R. at 128. Ms. Sharif reiterated the parties’ understanding that ITDD would be
financially responsible for the night nursing costs, and that the only issue still to be resolved was
whether reimbursement would be retroactive to D.Q.’s discharge from the hospital in October
2006 or from January 2007 only. Pls.’ Stmt. ¶ 62; A.R. at 128.
ITDD subsequently sent Plaintiffs a letter dated June 1, 2007, confirming that Plaintiffs
were eligible for financial assistance under Part C. Pls.’ Stmt. ¶ 50; A.R. at 161 (Letter from
Tracie Bullock Dickson, Program Manager, ITDD, to Andrew Quinn (June 1, 2007)).
Specifically, Plaintiffs were advised that, “[a]ccording to the sliding fee scale and other policies
and procedures of the ITDD, your family will be responsible for paying 0% of the cost of
services for your child after reimbursement from insurance and/or Medicaid.” Pls.’ Stmt. ¶ 50;
A.R. at 161. In addition, Dr. Dickson’s letter provided that Plaintiffs’ “eligibility dates are
retroactive from [January 1, 2007,] through [December 30, 2007].” Pls.’ Stmt. ¶ 50; A.R. at 161.
Consistent with this understanding, ITDD arranged for D.Q.’s physical and occupational therapy,
which had previously been paid for by Plaintiffs’ insurance, to be direct billed to ITDD; however,
Plaintiffs continued to pay for the night nursing services directly out-of-pocket. See Tr. at 177-
82.
An IFSP meeting was again held on June 15, 2007, to revise D.Q.’s IFSP, as needed.
Def.’s Stmt. ¶ 13. At that time, it was determined that D.Q. would continue to receive physical
9 therapy, occupational therapy, and night nursing. Id. Another IFSP meeting was held thereafter
on August 22, 2007, to again revise D.Q.’s services as needed. Id. ¶ 14. At that time, it was
determined that D.Q. would continue with the physical therapy and occupational therapy; in
addition, speech therapy was added to the IFSP as a required service in Part IV. A.R. at 119.
Because Plaintiffs had discontinued the night nursing services in July of 2007, those services
were no longer listed on the IFSP as a required service. Id.; see also Def.’s Stmt. ¶ 12. The
August 22, 2007 IFSP was also modified to reflect, for the first time, that ITDD was 100%
responsible for the costs of D.Q.’s physical therapy, occupational therapy, and speech therapy.
A.R. at 119.
3. ITDD Denies Plaintiffs’ Request for Reimbursement for Night Nursing Expenses
Around the time of the June 15, 2007 IFSP meeting, ITDD program manager Dr. Dickson
for the first time “began to express doubts about whether she had the authorization to make night
nursing paid for through our office.” Tr. at 210. The Court notes that ITDD’s concern at this
time appear to have been focused solely on the night nursing services — and not on D.Q.’s
physical, occupational, or speech therapy — and whether the night nursing services were eligible
as a covered service under the Part C regulations; no question was raised at that time as to
Plaintiffs’ financial eligibility under the District’s sliding fee scale. See id. at 208-09. In an
effort to address her concerns, Dr. Dickson wrote an email dated November 27, 2007, to the
United States Department of Education (“DOE”), the federal agency that oversees the
administration of the IDEA, and inquired whether night nursing was a covered service under Part
C’s regulations. See A.R. at 45-46 (Letter from William W. Knudsen, Acting Director, Office of
10 Special Educ. Programs, DOE, to Tracie Bullock Dickson, Program Manager, ITDD (“DOE
Letter”)).
In June 2008, A.R. at 9 (HOD), the DOE responded and advised ITDD that early
intervention services do not include those services “needed solely to meet life-sustaining needs
for treatment of chronic medical conditions . . . .” Id. at 46 (DOE Letter). Based on this advice,
Dr. Dickson sent Plaintiffs a letter dated June 19, 2008, informing them for the first time that
D.Q.’s night nursing was not in fact reimbursable under Part C because night nursing was
“medically necessary” and therefore was “not covered under Part C early intervention services.”
Def.’s Stmt. ¶ 16; A.R. at 39. The Court notes that this determination was based solely on the
finding that night nursing services was not an eligible service and did not disturb ITDD’s prior
conclusion that Plaintiffs were eligible for 100% payments by ITDD for early intervention
services covered by Part C.
On October 9, 2008, Plaintiffs filed a due process complaint notice alleging that the
District violated the IDEA by failing to: (1) timely determine D.Q.’s eligibility for early
intervention services, and (2) provide D.Q. all necessary early intervention services –– namely,
night nursing. Def.’s Stmt. ¶ 17; A.R. at 24-26 (due process complaint notice). Plaintiffs
requested a declaration that the District had violated the IDEA and injunctive relief in the form of
an order directing the District to reimburse Plaintiffs for $71,430.01 in night nursing expenses.
Def.’s Stmt. ¶ 17; A.R. at 25-24 (due process complaint notice).
