The
case I was assigned to follow was Douglas v. California Pharmacists
Association. The state of California has been making cuts to the Medicaid
reimbursements and the recipients and providers of Medicaid want to fight
against these cuts the state is making. However, this case is not about the
arguments against the state, but whether or not these people can even make
arguments in the first place. The main constitutional issue in this case
surrounds the Supremacy Clause, along with
Ex
Parte Young. The Supremacy Clause essentially establishes the Constitution,
Federal Statutes, and U.S. treaties as “the supreme law of the land.” So, the
states judges must follow laws included in these areas even in state laws
conflict with them. If the states don’t follow these laws, then, under
Ex Parte Young, the state can be sued.
Medicaid and the right of the people to have access to this is clearly stated
under the Social Security Act, so the people believe that it is well in the
laws of the country for the state of California and its officials to be sued
for making cuts that make it harder for some families to get access to the care
they need. However, some members of the Supreme Court feel that a new look
should be taken at how open the courts should be to claims that states are
violating federal law.
California spends more than $41
billion a year on the Medicaid Program (Medi-Cal), and it takes up
approximately 13% of the state’s budget. However, California Legislature
approved reimbursements cuts in 2008 and 2009 because of the worsening
financial crisis. These cuts were between 1% and 10%. So, if looked at under
the Supremacy Clause, these reimbursements violated the requirements of the
Medicaid law of 1965 that state payments remain “consistent with efficiency,
economy and quality of care” and overall sufficient for medical professionals.
So, hospitals, unions, and organizations sued.
When the case of whether or not
the state can even be sued in the first place reached the Supreme Court on
October 3rd, 2011, Justice Stephen G. Breyer argued that if hundreds
and hundreds of lawsuits come into the Court saying that the states are not
following federal law, then the federal agencies responsible for enforcing
these laws will be too overwhelmed with cases to do their “business.” He was
quoted as saying, “It’s a mass, in other words.” This is why the Court wants to
take a new look at this process of lawsuits because they believe that there
will be simply too many to handle. The lawyer for California Medicaid patients
and care providers, Carter G. Phillips, argued that he was not fighting for
this kind of expansion of litigation, however. He pushed that his intention was
to only make sure that people had the right to fight to make sure that federal
supremacy is maintained and their “life or death” benefits were safe. He also
made the pint that federal courts have been hearing and deciding these cases
for generations. However, the Court found merit in what Deputy Solicitor
General Edwin S. Kneedler was saying about Medicaid being different since it
was a joint enterprise managed by administrative agencies, not the courts. He
also argued that he was only trying to make an exception in litigation.
The Supreme Court is not expected
to make a ruling until spring of 2012 on this case and the other related cases
that were also argued. However, based off of the feeling the court gave
(expressed through what I read), there seems to be a good chance that the court
may rule against the Medicaid patients and care-givers. They seem to be in favor
of making this exception in litigation for this case, which would leave them to
depend on federal officials who can only shut off federal funds entirely in
this case. I kind of see this as making sense. In this time of economic turmoil
and also accessibility of law to citizens, the Courts may just see countless
cases like this throughout the United States. By allowed the citizens to sue,
the floor will be opened to who knows how many other cases. The courts want to
save as much time and energy as possible and keep the system from overflowing.
So, while it is in their rights to sue the state for violating federal laws, an
exception might just be made by the Supreme Court.