Lewis Ex Rel. Young v. RendellLewis Ex Rel. Young v. Rendell
MEMORANDUM
I. INTRODUCTION
“The Medicaid Act is an enormously complicated program. The system is a web; a tug at one strand pulls on every other. Given this complexity, there are untold ways in which a state plan might fail to comply with the Act and the governing regulations.”
West Virginia v. United States Dept. of Health and Human Services,
Plaintiffs name the following defendants in their Amended Complaint: (1) Edward G. Rendell, in his official capacity as Governor of the Commonwealth of Pennsylvania; (2) Estelle B. Richman, in her official capacity as Secretary of the Department of Public Welfare of the Commonwealth of Pennsylvania; (3) Nora Dowd Eisenhower,
Currently before the Court are Attorney General Corbett’s Motion to Dismiss Amended Complaint (“Attorney General’s Motion to Dismiss”) and the Motion to Dismiss Amended Complaint filed on behalf of every defendant except Attorney General Corbett (“Defendants’ Motion to Dismiss”). The Court grants in part and denies in part the Attorney General’s Motion to Dismiss, and grants in part and denies in part Defendants’ Motion to Dismiss. Specifically, the Court: (1) dismisses the Amended Complaint with prejudice as to all defendants other than defendants Richman and Phillips; (2) dismisses Counts XI and XII of the Amended Complaint, which allege substantive due process violations, with prejudice; and (3) dismisses plaintiffs’ procedural due process claim pertaining to deprivation of Medicaid benefits as alleged in Count IX of the Amended Complaint with prejudice. The Court denies the Attorney General’s Motion to Dismiss and Defendants’ Motion to Dismiss in all other respects.
II. BACKGROUND
A. Overview of Medicaid and Pennsylvania’s Medical Assistance Program
The Medicaid Program, established by Title XIX, “is a cooperative federal-state program under which the federal government furnishes funding to states for the purpose of providing medical assistance to eligible low-income persons.”
Pennsylvania Pharmacists Ass’n v. Houstoun,
“Pennsylvania participates under Title XIX through its plan, the Medical Assistance (MA) program.”
Clark,
B. Special or Supplemental Needs Trusts (“SNTs”)
In order to be financially eligible for Medical Assistance, a person must have income and resources below a threshold set forth by the Secretary of HHS.
However, “property in a Supplemental Needs Trust is not considered in evaluating an applicant’s resources.... ”
Horowitz ex rel. Horowitz v. Apfel,
This section provides that disabled persons under the 1 age of 65 remain eligible for ongoing Medicaid assistance (MA) in spite of funds or other property held in an SNT, and can use SNT funds as a supplement to enhance the quality of their lives. The disabled person remains eligible for MA so long as the SNT contains a pay-back trust provision, i.e., a provision specifying that .the total MA provided ... will be paid back to the state after the beneficiaries’ death from any funds remaining in the trust.
Norwest Bank of North Dakota, N.A. v. Doth,
C.
(b) A special needs trust shall comply with all of the following:
(1) The beneficiary shall be an individual under the age of sixty-five who is disabled, as that term is defined in Title XVI of the Social Security Act.
(2) The beneficiary shall have special needs that will not be met without the trust.
(3) The trust shall provide:
(i) That all distributions from the trust must be for the sole benefit of the beneficiary.
(ii) That any expenditure from the trust must have a reasonable relationship to the needs of the beneficiary.
(iii) That, upon the death of the beneficiary or upon the earlier termination of the trust, the department and any other state that provided medical assistance to the beneficiary must be reimbursed from the funds remaining in the trust up to an amount equal to the total medical assistance paid on behalf of the beneficiary before any other claimant is paid: Provided, however, that in the case of an account in a pooled trust, the trust shall provide that no more than fifty percent of the amount remaining in the beneficiary’s pooled trust account may be retained by the trust without any obligation to reimburse the department.