4. Due Process Hearing
A due process hearing was convened on November 25, 2008. Def.’s Stmt. ¶ 18. At the
hearing, Plaintiffs argued that (1) the District violated the IDEA’s “child-find” obligation; (2) the
11 District failed to provide timely written notice of its refusal to cover night nursing services; (3)
the District failed to timely develop an IFSP for D.Q.; and (4) the District was obligated to
reimburse Plaintiffs for night nursing expenses. Tr. at 14-16. The District, in contrast, argued
that (1) as a recipient of federal funds under Part C, the District must adhere to the federal
regulations that limit the allocation of Part C funds to only early intervention services; and (2) the
District cannot reimburse Plaintiffs for night nursing because such services are for a medical
necessity and, therefore, are not early intervention services. See Tr. at 17-18.
Prior to the introduction of testimony, Plaintiffs’ counsel objected to the District’s
proposed exhibits 11-19, which were the documents Plaintiffs submitted to ITDD in December
2006 to determine their financial eligibility under Part C. Tr. at 29. Plaintiffs’ counsel argued
that Plaintiffs’ finances were not relevant to the District’s asserted defenses, were confidential,
and, therefore, should not be included in the administrative record. Tr. at 29-30. The District’s
counsel offered various rationales for including the documents, including that “Part C is not
automatic . . . which will be a major point of legal contention and argument between us.” Tr. at
32. The hearing officer concluded that the documents would be initially excluded and then, if
necessary, accepted into the record piecemeal. Tr. at 35. Ultimately, Plaintiffs’ financial records
were never admitted. See Tr. at 313. The parties called a total of three witnesses at the due
process hearing: Ms. Colgan and Mr. Quinn for Plaintiffs, Tr. at 80, 145, and Ms. Sharif for the
District, Tr. at 183. The witnesses’ testimony largely reiterated the factual findings above and
therefore shall not be repeated herein.
5. The Hearing Officer’s December 3, 2008 Determination
After the hearing, the hearing officer accepted the Parties’ written closing arguments, see
12 Tr. at 310-12, and issued her determination on December 3, 2008. See A.R. at 2-21 (HOD). As
set forth therein, the hearing officer concluded that the District had failed to satisfy its statutory
obligation under the IDEA in three principal respects. First, the hearing officer found that the
District failed in its child find obligation because D.Q.’s first valid IFSP was not drafted until
March 19, 2007, three months after ITDD received D.Q.’s eligibility form, and nearly four
months after HSC first referred D.Q.’s case to ITDD. Id. at 12, 17. Second, the hearing officer
concluded that — contrary to ITDD’s position in its June 2008 letter denying Plaintiffs’ request
for reimbursement — the night nursing services at issue in this case qualified as a covered
service under Part C as the services were necessary to enable the child to benefit from other early
intervention services, such as occupational and physical therapy. Id. at 13-14. Third, the hearing
officer determined that Dr. Dickson’s June 2008 letter denying Plaintiffs’ request for
reimbursement of the night nursing services, which was sent 18 months after Plaintiffs first made
the request, violated the IDEA’s timely notice provisions. Id. at 17-18. The hearing officer
therefore concluded that “ITDD has an obligation to consider the night nurse services as an early
intervention service” that is covered under Part C of the IDEA. Id. at 18.
Having found that the night nursing services at issue were covered by Part C, the hearing
officer then turned to Plaintiffs’ request for full reimbursement of their out-of-pocket costs
associated with the night nursing services. As explained above and as emphasized by the hearing
officer, early intervention services covered under Part C of the IDEA are to be provided “at no
cost except where Federal or State law provides for a system of payments by families, including a
schedule of sliding fees.” Id. at 16 (quoting 20 U.S.C. § 1432(4)(B)) (emphasis added).
Pursuant to this statutory authority, the District has “adopted a schedule of fees that essentially
13 means-test the reimbursement that would be available to the parents.” Id. Moreover, the hearing
officer found that “the evidence [in this case shows] that the [Plaintiffs] knew that their finances
were relevant and necessary for the determination of what services would be financed by ITDD.”
Key to the present litigation, the hearing officer therefore concluded that — although the
night nursing services were a covered service under Part C — Plaintiffs were not automatically
entitled under the IDEA or District law to full reimbursement; rather, the question of if and how
much Plaintiffs were entitled to be reimbursed for the night nursing expenses depended on their
eligibility for financial assistance, as determined under the District’s sliding fee scale. See id. at
16-17. The hearing officer further concluded that ITDD had erred in its method for calculating
Plaintiffs’ income for purposes of determining financial eligibility. Specifically, the hearing
officer found that ITDD should not have taken “[Plaintiffs’] expenses of the night nurse [] into
consideration when making the determination of eligibility for services, which allowed them a
deduction sufficient to bring them to the threshold amount making them eligible to receive free
services.” Id. at 16. The hearing officer reasoned that Plaintiffs “cannot benefit from a discount
twice, having the amount used to reduce their income for eligibility and now asking for the same
amount to be reimbursed to them.” Id. at 17. Accordingly, the hearing officer concluded that it
was necessary to recalculate Plaintiffs’ financial eligibility in order “to determine if the night
nursing should have been covered by ITDD in its totality or [whether] some contribution from
the parents was warranted under the DC sliding scale.” Id. at 17. As the record then before the
hearing officer lacked the information necessary to make this determination, the hearing officer
ordered as follows:
14 [T]he ITDD must convene the authorized team or staff by December 30, 2008 to make the determination of the family’s cost participation for early intervention services based on the District of Columbia’s sliding rule for Part C 100% cost coverage eligibility current during the period of July 2006 through July 2007 and to determine the extent to which the expenses are reimbursable based on the family’s financial situation during the same timeframe. The ITDD must take into consideration all the early intervention services including the night nurse the Child required from October 2006 through July 2007 and determine the eligibility of [Plaintiffs].
