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Decatur Hospital Authority v. Aetna Health, Inc.
2017 U.S. App. LEXIS 6690
| 5th Cir. | 2017
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Background

  • Wise Regional (Texas municipal hospital authority) sent Aetna a demand letter on May 27, 2015, asserting Texas Prompt Pay Act late-payment penalties exceeding $17.4 million and requesting a detailed claims list and line-of-business identification for each claim.
  • Wise Regional provided the claims spreadsheet to Aetna on June 22, 2015 and filed suit in Texas state court on June 24, 2015 alleging late payments; the petition referenced the claims list.
  • Aetna removed the case to federal court on December 4, 2015 relying in part on the federal-officer removal statute, 28 U.S.C. § 1442.
  • Wise Regional moved to remand; the district court remanded on February 19, 2016 as untimely and awarded $14,500 in attorneys’ fees on March 7, 2016, finding Aetna lacked an objectively reasonable basis to remove so late.
  • Aetna appealed both the remand order and the fee award; the Fifth Circuit reviewed jurisdiction and the merits de novo for remand and for abuse of discretion for fees.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether appellate jurisdiction exists to review a remand that the district court grounded on timeliness when removal invoked § 1442 Wise: Remand based on a procedural defect (untimeliness) is generally not reviewable under § 1447(d) Aetna: § 1447(d) permits appellate review when removal was effected under § 1442 Court: Appellate jurisdiction exists because § 1447(d) expressly excepts § 1442 removals from the bar on review; the court may review the remand order itself
Whether Aetna’s removal was timely under 28 U.S.C. § 1446(b) Wise: The petition and the previously provided claims list put Aetna on notice; removal window began upon service of the petition (June 30, 2015) Aetna: Case became removable only after Wise Regional’s interrogatory responses disclosed removable claims Court: Removal was untimely; Aetna’s 30-day removal window began with receipt of the initial pleading (petition), not the later interrogatory responses
Whether the interrogatory answers constituted an "other paper" triggering a new 30-day removal period under § 1446(b)(3) Wise: Interrogatory responses added nothing new beyond the claims list already provided and referenced in the petition Aetna: Interrogatories first revealed intent to pursue removable claims Court: Interrogatory responses did not supply new removable information; they referred to the already-served spreadsheet, so no new 30-day window arose
Whether the district court abused its discretion in awarding attorneys’ fees under 28 U.S.C. § 1447(c) Wise: Fees warranted because Aetna lacked an objectively reasonable basis for late removal Aetna: Subjective good-faith belief in removability should preclude fees Court: No abuse of discretion; award upheld because Aetna lacked an objectively reasonable basis for removal and subjective belief is insufficient

Key Cases Cited

  • Miranti v. Lee, 3 F.3d 925 (5th Cir. 1993) (§ 1447(d) does not prohibit review of costs and fees awards)
  • Garcia v. Amfels, Inc., 254 F.3d 585 (5th Cir. 2001) (standard of review for district court’s fee award is abuse of discretion)
  • Savoie v. Huntington Ingalls, Inc., 817 F.3d 457 (5th Cir. 2016) (remand orders reviewed de novo and § 1447(d) exceptions explained)
  • Kircher v. Putnam Funds Trust, 547 U.S. 633 (2006) (§ 1447(d) exceptions are textual and control reviewability)
  • Chapman v. Powermatic, Inc., 969 F.2d 160 (5th Cir. 1992) (two-step § 1446(b) timeliness test for removal)
  • Robertson v. Ball, 534 F.2d 63 (5th Cir. 1976) (limits on reviewing remand orders not covered by § 1447(d) exceptions)
  • Am. Airlines, Inc. v. Sabre, Inc., 694 F.3d 539 (5th Cir. 2012) (award of fees when removing party lacks an objectively reasonable basis)
  • Price v. Johnson, 600 F.3d 460 (5th Cir. 2010) (discusses limits on appellate review for remand orders)
Read the full case

Case Details

Case Name: Decatur Hospital Authority v. Aetna Health, Inc.
Court Name: Court of Appeals for the Fifth Circuit
Date Published: Apr 18, 2017
Citation: 2017 U.S. App. LEXIS 6690
Docket Number: 16-10313
Court Abbreviation: 5th Cir.