PIVONKA ET AL., APPELLEES, v. CORCORAN, DIR., APPELLANT.
No. 2019-0084
Supreme Court of Ohio
June 30, 2020
2020-Ohio-3476
[Until this opinion appears in the Ohio Official Reports advance sheets, it may be cited as Pivonka v. Corcoran, Slip Opinion No. 2020-Ohio-3476.]
NOTICE
This slip opinion is subject to formal revision before it is published in an advance sheet of the Ohio Official Reports. Readers are requested to promptly notify the Reporter of Decisions, Supreme Court of Ohio, 65 South Front Street, Columbus, Ohio 43215, of any typographical or other formal errors in the opinion, in order that corrections may be made before the opinion is published.
SLIP OPINION NO. 2020-OHIO-3476
PIVONKA ET AL., APPELLEES, v. CORCORAN,1 DIR., APPELLANT.
[Until this opinion appears in the Ohio Official Reports advance sheets, it may be cited as Pivonka v. Corcoran, Slip Opinion No. 2020-Ohio-3476.]
Class action—Subject-matter jurisdiction—Medicaid—
(No. 2019-0084—Submitted January 28, 2020—Decided June 30, 2020.)
APPEAL from the Court of Appeals for Cuyahoga County, No. 106749,
2018-Ohio-4866.
{¶ 1} In this appeal, we arе asked to determine whether the common pleas court had subject-matter jurisdiction over a class action filed by plaintiffs-appellees, Michael A. Pivonka and Lisa Rijos. That class action seeks a declaratory judgment that former
{¶ 2} Because
I. THE MEDICAID PROGRAM
{¶ 3} The federal government established the Medicaid program in 1965 through Title XIX of the Social Security Act, as amended in
{¶ 4} Federal law also requires that each participating state give itself subrogation rights to recover certain costs the state paid under the Medicaid program. This means that each state must enact legislation giving it the right to sеek reimbursement from a third-party tortfeasor
II. OHIO‘S MEDICAID SUBROGATION RIGHTS STATUTES
{¶ 5} Ohio‘s Medicaid subrogation rights statute was originally contained in former
{¶ 6} Other states, including Arkansas, had similar Medicaid subrogation statutes allowing those states to recover up to the entire amount of the medical costs they paid on the Medicaid participant‘s behalf without regard to whether the settlеment or court judgment allocated a lesser amount for reimbursement of medical expenses. In Ahlborn, 547 U.S. at 292, 126 S.Ct. 1752, 164 L.Ed.2d 459, the United States Supreme Court held that the federal Medicaid statute‘s anti-lien provision,
beneficiary‘s settlement or judgment proceeds in excess of the portion of the settlement or judgment that expressly represented reimbursement for medical costs.
{¶ 7} Although no court declared Ohio‘s statute,
{¶ 8} In Wos v. E.M.A. ex rel. Johnson, 568 U.S. 627, 133 S.Ct. 1391, 185 L.Ed.2d 471 (2013), the United States Supreme Court struck down the portions of North Carolina‘s Medicaid subrogation statute that created a presumption similar to the one former
{¶ 9} After the decision in Wos, and again without a court‘s declaration that former
A medical assistance recipient who has repaid money, on or after September 29, 2007, to the department or a county department pursuant to the department‘s or county department‘s right of recovery under this section, section 5160.38 of the Revised Code, or formеr section 5101.58 or 5101.59 of the Revised Code may request a hearing to rebut the presumption in division (G) of this section. The request shall be made in accordance with the procedure the department establishes for this purpose in rules required by
division (O) of this section. It must be made not later than one hundred eighty days after September 29, 2015, or ninety days after the payment is made, whichever is later. A party successfully rebuts the
presumption by a showing of clear and convincing evidence that a different allocation is warranted.
{¶ 10} The statute expressly provides that the administrative procedure outlined in divisions (L) through (N) is “the sole remedy available to a party who clаims the department or a county department has received or is to receive more money than [it is] entitled to receive under this section, section 5160.38 of the Revised Code, or former section 5101.58 or 5101.59 of the Revised Code.”
III. FACTS AND PROCEDURAL HISTORY
{¶ 11} Pivonka and Rijos filed their class-action complaint in the Cuyahoga County Common Pleas Court on April 5, 2013, before
{¶ 12} The named plaintiffs filed their complaint on behalf of themselves and similarly situated individuals who had both “received a demand from [the
Department] for repayment of medical expenses pursuant to” former
{¶ 13} On April 10, 2013, Pivonka and Rijos moved to certify as a class “[a]ll persons who paid any amount to [the Department] pursuant to [former
{¶ 14} The Department filed a motion to dismiss the complaint and later filed a motion for summary judgment, arguing that former
{¶ 15} The trial court certified the class on December 21, 2017. In its memorandum opposing class certification, the Department agаin argued that
{¶ 16} The Department urged the trial court to adjudicate plaintiffs’ constitutional arguments before deciding whether to certify the class because that dеtermination affected whether the proposed class satisfied the class-certification requirements under Civ.R. 23. The trial court declined to do so, finding that a determination on the merits of plaintiffs’ constitutional claims would best be made after class certification when the claims could be decided as to all members of the class instead of through individual lawsuits.
