Opinion for the Court filed by Senior Circuit Judge EDWARDS.
In 1993, appellee Medicaid recipients brought suit against the District of Columbia (“the District”) alleging various violations of Title XIX of the Social Security Act (“SSA”), 79 Stat. 343, as amended, 42 U.S.C. § 1396
et seq.
(2000 ed. and Supp. Ill), and its accompanying regulations. In October 1996, the District Court held that the District was liable under 42 U.S.C. § 1983 for violating federal Medicaid requirements.
Salazar v. District of Columbia,
On March 19, 2003, after repeated failures by the District to comply with various requirements and deadlines under the Settlement Order and related court orders, appellees moved to establish a prospective, per diem penalty schedule of fines for future violations. The District Court granted appellees’ motion on July 10, 2006. Salazar v. District of Columbia, Civ. Action No. 93-452, order at 1-3, slip op. at 1-4 (D.D.C. Jul. 7, 2006) (“2006 Order”), reprinted in J.A. 484-90. The 2006 Order directed appellees to file a praecipe with the District Court every fiscal quarter, documenting any penalties allegedly accrued during that three-month period.
Between 2006 and 2008, appellees filed five quarterly praecipes documenting penalties allegedly accrued by the District. Each praecipe was opposed by the District. On August 13, 2008, the District Court ruled on all five outstanding praecipes and issued an order assessing $931,050 in penalties against the District. Salazar v. District of Columbia, Civ. Action No. 93-452, order at 1-2, slip op. at 1-15 (D.D.C. Aug. 13, 2008) (“2008 Order”), reprinted in J.A. 618-35. The 2008 Order addressed each of the praecipes separately. With respect to the fourth praecipe, covering the third quarter of 2007, the District Court, inter alia, assessed $370,500 in penalties for the District’s alleged failure to “negotiate in good faith,” as required by ¶ 80 of the Settlement Order.
On August 27, 2008, the District filed a motion for partial reconsideration. The sole argument raised in that motion was that the sanctions imposed for the District’s failure to timely provide blood lead corrective action plans (“CAPs”) should be vacated because the relevant underlying order had not been violated. This motion was denied. On appeal, the District has raised numerous issues that were never raised with the District Court in the first instance, including, inter alia, claims that the District Court (1) erred in imposing criminal contempt sanctions in a civil proceeding and (2) erred in imposing excessive penalties based on a misapplication of ¶ 80 of the Settlement Order. Appellees, in turn, argue that this court lacks jurisdiction to hear this appeal.
*434
First, we hold that the
2008 Order
is final and appealable under 28 U.S.C. § 1291. We also hold that the
2006 Order
is renewable to the extent that it is “ ‘inextricably bound up with’ ” the
2008 Order. See Hartman v. Duffey,
Second, we affirm the District Court’s judgment on all but one issue. The District failed to raise and preserve most of the claims that it now raises on appeal. “[Cjourts of appeals have discretion to address issues raised for the first time on appeal,” but exercise it “only in exceptional circumstances,”
Flynn v. Comm’r,
For the reasons outlined below, we affirm in part and reverse in part. The case will be remanded to the District Court for further proceedings consistent with this opinion.
I. Background
The Medicaid program entails joint federal and state funding of medical care for individuals who cannot afford to pay their own medical costs. The program was launched in 1965 with the enactment of Title XIX of the SSA.
See Ark. Dep't of Health & Human Servs. v. Ahlborn,
In 1993, a number of Medicaid recipients brought suit under § 1983 against the District, alleging violations of Title XIX and its accompanying regulations. After the District Court found the District liable,
Salazar v. District of Columbia,
In March 2003, after the District had repeatedly violated the terms of the Settlement Order, appellees filed a motion with the District Court for the establishment of a per diem penalty schedule of fines for future violations. The motion was granted on July 10, 2006, with the court’s issuance of the 2006 Order. This order set forth a progressive, escalating fine schedule for missed deadlines that compounds the total penalty for noncompliance based on the number of days elapsed. See 2006 Order, order at 2, J.A. 485. The 2006 Order also directed appellees to file a praecipe with the District Court every fiscal quarter, documenting any penalties allegedly accrued by the District during that three-month period. The District could file an opposition and appellees could file a reply. The District Court indicated that it would consider the praecipes and any mitigating circumstances, and then decide whether or not to impose fines.
