Title XIX of the Social Security Act, 42 U.S.C. § 1396, et seq., commonly known as the Medicaid Act, requires the District of Columbia to recover certain funds from deceased beneficiaries’ estates, but limits the circumstances under which the funds may be recovered. Plaintiffs in this case filed a class action suit alleging that the District ran afoul of the Act’s limitations. The Superior Court denied plaintiffs’ motion for class certification, but entered summary judgment for the named plaintiffs in the exact amount they had sought from the District, and awarded plaintiffs attorneys’ fees and costs pursuant to 42 *837 U.S.C. § 1988. The plaintiffs and the District have filed cross-appeals. The plaintiffs argue that the Superior Court erred in denying their motion for class certification. The District, which voluntarily and repeatedly tried to repay the named plaintiffs the funds that it had recovered long before the Superior Court ordered that it do so, appeals only the award of attorneys’ fees and costs.
We resolve this case by deciding the threshold question whether the provisions of the Medicaid Act that plaintiffs have invoked create privately enforceable rights. Answering this question in the negative, we hold that the Superior Court erred in concluding that plaintiffs were prevailing parties entitled to attorneys’ fees. And, given our holding that the provisions of the Medicaid Act do not create enforceable rights, we dismiss as moot plaintiffs’ appeal of the Superior Court’s order denying their motion for class certification. Because the District has no quarrel with the order granting summary judgment to plaintiffs, it did not appeal that order, and we do not disturb it. We do, however, remand the case to the Superior Court with instructions to dismiss plaintiffs’ complaint with prejudice.
I.
Passed in 1965, the Medicaid Act established “a cooperative federal-state program through which the Federal Government provides financial assistance to States so that they may furnish medical care to needy individuals.”
Wilder v. Virginia Hosp. Ass’n,
“Before 1993, the Medicaid Act permitted states, under certain circumstances, to recover medical costs paid by Medicaid from the beneficiary’s estate.”
West Virginia v. United States Dep’t of Health & Human Servs.,
Given our conclusion that Congress has not created a private right of action to enforce §§ 1396p(b)(l)(B), (b)(2)(A), and (b)(3)(A), we can be brief in reciting the facts of this case. Named plaintiffs in this case are Sharon P. Jones, Joseph A. Powell, and Carolyn Russell, co-personal representatives of the estates of their parents — Susie Powell and Joseph A. Powell. The District of Columbia and several individual governmental officials sued in their official capacities are the defendants. The trial court granted summary judgment to the individual defendants,
see Kentucky v. Graham,
The crux of plaintiffs’ complaint is that the District violated the Medicaid Act— more on the specific provisions that plaintiffs invoke later — by seeking and recover *838 ing funds from the estates of their parents following their parents’ death. In due course, plaintiffs moved to certify a class of similarly situated personal representatives of probate estates in the District. In an Omnibus Order entered on July 1, 2008, the Superior Court denied class certification, but entered summary judgment in favor of the named plaintiffs, requiring the District to refund the money that it had collected from their parents’ estates. In its opinion explaining the order, the court concluded that plaintiffs had a right to enforce the Medicaid Act under 42 U.S.C. § 1988.
The plaintiffs then noted an appeal from that portion of the Omnibus Order denying class certification, and the parties proceeded to litigate plaintiffs’ request for attorneys’ fees and costs.
See Dyer v. William S. Bergman & Assocs., Inc.,
The District argued that plaintiffs were not entitled to fees under § 1988 because the Omnibus Order “awarded plaintiffs the exact sum of money the District offered to them over eighteen ... months earlier without a court order.” To that end, the District noted that in its motion to dismiss plaintiffs’ amended complaint, recognizing that it had a “fiduciary duty to its citizens,” the District “acknowledged the need” to repay the funds that it had collected from the Powell Estates. But although the District attempted to repay the funds with interest, plaintiffs’ lawyers declined to accept the District’s offer. The District then filed a motion in Probate Court, seeking to return the money to plaintiffs (again, with interest). Plaintiffs opposed the motion, arguing that the District should not be permitted to “pick off’ the named class representatives in order to scuttle a class suit.
See Deposit Guar. Nat’l Bank v. Roper,
The Superior Court sided in significant part with the plaintiffs. The court reasoned that “plaintiffs’ success in recovering wrongfully-collected Medicaid reimbursement involved a novel issue of law and served the public’s interest in preventing further wrongful collection.” The court trimmed the amount of plaintiffs’ fee request, however, and ultimately ordered the District to pay $355,050.66 in attorneys’ fees, and $21,302.49 in costs. The District noted a timely appeal.
