Case ID: ad3d_124/html/0963-01.html
Source: Caselaw Access Project
Author: {"author": "Lynch, J.", "license": "Public Domain", "url": "https://static.case.law/"}
Date Created: 2024-08-24T03:29:51.129683

In the Matter of County of Chemung, Respondent, v Nirav R. Shah, as Commissioner of Health, et al., Appellants.
    [1 NYS3d 475]—
   Lynch, J.

Appeal from a judgment of the Supreme Court (O’Shea, J.), entered November 21, 2013 in Chemung County, which granted petitioner’s application, in a combined proceeding pursuant to CPLR article 78 and action for declaratory judgment, to, among other things, annul a determination of respondents’ denying petitioner’s claims for certain Medicaid reimbursements.

Petitioner commenced this combined CPLR article 78 proceeding and declaratory judgment action seeking, in part, to annul a determination of respondent Department of Health (hereinafter DOH) denying its May 2013 claim for reimbursement of pre2006 overburden expenditures pursuant to Social Services Law § 368-a. Supreme Court, among other things, granted the petition to annul DOH’s determination and compelled respondents to reimburse petitioner for the pending claims, as well as all remaining overburden reimbursements that may still be due pursuant to Social Services Law § 368-a (1). Respondents appeal.

At issue is the constitutionality of the April 1, 2012 amendment to the so-called Medicaid Cap Statute (see L 2005, ch. 58, § 1, part C, § 1), which purported to immediately bar any further claims of counties for reimbursement of overburden expenses (see L 2012, ch 56, § 1, part D, § 61) (hereinafter the 2012 amendment). On November 26, 2014, this Court decided, in Matter of County of St. Lawrence v Shah (124 AD3d 88 [2014]), that the 2012 amendment was not unconstitutional, and we established a six-month grace period from the date of the decision authorizing “any social services district to file a claim for reimbursement of any pre-2006 overburden expenditures, with the 2012 amendment barring as untimely any claims submitted thereafter” (id. at *3). We also determined that “Supreme Court did not err in directing DOH to identify, verify and pay the total unpaid overburden expenditures that petitioner incurred prior to 2006” (id.)

Applied here, these principles confirm that Supreme Court properly granted petitioner’s application, except insofar as the court declared the 2012 amendment unconstitutional. We also note that, as in Matter of County of St. Lawrence v Shah (supra), respondents’ challenge to petitioner’s capacity to bring this claim was waived by respondents’ failure to raise capacity as a defense in their answer or a pre-answer motion to dismiss (id. at *2).

Peters, EJ., Rose and Egan Jr., JJ., concur.

Ordered that the judgment is modified, on the law, without costs, by reversing so much thereof as declared L 2012, ch 56, § 1, part D, § 61 to be unconstitutional; it is declared that L 2012, ch 56, § 1, part D, § 61 is constitutional with a grace period of six months commencing November 26, 2014; and, as so modified, affirmed. 
      
       At oral argument counsel acknowledged that this matter involves the same issue presented in Matter of County of St. Lawrence v Shah (supra).