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Cha Rate Cut State Oppo

Cha Rate Cut State Oppo

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Published by: cjewett6601 on Jan 04, 2012
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12345678910111213141516171819202122232425262728
AMALA
D.
 
H
ARRIS
 Attorney General of CaliforniaJ
ENNIFER 
M.
 
IM
(State Bar No. 178364)L
ESLIE
P.
 
M
C
E
LROY
 
ICHARD
T.
 
W
ALDOW
 Supervising Deputy Attorneys GeneralJ
ONATHAN
E.
 
ICH
 C
HARA
L.
 
C
RANE
 Deputy Attorneys General300 South Spring Street, Suite 1702Los Angeles, CA 90013Telephone: (213) 897-2443Fax: (213) 897-2805E-mail: Jennifer.Kim@doj.ca.gov
 Attorneys for Defendant Toby Douglas, Director of Calif. Dept. of HealthCare Services
 IN THE UNITED STATES DISTRICT COURTFOR THE CENTRAL DISTRICT OF CALIFORNIAWESTERN DIVISION
CALIFORNIA HOSPITALASSOCIATION; G.G., an individual;A.G., an individual; I.F., anindividual; R.E., an individual; A.W.,an individual; DOES 1-5,
Plaintiffs,
v.TOBY DOUGLAS, Director of theCalifornia Department of HealthCare Services; KATHLEENSEBELIUS, Secretary of the UnitedStates Department of Health andHuman Services,
Defendant.CV-11-09078 CAS (MANx)
DIRECTOR DOUGLAS’SOPPOSITION TO PLAINTIFFS’MOTION FOR PRELIMINARYINJUNCTION
Date: December 19, 2011Time: 10:00 a.m.Courtrm: 5Judge The Honorable Christina A.Snyder 
[Filed concurrently with:Declaration of Tim Matsumoto; Request for Judicial Notice; and [Proposed] Order 
 
Case 2:11-cv-09078-CAS-MAN Document 45 Filed 12/05/11 Page 1 of 37 Page ID #:1613
 
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TABLE OF CONTENTSPage
i
INTRODUCTION ..................................................................................................... 1I. PLAINTIFFS
 
LACK 
 
STANDING
 
TO
 
ASSERT
 
THE
 
ALLEGED
 
CAUSES
 
OF
 
ACTION ...................................................... 2A. T
HE PLAINTIFFS LACK ARTICLE III STANDING
............................... 21. Plaintiffs Have Not Alleged an “Actual andImminent” Injury. ............................................................. 22. Plaintiffs’ Claims Are Not Ripe for Adjudication. .......... 3B. P
LAINTIFFS LACK PRUDENTIAL STANDING
. .................................. 3C. C
HA CANNOT ESTABLISH ASSOCIATIONAL STANDING
. ................. 41. CHA Does Not Have Associational Standing onBehalf of Hospitals. .......................................................... 42. CHA Does Not Have Associational Standing onBehalf of Beneficiaries. .................................................... 5II. PLAINTIFFS HAVE NO LIKELIHOOD OF SUCCESS ONTHEIR UNLAWFUL TAKING CAUSES OF ACTION .................... 6A. F
EDERAL AND STATE CONSTITUTIONS REQUIRE APROTECTED PROPERTY INTEREST IN ORDER TO STATE AVALID TAKINGS CLAIM
................................................................. 7B. C
HA FAILED TO ESTABLISH A PROTECTED PROPERTYINTEREST BECAUSE HOSPITALS VOLUNTARILY PARTICIPATEIN THE MEDI
-
CAL PROGRAM
. ........................................................ 7III. PLAINTIFFS CANNOT DEMONSTRATE LIKELIHOOD OFSUCCESS ON THE MERITS OF THEIR § (A)(8) CLAIM ............. 10IV. PLAINTIFFS HAVE NO LIKELIHOOD OF SUCCESS ONTHE MERITS OF THEIR § (A)(19) CLAIM .................................... 13A. S
ECTION
(
A
)(19)
IS NOT PRIVATELY ENFORCEABLE UNDER 
§
 
1983. ......................................................................................... 14B. S
ECTION
(
A
)(19)
HAS NOTHING TO DO WITHREIMBURSEMENT RATES
. ............................................................ 14C. S
ECTION
(
A
)(19)
DOES NOT PREEMPT AB
97. .............................. 15V. PLAINTIFFS ARE NOT LIKELY TO SUCCEED ON THEMERITS BECAUSE AB 97 IS NOT PREEMPTED BYSECTION (30)(A) ............................................................................... 18A. P
LAINTIFFS CANNOT JUDICIALLY ENFORCE
§
 
30(
A
)
 BECAUSE CONGRESS HAS NOT PROVIDED FOR A PRIVATERIGHT OF ACTION
. ...................................................................... 18B. C
MS APPROVED AB
97
AND FOUND THAT
§
 
30(
A
)
DOES NOTREQUIRE A COST STUDY
.............................................................. 18C. P
LAINTIFFS CANNOT DEMONSTRATE THAT AB
97
VIOLATES
§
 
30(
A
)’
S ACCESS AND QUALITY OF CARE PROVISIONS
. .............. 21
Case 2:11-cv-09078-CAS-MAN Document 45 Filed 12/05/11 Page 2 of 37 Page ID #:1614
 
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TABLE OF CONTENTS(continued)Page
ii
VI. PLAINTIFFS CANNOT DEMONSTRATE LIKELIHOOD OFSUCCESS ON THE STATE LAW MANDATE REQUESTBECAUSE IT IS BARRED BY THE ELEVENTHAMENDMENT ................................................................................... 22VII. PLAINTIFFS CANNOT DEMONSTRATE LIKELIHOOD OFSUCCESS ON THE CLAIM FOR DECLARATORY RELIEF ....... 23VIII. PLAINTIFFS FAILED TO ESTABLISH IRREPARABLEHARM ................................................................................................. 23A. I
 NJURY TO PROVIDERS IS NOT A PROPER BASIS FOR INJUNCTIVE RELIEF
..................................................................... 23B. P
LAINTIFFS HAVE NOT SHOWN IMMEDIATE IRREPARABLEHARM TO MEDI
-
CAL BENEFICIARIES
........................................... 24C. E
VEN IF THE COURT CONSIDERS PLAINTIFFS
CLAIMS OFHARM
,
CMS
S APPROVAL OF THE STATE
S PLAN ISCONTROLLING IN THE STATE
S FAVOR 
........................................ 24IX. THE BALANCE OF HARDSHIPS AND PUBLIC INTERESTFAVOR CONTINUED IMPLEMENTATION OF AB 97 ................ 25CONCLUSION ........................................................................................................ 26
Case 2:11-cv-09078-CAS-MAN Document 45 Filed 12/05/11 Page 3 of 37 Page ID #:1615

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