UnitedHealthcare of Pennsylvania, Inc. v. DHS

CourtCommonwealth Court of Pennsylvania
DecidedMay 31, 2018
Docket824 C.D. 2017
StatusUnpublished

This text of UnitedHealthcare of Pennsylvania, Inc. v. DHS (UnitedHealthcare of Pennsylvania, Inc. v. DHS) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
UnitedHealthcare of Pennsylvania, Inc. v. DHS, (Pa. Ct. App. 2018).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

UnitedHealthcare : of Pennsylvania, Inc., : : Petitioner : : v. : No. 824 C.D. 2017 : Argued: April 10, 2018 Pennsylvania Department : of Human Services, : : Respondent :

BEFORE: HONORABLE ANNE E. COVEY, Judge HONORABLE MICHAEL H. WOJCIK, Judge HONORABLE JAMES GARDNER COLINS, Senior Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE WOJCIK FILED: May 31, 2018

UnitedHealthcare of Pennsylvania, Inc. (UnitedHealthcare) petitions for review from a final determination of the Pennsylvania Office of Open Records (OOR), which denied its appeal from the Commonwealth of Pennsylvania, Department of Human Services’ (DHS) partial denial of its request under the Right- to-Know Law (RTKL).1 UnitedHealthcare contends that OOR erred or abused its discretion by accepting DHS’s narrow interpretation of its request, ruling on exemptions without the aid of an exemption log or in camera review, applying incorrect findings applicable to another requester’s request, and finding that DHS met its burden of proving nine emails were exempt under the noncriminal investigation exception. Upon review, we affirm in part and vacate in part and

1 Act of February 14, 2008, P.L. 6, 65 P.S. §§67.101-67.3104. remand to OOR to reconsider the applicability of DHS’s proffered exemptions after requiring and reviewing an exemption log of the documents withheld.

I. Background This matter stems from a request for proposal (RFP) conducted by DHS, pursuant to Section 513 of the Commonwealth Procurement Code (Procurement Code),2 known as Original RFP No. 06-15 and Reissued RFP No. 06- 15 relating to the Physical HealthChoices Program.3 UnitedHealthcare was one of eleven offerors that submitted proposals. However, DHS did not select UnitedHealthcare to enter into contract negotiations. UnitedHealthcare protested the bid. On February 7, 2017, UnitedHealthcare submitted a nine-item RTKL request for documents relating to the Reissued RFP, including proposal, evaluation and Office of Inspector General (OIG) investigation documents (Request). Specifically, UnitedHealthcare requested:

[A]ll public records relating to, received or produced by or on behalf of the Commonwealth of Pennsylvania, its agencies, employees and agents related to the Reissued RFP #06-15, including, but not limited to, the following, regardless of the form of the record:

a) All records and documents relating to the debriefing meeting(s) between DHS representatives and representatives of Pennsylvania Health & Wellness, Inc. (“PA H&W”) in November and/or December 2016 at

2 Section 513 of the Procurement Code governs competitive sealed proposals. 62 Pa. C.S. §513.

3 This matter and the matters listed at Nos. 348 C.D. 2017, 543 C.D. 2017 and 660 C.D. 2017 all stem from RTKL requests seeking documents in connection with Original and/or Reissued RFP No. 06-15. These cases were argued seriately before the panel. 2 which the error in scoring and/or rescoring of Small Diverse Business (“SDB”) proposals was discussed;

b) All records and documents relating to any communication by or between Lisa Allen, Sallie Rodgers, any representative(s) of PA H&W and/or any representative(s) of any other offeror(s) involved in the procurement pursuant to the Reissued RFP #06-15 in any way relating to the selection or potential selection of offerors from November 2016 to the present;

c) All records and documents relating to the decision of PA H&W to withdraw the portion of its proposal with regard to the Northeast and Northwest Zones under the Reissued RFP #06-15;

d) All records and documents relating to any communication by or between any representative(s) of DHS and any representative(s) of PA H&W concerning the decision by DHS to permit PA H&W to modify its original proposal by removing the portion of its proposal pertaining to the Northeast and Northwest Zones under the Reissued RFP #06-15;

e) All records and documents relating to any communication by or between any representative(s) of DHS and any representative(s) of any other offeror under the Reissued RFP #06-15 with regard to the withdrawal of the portion of the proposal from PA H&W for the Northeast and Northwest Zones under the Reissued RFP #06-15 and/or the decision by DHS to permit that modification;

f) All records and documents relating to the decision of DHS to select other offerors in lieu of PA H&W in the Northeast or Northwest Zones due to the modification of PA H&W’s original proposal to remove the portions of that proposal relating to the Northeast and Northwest Zones under the Reissued RFP #06-15;

g) All records and documents relating to any communication by or between any representative(s) of DHS and any representative(s) of the Office of the 3 Governor regarding the procurement and services pursuant to the Reissued RFP #06-15, the SDB scoring error, and the rescoring after discovery of the SDB scoring error and the withdraw [sic] of the portions of the PA H&W proposal relating to the Northeast and Northwest Zones;

h) All records and documents relating to any communication by or between any representative(s) of DHS and any representative(s) of the [OIG] regarding the procurement and services pursuant to the Reissued RFP #06-15, the SDB scoring error, the rescoring after discovery of the SDB scoring error and the withdraw [sic] of the portions of the PA H&W proposal relating to the Northeast and Northwest Zones; and

i) All records and documents relating to any communication by or between any representative(s) of DHS and the [OIG] with regard to any investigation(s) of the procurement in connection with the original RFP #06- 15 and/or Reissued RFP #06-15.

Reproduced Record (R.R.) at 26a-27a. DHS partially granted and partially denied the Request. In response to Items (a), (c), (d), (e), (f) and (g), DHS withheld proposal information as temporarily exempt until the contract is awarded, and the evaluation committee documents as permanently exempt pursuant to the procurement exemption, Section 708(b)(26) of the RTKL, 65 P.S. §67.708(b)(26). DHS also withheld documents responsive to Items (h) and (i) under the noncriminal investigation exception, Section 708(b)(17) of the RTKL, 65 P.S. §67.708(b)(17). DHS asserted additional grounds for exemption because some records also contained internal, predecisional deliberations, Section 708(b)(10) of the RTKL, 65 P.S. §67.708(b)(10), and personal notes, Section 708(b)(12) of the RTKL, 65 P.S. §67.708(b)(12). To the extent it

4 granted the Request, DHS redacted personal identification information pursuant to Section 708(b)(6)(i)(A) of the RTKL, 65 P.S. §67.708(b)(6)(i)(A). R.R. at 18a-24a. UnitedHealthcare appealed to OOR, challenging the denials and arguing that DHS failed to meet its burden of proving that the requested records are exempt. OOR invited the parties to supplement the record and directed DHS to notify any third parties of their ability to participate in this appeal. DHS submitted a position statement reiterating its grounds for denial and asserted new grounds for withholding the records, including the attorney-client privilege and attorney-work- product doctrine.4 In support, DHS submitted the affidavits of Erin Slabonik, DHS Division Director of Managed Care (Slabonik Affidavits), and David Todd, the Deputy Inspector General (Todd Affidavit). UnitedHealthcare also submitted a position statement and affidavits. It requested “a log of all records that have been withheld or redacted” and an in camera review. R.R. at 152a, 170a. OOR permitted offerors that submitted proposals to participate and submit position papers.

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UnitedHealthcare of Pennsylvania, Inc. v. DHS, Counsel Stack Legal Research, https://law.counselstack.com/opinion/unitedhealthcare-of-pennsylvania-inc-v-dhs-pacommwct-2018.