Medicare&Medicaid Gu 36,229
COMMONWEALTH OF MASSACHUSETTS, By its DEPARTMENT OF PUBLIC
WELFARE, Petitioner,
v.
DEPARTMENTAL GRANT APPEALS BOARD OF the UNITED STATES
DEPARTMENT OF HEALTH AND HUMAN SERVICES, et al.,
Respondents.
COMMONWEALTH OF MASSACHUSETTS, By its DEPARTMENT OF PUBLIC
WELFARE, Plaintiff, Appellant,
v.
DEPARTMENTAL GRANT APPEALS BOARD OF the UNITED STATES
DEPARTMENT OF HEALTH AND HUMAN SERVICES, et al.,
Defendants, Appellees.
Nos. 82-1403, 86-1064.
United States Court of Appeals,
First Circuit.
Argued June 2, 1986.
Decided March 30, 1987.
Stephen S. Ostrach, Asst. Atty. Gen., with whom Francis X. Bellotti, Atty. Gen., Boston, Mass., was on brief, for Com. of Mass.
Elizabeth A. Pugh, Dept. of Justice, Civ. Div., with whom Richard K. Willard, Asst. Atty. Gen., Washington, D.C., William F. Weld, U.S. Atty., Boston, Mass., and Anthony Steinmeyer, Dept. of Justice, Civ. Div., Washington, D.C., were on brief, for Departmental Grant Appeals Bd.
Before COFFIN, Circuit Judge, BROWN,* Senior Circuit Judge, and BOWNES, Circuit Judge.
BOWNES, Circuit Judge.
In this case, the Commonwealth of Massachusetts seeks reimbursement from the United States Department of Health and Human Services (HHS) for the expense of providing Medicaid abortions admittedly falling within the proscription of the Hyde Amendment, but which this court had ordered the Commonwealth to provide during the pendency of earlier litigation sparked by the Hyde Amendment. The district court granted HHS's motion for summary judgment. The Commonwealth bases its appeal of this decision on contractual, statutory, equitable and procedural grounds. HHS has also chosen to attack the district court judgment, arguing that the district court was without jurisdiction to consider a case seeking monetary relief against the United States since such cases are within the exclusive jurisdiction of the United States Claims Court.1
I. PRIOR HISTORY
The factual background for this case can be found in the proceedings culminating in Preterm, Inc. v. Dukakis,
While the appeal was pending, we issued an injunction ordering the Commonwealth to fund all medically necessary abortions for Medicaid-eligible women. Subsequently, we issued our opinion finding that the Medicaid Act as amended by the Hyde Amendment did not require states to provide all medically necessary abortions and bear the entire financial burden for such services.
After some preliminary skirmishing which we need not recount here, the Commonwealth applied to HHS for reimbursement for the abortions provided under the court order. Reimbursement was disallowed by both HHS and the Departmental Grant Appeals Board. The Commonwealth then filed two separate actions seeking review of this disallowance, one in this court and one in the United States District Court for the District of Massachusetts, because it was not clear at that time which was the proper forum for review of such disallowances. We stayed the action filed in this court until the action filed in the district court came up for review. The district court granted HHS' motion for summary judgment, finding no financial liability on the part of HHS for costs incurred by the Commonwealth under this court's order. The two appeals are now consolidated before us.
