Petition for Writ of Certiorari — Mark P. Donaldson, Petitioner v. Michigan Department of Health and Human Services, et al.
Supreme Court briefOct 16, 2018
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HLED
CC I
2018
OFFICE OF THE CLERK
SUPREME COURT U.S.
No.
L
IN THE
SUPREME COURT OF THE UNITED STATES
MARK P. DONALDSON,
PETITIONER,
vs.
DEPARTMENT OF HEALTH AND HUMAN SERVICES, et al.
RESPONDENTS.
ON PETITION FOR A WRIT OF CERTIORARI TO
MICIIIGAN SUPREME COURT
PETITION FOR WRIT OF CERTIORARI
Mark P. DonaldsOn
103 Deerwood Court
Roscommon, MI 48653
Phone: (616) 401-9859
QUESTIONS PRESENTED
The State of Michigan voluntarily choose to participate in Medicaid then MDHRS must
comply with requirements of Title XIX and all applicable regulations as set forth in Alexander v.
Choate, 469 U.S. 287, 105 S. Ct. 712, 83 L. Ed. 2d 661 (199 5) in which MDHHS is solely
responsible for the administration of CMS agreements involving Medicaid programs including
hearings and said hearings are required to be operated in compliance with federal law, see Frew v.
Hawkins, 540 U.S. 431, 433 (2004). Under the Supremacy Clause of the U. S. Constitution,
state agencies, including MDI-IHS and MARS, continuing violations and their subsequent actions
that violate federal laws and associated federal regulations are invalid, see Shaw v. Delta Air
Lines, 463 U.S. 85, 96 n.14 (1983).
Whether Mr. Donaldson's procedural due process rights afforded him under
Medicaid including 45 C.F.R. 155.530 (a), (b)(1) (3) have been violated by the state agencies.
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Whether federal regulations 45 C.F.R. 155.530 (a), (b)(1) (3) published over five
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years ago preempt state agencies rules and actions which violate 45 C.F.R. 155.530 (a), (b)(1)
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(3) involving Medicaid recipients including Mr. Donaldson fundamental hearing rights.
LIST OF PARTIES
[X]
All parties do not appear in the caption of the case on the cover page. A list of all parties
to the proceeding in the court whose judgment is the subject of this petition is as follows:
Mark P. Donaldson Petitioner
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Michigan Department of Health and Human Services
and
McLaren Health Care Corporation Respondents
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11
TABLE OF CONTENTS
TABLE OF AUTHORITIES CITED
.
1
PETITION AND OPINIONS BELOW......................................................................................3
JURISDICTION........................................................................................................................3
CONSTITUTIONAL AND STATUTORY PROVISIONS INVOLVED ..................................4
STATEMENT OF THE CASE .................................................................................................4
INTRODUCTION ........................................................................................................4
FACTS ......................................................................................................................... 5
STATUTORY AND REGULATORY BACKGROUND SUPREMACY ...................6
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STATUTORY AND REGULATORY BACKGROUND DUE PROCESS .................9
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STATUTORY AND REGULATORY BACKGROUND HEARING RULES ............12
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REASONS FOR GRANTING THE WRIT ..............................................................................14
CONCLUSION.......................................................................................................................14
INDEX TO APPENDICES
APPENDIX A Michigan Supreme Court Order .....................................................................15
