Risinger Ex Rel. Risinger v. Concannon

117 F. Supp. 2d 61, 2000 U.S. Dist. LEXIS 15224, 2000 WL 1532842
CourtDistrict Court, D. Maine
DecidedOctober 12, 2000
DocketCIV. 00-116-B-C
StatusPublished
Cited by10 cases

This text of 117 F. Supp. 2d 61 (Risinger Ex Rel. Risinger v. Concannon) is published on Counsel Stack Legal Research, covering District Court, D. Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Risinger Ex Rel. Risinger v. Concannon, 117 F. Supp. 2d 61, 2000 U.S. Dist. LEXIS 15224, 2000 WL 1532842 (D. Me. 2000).

Opinion

MEMORANDUM OF DECISION AND ORDER

GENE CARTER, District Judge.

Plaintiffs, parents of children enrolled in the Maine Medicaid program who have been diagnosed noth severe emotional illnesses or mental health impairments and Disability Rights Center of Maine, Inc. (“DRC”), a nonprofit corporation organized under the laws of the State of Maine, have filed an action seeking declaratory and injunctive relief against Defendants Kevin Concannon, Commissioner of Maine Department of Human Services, and Lynn Duby, Commissioner of Maine Department of Mental Health, Mental Retardation and Substance Abuse Services, in their official capacities. In their Amended Complaint (Docket No. 2), Plaintiffs ask the Court to order Defendants to revise their policies, practices, and procedures to meet the requirements of the federal Medicaid Act, 42 U.S.C. § 1396 et seq., alleging that Defendants’ current administration of the Early and Periodic Screening, Diagnosis, and Treatment (“EPSDT”) aspect of the Maine Medicaid program violates the Federal Medicaid Act’s EPSDT and reasonable promptness-of-service provision requirements, and that it also deprives them of their civil rights under 42 U.S.C. § 1983. Specifically, Plaintiffs allege that Defendants have failed to provide or arrange for case managers, screening services, and corrective or ameliorative treatment sufficient to satisfy the Federal Medicaid Act’s EPSDT requirements. See 42 U.S.C. §§ 1396a(a)(30), (a)(48), 1396d(a)(4)(B), (r)(5) and 42 C.F.R. § 441.50 et seq. *65 Plaintiffs also allege that Defendants have failed to provide EPSDT services with reasonable promptness, in violation of 42 U.S.C. § 1396a(a)(8) and 42 C.F.R. § 441.56(e), and that they have violated 42 C.F.R. § 441.61(b) by adopting policies, practices, and procedures that have diminished the availability of a variety of individual and group providers qualified and willing to provide EPSDT services. Plaintiffs have brought this action on behalf of themselves and the named minor Plaintiffs, as well as all current or future recipients of Medicaid in the State of Maine who are under the age of twenty-one, have a mental health impairment, and are not receiving the services which are the subject of this suit. 1

DISCUSSION

Now pending before the Court is Defendants’ Motion to Dismiss (Docket No. 3). Defendants have moved to dismiss the case in its entirety under the grounds of ripeness and res judicata, and have also moved to dismiss Plaintiff DRC for lack of standing. For the reasons that follow, the Court will deny Defendants’ Motion to Dismiss.

I. RIPENESS

Defendants contend that the Maine legislature’s 1998 enactment of “An Act to Improve the Delivery of Mental Health Services to Children,” P.L. 790, L.D. 2295, codified as 15 M.R.S.A. §§ 15001-15004, renders Plaintiffs’ claims unripe. Defendants argue that because this Act sets forth a five-year plan for the development of an interdepartmental unified mental health services delivery system and Plaintiffs’ suit “asks for the very things which the legislature has mandated the Departments provide,” Plaintiffs’ filing of this suit comes “three years too soon.” Plaintiffs respond that the ripeness doctrine does not bar their claims because they suffer immediate and ongoing harm as a result of Defendants’ present actions and inactions. Additionally, Plaintiffs maintain that a determination that their claims are unripe because of the state’s five-year plan would have the improper effect of allowing Defendants to circumvent the federal Medicaid mandate through long-term planning.

The “basic rationale” of the ripeness doctrine is to “prevent the courts, through avoidance of premature adjudication, from entangling themselves in abstract disagreements over administrative policies.” Abbott Laboratories v. Gardner, 387 U.S. 136, 148, 87 S.Ct. 1507, 1515, 18 L.Ed.2d 681 (1967), abrogated on other grounds, Califano v. Sanders, 430 U.S. 99, 105, 97 S.Ct. 980, 984, 51 L.Ed.2d 192 (1977). See also Pacific Gas and Electric Company v. State Energy Resources Conservation & Development Commission, 461 U.S. 190, 200-01, 103 S.Ct. 1713, 1720, 75 L.Ed.2d 752 (1983). Accordingly, the ripeness doctrine applies when a “ ‘claim involves uncertain and contingent events that may not occur as anticipated, or indeed may not occur at all.’ ” Lincoln House v. Dupre, 903 F.2d 845, 847 (1st Cir.1990) (citing 13A Charles Alan Wright and Arthur R. Miller, Federal PRACTICE And Procedure § 3532.2, at 41 (1984)). The Supreme Court has identified two considerations that a court should evaluate in deciding whether to hear a claim that involves such contingencies: “the fitness of the issues for judicial decision and the hardship to the parties of withholding court consideration.” Abbott Laboratories, 387 U.S. at 149, 87 S.Ct. at 1515.

Given this framework, it is clear that Plaintiffs’ claims do not suffer from lack of ripeness. Defendants have not identified any factual contingencies in Plaintiffs’ case. See, e.g., Abbott Laboratories, 387 U.S. at 149-154, 87 S.Ct. at 1516-19 (considering ripeness of pre-enforcement *66 challenge to B’ederal Food and Drug Administration regulation); Riva v. Commonwealth of Massachusetts, 61 F.3d 1003, 1009-12 (1st Cir.1995) (considering ripeness of predisbursement challenge to state’s accidental disability retirement scheme). Instead, Defendants in effect have argued that the rights that Plaintiffs seek to enforce do not yet exist because the Maine legislature has yet to fully implement federal Medicaid law. This argument is flawed in that it ignores the present mandate of federal Medicaid law and misstates the ripeness doctrine, which addresses factual contingencies rather than the legal merits of a case. Plaintiffs seek relief for concrete and current injuries under existing federal Medicaid law, and their claims are therefore ripe for judicial review.

II. RES JUDICATA

Defendants also move to dismiss this case on the grounds of ves judicata, maintaining that the issues presented by Plaintiffs either were raised or should have been raised in the case of

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Bluebook (online)
117 F. Supp. 2d 61, 2000 U.S. Dist. LEXIS 15224, 2000 WL 1532842, Counsel Stack Legal Research, https://law.counselstack.com/opinion/risinger-ex-rel-risinger-v-concannon-med-2000.