We decide this case largely, though not exclusively, on the issues of jurisdiction and sovereign immunity. HHS' failure to raise these issues before the district court is not fatal to its challenge here. Both issues may be litigated at any time before a case is finally decided. See People of California v. Quechan Tribe of Indians,
II. DISTRICT COURT JURISDICTION
A. 5 U.S.C. Sec. 702
In order to establish the jurisdiction of a court over a suit against the United States, it must be shown that the court has subject matter jurisdiction of the issues raised by the suit, that the United States has waived its immunity for suits of that kind, and that the United States has consented to be sued in the particular court. "The United States, as sovereign, is immune from suit save as it consents to be sued ... and the terms of its consent to be sued in any court define that court's jurisdiction to entertain the suit." United States v. Sherwood,
Subject matter jurisdiction and waiver of sovereign immunity were granted to claims for nonmonetary relief for unlawful actions of federal agencies, or their officers or employees, by the 1976 amendments to 5 U.S.C. Sec. 702 and 28 U.S.C. Sec. 1331. Section 1331, as amended, abolished the amount-in-controversy requirement for claims against the United States. Section 702, not itself an independent source of jurisdiction, waived the defense of sovereign immunity for claims arising under Sec. 1331 not involving monetary relief. 5 U.S.C. Sec. 702 provides:
A person suffеring legal wrong because of agency action, or adversely affected or aggrieved by agency action within the meaning of a relevant statute, is entitled to judicial review thereof. An action in a court of the United States seeking relief other than money damages and stating a claim that an agency or an officer or employee thereof acted or failed to act in an official capacity or under color of legal authority shall not be dismissed nor relief therein be denied on the ground that it is against the United States or that the United States is an indispensable party. The United States may be named as a defendant in any such action, and a judgment or decree may be entered against the Unitеd States: Provided, That any mandatory or injunctive decree shall specify the Federal officer or officers (by name or by title), and their successors in office, personally responsible for compliance. Nothing herein (1) affects other limitations on judicial review or the power or duty of the court to dismiss any action or deny relief on any other appropriate legal or equitable ground; or (2) confers authority to grant relief if any other statute that grants consent to suit expressly or impliedly forbids the relief which is sought.
(Emphasis added.) Congress intended by the combination of the "1976 amendments to Sec. 702 of the APA and 28 U.S.C. Sec. 1331 to make Sec. 1331 the vehicle for actions 'seeking relief other than money damages....' " B.K. Instrument Inс. v. United States,
We must first determine which claims are not covered by district court jurisdiction under Sec. 702 due to the qualification "other than money damages." The D.C. Circuit, in Maryland Department of Human Resources v. Department of Health and Human Services,
The legislative history can, and we think should, be read otherwise. See, e.g., H.R.Rep. No. 94-1656, reprinted in 1976 U.S.Code Cong. and Ad.News 6121, 6131:
The first of the additional sentences [in Sec. 702] provides that claims challenging official action or nonaction, and seeking relief other than money damages, should not be barred by sovereign immunity. The explicit exclusion of monetary relief makes it clear that sovereign immunity is abolished only in actions for specific relief (injunction, declaratory judgment, mandatory relief, etc.). Thus, limitations on the recovery of money damages contained in the Federal Tort Claims Act, the Tucker Aсt, or similar statutes are unaffected.
(Emphasis added.) This passage clearly uses the terms "money damages" and "monetary relief" interchangeably and opposes money in general to "specific relief." It also disavows any intent to affect Tucker Act jurisdiction. Another passage identifies "monetary liability" and "money damages" and opposes them to other forms of relief; it also explicitly mandates that we interpret Sec. 702 in light of the Tucker Act:
Congress has made great strides toward establishing monetary liability on the part of the Government for wrongs committed against its citizens by passing the Tucker Act of 1875, 28 U.S.C. sections 1346, 1491, and the Federal Tort Claims Act.... S. 800 [i.e., the amendments to 28 U.S.C. Sec. 1331 and 5 U.S.C. Sec. 702] would strengthen this accountability by withdrаwing the defense of sovereign immunity in actions seeking relief other than money damages, such as an injunction, declaratory judgment, or writ of mandamus. Since S. 800 would be limited only to actions of this type for specific relief, the recovery of money damages contained in the Federal Tort Claims Act and the Tucker Act governing contract actions would be unaffected.
Id. at 6124-25 (emphasis added). The report contains other similar references. The Tucker Act, "obscure features" and all, was left intact by Sec. 702, at least according to the House Report. This view of Sec. 702 is further confirmed by a reading of the memorandum by Roger C. Cramton, Dean of the Cornell Law School, the memorandum upon which the House Report is lаrgely based. This memorandum stated as follows:
Although the recommendation does not use the terms "specific relief," the principal effect of the amendment will be to cut off the defense of sovereign immunity in suits for specific relief. Perhaps ninety per cent of the cases affected will be suits for injunction or declaratory judgment or for both and perhaps most of the rest will be suits for relief in the nature of mandamus. But all other specific relief is covered, including specific performance, quieting title, ejectment and habeas corpus. All forms of monetary relief, however, are excluded from the recommendation.
