INDEPENDENT LIVING CENTER OF SOUTHERN CALIFORNIA, INC., a nonprofit corporation; GRAY PANTHERS OF SACRAMENTO, a nonprofit corporation; GRAY PANTHERS OF SAN FRANCISCO, a nonprofit corporation; GERALD SHAPIRO, Pharm. D., DBA Uptown Pharmacy and Gift Shoppe; SHARON STEEN, DBA Central Pharmacy; TRAN PHARMACY, INC.; MARK BECKWITH; MARGARET DOWLING, Petitioners-Appellants, v. JENNIFER KENT, Director of Department of Health Care Services of the State of California; DEPARTMENT OF HEALTH CARE SERVICES, Respondents-Appellees. SACRAMENTO FAMILY MEDICAL CLINICS, INC.; ACACIA ADULT DAY SERVICES; RONALD B. MEAD, D.D.S.; THEODORE M. MAZER, M.D., Intervenors-Appellants, v. JENNIFER KENT, Director of Department of Health Care Services of the State of California; DEPARTMENT OF HEALTH CARE SERVICES, Respondents-Appellees.
No. 15-56142, No. 15-56154
UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT
Filed November 21, 2018
D.C. No. 2:08-cv-03315-CAS-MAN. Argued and Submitted September 26, 2018 Pasadena, California
Appeal from the United States District Court for the Central District of California Christina A. Snyder, District Judge, Presiding
Before: WILLIAM A. FLETCHER, MILAN D. SMITH, JR., and MORGAN CHRISTEN, Circuit Judges.
Opinion by Judge Milan D. Smith, Jr.; Concurrence by Judge Christen
SUMMARY*
Attorneys’ Fees
The panel reversed the district court‘s denial of plaintiffs’ request for attorneys’ fees following the settlement of litigation concerning California‘s Assembly Bill X3 5, which reduced the Medi-Cal rate of reimbursement for healthcare providers by ten percent.
Plaintiffs sought a writ of mandamus under
The panel held that, even though the case was properly removed from state court based on federal question jurisdiction, plaintiffs brought a state-law claim and were therefore permitted to seek attorneys’ fеes pursuant to
The panel further held that the district court abused its discretion in denying plaintiffs’ motion to set aside funds for attorneys’ fees following the decision permitting retroactive monetary relief from the Medi-Cal reimbursement reduction. The panel remanded for a determination of whether plaintiffs could recover any fees from the retroactive relief.
Concurring, Judge Christen wrote that she concurred in the result reached by the majority opinion but reached the same conclusion in a different way. Judge Christen wrote that plaintiffs could seek attorneys’ fees under
COUNSEL
Erwin Chemerinsky (argued), University of California, Berkeley, School of Law, Berkeley, California; Stanley L. Friedman and Rafael Bernardino, Jr., Law Offices of Stanley L. Friedman, Los Angeles, California; for Petitioners-Appellants.
Craig J. Cannizzo (argued), Hooper, Lundy & Bookman, P.C., San Francisco, California; Lloyd A. Bookman and Jordan B. Keville, Hooper, Lundy & Bookman, P.C., Los Angeles, California; for Intervenors-Appellants.
Susan M. Carson (argued), Supervising Deputy Attorney General; Julie Weng-Gutierrez, Senior Assistant Attorney General; Xavier Becerra, Attorney General of California; Office of the Attorney General, San Francisco, California; for Respondents-Appellees.
OPINION
M. SMITH, Circuit Judge:
This case comes before us once again after a decade-long journey within the federal court system. In these final stages of the litigation, Petitioners-Appellants (Independent Living), a group of health care advocacy organizations and medical care providers, and Intervenors-Appellants (Intervenors, and together with Independent Living, Appellants), another group of
FACTUAL AND PROCEDURAL BACKGROUND
I. Factual Background
The Medicaid Act authorizes the federal government to distribute funds to states for the purpose of providing medical assistance to low-income persons. Participating states are subject to certain conditions. Armstrong v. Exceptional Child Care Ctr., Inc., 135 S. Ct. 1378, 1382 (2015). One such condition is the “equal access” provision (Section 30(A)), which requires that states set provider reimbursement rates that are “sufficient to enlist enough providers so that care and services are available under the plan at least to the extent that such care and services are available to the general population in the geographic area.”