The [Plaintiffs] must along with the proof of payment provide the ITDD with invoices and documentation that reflects dates, times, person, services provided, rate charged for the services and the total amount billed for the night nursing services.
Id. at 18-19.3
6. Post-Hearing Events
On December 9, 2008, ITDD sent Plaintiffs’ counsel a letter requesting financial
information, including 2006 and 2007 tax returns, bank statements from the last two months of
2006 and 2007, and valuations of assets held by Plaintiffs in 2006 and 2007. Def.’s Stmt. ¶ 28;
A.R. at 375. Plaintiffs’ counsel responded to ITDD by email dated December 11, 2008, in which
he represented that Plaintiffs would not provide any of the requested financial information until
ITDD explained “the exact regulations and procedures applied by ITDD to the determination in
question.” A.R. at 380. Counsel further stated that he “believe[d] that ITDD has most of [the
information it was] requesting.” Id. In response, ITDD provided Plaintiffs’ counsel with a copy
of the District’s regulations. See id. at 382. In an email dated December 18, 2008, Plaintiffs’
counsel responded that the regulations did not sufficiently resolve his questions regarding the
3 Because Plaintiffs did not appeal ITDD’s actions taken with respect to D.Q.’s physical, occupational, and speech therapy, the costs of which were paid directly by the District, the hearing officer did not consider and the HOD does not address the District’s decision to fully fund those services based on its initial conclusion that Plaintiffs were eligible for financial assistance under the District’s sliding fee scale.
15 procedures ITDD employed for determining financial ability under the District’s sliding fee scale
and again objected to ITDD’s request for certain information, which Plaintiffs considered to be
irrelevant to a determination of their financial eligibility for the night nursing expenses. Id.
Plaintiffs’ counsel further expressed “concern[] that ITDD appears to be preparing to re-decide a
question [i.e., of Plaintiffs’ financial eligibility] that they have already decided in my clients’
favor,” and advised ITDD that Plaintiffs would object to “any decision regarding finances that
differs from that already made . . . — namely, that my clients qualified for 100% reimbursement.
. . .” Id. ITDD responded by letter dated December 19, 2008, indicating generally that its request
for Plaintiffs’ financial information was “grounded squarely in the law and regulations,” and
offering to “sit down with [Plaintiffs and counsel] and explain how we have arrived at any
calculations, once we have the information and have had an opportunity to review it.” Id. at 386.
By email dated January 12, 2009, Plaintiffs’ counsel advised ITDD that it would not provide
ITDD with any of the financial information requested. A.R. at 384.
On January 16, 2009, ITDD submitted a Compliance Status Report to the hearing officer
regarding ITDD’s compliance with the HOD. See A.R. at 370-74 (Jan. 16, 2009 Compliance
Status Report). ITDD advised that it could not complete the necessary financial eligibility
determination by December 30, 2008, in light of Plaintiffs’ refusal to provide any of the
requested financial information. Id. at 373. ITDD further explained that it did not believe it was
obligated by either the HOD or the District’s regulations to meet with Plaintiffs prior to, or to
include them in, the financial eligibility determination process, which was a determination to be
made by ITDD staff. Id.
Thereafter, on February 27, 2009, the Office of the State Superintendent of Education
16 (“OSSE”), issued its Part C Participation Determination. A.R. at 343-48 (Memorandum from
John Parham Jr., Deputy Superintendent of Educ., Dist. of Columbia). As set forth therein,
OSSE found that Plaintiffs “have failed to provide any information to enable the OSSE to make
the cost participation determination under Title 22, of the District of Columbia Municipal
Regulations (DCMR) Section 22-3028 et seq. Absent such information, the OSSE has no basis
on which to find [Plaintiffs] eligible for reimbursement expenses for the 2006 through 2007 night
nursing services.” Id. at 343. OSSE advised that it would provide Plaintiffs with “a final
opportunity to submit to the OSSE their 2006 and 2007 income documentation needed to make a
cost participation determination under the HOD.” Id. If Plaintiffs failed to do so, OSSE’s
determination that it was unable to evaluate Plaintiffs’ financial eligibility would become “the
final agency decision in this matter.” Id. The record does not reflect that Plaintiffs ever
responded to this request or appealed the District’s decision on this point.