(4) The department, upon review of the trust, must determine that the trust conforms to the requirements of Title XIX of the Social Security Act, this section, any other State law and any regulations or statements of policy adopted by the department to implement this section, (c) If at any time it appears that any of the requirements of subsection (b) are not satisfied or the trustee refuses without good cause to make payments from the trust for the special needs of the beneficiary and, provided that the department or any other public agency in this Commonwealth has a claim against trust property, the department or other public agency may petition the court for an order terminating the trust.
* * *
(f) As used in this section, the following words and phrases shall have the following meanings:
“Pooled trust” means a trust subject to the act of December 9, 2002 (P.L. 1379, No. 168), known as the “Pooled Trust Act.”
“Special needs” means those items, products or services not covered by the medical assistance program, insurance or other third-party liability source for which a beneficiary of a special needs trust or his parents are personally hable and that can be provided to the beneficiary to increase the beneficiary’s quality of life and to assist in and are related to the treatment of the beneficiary’s disability. The term may include medical expenses, dental expenses, nursing and custodial care, psychiatric/psychological services, recreational therapy, occupational therapy, physical therapy, vocational therapy, durable medical needs, prosthetic devices, special rehabilitative services or equipment, disability-related training, education, transportation and travel expenses, dietary needs and supplements, related insurance and other goods and services specified by the department. “Special needs trust” means a trust or an account in a pooled trust that is established in compliance with this section for a beneficiary who is an individual who is disabled, as such term is defined in Title XVI of the Social Security Act, as amended, consists of assets of the individual and is established for the purpose or with the effect of establishing or maintaining the beneficiary’s resource eligibility for medical assistance.
Plaintiffs allege that
III. STANDARD OF REVIEW
A.
“A facial challenge under
B.
A motion to dismiss pursuant to
IV. DISCUSSION
A. Eleventh Amendment Immunity
The Attorney General’s Motion to Dismiss argues that: (1) the Eleventh Amendment of the United States Constitution bars plaintiffs’ claim against him; and (2) in his official capacity, he is not considered a “person” amenable to suit under
“The Eleventh Amendment bars a suit against state officials when the State is the real, substantial party in interest, regardless of whether the suit seeks damages or injunctive relief.”
Pennhurst State School & Hosp. v. Halderman,
2.Analysis
Plaintiffs’ class action challenges the federal constitutionality of state officials’ actions, and seeks only prospective injunctive relief and attorney’s fees. Specifically, the Amended Complaint requests the following relief:
1. DECLARING that62 P.S. § 1414 violates Plaintiffs’ rights under the Medicaid Act.
2. DECLARING that62 P.S. § 1414 is preempted by the Medicaid Act and thereby violates the Supremacy Clause of Article VI of the United States Constitution.
3. DECLARING that62 P.S. § 1414 deprives Plaintiffs of property without due process of law in violation of the Due Process Clause of the Fourteenth Amendment to the United States Constitution.
4. DECLARING that Defendant Phillips’ enforcement of62 P.S. § 1414(3)(ii) to require trust expenditures to have a reasonable relationship to the “special needs” of the beneficiary, as “special needs” are defined by§ 1414(f) , and Defendant Riehman’s acceptance of this interpretation by county assistance offices, violate Plaintiffs’ rights under the Medicaid Act and, because it is preempted by the Medicaid Act, also violates the Supremacy Clause of Article VI of the United States Constitution.
5. DECLARING that the application of the strictures of62 P.S. § 1414 to trusts and trust accounts established before July 7, 2005 violates the Due Process Clause of the Fourteenth Amendment to the United States Constitution.
6. Permanently ENJOINING Defendants and their employees, designees, agents, and all other persons or entities in active concert or privity or participation with them from enforcing62 P.S. § 1414 .
7. AWARDING to Plaintiffs then-costs, including reasonable attorneys’ fees, as provided by42 U.S.C. § 1988(b) .
8. GRANTING to Plaintiffs such additional and further relief in law and equity as the Court may deem just and proper.
Amended Complaint, Prayer for Relief, at 45-46.
