United States v. Oregon

675 F. Supp. 1249, 1987 U.S. Dist. LEXIS 13157
District Court, D. Oregon·Decided July 31, 1987·No. Civ. No. 86-961MA·Published·Cited by 2 cases

Opinion

OPINION

MARSH, District Judge.

On July 28, 1986, the United States filed suit against the State of Oregon (State) under the Civil Rights of Institutionalized Persons Act (CRIPA) to enjoin the State from depriving persons confined at Fair-view Training Center (Fairview) of rights secured by the United States Constitution and the Education of the Handicapped Act.1 On March 30, 1987, a Health Care Financing Administration (HCFA) survey team began an inspection of Fairview to determine Fairview’s compliance with HCFA standards for intermediate care facilities. On April 10,1987, the survey team advised Fairview that it would recommend that its federal Medicaid funding be terminated because conditions at the facility posed a serious and immediate threat to the health and safety of its residents. Fairview’s funding was terminated on April 17, 1987. On April 27, 1987, the State appealed this de-certification to an administrative law judge. That appeal is pending.

On July 13, 1987, the State filed a request with HCFA for recertification. The State requested that HCFA reinspect Fair-view beginning on July 27, 1987. At the time of the argument of this motion, HCFA was in the process of this inspection. Along with the HCFA survey team was the expert witness retained by the USDOJ for its CRIPA action.

On June 23, 1987, the State filed an answer and counterclaim in the CRIPA action. In its counterclaim, the State alleges that the United States Department of Justice (USDOJ) is preventing HCFA from restoring Medicaid funding unless the State signs a consent decree in the CRIPA action. The State contends that this is an attempt to coerce the State into accepting staffing ratios and other standards of care developed by USDOJ attorneys.

On June 29, 1987, the State filed a motion for a preliminary injunction to enjoin the United States from “refusing to restore federal Medicaid funding to Fairview Training Center (Fairview) pursuant to the [1251]*1251Medicaid Act, unless the State signs a consent decree demanded by the USDOJ.” The State contends that the USDOJ is influencing HCFA to withhold more than $70,000 per day in federal Medicaid funds, causing Oregon’s programs for the care of mentally retarded and other developmentally disabled persons to suffer irreparable harm. The State stresses that it is not seeking an order requiring restoration of the Medicaid funds which were terminated on April 17, 1987, but rather an order that HFCA be “permitted” to restore the funding if HCFA determines, free of inappropriate interference by the USDOJ, that Fair-view now complies with HCFA’s standards. Thus, its counterclaim is collateral to its administrative claim for a complete restoration of funding.2

Jurisdiction over this matter is exercised pursuant to 28 U.S.C. § 1331. To obtain a preliminary injunction, the State must show either (1) a likelihood of success on the merits and the possibility of irreparable harm, or (2) the existence of serious questions going to the merits and the balance of hardship tipping in its favor. First Brands Corp. v. Fred Meyer, Inc., 809 F.2d 1378, 1381 (9th Cir.1987); Oakland Tribune, Inc. v. Chronicle Publishing Co., 762 F.2d 1374, 1376 (9th Cir.1985); Inglis v. Sons Baking v. ITT Continental Baking Co., Inc., 526 F.2d 86, 88 (9th Cir.1975). Although often discussed in the alternative, these tests represent the extremes on a single continuum. “The critical element is the relative hardship to the parties. If the balance of hardships tips decidedly toward the plaintiff, less likelihood of success on the merits is required.” Wilson v. Watt, 703 F.2d 395, 399 (9th Cir.1983).

Generally, in cases dealing with injunc-tive relief, the harm to the moving party is both identifiable and imminent. The propriety of granting the relief, therefore, usually focuses on whether there is a likelihood of success on the merits. Here, however, the likelihood of success is a probability. The propriety of granting the relief, therefore, hinges on whether there is a possibility of irreparable harm.

The State sets forth three grounds in support of its argument that there is a strong likelihood that it will succeed on the merits of its counterclaim for declaratory and injunctive relief against the USDOJ. First, it contends that the HCFA regulations for intermediate care facilities for the mentally retarded (42 C.F.R. Subpart G) are the only relevant factors which HCFA can consider when determining whether to restore Fairview’s funding. Therefore, any attempt by the USDOJ to force HCFA to consider a factor outside of its regulations, such as the signing of a consent decree, is unlawful. Second, the State argues that even if judicially defined constitutional minimum standards of care are relevant to HCFA’s funding decision, the HCFA regulations exceed constitutional standards. Third, the State contends that even if the HCFA standards don’t satisfy constitutional standards, the prerequisite of signing a consent decree is an unconstitutional standard being imposed by the US-DOJ.

The United States responds by contending that the State’s counterclaim is not ripe for adjudication because there is no objective evidence that HCFA officials are considering, or will actually consider, any factors beyond their own regulations. The United States also argues that any representations made by USDOJ attorneys concerning the requirement of a consent decree made in settlement negotiations of the CRIPA claim are inadmissible in trial under Fed.R.Evid. 4083 and should thus not be considered when determining the propriety [1252]*1252of a preliminary injunction. Finally, the United States argues that any previous representations made by USDOJ attorneys regarding the requirement of a consent decree cannot overcome the declarations in support of plaintiffs memorandum opposing the preliminary injunction which deny that the USDOJ ever conditioned the restoration of funds on a consent decree.

It is undisputed that the USDOJ cannot exercise control over HCFA so as to prevent HCFA from restoring Fairview’s Medicaid funding. In its Memorandum In Opposition To Motion Of Defendants For Preliminary Injunction, the United States concedes that this court “can take judicial notice that the Department of Justice exercises no supervisory authority over the Department of Health and Human Services or units within that separate agency.” In its memorandum, the United States contends that the USDOJ is not exercising any such authority and that any contacts with HCFA have been pursuant to 42 U.S.C. § 1997h4 or are merely contacts for the purposes of rendering legal advice.

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United States v. Oregon, 675 F. Supp. 1249, 1987 U.S. Dist. LEXIS 13157 (D. Or. 1987).

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