On March 3, 2009, Plaintiffs filed their [1] Complaint in this case appealing the
December 3, 2008 HOD and seeking reimbursement of the costs paid in association with D.Q.’s
night nursing services. Compl. ¶ 1. Plaintiffs’ Complaint contains two counts, each arising
solely under the IDEA. See generally id. Count I alleges that the District violated the IDEA’s
“comprehensive child find system.” Compl. ¶¶ 20-23. Count II alleges that the District failed to
provide to Plaintiffs all necessary intervention services in violation of the IDEA. Compl. ¶¶ 24-
26. Plaintiffs request that the Court find that the District violated the IDEA and order the District
to reimburse them for $71,430.01 in night nursing expenses. Compl. at 5.
The parties subsequently filed the now-pending Cross-Motions for Summary Judgment.
See Plaintiffs’ [12] Motion for Summary Judgment (“Pls.’ MSJ”); Defendant’s [13] Opposition
17 to Plaintiffs’ Motion for Summary Judgment and Cross-Motion for Summary Judgment (“Def.’s
MSJ”). Plaintiffs also filed a combined [15] Opposition to the District’s Cross-Motion for
Summary Judgment and Reply in Support of their Motion for Summary Judgment (“Pls.’
Opp’n”).4 The District in turn subsequently filed a [17] Reply in support of its Motion for
Summary Judgment (“Def.’s Reply”). Briefing with respect to the parties’ Cross-Motions for
Summary Judgment is now complete, and the issues are ripe for the Court’s review and
resolution.
II. LEGAL STANDARD
Under Part C of the IDEA, a “party aggrieved by the findings and decision regarding an
administrative complaint” may “bring a civil action” in a state court of “competent jurisdiction”
or in federal court “without regard to the amount in controversy.” 20 U.S.C. § 1439(a)(1). The
court of review “shall receive the records of the administrative proceedings, shall hear evidence
at the request of a party, and, basing its decision on the preponderance of the evidence, shall
grant such relief as the court deems appropriate.” Id. Upon review, the party challenging the
4 Plaintiffs have submitted the Declaration of Jill Colgan as an exhibit to their Opposition briefing. See Pls.’ Opp’n, Ex. 2 (“Colgan Decl.”). The two-page exhibit solely addresses events that occurred after the issuance of the December 3, 2008 HOD in this case. See id. Pursuant to 20 U.S.C. § 1415(i)(2)(C)(ii), a court may “hear additional evidence at the request of a party” in an action brought under the IDEA. “However, a court’s power to supplement the record ‘entail[s] broad discretion and implicate[s] equitable considerations.’” Pabo v. Dist. of Columbia, 573 F. Supp. 2d 41, 46 (D.D.C. 2008) (alteration in original) (quoting Reid v. Dist. of Columbia, 401 F.3d 516, 522 (D.C. Cir. 2005)). For the reasons set forth below, the Court finds that evidence regarding events subsequent to the December 3, 2008 HOD are not relevant to the resolution of Plaintiffs’ Complaint. See infra pp. 27-28. Accordingly, because the Colgan Declaration’s evidence relating to post-hearing events is not necessary to the Court’s decision in this case, the Court has not considered the declaration in setting forth the relevant factual background or in reaching its decision herein. Cf. Dist. of Columbia v. Abramson, 493 F. Supp. 2d 80, 83 (D.D.C. 2007) (considering additional evidence only “to the extent that is necessary to resolve the issues in this case”).
18 administrative determination bears the burden of proof and must “‘at least take on the burden of
persuading the court that the hearing officer was wrong.’” Reid v. Dist. of Columbia, 401 F.3d
516, 521 (D.C. Cir. 2005) (quoting Kerkam v. McKenzie, 862 F.2d 884, 887 (D.C. Cir. 1989)).
The IDEA’s preponderance-of-the-evidence standard does not grant the reviewing court
unfettered de novo review. See Bd. of Educ. of Hendrick Hudson Cent. Sch. Dist. v. Rowley, 458
U.S. 176, 206 (1980) (“Thus the provision that a reviewing court base its decision on the
‘preponderance of the evidence’ is by no means an invitation to the courts to substitute their own
notions of sound educational policy for those of the school authorities which they review.”).
Rather, courts must give “‘due weight’ to the administrative proceedings,” and “‘[f]actual
findings from the administrative proceedings are to be considered prima facie correct.’” Roark v.
Dist. of Columbia, 460 F. Supp. 2d 32, 38 (D.D.C. 2006) (quoting S.H. v. State-Operated Sch.
Dist. of the City of Newark, 336 F.3d 260, 270 (3d Cir. 2003)). However, because the IDEA
permits a reviewing court to “hear additional evidence at the request of a party,” 20 U.S.C. §
1439(a)(1), the IDEA permits “less deference than is conventional in administrative
proceedings,” Reid, 401 F.3d at 521 (quoting Kerkam, 862 F.2d at 887). In a civil action
reviewing an IDEA administrative determination, “[a] motion for summary judgment operates as
a motion for judgment based on the evidence comprising the record and any additional evidence
the Court may receive.” Robinson v. Dist. of Columbia, 637 F. Supp. 2d 11, 16 (D.D.C. 2009);
Gregory-Rivas v. Dist. of Columbia, 577 F. Supp. 2d 4, 7 n.2 (D.D.C. 2008); see also Heather S.
v. Wisconsin, 125 F.3d 1045, 1052 (7th Cir. 1997) (“[T]he motion for summary judgment is
simply the procedural vehicle for asking the judge to decide the case on the basis of the
administrative record.”).