Under
Young,
Attorney General Corbett also argues that “in his official capacity [he] is not considered a ‘person’ amenable under
B. Justiciability
Defendants argue that this Court lacks subject matter jurisdiction over all defendants other than defendant Richman, the Secretary of Public Welfare, and defendant Phillips, the Executive Director of the Erie County Assistance Office. Def.’s Mot. at 4-6; Att’y Gen.’s Mot. at 6-11. Specifically, defendants argue that there is no “case or controversy” as to the other defendants. The Court concludes that a case or controversy exists between plaintiffs and defendants Richman and Phillips, but no case or controversy exists between plaintiffs and any other defendants.
1. Legal Standard
“ ‘No principle is more fundamental to the judiciary’s proper role in our system of government than the constitutional limitation of federal-court jurisdiction to actual cases or controversies.’ ”
DaimlerChrysler Corp. v. Cuno,
— U.S. -, -,
“Where the plaintiff seeks a declaratory judgment with respect to the constitutionality of a state statute, ... there must be a ‘real and immediate’ threat of enforcement against the plaintiff.”
Salvation Army v. Dep’t of Comm. Affairs of State of N.J.,
to join the Commonwealth Officials ... based on their general obligation to enforce the laws of the Commonwealth, we would quickly approach the nadir of the slippery slope; each state’s high policy officials would be subject to defend every suit challenging the constitutionality of any state statute, no matter how attenuated his or her connection to it. Such a result is undesirable, a drain on resources of time and money, and contrary to Rode.
1st Westco Corp. v. Sch. Dist. of Philadelphia,
2. Analysis
a.
The Pennsylvania statute that plaintiffs challenge as unconstitutional provides, in relevant part:
If at any time it appears that any of the requirements of subsection (b) are not satisfied or the trustee refuses without good cause to make payments from the trust for the special needs of the beneficiary and, provided that the [Department of Welfare] or any other public agency in this Commonwealth has a claim against trust property, the [Department of Welfare] or other public agency may petition the court for an order terminating the trust.
Assuming
arguendo
that
b. Named Defendants
The Court examines in turn whether a case and controversy exists between plaintiffs and defendants Rendell, Richman, Eisenhower, Schmerin, Johnson, Fajt, Corbett, Miller, and Phillips.
Plaintiffs aver in their Amended Complaint only that “Defendant Edward G. Rendell is the Governor of the Commonwealth of Pennsylvania. In his official capacity, he is responsible for assuring the execution of all laws enacted by the Commonwealth.
Under
1st Westco,
ii.Defendant Estelle B. Richman
With respect to defendant Richman, plaintiffs aver as follows in their Amended Complaint:
Defendant Estelle B. Richman is the Secretary of the [DPW]. In her official capacity she is responsible for administering Pennsylvania’s Medicaid program ... and for administering the program in a manner which is consistent with the Medicaid Act.... Secretary Richman is responsible for the promulgation of the rules and regulations of DPW pursuant to71 P.S. § 1466 .
Secretary Richman is responsible for determining: that pooled trusts comply with the requirements of the Medicaid Act, with62 P.S. § 1414 , and with “any other State law and any regulations or statements of policy adopted by the department to implement”section 1414 , and whether to petition a court for an order terminating a pooled trust.... Secretary Richman has issued at least one formal statement of claim, demanding funds retained by Plaintiff ARC Community Trust from a trust account that had been established before the effective date ofSection 1414 . The Department has since withdrawn its claim in that matter. However, Plaintiffs are unaware of other claims the Department may have made and collected in other similar accounts.... She is sued in her official capacity.
Am. Complaint ¶¶ 16-17 (citations omitted)
The Court concludes that plaintiffs have adequately alleged that defendant Rich-man has taken or threatened to enforce
iii.Defendant Nora Dowd Eisenhower
With respect to defendant Eisenhower, plaintiffs aver as follows in their Amended Complaint:
Defendant Nora Dowd Eisenhower is the Secretary of the Department of Aging of the Commonwealth of Pennsylvania. In her official capacity she is responsible for administering Pennsylvania’s community-based long-term care program in conjunction with theDepartment of Public Welfare and for other programs and services of the Department of Aging. As the Secretary of a public agency, under section 1414 she is authorized to petition a court for an order terminating a special needs trust “[i]f it appears that” the trust does not satisfy a requirement ofsection 1414(b) and DPW or the Department of Aging “has a claim against trust property.” She is sued in her official capacity.