Between 2006 and 2008, appellees filed five quarterly praecipes documenting the penalties allegedly accrued by the District. Each was opposed by the District. On August 13, 2008, the District Court ruled on all five outstanding praecipes at the same time and assessed $931,050 in penalties against the District. See 2008 Order, slip op. at 1-15, J.A. 621-35.
In the first praecipe, covering the third quarter of 2006, the District Court assessed $1,500 in penalties for the District’s failure to provide discovery until nine days after the required deadline. In the second praecipe, covering the fourth quarter of 2006, the District Court assessed $39,500 in penalties for the District’s failure to distribute a dental brochure by a deadline set forth in a 2004 order; the court also assessed a penalty of $300 for the District’s failure to seek a timely extension of time. In the third praecipe, covering the second quarter of 2007, the District Court (1) assessed $13,500 in penalties for the District’s failure to timely provide blood level CAPs as required under a 2003 order; (2) assessed a penalty of $10,000 for the District’s failure to submit a Provider Education Report; and (3) denied appellees’ request to assess $110,500 in penalties for the District’s alleged failure to complete an Annual Oral Health Summary Report, finding that the requested sanction was excessive.
In the fourth praecipe, covering the third quarter of 2007, the District Court (1) assessed $152,000 in penalties for the District’s continuing failure to provide blood lead level CAPs until 126 days after the required deadline; (2) assessed $290,500 in penalties for the District’s continuing failure to provide a required Provider Education Report until 112 days after the deadline; (3) assessed $370,500 in penalties for the District’s alleged breach of ¶ 80 of the Settlement Order when it delayed 126 days before commencing to “negotiate in good faith” over an enforcement motion proposed by appellees; and (4) denied appellees’ request to assess $265,000 in penalties for the District’s alleged continuing failure to provide a complete Annual Oral Health Summary Report. Finally, in the fifth praecipe, covering the first quarter of 2008, the District Court (1) assessed $11,500 in penalties for the District’s failure to timely submit a Dental CAP as required by a 2004 order; (2) assessed $2,250 in penalties for the District’s failure to timely comply with discovery; (3) assessed $39,500 in penalties for the District’s failure to timely provide annual notifications to providers on reimbursement procedures; (4) denied appellees’ proposed penalty for the District’s allegedly deficient Annual Oral Health Survey Report; and (5) denied appellees’ *436 proposed penalty for the District’s alleged failure to respond to certain discovery requests.
On August 27, 2008, the District filed a motion for partial reconsideration. See Def.’s Mot. for Partial Recons, of the Court’s Order of Aug. 13, 2008 (Aug. 27, 2008), reprinted in J.A. 636-42. The sole argument raised by the District in that motion was that the penalties imposed for its alleged failure to timely provide blood level CAPs should be vacated because the relevant underlying order had not been violated. The District did not contend that the penalties imposed by the District Court improperly constituted sanctions for criminal contempt, that any aspect of the 2008 Order was ambiguous or otherwise unclear, or that the District Court had improperly failed to conduct an evidentiary hearing. Id. at J.A. 636. The District’s motion was denied. Salazar v. District of Columbia, Civ. Action No. 93-452, Minute Entry Order (D.D.C. Jan. 29, 2009), reprinted in J.A. 643-44.
On appeal to this court, the District argues that the District Court committed a variety of errors, including imposing criminal contempt sanctions in a civil proceeding, failing to afford the District an evidentiary hearing prior to the imposition of sanctions for contempt, generally imposing excessive fines based a mechanical application of the 2006 Order, and imposing an enormously excessive fine based on a misapplication of ¶ 80 of the Settlement Order. Appellees, in turn, contend that this court lacks jurisdiction to hear this appeal.
