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815 F.3d 448
8th Cir.
2016
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Background

  • SEARK (Southeast Arkansas Hospice, Inc.) operates two hospice facilities and voluntarily entered into a Medicare provider agreement, agreeing to follow section 1866 and applicable regulations.
  • Medicare imposes an annual statutory cap on hospice reimbursement; amounts above the cap must be refunded.
  • The Secretary issued seven repayment demands to SEARK invoking that reimbursement cap.
  • SEARK sued, alleging the repayment demands under the statutory cap amounted to a Fifth Amendment taking requiring just compensation.
  • The district court granted summary judgment for the Secretary; SEARK appealed.
  • The Eighth Circuit reviewed the summary-judgment ruling de novo and affirmed, finding no compensable taking.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether application of Medicare hospice reimbursement cap effects a Fifth Amendment taking SEARK: cap and repayment demands forcibly remove property (payments) requiring just compensation Secretary: cap is a lawful allocation of public subsidy under a voluntary program; not a taking No taking; summary judgment for Secretary affirmed
Whether cap’s economic impact renders hospice operation unviable SEARK: cap makes profitable operation impossible or destroys reasonable expectations Secretary: SEARK offered no evidence that cap made business unprofitable or impossible Court: no evidence of catastrophic economic impact; factor favors no taking
Whether SEARK had reasonable investment-backed expectations protected by Takings Clause SEARK: expected to keep reimbursements received before repayment demands Secretary: SEARK voluntarily joined Medicare with notice of statutory regime and limits Court: voluntary participation undermines claim; expectations not protected in this context
Whether voluntariness of program participation bars a takings claim SEARK: participation does not waive constitutional protections against takings Secretary: voluntary acceptance of program terms precludes an imposed taking Court: voluntariness forecloses takings claim (distinguishing contexts where exchange is involuntary)

Key Cases Cited

  • Pennsylvania Coal Co. v. Mahon, 260 U.S. 393 (regulation that goes too far is a taking)
  • PruneYard Shopping Center v. Robins, 447 U.S. 74 (test for regulatory takings factors)
  • Ruckelshaus v. Monsanto Co., 467 U.S. 986 (voluntary regulatory exchanges limit takings claims)
  • Keystone Bituminous Coal Ass’n v. DeBenedictis, 480 U.S. 470 (economic impact standard for takings)
  • Minnesota Ass’n of Health Care Facilities v. Minnesota Dep’t of Public Welfare, 742 F.2d 442 (8th Cir.) (voluntary participation in public program precludes takings claim)
  • Horne v. Department of Agriculture, 135 S. Ct. 2419 (2015) (distinguishing involuntary takings from voluntary exchanges)
Read the full case

Case Details

Case Name: Southeast Arkansas Hospice v. Sylvia Burwell
Court Name: Court of Appeals for the Eighth Circuit
Date Published: Mar 10, 2016
Citations: 815 F.3d 448; 2016 WL 929278; 2016 U.S. App. LEXIS 4441; 15-1946
Docket Number: 15-1946
Court Abbreviation: 8th Cir.
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    Southeast Arkansas Hospice v. Sylvia Burwell, 815 F.3d 448