Am. Complaint ¶ 18 (citations omitted).
Under
1st Westco,
iv.Defendant Stephen M. Schmerin
With respect to defendant Schmerin, plaintiffs aver as follows in their Amended Complaint:
Defendant Stephen M. Schmerin is the Secretary of the Department of Labor and Industry of the Commonwealth of Pennsylvania. In his official capacity he is generally responsible for administering Pennsylvania’s vocational rehabilitation services to assist disabled individuals to obtain employment. As the Secretary of a public agency, undersection 1414 he is authorized to petition a court for an order terminating a special needs trust “[i]f it appears that” the trust does not satisfy a requirement ofsection 1414 and DPW or the Department of Labor and Industry “has a claim against trust property.” He is sued in his official capacity.
Am. Complaint ¶ 19 (citations omitted).
For the same reasons set forth with respect to defendant Eisenhower, the Court concludes that there is no case or controversy between plaintiffs and defendant Schmerin.
v.Defendant Calvin B. Johnson
With respect to defendant Johnson, plaintiffs aver as follows in their Amended Complaint:
Defendant Calvin B. Johnson is the Secretary of the Department of Health of the Commonwealth of Pennsylvania. In his official capacity he is responsible for managing Pennsylvania’s system for treatment and case management of drug and alcohol abuse and dependence, Pennsylvania Drug and Alcohol Abuse Act ... and for billing individuals for reimbursement for Health Department funds expended on such services when authorized by Pennsylvania law. As the Secretary of a public agency, undersection 1414 he is authorized to petition a court for an order terminating a special needs trust “[i]f it appears that” the trust does not satisfy a requirement ofsection 1414(b) and DPW or the Department of Health “has a claim against trust property.” He is sued in his official capacity.
Am. Complaint ¶ 20 (citations omitted).
For the same reasons set forth with respect to defendant Eisenhower, the Court concludes that there is no case or controversy between plaintiffs and defendant Johnson.
vi.Defendant Gregory C. Fajt
With respect to defendant Fajt, plaintiffs aver as follows in their Amended Complaint:
Defendant Gregory C. Fajt is the Secretary of the Department of Revenue of the Commonwealth of Pennsylvania. In his official capacity he is the collection agent for the Commonwealth of Pennsylvania, and is responsible for collecting funds due the Commonwealth, including for reimbursement of the Commonwealth by individuals for mental health, mental retardation, or drug and alcohol treatment services, as authorized by law. As the Secretary of a public agency, under section 1414 he is authorized to petition a court for an order terminating a special needs trust “[i]f it appears that” the trust does not satisfy a requirement ofsection 1414(b) and DPW or the Department of Revenue “has a claim against trust property.” He is sued in his official capacity.
Am. Complaint ¶ 21 (citations omitted).
For the same reasons set forth with respect to defendant Eisenhower, the Court concludes that there is no case or controversy between plaintiffs and defendant Fajt.
vii. Defendant Thomas Corbett
With respect to defendant Thomas Cor-bett, plaintiffs aver as follows in their Amended Complaint:
Defendant Tom Corbett is the Attorney General for the Commonwealth of Pennsylvania. In his official capacity he is responsible for collecting debts and accounts referred to his office, for representing the Commonwealth and its agencies in legal actions, and for reviewing the legality of proposed rules and regulations of Commonwealth agencies. Commonwealth Attorneys Act.... This includes debts and accounts, legal actions, and rules and regulations relating tosection 1414 . He is sued in his official capacity.
Am. Complaint ¶ 22 (citations omitted).
