Ruth HEALEY, Marcia Lutwin, Jane Kozlowski, Margaret A. Walz, Roger Audette, Marion Morgan, by Her Next Friend Dorothy M. Hiltz, Julia M. Culver, by Her Next Friend Rev. Horace Mitchell, Bertha P. Chiplin, by Her Next Friend Alfred J. Chiplin, Sr., Linda Wierda, Plaintiffs-Appellees-Cross-Appellants,
Madalyn Rovner, Roland Cote, Florentina Calderon, By Her Next Friend Eva Moreno, Helen Bagwell, Maxine Marmor, Deborah Sergesketter, Katherine Watts, Intervenors-Plaintiffs,
v.
Michael O. LEAVITT, Secretary of the United States Department of Health and Human Services, Defendant-Appellant-Cross-Appellee,
National Association for Home Care, Inc., Movant.
Docket No. 06-0525-CV (L).
Docket No. 06-0529-CV (XAP).
United States Court of Appeals, Second Circuit.
Argued: January 26, 2007.
Decided: April 17, 2007.
Gill Deford (Judith Stein, Brad Plebani, Pamela A. Meliso, Willimantic, CT; Alfred J. Chiplin, Jr., Vicki Gottlich, Washington, DC; Sally Hart, Tuscon, AZ; Diane Paulson, Boston, MA; Edward C. King, Washington, DC; Sarah Lock, Washington, DC; Lenore Gerard, San Francisco, CA on the brief), for Plaintiffs-Appellees-Cross-Appellants.
Jeffrey Clair (Barbara C. Biddle on the brief), for Kevin J. O'Connor, United States Attorney for the District of Connecticut, and Peter D. Keisler, Assistant Attorney General, Department of Justice, Washington, DC, for Defendant-Appellant-Cross-Appellee.
Lawrence S. Lustberg, Megan Lewis, Newark, NJ, for Amicus Curiae The Brennan Center for Justice.
Before KATZMANN, HALL, Circuit Judges, and TRAGER, District Judge.*
KATZMANN, Circuit Judge.
This case arises out of a class action suit filed on behalf of home-bound Medicare beneficiaries who rely on Medicare coverage for various in-home services provided by home health agencies ("HHAs"). The merits of the plaintiffs' action have already been resolved, and we are called upon to determine whether the plaintiffs are entitled to attorneys' fees under the Equal Access to Justice Act, 28 U.S.C. § 2412 ("EAJA"), and, if so, the scope of that award. We hold that the district court did not abuse its discretion in awarding the plaintiffs attorneys' fees or in reducing the amount of those fees to reflect their overall success in the litigation. It did, however, abuse its discretion in awarding the plaintiffs fees at an hourly rate above the EAJA statutory cap. The decision of the district court is affirmed in part and reversed in part.
* In 1998, the plaintiffs, a class of elderly and disabled Medicare beneficiaries who faced the reduction or termination of home health care services provided by HHAs, sued the Department of Health and Human Services ("HHS"). The plaintiffs sought declaratory and injunctive relief that would require HHS to compel HHAs to provide greater procedural protections before reducing or terminating home health services provided to Medicare beneficiaries. Because the facts and procedural posture of this case have already been set out in some detail, see Lutwin v. Thompson,
When the plaintiffs first brought suit, Medicare beneficiaries confronted with an adverse coverage determination by an HHA could obtain review of that decision only if they satisfied two conditions. First, they had to request that the HHA submit a claim to the Health Care Financing Administration (the "HCFA"), the agency within HHS that then administered Medicare, for those services or items that the HHA believed were not covered. This was commonly known as a "demand bill." Lutwin,
Four months after the district court's decision, HCFA implemented a new system which, inter alia, required HHAs to provide mandatory notice to Medicare beneficiaries when making adverse coverage decisions. HCFA made clear, however, that it believed such notice was required only when the HHA determined that the treatment was not within the scope of Medicare's coverage. Thus, under its view, notice was not required when a beneficiary's treating physician ordered that the home health care be reduced or terminated. Lutwin,
On appeal, a divided panel of this Court held that the Medicare statute unambiguously requires that the HHAs give written notice before they reduce or terminate home health services for any reason, including for lack of physician certification. Lutwin,
The plaintiffs then sought attorneys' fees under the EAJA. The district court determined that the Government's position was not "substantially justified" and awarded fees. Healey v. Leavitt, No. 98 Civ. 418(DJS),
II
