File Name: 09a0186n.06

Filed: March 9, 2009

NOT RECOMMENDED FOR FULL-TEXT PUBLICATION

No. 07-6163

UNITED STATES COURT OF APPEALS

FOR THE SIXTH CIRCUIT

LAKERSKO BROWN; KATIE BLACKBURN;

MATTHEW MCGOWAN; SHALYN KIKER, as

class representatives; DISABILITY LAW AND

ADVOCACY CENTER OF TENNESSEE,

Plaintiffs-Appellees,

v.

TENNESSEE DEPARTMENT OF FINANCE

AND ADMINISTRATION; M. D. GOETZ, JR., in

his official capacity as Commissioner of the

Department of Finance and Administration, 

Defendants-Appellants.

ON APPEAL FROM THE

UNITED STATES DISTRICT

COURT FOR THE MIDDLE

DISTRICT OF TENNESSEE

/

Before: MARTIN, ROGERS, and SUTTON, Circuit Judges.

BOYCE F. MARTIN, JR., Circuit Judge. The Tennessee Department of Finance appeals

the district court’s denial of its motion to vacate a settlement between the parties in a suit for

Medicaid benefits. Tennessee argues that the agreed order approving the settlement should be

treated as a consent decree and vacated under Federal Rule of Civil Procedure 60(b)(5) because an

intervening decision of this Court, Westside Mothers v. Olszewski, 454 F.3d 532 (6th Cir. 2006)

(“Westside Mothers II”), eliminated the legal basis for the settlement and thus made it inequitable
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Page 2

 Medicaid is a federal “grant-in-aid” program that helps states pay for health services for 1

the needy. Grant-in-aid programs are contractual in nature—that is, states that accept federal

Medicaid funding must develop a state Medicaid plan that complies with the terms and conditions

upon which the federal funds were offered. State plans must include certain services, and may

include others if the state chooses, but the services offered must meet the requirements of the

Medicaid Act unless a waiver of certain requirements is approved by the Federal Center for Medicaid

Services in the Department of Health and Human Services (CMS) under 42 U.S.C. § 1396n. The

provisions at issue in this case arise within the “home and community-based services” waiver.

Enrollment in this waiver program is capped at the number of slots proposed by the state and

approved byCMS. 42 C.F.R. § 441.303(f)(6); see generally State Medicaid Directors Letter No. 01-

006 (Jan. 10, 2001), available at http://www.cms.hhs.gov/smdl/downloads/smd011001a.pdf.

to enforce prospectively. We REVERSE in part and REMAND for further proceedings consistent

with this opinion.

I.

This appeal stems from the settlement of a § 1983 suit brought by a class of mentally disabled

Tennessee residents. In the underlying suit, the class members alleged they were eligible for services

under the Medicaid Act either in an Intermediate Care Facility for the Mentally Retarded (ICF/MR)

or in a host or group home through Tennessee’s “home and community based services” Medicaid

waiver program (HCBS), but had been denied the opportunity to apply for waiver services, had

1

their applications denied, or had been determined to be eligible for services but were put on a waiting

list. In so doing, the plaintiffs argued that Tennessee violated Medicaid law in five ways: (1) by

failing to provide medical assistance in “adequate amount, duration, and scope” in violation of 42

U.S.C. § 1396a(a)(10); (2) by failing to provide eligible defendants a choice between ICF/MR and

HBCS waiver services in violation of 42 U.S.C. § 1396n(c)(2); (3) by failing to inform eligible

individuals of the application process with reasonable promptness in violation of 42 U.S.C. §

1396a(a)(8); (4) by failing to serve individuals with reasonable promptness in violation of 42 U.S.C.
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§ 1396a(a)(8); and (5) by failing to provide written notices and an opportunity to be heard when

services are denied in violation of 42 U.S.C. § 1396a(a)(3) and the due process clause of the

Fourteenth Amendment.

Following the district court’s denial of cross-motions for summary judgment, the parties

negotiated a settlement that was later approved by the district court in an agreed order it issued June

15, 2004. Under this settlement, Tennessee agreed that it would overhaul its administrative system,

expand funding and programs for the mentallydisabled, and develop program infrastructure with the

goal of increasing program enrollment and substantially reducing or eliminating the waiting list for

waiver services. J.A. 103. The agreement prescribed Tennessee’s objectives for the first two years

of the agreement, and provided that its goals for years three through five would be negotiated within

two years. J.A. 106-07, 112-13. The agreement would then expire at the end of the fifth year, on