In their opposition, plaintiffs advance the following arguments as to their assertion that a case or controversy exists between plaintiffs and defendant Corbett:
Section 1414 provides: “ ‘a pooled trust’ means a trust subject to the act of December 9, 2002 (P.L. 1379, No. 168) known as the ‘Pooled Trust Act.’ ”... Section 1965.5 of that Act provided: “the trustee [of the pooled trust] shall file an annual report with the Office of the Attorney General, along with an itemized statement which shows the funds collected for the year, income earned, salaries paid, other expenses incurred and the opening and final trust balances.” In addition, Section 1965.7 provides: “The Office of the Attorney General shall make available information on the treatment of pooled trusts for persons with disabilities in the medical assistance program.” The inclusion of these provisions involving the Attorney General most likely arises from the long standing recognition of the special interest the Attorney General has in charitable trusts such as the pooled trusts involved here. Pennsylvania law long has recognized the Attorney General’s common law right to maintain a suit to enforce the terms of a charitable trust. This common law right has now been codified in Pennsylvania under The Uniform Trust Act. ... These provisions provide additional connections between the Attorney General and the controversy raised by the Plaintiffs.
Opp. at 7-8.
None of these facts pertain in any way to whether defendant Corbett has enforced or threatened to enforce
With respect to defendant Alvania Miller, plaintiffs aver as follows in their Amended Complaint:
Defendant Alvania Miller is Executive Director of the Montgomery County Assistance Office. In her official capacityshe is responsible for administering Pennsylvania’s Medicaid program, including section 1414 , in Montgomery County pursuant to Pennsylvania law, regulation, and policy. As the director of a public agency within the Commonwealth, undersection 1414 she is authorized to petition a court for an order terminating a special needs trust “[i]f it appears that” the trust does not satisfy a requirement ofsection 1414(b) and DPW or the County Assistance Office “has a claim against trust property.” She is sued in her official capacity.
Am. Complaint ¶ 23 (citations omitted).
For the same reasons set forth with respect to defendant Eisenhower, the Court concludes that there is no case or controversy between plaintiffs and defendant Miller.
ix. Defendant Chuck Phillips
With respect to defendant Chuck Phillips, plaintiffs aver as follows in their Amended Complaint:
Defendant Chuck Phillips is Executive Director of the Erie County Assistance Office. In his official capacity he is responsible for administering Pennsylvania’s Medicaid program, includingsection 1414 , in Erie County pursuant to Pennsylvania law, regulation, and policy. As the director of a public agency within the Commonwealth, undersection 1414 he is authorized to petition a court for an order terminating a special needs trust “[i]f it appears that” the trust does not satisfy a requirement ofsection 1414(b) and DPW or the County Assistance Office “has a claim against trust property.” The Erie County Assistance Office has raised objections to at least two trust accounts under the auspices of Plaintiff The Family Trust, on the ground that the trusts do not comply with the requirements ofsection 1414 because they do not provide for payment to DPW upon the death of the beneficiaries or earlier termination of the trusts, and because they proposed that The Family Trust could expend monies for the trust on recreation, family visits, and other items that the Erie County Assistance Office did not consider “reasonably related to the disabilities of the disabled beneficiaries.”
Am. Complaint ¶ 24 (citations omitted)
The Court concludes that plaintiffs have adequately alleged that defendant Phillips threatened to enforce
C. Cause of Action Under
1. Legal Standard
“In legislation enacted pursuant to the spending power [such as Title XIX], the typical remedy for state noncompliance with federally imposed conditions is not a private cause of action for noncompliance but rather action by the Federal Govern
Three principal factors determine whether a statutory provision creates a privately enforceable right: (1) whether the plaintiff is an intended beneficiary of the statute; (2) whether the plaintiffs asserted interests are not so vague and amorphous as to be beyond the competence of the judiciary to enforce; and (3) whether the statute imposes a binding obligation on the State. 5
Blessing,
In
Gonzaga University v. Doe,
2. Analysis
The Court concludes that
a. Sections 1396d(a), 1396a(a)(8), and 1396a(a)(10)
Sections 1396d(a) and 1396a(a)(10) provide “that a state ‘must provide ... medical assistance ... to ... all [eligible] individuals,’ and includes intermediate care facilities in the definition of medical assistance.”
Sabree ex rel. Sabree v. Rickman,
The Third Circuit has already concluded “[w]ithout difficulty” that
Plaintiffs’ claims turn upon whether Pennsylvania’s restrictions on SNTs conflict with
b.
i.
