INDIANA PROTECTION AND ADVOCACY SERVICES, Plaintiff-Appellee,
v.
INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION, et al., Defendants-Appellants.
United States Court of Appeals, Seventh Circuit.
*549 Debra J. Dial (argued), Indiana Protection and Advocacy Group, Indianapolis, IN, for Plaintiff-Appellee.
Michael T. Schaefer (argued), Indianapolis, IN, for Defendants-Appellants.
Anisha S. Dasguрta, Dept. of Justice, Civ. Div. Appellate Staff, Washington, DC, U.S. Amicus Curiae.
Jonathan Lave, Paul, Weiss, Rifkind, Wharton & Garrison LLP, Washington, DC, Nat. Disability Rights Network, Equip For Equality, Disability Rights Wisconsin, Inc., Amicus Curiae.
Before EASTERBROOK, Chief Judge, SYKES, Circuit Judge, and KENDALL, District Judge.[*]
EASTERBROOK, Chief Judge.
Each state that accepts federal grants under the Developmental Disabilities Assistance and Bill of Rights Act must establish "a system to protect and advocate the rights of individuals with developmental disabilities." 42 U.S.C. § 15043. A second statute, the Protection and Advocacy for Individuals with Mental Illness Act, 42 U.S.C. §§ 10801-51 (PAIMI), provides extra funding for systems established under § 15043. A system that receives money under § 10803 is entitled to investigate "incidents of abuse and neglect of individuals with mental illness" (§ 10805(a)(1)(A)) *550 and, to carry out its investigations, to see patient-care records, unless a legal guardian is in charge of the patient's interests. 42 U.S.C. §§ 10805(a)(4), 10806. Indiana has taken the federal grants. Its system is called Indiana Protection and Advocacy Services ("Advocacy Services" for short).
Advocacy Services asked for records about J.Y.G., a mentally disabled patient at LaRue Carter Memorial Hospital. J.Y.G. had died, and Advocacy Services wanted to learn whether she was a victim of abuse, so that it could propose improvements in medical procedures. The Hospital, a part of the state, see Ind.Code § 12-7-2-184, declined tо furnish all of the records that Advocacy Services wanted. Some of them are covered by state privacy protections, the Hospital asserted, and the disclosure of others would violate the privacy interests of J.Y.G.'s parents. Advoсacy Services then filed this suit in federal court, naming as defendants not only the Hospital but also the Indiana Family and Social Services Administration (which superintends the Hospital), plus several state officials. The district court held that defendants must hand over the records, because J.Y.G. was an adult at the time of death and her parents had not been appointed as her legal guardians. The absence of a guardian brought J.Y.G. within the scope of Advocacy Services' authority under § 10805(a)(4) and 42 C.F.R. § 51.2, the сommentary to which says that parents are deemed guardians of minor children but not of adult children, unless the parents are appointed to that role by a court.
Defendants (collectively "Indiana") contend on appeal that the rеgulation is invalid and that parents should be treated as guardians of their (mentally disabled) adult as well as their minor children, whether or not a court appoints them to that role. If J.Y.G.'s parents were her guardians, then Advocacy Services needs their cоnsent. Disclosure without consent, Indiana maintains, would violate the parents' constitutional and statutory rights.
Underneath this apparently simple dispute lies a bushel full of issues that the parties did not mention in the district court, or this court. For example: How does Advocacy Services, which describes itself as an ombudsman rather than a law-enforcement agency, have standing to obtain information that pertains to J.Y.G.? What is Advocacy Services' injury? (The answer may be that the lack of information is injury in itself; this argument has carried the day under the Freedom of Information Act, and we need not decide whether it applies to § 10805 and § 10806 too.) Conversely, why is Indiana entitled to assert the privacy interests of J.Y.G.'s parents? They can speak for themselves. It is not as if Advоcacy Services wanted to rummage through the parents' diaries. The medical records are already in the possession of state government, and allowing another state agency to see them differs from disclosing them to the public, which Advоcacy Services is forbidden to do. 42 U.S.C. § 10806(a), (b). Cf. Bowen v. Roy,
Then there is the question whether Advocacy Services is entitled to sue in federal court. Neither federal statute gives "systems" an express right of action. These statutes are enacted under the Spending Clause, and the usual way in which such laws are enforced is by withholding grants from states that do not satisfy the conditions. See Brunner v. Ohio Republican Party, ___ U.S. ___,
All four of these decisions assume that, if the rights in §§ 10805 and 10806 are specific, then they must be enforceable in federal court. But this begs an important question. Usually statutes that induce state cooperation through the lure of federal grants leave to states the implementation of the grant's conditions. See South Dakota v. Dole,
Private rights of action to enforce spending legislation are derived through 42 U.S.C. § 1983 and the approach of Maine v. Thiboutot,
Advocacy Services denies that it is suing under § 1983. It contends that the claim arises directly under federal law §§ 10805 and 10806. This does not help, because those sections lack a right of action. It is hard to see where thе right of action comes from, if not § 1983. That's why Wright and Wilder both relied on Thiboutot. So the fact that Advocacy Services is not a "person" is conclusive against this federal action. Indiana might have established its "system" as a private entity, the way legal services corporations аre organized. See 42 U.S.C. § 10805(c). Some other states have done this.[] But because Advocacy Services is a public agency rather than a private corporation or foundation, it cannot use § 1983 and must sue in state rather than federal court.
The eleventh amendment provides another obstacle to a federal-court action. The Supreme Court understands this amendment to cover suits based on federal law. Hans v. Louisiana,
*553 Plaintiffs often step around the eleventh amendment by seeking prospective relief against state officials who disregard federal statutes. See Ex parte Young,
Because Advocacy Services wants information, the Supreme Court's treatment of intellectual-property claims is informative. And the Court held in Florida Prepaid Postsecondary Education Expense Board v. College Savings Bank,
And we add, as did Virginia II, that the Supreme Court has never used Ex parte Young to let one arm of a state sue another. For private parties affected by states' failure to imрlement federal law, prospective equitable relief using the legal fiction that the defendant "isn't really the state" may be the only recourse. Intramural disputes among governmental bodies can and should be worked out in political waysor thrоugh the state courts, if a state chooses that method of dispute resolution.
Some future decision will need to wrestle with the problems that arise when a "system" established as a private organization sues in federal court to obtain information frоm a private medical provider, or when a "system" sues its home state in state court. This suit, between one state agency and another, is outside the scope of § 1983 and blocked by the eleventh amendment. The judgment of the district court is vacatеd, and the case is remanded with instructions to dismiss for want of jurisdiction.
NOTES
Notes
[*] Of the Northern District of Illinois, sitting by designation.
[] Wisconsin is among them. See Disability Rights Wisconsin, Inc. v. Wisconsin Department of Public Instruction,