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APPENDIX B Michigan Court of Appeals Order ..................................................................16
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APPENDIX C Michigan Supreme Court Rehearing Order ....................................................17
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APPENDIX D MAHS Administrative Hearing Rules, Part 1: GENERAL .............................18
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APPENDIX E MAHS Administrative Hearing Rules, Part 10: DEPARTMENT OF .............19
HUMAN SERVICES & DEPARTMENT OF COMMUNITY
HEALTH SUBPART A. PUBLIC BENEFITS
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APPENDIX F MAHS Administrative Hearing Rules, Part 10 Rule 792.11005 ......................20
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APPENDIX G Hearing Request, MAHS Docket 14-015779 .................................................21
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111
TABLE OF AUTHORITIES CITED
PAGE#
CASES
Adama v. Doehier-Jarvis, Division of N L Industries, Inc., 115 Mich. App. 82, 86,
320 N.W.2d 298 (1982)
7
Alexander v. Choate, 469 U.S. 287, 105 S. Ct. 712, 83 L. Ed. 2d 661 (1985)
5
Conn. Dept of Soc. Servs. v. Leavitt, 428 F.3d 138, 141 (2d Cir. 2005)
9
Dalton v. Little Rock Family Planning Services, 516 U.S. 474, 476 (1996)
Duprey v. Huron & Eastern R Co, Inc., 237 Mich. App. 665, 604 N.W.2d 702
8
Florida Lime & Avocado Growers, Inc v. Paul, 373 U.S. 132, 142; 83 S. Ct. 1210,
[1217]; 10 L.Ed.2d 248 (1963)
7
Frew v. Hawkins, 540 U.S. 431, 433 (2004)
5, 9
Goldberg v. Kelly, 3 97 US 254, 27 1; 90 S Ct 10 11; 25 L Ed 2d 287 (1970)
10,11
Harris v. McRae, 448 U.S. 297, *813 301, 100 S. Ct. 2671,
65 L. Ed. 2d 784 (1980)
5
Moffitt, 600 F. Supp. at 298-99
10
Packowski v. United Food & Commercial Workers Local 951, 289 Mich. App.
132, 139, 796 N.W.2d 94 (2010)
6
Perry v. Chen, 985 F. Supp. 1197, 1203 (D.Ariz. 1996)
10
Ryan v. Brunswick Corp., 454 Mich. 20, 27-28, 557 N.W.2d 541 (1997)
7
Shaw v. Delta Air Lines, 463 U.S. 85,96 n.14 (1983)
5,9
Wilder v. Va. Hosp. Ass'n, 496 U.S. 498, 502 (1990)
4
STATUTES
42 U.S.C. § 1396a(a)(3)
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9
9,11
42 U.S.C. § 1396a(a)(5)
1
4,9
42 U.S.C. § 1396c
CODE OF FEDERAL REGULATIONS
42 C.F.R. § 430.0
9
42 C.F.R. § 431.10(e)
10
42 C.F.R. § 431.205
4,10
42 C.F.R. § 435.903
4, 10
45 C.F.R. 155.530 (a), (b)(1) -(3)
4, 6, 8
9, 10
MAIlS ADMINISTRATIVE BEARING RULES
R792.10101 (2)
4,5,7
R792.11001 (2)
4,5,7
R792.11005
4,8,
11
2
IN THE
SUPREME COURT OF THE UNITED STATES
PETITION FOR WRIT OF CERTIORARI
Petitioner respectfully prays that a writ of certiorari issue to review the judgment below.
OPINIONS BELOW
[X] For cases from state courts:
The opinion of the highest state court to review the merits appears at Appendix A
to the petition and is
[ ] reported at; or,
[ ] has been designated for publication but is not yet reported; or,
[X] is unpublished.
The opinion of the court appears at Appendix B to the petition and is
[ ] reported at; or,
[ ] has been designated for publication but is not yet reported; or,
[X] is unpublished.
JURISDICTION
[X] For cases from state courts:
The date on which the highest state court decided my case was April 3, 2018
and a copy of that decision appears at Appendix A.
[X] A timely petition for rehearing was thereafter denied on the following date of
July 27, 2018 and a copy of the order denying rehearing appears at Appendix C.
The jurisdiction of this Court is invoked under 28 U. S. C. § 1257(a).
3
CONSTITUTIONAL AND STATUTORY PROVISIONS INVOLVED
The Eleventh Amendment, Supremacy Clause of the United States Constitution.
The existence and application of federal preemption involving U.S. HHS, CMS,
MDHHS, and MAHS.