A court in this circuit has also concluded that “1396a(a)(18) ... creates a federal right enforceable under
That provision mandates that “[a] State plan for medical assistance must ... comply with the provisions ofsection 1396p of this title with respect to ... transfers of assets, and treatment of certain trusts ...” First, the specific purpose of this section is to assure state compliance with some federal standard of accounting for trusts and transfers of assets to determine eligibility. This benefits those who would be eligible for benefits under§ 1396p . Because Plaintiffs contend that they would benefit from the State’s compliance with§ 1396p , they are part of the intended beneficiaries. Second,§ 1396a(a)(18) does not strain judicial competence for a court to review whether, and in what manner, certain assets were taken into account when determining an individual’s eligibility for benefits. Third, the language of this section contains mandatory rather than precatory terms.
Johnson,
ii. 1396p(d)(4)(A)
This Court further concludes that 1396p(d)(4)(A) creates a federal right enforceable under
D. Due Process
In Count IX, XI, and XII of the Amended Complaint, plaintiffs allege that
1. Substantive Due Process
In Counts XI and XII, plaintiffs assert that
a. Legal Standard
The constitutionality of “general economic and social welfare legislation ‘is scrutinized, for substantive due process ... purposes, under the minimum rationality standard.’ ”
Knight v. Tape, Inc.,
“Although the [Supreme] Court has been hesitant to subject economic legislation to due process scrutiny as a general matter, this country’s law has harbored a singular distrust of retroactive statutes, and that distrust is reflected in ... due process jurisprudence.”
Eastern Enterprises v. Apfel,
Provided that the retroactive application of a statute is supported by a legitimate legislative purpose furthered by rational means, judgments about the wisdom of such legislation remain within the exclusive province of the legislative and executive branches....
To be sure, ... retroactive legislation does have to meet a burden not faced by legislation that has only future effects ____‘The retroactive aspects of legislation, as well as the prospective aspects, must meet the test of due process, and the justifications for the latter may not suffice for the former’.... But that burden is met simply by showing that the retroactive application of the legislation is itself justified by a rational legislative purpose.
United States v. Carlton,
b. Analysis
i. Prospective Application of
Plaintiffs can neither allege nor prove that prospective application of
“[W]hen general economic and social welfare legislation is alleged to violate substantive due process, ... simple unfairness will not suffice to invalidate a law.”
Stem, v. Halligan,
Accordingly, the Court concludes that prospective application of
ii. Retroactive Application of
Plaintiffs allege in their Amended Complaint that
This Court has the authority to construe whether
Under Pennsylvania law, “[a] statute is normally construed to operate prospectively.”
Borough of Jefferson Hills v. Jefferson Hills Police Dept. Wage and Policy Comm.,
Accordingly, the Court concludes that
2. Procedural Due Process
In Count IX, plaintiffs allege that
a. Legal Standard
“To state a claim ... for deprivation of procedural due process rights, a plaintiff must allege that (1) he was deprived of an individual interest that is encompassed within the Fourteenth Amendment’s protection of ‘life, liberty, or property,’ and (2) the procedures available to him did not provide ‘due process of law.’ ”
Hill v. Borough of Kutztown,
Due process does not require a fixed set of procedures in all circumstances. Rather, what process is due depends upon the private interest that is affected, the risk of erroneous deprivation under current procedures, and the probable value, if any, of additional procedural safeguards. These factors must be weighed against the government’s interest in expediency and the burden of additional procedural safeguards.
Jerrytone v. Musto,
b. Analysis
i. Medicaid Benefits
(1) Property Interest
Plaintiffs assert that they “have a property interest in their Medicaid benefits.” Am. Complaint ¶ 134. The Court agrees.
Welfare “benefits are a matter of statutory entitlement for persons qualified to receive them. Their termination involves state action that adjudicates important rights.”
Goldberg v. Kelly,
Accordingly, the Court concludes that plaintiffs receiving Medicaid benefits have a constitutionally protected property interests in those benefits. 16
(2) Procedure
Plaintiffs allege that, “if Plaintiffs’ participation in special needs trusts are
Under
(a) The State agency must grant an opportunity for a hearing to the following:
(1) Any applicant who requests it because his claim for services is denied or is not acted upon with reasonable promptness.
