Singer v. Department of Health and Human Services

641 F. Supp. 2d 1219, 2009 U.S. Dist. LEXIS 64265, 2009 WL 2340875
CourtDistrict Court, D. Utah
DecidedJuly 23, 2009
Docket2:07CV321DAK
StatusPublished
Cited by2 cases

This text of 641 F. Supp. 2d 1219 (Singer v. Department of Health and Human Services) is published on Counsel Stack Legal Research, covering District Court, D. Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Singer v. Department of Health and Human Services, 641 F. Supp. 2d 1219, 2009 U.S. Dist. LEXIS 64265, 2009 WL 2340875 (D. Utah 2009).

Opinion

MEMORANDUM DECISION AND ORDER

DALE A. KIMBALL, District Judge.

This matter is before the court on Defendants Department of Health and Human Services and National Health Service Corps (“NHSC”) and Counterclaim Plaintiff United States of America’s Motion for Summary Judgment. 1 The court held a hearing on the motion on July 8, 2009. At the hearing, Plaintiff was represented by Donald J. Winder, and Defendants were represented by Jeannette F. Swent. The court heard oral argument and took the motions under advisement. The court has carefully considered all pleadings, memoranda, and other materials submitted by the parties. The court has further considered the law and facts relevant to the parties’ motions. Now being fully advised, the court enters the following Memorandum Decision and Order.

BACKGROUND

Singer is an obstetrician/gynecologist (“OBGYN”) who now practices in Park City, Utah. Singer graduated from medical school and did an OBGYN residency in New York. After her residency, on or about August 1, 1997, Singer began work at Wyckoff Hospital in Brooklyn, New York. Soon thereafter, she learned about the National Health Service Corps (“NHSC”) Loan Repayment Program (“LRP”), which recruits physicians to work in inner cities and remote rural areas where residents lack adequate access to health care in exchange for the repayment of qualifying educational loans. Congress enacted the NHSC LRP in 1987 as an adjunct to the existing NHSC Scholarship Program to assure that health care providers would be available to mitigate the “health care crisis for the unserved residents of health manpower shortage areas.” H.R.Rep. No. 100-252, at 8-10 (1987).

On January 30, 1998, Singer submitted her application materials for the LRP. Singer admits that included with the application materials she received was the Applicant Information Bulletin (“AIB”). The AIB states that the contract would not take effect until an HHS official countersigned the LRP contract: “Applicants become participants in the NHSC/LRP on the date the Designee of the Secretary of *1221 the Department of Health and Human Services countersigns the NHSC/LRP Federal Contract or the start date of full-time employment at an NHSC/LRP site, whichever is later.”

Prior to submitting her application, Singer signed the LRP contract on January 20, 1998. An HHS official signed her contract on March 18, 1998. Singer received the fully executed LRP contract with a cover letter from HHS, dated March 25, 1998. The contract and the cover letter state that the contract obligated Singer to serve as a full-time health professional at a site approved by the NHSC for two years. The cover letter sets out the specific dates for this two-year period as March 18, 1998 to March 17, 2000. On or about April 14, 1998, Singer also signed a Private Practice Assignment Agreement with the NHSC in which she agreed, among other things, to serve as a full-time OBGYN at Wyckoff until March 17, 2000. Pursuant to the LRP contract, the NHSC provided $50,000 to Singer for repayment of her student loans.

The terms of a NHSC LRP contract are set by statute. See 42 U.S.C. § 254i — 1(f). Included in the contract terms is a statement of the damages to which the United States is entitled if an individual breaches the service obligation. See id. § 254Í— 1(f)(4). Singer’s LRP contract recited the statutory default provisions in effect at the time.

When Singer entered into her LRP contract, the statute provided that if the participant failed “to complete such service obligation, the Untied States shall be entitled to recover from the individual an amount equal to the sum of ... the total of the amounts paid by the United States ... on behalf of the individual for any period of obligated service; and an amount equal to the unserved obligation penalty.” Id. § 254o(c)(i). The penalty was defined as “the product of the number of months of obligated service that were not completed by an individual, multiplied by $1,000.” Id. § 254o(e)(Z)(A).

Despite her contractual obligation through March 17, 2000, Singer left her job at Wycoff on September 22, 1999. On September 24, 1999, Singer sent a letter to the NHSC stating that she discontinued her employment at Wyckoff “[d]ue to extreme and unfortunate circumstances.” She stated that she “would appreciate it if [her] contract requirement could be fulfilled as of this time.” Although she had agreed to work at the hospital for two years from March 1998, she had worked at the hospital for six months prior to entering the LRP contract and asked for that time to suffice.

On October 12, 1999, Brenda Walker at the NHSC sent an email memorializing a telephone conversation she had with Singer. The email states that the NHSC could not accept the time that Singer worked at Wyckoff prior to signing the LRP contract and that Singer would be obligated to fulfill her contract or it would be considered a default.

Singer testified in her deposition that one of the reasons she left her job at Wyckoff was because she was concerned with the work practices of her colleagues. She also claims that she was subjected to harassment because she was the only woman. Singer, however, has not provided any specific information or facts supporting a claim of harassment. Singer further testified that she left her employment at Wyckoff, in part, to study and pass the examination to become a Fellow of the American College of Obstetrics and Gynecology. She believed that the work environment at Wyckoff could have compromised her ability to take and pass the Boards.

On December 10, 1999, Singer wrote a letter to the NHSC stating that she imme *1222 diately began seeking employment and notified Lester Theophilakos at NHSC of the events. She acknowledged in the letter that she had been informed that she might still have remaining contractual obligations. She stated that she was searching for a “qualifying” position with Theophilakos’ help, but that it was difficult because she wanted to find something in the area where she was living and caring for her mother. Singer stated that the NHSC’s position was prejudicing her ability to apply for numerous employment opportunities because those opportunities did not meet NHSC’s criteria. She again asked for a release or satisfaction from her contractual obligation.

On January 18, 2000, the NHSC denied Singer’s request for a release or satisfaction of her contractual obligations, stating that she could not be given service credit retroactive to the time before her contract was approved. The letter referenced that Singer had been going on interviews at qualifying sites. The letter also stated that Theophilakos would continue to work with her to find a qualifying position at which she could complete her service requirements.

On March 14, 2000, Singer sent a letter to NHSC acknowledging that she left Wyckoff a few months short of the time she was required to work there pursuant to her LRP contract. She also stated that she had looked for qualifying employment for four months but, eventually, took a position at a hospital in the Long Island area that did not meet NHSC criteria.

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641 F. Supp. 2d 1219, 2009 U.S. Dist. LEXIS 64265, 2009 WL 2340875, Counsel Stack Legal Research, https://law.counselstack.com/opinion/singer-v-department-of-health-and-human-services-utd-2009.