263 P.3d 1118
Or. Ct. App.2011Background
- HOMESTYLE DIRECT, LLC, an Idaho company, was authorized by DHS to prepare and package meals for Oregon Medicaid recipients.
- In 2008 DHS published new Nutrition Program Standards, detailing minimum hot meals, nutrition education, temperature checks, and delivery-welfare monitoring.
- Petitioner signed the provider enrollment agreement in late 2008, agreeing to meet the new standards as a condition of renewal and payment.
- Petitioner admitted it had not been delivering the required number of hot meals, nutrition content, driver training, or temperature monitoring prior to signing.
- In April 2009 DHS revoked petitioner's Medicaid provider number for breach of the provider agreement.
- The ALJ held the agreement could be enforced despite the standards' invalidity as rules, and DHS issued a final order revoking the provider number; Petitioner sought judicial review.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Are the Nutrition Program Standards valid rules requiring APA promulgation? | Petitioner argues the standards are unpromulgated rules and thus invalid. | DHS contends Coats allows enforcement of the contract despite invalid rules. | Standards are invalid for lack of APA promulgation. |
| May DHS enforce an unpromulgated rule by embedding it in a contract? | Petitioner asserts enforcement via contract is improper when the rule is invalid. | DHS relies on Coats to permit enforcement of contract terms that mirror invalid rules. | DHS cannot enforce unpromulgated standards by contract. |
Key Cases Cited
- Coats v. ODOT, 334 Or. 587 (2002) (invalid rule enforcement cannot bypass APA; rule validity at issue in enforcement)
- Minor v. AFSD, 105 Or.App. 178 (1991) (rule validity and applicability linked to contested cases)
- Hay v. Dep't of Transportation, 301 Or. 129 (1986) (Hay exception rejected for challenging rule validity via contract actions)
- McCleery v. Board of Chiropractic Examiners, 132 Or.App. 14 (1994) (administrative actions and rule validity considerations in review)