The EAJA provides, in pertinent part, that "a court shall award to a prevailing party other than the United States fees and other expenses . . . incurred by that party in any civil action . . . brought by or against the United States . . . unless the court finds that the position of the United States was substantially justified or that special circumstances make an award unjust." 28 U.S.C. § 2412(d)(1)(A). The Government bears the burden of showing that its position was "substantially justified," and to meet that burden, it must make a "strong showing" that its action was "justified to a degree that could satisfy a reasonable person." Pierce v. Underwood,
Here, the district court held that the Government's pre-litigation position was not substantially justified because "the Secretary's failure to provide written notice to plaintiffs and those in their position of the termination of crucial health care services, and the Secretary's subsequent defense of his inaction, were unreasonable." Healey III,
The Government argues that a fee award is nonetheless inappropriate in this case because it quickly improved its policies in response to the initiation of this litigation. However, even assuming, arguendo, that the Government did act quickly to improve its policies,2 its prelitigation conduct was sufficiently "unreasonable [that it] render[s] the entire Government position not `substantially justified.'" $19,047.00 in U.S. Currency,
Accordingly, we affirm the district court's decision to award the plaintiffs fees under the EAJA.
III
The EAJA provides that the "fees awarded . . . shall be based upon prevailing market rates for the kind and quality of the services furnished, except that . . . attorney fees shall not be awarded in excess of $125 per hour unless the court determines that an increase in the cost of living or a special factor, such as the limited availability of qualified attorneys for the proceedings involved, justifies a higher fee." 28 U.S.C. § 2412(d)(2)(A). In Pierce v. Underwood, the Supreme Court explained that
the exception for "limited availability of qualified attorneys for the proceedings involved" must refer to attorneys "qualified for the proceedings" in some specialized sense, rather than just in their general legal competence. We think it refers to attorneys having some distinctive knowledge or specialized skill needful for the litigation in question — as opposed to an extraordinary level of the general lawyerly knowledge and ability useful in all litigation.
The attorneys here, while undisputably experienced in the practice of Medicare law, do not possess "distinctive knowledge or specialized skill needful for the litigation in question." Pierce,
Instead, plaintiffs argue that the enhanced fee is appropriate in this case because this is a "complex class action" involving a complicated administrative statute, and counsels' skill and experience in these areas "rendered them particularly appropriate for [this] litigation." The district court here adopted that view, holding that "extensive knowledge of the [Medicare] statut[e] and regulat[ions]" is analogous to the skills "developed by a patent lawyer: expertise with a complex statutory scheme; familiarity and credibility with a particular agency; and understanding of the needs of a particular class of clients." Healey III,
While we need not determine today whether there may ever be a case in which these factors would justify an enhanced fee award under the EAJA, there is nothing in this case that requires "specialized expertise" of the type that would make an enhanced fee appropriate.4 To the contrary, a case requires "specialized expertise" within the meaning of the EAJA only when it requires some knowledge or skill that cannot be obtained by a competent practicing attorney through routine research or legal experience. This case, although certainly challenging, is typical of most litigation brought under modern administrative statutes. While one cannot deny the complexity of the Medicare statute and the regulations promulgated thereunder, this regulatory scheme is no more complex than countless other federal regulatory schemes, and attaining proficiency in these areas is "not beyond the grasp of a competent practicing attorney with access to a law library and the other accoutrements of modern legal practice." Chynoweth v. Sullivan,
The plaintiffs argue that the enhanced award was appropriate here because this case involved the combination of both the Medicare statute and class action procedure, a contention that is difficult to sustain given that neither alone constitutes a "specialized expertise" within the meaning of the statute. See Hyatt,
Accordingly, we hold that the district court erred in awarding the plaintiffs an enhanced fee under the EAJA and we reverse that portion of the district court's opinion.