December 31, 2009. J.A. 121

After the initial two year period, the parties disagreed as to whether Tennessee had met the

goals set for the first two years and they were unable to reach an agreement as to goals for years three

through five. The magistrate judge supervising the case thus declared an impasse and referred the

matter back to the district court (as provided in the settlement). Tennessee then moved to vacate the

agreed order approving the settlement and dismiss the suit based upon an intervening Sixth Circuit

decision, Westside Mothers v. Olszewski, 454 F.3d 532 (6th Cir. 2006) (“Westside Mothers II”). In

Westside Mothers II, this Court rejected a suit alleging that Michigan had violated the Medicaid Act

by failing to ensure the provision of diagnostic services to eligible children because Medicaid is a

reimbursement scheme, not a scheme for state-provided medical services. 454 F.3d at 539-41; cf.
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42 U.S.C. § 1396d(a) (“The term ‘medical assistance’ means payment of part or all of the cost of

[covered] care and services.”) . In its motion, Tennessee argued that the settlement was intended to

remedy its alleged noncompliance with the Medicaid statute by failing to ensure eligible individuals

had access to waiver services, but that Westside Mothers II had since established that no such duty

exists. This, Tennessee argued, constituted a change in circumstances that entitled it to relief from

prospective enforcement of the agreement under the Supreme Court’s decision in Rufo v. Inmates

of Suffolk County Jail, 502 U.S. 367 (1992), which held that it is inequitable under Rule 60(b)(5) to

enforce a consent decree when the violation it intends to remedy has ceased to be illegal due to a

change in law. See J.A. at 049, 052-053. The district court denied this motion, and Tennessee now

appeals.

II.

A.

Medicaid requires participating states to provide “medical assistance” to eligible individuals,

42 U.S.C. § 1396a(a), and that it be provided with “reasonable promptness.” 42 U.S.C. §

1396a(a)(8). But what “medical assistance” means in this context has been the subject of

disagreement in the federal courts. The district courts that initially addressed this issue took the view

that “medical assistance” means “medical services,” and held that states had a duty to ensure that

eligible individuals received medical services with “reasonable promptness.” See, e.g., Sobky v.

Smoley, 855 F. Supp. 1123, 1147 (E.D. Cal. 1994) (“§ 1396a(a)(8) requires ‘Medical assistance

under the plan’ to be furnished with reasonable promptness, and this can only mean medical

services.”).
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The initial courts of appeals to address this issue followed suit without much discussion. See

Doe v. Chiles, 136 F.3d 709, 715 n.13 (11th Cir. 1998) (following Sobky); Bryson v. Shumway, 308

F.3d 79, 89 (1st Cir. 2002) (following Doe). But in Bruggeman v. Blagojevich, 324 F.3d 906 (7th

Cir. 2003), the Seventh Circuit offered an alternative interpretation. Observing that “medical

assistance” is defined in the statute as “financial assistance,” Judge Posner suggested that the state

has no duty to ensure that individuals receive services, but only to provide reimbursement for their

costs. Id. at 910. This distinction, he noted, “was missed in Bryson v. Shumway and Doe v. Chiles.”

Id. 

In Westside Mothers II, this Court followed Judge Posner’s dicta in Bruggeman and rejected

a suit by a class of Medicaid-eligible children who argued that Michigan was violating federal law

by failing to provide or arrange for the provision of certain screening, diagnostic, and treatment

services. 454 F.3d at 540. Observing that the Medicaid Act defined “medical assistance” as

“payment of part or all of the cost of . . . care and services,” 42 U.S.C. § 1396d(a), we concluded:

“The most reasonable interpretation of § 1396a(a)(8) is that all eligible individuals should have the

opportunity to apply for medical assistance, i.e., financial assistance, and that such medical

assistance, i.e. financial assistance, shall be provided to the individual with reasonable promptness.”

Id. at 540. Thus, we held that plaintiffs had failed to state a claim under either section 1396a(a)(8)

because they sought to compel the state to arrange for the provision of such services or provide them

itself. Id.

Most recently, in Mandy R. v. Owens, 464 F.3d 1139 (10th Cir. 2006), the Tenth Circuit

applied our reasoning in Westside Mothers II to a suit brought by a class of eligible individuals
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Brown v. Tennessee Department of Finance

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seeking services under a Home and Community-Based Services waiver program (the same program

as here). Explaining that “medical assistance” is defined as “financial assistance,” the Mandy R.

court held that the state’s duty was limited to “pay[ing] promptly and evenhandedly for medical

services when presented with the bill.” Id. at 1143. Thus, the class members failed to state a claim

because they were on a waiting list for services, not payment. Id. at 1143.