Sovereign Immunity: Hearing before the Subcommittee on Administrative Practice and Procеdure of the Committee of the Judiciary, U.S. Senate, S. 3568, 91st Cong., 2d Sess. 92, 118 (1970) (emphasis added). In light of this legislative history, we must reject the Maryland Department of Human Resources interpretation of the statute.3 We read the words "money damages" to mean any monetary relief, whether it is in the nature of damages or in the nature of specific relief. See New Mexico v. Regan,
In the present case, the Commonwealth sought monetary relief in the form of reimbursement from the Department of Health and Human Resources. To be sure, the Commonwealth claims that it seeks not monetary, but, rather, declaratory relief, viz., a declaration that the cost of the court-ordered abortions is a reimbursable Medicaid expense. District courts may properly assert jurisdiction over claims seeking declaratory relief even when those claims may later form the basis for money judgments. Duke Power Co. v. Carolina Environmental Study Group, Inc.,
The Commonwealth's jurisdictional arguments, however, do not match its actual claim for relief. A request for a declaratory judgment may not be used to give district courts jurisdiction over claims whose "prime objective" is monetary relief. B.K. Instrument,
In State of Minnesota by Noot v. Heckler,
B. 5 U.S.C. Sec. 704
In light of our finding in Part III, infra, that the Claims Court may properly adjudicate the reimbursement claims presented by the Commonwealth, it has been suggested that 5 U.S.C. Sec. 704 (1982) might also bar district court jurisdiction under the APA. Undеr Sec. 704, judicial review may be had under the APA when "there is no adequate remedy in a court." The theory is that Sec. 704 constitutes a limit on the judicial review granted by the APA when review is available elsewhere. See American Science & Engineering, Inc. v. Califano,
The legislative history of Sec. 704 shows that Congress intended thereby to codify the existing law concerning ripeness and exhaustion of remedies. See Appendix to Attorney General's Statement Regarding Revised Committee Print of October 5, 1945, reprinted in Appendix B, S.Rep. No. 752, 79th Cong., 1st Sess., 38, 45 (1945); Moore, The Proposed Administrative Procedure Act, reprinted in 92 Cong.Rec., Part 2, 2159, 2163 (1946). The ripeness and exhaustion (finality) doctrines during that period often denied judicial review of government regulation before enforcement in particular cases. See, e.g., United Public Workers v. Mitchell,
Abbott and similar cases do not touch on the precise application of Sec. 704 at issue here. Section 704's broad language and its rather undefined idea of "adequacy," however, need to be carefully interpreted in light of particular circumstances. We think that the Claims Court will be able adequately to adjudicate the Commonwealth's claims in this case. Yet, we would be very reluctant to base our decision concerning district court jurisdiction on a statutory provision which was written with other purposes in mind and whose authority even with regard to those matters has been substantially qualified by subsequent judicial interpretation.
III. CLAIMS COURT JURISDICTION
A. The "Exclusivity" of Claims Court Jurisdiction
We now consider the jurisdiction of the Claims Court over the reimbursement claim. We conduct this inquiry for the purpose of deciding whether we should transfer the case. See 28 U.S.C. Sec. 1631 (1982). The Claims Court, of course, must ultimately "dеcide [its] own jurisdiction ... and cannot have it conferred on [it] by any other court." Diamond v. United States,
We turn, first, to the much-vexed question of the "exclusivity" of the jurisdiction granted by the Tucker Act.4 It would appear to us that the inquiry into "exclusivity," while in some measure a semantic quarrel, cf., Ghent v. Lynn,
be careful not to subvert the congressional objectives underlying the enactment of the judicial review statute by allowing the government to give an overly expansive scope to the notion of claims "founded upon" contract.
B.K. Instrument,
In the statutory context, a strict "exclusivity" position has been somewhat eroded by statutes which expressly grant district court jurisdiction for monetary claims regardless of amount. See, e.g., Mar v. Kleppe,
B. The Reimbursement Claim under the Tucker Act
The provision of the Tucker Act concerning claims over $10,000 states:
The Court of Claims shall have jurisdiction to render judgment upon any claim against the United States founded either upon the Constitution, or any Act of Congress, or any regulation of an executive department, or upon any express or implied contract with the United States, or for liquidated or unliquidated damages in cases not sounding in tort.
