Plaintiffs are sixteen Kentucky Medicaid enrollees who brought this action under the Administrative Procedure Act,
I. Background
A. Medicaid Program
Since 1965 the federal government and the states have worked together to provide medical care to certain vulnerable populations under Title XIX of the Social Security Act, colloquially known as Medicaid. See
The Medicaid Act sets out certain parameters for states to follow, but each state is free to administer its Medicaid program as it wishes within those strictures. See 42 U.S.C. § 1396a. One such provision requires state plans to "mak[e] medical assistance available" to certain low-income individuals, including pregnant women, children, and their families; former foster children under the age of 26; the elderly; and people with certain disabilities.
Both before and after the ACA, a state that wishes to deviate from the Medicaid Act's requirements must obtain a Section 1115 waiver from the Secretary of HHS. See
On January 11, 2018, Brian Neale, Director of CMS, issued a letter to state Medicaid Directors "announcing a new policy designed to assist states in their efforts to improve Medicaid enrollee health and well-being through incentivizing work and community engagement among" certain adult mandatory Medicaid groups. See Compl., Exh. D at 1. The nine-page letter noted that work-requirement-based eligibility for Medicaid "is a shift from prior agency policy,"
B. Kentucky HEALTH
Kentucky, like all other states and the District of Columbia, participates in Medicaid. After the ACA went into effect, the state broadened Medicaid to include the expansion population. See Compl., ¶ 79. On August 24, 2016, Governor Matt Bevin submitted an application to CMS requesting a Section 1115 waiver to implement an experimental project, Helping to Engage and Achieve Long Term Health, or Kentucky HEALTH. See Compl., Exh. B. The project as approved "transform[s]" the state's Medicaid program to include "commercial
Prior to submitting the application, Kentucky's Department for Medicaid Services held three public hearings and conducted two public-comment periods. See Compl., Exh. B. Throughout this process, the state and CMS were engaged in "continued negotiations" regarding the program's terms.
Two weeks later, Plaintiffs brought this nine-count suit seeking declaratory and injunctive relief on behalf of themselves and a "statewide proposed class ... of all residents of Kentucky who are enrolled in the Kentucky Medicaid program on or after January 12, 2018." Compl., ¶ 33. The Complaint alleges that Defendants violated the Constitution and the Administrative Procedures Act by both sending the January 11 letter to state Medicaid directors and by approving Kentucky HEALTH. See Compl., ¶¶ 339-408. Soon thereafter, Defendants filed this Motion to Transfer, asking the Court to send the case to Kentucky, specifically the Frankfort Docket of the Central Division of the Eastern District of that state. See Mot. to Transfer at 2 n.2. On March 30, 2018, the Court granted Kentucky's Motion for Intervention. See Minute Order.
II. Legal Standard
Even if a plaintiff has brought its case in a proper venue, a district court may, "for the convenience of parties and witnesses, in the interests of justice ... transfer [it] ... to any other district or division where [the case] might have been brought."
Once that threshold condition is met, district courts have "discretion ... to adjudicate motions for transfer according to an 'individualized, case-by-case consideration of convenience and fairness.' " Stewart Org., Inc. v. Ricoh Corp.,
In evaluating motions to transfer venue, courts in this circuit are instructed to guard against "the danger that a plaintiff might manufacture venue in the District of Columbia ... [b]y naming high government officials as defendants...." Cameron v. Thornburgh,
A. Propriety of New Venue
Before assessing the "case-specific factors," Stewart Org.,
B. Private- and Public-Interest Factors
Defendants must next establish that the "particular circumstances" of the case "render [this] forum inappropriate." Starnes v. McGuire,
1. Private-Interest Factors
In this APA case, the six private-interest factors collapse into three inquiries: (1) deference to each parties' forum choice; (2) the link between the relevant fora and the claims; and (3) overall convenience. The Court addresses each in turn.