19 III. DISCUSSION
Notwithstanding the parties’ extensive briefing and the lengthy factual background of this
case, the issue now before the Court is a relatively simple one — whether Plaintiffs are legally
entitled to reimbursement from the District for costs associated with night nursing services
provided to D.Q. from October 2006 through July 2007. All other remaining issues were decided
by the hearing officer in Plaintiffs’ favor, and the District has not appealed those decisions. The
hearing officer found, and the District does not now dispute, that the District violated the IDEA’s
“child find” and timely notice provisions and that, contrary to the District’s June 2008
determination, the night nursing services at issue in this case qualify as early intervention
services covered under Part C of the IDEA. Nor is there any dispute between the parties that
Plaintiffs may be awarded reimbursement under Part C for “expenses that [the District] should
have paid all along and would have borne in the first instance.” Sch. Comm. of the Town of
Burlington, Massachusetts v. Dep’t of Educ. of Massachusetts, 471 U.S. 359, 370 (1985).5
5 Part C of the IDEA authorizes a reviewing court to “grant such relief as the court determines is appropriate.” 20 U.S.C. § 1439(a)(1). Plaintiffs maintain, and the District has not disputed, that reimbursement of expenses is a permissible and appropriate remedy under this provision. See Pls.’ MSJ at 17-18. Although it is well established that reimbursement is an appropriate remedy under Part B of the IDEA, Sch. Comm. of the Town of Burlington, Massachusetts v. Dep’t of Educ. of Massachusetts, 471 U.S. 359, 370 (1985) (“[W]e are confident that by empowering the court to grant ‘appropriate’ relief Congress meant to include retroactive reimbursement to parents as an available remedy in a proper case.”), whether this relief is equally appropriate under Part C of the IDEA is an issue of first impression in this circuit. Other courts, however, have held that reimbursement is equally appropriate relief under Part C of the IDEA based on the Supreme Court’s reasoning in Burlington. See, e.g., Bucks Cnty. Dep’t of Mental Health/Mental Retardation v. Pennsylvania, 379 F.3d 61, 63 (3d Cir. 2004) (finding that “under the particular circumstances of this case . . . reimbursing the parent for her time spent in providing therapy is ‘appropriate’ relief” under Part C). Ultimately, because the District does not dispute that the Court may award reimbursement to Plaintiffs for “expenses that [the District] should have paid all along and would have borne in the first instance,” Burlington, 471 U.S. at 370, the Court shall assume without deciding that such relief is appropriate under
20 Accordingly, the sole focus of the present litigation is Plaintiffs’ challenge to the hearing
officer’s finding that Plaintiffs were not automatically entitled to full reimbursement of the
covered night nursing services. As explained above, the hearing officer concluded that the
question of if and how much Plaintiffs were entitled to be reimbursed for the night nursing
expenses depended on their financial eligibility as determined under the District’s sliding fee
scale, which determination the hearing officer stated must be made without first reducing
Plaintiffs’ income by the amount paid for the night nursing services. Plaintiffs contend that the
hearing officer’s refusal to award Plaintiffs with full reimbursement of their night nursing
expenses was in error. For the reasons set forth, the Court disagrees and finds that Plaintiffs have
failed to demonstrate that the hearing officer erred in holding that Plaintiffs are legally entitled to
reimbursement of the night nursing costs only to the extent permitted by the District’s regulatory
payment system.
Part C of the IDEA requires that early intervention services “are provided at no cost
except where Federal or State law provides for a system of payments by families, including a
schedule of sliding fees.” 20 U.S.C. § 1432(4)(B) (emphasis added). The District has enacted
such a system of payments. See D.C. MUN . REGS. tit. 22-B, § 3028. Families in the District that
receive services covered by Part C of the IDEA therefore are not automatically entitled to full
reimbursement of any associated costs, but must instead qualify as eligible for reimbursement
under the District’s schedule of fees. See id. As the hearing officer correctly noted, the District’s
schedule “essentially means-tests the reimbursement that would be available to the parents.”
A.R. at 16. As explained above, under the District’s payment system, families with an income of
Part C of the IDEA.
21 less than two hundred percent (200%) of the federal poverty guidelines are not required to pay
any costs of the services provided under Part C. See id. § 3028.7. Families with an income equal
to or greater than two hundred percent (200%) of the federal poverty guidelines, however, are
required to pay the cost or a percentage of the costs for early intervention services as determined
under the District’s sliding fee scale. Id.