28 U.S.C. Sec. 1491 (1982). Three of the four grounds for relief set forth by the Commonwealth, the contractual, statutory and equitable claims, call for Tucker Act analysis. We begin with the contract claim.
The Commonwealth claims that "Title XIX together with HHS approval of a state Medicaid plan create a ... contractual commitment that the Federal government will reimburse a state for all 'legitimate' Medicaid expenditures." Petitioner's brief at 24. We must determine whether this claim falls within the "contracts" branch of Tucker Act jurisdiction. In Diamond v. United States,
Tucker Act jurisdiction in this case may also аppropriately rest on the Claims Court's jurisdiction of claims "against the United States founded either upon the Constitution, or any act of Congress, or any regulation of an executive department." 28 U.S.C. Sec. 1491. The classic explication of these words is found in Eastport Steamship Corp. v. United States,
But it is not every claim involving or invoking the Constitution, a federal statute, or a regulation which is cognizable here. The claim must, of course, be for money. Within that sphere, the non-contractual claims we consider under Section 1491 can be divided into two somewhat overlapping classes--those in which the plaintiff has paid money over to the Government, directly or in effect, and seeks return of all or part of that sum; and those dеmands in which money has not been paid but the plaintiff asserts that he is nevertheless entitled to a payment from the treasury. ... In the second group, where no such payment has been made, the allegation must be that the particular provision of law relied upon grants the claimant, expressly or by implication, a right to be paid a certain sum.
Id.
The Commonwealth draws our attention to the Supreme Court's recent differentiation of "reimbursement" from "damages." Burlington School Committee v. Department of Education,
An example of a successful claim of this kind can be found in Bell v. United States,
In this case, the Commonwealth has argued that both statutes and regulations mandate payment of the expenses incurred in providing the cоurt-ordered abortions. The Commonwealth cites 45 C.F.R. Sec. 205.10(b)(3) which states that "Federal financial participation is available for ... [p]ayments of assistance within the scope of Federally aided public assistance programs made in accordance with a court order," as well as 42 U.S.C. Sec. 1396b(a), which states that "the Secretary ... shall pay to each State which has a plan approved under this subchapter ... an amount equal to the Federal medical assistance percentage ... of the total amount expended ... as medical assistance under the State plan." We must consider whether these provisions could be "fairly interpreted" as mandating payment to the Commonwealth so аs to create jurisdiction in the Claims Court.
A preliminary issue concerns the depth of analysis required by the Eastport "fair interpretation" test. We believe that an Eastport jurisdictional inquiry should not reach the merits of the statute-based claim for payment. Rather, Eastport provides for a preliminary inquiry designed to weed out cases which rely upon statutes which under no interpretation authorize the payment of money by the federal government. As the Eastport opinion indicates, the initial jurisdictional issue is whether the statute itself could be the source of damages or whether "some other principle of damages has to be invoked for recovery."
Under this view of the Eastport inquiry, we believe that either of the provisions cited by Commonwealth could be "fairly interpreted" as mandating the payment of money by the federal government as a general proposition.6 This suffices to bring the statutory claims for reimbursement within the scope of the Tucker Act and the jurisdiction of the Claims Court. We, of course, express no opinion as to whether, under these circumstances, the federal government is under an obligation to reimburse the Commonwealth.
We turn now to the Commonwealth's equitable claim. The Commonwealth argues that it is not fair to impose upon it the entire cost of the court-ordered abortions whеn this obligation was imposed upon it solely because of its participation in the Medicaid program, which has, as its "cornerstone," "financial participation by both the Federal Government and the participating State." Harris v. McRae,
Claims for monetary relief based upon equitable theories also fall within the jurisdiction of the Claims Court under the Tucker Act. "This continued assumption that we cаn properly use equitable theories in passing upon suits for monetary awards is grounded firmly on the Tucker Act's history, on unquestioned Supreme Court cases and on Court of Claims' decisions; we reaffirm both the practice and the principle." Pauley Petroleum Inc. v. United States,
IV. INTERPRETATION OF THE INJUNCTION
The Commonwealth's fourth and final basis for relief is our injunction and Federal Rule of Civil Procedure 65(d), which states in pertinent part:
Every order granting an injunction ... is binding only upon the parties to the action, their officers, agents, servants, employees, and attorneys, and upon those persons in active concert or partiсipation with them who receive actual notice of the order by personal service or otherwise.