The Fourteenth Amendment, Procedural Due Process Clause of the United States
Constitution.
Relevant provisions involving 42 U.S.C. § 1396a and 42 U.S.C. § 1396c.
Relevant provisions involving 42 C.F.R. § 430, 42 C.F.R. § 431.10, 42 C.F.R. §
431.205, 42 C.F.R. § 435.903, and/or 45 C.F.R. § 155.530 (a), (b)(1) -(3).
Relevant provisions involving MAHS Mich Admin Code rules R 792.11005, R
792.10101 (2), and/or R 792.11001 (2).
STATEMENT OF THE CASE
A. INTRODUCTION
This appeal involves four (4) Michigan Department of Health and Human Services,
(MDHHS), administrative cases which were timely appealed to the Roscommon circuit court in
which all four cases were consolidated by the circuit court, even though Mr. Donaldson contested
the consolidation and one case involved a federal health care determination, see Appendix G.
Medicaid is a cooperative federal-state program through which the Federal Government
provides financial assistance to States so that they may furnish medical care to needy individuals,
see Wilder v. Va. Hosp. Ass'n, 496 U.S. 498, 502 (1990). MDHHS is the single state agency
responsible for administering Medicaid including signing agreements with CMS in which Medicaid
fair hearings are delegated by MDHHS to the Michigan Administrative, Hearing System, (MAHS).
4
More importantly, MDHHS is solely responsible for the administration of CMS agreements
involving Medicaid programs including hearings in which MDHHS including MAHS are required
to be operated in compliance with federal law, see Frew v. Hawkins, 540 U.S. 431, 433 (2004)
and Dalton v. Little Rock Family Planning Services, 516 U.S. 474, 476 (1996) in which MDHHS
and MAHS have been and are still violating their already agreed to CMS agreements involving
federal directives and regulations concerning MDHHS & MAHS Medicaid hearing administration.
Under the Supremacy Clause of the U. S. Constitution, MDHHS and MAHS continuing
violations and subsequent actions that violate federal laws and associated federal regulations are
invalid, see Shaw v. Delta Air Lines, 463 U.S. 85, 96 n. 14 (1983). Once the State of Michigan
voluntarily choose to participate in Medicaid, MDHHS must comply with requirements of Title
XIX and all applicable regulations as set forth in Alexander v. Choate, 469 U.S. 287, 105 S. Ct.
712, 83 L. Ed. 2d 661 (1985), citing Harris v. McRae, 448 U.S. 297, *813 301, 100 .S. Ct. 2671,
65 L. Ed. 2d 784 (1980). Also, MDHHS has now for over five (5) years repeatedly stated in their
already agreed to numerous agreements including State Plans with the federal govt. including
CMS that MAHS' hearing rules are in compliance with federal statutes and regulations.
B. FACTS
One (1) of Mr. Donaldson's four (4) appealed and consolidated MDHHS
cases, MAHS Docket # 14-015779, concerns Mr. Donaldson's hearing request that involves only
a Marketplace, federal health care determination, see Appendix G.
The Michigan Attorney General's response statements to the lower court
are erroneous and/or contrary to the intent of Congress involving the federal preemption analysis
and MAHS rules R 792.10101 (2) and R 792.11001(2).
5
The Michigan Attorney General's response statements to the lower court
did not contest that MDHHS and MAHS Mich Admin Code Rule R 792.11015 is contrary to
and/or violates federal regulations 45 CFR 155.530 (b)(1) (3).
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The MDHHS, (formerly Michigan Department of Community Health,
MDCH), and MAHS have known about these issues for years and has not requested any form of
a waiver from U.S. H.H.S and CMS that would adjust and/or exclude compliance with applicable
federal regulations involving Medicaid hearings including 45 C.F.R. 155.530 (b)( 1) (3).
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Numerous federal rules including 45 C.F.R. 155.530 (a), (b)(1) (3) were
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commented on, promulgated, and published on 8/30/2013.