Accordingly, the hearing officer’s conclusion that the night nursing services were covered
under Part C of the IDEA was only the first step in determining whether Plaintiffs were entitled
to reimbursement for costs associated with such services. At the second and final step, the
hearing officer was required to determine whether, and if so how much, Plaintiff was entitled to
be reimbursed for those costs under the District’s sliding fee scale. As to this latter point, the
hearing officer found that in calculating Plaintiffs’ financial eligibility under D.C. MUN . REGS.
tit. 22-B, § 3028, ITDD had incorrectly reduced Plaintiffs’ income by the night nursing expenses,
thereby permitting Plaintiffs to “benefit from a discount twice, having the amount used to reduce
their income for eligibility and now asking for the same amount to be reimbursed to them.” A.R.
at 17. As this assessment of Plaintiffs’ financial eligibility was incorrect, the hearing officer
ordered ITDD to reassess Plaintiffs’ eligibility for reimbursement consistent with this
interpretation of the District’s regulations — i.e., without reducing Plaintiffs’ income by night
nursing expenses.
Given the “due weight” properly bestowed on the administrative proceedings belwo, see
Roark, 460 F. Supp. 2d at 38, the Court finds the hearing officer’s determination on this point
and her interpretation of the District’s regulations are reasonable. The District’s regulations
provide that eligibility under its Part C program is determined based on the number of
22 individuals in the family and the family’s annual, monthly, or weekly “income.” D.C. MUN .
REGS. tit. 22-B, § 3028.1. Although the regulation does not define “income,” the term is
generally defined as the “money or other form of payment that one receives . . . from
employment, business, investments, royalties, gifts, and the like.” BLACK’S LAW DICTIONARY
831 (9th 3d. 2009). See also WEBSTER’S THIRD INTERNATIONAL DICTIONARY 1143 (1981)
(defining “income” as “the value of goods and services received by an individual in a given
period of time”). Consistent with this understanding of the term “income,” the hearing officer
determined that Plaintiffs’ eligibility for reimbursement should have been made on the basis of
their family income, and not on the basis of their family income minus the night nursing
expenses. Nothing in the regulation suggests to the contrary that a family’s expenses should first
be deducted from their income in making this inquiry. The hearing officer’s interpretation of the
regulation was therefore reasonable.
Significantly, Plaintiffs themselves do not argue that the hearing officer’s interpretation of
the District’s regulations was unreasonable or incorrect. See generally Pls.’ MSJ at 23-24. Nor
do Plaintiffs assert that they qualify as eligible for 100% reimbursement under this interpretation
of the District’s regulations. See generally id. Plaintiffs instead argue simply that the hearing
officer was bound by the District’s prior — albeit incorrect — determination that Plaintiffs were
eligible for 100% reimbursement under the District’s fee schedule. Plaintiffs reason as follows:
(a) the District originally determined Plaintiffs to be eligible for 100% reimbursement of Part C
services; (b) although the District subsequently denied Plaintiffs’ reimbursement for the night
nursing services, it did so solely on the basis that such services were not covered under Part C
and not on the basis that Plaintiffs failed to qualify for financial assistance under the District’s
23 sliding fee scale; (c) therefore, having concluded that night nursing services were covered under
Part C, the hearing officer was required to automatically find that Plaintiffs were entitled to full
reimbursement for those costs based on the District’s previous determination that Plaintiffs were
eligible for 100% payments under Part C, even if that determination was legally incorrect.
Plaintiffs have offered no case law or legal authority to support this position, and the
Court finds that their argument is wholly without merit. Plaintiffs’ due process complaint
alleged that the District violated the IDEA and sought an order awarding Plaintiffs
reimbursement in the amount of $71,430.01 for expenses paid in association with the night
nursing services. The hearing officer held, and Plaintiffs do not now dispute, that Plaintiffs bore
the burden of proof at the due process hearing and were therefore required to prove that they
were legally entitled to the requested relief. A.R. at 11. Although the District itself did not argue
before the hearing officer that Plaintiffs were financially ineligible for reimbursement under the
District’s sliding fee scale, it was not the District’s burden to disprove Plaintiffs’ entitlement to a
full reimbursement of all costs. Plaintiffs themselves bore the burden of demonstrating that the
District violated the IDEA and that Plaintiffs were legally entitled to reimbursement of all costs
expended in association with the night nursing services under Part C of the IDEA. This required
Plaintiffs to prove — and the hearing officer to find — both that the night nursing services were
covered by Part C and that Plaintiffs were financially eligible for assistance under the District’s
sliding fee scale.
In this case, the hearing officer found that the District’s determination that Plaintiffs’
were eligible for 100% reimbursement under the sliding fee scale was based on an erroneous
calculation of Plaintiffs’ income. Plaintiffs’ offer no legal support for their apparent claim that
24 the hearing officer lacked the legal authority to correct this error in the District’s eligibility
finding, and the Court is not so persuaded. Cf. Day v. McDonough, 547 U.S. 198, 210 (2006)
(“if a judge does detect a clear computation error, no rule, statute, or constitutional provision
commands the judge to suppress that knowledge”). The Court further notes that although the
hearing officer was ultimately unable to determine on the record then before her whether
Plaintiffs in fact qualified for financial assistance under D.C. MUN . REGS. tit. 22-B, § 3028, the
evidence that was in the record on this point strongly indicated that Plaintiffs did not in fact
qualify for financial assistance under the District’s regulations, as properly interpreted. Ms.