On February 16, 2008, the California legislature enacted Assembly Bill X3 5 (AB 5). AB 5 reduced the Medi-Cal— California‘s Medicaid program—rate of reimbursement for healthcare providers by ten percent. These cuts took effect on July 1, 2008.
II. Procedural Background
On April 22, 2008, Independent Living filed in Los Angeles County Superior Court a petition for a writ of mandamus against the DHCS and the Director, pursuant to
On June 25, 2008, the district court denied Independent Living‘s motion for a preliminary injunction preventing the enforcement of AB 5. We vacated that decision on July 11, 2008, holding that a plaintiff “may bring suit under the Supremacy Clause to enjoin implementation of a state law allegedly preempted by federal statute.” Indep. Living Ctr. of S. Cal. v. Shewry, 543 F.3d 1047, 1049 (9th Cir. 2008) (per curiam); see Indep. Living Ctr. of S. Cal. v. Shewry, 543 F.3d 1050 (9th Cir. 2008) (Shewry).
On August 18, 2008, the district court enjoined enforcement of the ten percent reduction. On August 27, 2008, the court modified its injunction to apply only prospectively from the date of the injunction because sovereign immunity purportedly barred retroactive relief.
On appeal, we analyzed whether retroactive application of the injunction violated California‘s sovereign immunity. Indep. Living Ctr. of S. Cal. v. Maxwell-Jolly, 572 F.3d 644, 660-63 (9th Cir. 2009), vacated and remanded on other grounds sub nom. Douglas v. Indep. Living Ctr. of S. Cal., 132 S. Ct. 1204 (2012). We first found this retroactive relief would violate California‘s sovereign immunity absent the Director‘s waiver of that immunity. Id. at 661. We then noted that the Director would have waived sovereign immunity by removing the suit to federal court if California had previously consented to similar suits in state court. Id. Consequently, after reviewing numerous California state court decisions that permitted
On March 15, 2010, Independent Living moved to set aside a portion of the monies paid, or to be paid, to Medicaid providers for the retroactive period to set up a fund from which attorneys’ fees could be paid. The district court dismissed this motion because it believed it was premature and that “[n]either side has provided any reason why [the court] at the conclusion of the case could not fashion an order requiring... California to pay attorneys’ fees based on what is ultimately the value of any judgment or settlement.”
In 2011, the United States Supreme Court granted the Director‘s petition for a writ of certiorari with resрect to the Supremacy Clause issue. Preceding oral argument before the Supreme Court, the Centers for Medicare & Medicaid Services (CMS), the federal agency in charge of administering Medicaid, disapproved the Director‘s submitted plan amendments to implement AB 5 because they did not satisfy Section 30(A). Douglas, 132 S. Ct. at 1209. However, after oral argument, and before the Supreme Court issued its opinion, CMS approved some of the pending amendments. Id.
The Supreme Court ultimately held that CMS‘s decisions regarding the plan amendments changed the procedural posture of the case, and remanded it to our court to consider whether the providers could maintain an action pursuant to the Supremacy Clause. Id. at 1209–11. The Supreme Court thus vacated, but did not reverse, our decision affirming the preliminary injunction.
Following Douglas, the parties resolved this case in mediation, and produced a Settlemеnt Agreement specifying the terms of their concord. In Sections III (C)(1)(a) and (b) of the Settlement Agreement, Appellants reserved the right to move for attorneys’ fees before the district court. The state retained the right to oppose any such request. In addition, Section III (C)(1)(c) of the Settlement Agreement permitted “any plaintiffs’ attorney” who had appeared in one of the listed cases to seek attorneys’ fees “from Medicaid providers that purportedly obtained a benefit from counsel‘s work,” but not from “DHCS or any of the State Released Entities.”