II. Analysis
A. Jurisdiction
Appellees contest this court’s jurisdiction to hear this appeal. Appellees contend that the 2008 Order is barred from review because it is not final under 28 U.S.C. § 1291; and they argue that appeal of the 2006 Order is untimely. Neither contention has merit.
The
2008 Order
is final and hence appealable because the District Court concluded that specific, unavoidable penalties “have accrued and are hereby assessed” against the District.
See 2008 Order,
order at 2, J.A. 620. It is immaterial that the
2008 Order
did not specify how the penalties were to be paid or indicate the ultimate disposition of the funds. Even a “conditional sanction” imposed for failure to comply with a District Court order can be final and appealable.
Armstrong v. Exec. Office of the President, Office of Admin.,
This court also has jurisdiction to review the
2006 Order
to the extent that it is “ ‘inextricably bound up with’ ” the
2008 Order. See Hartman,
B. Standard of Review
“To preserve a claim of error on appeal, a party typically must raise the issue before the trial court.... ‘No procedural principle is more familiar ... than that a ... right may be forfeited in criminal as well as civil cases by the failure to make timely assertion of the right before a tribunal having jurisdiction to determine it.’ ”
In re Sealed Case,
Under the Federal Rules of Criminal Procedure, courts may take notice of “plain error[s]” not preserved below in criminal cases.
See
Fed.R.Crim.P. 52(b). Many courts have indicated that plain error review is available in situations involving unpreserved claims of error affecting substantial rights in civil cases.
See Olano,
“Exceptional circumstances” and “plain error” review may be related in certain instances.
See, e.g., Long v. Howard Univ.,
With respect to all but one of the District’s claims, we find that the issues raised are subject to neither exceptional circumstances nor plain error review. As explained below, the one exception is the error the District Court committed in its misapplication of ¶ 80 of the Settlement Order.
C. Criminal Versus Civil Contempt
The District claims that the trial court committed reversible error by improperly imposing criminal sanctions in a civil proceeding. We disagree. “At a minimum, a court of appeals cannot correct an error” under plain error review “unless the error is clear under current law.”
Olano,
The Supreme Court has described civil contempt sanctions as “remedial” and criminal contempt sanctions as “punitive.”
Int'l Union, United Mine Workers of Am. v. Bagwell,
Bagwell
describes a civil contempt sanction as one with respect to which “the contemnor is able to purge the contempt ... by committing an affirmative act.”
Id.
And the Court describes a punitive, criminal contempt sanction as one that is “imposed retrospectively for a completed act of disobedience ... such that the contemnor cannot avoid or abbreviate” the penalty through “later compliance.”
Id.
at 828-29,
Under the disputed 2008 Order, the District Court imposed fines in a number of instances for contumacious conduct that had ceased at the time the contempt order issued. However, at least in this case, the fact that the contumacious conduct had ceased when the sanctions were issued would seem to be irrelevant to the determination as to whether the sanctions were civil or criminal. Under Bagwell, it would appear that the disputed “per diem fines” were civil contempt sanctions imposed in accordance with the schedule of fines under the 2006 Order for each day that the District violated applicable terms of the Settlement Order. In other words, beginning in 2006, the District had fair notice and an opportunity to purge its ongoing contumacious conduct and avoid penalties by acting in compliance with the Settlement Order. The 2006 Order did not penalize the District for the contumacious conduct that had occurred before that order issued. Rather, it put the District on notice that it would be fined for any such conduct that occurred after the issuance of the 2006 Order. When the District continued to violate the Settlement Order after the issuance of the 2006 Order, it was made to account for its wrongdoing with the issuance of the 2008 Order. It did not matter that some of the violations finally ceased before 2008. The penalties imposed by the 2008 Order could have been avoided only if the District had fully complied with the Settlement Order following the District Court’s issuance of the 2006 Order.