The State of Michigan combined and promulgated the administrative
hearing rules for numerous departments in which Parts 1 and 10, (see Appendix D, E, and F), are
applicable to the MDHHS hearings and the new hearing rules became effective of January 15,
2015 which is over 16 months after the federal rules including 45 C.F.R. 155.530 (a), (b)(1) (3)
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were published on 8/30/2013.
C.
STATUTORY AND REGULATORY BACKGROUND SUPREMACY
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This is a constitutional, supremacy issue which can be raised at any time,
1.
can be heard and ruled upon by the Court. The Attorney General's arguments when it comes to
the required preemption analysis are erroneous and they also do not contest that MDHHS and
MAHS Mich Admin Code rule R 792.110 15 is contrary to and/or violates federal regulations 45
CFR 155.530 (b)( 1) (3). More significantly, is the denial of hearing rights and impact on all
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Medicaid recipients in Michigan since MDHHS and MAHS are already well aware that MAHS
Rule R 792.11015 has been violating federal regulations 45 CFR 155.530 (b)( 1) (3) now for
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rel
over five (5) years which has been in affect in 78 FR 54136 since 8/30/2013.
The Supremacy Clause of the United States Constitution gives Congress the authority to
preempt state laws, see 85 Packowski v. United Food & Commercial Workers Local 951, 289
Mich. App. 132, 139, 796 N.W.2d 94 (2010); US Const. art. VI, cl. 2. "There are three types of
federal preemption: express preemption, conflict preemption, and field preemption." *293
Packowski, 289 Mich. App. at 140, 796 N.W.2d 94. Pursuant to the supremacy clause of the
Federal Constitution, federal preemption exists in this case since compliance with both federal and
state regulations is not possible and Medicaid hearing rights is a subject matter requiring federal
supremacy and uniformity, see Adama v. Doehier-Jarvis, Division of N L industries, Inc., 115
Mich. App. 82, 86, 320 N.W.2d 298 (1982). The Supreme Court held in Florida Lime &
Avocado Growers, Inc v. Paul, 373 U.S. 132, 142; 83 S.Ct. 1210, [1217]; 10 L.Ed.2d 248
(1963), held that it is irrelevant to preemption analysis whether MDHHS and MAHS rules are
similar to or different from the federal regulation's objectives which also includes the Assistant
Attorney General Ms. Heyse' s own briefs response statements to this Court. Instead, the
preemption analysis must turn on Congress' intent to pre-empt MDHHS and MAHS rules, (as
Congress has intended to do so in this case involving the applicable federal regulations), when it
comes to Medicaid fair hearings which must include the nature of the associated and applicable
federal Medicaid regulations. Furthermore, when it comes to this Supremacy clause issue,
MDHHS and MAHS are not given any form of a discretionary option(s) or choice(s) and instead
MDHHS and MAHS must comply with federal regulations involving Medicaid hearings in which
MDHHS and MAHS have already and repeatedly agreed to do so in their written and signed
agreements with CMS that MAHS Rules which pertain to Medicaid administrative hearings do
7
comply with federal regulations instead of violating federal regulations. Also, even MAHS own
Rules 792.10101(2) and/or R 792.11001(2) specifically refer to the requirements and applicable
federal regulations thus they must comply with federal regulations involving Medicaid hearings.
When it comes to the Supremacy Clause, U.S. Const., art. VI, cl. 2 in this case federal laws take
precedence over state laws by express preemption, conflict preemption, or field preemption, see
Ryan v. Brunswick Corp., 454 Mich. 20, 27-28, 557 N.W.2d 541 (1997) and preemption occurs
only under certain conditions: (1) when a federal statute contains a clear preemption provision;
(2) when there is outright or actual conflict between federal and state law; (3) where compliance
with both federal and state law is in effect physically impossible; (4) where there is implicit in
federal law a barrier to state regulation; (5) where Congress has legislated comprehensively, thus
occupying an entire field of regulation and leaving no room for the states to supplement federal
law; or (6) where the state law stands as an obstacle to the accomplishment and execution of the
full objectives of Congress, see Duprey v. Huron & Eastern R Co, Inc., 237 Mich. App. 665, 604
N.W.2d 702.