JURISDICTION AND STANDARD OF REVIEW
We have jurisdiction over this appeal pursuant to
ANALYSIS
I. Availability of Attorneys’ Fees Under § 1021.5
The central question in this appeal is whether Appellants brought a state-law claim or a federal claim, for the answer to that question will determine whether they are entitled to seek attorneys’ fees pursuant to California‘s
A. Federal Question Jurisdiction
The Director argues that despite Appellants’ only cause of action being the
The Director removed this case based on federal question jurisdiction. With good reason, we originally understood Appellants’ cause of action to constitute a suit pursuant to the Supremacy Clause to enjoin state legislation allegedly preempted by a federal statute (here, the Medicaid Act). Shewry, 543 F.3d at 1062, 1065–66. In so concluding, we relied in part on Shaw v. Delta Air Lines, Inc., in which the Supreme Court observed that a plaintiff bringing such a suit “presents a federal question which the federal courts have jurisdiction under
Of course, federal question jurisdiction encompasses more than just federal causes of action. Federal courts have jurisdiction to hear “сases in which a well-pleaded complaint establishes either that federal law creates the cause of action or that the plaintiff‘s right to relief necessarily depends on resolution of a substantial question of federal law.” Franchise Tax Bd. v. Constr. Laborers Vacation Tr. for S. Cal., 463 U.S. 1, 27–28 (1983). Where, as here, state law creates the cause of action, federal jurisdiction may also lie if “it appears that some substantial, disputed question of federal law is a necessary element of one of the well-pleaded state claims.” Id. at 13. Quiet title actions, for example, have prompted the exercise of federal question jurisdiction. See, e.g., Grable & Sons Metal Prods., Inc. v. Darue Eng‘g & Mfg., 545 U.S. 308, 315–16 (2005) (exercising federal question jurisdiction over a quiet title action that required analysis of the federal notice statute).
In Merrell Dow Pharmaceuticals, Inc. v. Thompson, the Court held that federal question jurisdiction was unavailable over a state tort claim alleging a violation of a federal misbranding prohibition, in part because Congress had not provided a private federal cause of action for that violation. 478 U.S. 804, 812 (1986). However, the Court has since noted Merrell Dow did not “convert[] a federal cause of action from a sufficient condition for federal-question jurisdiction into a necessary one.” Grable & Sons, 545 U.S. at 317. Rather, a federal right of action is “evidence relevant to, but not dispositive of’ federal question jurisdiction. Id. Federal question jurisdiction over state-law claims will lie if a federal issue is “(1) necessarily raised, (2) actually disputed, (3) substantial, and (4) capable of resolution in federal court without disturbing the federal-state balance approved by Congress.” Gunn v. Minton, 568 U.S. 251, 258 (2013).
