Searching over 5,500,000 cases.

Buy This Entire Record For $7.95

Official citation and/or docket number and footnotes (if any) for this case available with purchase.

Learn more about what you receive with purchase of this case.

Nazareth Hospital and St. Agnes Medical v. Kathleen Sebelius


August 9, 2012


The opinion of the court was delivered by: Ludwig, J.


AND NOW, this 9th day of August, 2012, the "Motion of Plaintiffs to Decide Plaintiffs' Motion to Amend and Clarify Order of July 12, 2012 . . . ." (doc. no. 48) is denied. See August 7, 2012 supplemental memorandum (doc. no. 47); see also July 25, 2012 order (doc. no. 44) and July 11, 2012 memorandum-order (doc. no. 40).

Plaintiffs' motion asks that the Secretary be ordered to "file the full and complete administrative record" including the rule-making records for the Interim Final Rule, 65 Fed. Reg. 3136 (Jan. 20, 2000) and Final Rule, 65 Fed. Reg. 47054 (Aug. 1, 2000). Pls. mot., doc. no. 48 at 2-3. The motion also requests that the Secretary be "limited on remand to further explain[ing] her reasoning . . . based on the already closed administrative record . . . ." Pls. br., doc. no. 48-1 at 2 (see also pls. mot., doc. no. 41 at 1; pls. br., doc. no. 41-1 at 1, 8). Plaintiffs: "the agency should not be afforded the opportunity at this stage to create new evidence, and . . . an 'evidentiary hearing' that is neither consistent with the Court's July 12, 2012 Order, nor procedurally proper,*fn1 is presently moving full steam ahead . . . ." Id. at 2 n.2. Further:

It is hornbook administrative law that w[h]ere an agency has "failed adequately to address [a] concern" and the explanation of its reasoning is "not sufficient" to provide a basis for judicial review, the appropriate remedy is to remand 'to explain' itself further, not to conduct further evidentiary proceedings. See Cape Cod Hosp. v. Sebelius, 603 F.3d 203, 216 (D.C. Cir. 2011) . . . . If the agency's further explanation is insufficient to sustain its action, the Court must enter judgment for the plaintiff. Id.; [s]ee also Checkosky v. SEC, 23 F.3d 452, 491 (D.C. Cir. 1994) (noting that where an agency's decision is arbitrary and capricious, the Court is affirmatively obligated to hold it unlawful and set it aside under § 706(2)(A) of the APA). Id. at 2-3 n.3 (citation omitted).

The motion also asks for a stay of "the ongoing 'evidentiary hearing' before the CMS Administrator pending judicial review of whether the January 2000 regulation is arbitrary and capricious or a violation of the equal protection clause based on the full and complete existing administrative record and any further explanation of her reasoning that the Secretary might supply based on that record." Pls. mot., doc. no. 48 at 3. If agency proceedings are not stayed, the motion requests that the Secretary be ordered to "permit discovery against CMS to avoid the creation of a selective and biased record consisting of 'new evidence' that is within CMS' sole and exclusive control." Id.

The Secretary has 14 days within which to respond to the motion. See def. response to pls. motion to decide (doc. no. 50); def. individual statement, doc. no. 46 at 3.

Before the Secretary responds -- and because remand was required by factual deficiencies in the record as to both parties' positions -- it is appropriate for the agency to explain its views on the important questions presented here. "'[A] court is not to substitute its judgment for that of the agency' in an APA challenge." NVE Inc. v. Dep't of Health & Human Servs., 436 F.3d 182, 190 (3d Cir. 2006) (quoting Motor Vehicle Mfrs. Ass'n of the United States, Inc. v. State Farm Mut. Auto. Ins. Co., 463 U.S. 29, 43 (1983)). "Only one provision of the APA permits a reviewing court to look beyond the administrative record," 5 U.S.C. § 706(2)(F). Id. at 189. As our Court of Appeals explained: "A court of appeals [or a district court] is generally not empowered to conduct a de novo inquiry into the matter being reviewed and to reach its own conclusions based on such an inquiry." INS v. Ventura, 537 U.S. 12, 16 . . . (2002) (per curiam) (citations and internal quotation marks omitted). "Rather, the proper course, except in rare circumstances, is to remand to the agency for additional investigation or explanation." Id. . . . .

Gallimore v. Attorney General of U.S., 619 F.3d 216, 229 (3d Cir. 2010).

BY THE COURT: /s/ Edmund V. Ludwig Edmund V. Ludwig, J.

Buy This Entire Record For $7.95

Official citation and/or docket number and footnotes (if any) for this case available with purchase.

Learn more about what you receive with purchase of this case.