(2) Any recipient who requests it because he or she believes the agency has taken an action erroneously.
In adherence to
Each county board shall hear and determine appeals from actions of its employees affecting the rights of those applying for or receiving assistance. Any person applying for or receiving assistance of any type covered by the public assistance provisions of the Federal Social Security Act, may appeal to the department from any decision of the county board, refusing or discontinuing his assistance, in whole or in part. In every such appeal, an opportunity for a fair hearing shall be granted, and the decision of the department on such appeal shall be final, except as otherwise hereinafter provided. All such appeals shall be in accordance with rules and regulations established by the department. If the appellant is already receiving assistance and requests a fair hearing within the timely notice period, assistance shall not be terminated until a decision is rendered in the hearing except in those appeals where the sole issue is one of State or Federal law or policy or change in State or Federal law or policy. In appeals where the sole issue is one of State or Federal law or policy or change in State or Federal law or policy, assistance shall be terminated when the decision is rendered by the county board of assistance. Assistance granted pending a fair hearing is subject to recovery by the department if the department action is sustained.
Upon denial of a claim for Medicaid assistance due to termination of a special needs trust pursuant
ii. Assets in Special Needs Trusts and Pooled Trust Accounts
Plaintiffs assert that they “have a property interest in the assets to be placed in, or that have been placed in, pooled trust accounts of which they are beneficiaries.” Am. Complaint ¶ 135. According to plaintiffs, “if Plaintiffs’ participation in special needs trusts are disapproved or the pooled special needs trust in which Plaintiffs have accounts are terminated, Plaintiffs are
In contrast, Defendants’ Motion to Dismiss briefly addresses the issue of whether
On the present record, the Court concludes that it is inappropriate to dismiss that portion of Count IX pertaining to deprivation of assets placed in pooled special needs trust accounts. The Court will revisit these issues at the summary judgment stage.
E. Supremacy Clause
In Counts II, IV, II, and X of the Amended Complaint, plaintiffs allege that
The following passage from the Supreme Court’s decision in
Golden State Transit Corp. v. City of Los Angeles,
Given the variety of situations in which preemption claims may be asserted, in state court and in federal court, it would obviously be incorrect to assume that a federal right of action pursuant to§ 1983 exists every time a federal rule of law pre-empts state regulatory authority.
Id.
at 108,
Defendant fails to explain how this passage supports dismissal of these counts. As the Supreme Court continued in
Golden State Transit,
“[c]onversely, the fact that a federal statute has preempted certain state action does not preclude the possibility that the same federal statute may create a federal right for which
On the present state of the record, the Court concludes that it is inappropriate to grant Defendants’ Motion to Dismiss as to Counts II, TV, II, and X of the Amended Complaint. The Court will revisit this issue at the summary judgment stage.
V. CONCLUSION
For the foregoing reasons, the Court grants in part and denies in part the Attorney General’s Motion to Dismiss, and grants in part and denies in part Defendants’ Motion to Dismiss.
An appropriate order follows.
ORDER
AND NOW, this 3rd day of August, 2007, upon consideration of Attorney General Corbett’s Motion to Dismiss Amended
1. The Amended Complaint is DISMISSED WITH PREJUDICE as to defendant Corbett on the ground that there is no case or controversy between plaintiffs and defendant Corbett;
2. Attorney General Corbett’s Motion to Dismiss Amended Complaint is DENIED in all other respects.
IT IS FURTHER ORDERED that the Motion to Dismiss Amended Complaint filed on behalf of every defendant except Attorney General Corbett (Document No. 11, filed January 17, 2007) is GRANTED IN PART AND DENIED IN PART, as follows:
1. The Amended Complaint is DISMISSED WITH PREJUDICE as to defendants Edward G. Rendell, Nora Dowd Eisenhower, Stephen M. Schmerin, Calvin B. Johnson, and Gregory C. Fajt on the ground that there is no case or controversy between plaintiffs and these defendants.
