Plaintiffs Morcos S. Azer and his now-moribund company, Doctor’s Medical Laboratory, Inc. (“DML”), bring this 42 U.S.C. § 1983 action against defendants Kathleen Connell, California’s elected State Controller; John Chen, Chief of the Audits Division of the California Controller’s office at all times relevant to this appeal; and Ste
I. Background
Azer was the sole shareholder and president of DML. Beginning in 1993, DML was licensed to provide clinical laboratory services to California’s Medi-Cal program. Medi-Cal is California’s health program for the indigent, and is operated under the federal Medicaid Act. More than 90% of DML’s revenues came from Medi-Cal. Because two aspects of the Medicaid/Medi-Cal regulatory framework are pertinent to this appeal, we outline them briefly.
A. Regulatory Framework
In exchange for receiving federal Medicaid funds, states implementing state-level programs such as Medi-Cal must comply with the federal statutory and regulatory requirements of Medicaid.
See
42 U.S.C. § 1396a;
Wilder v. Va. Hosp. Ass’n,
Another provision of federal law requires states to establish procedures to investigate Medicaid fraud and abuse, while also safeguarding the rights of health-care providers. See 42 U.S.C. §§ 1396a(a)(3), (a)(42); 42 C.F.R. §§ 447.200, 447.202, 455.12 .23. If an audit reveals overpayment to a provider, the provider is entitled to an administrative appeal of the audit findings. See Cal. Welf. & Inst.Code § 14171. Although DHS is permitted by federal regulation to withhold payments to a provider in cases of fraud or willful misrepresentation, such withholdings must be temporary. See 42 C.F.R. § 455.23(c). DHS may not recoup alleged overpayments to a provider until the administrative appeals process is complete. See CaLCode Regs. tit. 22, §§ 51017, 51047(a).
B. Audit Agreement between DHS and the Controller
In June 1997, DHS and the State Controller entered into an “interagency agree
C. DML’s State Court Suits
In November 1997, DML filed suit in California state court seeking a declaration that the Controller had acted unlawfully in seizing and withholding the funds, and an order that the funds be released. The suit named as defendant only California State Controller Connell, in her official capacity. The trial court ruled in favor of DML, holding that although the Controller had the authority to audit DML, she had acted improperly in impounding the funds. The California Court of Appeal affirmed the trial court’s holding that the Controller had improperly impounded the funds, and affirmed its order requiring the Controller to refund the payments seized from DML.
See Doctor’s Med. Lab., Inc. v. Connell,
Although the Cálifornia Court of Appeal ordered the Controller to release all funds that EDS had approved for payment to DML “without prejudice to subsequent audits and claims for overpayment by DHS,”
id.
at 898,
Two days later, DHS defendant Munso sent a memorandum to the Controller’s office stating:
We understand that the California Supreme Court has refused to overturn the decision of the Court of Appeal.... We further understand that this means that your office is now compelled to release Medi-Cal payments previously withheld from [DML]. Based on information available, we have determined that we have rehable evidence of fraud or willful misrepresentation by [DML]. Therefore, we are requesting that you withhold any Medi-Cal payments based on adjudicated claims ... pursuant to our authority in 42 CFR section 455.23[the “temporary withholding” provision].
After Munso’s memorandum was sent, DHS defendant Schaden informed plaintiffs that DHS was “temporarily withholding” all of the Medi-Cal payments in question because it had determined that there was fraud or misrepresentation by DML. In response to Munso’s memorandum, the Controller’s office delivered to DHS a warrant payable to DML for $2,218,274. DHS, in turn, refused to release the funds to DML.
■ DML returned to state court seeking to compel the Controller to comply with the
The Controller finally released some of the money owed to DML in June 2000. The balance of the money was refunded in November 2000.
D. The Current Suit
Azer and DML filed this complaint on October 16, 2000, seeking relief under 42 U.S.C. § 1983. Suits under 42 U.S.C. § 1983 by corporate plaintiffs are permissible.
See Cal. Diversified Promotions, Inc. v. Musick,
The four counts of the complaint allege: (1) the Controller’s warrantless search of DML’s premises and her seizure of papers and payments constitute a violation of plaintiffs’ Fourth Amendment rights; (2) the initial seizure of Medi-Cal funds approved for payment to DML and the continuing withholding of those funds constituted a violation of plaintiffs’ due process rights under the Fifth and Fourteenth Amendments; (3) defendants deprived plaintiffs of their right under 42 U.S.C. § 1396a(a)(5) and 42 C.F.R. § 431.10(3) to have a single state agency administer the Medi-Cal program; and (4) defendants deprived plaintiffs of their rights under 42 C.F.R. §§ 455.13 and 455.23 to due process of law and to have funds withheld only temporarily. Plaintiffs seek $10 million in compensatory damages and $75 million in punitive damages.
