MEMORANDUM AND ORDER
On May 25, 2006, plaintiff filed suit under 42 U.S.C. § 1983 alleging that the State of Kansas disqualified her from Medicaid benefits in violation of federal law. On October 27, 2006, in reliance on the
Younger
abstention doctrine, the Court dismissed plaintiffs action.
See Younger v. Harris,
*1112 Factual Background
The material facts are undisputed and may be summarized as follows:
Plaintiff is a developmentally disabled adult who resides at a private not-for-profit residential care facility. Absent medical assistance, she would be responsible for approximately $5,000 a month for services which she receives there.
Robert M. Day is director of the Kansas Division of Health Policy and Finance (“HPF”). Day is responsible for administering state medical assistance programs, including Medicaid.
Plaintiffs mother died in 2003, and plaintiff became a beneficiary of a residuary trust which gave the trustee discretion to distribute income and/or principal for plaintiffs health, education, support and maintenance. In August of 2005, HPF notified plaintiff that effective August 31, 2005, she was ineligible for medical assistance because her interest in the trust counted as an available resource under applicable law. Plaintiff timely requested an administrative hearing, at which time the hearing officer reversed the decision to terminate benefits. On April 26, 2006, HPF reversed the hearing officer decision and reinstated the termination of benefits. See Final Order, Exhibit 10 attached to Plaintiff’s Response In Opposition To Motion To Dismiss (Doc. # 16) filed July 6, 2006. In a letter to plaintiff dated April 28, 2006, HPF indicated that the termination would become effective May 31, 2006. See Exhibit A attached to Complaint (Doc. # 1) filed May 25, 2006.
On May 25, 2006, plaintiff filed suit against Day in his official capacity as director of HPF. Plaintiff brings suit under 42 U.S.C. § 1983, alleging that HPF’s decision to count the assets of her mother’s trust as an available resource violates federal Medicaid law. Plaintiff seeks injunc-tive and declaratory relief.
Discussion
Rule 59(e), Fed.R.Civ.P., permits plaintiffs motion to alter or amend the Court’s judgment. Only limited grounds support a Rule 59(e) motion.
See Adams v. Reliance Standard Life Ins. Co.,
Plaintiff argues that in abstaining under Younger, the Court clearly misapprehended applicable law. Specifically, plaintiff argues that (1) the Court applied an exhaustion requirement in violation of Supreme Court precedent which holds that plaintiff need not exhaust state remedies before bringing a Section 1983 claim in federal court, and (2) Younger does not apply because plaintiffs federal action does not attempt to interfere with the validity of the state administrative process.
I. Exhaustion Of State Remedies
This case neatly presents the question whether plaintiff may sue in federal court under Section 1983 without first exhausting opportunities for judicial review of an administrative proceeding which she initiated under state law. This question highlights the tension between the rule that plaintiff is generally not required to exhaust state remedies before bringing a Section 1983 claim in federal court,
see Monroe v. Pape,
A. Non-Exhaustion Rule Under Section 1983
It is well established that federal court plaintiffs need not first pursue remedies available in state court before filing suit under Section 1983 in federal court. In
Monroe v. Pape,
the United States Supreme Court held that Section 1983 is “supplementary to the state remedy” and that available state remedies “need not be first sought and refused before the federal [remedy] is invoked.”
Monroe and Patsy make clear that a plaintiff who brings suit in federal court under Section 1983 is not barred by failure to have pursued and exhausted state remedies. This rule does not dispose of the issue in this case, however, because unlike plaintiffs in Monroe and Patsy, plaintiff here did not first bring suit in federal court: she initiated a state administrative proceeding before H PF and, during its pendency, sought recourse to federal court. Plaintiffs initiation of a state administrative proceeding before filing suit in federal court makes it necessary to also consider Younger abstention.
B. The Younger Doctrine
Under
Younger,
a federal district court must abstain from hearing a federal case which interferes with certain state proceedings. In
Younger,
a state criminal defendant filed suit in federal court, seeking to enjoin the state criminal prosecution.
Though the primary application of
Younger
involves state criminal proceedings, the doctrine has been extended to ongoing state civil and administrative proceedings as well.
See Amanatullah v. Colo. Bd. of Med. Exam’rs,
For purposes of the first
Younger
element, a proceeding is “pending” if—as of the filing of the federal complaint—not all state appellate remedies have been ex
*1114
hausted.
Mounkes v. Conklin,
In
Huffman v. Pursue, Ltd.,
By requiring exhaustion of state appellate remedies for the purposes of applying Younger we in no way undermine Monroe v. Pape. There we held that one seeking redress under [Section] 1983 for a deprivation of federal rights need not first initiate state proceedings based on related state causes of action. Monroe v. Pape had nothing to do with the problem presently before us, that of the deference to be accorded state proceedings which have already been initiated and which afford a competent tribunal for the resolution of federal issues.
Id.
at 609 n. 21,
In
Ohio Civil Rights Commission v. Dayton Christian Schools, Inc.,
The application of the Younger principle to pending state administrative proceedings is fully consistent with Patsy v. Florida Board of Regents, which holds that litigants need not exhaust their administrative remedies prior to bringing a § 1983 suit in federal court. Unlike Patsy, the administrative proceedings here are coercive rather than remedial, began before any substantial advancement in the federal action took place, and involve an important state interest.