We conclude that the
B. State Claim or Federal Claim?
Appellants seek an award of attorneys’ fees pursuant to
However, during the period between Shewry and this appeal, the Supreme Court in Armstrong considered a suit similar to the one at hand. In that case, health providers sued officials in Idaho‘s Department of Health and Welfare, claiming that Idaho violated Section 30(A) of the Medicaid Act by reimbursing providers of habilitation services at impermissible rates. Armstrong, 135 S. Ct. at 1382. We had affirmed the district court‘s grant of summary judgment for the providers and stated that the providers had an implied right of action pursuant to the Supremacy Clause. Id. at 1383 (citing Inclusion, Inc. v. Armstrong, 567 F. App‘x 496 (2014)). The Supreme Court reversed, holding that the Supremacy Clause is “not the source of any federal rights and certainly does not create a cause of action.” Id. (citation omitted). The Court also determined that
Appellants argue that “the gist of [their] claim was that California breached its contract with the federal government,” and that breach of contract is a claim arising under state law. This argument is meritless. In order to prevail on a contract theory, Appellants would have had to show that, at the least, they were third-party beneficiaries entitled to enforce a valid contract between the federal and state governments—a requirement that might have been impossible to show. See Sanchez v. Johnson, 416 F.3d 1051, 1059 (9th Cir. 2005) (holding that Medicaid providers “are, at best, indirect beneficiaries [of
Although Appellant‘s breach-of-contract theory is unavailing, we conclude that in this case the
Particularly pertinent to this case, California courts have previously enforced Section 30(A) by issuing writs of mandate to the DHCS. See, e.g., Cal. Ass‘n for Health Servs. at Home v. State Dep‘t of Health Care Servs., 138 Cal. Rptr. 3d 889, 900 (Cal. Ct. App. 2012) (further ratе review of Medi-Cal reimbursement rates required in accordance with Section 30(A) and the state plan). However, a recent California appellate court decision called into question the future viability of using
Ultimately, it is clear that, under California law,
Accordingly, we conclude that Appellants’ claim pursuant to
C. State Law Fee Awards in Federal Court
The general rule in federal courts is that “absent statute or enforceable contract, litigants pay their own attorneys’ fees.” Alyeska Pipeline Serv. Co v. Wilderness Soc‘y, 421 U.S. 240, 257 (1975). We have stated that in a “pure federal question case” in federal court, federal law governs attorneys’ fees. Disability Law Ctr. of Alaska, Inc. v. Anchorage Sch. Dist., 581 F.3d 936, 940 (9th Cir. 2009). By contrast, “so long as ‘state law does not run counter
Our previous cases in which we denied plaintiffs an award of fees under state law do not preclude recovery here. In Klein, we denied the plaintiff attorneys’ fees under
952 F.2d 1152, 1163 (9th Cir. 1991), we reversed the district court‘s award of attorneys’ fees based on Alaska law. Gillam concerned the control and disposition of a legal indemnification fund set up by Home Savings Bank (HSB) with the Federal Home Loan Bank Board. Id. at 1154. The conservator of HSB sued Gillam, the former chief executive officer of HSB, to recover severance benefits paid to Gillam upon his resignation and to contest control over the legal indemnification fund. Id. We first held that the conservator had a right of action under the federal Financial Institutions Reform, Recovery, and Enforcement Act of 1989 (FIRREA) to sue Gillam. Id. at 1157 (“FIRREA expressly provides for federal court jurisdiction over actions to which the [conservator] is a party.“). We then held that the district court improperly relied on Alaska law to award attorneys’ fees because the federal common law disfavoring non-statutory awards of fees directly conflicted with the state rule relied upon by the district court. Id. at 1162.
Similarly, in Bass v. First Pacific Networks, Inc., 219 F.3d 1052 (9th Cir. 2000), we considered whether federal or state law governed the аward of attorneys’ fees incurred in filing a motion under
This case presents a different issue than those we confronted in Klein, Gillam, and Bass. Unlike in Klein, Appellants here prevailed on a state-law claim by succeeding on the
D. Erie
Erie3 principles further persuade us that Appellants are entitled to seek fees pursuant to
v. Plumer, 380 U.S. 460, 467 (1965). Further, Erie sought to avoid the forum shopping that had arisen after Swift v. Tyson, 41 U.S. 1 (1842). Id.
Because the
has resulted in the enforcement of an important right affecting the public interest if: (a) a significant benefit, whether pecuniary or nonpecuniary, has beеn conferred on the general public or a large class of persons, (b) the necessity and financial burden of private enforcement are such as to make the award appropriate, and (c) such fees should not in the interest of justice be paid out of the recovery, if any.
Maria P. v. Riles, 743 P.2d 932, 935 (Cal. 1987).