The district court initially held that plaintiffs had made out a prima facie case as to Counts 1 and 2 of its complaint, rejecting the defendants’ argument that Medicaid providers have no cognizable property right in Medicaid funds during the pendency of a fraud investigation. It did not address Counts 3 and 4. However, the district court ultimately granted the defendants’ motion to dismiss, holding that all of plaintiffs’ claims were barred by the one-year statute of limitations. The court held that plaintiffs’ § 1983 claims arose out of the discrete act of seizing the disputed funds in 1997, rejecting the plaintiffs’ attempt to characterize the seizure and retention of the funds as a continuing violation. The court also rejected DML’s argument that its earlier pursuit of a state court remedy entitled DML to equitable tolling of the statute of limitations.
. II. Statute of Limitations
Section 1983 actions are governed by the state statute of limitations for personal injury actions.
See Wilson v. Garcia,
We review the district court’s dismissal of DML’s § 1983 claim on statute of limitations grounds
de novo. See Daviton,
The purpose of a statute of limitation is “to prevent assertion of stale claims against a defendant.”
Daviton,
A. Notice
At the outset, we address the defendants’ argument that because Azer was not a plaintiff in the first suit, the defendants were not on notice that they might be subject to a civil rights suit by Azer as well as by DML. Azer counters that because he was the president and sole shareholder of DML, his interests are sufficiently intertwined with DML’s that the defendants should have been on notice of his claims. Although we can find no California case law directly on point, we agree with the defendants. The defendants may well have been aware of Azer’s status as the president and sole shareholder of DML, but his interest is not identical to that of his corporation. By choosing to do business in the corporate form, Azer availed himself of the protections that form affords. He cannot now pierce the corporate veil from the inside and claim that any assertion of rights by DML put the defendants on notice of a suit asserting his personal rights. Further, the fact that the defendants were aware of Azer’s relationship to DML does not mean that they were also aware that he was taking personal actions, such as going into debt, on behalf of DML. We therefore hold that the statute of limitations was not equitably tolled as to Azer.
However, we hold that by timely filing an action in state court to challenge the withholding, and by diligently pursuing that action, plaintiff DML provided all de
As to the DHS Defendants, DML argues that they cannot credibly claim that they were unaware of suits brought against the Controller pursuant to audits conducted under the agreement between DHS and the Controller. Further, DML alleges that the DHS Defendants cooperated with the Controller Defendants in wrongfully withholding funds from DML long after it was apparent that it was illegal to do so. For example, two days after the California Supreme Court denied review, DHS defendant Munso alleged for the first time that DHS had “reliable evidence of fraud or misrepresentation” by DML, and, thereafter, DHS defendant Schaden informed DML that its Medi-Cal payments were being “temporarily withheld.” DHS requested that, based on the alleged evidence, the Controller withhold payments pursuant to the “temporary withholding” provision of 42 CFR § 455.23. As the California Court of Appeal commented, in its second decision in this case, “[t]he timing of this memorandum is noteworthy.” Doctor’s Med. Lab., No. B134090 at *7. Thus, DML has alleged that DHS, and Munso and Schaden in particular, were not only aware of the state court judgment ordering return of the funds, but actively participated in effecting the continued illegal withholding.
DML also notes that although it sued only defendant Kathleen Connell in state court, it simultaneously pursued administrative remedies against her before the DHS. See Cal. Welf. & Inst.Code § 14171 (requiring DHS to create administrative appeal process for provider audits). However, DML does not allege any improprieties in the administrative proceeding, and we do not rely on the existence of this proceeding to justify tolling against the DHS Defendants. Although it is a somewhat close question, we hold that the degree of cooperation between the Controller and the DHS Defendants, as well as the state court suits against the Controller Defendants based on this conduct, constitutes sufficient notice to the DHS Defendants as well.
B. Prejudice
In
Daviton,
we emphasized that the second requirement of the equitable tolling analysis, prejudice to the defendant, should be construed liberally in favor of the plaintiff.
See
C. Reasonable and Good Faith Conduct
Finally, DML satisfies .the third requirement, in that its conduct has been reasonable and in good faith. DML diligently pursued, both administrative and state court remedies, promptly instituting actions to preserve its rights. DML’s goal in its state court and administrative proceedings was simply the return of its illegally withheld funds. Indeed, DML prevailed under state law, and so had reason to believe, and should not be penalized for assuming, that the state court defendants would comply with orders of the state court. Only when they repeatedly refused to comply did DML finally feel compelled to bring the current civil rights action. Administrative proceedings were not concluded until May 7, 2000, and judicial proceedings were not concluded until June 28, 2000. We hold that DML acted reasonably and in good’ faith in waiting until October, 2000 to file its complaint.
III. Other Defenses
Defendants seek to defend the result reached by the district court on the alternate grounds of claim preclusion and official immunity. 1 The district court did not reach either claim preclusion or official immunity. Although the parties have briefed each of these two grounds on appeal, we decline to reach them, believing it more appropriate for the district court to decide them in the first instance.
Conclusion
We affirm the district court’s dismissal of Azer’s suit as untimely, reverse its dismissal of DML’s suit as untimely, and remand for further proceedings.
AFFIRMED in part, REVERSED in part, and REMANDED.
Notes
. Defendants have not asserted a defense based on Eleventh Amendment immunity.
