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768 F.3d 116
2d Cir.
2014
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Background

  • Prendergast, diagnosed with ALS, lost home health care benefits under Medicare Part C despite doctors’ orders.
  • Prendergast filed for emergency relief in July 2008; district court held a TRO hearing and issued a TRO to preserve benefits through August 18, 2008.
  • District court stated TRO based on serious questions going to merits and irreparable harm, not a merits determination.
  • TRO temporarily reinstated benefits; later extensions and informal settlements kept coverage going until several months later, with no final merits ruling.
  • After Prendergast’s death in 2010, Mastrio (administrator) pursued EAJA fees; district court awarded fees as prevailing party, then increased the award in 2013 to $78,914.54.
  • Government appealed the EAJA award, arguing TRO cannot establish prevailing party status and that the TRO did not resolve merits.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Can a TRO confer prevailing party status under EAJA? Mastrio contends TRO can establish prevailing party status under EAJA. Sebelius argues TRO never establishes prevailing party status because it preserves status quo, not merits. No; TRO alone does not establish prevailing party status.
Did the TRO in this case preserve the status quo or involve merits? TRO altered the relationship by reinstating benefits. TRO preserved status quo and did not address merits. TRO merely returned to the status quo; it did not resolve merits.
Whether the district court’s reliance on merits determination existed to justify fees? District court found merits-based relief supported fees. No merits determination occurred; thus no prevailing party status. Absence of merits determination defeats prevailing party status.

Key Cases Cited

  • LaRouche v. Kezer, 20 F.3d 68 (2d Cir. 1994) (interim relief can be non-merits-based for purposes of prevailing party analysis)
  • Christopher P. v. Marcus, 915 F.2d 794 (2d Cir. 1990) (TROs preserve status quo; not merits determinations)
  • Bly v. McLeod, 605 F.2d 134 (4th Cir. 1979) (absent merits, TROs preserve status quo)
  • Garcia v. Yonkers School District, 561 F.3d 97 (2d Cir. 2009) (TRO restore of benefits treated as status quo preservation, not merits)
  • Haley v. Home Deport? (referenced as Haley, 106 F.3d 483 (2d Cir. 1997) (consideration of merits vs. status quo in TROs)
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Case Details

Case Name: Mastrio v. Sebelius, Secretary of Health and Human Services
Court Name: Court of Appeals for the Second Circuit
Date Published: Sep 17, 2014
Citations: 768 F.3d 116; 2014 U.S. App. LEXIS 17837; 2014 WL 4627618; Docket 13-2529-cv
Docket Number: Docket 13-2529-cv
Court Abbreviation: 2d Cir.
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    Mastrio v. Sebelius, Secretary of Health and Human Services, 768 F.3d 116