Rubin v. Garvin

CourtCourt of Appeals for the Second Circuit
DecidedSeptember 29, 2008
Docket06-1614-pr
StatusPublished

This text of Rubin v. Garvin (Rubin v. Garvin) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rubin v. Garvin, (2d Cir. 2008).

Opinion

06-1614-pr Rubin v. Garvin

1 UNITED STATES COURT OF APPEALS 2 3 FOR THE SECOND CIRCUIT 4 5 ------------- 6 7 August Term 2007 8 9 Argued: March 26, 2008 Decided: September 29, 2008 10 11 Docket No. 06-1614-pr 12 13 --------------------------------------------------X 14 15 DANIEL RUBIN, 16 17 Petitioner-Appellant, 18 19 - against - 20 21 HENRY GARVIN, Superintendent, Mid-Orange 22 Correctional Facility, 23 24 Respondent-Appellee. 25 26 --------------------------------------------------X 27 28 Before: FEINBERG and HALL, Circuit Judges, and SAND, 29 District Judge.* 30 31 Petitioner-appellant, who was convicted in New York state 32 court of grand larceny and filing of a false instrument, appeals 33 from a decision of the district court insofar as it denied in 34 part his petition for habeas corpus, arguing that a state 35 regulation underlying his conviction is unconstitutionally vague. 36 The judgment of the district court is affirmed. 37 38 ROBERT A. CULP, Garrison, N.Y., for Petitioner- 39 Appellant. 40 41 ALYSON J. GILL, Assistant Attorney General 42 (ANDREW M. CUOMO, Attorney General of the

* The Honorable Leonard B. Sand, United States District Court for the Southern District of New York, sitting by designation. 1 State of New York, BARBARA D. UNDERWOOD, 2 Solicitor General, ROSEANN B. MacKECHNIE, 3 Deputy Solicitor General for Criminal 4 Matters, on the brief), New York, N.Y., for 5 Respondent-Appellee. 6 7 FEINBERG, Circuit Judge:

8 In 1999, Petitioner Daniel Rubin was convicted in New York

9 Supreme Court, Albany County, of one count of second-degree

10 grand larceny and eight counts of first-degree offering a false

11 instrument for filing, based on evidence that he and his home

12 health care agency knowingly overcharged New York State for

13 Medicaid reimbursements. Now, some nine years later, we are

14 faced with Rubin’s appeal from a decision of the United States

15 District Court for the Northern District of New York (Mordue,

16 Chief Judge) insofar as it denied his petition for habeas

17 corpus as to seven of the nine counts of conviction. He argues

18 that his conviction should be overturned because a regulation

19 underlying both the grand larceny and false instrument counts,

20 the so-called “public charge” regulation, N.Y. Comp. Codes R. &

21 Regs. tit. 18, § 505.14(h)(7)(ii)(a)(1), is unconstitutionally

22 vague. Because we disagree, as explained below, the judgment of

23 the district court is affirmed.

25 I. BACKGROUND1

1 A more extensive summary of the facts of this case can be found in the report and recommendation of Magistrate Judge Peebles. Rubin v. Garvin, No. 02-CV-0639 (NAM/DEP), 2005 WL

-2- 1 A. Parties and Applicable Regulations

2 Rubin was the founder and president of Allstate Home Care,

3 Inc. (“Allstate”), a provider of home health care services with

4 three offices and about 200 employees in Dutchess County, New

5 York. Medicaid paid for services for the majority of Allstate’s

6 clients.

7 Medicaid, a program that finances health care for the

8 poor, is jointly funded by the state and federal governments

9 but run by the states individually. See Conn. Dep’t of Soc.

10 Servs. v. Leavitt, 428 F.3d 138, 141 (2d Cir. 2005). New York’s

11 Medicaid program was administered until September 1996 by the

12 New York State Department of Social Services (“DSS”), and

13 thereafter by the New York State Department of Health.2

14 New York State has promulgated detailed regulations that

15 govern Medicaid. One such regulation, concerning payment rates

16 for providers of personal care services that have cost

17 experience (such as Allstate), states:

18 (h) Payment. 19 . . . 20 (7) This paragraph sets forth the 21 methodology by which the department will 22 determine MA [medical assistance] payment rates 23 for personal care services providers that have 24 contracts with social services districts for any

3827593, at *1-7 (N.D.N.Y. Dec. 15, 2005). 2 For simplicity, we refer to the agencies together as “DSS.”

-3- 1 rate year that begins on or after January 1, 2 1994. 3 . . . 4 (ii) Determination of payment rate. 5 (a) Providers with cost experience. 6 (1) Medical assistance payments to personal 7 care services providers for any rate year 8 beginning on or after January l, 1994, are made 9 at the lower of the following rates: 10 (i) the rate the provider charges the 11 general public for personal care services; or 12 (ii) the rate determined by the department 13 in accordance with [a method that accounts for 14 the provider’s costs]. 15 16 N.Y. Comp. Codes R. & Regs. tit. 18, § 505.14(h)(7)(ii)(a)(1).

17 We follow the parties in calling this provision the “public

18 charge” regulation. The public charge regulation appears in a

19 section of the Medicaid regulations that governs DSS

20 departmental procedures.

21 Another provision, which the parties call the

22 “unacceptable practices” regulation, states:

23 (b) Conduct included. An unacceptable practice 24 is conduct which constitutes fraud or abuse and 25 includes . . . . 26 (1) False claims. 27 (i) Submitting, or causing to be submitted, a 28 claim or claims for: 29 . . . 30 (d) amounts substantially in excess of the 31 customary charges or costs to the general public. 32 33 Id. § 515.2(b)(1)(i)(d).

34 Rubin and Allstate were indicted in March 1998.3 Rubin was

35 charged with one count of second-degree grand larceny (Count

3 The corporate defendant, Allstate, pled guilty before trial.

-4- 1 One) and six counts of first-degree filing of a false

2 instrument (Counts Two through Seven), for submitting claims

3 that he falsely certified were in compliance with federal and

4 state laws and regulations; and two more counts of first-degree

5 filing of a false instrument (Counts Eight and Nine), for

6 submitting false cost reports.4 After Rubin requested a bill of

7 particulars, the state identified two regulations with which it

8 alleged Rubin had falsely certified compliance: the public

9 charge regulation and the unacceptable practices regulation.

10 Rubin was tried before a jury in Supreme Court, Albany

11 County, in March 1999. The case lasted two weeks and featured

12 22 witnesses.

14 B. Evidence at Trial

15 As part of its participation in Medicaid, Allstate

16 submitted annual reports to DSS detailing various business

17 costs and other figures. Allstate reported to DSS that its

18 charge to the general public for “Level II” personal care

19 services was $13.50 per hour in 1993 and $15.25 per hour in

4 Rubin does not contest his conviction on Counts Eight (related to a 1996 cost report’s false statement of the rate Allstate charged the public) and Nine (relating to a 1997 cost report’s false designation of expenses for an outside catering company as patient care costs). Two additional false instrument counts were dropped by the prosecution before trial.

-5- 1 1994 and 1995.5 DSS used data provided by Allstate about prior

2 years’ costs to set its Medicaid reimbursement rates for

3 upcoming years: $13.35 per hour for individual Level II clients

4 in 1994, $15.02 in 1995, and $14.79 in 1996. Allstate, like

5 other providers, was told that it could request that its

6 reimbursement rate be adjusted downward if it wanted to charge

7 the public a lower rate. Letters mailed to Rubin in 1994 and

8 1995 that accompanied DSS’s newly calculated reimbursement

9 rates also stated, “Medicaid regulations preclude payment in

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