Sharif testified that Plaintiffs were initially determined to be ineligible for financial assistance
from the District for the costs associated with their Part C services, and it was only after the out-
of-pocket expenses for the night nursing had been subtracted from their income that their income
was sufficiently reduced as to make them eligible for financial assistance. Tr. at 200-03. The
hearing officer therefore appropriately ordered “ITDD [to] convene the authorized team or staff
by December 30, 2008 to make the determination of the family’s cost participation for early
intervention services based on the District’s sliding rule for Part C 100% cost coverage eligibility
current during the period of July 2006 through July 2007 and to determine the extent to which the
expenses are reimbursable based on the family’s financial situation during the same time frame.”
A.R. at 19. While Plaintiffs broadly claim that “[t]here was no factual or legal basis for the
Hearing Officer’s arbitrary decision to require the Plaintiffs to re-qualify when the District had
already determined that they were eligible for reimbursement,” it is readily apparent from the
Court’s discussion above that the hearing officer had both a sound legal basis and an adequate
factual predicate for ordering ITDD to reassess Plaintiffs’ financial eligibility under the District’s
25 sliding fee scale.
Plaintiffs’ remaining arguments to the contrary are equally without merit. First, Plaintiffs
argue that they are automatically entitled to full reimbursement of all night nursing costs as a
result of ITDD’s admitted procedural violations of the IDEA — namely, ITDD’s failure to
provide timely notice to Plaintiffs that it would not reimburse them for the costs of the night
nursing services. Pls.’ Opp’n at 4- 5 (“Plaintiffs are entitled to reimbursement for the violation
of the notice provision of the IDEA alone.”). The Court is not so persuaded. Plaintiffs offer no
case law or other legal authority to support their claim that procedural violations of the IDEA
automatically entitle them to full reimbursement of costs under Part C. To the extent that
Plaintiffs suggest they are entitled to an award of the full costs of the night nursing services —
not as reimbursement for expenses that the District “should have paid all along and would have
borne in the first instance,” Burlington, 471 U.S. at 370 — but as compensation for ITDD’s
procedural violations, it is well established that “[c]ompensatory damages [] are not available
under the IDEA,” Rempson v. Dist. of Columbia, 524 F. Supp. 2d 35, 39 (D.D.C. 2007). See also
Walker v. Dist. Court, 157 F. Supp. 2d 11, 30 (D.D.C. 2001) (“Compensatory damages . . . are
not available under the IDEA.”).
Second, Plaintiffs argue that by listing night nursing in Part IV of D.Q.’s first two IFSPs,
the District became financially responsible for Plaintiffs’ night nursing expenses. Pls.’ MSJ at
21-22. According to Plaintiffs, services that are covered under Part C of the IDEA are listed in
Part IV of an IFSP, while necessary, but ineligible, services are listed in Part V of an IFSP. See
id. Thus, Plaintiffs argue that by listing night nursing services in Part IV of D.Q.’s IFSP, the
District became financially responsible for those costs. See id. The Court disagrees. While it
26 may be that the inclusion of the night nursing services in Part IV of the IFSP supports a finding
that the District considered those services to be covered under Part C of the IDEA, it does not
support a finding that the District is 100% responsible for the costs of those services. As
previously explained, whether a service is covered by Part C is only the first step in determining
whether, and if so how much, a family is entitled to be reimbursed for the costs of these services.
The second and final step requires ITDD to assess a family’s eligibility for financial assistance
under the District’s sliding fee scale.
Third, Plaintiffs argue that the District has already determined Plaintiffs to be eligible for
financial assistance and nothing in the District’s regulations “permit” ITDD to conduct “an after-
the-fact,” “post-hoc” review of that determination. Pls.’ Opp’n at 8. This argument ignores that
ITDD was ordered by the hearing officer to reassess Plaintiffs’ financial eligibility under the
District’s sliding fee scale. Absent a showing that the order was wrong — a showing which
Plaintiffs have not made — ITDD is both authorized to and required to comply with the HOD.