2.
When it comes to the Supremacy Clause in this case, not only is there an
outright and actual conflict between federal regulations 45 CFR 155.530 (b)(2) and 45 CFR
155.530 (b)(3) and the MAHS Mich Admin Code rule R 792.11005 but moreover, MAHS Mich
Admin Code rule R 792.11005 stands as a clear obstacle to the accomplishment and execution of
the full objectives of federal regulations 45 CFR 155.530 (b)(2) and 45 CFR 155.530 (b)(3).
More importantly, compliance with federal regulations 45 CFR 155.530 (b)(2) and 45 CFR
155.530 (b)(3) by MAHS Mich Admin Code rule R 792.11005 is physically impossible since the
MAHS Mich Admin Code rule R 792.11005 removed and/or excluded the very specific and
required phrases from both federal regulations 45 CFR 155.530 (b)(2) and 45 CFR 155.530 (b)(3)
which protects Mr. Donaldson and all other Medicaid hearing applicants in the dismissal process.
In doing so, MAHS Rule R 792.11005 has for over five (5) years and is still now clearly
preempting 45 CFR 155.530 (b) and in particular (b)(2) and/or (b)(3). In doing so MAHS Mich
Admin Code Rule R 792.11005 is void under the Supremacy Clause, U.S. Const., art. VI, ci. 2 as
set forth in" Duprey v. Huron & Eastern R Co, Inc., 237 Mich.App. 665, 604 N.W.2d 702.
Furthermore, the MAHS ALJ Armstrong's actual dismissal Order of Aug. 21, 2015 violated of 45
CFR 155.530 (b)(2) by not providing the required information in MAHS dismissal notice: "An
explanation of the dismissal's effect on the appellant's eligibility" and violated 45 CFR 155.530
(b)(3) by not providing the required information in MAHS dismissal notice: "An explanation of
how the appellant may show good cause why the dismissal should be vacated in accordance with
paragraph (d) of this section." thus under the Supremacy Clause of the U. S. Constitution, state
actions including MAHS actions in this case which violate federal law are invalid, see See Shaw v.
Delta Air Lines, 463 U.S. 85, 96 n.14 (1983).
D.
STATUTORY AND REGULATORY BACKGROUND DUE PROCESS
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1.
The states are responsible for the administration of Medicaid are required
to operate them in compliance with federal law, see Frew v. Hawkins, 540 U.S. 431, 433 (2004)
and Dalton v. Little Rock Family Planning Services, 516 U.S. 474, 476 (1996). The State of
Michigan participates in Medicaid and must grant "an opportunity for a fair hearing before the
State agency to any individual whose claim for medical assistance under the plan is denied or is
not acted upon with reasonable promptness.", see 42 U.S.C. § 13 96a(a)(3). The federal and state
governments share the cost of Medicaid, but each state government administers its own Medicaid
ce
plan, see Conn. Dep't of Soc. Servs. v. Leavitt, 428 F.3d 138, 141 (2d Cir.2005). The State of
Michigan Medicaid plans must comply with applicable federal law and regulations, see 42 U.S. C,
§ 1396c; 42 C.F.R. § 430.0 in which the State of Michigan must designate a single State agency.
MDHHS, to administer or to supervise the administration of the state's Medicaid plan, see 42
U.S.C. § 1396a(a)(5). The MDHHS has signed numerous agreements with federal agencies that
delegate the performance of certain responsibilities of all administrative hearings to the Michigan
Administrative Hearing System, MAHS, pursuant to 42 C.F.R. § 431.10(e). MDHHS must have
methods to keep itself currently informed of the adherence of delegated responsibilities including
MAHS as already agreed to State Plan's provisions and more importantly MDHHS must take
corrective actions involving MAHS to ensure their adherence to federal regulations, see 42 C.F.R.