In a pre-argument order, we directed the parties to file supplemental briefs addressing a question conspicuously absent from the parties’ briefs — i.e., whether the provisions of the Medicaid Act under which the plaintiffs sued create private rights that are enforceable under § 1983. We also ordered the parties to address: *839 (1) whether we needed to decide the § 1983 issue as a precondition to deciding the issues raised by the parties’ cross-appeals; and (2) whether the District forfeited its right to challenge the Superior Court’s determination that plaintiffs may sue under § 1983 by not raising this issue in its notice of appeal or in its briefs.
II.
We review
de novo
the trial court’s conclusion that plaintiffs had a right to proceed under § 1983.
Settles v. United States Parole Comm’n,
A.
We begin our analysis by addressing plaintiffs’ argument that we cannot consider the § 1983 issue because the District failed to note an appeal from the Omnibus Order — the order in which the Superior Court concluded that plaintiffs may proceed under § 1983.
It is an “inveterate and certain” rule that “in the absence of a cross-appeal,” a party may not “attack the decree [of a lower court] with a view either to enlarging his own rights thereunder or of lessening the rights of his adversary.”
Morley Constr. Co. v. Maryland Cas. Co.,
That the Superior Court decided the § 1983 issue in the Omnibus Order does not mean that the District was obligated to appeal that order to obtain review of the court’s decision of that issue; indeed, it could not have done so. Appellate courts “‘review[] judgments, not statements in opinions,’ ”
California v. Rooney,
Further, we may raise the § 1983 issue regardless of whether the parties addressed it in their briefs. True, “as a general rule, ‘our adversary system is designed around the premise that the parties know what is best for them, and are responsible for advancing the facts and arguments entitling them to relief.’ ”
Greenlaw,
In this case, it is proper for us to consider the § 1983 issue for several reasons.
First,
plaintiffs’ ability to proceed under § 1983 is “antecedent to ... and ultimately dispositive of’ the question whether the Superior Court’s fee award may stand.
United States Nat’l Bank of Oregon,
B.
Turning to the merits of the § 1983 issue, we begin with first principles. “[T]he fact that a federal statute has been violated and some person harmed does not automatically give rise to a private cause of action in favor of that person.”
Cannon v. University of Chicago,
“ ‘To seek redress through § 1983, a plaintiff must assert the violation of a federal
right,
not merely a violation of federal
law.’
”
Gonzaga Univ. v. Doe,
Congress’s failure explicitly to provide for private enforcement of a particular statute is not the end of the analysis; under certain circumstances, courts may infer that legislation gives rise to privately enforceable rights even in the absence of explicit language in the legislation so stating.
See generally Cannon,
The Court’s reluctance to imply private rights in spending clause legislation is grounded in federalism and separation-of-powers principles. As for the former, the Court explained recently: “Congress has broad power to set the terms on which it disburses federal money to the States, but when Congress attaches conditions to a State’s acceptance of federal funds, the conditions must be set out ‘unambiguous
*842
ly.’ ”
Arlington Cent Sch. Dist. Bd. of Educ. v. Murphy,
The separation-of-powers problem with courts recognizing private enforcement in the absence of congressional authorization is that in our system courts are not in the business of creating causes of action. Rather, “[l]ike substantive federal law itself, private rights of action to enforce federal law must be created by Congress.”
Alexander v. Sandoval,
In its most recent pronouncement on the topic, the Court “rejected] the notion that [its] cases permit anything short of an unambiguously conferred right to support a cause of action brought under § 1983.”
Gonzaga Univ.,
C.
Applying the Court’s teachings, we hold that none of the provisions that plaintiffs are attempting to enforce in this litigation creates a private right that is enforceable via § 1983. The first provision that plaintiffs invoke is 42 U.S.C. *843 § 1396p(b)(l)(B). That section provides that although a State as a general matter may not “seek adjustment or recovery of any medical assistance correctly paid on behalf of an individual,” under certain circumstances States must do precisely that. Specifically, as relevant here, “[i]n the case of an individual who was 55 years of age or older when the individual received such medical assistance,” a State must “seek adjustment or recovery from the individual’s estate, but only for medical assistance consisting of (i) nursing facility services, home and community-based services, and related hospital and prescription drug services, or (ii) at the option of the State, any items or services under the State plan.” 42 U.S.C. § 1396p(b)(l)(B).