In determining whether a plaintiff is a successful party for purposes of
attorneys’ fees under
In Maria P., for example, the plaintiffs sought a preliminary injunction to prevent the school district from denying a student admission to school based on her noncitizen immigration status, and to prevent the school district and State superintendent from complying with
Similarly, here, Appellants secured a preliminary injunction against the enforcement of California state legislation on the ground that it violated a federal statute. Further, Maria P. establishes that CMS‘s subsequent approval of California‘s amended reimbursement rates does not necessarily preclude Appellants’ recovery of attorneys’ fees. Thus, California law appears to demonstrate Appellants are “successful” parties under
Thus, to permit the Director to evade attorneys’ fees by removing this action to federal court would violate the spirit of Erie and its twin aims. As here, when fees would probably be available in state court, to preclude a similar award in federal court would likely lead to forum shopping, among other maladies. Moreover, such a divergent result would foster the very “inequitable administration of the laws” that Erie sought to rectify. Plumer, 380 U.S. at 468. Therefore, we conclude that the district court errеd in holding that Appellants were precluded from seeking an award of attorneys’ fees under
We remand to the district court to determine whether Appellants meet the requirements of
II. Motion to Set Aside Attorneys’ Fees from the Common Fund
After our decision in Maxwell-Jolly permitted retroactive monetary relief from the Medi-Cal reimbursement reduction, Independent Living moved to set aside 25 percent of the $70 million reimbursement to set up a fund for attorneys’ fees. The district court denied the motion to set aside funds, finding the request “premature” because there had not yet been a final adjudication or settlement, and determining that a set-aside was not in the public interest. Aрpellants now argue that the district court abused its discretion when it denied their motion to set aside funds. We agree.
“[A] litigant or a lawyer who recovers a common fund for the benefit of persons other than himself or his client is entitled to a reasonable attorney‘s fee from the fund as a whole.” Boeing Co. v. Van Gemert, 444 U.S. 472, 478 (1980). The principle justifying this doctrine is that
persons who obtain the benefit of a lawsuit without contributing to its cost are unjustly enriched at the successful litigant‘s expense. Jurisdiction over the fund involved in the litigation allows a court to prevent this inequity by assessing attorney‘s fees against the entire fund, thus spreading fees proportionately among those benefited by the suit.
Id. (citations omitted). An award of fees from a common fund applies only if “(1) the class of beneficiaries is sufficiently identifiable, (2) the benefits can be accurately traced, and (3) the fee can be shifted with some exactitude to those benefiting.” Paul, Johnson, Alston & Hunt v. Graulty, 886 F.2d 268, 271 (9th Cir. 1989) (quoting In re Hill, 775 F.2d 1037, 1041 (9th Cir. 1985)). We have referred to the рercentage requested by Appellants, 25 percent of the fund, as a standard or benchmark amount. Six (6) Mexican Workers v. Ariz. Citrus Growers, 904 F.2d 1301, 1311 (9th Cir. 1990).
We conclude that the district court abused its discretion when it denied Appellants’ motion to set aside funds. First, the retroactive relief obtained satisfied the common fund requirements. The identifiable class of beneficiaries was comprised of Medi-Cal health providers who received reduced reimbursement for services provided between July 1, 2008 and August 18, 2008. Each member of this class had an “undisputed and mathematically ascertainable claim to part of a lump sum judgment recovered on his behalf.” Van Gemert, 444 U.S. at 749.
Second, contrary to the district court‘s statement, a final settlement agreement or adjudication on the merits is not a prerequisite to the formation of a common fund. See Reiser v. Del Monte Properties Co., 605 F.2d 1135, 1140 n.4 (9th Cir. 1979) (noting that it is not necessary to an award of attorneys’ fees that a suit be litigated on the merits). We obsеrved that the Supreme Court “has refused to place form over substance, focusing instead on the actual effect of a plaintiff‘s suit.” Id. at 1140. The question is thus “whether a plaintiff ... has conferred a benefit on others.” Id. Here, the procurement of $70 million retroactive relief on behalf of Medi-Cal providers, many of whom were not plaintiffs in the case, undoubtedly conferred a benefit onto them irrespective of a final settlement or adjudication. In finding otherwise, and denying the motion to set aside funds, the district court abused its discretion. See Hill, 775 F.2d at 1040 (holding that a district court abuses its discretion if its decision is based on an erroneous conclusion of law or if the record contains no evidence on which it rationally could have based its decision).