§ 435.903, which MDHHS has continued to and still fails to do so now for over five (5) years.
More importantly, even though MAHS makes administrative determinations and issues final
decisions, the MDHHS is responsible for and must ensure that MAHS actions including MAHS'
actions and rules are in compliance with federal law and regulations, see 42 C.F.R. § 431.205.
2.
The Medicaid Act requires MDHHS including MAHS to adopt a hearing
system and rules that satisfies due process standards established by Goldberg v. Kelly 397 US
254, 271; 90 5 Ct 1011; 25 L Ed 2d 287 (1970) and additional standards established by the
regulations, see Perry v. Chen, 985 F. Supp. 1197, 1203 (D.Ariz. 1996), Moffitt, 600 F. Supp. at
298-99. Federal regulations 45 C.F.R. 155.530 (a) and (b) have been violated by MDHHS and
MAHS which went into affect over five (5) years ago in 78 FR 54136 on 8/30/2013 and state:
45 CFR 155.530 Dismissals.
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(a) Dismissal of appeal. The appeals entity must dismiss an appeal if the appellant
10
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(1) Withdraws the appeal request in writing or by telephone, if the appeals entity is
capable of accepting telephonic withdrawals.
(I) Accepting telephonic withdrawals means the appeals entity
Records in full the appellant's statement and telephonic signature made under penalty
of perjury;
and
Provides a written confirmation to the appellant documenting the telephonic
interaction.
(ii) [Reserved]
(2) Fails to appear at a scheduled hearing without good cause;
(3) Fails to submit a valid appeal request as specified in §155.520(a)(4); or
(4) Dies while the appeal is pending, except if the executor, administrator, or other duly
authorized representative of the estate requests to continue the appeal.
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(b) Notice of dismissal to the appellant. If an appeal is dismissed under paragraph (a) of
this section, the appeals entity must provide timely written notice to the appellant,
including
The reason for dismissal;
An explanation of the dismissal's effect on the appellant's eligibility; and
An explanation of how the appellant may show good cause why the dismissal should
be vacated in accordance with paragraph (d) of this section.
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The MAHS ALJ Armstrong on Aug. 21, 2015 entered an "Order of Dismissal" stating "The
Appellant, having failed to appear to appear and participate. IT IS HEREBY ORDERED: The
hearing in this matter is DISMISSED" pursuant to MAHS rule R 792.11005 which states:
R 792.11005 Denial or dismissal of request for hearing.
Rule 1005. (1) The hearing system shall deny Or dismiss the request for a hearing under
any of the following:
A request is withdrawn by a claimant, counsel, or petitioner, or a claimant's authorized
representative in writing prior to the signing of the final decision and order.
The issue is one of state or federal law, requiring automatic grant adjustments for
classes of recipients.
A claimant abandons the hearing.
The administrative law judge has no jurisdiction over the matter.
An issue is not appealable as authorized by R 400.903.
(2) Abandonment occurs if a claimant, without good cause, fails to appear by himself or
herself, or by his or her authorized representative at the scheduled hearing or
obstructs the hearing process such that the administrative law judge is unable to
11
make a clear and accurate record of the proceedings or otherwise conduct the
hearing.
The MDHHS has repeatedly for over five years now has failed to administer or to supervise the
administration of the state's Medicaid plan as required under 42 U.S. C. § 1396a(a)(5) in which
Medicaid recipients including Mr. Donaldson's procedural due process rights have been violated
by MDHHS and MAHS by failing to adopt a hearing system including specific published rules
that satisfies due process standards established by Goldberg v. Kelly 397 US 254, 271; 90 S Ct
1011; 25 L Ed 2d 287 (1970) and the Medicaid Act.
E.
STATUTORY AND REGULATORY BACKGROUND HEARING RULES
-
The importance and significance of federal rules being published cannot be
overemphasized including 45 C.F.R. 155.530 (a), (b)( 1) (3) which were commented on,
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promulgated, and published back on August 30, 2013. Several published federal rules have a
direct impact on Mr. Donaldson and all Medicaid recipients constitutional rights of due process
when it comes to administrative hearings which are missing from the administrative hearing rules.