We believe that the Tenth Circuit’s application of Westside Mothers II in Mandy R.

accurately states the law of our circuit on a state’s obligations to provide “medical assistance” under

the Medicaid statute and applies with equal force to this case: absent more, a waiting list for waiver

services does not violate federal law because the state’s duty is to pay for services, not ensure they

are provided.

B.

Federal Rule of Civil Procedure 60(b)(5) authorizes a court to grant relief from final

judgment if “applying it prospectively is no longer equitable.” Whether prospective enforcement

is no longer equitable under Rule 60(b)(5) is a fact-intensive inquiry within the broad equitable

powers of a district court. Accordingly, we review a district court’s denial of a motion for relief

from judgment under Federal Rule of Civil Procedure 60(b)(5) for abuse of discretion. Ford Motor

Co. v. Mustangs Unlimited, Inc., 487 F.3d 465, 468 (6th Cir. 2007). Under this standard, we defer

to the district court’s ringside view of the proceedings, including its understanding of the underlying

complaint and the meaning and purpose of the settlement, and we will affirm absent “a definite and

firm conviction that the trial court committed a clear error of judgment.” Davis v. Jellico Cmty.

Hosp. Inc., 912 F.2d 129, 132-33 (6th Cir. 1990) (citations omitted). 
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In Rufo v. Inmates of Suffolk County Jail, 502 U.S. 367 (1992), the Supreme Court explained

that under Rule 60(b)(5), “A party seeking modification of a consent decree may meet its initial

burden by showing a significant change either in factual conditions or in law,” id. at 384, and that

consequently, “modification of a consent decree may be warranted when the statutory or decisional

law has changed to make legal what the decree is designed to prevent.” Id. at 388; see also Agostini

v. Felton 521 U.S. 203, 238 (1997) (“It is true that the trial court has discretion, but the exercise of

discretion cannot be permitted to stand if we find it rests upon a legal principle that can no longer

be sustained.”). The Rufo rule flows from the insight that a consent decree designed to remedy

violations of federal law is not a private contract; it is a judicial decree enforcing rights created by

federal law through means agreed upon by the parties. So if a change in law eliminates the rights

and duties the consent decree is designed to enforce, then it should not be enforced simply because

the parties agreed to it. See Biodiversity v. Cables, 357 F.3d 1152, 1169-70 (10th Cir. 2004).

The district court in this case misapplied Rufo, as it denied Tennessee’s motion on the

grounds that its obligations under the settlement were contractual and thus unaffected by Westside

Mothers II: 

In settling the underlying litigation, Defendants willingly accepted a contractual duty

to ensure the provision of medical services to persons on the DMRS waiting list to

help accomplish the parties’ “overriding common interest” in “assuring that

Tennessee’s citizens with mental retardation are provided reasonable opportunities

to grow and develop, exercise independence, and lead full and productive lives in a

safe environment.” Neither Rufo, Sweeton, Westside Mothers II, nor Mandy R.

requires the Court to relieve the defendants ofthe solemn obligations they voluntarily

assumed under the Agreement. 
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The district court retained jurisdiction over the settlement agreement “for all purposes” and 2

it is thus the functional equivalent of a consent decree. See Vanguards of Cleveland v. Cleveland,

23 F.3d 1013, 1018 (6th Cir. 1994) (observing that an agreed order “places the prestige of the court

behind the agreement reached by the parties” and that the prospective provisions of such operate as

an injunction). 

J.A. at 055-056. As explained above, the fact that Tennessee settled this case is beside the point.

What matters under Rufo is not that Tennessee agreed to take the actions specified in the settlement,

but what those actions were intended to remedy: ifthe settlement was premised on the understanding

that the Medicaid statute imposed upon Tennessee a duty to ensure the provision of medical services,

then Rufo counsels that we vacate the agreed order because Westside Mothers II established that no

such duty exists. So the remaining question is whether Tennessee has carried its burden of proof.

2

C.

There can be little doubt that Westside Mothers II represents an important change in law.

Prior to Westside Mothers II, it was an open question in our circuit whether a state’s duty to provide

“medical assistance” required it to ensure that all eligible individuals received services, and the

weight of authority in other circuits favored such an interpretation. After Westside Mothers II and

Mandy R., it is clear that no such duty exists. But, even acknowledging the significance of this

change in law, we are not convinced that the dramatic relief Tennessee seeks—for us to vacate the

settlement in its entirety—is appropriate at this juncture. 