A less likely, but not utterly implausible, construction of Bagwell is to view the sanctions imposed by the 2008 Order as “flat, unconditional fines,” and thus criminal *439 sanctions, for past wrongs committed by the District. In other words, under this view, the District could claim that it should not have been sanctioned, save through criminal contempt, for any contumacious conduct that occurred after the issuance of the 2006 Order but ceased before the trial court assessed the praecipes and issued the 2008 Order. This position finds no real support in the law of this circuit. Indeed, the case law goes the other way.
A good example is
NOW v. Operation Rescue,
In this court’s review of the trial court’s contempt order in
Operation Rescue,
we first held that
Bagwell
“did not call into question the traditional classification of
some
categories of contempt sanctions— compensatory fines, coercive imprisonment, and per diem fines to coerce compliance with affirmative court orders — as civil in nature.”
Nat’l Org. for Women v. Operation Rescue,
This court’s later decision in
Evans v. Williams,
In addressing the issues before it, the Evans court described the differences be *440 tween civil and criminal contempt, as follows:
Traditionally, whether a contempt is civil or criminal has depended on the “character and purpose” of the sanction. A sanction is considered civil if it is “remedial, and for the benefit of the complainant. But if it is for criminal contempt the sentence is punitive, to vindicate the authority of the court.” Gompers v. Buck’s Stove & Range Co.,221 U.S. 418 , 441,31 S.Ct. 492 ,55 L.Ed. 797 (1911). There also has been a traditional distinction between mandatory and prohibitory orders. The “paradigmatic coercive, civil contempt sanction ... involves confining a contemnor indefinitely until he complies with an affirmative command.” International Union, United Mine Workers of America v. Bagwell,512 U.S. 821 , 828,114 S.Ct. 2552 ,129 L.Ed.2d 642 (1994). On the other hand, a fixed term of imprisonment imposed retroactively to punish an act of disobedience is criminal. This distinction has been extended to fines, so that “a per diem fine imposed for each day a contemnor fails to comply with an affirmative court order” is civil, but an unconditional fine imposed “after a finding of contempt is criminal if the contemnor has no subsequent opportunity to reduce or avoid the fine through compliance.” Id. at 829,114 S.Ct. 2552 .
Id. at 1294-95. The Evans court then found that the fines imposed for the discrete violations of the consent decree were criminal sanctions. The court reached this conclusion because, “for each act of contempt, the District was subjected to a onetime determinate fine” that once imposed could not be “eliminat[ed] ... through future compliance.” Id. at 1296.
Faced with the foregoing case law, the District Court in this case concluded that the per diem fine schedule in the
2006 Order
constituted a “civil, coercive remedy.”
See 2006 Order,
slip op. at 3, J.A. 489. This conclusion seems most likely correct in light of
Bagwell, Operation Rescue,
and
Evans,
so it surely did not constitute plain error or an exceptional circumstance warranting reversal. We recognize that there is some tension between
Operation Rescue
and
Evans,
if one views the discrete, past violations of the consent decree in
Evans
as comparable to the District’s discrete, past violations of the
Settlement Order
and
2006 Order
in this case. But an argument framed in this way cannot go very far. The decision in
Evans
clearly recognizes that
“a per diem fine imposed for each day a contemnor fails to comply with an affirmative court order is civil,
but an unconditional fine imposed after a finding of contempt is criminal
if the contemnor has no subsequent opportunity to reduce or avoid the fine through compliance.”
The District Court cited both
Bagwell
and
Evans
in its
2006 Order,
explaining the legal basis for its fine schedule.
See 2006 Order,
slip op. at 3, J.A. 489. The District, however, raised no objections or questions regarding the civil nature of the contempt proceedings either in 2006 or in 2008. The preservation requirement is intended to give the parties an opportunity to try the case on the grounds presented. Allowing the District to raise this argument now would “skew the balance between ‘our need to encourage all trial participants to seek a fair and accurate trial
*441
the first time around against our insistence that obvious injustice be promptly redressed.’ ”
United States v. Davis,
In sum, on the record in this case, neither plain error nor exceptional circumstances lend merit to the District’s newly raised challenge to the civil nature of the contempt proceedings below.
