West Virginia Association of Community Health Centers, Inc. v. Margaret M. Heckler, Secretary, Health & Human Services

734 F.2d 1570, 236 U.S. App. D.C. 287, 1984 U.S. App. LEXIS 22375
Court of Appeals for the D.C. Circuit·Decided May 18, 1984·No. 83-2113·Published·Cited by 50 cases

Opinion

STARR, Circuit Judge:

This case arises under a federal block grant statute which provides financial assistance to States to support the delivery of health services to needy populations. In appealing from the District Court’s denial of a preliminary injunction, appellants ask this court to hold that the Secretary of Health and Human Services (“HHS”) unlawfully calculated the amount of funding to which the State of West Virginia is entitled under the federal block grant program. We conclude that, while appellants have standing to assert their claims, the legal issues with respect to fiscal year 1983 funding are now moot, inasmuch as all such funds have been awarded and disbursed by the Secretary. For the reasons set forth below, we also decline to reach the merits of appellants’ claims with respect to fiscal year 1984 funds. We do, however, retain jurisdiction over this case to ensure that these latter claims are subject to prompt appellate review.

I.

Appellants are the West Virginia Association of Community Health Centers, Inc. (“WVACHC”) and the Mountaineer Family Health Plan, Inc. (“Mountaineer”). WVACHC is a nonprofit organization consisting of eleven of West Virginia’s 22 community health centers (“CHC’s”). 1 Mountaineer is an individual West Virginia CHC that belongs to WVACHC.

On September 8, 1983, with the expiration of fiscal year 1983 looming only three weeks away, appellants filed suit against the Secretary of HHS, seeking both a preliminary injunction and permanent relief. Appellants alleged that the formula adopted by the Secretary for awarding block grants to participating States under the Primary Care Block Grant (“PCBG”) statute, 42 U.S.C. § 300y, 2 unlawfully deprived the State of West Virginia of monies *1573 to which it was entitled. 3 The parties apparently agreed that if appellants’ challenge to the Secretary’s funding formula was sustained, West Virginia would be entitled to an additional $299,950 in fiscal year 1983 (“FY83”) funding. See Plaintiff’s Motion for Leave to Amend Complaint, at 1 n. 1 (filed with District Court Oct. 14, 1983) (seeking to amend complaint to reflect, inter alia, this mutual understanding). Appellants also sought relief against the Secretary’s implementation of the challenged formula in FY84. It cannot be determined, however, what amount is at issue for the current fiscal year.

The District Court advised the parties at a hearing on September 30, 1983 that it would not grant a preliminary injunction as to FY83 funds; the court subsequently issued a formal order and accompanying memorandum opinion denying preliminary relief. WVACHC v. Heckler, C.A. No. 83-2651 (D.D.C. Oct. 17, 1983). The court grounded its holding upon its application of the four factors governing requests for interim, equitable relief in this Circuit. Memorandum Opinion at 7-14; see, e.g., Ambach v. Bell, 686 F.2d 974, 979 (D.C.Cir.1982) (per curiam) (citing Virginia Petroleum Jobbers Association v. FPC, 259 F.2d 921, 925 (D.C.Cir.1958) (per curiam)); National Association of Farmworkers Organizations v. Marshall, 628 F.2d 604, 613 (D.C.Cir.1980); Washington Metropolitan Area Transit Commission v. Holiday Tours, Inc., 559 F.2d 841, 843 (D.C.Cir.1977).

The initial factor considered by the District Court was appellants’ likelihood of success. Memorandum Opinion at 7-12. After extensively analyzing the PCBG statutory scheme, the court concluded that the Secretary’s allocation formula was a reasonable one that did not appear inconsistent with the statute. Id. at 11. The court thus held that appellants had not demonstrated a sufficient likelihood of success to warrant issuance of a preliminary injunction. Id. at 12.

The court’s analysis of the remaining three factors buttressed its decision. In the District Court’s view, appellants’ claim of irreparable injury was speculative because they could not demonstrate that the Secretary’s actions were actually causing a denial of additional funding that they otherwise would receive. Id. Furthermore, the court concluded that a preliminary injunction should not issue in light of the harm that would thereby be caused to CHC’s outside West Virginia. Specifically, the court found that an award of increased funding to West Virginia could not be made without totally denying funding to two CHC’s in Michigan and California. Id. at 13. Finally, the court held that the *1574 issuance of a preliminary injunction would not serve the public interest. Id. at 14.

Appellants filed a timely notice of appeal and now seek reversal. We have jurisdiction pursuant to 28 U.S.C. § 1292(a)(1).

II.

A.

The threshold issue before us is whether appellants have standing to prosecute this action. In denying preliminary injunctive relief, the District Court specifically left this question open. We must nevertheless decide this issue, inasmuch as it bears fundamentally upon our jurisdiction to decide the case. See Village of Arlington Heights v. Metropolitan Housing Development Corp., 429 U.S. 252, 260, 97 S.Ct. 555, 560, 50 L.Ed.2d 450 (1977) (citing Jenkins v. McKeithen, 395 U.S. 411, 421, 89 S.Ct. 1843, 1848, 23 L.Ed.2d 404 (1969) (plurality opinion)).

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West Virginia Association of Community Health Centers, Inc. v. Margaret M. Heckler, Secretary, Health & Human Services, 734 F.2d 1570, 236 U.S. App. D.C. 287, 1984 U.S. App. LEXIS 22375 (D.C. Cir. 1984).

734 F.2d 1570 (West Virginia Association of Community Health Centers, Inc. v. Margaret M. Heckler, Secretary, Health & Human Services) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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