The Commonwealth contends that our injunction ordering the provision of medically necessary abortions to Medicaid-eligible women is binding upon the federal government under Rule 65(d) because, as a partner in the Medicaid program and the enacter of the Hyde Amendment, the federal government is "in active concert" with the Commonwealth.
We hold that we have jurisdiction to rule on the merits of this claim, unlike the claims discussed in Part III. It is our injunction that the Commonwealth asks us either to interpret or to reform. We base our jurisdiction to consider this claim upon the propriety of our having issued the injunction in the first plaсe. Having reviewed the injunction, we reject the Commonwealth's arguments on the merits.
It was certainly not our intention at the time the injunction was issued to require federal participation in these court-ordered expenditures. Moreover, a nonparty can only be bound by an injunction if it is legally identified with a party to the injunction. G. & C. Merriam Co. v. Webster Dictionary Co.,
Since we have found that the district court did not have jurisdiction over the Commonwealth's contractual, statutory and equitable claims for relief, we vacate the judgment below as to those matters. We remand to the district court to transfer the Commonwealth's contractual statutory and equitable claims to the Claims Court under 28 U.S.C. Sec. 1631 (1982).
Affirmed in part, vacated in part, and remanded for transfer to the Claims Court.
No costs.
COFFIN, Circuit Judge, concurring.
I concur in the judgment but write to clarify my views on two points.
First, I agree with the majority that the Commonwealth's prayer for declaratory relief falls outside the APA's waiver of sovereign immunity for suits in federal district court because the requested declaration--that the cost of the court-ordered abortions is a rеimbursable Medicaid expense--is unlikely to have any significant prospective effect upon the ongoing grant-in-aid relationship between the Commonwealth and the United States. That is, I see this case as a rare if not a unique one, particularly after the merits of this litigation are finally resolved. My decision does not, however, rest upon a finding that the Commonwealth's "prime objective" in filing suit was monetary rather than declaratory relief. In my view, the Commonwealth's subjective motivations are not only impossible to glean but also irrelevant to the sovereign immunity question, for if the Commonwealth had articulated a claim for declaratory relief with significant prospective effect, the district court would have had pоwer to grant appropriate declaratory relief even if the Commonwealth's motivations were primarily monetary. See State of Minnesota by Noot v. Heckler,
Second, I perceive no contract claim sufficient to invoke the exclusive jurisdiction of the Claims Court in this case. Indeed, the Commonwealth's amended complaint does not even contain an allegation of contract. Rather, the complaint alleges that the Commonwealth provided the funds in question not pursuant to a contract, but rather, "solely in compliance with the federal court orders" issued pending resolution of the process of statutory interpretation. Record Appendix at 172. Under these circumstances, I think it unwise to imply a contractual basis for Tucker Act jurisdiction. See Bennett v. Kentucky Department of Education,
Notes
Of the Fifth Circuit, sitting by designation
The United States Court of Claims was renamed the United States Claims Court in 1982
Section 1331 provides:
The district courts shall have original jurisdiction of all civil actions arising under the Constitution, laws, or treaties of the United States.
The D.C. Circuit,
When speaking of the Tucker Act generally, many courts have referred to its grant of jurisdiction to the Claims Court for nontort claims over $10,000 as "exclusive" or "sole." See e.g., Air Force Exchange Service v. Sheehan,
We are aware that the D.C. Circuit has reached the opposite result in a recent case challenging an HHS disallowance under Title XX of the Social Security Act. In Maryland Department of Human Resources v. Department of Health and Human Services,
We note, in passing, that in United States v. Hughes Housing Nursing Home, Inc.,
We note that the D.C. Circuit in Maryland Department of Human Resources v. Department of Health and Human Service,
Our original injunction stated that we found Preterm's position "not patently insubstantial" and that we would therefore "preserv[e] the status quo" until the case was decided. In Preterm, Inc. v. Dukakis, we expressed our understanding of Preterm's position thus:
Plaintiffs contend that the Hyde Amendment must be construed ... as authorizing federal funds for certain limited categories of abortions and thus shifting the total cost to the states of providing those abortion services not funded by the Hyde Amendment but nonetheless required by the Medicaid Act.
