Hilst v. BowenHilst v. Bowen
25 Soc.Sec.Rep.Ser. 465, Medicare&Medicaid Gu 37,855
Wilbur HILST, M.D., Plaintiff-Appellant,
v.
Otis R. BOWEN, M.D., Secretary of United States Department
of Health and Human Services, Health Care
Financing Administration, Defendant-Appellee.
No. 87-2755.
United States Court of Appeals,
Tenth Circuit.
May 4, 1989.
Stephen G. Mirakian and Keith E. Drill of Koenigsdorf, Wyrsch & Ramsey, Kansas City, Mo., and William Stewart, Topeka, Kan., for plaintiff-appellant.
Benjamin L. Burgess, Jr., U.S. Atty., and Alleen S. Castellani, Asst. U.S. Atty., Topeka, Kan., for defendant-appellee.
Before SEYMOUR, BARRETT and BALDOCK, Circuit Judges.
PER CURIAM.
Wilbur Hilst, a physician, commenced this action pursuant to
* Defendant initially raises the issue of our jurisdiction over this appeal. The district court granted defendant's motion to dismiss by its Memorandum and Order filed August 4, 1987. On August 18, Hilst filed a motion for reconsideration. On August 24, the court entered a separate judgment dismissing the action in accordance with
The district court correctly construed Hilst's motion for reconsideration as one pursuant to
Although
We conclude that Hilst's
II
Hilst submitted claims for reimbursement from Medicare in conjunction with his medical practice. He was suspended for a period of one year by Blue Cross/Blue Shield of Kansas, the state provider, based on a finding that he had made false statements on claims and had billed for services he was not entitled to perform. Following that determination, Hilst sought and received an evidentiary hearing before an Administrative Law Judge (ALJ). The ALJ found that Hilst had not submitted false statements and that the decision to exclude him from participation in the Medicare program for one year was unreasonable, improper, and unsupported by substantial evidence.
The agency appealed the ALJ's decision. The Appeals Council affirmed over a year later, during which time Hilst's suspension continued. Because he was not reinstated in the Medicare program pending appeal, Hilst filed a petition in the district court for review and enforcement of the ALJ's order. Hilst v. Heckler, No. 83-4389 (D.Kan.). The court preliminarily enjoined defendant from taking action contrary to the ALJ's decision pending the outcome of the appeal. Concluding that it had jurisdiction over Hilst's attack on the constitutionality of the pending administrative actions, the court subsequently held that "plaintiff's due process rights were violated by the failure to reinstate plaintiff into the program following the ALJ decision pending appeal to the Appeals Council." Rec., supp. vol. I, at 9.
Hilst thereafter subsequently commenced this action alleging that he was entitled to damages based on the prior judicial determination that his constitutional right to due process had been violated. He alleged that the violation occurred because both the regulations themselves and the acts of defendant's employees denied him due process. Defendant moved to dismiss on the grounds that if the suit was against him in his official capacity it was barred by the doctrine of sovereign immunity, and if it was against him in his individual capacity it was barred because the doctrine of respondeat superior is inapplicable to Bivens actions and there was no allegation that he was personally involved in the commission of any constitutional violation. The district court granted defendant's motion.3 We affirm, although on a basis different from that relied on below.
After the district court issued its opinion, the Supreme Court decided Schweiker v. Chilicky, --- U.S. ----,
In this case, a comprehensive remedy is provided to physicians when their right to participate in the Medicare program is suspended. See 42 U.S.C.A. Sec. 1320a-7 (West Supp.1988); 42 C.F.R. Sec. 1001.1 et seq. As in Chilicky, this remedy includes an elaborate administrative hearing, and administrative and judicial review. Although this remedial framework does not provide Hilst with consequential damages arising from defendant's unconstitutional conduct, the Court in Chilicky clearly indicated that this lack does not entitle a plaintiff to maintain a Bivens action so long as the remedy, although incomplete, is adequate and the safeguards are meaningful. See
The judgment of the United States District Court for the District of Kansas is AFFIRMED.
Notes
After examining the briefs and appellate record, this panel has determined unanimously that oral argument would not materially assist the determination of this appeal. See
The case of Stephenson v. Calpine Conifers II, Ltd.,
The district court held that Hilst's cause of action was against defendant in his individual capacity. Hilst does not argue to the contrary on appeal