United States Court of Appeals, Third Circuit

874 F.2d 156
Court of Appeals for the Third Circuit·Decided June 8, 1989·No. 156·Unpublished

Opinion

874 F.2d 156

57 USLW 2682

PHILADELPHIA POLICE AND FIRE ASSOCIATION FOR HANDICAPPED
CHILDREN, INC., Phillip Joseph Barrett, Debbie Callaghan,
Gina Marie Coccia, Colleen Devaney, Bernadine Doughty,
William Engle, David Joseph Fialkowski, Thomas Edward Foley,
Robert G. Fulmer, Dianne Gradel, Suzanne Gress, Matthew T.
Hoag, Anthony T. Hulem, Elliot N. Jaffee, William J. Jaffee,
Edward Kelly, David Andrew Kensil, Yanina Kopyt, Helen
Posusney, Michael V. Powell, Loretto Ricciardi, David W.
Rickolds, David E. Rounds, Dennis Rowan, Diane Rubis,
Dorothy Schaeffler, Joseph R. Steffen, Elizabeth Sturkey,
Dennis P. Torrieri, William Watson, Judith Weick, Michael
Weinberg, on behalf of themselves and all others similarly situated
v.
CITY OF PHILADELPHIA, Maurice Clifford, Robert Glover, John
White, Jr., Steven Eidelman.
Appeal of CITY OF PHILADELPHIA, Maurice Clifford, and Robert
Glover, Appellants in No. 88-1883.
Appeal of COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF PUBLIC
WELFARE, Secretary and Deputy Secretary,
Appellants in Nos. 88-1909 and 89-1116.

Nos. 88-1883, 88-1909 and 89-1116.

United States Court of Appeals,
Third Circuit.

Argued March 28, 1989.
Decided May 8, 1989.
Rehearing Denied June 8, 1989.

Seymour Kurland, City Sol., Richard J. Gold (argued), First Deputy City Sol., Doris M. Leisch, Chief Asst. City Sol., City of Philadelphia Law Dept., Philadelphia, Pa., for City of Philadelphia etc., appellants in No. 88-1883.

Ernest D. Preate, Jr., Atty. Gen., David M. Donaldson, (argued), Sr. Deputy Atty. Gen., Laura Fredricks, Deputy Atty. Gen., John G. Knorr, III, Chief Deputy Atty. Gen., Philadelphia, Pa., for Com. of Pa., Dept. of Public Welfare Secretary, and Deputy Secretary, appellants in Nos. 88-1909 and 89-1116.

David Ferleger (argued), Philadelphia, Pa., for Philadelphia Police and Fire Ass'n for Handicapped Children, etc., appellees.

Macdonald Flinn, Robert S. Herbst, White & Case, New York City, amici curiae, for The Ass'n for Retarted Citizens etc.

Robert J. Sugarman, Sugarman & Cohen, Philadelphia, Pa., amicus curiae, for Philadephia Coalition of Community Mental Health/Mental Retardation Centers, Inc.

Before GIBBONS, Chief Judge, and BECKER and NYGAARD, Circuit Judges.

OPINION OF THE COURT

GIBBONS, Chief Judge:

The City of Philadelphia and its mental retardation officials, Health Commissioner Maurice Clifford and Mental Health/Mental Retardation Administrator Robert Glover, (collectively "Philadelphia"), and the Commonwealth of Pennsylvania, its Secretary of Public Welfare, John F. White, Jr., and his Deputy Secretary for Retardation, Steven Eidelman, (collectively "the Commonwealth") appeal from a district court order enjoining them to maintain services to mentally retarded individuals who live at home at fiscal year 1988 levels. We conclude that the district court erred in holding that the reduction or elimination of services to this group violated the fourteenth amendment on equal protection and substantive due process grounds. Therefore, we will reverse.

I.

The mentally retarded require special and continuing care called "habilitation" to function optimally in society. Habilitation entails "teaching and training the retarded basic life and social skills," App. 833, such as walking, talking, eating, toileting, socializing, using money, traveling, and working. These lessons, however, are not learned permanently by mentally retarded persons: once habilitation ceases, they begin to regress. In Pennsylvania, state-subsidized habilitation of the mentally retarded is performed in a variety of settings ranging from state institutions to the retarded person's home.

Provision of these services is governed by the Mental Health and Mental Retardation Act of 1966, 50 Pa.Stat.Ann. Secs. 4101-4704 (Purdon 1969 & Supp.1988). The Act divides responsibility for providing and purchasing services for the mentally retarded between the state and county governments.1 It delegates to the state the duties "[t]o ensure ... the availability and equitable provision of adequate ... mental retardation services for all persons who need them," to promulgate regulations consistent with the Act, and to assist the counties in fulfilling their duties. 50 Pa.Cons.Stat.Ann. Sec. 4201. It delegates to the counties diagnosis, evaluation of needs, and development of a plan to address those needs, including a determination to place the mentally retarded person either in the institution, a group home, or with his family. Id. at Secs. 4301-4305; 55 Pa.Code Secs. 6201.1-.14. To be eligible for county-level services, individuals must register with, and be accepted by, a base service unit ("BSU"). 50 Pa.Cons.Stat.Ann. Sec. 4301(d)(9) (Purdon 1969); 55 Pa.Code Sec. 6201.13(a).

The Act requires the Pennsylvania General Assembly annually to budget funds for mental retardation services within the state. See 50 Pa.Stat.Ann. Secs. 4201, 4202 (Purdon 1969 & Supp.1988). It delegates to the Department of Public Welfare disbursement of these funds, supplemented by federal funds, among Pennsylvania's sixty-seven counties. Id. at Secs. 4201, 4507, 4509. The counties, however, remain free to provide additional funding. See id. at Sec. 4509. The Act also anticipates funding shortfalls, requiring the Department of Public Welfare, in the event of an allocation insufficient to fully fund approved grants,

to distribute State funds among the counties by a formula reasonably designed to achieve the objectives of this act, provided however, that in such event the counties' financial obligations under this act shall be reduced in accordance with the same formula and the counties shall be required to provide only those services for which sufficient funds are available.

Id. at Sec. 4509(5).

Under the statutory scheme, the state must provide total funding for approved local residential programs, which give twenty-four hour care to live-in residents. Id. at Secs. 4507, 4509. Programs administering approved nonresidential services must receive ninety percent of their funding from the state and ten percent from the county. Id. at Sec. 4509. Since 1983, Philadelphia's program has run at a deficit; in each year through fiscal year 1987, it covered the deficit with money left over from placement of persons from Pennhurst. App. 636-37. In fiscal year 1988, however, Philadelphia could not find a way to cover the difference. Faced with cutting services, Philadelphia asked for and received supplemental funding from the Commonwealth. The Commonwealth, however, refused Philadelphia's request to annualize this special allocation. The Commonwealth's position set the stage for the instant dispute.

For fiscal year 1989, the Commonwealth once again allocated less funds than Philadelphia needed. The shortfall was estimated at $6.8 million, approximately 10% of Philadelphia's budgeted spending for care and treatment of the mentally retarded. The Commonwealth, as promised, refused to supplement the funding. In response, Philadelphia announced that it planned to reduce services to mentally retarded citizens living at home.

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