Sanders ex rel. Rayl v. Kansas Department of Social & Rehabilitation Services

317 F. Supp. 2d 1233, 2004 U.S. Dist. LEXIS 8572
CourtDistrict Court, D. Kansas
DecidedApril 29, 2004
DocketNo. 03-4075-SAC
StatusPublished
Cited by9 cases

This text of 317 F. Supp. 2d 1233 (Sanders ex rel. Rayl v. Kansas Department of Social & Rehabilitation Services) is published on Counsel Stack Legal Research, covering District Court, D. Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sanders ex rel. Rayl v. Kansas Department of Social & Rehabilitation Services, 317 F. Supp. 2d 1233, 2004 U.S. Dist. LEXIS 8572 (D. Kan. 2004).

Opinion

MEMORANDUM AND ORDER

CROW, District Senior Judge.

This case comes before the court on defendants’ motion to dismiss the case for lack of standing, lack of subject matter jurisdiction, and failure to state a claim upon which relief can be granted.

Plaintiff is an adult male who has chronic progressive multiple sclerosis, quadriplegia, seizure disorder and pulmonary dysfunction, in addition to other physical conditions. Dk. 14, ¶ 10. This case had its genesis when the Kansas Department of Social and Rehabilitation Services (“SRS”), a Medicaid agency, denied plaintiffs request for a “Vest Airway Clearance System” (“the Vest”).

Thereafter, plaintiff brought this suit, naming as defendants not only SRS, but also the following individuals in their official capacities: Janet Schalansky, the Secretary of SRS; Laura Howard, the Assistant Secretary of the Health Care Policy Division of SRS; and Robert Day, the Director of Medical Policy and Medicaid Director of Health Care Policy Division of SRS. The case alleges violations of the ADA, the Rehabilitation Act, the Medicaid Act, and 42 U.S.C. § 1983.

I. BACKGROUND

Plaintiff participates in the Kansas Medicaid Program, and in the home and community-based waiver services. See 42 U.S.C. § 1396n. Programs approved under this subsection are waived from many Medicaid strictures, id. § 1396n(c)(3), including that medical assistance be made available to all individuals equally, see id. § 1396a(a)(10)(B). Plaintiffs physician requested pre-authorization for Medicaid to cover the Vest, which the court understands to be a piece of medical equipment resembling a clothing vest which transmits rapid pulsations designed to mobilize secretions in one’s chest. SRS, a Medicaid agency, denied the request. The basis for SRS’s denial is disputed. Plaintiff alleges it was because he is not institutionalized, does not have cystic fibrosis, and is not under 21 years of age. Defendants allege it was because the Vest was not shown to be medically necessary.

Plaintiff unsuccessfully requested reconsideration of the denial, then appealed the denial to the state administrative Hearing Officer, who affirmed. Plaintiff pursued a further appeal to the Kansas State Appeals Committee, which also affirmed the agency decision to deny payment for the Vest. See K.S.A. § 77-527(a)(2)(B); § 75-3306; K.A.R. 30-7-78. Plaintiff did not seek review in the district court of these administrative decisions, see K.S.A. § 77-601, choosing instead to file this case in federal court.

Plaintiff alleges that defendants violated the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12101, et seq., § 504 of the Rehabilitation Act of 1973, 29 U.S.C. §§ 701-796, the equal protection and due process clauses of the United States Constitution, and various provisions of the Medicaid Act alleged to be actionable via 42 U.S.C. § 1983.

II. MOTION FOR ORAL ARGUMENT

Plaintiff has moved the court to grant oral argument on defendants’ motions to dismiss, alleging that the host of immunity issues “require subtle distinctions that are more easily addressed in oral hearing.” Dk. 26, p. 2. The court does not believe that oral argument would be of material assistance in deciding these motions, so denies plaintiffs motion for oral argument.

[1239]*1239III. NEXT FRIEND STANDING

As a threshold matter, the court must determine whether plaintiffs mother may assert the claims on behalf of her adult son as his next friend, as she attempts to do.

Federal Rule of Civil Procedure 17(c) provides that “an infant or incompetent person who does not have a duly appointed representative may sue by next Mend or by a guardian ad litem.... ” The parties agree that Stuart Sanders, whose amended complaint alleges that he is 51 years old, is not an infant. The sole issue is therefore whether he is an “incompetent person” within the meaning of that term in this rule.

It is uncontested that Stuart Sanders has not been adjudicated incompetent by a state court. Nonetheless, plaintiff contends that he is in fact incompetent, in stating:

Because of communication and physical impairments caused by his medical conditions, Stuart Sanders cannot independently represent his interests in this suit against the defendants. For this reason, this action is brought by Stuart Sanders through his next Mend and mother, Jeannine Rayl. Stuart Sanders resides with Jeannine Rayl; she is familiar with his medical needs; and she is familiar with the factual issues involved in this suit.

Dk. 14, p. 3, ¶ 5. No other relevant facts are included in the record.

Defendants Schalansky, Howard and Day assert that Jeannine Rayl cannot serve as “next friend” to her adult son because under Rule 17(c), an adult must be adjudicated incompetent by the relevant state court before a “next Mend” may bring suit on his behalf.

The term “incompetent person” in Rule 17(c) refers to “a person without the capacity to litigate.” Thomas v. Humfield, 916 F.2d 1032, 1035 (5th Cir.1990), aff'd, 32 F.3d 566 (5th Cir.1994), cert. denied, 513 U.S. 1167, 115 S.Ct. 1138, 130 L.Ed.2d 1098 (1995). Next friends appear in court on behalf of persons who are unable to seek relief themselves, usually because of mental incompetence. Whitmore v. Arkansas, 495 U.S. 149, 162, 110 S.Ct. 1717, 109 L.Ed.2d 135 (1990).

The court believes that its power to appoint under Rule 17(c) should not be used to circumvent the mandate in Rule 17(b) to observe state law. See Buckhannon Bd. and Care Home, Inc. v. West Virginia Dept. of Health and Human Resources, 19 F.Supp.2d 567, 575 (N.D.W.Va.1998) (directing plaintiffs to substitute the real parties in interest in lieu of the inappropriately named next Mends); Wolfe by Hedges v. Bias, 601 F.Supp. 426, 427-28 (S.D.W.Va.1984). The court nonetheless recognizes that it is (not bound by state procedures for determining competency, and that there may be an occasion which compels a federal court to make a finding of incompetence, independent of a state court). See e.g., Thomas v. Humfield, 916 F.2d 1032, 1035 (5th Cir.1990); 6A Charles Alan Wright, Arthur R. Miller & Mary Kay Kane, Federal Practice and Procedure § 1570, at 503 (2d ed.1990).

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Cite This Page — Counsel Stack

Bluebook (online)
317 F. Supp. 2d 1233, 2004 U.S. Dist. LEXIS 8572, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sanders-ex-rel-rayl-v-kansas-department-of-social-rehabilitation-ksd-2004.