D. Evidentiary Hearing
The District claims that the District Court erred in failing to provide an evidentiary hearing before imposing the disputed fines. This claim was never raised below so it is subject to review only for plain error or if we find exceptional circumstances. We find neither.
It is true that, “[i]n this circuit, ‘[e]very civil contemnor who asserts a genuine issue of material fact is entitled to a full, impartial hearing.’ ”
Food Lion, Inc. v. United Food & Commercial Workers Int’l Union, AFL-CIO-CLC,
In these circumstances, the District’s claim cannot survive plain error or exceptional circumstances review.
E. The District’s Challenges to the Fines Imposed
The District makes two additional arguments generally challenging the fines imposed. It claims, first, that the fines are “[disproportionately [h]igh” for the violations at issue, and, second, that the fines are unfair because they were “[ijmposed [mjechanically” under the scheme set forth in the 2006 Order. Appellant’s Br. at 35. These claims were never raised below so they are subject to review only for plain error or if we find exceptional circumstances. We find neither.
This court typically reviews “contempt finding[s]” and “sanction[s]” for abuse of discretion.
See In re Fannie Mae Sec. Litig.,
In these circumstances, the District’s claims do not survive either plain error or exceptional circumstances review.
F. Contempt for the District’s Alleged Violation of ¶ 80 of the Settlement Order
Finally, the District argues that the District Court committed reversible error in subjecting it to a 126-day contempt fine for its alleged failure to negotiate with appellees under ¶ 80 of the Settlement Order. This claim was not raised below. However, the underlying facts are not in dispute, the parties have fully briefed and argued the issue, and the trial court committed plain error. We therefore reverse.
Civil contempt may be imposed only when the underlying order is clear and unambiguous.
See, e.g., Broderick v. Donaldson,
Paragraph 80 of the Settlement Order is clear. It reads:
Before any party moves the Court to enforce or construe [the requirements of the underlying Settlement Order] ... it shall give the other party 10 days’ notice of its intention. During that 10-day period, the parties shall negotiate in good faith in an effort to resolve the dispute without seeking a decision from the Court.
Settlement Order at 46, J.A. 309 (emphasis added). The 2006 Order states that the “deadlines” enforceable through per diem fines “include the negotiation requirement in paragraph 80.” 2006 Order, order at 2, J.A. 485. This provision was included in the 2006 Order because,
[i]n many instances, after [appellees] filed requisite notices [pursuant to] ¶ 80 of the Settlement Order, [the District] failed to file any response indicating whether they did or did not oppose the motion and whether they were prepared to negotiate in good faith during the 10-day pre-filing period in an effort to resolve the dispute without Court intervention.
2006 Order, slip op. at 2, J.A. 488 (emphasis added). As the District Court obviously recognized, the only timing requirement under ¶ 80 directs the parties to negotiate within the specified 10-day period. In other words, the Settlement Order says only that “during [the] 10-day period, the parties shall negotiate in good faith.” It does not state that the District must negotiate beyond, rather than within, this window.
In short, the language of ¶ 80 is perfectly clear in what it requires. And there is nothing in the 2006 Order that forewarned the District that it might be liable for more *443 than the Settlement Order required. Indeed, ¶ 80 is not only clear, it is quite sensible in requiring the appellees to afford the District a small window of opportunity to negotiate any pending disputes before appellees are allowed to seek judicial redress. But this is all that ¶ 80 requires.
Even if it were possible to conjure some “ambiguities or uncertainties” in ¶80, we would still be required to read the
Settlement Order
and the
2006 Order
“in a light favorable to the person charged with contempt.”
See Kemp,
We also hold that the District Court’s error affected the District’s substantial rights,
see Olano,
In
Olano,
the Supreme Court makes it clear that “[i]f [a] forfeited error is ‘plain’ and ‘affect[s] substantial rights,’ the court of appeals has authority to order correction, but is not required to do so.”
III. Conclusion
The judgment of the District Court is affirmed in part and reversed in part. The case is hereby remanded for further proceedings consistent with this opinion.
