Strawser v. Lawton

126 F. Supp. 2d 994, 2001 U.S. Dist. LEXIS 148, 2001 WL 8406
CourtDistrict Court, S.D. West Virginia
DecidedJanuary 3, 2001
DocketCIV.A. 2:00-0073
StatusPublished
Cited by9 cases

This text of 126 F. Supp. 2d 994 (Strawser v. Lawton) is published on Counsel Stack Legal Research, covering District Court, S.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Strawser v. Lawton, 126 F. Supp. 2d 994, 2001 U.S. Dist. LEXIS 148, 2001 WL 8406 (S.D.W. Va. 2001).

Opinion

MEMORANDUM OPINION AND ORDER

HADEN, Chief Judge.

Pending are (1) separate motions to dismiss filed by Defendants (a) Elizabeth S. Lawton, Darrell W. Peters, and Joan E. Ohl, (b) Darrell McGraw, and (c) Citibank N.A.; (2) Plaintiffs’ motion for oral argument; and (3) Defendants’ motions to stay discovery pending disposition of their dis-positive motions.

The Court GRANTS the motions to dismiss, DENIES the motions to stay as moot, and DENIES Plaintiffs’ motion for oral argument. 1

I. FACTUAL BACKGROUND

In 1994, West Virginia Attorney General Darrell V. McGraw, Jr., on behalf of his statutory clients at the West Virginia Public Employees Insurance Agency (PEIA) and the West Virginia Department of Health and Human Resources (DHHR), instituted an action against the major tobacco companies and other Defendants in the Circuit Court of Kanawha County. The complaint stated claims for (1) unjust enrichment and restitution, (2) indemnity, (3) public nuisance, (4) fraud and approximately ten (10) other claims. The relief *997 sought was broad, including compensatory and punitive damages, an injunction prohibiting the promotion of tobacco products to minors, and disgorgement of profits from the sale of cigarettes in West Virginia.

In November 1998, the tobacco companies and all but four states entered into a Master Settlement Agreement (M.S.A.) valued at an immense $200 billion dollars. The M.S.A., in part, compensates the states for past and future medical expenses occasioned by state underwritten treatment of tobacco-related illnesses. Payments under the M.S.A. will be made to the states over two and one-half decades. The M.S.A. does not resolve and release claims for “private or individual relief for separate and distinct injuries ... or ... recovery of health-care expenses” by individuals. (M.S.A. at II(pp)(2)(A) & (B).)

Over the last two years, West Virginia has received approximately $40 million dollars under the M.S.A. The money is transferred by the settling tobacco companies to an escrow agent, Citibank. Citibank then transfers a proportionate share of the monies to the State of West Virginia.

The West Virginia Legislature acted with dispatch to assert its sovereign control over the West Virginia portion. See W.Va.Code § 4-llA-l(c) et seq. (“The receipt of funds in accordance with the master settlement agreement shall be deposited only in accordance with the provisions of this article.”) By this enactment, the Legislature exercised control over the earmarking and disbursement of the settlement proceeds. 2

Plaintiffs are Medicaid recipients who were harmed by tobacco products. Despite section 4-llA-l(c) et seq., they seek an Order from this Court prescribing how West Virginia’s nearly $2 billion share of the M.S.A. fund should be allocated, partially to their benefit.

II. DISCUSSION

A. Medicaid Program Background

The Medicaid program was established in 1965 as “a cooperative federal-state” venture providing monies for medical care to needy individuals. See Prestera Ctr. for Mental Health Servs. v. Lawton, 111 F.Supp.2d 768, 773 (S.D.W.Va.2000)(quoting Wilder v. Virginia Hosp. Ass’n, 496 U.S. 498, 502, 110 S.Ct. 2510, 110 L.Ed.2d 455 (1990)). One commentator describes the system aptly, asserting it:

east[s] state officials in the role of middlemen entrusted with the distribution of combined federal-state largesse to eligible beneficiaries. A state is under no legal obligation to utilize federal funds to meet the needs of its disadvantaged citizens. If it chooses to avail itself of such funds, however, it must expend them in a manner consistent with the federal statutes and regulations governing their use.

Leonard Weiser-Varon, Note, Injunctive Relief from State Violations of Federal Funding Conditions, 82 Colum.L.Rev. 1236, 1237-38 (1982).

When a state violates any condition governing the use of federal funds, the responsible federal official must terminate the funding to the state program, after providing notice and an opportunity to be heard. 42 U.S.C. § 1396c. The applicable conditions most often appear in a state plan, a comprehensive document Congress has directed each participating state to file. One such plan condition states:

A State plan for medical assistance must — .... (25) provide — (A) that the State ... administering such plan will take all reasonable measures to ascertain the legal liability of third parties ... to pay for care and services avail *998 able under the plan ... [and] (B) that in any ease where such a legal liability is found to exist after medical assistance has been made available on behalf of the individual and where the amount of reimbursement the State can reasonably expect to recover exceeds the costs of such recovery, the State ... will seek reimbursement for such assistance to the extent of such legal liability.

42 U.S.C. § 1396a(a)(25). Subsection 1396a(a)(45) provides further:

A State plan for medical assistance must — _ (45) provide for mandatory assignment of rights of payment for medical support and other medical care owed to recipients, in accordance with section 1896k of this title.

Id. Title 42 U.S.C. section 1396k(b), the statute upon which Plaintiffs principally rely, discusses the disbursement of monies recovered by states from liable third parties:

Such part of any amount collected by the State under an assignment made under the provisions of this section shall be retained by the State as is necessary to reimburse it for medical assistance payments made on behalf of an individual with respect to whom such assignment was executed (with appropriate reimbursement of the Federal Government to the extent of its participation in the financing of such medical assistance), and the remainder of such amount collected shall be paid to such individual.

42 U.S.C. § 1396k(b) (emphasis added).

Plaintiffs’ claims are straightforward.

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Bluebook (online)
126 F. Supp. 2d 994, 2001 U.S. Dist. LEXIS 148, 2001 WL 8406, Counsel Stack Legal Research, https://law.counselstack.com/opinion/strawser-v-lawton-wvsd-2001.