Averett et al v. United States Department of Health And Human Services et al

MOTION for Summary Judgment

M.D. Tenn.May 19, 2017

IN THE UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF TENNESSEE ANDREW AVERETT, M.D.; ROBERT ) BARKER, M.D.; RICKEY CARSON, M.D.; ) CLAREY DOWLING, M.D.; ARNOLD ) HOPLAND, M.D.; RENEE JONES, M.D.; ) HAILU KABTIMER, M.D.; ABHAY ) KEMKAR, M.D.; JONATHAN KERLEY, ) M.O.; JACK KING, JR. , M.D.; CHARLES ) LEONARD, M.D.; SCOTT MAY, M.D.; ) JOSEPH RUPARD, M.D.; DANIEL ) SCOTT, III, M.D.; HAK SEO, M.D.; NAZIA ) SHEHZAD, M.D.; WILLIAM TERRELL, ) M.D.; CLINTON WEBB, M.D.; JERALD ) WHITE, M.D.; THERESA WOODARD, ) M.D.; and MONICA WRIGHT, M.D., ) ) Plaintiffs, ) ) v. ) Case No. 3:16-cv-02815 ) JUDGE LEITMAN UNITED STATES DEPARTMENT OF ) MAGISTRATE JUDGE HOLMES HEALTH AND HUMAN SERVICES; ) BRIAN DEESE, Secretary of the United ) States Department of Health and Human ) Services; CENTERS FOR MEDICARE AND ) MEDICAID SERVICES; and ANDY ) SLAVITT, Administrator of the Centers for ) Medicare and Medicaid Services, ) ) Defendants. ) ______________________________________________________________________________ PLAINTIFFS’ MOTION FOR SUMMARY JUDGMENT ______________________________________________________________________________ Pursuant to Rule 56 of the Federal Rules of Civil Procedure, Plaintiffs Andrew Averett, M.D.; Robert Barker, M.D.; Rickey Carson, M.D.; Clarey Dowling, M.D.; Arnold Hopland, M.D.; Renee Jones, M.D.; Hailu Kabtimer, M.D.; Abhay Kemkar, M.D.; Jonathan Kerley, M.O.; Jack King, Jr. , M.D.; Charles Leonard, M.D.; Scott May, M.D.; Joseph Rupard, M.D.; Daniel Scott, III, M.D.; Hak Seo, M.D.; Nazia Shehzad, M.D.; William Terrell, M.D.; Clinton Webb, Case 3:16-cv-02815 Document 22 Filed 05/19/17 Page 1 of 3 PageID #: 1113 2 M.D.; Jerald White, M.D.; Theresa Woodard, M.D.; and Monica Wright, M.D. (collectively, “Plaintiffs”) respectfully move for summary judgment. For all the reasons set forth in the accompanying Memorandum in Support of Plaintiffs’ Motion for Summary Judgment filed concurrently herewith, the regulation issued by the Centers for Medicare and Medicaid Services (“CMS”) and codified at 42 C.F.R. § 447.400 (the “Final Rule”) is contrary to 42 U.S.C. § 1396a(a)(13)(C) and invalid under the Administrative Procedures Act (the “APA”), 5 U.S.C. § 706, and Chevron U.S.A., Inc. v. Natural Resources Defense Council, Inc., 467 U.S. 837 (1984). Plaintiffs request that the Court hold that the Final Rule is invalid on one or both of the following grounds: (1) the sixty-percent-threshold requirement fails steps one and two of the Chevron analysis; and (2) the Final Rule’s reliance on billed codes to calculate the sixty-percent- threshold requirement fails step two of the Chevron analysis. Consequently, Plaintiffs seek an order and judgment declaring that payments they received under 42 U.S.C. § 1396a(a)(13)(C) cannot be recouped based on this invalid regulations. DATED this 19th day of May, 2017. Respectfully submitted, /s/ David A. King David A. King (BPR# 11559) Brittain W. Sexton (BPR# 27525) Alison K. Grippo (BPR# 29601) BASS, BERRY & SIMS PLC 150 Third Avenue South, Suite 2800 Nashville, TN 37201 (615) 742-6200 (615) 742-2842 (facsimile) Attorneys for Plaintiffs Case 3:16-cv-02815 Document 22 Filed 05/19/17 Page 2 of 3 PageID #: 1114 3 CERTIFICATE OF SERVICE I hereby certify that on this the 19th day of May, 2017, a copy of the foregoing was filed electronically. Notice of this filing will be sent by operation of the Court’s electronic filing system to the following parties indicated on the electronic filing receipt: Andrew Marshall Bernie Department of Justice-Civil Division, Fed. Programs Branch 20 Massachusetts Avenue NW Washington, DC 20037 Email: andrew.m.bernie@usdoj.gov Parties may access this filing through the Court’s electronic filing system. s/ Brittain W. Sexton Brittain W. Sexton Case 3:16-cv-02815 Document 22 Filed 05/19/17 Page 3 of 3 PageID #: 1115