Seneca Nation of Indians v. United States Department of Health and Human Services

945 F. Supp. 2d 135, 2013 WL 2255208, 2013 U.S. Dist. LEXIS 72957
CourtDistrict Court, District of Columbia
DecidedMay 23, 2013
DocketCivil Action No. 2012-1494
StatusPublished
Cited by19 cases

This text of 945 F. Supp. 2d 135 (Seneca Nation of Indians v. United States Department of Health and Human Services) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Seneca Nation of Indians v. United States Department of Health and Human Services, 945 F. Supp. 2d 135, 2013 WL 2255208, 2013 U.S. Dist. LEXIS 72957 (D.D.C. 2013).

Opinion

OPINION

ROSEMARY M. COLLYER, District Judge.

The Seneca Nation of Indians administers its own healthcare system through a self-determination contract with the Indian Health Service under the Indian Self-Determination and Education Assistance Act. The Nation submitted a contract amendment to the Indian Health Service to adjust the number of persons to be serviced under the contract and, as a result, to increase the funding provided to the Nation for fiscal years 2010 and 2011. IHS did not respond to the proposal within the 90 days as required by statute, and the Nation contends that its proposed amendment automatically became part of its contract with IHS upon the lack of a timely response. The Secretary of the Department of Health and Human Services, of which IHS is a constituent part, disagrees. The parties have briefed cross-motions for summary judgment, and the matter is ripe for decision. For the reasons set forth below, the Nation’s motion for summary judgment will be granted.

I. FACTS

The facts here are substantially undisputed, and the parties’ dispute focuses almost exclusively on the legal effect to be ascribed to a single letter sent by the Nation to IHS. The Nation, which is based in Salamanca, New York, is an Indian tribal government recognized by the federal government. The Defendants are the Department of Health and Human Services (“HHS”) and its Secretary, Kathleen Sebelius, sued in her official capacity; they are referred to in this Opinion collectively as “the Secretary.” The Indian Health Service (“IHS”) is an “HHS component whose principal mission is to provide primary health care for American Indians and Alaska Natives throughout the United States.” Defs.’ Cross-Mot. Summ. J. (“Defs. MSJ”) [Dkt. 15] at 1 (citations omitted).

Under the Indian Self-Determination and Education Assistance Act (“ISDEAA”), Pub. L. 63-638, 88 Stat. 2203 (1975), codified as amended at 25 U.S.C. § 450 et seq., the Nation entered into a self-determination contract with IHS in 2000 so that the Nation could administer its own healthcare programs. See Self-Determination Contract (“Contract”) & 2010 Annual Funding Agreement (“2010 AFA”), Pl. MSJ, Ex. A [Dkt. 14-4]. The Contract was executed on September 20, 1999 by Duane James Ray on behalf of the Nation and on January 3, 2000 by Ralph W. Ketcher, Jr., on behalf of IHS; it went into effect on January 1, 2000. Contract at 13. The Contract has an “indefinite” term, “subject to the annual appropriation of funds by the Congress,” with a “funding period ... [to] be determined on the basis of a calendar year” or other period as the parties agree. Id. at 2. It provides that “[t]he total amount of funds to be paid under this Contract, pursuant to Section 106(a) of the Act [25 U.S.C. § 450j-l(a) ], shall be determined in an Annual Funding Agreement [“AFA”] entered into between the Secretary and the Contractor, which *137 shall be incorporated into this Contract.” Contract at 7. For every fiscal year since the Contract was signed, the Nation and IHS have signed a new AFA. 1

Two provisions of the Contract are worth emphasizing. First, the Contract provides:

It is the intent of the Tribe to establish this Contract with the Secretary as a “mature contract”.... Each provision of the [ISDEAA] and each provision of this Contract shall be liberally construed for the benefit of the Contractor to transfer the funding and the following related functions, services, activities and programs (or portions thereof), that are otherwise contractible under Section 102(a) of the Act, including all related administrative functions, from the Federal Government to the Contractor....

Contract at 1. As to “Modifications and Amendments,” the Contract states in Article V, Section 2:

(A) IN GENERAL — Except as provided in Article V, Section 2(B) of this Contract, no modification to this Contract shall take effect unless such modification is made in the form of a written amendment to this Contract, and the Contractor and the Secretary provide written consent for modification.
(B) EXCEPTION — The addition of supplemental funds for programs, services, functions and activities (or portions thereof) already included in the Annual Funding Agreement under Article VII, Section 2 of this Contract, or the reduction of funds pursuant to Section 106(b)(2) of the Act, shall not be subject to Article V, Section 2(A) above.

Contract'at 9.

On October 26, 2009, the Nation’s representative signed Modification # 71 and the 2010 AFA for the Contract, and Mr. Ketcher countersigned for IHS on November 12, 2009. See Modification # 71 and 2010 AFA [Dkt. 14-4] at 48-61. 2 Modification # 71 provides that it is “executed to incorporate the FY 2010 Annual Funding Agreement” for the Contract. For the funding period October 1, 2009 through September 80, 2010, the Contract Amount was $8,686,927.00. Modification #71 at 50. That amount, comprised of $7,803,211 for direct program funds and $883,716 for indirect contract support costs, was to be paid to the Nation in a lump sum. 2010 AFA at 53. On March 7, 2011, IHS sent the Nation an executed copy of Modification #82, which “extend[ed] the current FY 2010 Annual Funding Agreement until 9/30/2011.” Modification # 82, PI. MSJ, Ex. B [Dkt. 14-5].

On April 29, 2011, the President of the Nation, Mr. Robert Odawi Porter, sent to IHS a letter (“April 29, 2011 Letter”) with the subject “User Population Undercounts and Proposed Améndments,” stating:

I write on behalf of the Seneca Nation of Indians (the “Nation”) with some urgency to appeal a recently discovered, substantial undercount of the Nation’s active user population count and registrants by the Indian Health Service (the “IHS”). This undercount, in turn, has had a dramatic, negative impact on the Nation’s allocation of federal funding.
*138 As you may know, over the past several years, staff of the Nation’s Health Department have consistently submitted user population numbers that were much larger than what the IHS staff would ultimately conclude were our user population numbers for each year.
The recent IHS report ... reveals that more than 12,150 patient visits of Indians with mailing addresses from towns within our IHS-approved Contract Health Service Delivery Area (“CHSDA”) in western New York state were not counted as visits to our Nation’s health facilities because they were assigned instead to towns with the same names in Arizona, California, Colorado, Connecticut, Iowa, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Montana, Nebraska, New Mexico, Pennsylvania, and South Carolina and thus not credited to active users within our CHDSA.

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Bluebook (online)
945 F. Supp. 2d 135, 2013 WL 2255208, 2013 U.S. Dist. LEXIS 72957, Counsel Stack Legal Research, https://law.counselstack.com/opinion/seneca-nation-of-indians-v-united-states-department-of-health-and-human-dcd-2013.