2. The Motion to Dismiss Amended Complaint is GRANTED as to plaintiffs’ substantive due process claims asserted in Counts XI and XII of the Amended Complaint. Counts XI and XII of the Amended Complaint are DISMISSED WITH PREJUDICE.
3. The Motion to Dismiss Amended Complaint is GRANTED as to plaintiffs’ procedural due process claim relating to deprivation of Medicaid benefits asserted in Count IX of the Amended Complaint. That part of Count IX of the Amended Complaint in which the procedural due process claim relating to deprivation of medicaid benefits is asserted is DISMISSED WITH PREJUDICE.
4. The Motion to Dismiss Amended Complaint is DENIED in all other respects.
Notes
. The statutory justiciability requirements of the Declaratory Judgment Act,
. The requirement that a state officer threaten to enforce a statute is separate from and independent of the requirement that the defendant be charged with enforcement of the statute.
See Rode,
. Plaintiffs argue extensively in their opposition that, under
Step-Saver Data Systems, Inc. v. Wyse Technology,
Defendants do not argue in their motions to dismiss that plaintiffs action is not ripe; rather, they argue that many of the named defendants are not proper parties to this action because they have neither enforced nor threatened to enforce
. Plaintiffs concede in their opposition that the Governor of Pennsylvania may not even have power to "petition the court for an order terminating the trust.”
all of the defendants named as parties, with the possible exception of the Governor, are officers of public agencies that provide services to the disabled in the Commonwealth. By virtue of these services, the agency will have a claim ... for the cost of all such services provided. As a result, each of these officers, by virtue of ... their right ... to petition the court to satisfy such claims, clearly are adverse to the Plaintiffs' interests.
Opp. at 6 (emphasis added).
. Even if a plaintiff demonstrates such a right, however, there is only a rebuttable presumption that it is enforceable under
. The Court rejected “the notion that our implied right of action cases are separate and distinct from our
.
. Specifically, that provision provides as follows:
(c) Taking into account certain transfers of assets ... (2) An individual shall not be ineligible for medical assistance by reason of paragraph (1) to the extent that ... (D) the State determines, under procedures established by the State (in accordance withstandards specified by the Secretary), that the denial of eligibility would work an undue hardship as determined on the basis of criteria established by the Secretaiy....
Johnson,
. The due process clause of the Fourteenth Amendment of the United Slates Constitution provides "No State shall ... deprive any person of life, liberty, or property, without due process of law...."
. Plaintiffs do not state in their Amended Complaint which counts allege substantive due process violations and which counts allege procedural due process violations. The Court interprets Courts XI and XII as alleging substantive due process violations and Count IX as alleging a procedural due process violation.
. "The Department [of Public Welfare] has since withdrawn its claim in that matter.”
Id.
¶ 17. On January 12, 2007, the Department of Public Welfare sent a letter to plaintiffs' counsel stating that "the Department will not apply
. Other federal courts have specifically interpreted
Everett
to permit them to ascertain state law in order to rule on constitutional issues.
See Coalition of New Jersey Sportsmen v. Whitman,
. The presumption under Pennsylvania law is similar to the federal presumption against retroactive effect of statutes.
See Perez
v.
Elwood,
. "Plaintiffs submit, however, ... that the statute can be read plausibly as applying retrospectively.” Opp. at 36. Assuming
arguen-do
that
.Whether or not the Department of Public Welfare — or any other state agency — has or intends to improperly apply
. In contrast, a court in this circuit has held that "Plaintiffs are not entitled to any procedural safeguards with respect to a property interest for which they have never been deemed qualified.”
Johnson,
It is unclear whether from the Amended Complaint whether it alleges that plaintiffs who have never been deemed qualified for Medicaid also have a property interest in Medicaid benefits.
See
Am. Complaint ¶ 2 (including disabled individuals who "will become Medicaid recipients”). Because the Court ultimately concludes that
. The Supremacy Clause of the United State Constitution provides:
This Constitution, and the Laws of the United States which shall be made in Pursuance thereof; and all Treaties made, or which shall be made, under the authority of the United States, shall be the supreme Law of the land; and the Judges in every State shall be bound thereby, any Thing in the Constitution or Laws of any State to the Contrary notwithstanding.