Id.
at 627 n. 2,
Subsequent lower court decisions have interpreted
Dayton
as creating a controlling distinction between remedial and coercive administrative actions for purposes of
Younger.
Generally, these cases hold that a federal court must abstain from exercising jurisdiction over an action under Section 1983 when plaintiff has failed to exhaust remedies in state administrative proceedings which are coercive in nature.
See, e.g., Moore v. City of Asheville,
C. The Coercive/Remedial Distinction
Plaintiff argues that her state administrative proceeding was remedial, and that abstention is therefore inappropriate, because she initiated the proceeding to remedy defendant’s wrongful and illegal action. Some courts suggest that the distinction between remedial and coercive proceedings is a procedural one which depends on which party initiated the administrative proceeding.
See Kercado-Melendez v. Aponte-Roque,
The Tenth Circuit has not squarely addressed this issue. In
Meacham v. Betit,
In considering the substance of the administrative proceeding,
O’Neill
is instructive. It defines coercive administrative proceedings as those which enforce violations of state law and remedial administrative proceedings as those brought “to vindicate a wrong which ha[s] been inflicted by the State.”
Here, defendant claimed that plaintiff was violating state law by collecting Medicaid benefits for which she was ineligible. Effective August 31, 2005, it notified plaintiff that it was therefore terminating those benefits. Plaintiff requested a hearing before the fair hearing officer to appeal the termination. At first blush, it might appear that the administrative proceeding was remedial because it sought to
*1117
“remedy” the allegedly wrongful decision to terminate benefits. This conclusion has superficial appeal, but it ignores the coercive nature of the state action which triggered plaintiffs right to request an administrative hearing. Under Kansas law, the termination of benefits to ineligible recipients is an enforcement mechanism designed to address violations of state Medicaid law. As noted in
Miller v. Department of Social & Rehabilitation Services,
The Court finds that the state administrative proceeding in this case, like the state administrative proceedings to enforce city noise ordinances and municipal parking tickets in
Moore
and
O’Neill,
was coercive for purposes of
Younger
because plaintiff initiated her administrative hearing as part of the state’s overall law enforcement scheme.
See Moore,
Here, because the state administrative proceeding was fundamentally coercive in nature,
Huffman
and
Dayton
required plaintiff to fully pursue available appellate remedies within the state judicial system before bringing her Section 1983 action in federal court.
See Moore,
II. Interference With State Administrative Proceedings
Plaintiff briefly argues that Younger does not apply because her federal action did not attempt to interfere with the validity of the state administrative process. The Court disagrees. Addressing the same concerns presented in this case, O’Neill noted that
[F]ederal intervention before a state court has had the opportunity to review an agency’s decision is no less an “aspersion on the capabilities and good-faith of state appellate courts,” and no “less a disruption of the State’s efforts to protect interests that it deems important,” than the federal intervention with the state judicial appellate process explicitly condemned in Huffman. ... [F]ederal intervention which would annul the results of an agency determination would deprive “the States of a function which quite legitimately is left to them,” i.e. the disposition of constitutional issues which arise in litigation over which they have jurisdiction.
Here, plaintiff claims that state Medicaid law is contrary to federal Medicaid law, and she sought declaratory and injunctive relief to prevent the State from counting her trust as an available resource under Kansas law. Because such relief stands in direct opposition to the State’s enforcement of its Medicaid law and HPF’s decision upholding the State’s action, plaintiffs federal action sought to effectively annul state enforcement efforts, which
Younger
prohibits.
See J.B. ex rel. Hart v. Valdez, 186 F.3d
1280, 1294 (10th Cir.1999) (federal challenges to law applied in state administrative proceeding constitutes interference prohibited by
Younger); Moore,
IT IS THEREFORE ORDERED that Plaintiffs Motion To Alter Or Amend Judgment (Doc. # 31) filed November 9, 2006 be and hereby is OVERRULED.
Notes
.
Huffman’s
exhaustion rule is strictly applied and an aggrieved party cannot simply wait for expiration of the time to appeal in state court and then file suit in federal court. As
Huffman
noted, a federal court plaintiff "may not avoid the standards of
Younger
by simply failing to comply with the procedures of perfecting its appeal within the [state] judicial system.”
. The Tenth Circuit order and judgment does not reveal the substance of plaintiff’s state or federal actions.
. Plaintiff suggests that under the Court’s interpretation of the remedial/coercive distinction, all administrative proceedings involving potential Section 1983 claims would be characterized as coercive and forced into state court, contrary to the non-exhaustion principle of Monroe and Patsy, because those proceedings would necessarily involve state action under color of law. See 42 U.S.C. § 1983 (actors under color of state law liable for violations of federal law).
This argument is without merit. Plaintiff's suggestion that the Court’s decision would dissolve the remedial/coercive distinction could only be true in a world where all action under color of state law constitutes enforcement of state law. Under the Court’s interpretation of the remedial/coercive distinction, however, cases like Patsy still are considered remedial because the state action at issue (e.g. denial of a promotion) could not be deemed enforcement of state law.
. Plaintiff argues that the Court’s holding will deprive Medicaid recipients of their right to challenge agency determinations in federal court under Section 1983. The Court notes that Medicaid recipients whose benefits have been terminated may avoid this outcome either by exhausting state remedies before bringing Section 1983 claims to federal court or bringing such claims straight to federal court before initiating state administrative proceedings.
