Tinsley v. Flanagan

District Court, D. Arizona·Decided May 22, 2020·No. 2:15-cv-00185·Unknown

Opinion

WO

B.K. by next friend Margaret Tinsley, et al., No. CV-15-00185-PHX-ROS

Plaintiffs, ORDER

v.

Michael Faust, et al.,

Defendants. This lawsuit was initiated by Plaintiffs on behalf of children in Arizona state foster care custody over five years ago against the Director of the Arizona Department of Child Safety (“DCS”)1 and the Director of the Arizona Health Care Cost Containment System (“AHCCCS”)2 (collectively, “Defendants”). Plaintiffs, alleging that a flawed system causes serious harm to foster children, claimed violations of substantive due process and the Medicaid Act on behalf of a general class and several subclasses. A General Class and two subclasses (the Medicaid Subclass and the Non-Kinship Subclass) have been certified. The Ninth Circuit affirmed the certification of the General Class and the Non-Kinship Subclass, and denied permission to appeal the certification of the Medicaid Subclass. Discovery, which was stayed by the Ninth Circuit for over 15 months at Defendants’ request, is now closed. Defendants updated their discovery only after the Court explicitly ordered Defendants to “produc[e] up-to-date information so Plaintiffs can litigate their claims using accurate information.” (Doc. 433.) After five years,

1 The current Director of DCS is Michael Faust, a Defendant in his official capacity. 2 The current Director of AHCCCS is Jami Snyder, a Defendant in her official capacity. this matter is ripe for resolution. I. Governing Law The following overview of the law governing Plaintiffs’ substantive due process3 and Medicaid Act4 claims is intended to ensure the parties understand what the Court expects at trial. A. Substantive Due Process Although a state is under no affirmative obligation to protect the general public from private harm, the “special relationship” exception requires a state with a custodial relationship to a person to “assume some responsibility for [the person’s] safety and general well-being.” DeShaney v. Winnebago Cty. Dep’t of Soc. Servs., 489 U.S. 189, 197–200 (1989). The Ninth Circuit has recognized that when a special relationship exists, “a state’s omission or failure to protect may give rise to a § 1983 claim.” Patel v. Kent Sch. Dist., 648 F.3d 965, 972 (9th Cir. 2011). In the Ninth Circuit, the “special relationship doctrine applies to children in foster care,” and “foster children have ‘a federal constitutional right to state protection’ while they remain in the care of the State.” Henry A. v. Willden, 678 F.3d 991, 1000 (9th Cir. 2012). Here, the Ninth Circuit recognized Plaintiffs’ right to bring an action based on the claim that Defendants failed “to provide children in [their] care ‘reasonable safety and minimally adequate care and treatment appropriate to the age and circumstances of the child.’” B.K. by next friend Tinsley v. Snyder, 922 F.3d 957, 968 (9th Cir. 2019) (quoting Lipscomb By & Through DeFehr v. Simmons, 962 F.2d 1374, 1379 (9th Cir. 1992)). The “proper standard” for determining whether a foster child’s due process rights have been violated is deliberate indifference, which requires both objective risk of harm and subjective awareness of the harm. Henry A., 678 F.3d at 1000–01. Specifically, a claim for a substantive due process violation under 42 U.S.C. § 1983 on behalf of foster children requires a showing of: 1) “an objectively substantial risk of harm”; and that 2) “officials were subjectively aware of facts from which an inference could be drawn that a substantial

3 Counts I, III, and IV of the Second Amended Complaint. (Doc. 37.) 4 Count II of the Second Amended Complaint. (Doc. 37.) risk of serious harm existed.” Tamas v. Dep’t of Soc. & Health Servs., 630 F.3d 833, 845 (9th Cir. 2010). “The second part may be proven by showing (1) that the official was aware of facts from which an inference of risk may be drawn and that the official made that inference, (2) that the official was aware of facts from which an inference of risk may be drawn and that any reasonable official would have been compelled to draw that inference, or (3) that the risk of harm is obvious.” Tinsley, 922 F.3d at 968 (9th Cir. 2019) (citing Tamas, 630 F.3d at 845).5 Defendants place undue emphasis on the phrase “conscience-shocking” in arguing that their actions or inactions do not violate the Constitution. (Docs. 480 at 3, 481 at 4, 482 at 2, 483 at 2.) True, Tamas provides that “[t]o violate due process, state officials must act with such deliberate indifference to the liberty interest” that their actions “shock the conscience.” 630 F.3d at 844 (citing Brittain v. Hansen, 451 F.3d 982, 991 (9th Cir. 2006)). But Tamas continues “[c]onduct that ‘shocks the conscience’ is ‘deliberate indifference to a known or … obvious … danger,’” then follows with the two-pronged objective and subjective inquiry articulated above. Id. (quoting Kennedy v. City of Ridgefield, 439 F.3d 1055, 1064 (9th Cir. 2006)). In short, if the standard for deliberate indifference is met, it shocks the conscience and therefore violates due process. B. Medicaid Act As the Ninth Circuit previously noted, “[o]nce a state joins the Medicaid system, it must comply with federal statutory and regulatory requirements to ensure that its plan provides all required healthcare services. These requirements may be court-enforced through a private claim by eligible Medicaid beneficiaries.” Tinsley, 922 F.3d at 963–964 (citations omitted). In certifying the Medicaid Subclass, the Court held “the Medicaid Act requires Defendants to proactively ensure that each child eligible for [early and periodic screening, diagnostic, and treatment] services actually receives such services in a timely manner.” (Doc. 461 at 14.) And it was held that “a violation of the Medicaid Act occurs

Free access — add to your briefcase to read the full text and ask questions with AI

Tinsley v. Flanagan, (D. Ariz. 2020).

Tinsley v. Flanagan (Tinsley v. Flanagan) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

United States v. Ronald Keith Brown
415 F.3d 1257 (Eleventh Circuit, 2005)
Bourjaily v. United States
483 U.S. 171 (Supreme Court, 1987)
Daubert v. Merrell Dow Pharmaceuticals, Inc.
509 U.S. 579 (Supreme Court, 1993)
Kumho Tire Co. v. Carmichael
526 U.S. 137 (Supreme Court, 1999)
Tamas v. Department of Social & Health Services
630 F.3d 833 (Ninth Circuit, 2010)
Hoffman v. Applicators Sales & Service, Inc.
439 F.3d 9 (First Circuit, 2006)
Patel Ex Rel. A.H. v. Kent School District
648 F.3d 965 (Ninth Circuit, 2011)
Lipscomb v. Simmons
962 F.2d 1374 (Ninth Circuit, 1992)
David E. Watson, Pc v. United States
668 F.3d 1008 (Eighth Circuit, 2012)
HENRY A. v. Willden
678 F.3d 991 (Ninth Circuit, 2012)
Diviero v. Uniroyal Goodrich Tire Co.
919 F. Supp. 1353 (D. Arizona, 1996)
Federal Trade Commission v. BurnLounge, Inc.
753 F.3d 878 (Ninth Circuit, 2014)
Salem, Maurice J. v. Neshewat, Michael
465 F.3d 767 (Seventh Circuit, 2006)
United States v. Edwin Flores
901 F.3d 1150 (Ninth Circuit, 2018)
M. D. Ex Rel. Stukenberg v. Abbott
907 F.3d 237 (Fifth Circuit, 2018)
B.K. v. Thomas Betlach
922 F.3d 957 (Ninth Circuit, 2019)
Clausen v. M/V New Carissa
339 F.3d 1049 (Ninth Circuit, 2003)