a. Deference
The Court first considers the parties' choice of forum-namely, the amount of deference to afford each. "A plaintiff's choice of forum is generally afforded 'substantial deference,' but that deference is not unyielding." Gulf Restoration Net. v. Jewell,
While typically the named plaintiff's choice of forum in a class action "is afforded little weight," Eichenholtz v. Brennan,
Such deference outweighs Defendants' request to send this case to a particular court in Kentucky. Unlike the plaintiff, a defendant's forum preference "is not ordinarily entitled to deference," and to prevail, a defendant "must establish that the added convenience and justice of litigating in their chosen forum overcomes the ... deference given to" the plaintiff's. Tower Labs., Ltd. v. Lush Cosmetics Limited,
As explained below, Defendants have not carried their burden to show how Kentucky is a more convenient place for this APA case, and the Enrollees further accuse the Government of "blatant ... forum shopping," Opp. at 1, by asking to transfer the case to a particular division. Kentucky has two federal districts, comprising ten different dockets, but the Government specifically asks this Court to transfer the case to Frankfort, which has only one judge. Defendants, understandably, balk at such a characterization and provide a legitimate reason for preferring the Frankfort Division: it is the state capitol and seat of government. See Reply at 9-10. Although the Court does find the Government's request unduly restrictive, given that Plaintiffs are geographically dispersed throughout the state, see Compl., ¶¶ 12-26, and the underlying situs of the case expands beyond Frankfort County, it declines to assign such nefarious motives to the Government's venue choice. This preference, however, does not overcome the requisite deference.
b. Connection of Claims to Fora
Deference thus established, the Court next moves to the crux of this Motion: where the claims arose and their connection to D.C. In APA cases, "courts generally focus on where the decisionmaking process occurred to determine where the claims arose." Nat'l Ass'n of Home Builders v. EPA,
The Government's attempt to sidestep these facts, insisting that this is a "fundamentally local controversy," Mot. to Transfer at 9, construes Plaintiffs' claims too narrowly. The Enrollees challenge the approval of Kentucky HEALTH, which has an obvious connection to that state. But it mischaracterizes their case to assert that their "sole interest in this matter arises solely from their residency in the Commonwealth and their enrollment in Kentucky's State Medicaid program."
Defendants' selective citation only buttresses this point. The Government quotes Kafack v. Primerica Life Ins. Co.,
Not only did the claims arise here, but they also have a strong nexus to D.C. Courts in this district have often found that federal-agency action that occurs here can provide "meaningful ties" to support retention of the case. See, e.g., Gulf Restoration,
The three private-interest factors that specifically address convenience-viz. , the convenience of the parties, the convenience of the witnesses, and ease of access to sources of proof-are neutral or tip only slightly in favor of sending the case to Kentucky. The Government cannot reasonably claim to be inconvenienced by litigating in this district; after all, this is its home forum. Defendants nevertheless argue that this factor should lean towards transfer because Kentucky would be a more convenient forum to decide whether to certify a class. While this could be a relevant point, the class that Plaintiffs seek to certify is "all residents of Kentucky who are enrolled in the Kentucky Medicaid program on or after January 12, 2018." Compl., ¶ 33. Defendants do not explain (and the Court does not see) how putative class members would need to be involved in the certifying of such a class in a way that might inconvenience them. In any event, at most this consideration tips only slightly towards transfer.
And, because this is an APA case, the convenience of witnesses and the ease of access to sources of proof are "not likely to be relevant here." Oceana,
On balance, then, the private-interest factors tip in favor of keeping the case in D.C.
2. Public-Interest Factors
a. Judicial Economy
Defendants agree that the first two public-interest factors-the transferee court's familiarity with the governing law and the relative congestion of the courts' calendars-are neutral with respect to transfer. See Mot. to Transfer at 17. Resolving this case will require statutory interpretation, a task any federal court is competent to undertake. See Flowers,
This brings the Court to the final and arguably "most important" of the public-interest factors: the local interest in having local controversies decided at home. Southern Utah Wilderness Alliance v. Lewis,
Defendants first mention that their preferred forum is "experienced with the laws in the Commonwealth that may be relevant to the review of Plaintiffs' claims," Mot. to Transfer at 22, but a federal court need not wade into any particulars of state law to decide whether the Secretary can, under federal laws and regulations, permit certain state Medicaid proposals. See Wilderness Soc'y,
The Government's stronger argument is that "Kentucky has a substantial interest in the resolution of the claims of this lawsuit" because it is "the citizens of Kentucky who will directly feel the effects of" Kentucky HEALTH. See Mot. to Transfer at 17. The central question, however, is not "whether the people of [Kentucky] have an interest-even a strong one-in the outcome of this case. Instead, the Court must determine whether this is a 'question[ ] of national policy or national significance.' " Oceana,
Defendants' reliance on cases where a local federal-agency office made a decision involving local resources that are located entirely in a proposed transferee district does not change the outcome. See Mot. to Transfer at 20-21 (citing cases); Preservation Soc'y,
IV. Conclusion
In the end, both the private- and public-interest factors weigh against transfer. The Court will thus deny the Government's Motion to Transfer the case to Kentucky. An Order consistent with this Opinion will issue this day.
