MEMORANDUM AND ORDER
Plаintiffs Celeste Green, Marschell Ruggs, and Jonathan and Randi Bolos (collectively, “parent plaintiffs”) filed a class action complaint individually and on behalf of their respective children, Alia Green, Ashley Victoria Ruggs, and Lauren Bolos (collectively, “infant plaintiffs”) as individu
Defendants move to dismiss plaintiffs’ complaint under Fed.R.Civ.P. 12(b)(1), on grounds that the court lacks subject matter jurisdiction over the instant matter, and under Fed.R.Civ.P. 12(b)(6), arguing that the plaintiffs do not have standing, that there is no private right of action under N.Y. Social Services Law § 367-a(2)(b), and that the parent plaintiffs’ claims are barred by the statute of limitations. For the reasons set forth below, defendants’ motion to dismiss under Rule 12(b)(1) is denied. Defendants’ 12(b)(6) motion to dismiss is denied with respect to lack of standing but granted as to the claim under N.Y. Social Services Law § 367-a(2)(b), which is dismissed. Furthermore, the court finds that the parent plaintiffs’ individual claims are barred by the statute of limitations, and the parent plaintiffs will continue in this action solely as representatives of the infant plaintiffs.
1. Facts
The infant plaintiffs are children “with a disability” as defined under the IDEA,
see
20 U.S.C. § 1401(3), who have received or are now receiving medical assistance from the City of New York’s Medicaid plan,
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established pursuant to Title XIX of the Social Security Act. The IDEA was enacted “to ensure that all children with disabilities have available to them a free appropriate public education that emphasizes special education and related services designed to meet their unique needs and prepare them for further education, employment, and independent living.” 20 U.S.C. § 1400(d)(1)(A).
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The infant plain
When the parent plaintiffs filed personal injury actions to recover against the parties that allegedly caused the infant plaintiffs’ disabilities, the HRA imposed liens pursuant to N.Y. Social Services Law § 104-b to recover the City of New York’s Medicaid expenditures. In each case, some or all of the lien amount asserted was satisfied and subtracted from personal injury proceeds pursuant to a settlement approved by an infant compromise order. Plaintiffs claim that HRA included in the lien calculations the amounts paid to reimburse school districts and educational institutions for Related Services. Thus, plaintiffs allege that because they relied on inaccurate lien amounts when negotiating their settlements, and, in other cases, paid the full lien amount, defendants deprived them of the “free appropriate public education” to which they are еntitled under the IDEA. Plaintiffs assert this claim on behalf of both a paying subclass, comprised of those who have settled or paid in full the Medicaid liens that included costs for Related Services, and a non-paying subclass, comprised of those who have not yet resolved their personal injury claims but have improperly inflated Medicaid liens asserted against them. As remedy, plaintiffs request that the defendants return all monies the City of New York and HRA collected for Related Services and that the court enter an order enjoining defendants from future attempts to collect funds for Related Services.
Lauren Bolos
Lauren Bоlos (“Lauren”) was born on May 2, 1990 and suffers from cerebral palsy, brain damage, impaired motor function and coordination, and a seizure disorder that requires medication. Lauren received Medicaid assistance and Related Services. Sometime shortly before January 1992, Lauren’s parents and natural guardians, Jonathan and Randi Bolos, instituted a personal injury action in New York State Supreme Court, Richmond County, against several defendants, including Staten Island Hospital and three of the doctors who performed the delivery of Lauren. Prior to the settlement of the action, HRA placed a Medicaid lien on proceeds expected from the personal injury action. According to an affidavit submitted by Jonathan Bolos in support of the Bolos’ application for state court approval
Alia Green
Alia Green (“Alia”) was born on July 16, 1993 with severe brain damage affecting her motor and cognitive skills and functions. She suffers from hearing loss, developmental delays, and a seizure disorder that requires medication. Alia received Medicaid assistance and Related Services pursuant to the IDEA. Around January 1995, Alia’s parent and natural guardian, Celeste Green, instituted a personal injury action in New York State Supreme Court, Kings County, against Interfaith Hospital and three of the doctors who performed the delivery of Alia. Prior to the settlement of the action, HRA placed a Medicaid lien on expected proceeds in the action in the amount of $7,875.15, covering Medicaid еxpenses from November 13, 1999 to July 6, 2000. The Greens reached a settlement with the hospital and one of the doctors in the amount of $3,250,000 and with third-party defendant New York City Health and Hospitals Corporation in the amount of $500,000. Payment of $7,875.15 was made to HRA to satisfy the lien. The settlement and infant compromise order was entered in state court on September 26, 2000.