The Director‘s arguments to the contrary are unavailing. She primarily argues that the district court‘s denial of Appellants’ motion to set aside funds was nоt a final judgment, and therefore we lack jurisdiction to review it under
The Director also summarily argues that Appellants cannot appeal the motion to set aside attorneys’ fee because the Settlement Agreement bars this relief. The Settlement Agreement specifies that the released claims either were “asserted” in the various cases between the parties (including
We remand this issue to the district court acknowledging the potential difficulty or impossibility of reversing its denial of the set aside for attorneys’ fees, given the possible disposition of the funds to the various Medi-Cal providers and that some recipient providers may not still be operating. Nevertheless, the district court is better positioned than we are to determine if any non-disbursed funds remain, or if other funds could be recouped from which to award appropriate attorneys’ fees.
CONCLUSION
We remand to the district court to determine whether Appellants should recover attorneys’ fees under
REVERSED and REMANDED.
CHRISTEN, Circuit Judge, concurring:
I concur in the result reached by the majority opinion. I write separately because I reach the same conclusion in a different way.
1. Attorneys’ Fees Under Cal. Civ. Proc. Code § 1021.5
As the majority explains, in February 2008, the California legislature enacted legislation reducing the Medicaid reimbursement rate for California healthcare providers by ten percent. Several Medicaid providers and recipients (the Appellants here) claimed that the discounted reimbursement rate was so low that it was inconsistent with the mandate in
Appellants petitioned for a Writ of Mandate in state court pursuant to
District courts in our circuit have concluded that “federal courts are without power to issue writs of mandamus to direct state agencies in the performance of their duties.” See, e.g., Robinson v. Cal. Bd. of Prison Terms, 997 F. Supp. 1303, 1308 (C.D. Cal. 1998); Dunlap v. Corbin, 532 F. Supp. 183, 187 (D. Ariz. 1981), aff‘d, 673 F.2d 1337 (9th Cir. 1982) (table) (finding federal courts lacked the power to issue a writ of mandamus “directing a state agency to exercise its discretionary power“); see also Clemes v. Del Norte Cty. Unified Sch. Dist., 843 F. Supp. 583, 596 (N.D. Cal. 1994) (concluding district court lacked jurisdiction to issue a state law writ).2 The majority cites to a number of California state court cases to illustrate that writs of mandate are available, including against the DHCS, to compel compliance with § 30(A), ante at 15-16, but that authority does not establish that a federal court is similarly authorized to order relief pursuant to
Appellants’ basic requested relief did not change when the State removed their case to federal court. Suits with federal and state claims are removed in their entirety—“the entire action may be removed“—and any claims for which the district court lacks jurisdiction must subsequently be remanded.
Appellants were entitled to continue pressing their сlaim because a petition for a
So what state claim was settled? If nothing else, the settlement included that portion of Appellants’ claim that constituted a request for declaratory relief; that much of the
2. Motion to Set Aside Attorneys’ Fees
I also agree that it was an abuse of discretion to deny Appellants’ motion to set aside attorneys’ fees from the $70 million reimbursement. Moreover, it is hard to see anything that would prevent the district court from recouping funds to which the Appellants’ attorneys may be entitled, as long as the relief ultimately comes from providers who received a windfall as a result of the earlier reimbursement, and those providers have an opportunity to be heard on any proposed plan for recoupment.
Although we lack jurisdiction over the individual beneficiaries of the original reimbursement fund (i.e., the various medical care providers), the court continues to have jurisdiction over the Director and presumably it will be the Director who will be responsible for reimbursing providers for services yet to be furnished. I see no absolute obstacle to gradually recouping an appropriate fee amount either as part of a fractionally reduced reimbursement payment to the overcompensated providers or through some comparable process. The Director pointed out in her briefing at the time the Appellants moved for a set aside
warrant denying Appellants’ counsel a fee award to which they may be entitled.