IV
The final issue on appeal is whether the district court abused its discretion when it reduced the plaintiffs' fee award on the ground that one of their claims was "legally distinct" and therefore not compensable. In determining a fee award, the typical starting point is the so-called lodestar amount, that is "the number of hours reasonably expended on the litigation multiplied by a reasonable hourly rate." Hensley,
product of reasonable hours times a reasonable rate does not end the inquiry. There remain other considerations that may lead the district court to adjust the fee upward or downward, including the important factor of the "results obtained." This factor is particularly crucial where a plaintiff is deemed "prevailing" even though he succeeded on only some of his claims for relief.
Id. at 434,
Here, the district court reduced the plaintiffs' fee to "acknowledge the fact that plaintiffs spent a great deal of time pursuing a distinct and unsuccessful claim. Although the [notice claim and the claim for pre-deprivation hearings] shared a common background and, in part, were based upon the Fifth Amendment, the claims are legally distinct. . . . [T]he court was required to independently analyze whether the Fifth Amendment required both notice and a pre-deprivation hearing." Healey III,
In determining whether a fee reduction is appropriate, "the most critical factor is the degree of success obtained," and courts should consider whether the plaintiffs "achieve[d] a level of success that makes the hours reasonably expended a satisfactory basis for making a fee award." Hensley,
Accordingly, we affirm the district court's decision to reduce the amount of the plaintiffs' fee award to reflect their overall success in the litigation.
V
For the foregoing reasons, we affirm in part and reverse in part. We remand for the calculation of reasonable fees and costs consistent with this opinion.
Notes:
Notes
The Honorable David G. Trager, District Judge, United States District Court for the Eastern District of New York, sitting by designation
In the early stages of this litigation, the Government appears to have argued that it was not responsible for the HHAs' failure to provide notice because they were not "state actors,"see Healey I,
The plaintiffs dispute that the Government acted quickly to enact the necessary changes. Because we hold that the Government's position was not "substantially justified" even if it did act expeditiously to enact the promised changes, we need not resolve this dispute
The Government also argues that the district court abused its discretion in failing to consider its success on plaintiffs' claim for pre-deprivation review, but the district court here recognized that the Government had achieved partial success in the litigation,Healey III,
The plaintiffs argue that this case is unique because the involvement of a "passive and largely hidden client population" means that only advocates "closely attuned to the needs and problems of the client population" could bring this litigation. However, this litigation did not require attorneys with specialized knowledge and skill to identify the legal problem faced by the homebound Medicare beneficiaries. While the contacts and experience of counsel here may have helped them to organize this litigation on a national level, those contacts could have been obtained by any attorneySee Atl. Fish Spotters Ass'n v. Daley,
It might take attorneys without the experience of those here time to familiarize themselves with the Medicare statute and the issues involved in this case, but again this time may be compensated should they be successful in litigating the case and therefore should not operate as a disincentive for a less experienced attorney to take on a potentially meritorious caseCf., e.g., Mar Oil, S.A. v. Morrissey,
Even if, as the plaintiffs argue, the intersection of these two issues may make it more difficult to find attorneys willing to take on cases of this kind, that does not make an enhanced fee award appropriate under the EAJA. As the Supreme Court explained inPierce, "[i]f `the limited availability of qualified attorneys for the proceedings involved' meant merely that lawyers skilled and experienced enough to try the case are in short supply, it would effectively eliminate the . . . cap — since the `prevailing market rates for the kind and quality of the services furnished' are obviously determined by the relative supply of that kind and quality of services."
The plaintiffs argue that they were "fully successful on their `centerpiece claim'" and "should not be faulted and punished for seeking additional and reasonable procedural protections," but it is no punishment to deny them fees for this claim on which they were not successful. As the Supreme Court noted inHensley, "Congress has not authorized an award of fees whenever it was reasonable for a plaintiff to bring a lawsuit or whenever conscientious counsel tried the case with devotion and skill. Again, the most critical factor is the degree of success obtained."
