Westchester General Hospital, Inc. v. Department of Health, Education & Welfare

464 F. Supp. 236, 1979 U.S. Dist. LEXIS 14916
CourtDistrict Court, M.D. Florida
DecidedJanuary 22, 1979
DocketNo. 77-364-Civ-J-S
StatusPublished
Cited by10 cases

This text of 464 F. Supp. 236 (Westchester General Hospital, Inc. v. Department of Health, Education & Welfare) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Westchester General Hospital, Inc. v. Department of Health, Education & Welfare, 464 F. Supp. 236, 1979 U.S. Dist. LEXIS 14916 (M.D. Fla. 1979).

Opinion

OPINION

CHARLES R. SCOTT, Senior District Judge.

Pursuant to Fed.R.Civ.P. 65(a)(2), plaintiff and defendants have stipulated that the Court may proceed to render a consolidated final decision on the merits of this case, based upon the complete record presented for plaintiff’s preliminary injunction motion. The parties have indicated that they “have no desire or intention to present any further evidence” than that which is already contained in the record. A preliminary injunction, issued by the Court on June 27,1977, remains in effect. Westchester Gen. Hosp. v. HEW, 434 F.Supp. 435 (M.D.Fla.1977).

Facts

Plaintiff, Westchester General Hospital, Inc., is a Florida corporation that owns and operates a 100-bed, general-care hospital in Miami, Florida. Defendant, Department of Health, Education & Welfare (‘HEW’), is a department of the executive branch of the federal government. Defendant, Joseph A. Califano, Jr., is the Secretary of HEW (‘the Secretary’). Defendant, Blue Cross of Florida, Inc. (‘Blue Cross’), is a Florida corporation, licensed to do business in the state as a health insurer. Federal law, 42 U.S.C. § 1395 et seq., imposes a responsibility upon HEW and the Secretary for carrying out the provisions of the federal health insurance program for aged and disabled persons, commonly known as ‘Medicare’. The Medicare Act, 42 U.S.C. § 1395 et seq., defines ‘provider of services’ to include hospitals and skilled nursing facilities. 42 U.S.C. § 1395x(u). Plaintiff is such a provider of services. Blue Cross has contracted with the Secretary and HEW to administer the Medicare program in Florida as a fiscal intermediary, reimbursing plaintiff for its expenses in providing health care services under the Medicare Act. See 42 U.S.C. § 1395h.

On specifically prescribed forms, plaintiff is required to submit annual cost reports to Blue Cross which retains those reports in its possession. In April, 1977, a reporter for a national publication requested from Blue Cross, pursuant to the Freedom of Information Act, 5 U.S.C. § 552 et seq., a copy of plaintiff’s 1975 cost report. When Blue Cross informed plaintiff that it would comply with the request, and disclose the cost report, plaintiff began this action on May 9, 1977. After the issuance of temporary restraining orders, a preliminary injunction, [238]*238issued June 27, 1977, has prevented disclosure of plaintiff’s 1975 cost report. When Blue Cross was faced with subsequent requests for plaintiff’s 1976 cost report, the Court amended the preliminary injunction on October 13,1977, to restrain disclosure of the 1975 cost report, the 1976 cost report, and any later cost reports. Disclosure of three of plaintiff’s cost reports, then, for the years 1975-77, is at stake in the present case.

Issues

Plaintiff’s claim in this case is that disclosure of its cost report is contrary to, and prohibited by, federal law. The Secretary has promulgated a regulation, 20 C.F.R. § 422.435(c), requiring, “upon a request in writing,” that “cost reports submitted by providers of services” be made available to the public. By honoring the requests for disclosure of plaintiff’s cost reports, Blue Cross would be complying with the HEW regulation. Because the requested disclosure of plaintiff’s cost reports is mandated by the regulation, plaintiff’s contention that such disclosure is forbidden by federal law necessarily attacks the mandatory regulation as repugnant to federal law.

The specific federal statute which plaintiff believes forbids disclosure of its cost reports is the Trade Secrets Act, 18 U.S.C. § 1905. Plaintiff’s primary contention is that its cost reports are exempted from mandatory disclosure by the Freedom of Information Act (‘FOIA’), 5 U.S.C. § 552, as confidential commercial or financial information under Exemption 4 of the FOIA, 5 U.S.C. § 552(b)(4); and that such Exemption 4 information is prohibited from disclosure by the Trade Secrets Act, 18 U.S.C. § 1905. Because defendants initially contest plaintiff’s assertion that its cost reports are exempt from mandatory disclosure under Exemption 4 of the FOIA, plaintiff raises a second argument. If its cost reports are not exempted from compulsory disclosure under Exemption 4 of the FOIA, then plaintiff maintains that those cost reports are nevertheless prohibited from the mandatory disclosure provisions of the FOIA by the superior prohibition of 18 U.S.C. § 1905.

Defendants, on the other hand, argue first that plaintiff’s cost reports are not exempted from compulsory disclosure by Exemption 4 of the FOIA, and that 18 U.S.C. § 1905 does not otherwise curtail the compulsory disclosure provisions of the FOIA. Consequently, the disclosure of plaintiff’s cost reports required by HEW’s regulation is consistent with mandatory disclosure under the FOIA. Alternatively, defendants contend that, even if plaintiff’s cost reports are confidential commercial or financial information exempted from required disclosure under Exemption 4 of the FOIA, mandatory disclosure required by the HEW regulation is not antithetic to 18 U.S.C. § 1905, and is otherwise lawful.

The overall issue presented by this case, therefore, is whether the HEW regulation, 20 C.F.R. § 422.435(c), is lawful in requiring disclosure of information such as plaintiff’s cost reports. In order to decide that principal issue, however, the Court must first consider several questions which are inextricably a part of the legal arguments and the overall issue in this case: (1) whether plaintiff’s cost reports are confidential commercial or financial information which is exempted from required disclosure by Exemption 4 of the FOIA; (2) if the cost reports do not fall within Exemption 4, is the otherwise mandatory disclosure of them under the FOIA nonetheless prohibited by 18 U.S.C. § 1905? (3) if the cost reports are exempted from compulsory disclosure by Exemption 4 of the FOIA, are they furthermore prohibited from disclosure by 18 U.S.C. § 1905

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Bluebook (online)
464 F. Supp. 236, 1979 U.S. Dist. LEXIS 14916, Counsel Stack Legal Research, https://law.counselstack.com/opinion/westchester-general-hospital-inc-v-department-of-health-education-flmd-1979.