Section 1396p(b)(l)(B) plainly does not create private rights enforceable under § 1983 because it is not phrased with “ ‘an
unmistakable focus
on the benefited class.’ ”
Gonzaga Univ.,
The same result obtains with respect to the second provision that plaintiffs have invoked, § 1396p(b)(2)(A), although it is a somewhat closer call. This provision states that “[a]ny adjustment or recovery” that is made under § 1396p(b)(l) “may be made only after the death of the individual’s surviving spouse, if any, and only at a time when he has no surviving child who is under age 21, or ... is blind or permanently and totally disabled, or ... is blind or disabled as defined in section 1382c.” It must be acknowledged, we think, that this section has more of a focus on the individuals benefitted (as opposed to the regulating entity) than § 1396p(b)(l)(B). But § 1396p(b)(2)(A) does not stand alone; it relates back to § 1396p(b)(l), which, as mentioned above, is concerned with the duties of the States, not the entitlement of individuals. We must read the two provisions in concert,
BSA 77 P St. LLC v. Hawkins,
In any event, even taking § 1396p(b)(2)(A) on its own, we hold that that section does not evidence an intent to create federal rights. The most that can be said for § 1396p(b)(2)(A) is that it confers certain benefits and interests. But in a § 1983 analysis, “[t]he question is not simply who would benefit from the Act, but whether Congress intended to confer federal rights upon those beneficiaries.”
Gonzaga Univ.,
With respect to § 1396p(b)(3), the last provision under which plaintiffs sued, the § 1983 inquiry is not close. Section 1396p(b)(3) directs States to “establish procedures (in accordance with standards specified by the Secretary) under which the agency shall waive the application of this subsection ... if such application would work an undue hardship as determined on the basis of criteria established by the Secretary.” Section 1396p(b)(3) thus is a paradigmatic example of a provision that is not privately enforceable because it targets the regulated entity, not the person benefitted.
See Gonzaga Univ.,
Our analysis is consistent with decisions of other courts that have considered whether various provisions of the Medicaid Act are privately enforceable. Two cases — one recognizing a private right of action and one rejecting it — are particularly illustrative. (We are aware of only one appellate decision interpreting § 1396p; that case,
Hobbs v. Zenderman,
The case finding a private right of action is the Third Circuit’s decision in
Sabree,
Contrast
Sabree
with
Sanchez,
The provisions at issue in this case — like the provision in
Sanchez,
and unlike the provisions in
Sabree
— are not enforceable under § 1988. The rights-creating language that the court identified in
Sabree
is “notably absent,”
Sanchez,
Plaintiffs’ arguments to the contrary are not persuasive. First, plaintiffs’ heavy reliance on
Wilder,
Plaintiffs’ remaining arguments fare no better. For instance, plaintiffs claim that the “Medicaid Recovery Statute uses the word ‘individual’ or ‘individuals’ at least thirty separate times.” This argument misses the point; “[a] statutory provision that,” like the provisions at issue in this case, “refers to the individual only in the context of describing the necessity of developing state-wide policies and procedures does not reflect a clear Congressional intent to create a private right of action.”
Sanchez,
D.
In light of our holding that the portions of the Medicaid Act under which plaintiffs sued are not privately enforceable under § 1983, the Superior Court’s order awarding plaintiffs attorneys’ fees and costs cannot stand. Plaintiffs sought (and the Superior Court awarded) fees and costs under 42 U.S.C. § 1988, which permits a court to award reasonable attorneys’ fees to a “prevailing party, other than the United States” in a § 1983 suit. Because the Superior Court erred in concluding that plaintiffs prevailed under § 1983, we must reverse the order awarding plaintiffs attorneys’ fees and costs.
See Graham,
Our conclusion that the provisions of the Medicaid Act that plaintiffs have invoked do not create enforceable rights also means that plaintiffs’ appeal of the order denying class certification is moot. Because plaintiffs cannot proceed at all, the question whether plaintiffs may proceed in class form is purely abstract and hypothetical, and thus we shall not decide it.
See Grant v. District of Columbia,
Our decision with respect to the certification issue should not be read as encouraging trial judges to decide the merits of a case before deciding whether class certification is proper. Thus, even though an inquiry into the merits of a case may be appropriate at the class certification stage,
see Dukes v. Wal-Mart Stores, Inc.,
III.
The Superior Court’s December 3, 2008, order granting plaintiffs’ motion for attorneys’ fees and costs is reversed. Plaintiffs’ appeal of the Superior Court’s July 1, 2008, Omnibus Order is dismissed as moot. The case is remanded to Superior Court with instructions to dismiss plaintiffs’ complaint with prejudice. Because the District did not appeal the entry of summary judgment in favor of the named plaintiffs, we do not disturb that aspect of the Omnibus Order.
So ordered.