Ashley Victoria Ruggs
Ashley Victoria Ruggs (“Ashley”) was born on November 30, 1993. As a result of complications from birth, she is mentally retarded and physically disabled. She also suffers from a seizure disorder that requires medication. Ashley received Medicaid assistance and Related Servicеs pursuant to the IDEA. Around February 1995, Ashley’s parent and natural guardian, Marschell Ruggs, instituted a personal injury action in New York State Supreme Court, Kings County, against several defendants, including New York City Health and Hospitals Corporation and two of the doctors who performed Ashley’s delivery. Prior to the settlement of the action, HRA placed a Medicaid lien on any proceeds to be recovered in the personal injury action. According to an affidavit submitted by Marschell Ruggs to seek state court approval of the settlement, the hen was for $600,000. The action was settled on February 24, 2000 for $1,750,000, and HRA accepted $600,000 for full satisfaction of the lien — $200,000 to be paid immediately, and $400,000 to be paid upon Ashley’s death. The settlement and infant compromise order was entered in state court on March 28, 2000.
II. Standards of Review
In evaluating a motion to dismiss under Fed.R.Civ.P. 12(b)(1), the court accepts as true all factual allegations in the plaintiffs complaint.
Atlantic Mut. Ins. Co. v. Balfour Maclaine Intern. Ltd.,
On a motion to dismiss under Fed. R.Civ.P. 12(b)(6), the court also accepts as true all well-pleaded factual allegations, but, in contrast to a 12(b)(1) motion, draws
III. Rooker-Feldman
Defendants argue that, under the
Rooker-Feldman
doctrine, the court lacks subject matter jurisdiction to consider plaintiffs’ claims. The
Rooker-Feldman
doctrine bars “cases brought by state-court losers complaining of injuries caused by state-court judgments rendered before the district court proceedings commenced and inviting district court review and rejection of those judgments.”
Exxon Mobil Corp. v. Saudi Basic Indus. Corp.,
The procedural requirements are met in this case. Plaintiffs commenced the instant action after state courts approved the settlements. While it may not appear that plaintiffs “lost in state court,” since they received substantial settlement proceeds, courts have treated settlement agreements as final judgments for the purpose of the
Rooker-Feldman
doctrine.
See Allianz Ins. Co. v. Cavagnuolo,
No. 03 Civ. 1636,
The Court in
Exxon Mobil
recently clarified and narrowed the reach of the
Rook-er-Feldman
doctrine, holding that whether it applies is a separate question from preclusion law.
See
the Supreme Court’s use of ‘inextricably intertwined’ [in District of Columbia Court of Appeals v. Feldman, 460U.S. 462, 103 S.Ct. 1303 ,75 L.Ed.2d 206 (1983) ] means, at a minimum, that where a federal plaintiff had an opportunity to litigate a claim in a state proceeding (as either the plaintiff or defendant in that proceeding), subsequent litigation of the claim will be barred under the Rooker-Feldman doctrine if it would be barred under the principles of preclusion.
The Court stated in
Exxon Mobil
that a federal court does not lose subject-matter jurisdiction “simply because a party attempts to litigate in federal court a matter previously litigated in state cоurt.”
The first question is whether the plaintiffs seek to review and reverse the state court judgments.
See Hoblock,
In analyzing the cause of the injury alleged, Hoblock further instructs:
[A] federal suit complains of injury from a state-court judgment, even if it appears to complain only of a third party’s actions, when the third party’s actions are produced by a state-court judgment and not simply ratified, acquiesced in, or left unpunished by it. Where a state-court judgment causes the challenged third-party action, any challenge to that third-party action is necessarily the kind of challenge to the state judgment that only the Supreme Court can hear.
