Ross v. State of Wisconsin Department of Health & Social Services

369 F. Supp. 570, 1973 U.S. Dist. LEXIS 11325
CourtDistrict Court, E.D. Wisconsin
DecidedOctober 30, 1973
Docket72-C-136
StatusPublished
Cited by11 cases

This text of 369 F. Supp. 570 (Ross v. State of Wisconsin Department of Health & Social Services) is published on Counsel Stack Legal Research, covering District Court, E.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ross v. State of Wisconsin Department of Health & Social Services, 369 F. Supp. 570, 1973 U.S. Dist. LEXIS 11325 (E.D. Wis. 1973).

Opinions

[571]*571DECISION AND ORDER

PER CURIAM.

This class action seeks to have § 146.-30(3) (c) of the Wisconsin statutes and certain administrative rules thereunder declared unconstitutional. Further application and enforcement of the statute is sought to be enjoined. The plaintiffs have, in effect, moved for judgment on the pleadings; the defendants have conceded that resolution by such method is proper, since the only issue presented is the constitutionality of the challenged statute.

Section 146.30(3) (c) of the Wisconsin statutes grants authority to the department of health and social services (hereinafter “department”) immediately to withdraw patients who are receiving county or state support from nursing homes under certain circumstances. This can be done when the department “determines that an emergency exists which places the patient’s health, safety or welfare in jeopardy” because of a failure by the nursing home to comply with the department’s standards.

The challenged regulations create categories of violations of standards and prescribe actions, up to and including patient removal, which are to follow from asserted violations of each category. The standards themselves are found in chapter 32H of the state’s administrative code. The statute does not contain any provisions for a hearing so as to enable nursing home administrators to challenge the statements of welfare directors or department inspection personnel (even though those statements are the basis for the department’s action) either before or after patient removal.

The plaintiffs allege that the statute and the administrative rules allow deprivation, under color of state law, of rights and privileges secured by the United States Constitution. Specifically, they complain about the removal of patients and the loss to them of government funds for patient care, without an opportunity to be heard in a meaningful manner. The defendants acknowledge that the plaintiffs have “a qualified right to receive public money for support of public welfare patients residing in nursing home[s].” They urge, however, that we must balance the interests of the state against those of the nursing home proprietors. Such a comparison, it is contended, weighs so heavily in favor of the state’s interests that notice and an opportunity for a proprietor to be heard regarding patient removal is not constitutionally mandated.

The defendants’ “balancing” argument is misplaced in this context. The Supreme Court has stated in Board of Regents v. Roth, 408 U.S. 564, 92 S.Ct. 2701, 33 L.Ed.2d 548 (1972), that

“ . . . a weighing process has long been a part of any determination of the form of hearing required in particular situations by procedural due process. But, to determine whether due process requirements apply in the first place, we must look not to the ‘weight’ but to the nature of the interest at stake. See Morrissey v. Brewer, ante, [408 U.S. 471] at 481 [92 S.Ct. 2593, at 2600, 33 L.Ed.2d 484], We must look to see if the interest is within the Fourteenth Amendment’s protection of liberty and property.” 408 U.S. at 570-571, 92 S.Ct. at 2705 (emphasis in the original).

In analyzing the interest involved, we must look to the teachings of Roth as a starting point. See City of Kenosha v. Bruno, 412 U.S. 507, 93 S.Ct. 2222, 37 L.Ed.2d 109 (1973). Roth suggests that the plaintiffs’ “liberty” may be in jeopardy here. The charges necessary to call § 146.30(3) (c) into play against a nursing ' home proprietor arguably “might seriously damage his standing and associations in his community”. 408 U.S. at 573, 92 S.Ct. at 2707. See also Wisconsin v. Constantineau, 400 U. S. 433, 437, 91 S.Ct. 507, 27 L.Ed.2d 515 (1971). We need not decide that question, for, under Roth, his “property” interests are clearly implicated.

[572]*572“To have a property interest in a benefit, a person clearly must have more than an abstract need or desire for it. He must have more than a unilateral expectation of it. He must, instead, have a legitimate claim of entitlement to it. It is a purpose of the ancient institution of property to protect those claims upon which people rely in their daily lives, reliance that must not be arbitrarily undermined. It is a purpose of the constitutional right to a hearing to provide an opportunity for a person to vindicate those claims.” 408 U.S. at 577, 92 S.Ct. at 2709.

Nursing home operators do have more than an abstract need or desire to retain patients for whom public support is received, as well as more than a unilateral expectation of so doing. They have a “claim of entitlement . . . grounded in the statute defining eligibility . ...” 408 U.S. at 577, 92 S.Ct. at 2709. See Goldberg v. Kelly, 397 U.S. 254, 90 S.Ct. 1011, 25 L.Ed.2d 287 (1970). The fact that the claim may be based on a “privilege” rather than a “right” is no longer relevant. Graham v. Richardson, 403 U.S. 365, 374, 91 S.Ct. 1848, 29 L.Ed.2d 534 (1971). They may also have support for their claim of entitlement in Wis.Stat. § 146.30(7) which appears to require notice and a hearing before license revocation or suspension; patient removal without notice and a hearing may well “limit” the efficacy of a license. See Maxwell v. Wyman, 458 F.2d 1146, 1151 (2d Cir. 1972).

We find, therefore, that the interest of the plaintiffs in retaining public assistance patients and receiving the public funds flowing therefrom is within the fourteenth amendment’s protec-tion of “property”. Section 146.30(3) (c) of the Wisconsin statutes, to the extent that it makes no provision for a hearing concerning patient removal, does not afford due process of law and violates the fourteenth amendment. Consequently, the defendants may not remove patients from the plaintiffs’ facilities without affording notice and an opportunity to be heard.

With respect to the form of the hearing, we will specify the minimum requirements, but we decline to prescribe otherwise the exact nature it need assume. The hearing must comply with the applicable minimum safeguards set forth in Goldberg, Morrissey, and Scarpelli. Goldberg v. Kelly, 397 U.S. 254, 90 S.Ct. 1011, 25 L.Ed.2d 287 (1970) ; Morrissey v. Brewer, 408 U.S. 471, 92 S.Ct. 2593, 33 L.Ed.2d‘ 484 (1972); Scarpelli v. Gagnon, 411 U.S. 778, 93 S.Ct. 1756, 36 L.Ed.2d 656 (1973).

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Bluebook (online)
369 F. Supp. 570, 1973 U.S. Dist. LEXIS 11325, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ross-v-state-of-wisconsin-department-of-health-social-services-wied-1973.