{¶ 17} The Department appealed the trial court‘s December 21, 2017 decision granting plaintiffs’ motion for class certification to the Eighth District Court of Appeals. The court of appeals affirmed the trial court‘s decisiоn. It determined that
{¶ 18} We accepted jurisdiction to consider the Department‘s two propositions of law. See 155 Ohio St.3d 1412, 2019-Ohio-1205, 120 N.E.3d 30. In its first proposition of law, the Department contends that “[b]y statute, claims
that the State overcollected for Medicaid recovery may not be brought in common pleas courts, except as an administrative appeal.” In its second proposition of law, the Department argues that “[a] class action may be certified only if rigorous analysis reveals that all prerequisites have been met—even if that analysis also touches upon the merits of the dispute.”
{¶ 19} The Department also argues in its merit brief for the first time in this case that absent the applicability of the administrative-review process contained in
IV. ANALYSIS
{¶ 20} Subject-matter jurisdiction refers to the constitutional or statutory
{¶ 21} The Ohio Constitution gives the General Assembly the power to define the limits of the common pleas courts’ jurisdiction. State v. Wilson, 73 Ohio St.3d 40, 42, 652 N.E.2d 196 (1995), citing
{¶ 22} The General Assembly has, from time to time, limited the common pleas courts’ jurisdiction and conferred jurisdiction to another court. See, e.g.,
over cases that the agencies are particularly well suited to handle. See, e.g.,
A. R.C. 5160.37 provides the sole remedy for the unnamed class members who reimbursed the Department for medical costs on or after September 29, 2007
{¶ 23} By enacting
money because that claim necessarily subsumes any claim that the Department received more money than it was entitled to receive.
{¶ 24} Pivonka and Rijos argue that the class members should not be required
{¶ 25} Pivonka and Rijos filed this action before
B. Pivonka and Rijos‘s claims are alsо subject to the administrative-review process under R.C. 5160.37
{¶ 26} We next consider whether the common pleas court had jurisdiction over the claims asserted by the two named plaintiffs, Pivonka and Rijos. Both Pivonka and Rijos repaid money to the Department after September 29, 2007, pursuant to the Department‘s exercise of its subrogation rights under former
{¶ 27} The Ohio Constitution provides that the General Assembly “shall have no power to pass retroactive laws.”
{¶ 28} In contrast, remedial legislation does not create, remove or affect any rights; it merely affects the methods and procedure by which rights аre recognized, protected, and enforced. Longbottom at ¶ 25; see also Holdridge at 178 (a procedural or remedial law “prescribes methods of enforcement of
{¶ 29} In Landgraf, the United States Supreme Court recognized that it has “regularly applied intervening statutes conferring or ousting jurisdiction, whether or not jurisdiction lay when the underlying conduct occurred or when the suit was filеd,” without violating federal anti-retroactivity principles. Landgraf at 274. As the court explained, application of a new jurisdictional rule does not take away any substantive right; it simply changes the tribunal authorized to hear the case. Id. Jurisdictional statutes speak to the power of the court, not the rights or obligations of the parties. Id., citing Republic Natl. Bank of Miami v. United States, 506 U.S. 80, 100, 113 S.Ct. 554, 121 L.Ed.2d 474 (1992) (Thomas, J., concurring).
{¶ 30} Here,
{¶ 31} Because the statute does not affect a substantive right, we apply it as written. The administrative-review process contained in
has repaid money, on or after September 29, 2007, to the department or a county department pursuant to the department‘s or county department‘s right of recovery under this section, section 5160.38 of the Revised Code, or former section 5101.58 or 5101.59 of the Revisеd Code,”
C. The trial court must decide whether it has subject-matter jurisdiction over the plaintiffs who are not subject to R.C. 5160.37
{¶ 32} Our application of
{¶ 33} The Department argues for the first time on appeal here that in the absence of the applicability of the administrative-review process contained in
{¶ 34} When subject-matter jurisdiction is challenged, “‘the party claiming jurisdiction bears the burden of demonstrating that the court has jurisdiction over the subject matter.‘” Marysville Exempted Village School Dist. Bd. of Edn. v. Union Cty. Bd. of Revision, 136 Ohio St.3d 146, 2013-Ohio-3077, 991 N.E.2d 1134, ¶ 10, quoting Ohio Natl. Life Ins. Co. v. United States, 922 F.2d 320, 324 (6th Cir.1990). We have explained that the classification of a claim for restitution as either equitable or legal depends on the traceability of the funds the plaintiff seeks to recover. Cleveland v. Ohio Bur. of Workers’ Cоmp., ___ Ohio St.3d ___, 2020-Ohio-337, ___ N.E.3d ___, ¶ 11, 16.
{¶ 35} Here, because the Department did not raise its jurisdictional challenge in the trial court, the record has not been fully developed as to the relevant jurisdictional facts, including the disposition of the funds for which plaintiffs seek restitution. We therefore will not consider whether the Court of Claims has exclusive jurisdiction over plaintiffs’ claims.
{¶ 36} Because
V. CONCLUSION
{¶ 37} We hold that
Department‘s second proposition of law. We reverse the judgment of the Eighth District Court of Appeals and remand this cause to the trial court for further consideration.
Judgment reversed and cause remanded.
O‘CONNOR, C.J., and KENNEDY, FISCHER, DEWINE, and STEWART, JJ., concur.
DONNELLY, J., concurs in judgment only.
Dworken & Bernstein Co., L.P.A., and Patrick J. Perotti; Garson Johnson, L.L.C., and James A. Deroche; and MсCarthy, Lebit, Crystal & Liffman Co., L.P.A., and Christian R. Patno, for appellees.
Dave Yost, Attorney General, Benjamin M. Flowers, State Solicitor, Michael J. Hendershot, Chief Deputy Solicitor, and Henry G. Appel, Assistant Attorney General, for appellant.