First, the parties characterize the underlying litigation and goals of the settlement in very

different ways, and it is not clear from the sparse record whether Westside Mothers II completely

undermined the settlement. Tennessee argues that the settlement was intended to eliminate its

waiting list for Medicaid services based upon a perceived statutory duty to ensure that services were
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provided to all eligible individuals. Plaintiffs, however, disavow this characterization of the

underlying litigation. Instead, they contend that they were seeking information about the waiver

program, access to it, and enrollment in available slots (at least up to the statutory cap) so that they

could obtain Medicaid funds. 

The record does not conclusively show which party’s description of the underlying litigation

is correct. Plaintiffs’ complaint is pleaded generally and could plausibly be read to support either

theory. We have no record of the settlement discussions between the parties or their pre-settlement

arguments to the district court. The district court’s initial order was brief and denied summary

judgment on all five of plaintiffs’ claims. And Tennessee’s duties under the settlement agreement

are not clearly intended to remedy one theory but not the other. As a result, we cannot say with

certainty that Westside Mothers II had the effect Tennessee contends or warrants the relief it requests.

In our view, it is difficult to determine whether this consent decree was undermined to a degree

sufficient to justify relief when the basis and meaning of the decree are not clear and the district court

has yet to interpret it. As a result, we hesitate to vacate the decree in its entirety at this stage. If

plaintiffs’ account of the underlying litigation is as revisionist as Tennessee claims, then Tennessee

is entitled to full relief from prospective enforcement. But the district court will have to address this

matter on remand.

Second, the settlement is about to expire—its five year term runs out at the end of this year,

and Tennessee’s duties under it will then cease. So, given that only part of the settlement is in clear

conflict with Westside Mothers II, and that Tennessee’s obligations will soon end, we do not believe

that equity necessarily requires that we vacate the decree in its entirety now. 
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 Tennessee argues in the alternative that we should vacate the settlement based upon its own 3

terms, but the basis for this appeal is the district court’s denial of Tennessee’s motion to vacate the

agreed order under Rule 60(b)(5), so Tennessee is not “defend[ing] an[] action for

noncompliance”and this provision does not apply here. 

Third, Tennessee may be able to obtain relief from enforcement of the settlement during its

final nine months even if we do not fully grant it here. Tennessee has two safety valves available

to it under the settlement itself. First, the agreement provides that Tennessee’s duty to enroll

additional individuals into the waiver program is conditioned on both the availability of a waiver slot

and funding for that slot. J.A. 109. Second, and more significantly, section IX.B.5.d of the

settlement agreement provides that if the parties return to court to litigate claims of non-compliance,

“[a]fter two years following the approval of this Agreement, defendants may defend any action for

non-compliance on the grounds that defendants are in compliance with the federal laws that are the

basis of the underlying action which is the subject of this Agreement.” J.A. at 117-18. Tennessee 3

is currently defending a pending enforcement action on this very ground. If the district court accepts

Tennessee’s view of the case on remand, Tennessee will avoid all of its obligations under the

settlement anyway. Because the district court has yet to rule on this motion or otherwise interpret

the provisions of the settlement, we feel it is premature to vacate the settlement in its entirety at this

time. 

These things considered, we do not believe the district court abused its discretion in refusing

to vacate the settlement in its entirety. But it did misapply Rufo, and it did abuse its discretion in

refusing to modify the agreement at all. At this time, we will modify the decree in two ways. First,

we vacate Tennessee’s commitment to develop “provider network capacity,” J.A. 112, which does
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 We acknowledge that enrollment in the waiver program is capped at the number of slots 4

proposed by the state and approved by CMS, and we do not take the plaintiffs to contend that

Tennessee has a unlimited duty to enroll eligible individuals in its HCBS waiver. To the extent that

is plaintiffs’ position, we reject it now. We express no opinion as to whether Tennessee has a duty

to enroll eligible individuals up to the waiver-enrollment cap or whether such a duty was

contemplated by the settlement agreement at issue in this case.

not appear to remedy any violation of federal law after Westside Mothers II. Second, any

commitment Tennessee arguably made to eliminate the waiting list for services is likewise

unenforceable after Westside Mothers II. Absent more, a waiting list for waiver services is not

inconsistent with Tennesee’s duty to provide “medical assistance” to individuals eligible for its

HCBS waiver with “reasonable promptness.”4

On remand, the district court should consider the agreed order in light of its knowledge of

the history of this case and our discussion of Westside Mothers II and Mandy R. to determine

whether and to what extent the settlement should be enforced during its final nine months of

existence. 

IV.

For the foregoing reasons, we REVERSE in part and REMAND for further proceedings.