IV. Claim Preclusion
“Exxon Mobil
teaches that the narrow
Rooker-Feldman
inquiry is distinct from the question whether claim preclusion (res judicata) or issue preclusion (collateral es-toppel) will defeat a federal plaintiffs suit.”
Hoblock,
The Full Faith and Credit Clause, U.S. Const., Art. IV, § 1, which is implemented by 28 U.S.C. § 1738, requires a federal court to “give to a state-court judgment the same preclusive effect as would be given that judgment under the law of the State in which the judgment was rendered.”
Migra v. Warren City School Dist.,
The instant matter is not barred by claim preclusion because there is no privity between the parties. Defendants City of New York, HRA, and Commissioner Eggleston were not parties to the personal injury actions as to which the state court settlements were approved. Nor are there allegations that the defendants
Defendants argue that privity exists because participation by the City of New York and HRA was required in the infant compromise proceedings. However, tangential participation without shared interests in the litigation is insufficient for establishing privity.
See, e.g., Cent. Hudson Gas & Elec. Corp. v. Empresa Naviera Santa S.A.,
With regard to defendants’ argument that any challenge to the accuracy of the lien amounts could have been made before the settlements were approved, “the question is not whether the applicable procedural rules
permitted
assertion of the claim in the first proceeding; rather, the question is whether the claim was sufficiently related to the claims that were asserted in the first proceeding that it
should have been
asserted in that proceeding.”
Pike v. Freeman,
V. Standing
There are three elements necessary to show the “irreducible constitutional minimum of standing”:
First, the plaintiff must have suffered an injury in fact — an invasion of a legally protected interest which is (a) concrete and particularized, and (b) actual or imminent, not conjectural or hypothetical. Second, there must be a causal connection between the injury and the conduct complained of.... Third, it must be likely, as opposed to merely speculative, that the injury will be redressed by a favorable decision.
McCormick v. Sch. Dist. of Mamaroneck,
Defendants argue that plaintiffs’ case should be dismissed for lack of stand
VI. New York Social Services Law § 367-a(2)(b)
Defendants move to dismiss plaintiffs’ fifth cause of action, violation of N.Y. Social Services Law § 367-a(2)(b), arguing that there is no private right of action under this section. Section 367-a(2)(b) provides:
Any inconsistent provision of this chapter or other law notwithstanding, upon furnishing assistance under this title to any applicant or recipient of medical assistance, the local social services district or the department shall be subro-gated, to the extent of the expenditures by such district or department for medical care furnished, to any rights such person may have to medical support or third party reimbursement. For purposes of this section, the term medical support shall mean the right to support specified as support for the purpose of medical care by a court or administrative order. The right of subrogation does not attach to insurance benefits paid or provided under any health insurance policy prior to the receipt of written notice of the exercise of subrogation rights by the carrier issuing such insurance, nor shall such right of subrogation attach to any benefits which may be claimed by a social services official or the department, by agreement or other established procedure, directly from an insurance carrier. No right of subrogation to insurance benefits avаilable under any health insurance policy shall be enforceable unless written notice of the exercise of such subrogation right is received by the carrier within two years from the date services for which benefits are provided under the policy or contract are rendered. The local social services district or the department shall also notify the carrier when the exercise of subrogation rights has terminated because a person is no longer receiving assistance under this title. Such carrier shall establish mechanisms to maintain the confidentiality of all individually identifiable informatiоn or records. Such carrier shall limit the use of such information or record to the specific purpose for which such disclosure is made, and shall not further disclose such information or records.
As this section does not mention any right of particular Medicaid recipients to monitor the propriety of subrogation rights asserted by the Department of Social Ser
Article 5 of the N.Y. Social Services Law implements the federal Medicaid program in New York State. N.Y. Social Services Law § 364 vests responsibility for “establishing and maintaining standards for medical care and eligibility” to the Department of Social Services and the Department of Health. While the former is responsible for eligibility determinations, auditing payments, and publishing and distributing information about the program, the latter is responsible for tasks such as establishing and maintaining medical facility and services standards, as well as “making policy, rules and regulations for maintaining a system of hearings for applicants and recipients.” N.Y. Soc. Serv. Law § 364.