Fourth, Plaintiffs contend that the post-hearing events in this case also “warrant a
decision in favor of Plaintiffs.” Pls.’ Opp’n at 8. According to Plaintiffs, the District has
deviated from its standard practice in assessing a family’s financial eligibility under the District’s
sliding fee scale. See id. at 8-10. Plaintiffs have therefore refused to provide any of the
requested financial information to ITDD, indicating that they “are under no obligation to
participate in the process when the Hearing Officer issues a final order.” Id. at 8. The District
for its part maintains that the information it has requested from Plaintiffs is appropriate and fully
grounded in the District’s regulations. See Def.’s MSJ at 22-23. Because the Court finds that the
post-hearing events discussed by the parties are not relevant to the sole issue now before the
27 Court — namely, whether the December 3, 2008 HOD order requiring ITDD to reassess
Plaintiffs’ financial eligibility was correct — it need not resolve this dispute. As explained
above, OSSE issued its final Part C Participation Determination on February 27, 2009,
concluding that it was unable to “find [Plaintiffs] eligible for reimbursement expenses for the
2006 through 2007 night nursing services,” given Plaintiffs’ failure to provide the requested
information. A.R. at 343 (Memorandum from John Parham Jr., Deputy Superintendent of Educ.,
Dist. of Columbia). That determination became the final agency decision regarding Plaintiff’s
financial eligibility on March 6, 2009. See id. Plaintiffs did not appeal that final agency decision
nor does their present Complaint seek a Court order to enforce the December 3, 2008 HOD by
requiring the District to properly evaluate Plaintiffs’ eligibility for financial assistance under Part
C of the IDEA; indeed, Plaintiffs do not argue that they would qualify as eligible for 100%
reimbursement of their night nursing costs under the District’s sliding fee scale, as properly
interpreted. See generally Pls.’ MSJ; Pls.’ Opp’n. Plaintiffs instead filed the instant lawsuit
challenging the hearing officer’s authority to order a reassessment of Plaintiffs’ eligibility under
the District’s fee schedule in the first instance. Plaintiffs contend that the HOD itself is in error
and seek an order requiring the District to directly reimburse Plaintiffs for the full costs of the
their night nursing services without first reassessing their eligibility under the District’s sliding
fee scale. The District’s post-hearing conduct therefore is not relevant to the only question now
at issue.6
6 The Court nonetheless notes that while Plaintiffs have indicated that they refused to provide the requested financial information to ITDD because certain of the information appeared to be irrelevant or duplicative, Plaintiffs have offered no legal support for their claim that the District’s requests were improper. Moreover, it is readily apparent from the evidence in the record that Plaintiffs were fundamentally opposed to any effort by ITDD “to re-decide a question
28 Fifth and finally, Plaintiffs argue that even if they are not entitled to reimbursement of
the night nursing services under the IDEA, they are nonetheless entitled to reimbursement under
the theory of promissory estoppel. Pls.’ MSJ at 26. The Court notes that Plaintiffs did not plead
a common law claim of promissory estoppel in their Complaint nor does the Complaint contain
any suggestion that Plaintiffs intended to assert such a claim. Plaintiffs’ Complaint asserts only
two counts, each of which is predicated upon a violation of the District’s statutory obligations
under the IDEA. See generally Compl. It is well established that “plaintiff[s] may not, through
summary judgment briefs, raise new claims” where such claims were “not raise[d] [] in [the]
complaint” and plaintiffs have “not file[d] an amended complaint.” Sharp v. Rosa Mexicana,
D.C., LLC, 496 F. Supp. 2d 93, 97 n.3 (D.D.C. 2007); see also Juergens v. Urban Title Servs.,
Inc., 652 F. Supp. 2d 51, 62 (D.D.C. 2009) (“Plaintiff cannot amend her complaint by merely . . .
filing a motion for summary judgment; she must amend her complaint in accordance with Fed. R.
Civ. P. 15(a).”). Accordingly, the Court does not reach the merits of Plaintiffs’ claim of
promissory estoppel, which is asserted for the first time in their Motion for Summary Judgment.
Plaintiffs have taken the position in the instant lawsuit that they are entitled to
reimbursement under Part C of the IDEA — regardless of whether they in fact qualify for
[i.e., of Plaintiffs’ financial eligibility] that they have already decided in my clients’ favor.” A.R. at 382. Plaintiffs’ counsel in fact advised ITDD that Plaintiffs would object to “any decision regarding finances that differs from that already made . . . — namely, that my clients qualified for 100% reimbursement. . . .” Id. Ultimately, then, it appears that Plaintiffs refused to provide the requested information, not because of their belief that such information was immaterial or inappropriate, but because they believed that ITDD was without authority to reassess Plaintiffs’ financial eligibility, notwithstanding the hearing officer’s order directing ITDD to do so. As such, it is clear that the parties’ dispute regarding the post-hearing events is at bottom a dispute as to the hearing officer’s authority to require ITDD to reassess Plaintiffs’ financial eligibility under the District’s sliding fee scale.
29 financial assistance under the District’s sliding fee schedule — based on the District’s initial,
albeit erroneous, finding that Plaintiffs were eligible for 100% reimbursement. While the Court
understands Plaintiffs’ frustrations with the District’s handling of their reimbursement request in
this instance, Plaintiffs have not demonstrated that they are legally entitled to such
reimbursement under the IDEA nor have they shown that the hearing officer’s order requiring
ITDD to correctly reassess Plaintiffs’ eligibility for financial assistance was in error. Their
request for relief must therefore be denied.
III. CONCLUSION
For the reasons set forth above, the Court shall DENY Plaintiffs’ [12] Motion for
Summary Judgment and shall GRANT Defendant’s [13] Cross-Motion for Summary Judgment.
An appropriate Order accompanies this Memorandum Opinion.
Date: September 27, 2010
/s/ COLLEEN KOLLAR-KOTELLY United States District Judge
Related
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