Searching over 5,500,000 cases.


searching
Buy This Entire Record For $7.95

Official citation and/or docket number and footnotes (if any) for this case available with purchase.

Learn more about what you receive with purchase of this case.

The Arc of California; United Cerebral Palsy v. Toby Douglas

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA


December 13, 2011

THE ARC OF CALIFORNIA; UNITED CEREBRAL PALSY ASSOCIATION OF SAN DIEGO, PLAINTIFFS,
v.
TOBY DOUGLAS, IN HIS OFFICIAL CAPACITY AS DIRECTOR OF THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES; CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICE; TERRI DELGADILLO, IN HER OFFICIAL CAPACITY AS DIRECTOR OF THE CALIFORNIA DEPARTMENT OF DEVELOPMENTAL SERVICES; CALIFORNIA DEPARTMENT OF DEVELOPMENTAL SERVICES; AND DOES 1-100, INCLUSIVE, DEFENDANTS.

The opinion of the court was delivered by: Morrison C. England, Jr. United States District Judge

ORDER STAYING PROCEEDINGS

Defendants David Maxwell-Jolly, Director of the California Department of Health Care Services, the California Department of Health Care Services ("DHCS"), Terri Delgadillo, Director of the California Department of Developmental Services, and the California Department of Developmental Services ("DDS") have filed an ex parte application for stay of the instant proceedings on grounds that pending decisions both from the Supreme Court, as well as new regulations expected to be promulgated in December 2011 by the Centers for Medicare and Medicaid ("CMS"), may substantially resolve the issues underlying this lawsuit within the next four months. As set forth below, the Court concludes that good cause has been demonstrated for the requested stay.

As the Supreme Court has long noted, "the power to stay proceedings is incidental to the power inherent in every court to control the disposition of the causes on its docket with economy of time and effort for itself, for counsel, and for litigants." Landis v. N. Am. Co., 299 U.S. 248, 254-55 (1936). In order to foster both its own efficiency and in fairness to the parties, a court may properly stay an action pending the resolution of independent proceedings which bear upon a case. Leyva v. Certified Grocers of Cal., Ltd., 593 F.2d 857, 863-64 (9th Cir. 1979).

The present matter, like many other cases pending before the Supreme Court, the Ninth Circuit and the Central and Eastern Districts of California, challenges Medi-Cal reimbursement rates on grounds that such rates run afoul of the requirements of Section 30(A) of the Medicaid Act, 42 U.S.C. § 1396a(30)(A).

Plaintiffs specifically claim that Section 30(A) was violated by

1) failing to obtain federal approval before modifying reimbursement rates; 2) implementing and enforcing reduction in payments with adequate study as to the impact of such reductions on efficiency, economy, quality of care and access to care; 3) failing to consider the impact of reimbursement reductions on home-and-community-based-services ("HCBS") financed by federal Medicaid funds; and 4) failing to conduct or consider appropriate rate studies when modifying reimbursement rates. See Pls.' Compl., 8:14-20.

Fundamental to Plaintiffs' claims is whether private parties like Plaintiffs herein can enforce Section 30(A) under a Supremacy Clause cause of action, since the Ninth Circuit has recently confirmed that a Section 1983 action may not be brought to challenge a state's alleged violation of the Medicaid Act. Developmental Services Network v. Douglas, 2011 WL 5966363 (9th Cir. Nov. 30, 2011) at *4. The availability of a Supremacy Clause challenge is squarely before the Supreme Court in the consolidated cases of Maxwell-Jolly v. Independent Living Center of Southern California, No. 09-958 (U.S. Feb. 26, 2010) ("Independent Living"), Maxwell-Jolly v. California Pharmacists Ass'n, No. 09-1158 (U.S. March 24, 2010) ("California Pharmacists"), and Maxwell-Jolly v. Santa Rosa Memorial Hospital, et al., No. 10-283 (U.S. Aug. 27, 2010). Counsel for Defendants represent that oral argument before the Supreme Court in these matters was heard on October 3, 2011, with a decision expected in the next four months.

In addition, whether Defendants must conduct a study of health care provider costs as part of their obligations under Section 30(a), a violation Plaintiffs also assert was committed by Defendants, is expected to be resolved by CMS through issuance of a final rule in that regard expected in December 2011.

Given the fact that both the Supreme Court and CMS will apparently be providing key guidance on both issues shortly, and since the Supreme Court's decision in particular may well dictate whether Plaintiffs have standing to pursue this lawsuit in the first place, a stay pending the aforementioned determinations is in the interest of justice and necessary to avoid the waste of this Court's and the parties' continued resources-- a waste that would occur through adjudication of further motion practice and pretrial proceedings that may be rendered moot, either in whole or in part, by said decisions.

Significantly, a stay determination in this regard is consistent with findings made by other courts. The Ninth Circuit has stayed several of its Chapter 30(A) cases, including Cal. Hosp. Ass'n v. Maxwell-Jolly, No. 10-55462, pending guidance from the Supreme Court. At least three Central District cases have done the same. See Defs.' Ex Parte Application, 9:5-11.

While Plaintiffs oppose any stay on grounds that the subject reductions will adversely impact the disabled, it appears that the reductions at issue have been in effect at least a year, and in some cases much longer.

Consequently, particularly given what appears to be the imminent nature of the Supreme Court's decision as well as new CMS regulations which are expected literally within two weeks, a stay under the circumstances appears warranted.

This Court accordingly orders that the above-entitled case be stayed for all purposes during the pendency of the issues before the Supreme Court, as enumerated above, and pending final rules from CMS regarding Chapter 30(a), as expected in December of 2011. Given that stay, Plaintiffs' Motion for Preliminary Injunction (ECF No. 7) is denied, without prejudice to being reinstituted when the instant stay is limited. In addition, Defendants' Motion to Dismiss (ECF No. 23) is similarly denied without prejudice subject to the same condition. Defendants have no further obligation to respond to Plaintiffs' Complaint during the pendency of the stay.

The parties are directed to file a joint status report within sixty (60) days following the date of this Order, or upon the disposition of the matters set forth above, whichever occurs first.

IT IS SO ORDERED.

20111213

© 1992-2011 VersusLaw Inc.



Buy This Entire Record For $7.95

Official citation and/or docket number and footnotes (if any) for this case available with purchase.

Learn more about what you receive with purchase of this case.