Though allowing private citizens to monitor the propriety of actions taken by the City of New York in administering the Medicaid program would be consistent with the statute’s overall scheme of ensuring that appropriate medical assistance is provided to all citizens, “regardless of its consistency with the basic legislative goal, a private right of action should not be judicially sanctioned
if it is incompatible with the enforcement mechanism chosen by the Legislature.” Carrier,
VII. Statute of Limitations & Notice of Claim
Defendants assert a statute of limitations defense against the parent plaintiffs’ claims only. There is no statute of limitations specifically prescribed by the IDEA. Where, as here, a statute is silеnt as to statute of limitations, and was enacted prior to December 1, 1990,
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the court applies “the state law of limitations governing an analogous cause of action.”
Bd. of Regents v. Tomanio,
With regard to defendants’ argument that plaintiffs’ state law claims should be dismissed because plaintiffs did not file a notice of claim under N.Y. General Municipal Law § 50-e, the notice of claim requirement is excused for “actions that are brought to protect an important right, which seek relief for a similarly situated class of the public, and whose resolution would directly affect the rights of that class or group.”
Mills v. Monroe County,
VIII. Conclusion
For the reasons discussed above, defendants’ motion to dismiss for lack of subject matter jurisdiction under Fed.R.Civ.P. 12(b)(1) is denied. Defendants’ motion to dismiss under Fed.R.Civ.P. 12(b)(6) is denied with respect to lack of standing but granted as to the claim under N.Y. Social Services Law § 367-a(2)(b), which is dismissed. Defendants’ 12(b)(6) motion to dismiss the parent plaintiffs’ claims because of expiration of the statute of limitations is granted. The caption shall be amended by the Clerk of the Court to reflect that Celeste Green, Marschell Ruggs, and Jonathan and Randi Bolos are not suing individually but only on behalf of their infant сhildren, Alia Green, Ashley Victoria Ruggs, and Lauren Bolos, respectively.
SO ORDERED.
Notes
. Medicaid, a jointly funded federal and state medical assistance program, pays the medical costs of qualifying indigent individuals whose income and resources are insufficient to meet the costs of their medical care. Established under Title XIX of the Social Security Act, 42 U.S.C. § 1396 et seq. and implemented in New York State by the Social Services Law § 267 et seq., Medicaid is administered in New York City by the Human Resources Administration ("HRA”) under the supervision of the New York State Department of Health.
Mejia v. City of New York,
No. 01 Civ. 3381,
. The IDEA defines “free appropriate public education” as "spеcial education and related services” that
(A) have been provided at public expense, under public supervision and direction, and without charge;
(B) meet the standards of the State educational agency;
(C) include an appropriate preschool, elementary school, or secondary school education in the State involved; and
(D) are provided in conformity with the individualized education program required under section 1414(d) of this title.
20 U.S.C. § 1401(9). An "individualized education program” is "a written statement for
For an "infant or toddler with a disability,” defined by the IDEA as a child under three years who is experiencing certain developmental delays, "early intervention services” must be provided at no cost. Id. § 1432(4)-(5).
. Defendants claim that such a policy no longer exists, however, on this motion, the court accepts the allegations in plaintiffs’ complaint as true.
. Pursuant to 28 U.S.C. § 1658: "Except as otherwise provided by law, a civil action arising under an Act of Congress enacted after the date of thе enactment of this section [Dec. 1, 1990] may not be commenced later than 4 years after the cause of action accrues.”
. At least one court, in concluding that a three-year statute of limitations should apply in actions under the IDEA, has relied on N.Y. C.P.L.R. § 214(2), which prescribes three years for "an action to recover upon a liability, penalty or forfeiture created or imposed by statute.”
See Mason v. Schenectady City Sch. Dist.,
. If this case had involved an appeal from an administrative decision, a four-year statute of limitations would apply.
See Mason,