Almost as important and significant of the federal rules being published is
the lack of 45 C.F.R. 155.530 (a), (b)(1) (3) in the promulgated administrative hearing rules that
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are applicable in this case and to the MDHHS, (formerly MDCH), in which Parts 1 and 10, (see
Appendix D, E, and F), in which new hearing rules became effective of 1/15/20 15 which is over
16 months after the federal rules 45 C.F.R. 155.530 (a), (b)(1) (3) were published on 8/30/2013.
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The MDHHS had the authority to withdraw the promulgated rule MAHS
R . 792.11005 so that it did not become effective by transmitting a written request to either the
Secretary of State or the Secretary of State and the Office of Regulatory Reform which MDHHS
12
refused to do and chose to keep arul. e that knowingly violated 45 C.F.R. 155.530 (a), (b)(1) (3).
-
The MDHHS had the authority to cite the federal regulation 45 C.F.R.
155.530 (a), (b)(l) (3) and/or incorporate the language from 45 C.F.R. 155.530 (a), (b)(1) (3)
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-
and instead chose the language of R 792.11005 which violated 45 C.F.R. 155.530 (a), (b)(1) -(3).
The State of Michigan promulgated and published their new administrative
hearing rules which excluded numerous published federal rules including 45 C.F.R. 155.530 (a),
(b)( 1) (3). The specific rule promulgation processes are under the Michigan APA and includes
-
other state agencies. More importantly, the MDHHS is bound by several agreements with the
federal government even before and after Aug. 30, 2013 that the Michigan administrative hearing
rules comply with federal rules involving Medicaid so the, federal government is not required to
petition and/or write to MDHHS or any state agency to have the published federal rules complied
with in the administrative hearing rules. Furthermore, MDHHS was required to review, work
with, and communicate with other state agencies involving Part 10, (Appendix E and F), during
the rules promulgation process well before the new administrative hearing rules were published
and instead MDHHS failed to withdraw the erroneous rules and/or did not inform the appropriate
agencies of the federal rules which MDHHS and the promulgated rules must be in complied with.
The federal rules were published in Aug. 30, 2013 and the Michigan administrative rules
were published over eighteen months later in which after now 5 years there is now no prospect
that the violations including but not just limited to 45 C.F.R. 155.530 (a), (b)(1) (3) will be
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resolved without this Court's intervention. Also, the issues are ripe for the Court's review and
this Court is now the only and the ideal vehicle for resolving the federal and state issues as set
forth in the questions presented in this appeal that have been timely filed with this Court.
13
REASONS FOR GRANTING THE PETITION
L
State agencies actions violated Mark P. Donaldson fundamental hearing rights.
H.
This Court's intervention is required to restore uniformity involving the
interpretation, compliance, and application of the Code of Federal Regulations by state agencies.
M.
This case presents a recurring question of exceptional importance warranting this
Court's immediate resolution that involves published federal regulations are not being accepted
and incorporated by state agencies involving Medicaid recipients fundamental hearing rights.
There is no prospect that the continuing violations, ongoing now for over five
years, by state agencies will be addressed and resolved without this Court's intervention.
The questions presented are ripe for the Court's review and this Court is now the
only and the ideal vehicle for resolving the federal and state issues concerning federal preemption
involving fundamental published Medicaid hearing rights.
The issues are ripe for the Court's review and this Court is now the only and the
ideal vehicle for resolving the federal and state issue concerning published federal rules which the
state agency knowingly refused to seek and have incorporated the fundamental federal hearing
rules involving Medicaid and the Marketplace into the applicable administrative hearing rules.
CONCLUSION
The petition for certiorari should be granted.
---
Respectfully submitted,
Date: Oct. 16, 2018
Mark P. Donal son
14
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