Document ID: ./input/supremecourt_opinions/opinions/boundvolumes/529bv.pdf
Page Number: 76

529US1

Unit: $U32

[10-04-01 09:20:53] PAGES PGT: OPIN

CASES ADJUDGED

IN THE

SUPREME COURT OF THE UNITED STATES

AT

OCTOBER TERM, 1999

SHALALA, SECRETARY OF HEALTH AND HUMAN
SERVICES, et al. v. ILLINOIS COUNCIL ON
LONG TERM CARE, INC.

certiorari to the united states court of appeals for
the seventh circuit

No. 98–1109. Argued November 8, 1999—Decided February 29, 2000

Under the Medicare Act’s special review provisions, a nursing home that
is “dissatisﬁed . . . with a determination described in subsection (b)(2)”
is “entitled to a hearing . . . to the same extent as is provided in” the
Social Security Act, 42 U. S. C. § 405(b), “and to judicial review of the
Secretary’s ﬁnal decision after such hearing as is provided in section
405(g) . . . .”
42 U. S. C. § 1395cc(h)(1) (emphasis added). The cross-
referenced subsection (b)(2) gives petitioner Secretary of Health and
Human Services (HHS) power to terminate a provider agreement with
a home where, for example, she determines that a home has failed to
comply substantially with the statute and the regulations. The cross-
referenced § 405(b) describes the administrative hearing to which a
“dissatisﬁed” home is entitled, and the cross-referenced § 405(g) pro-
vides that the home may obtain federal district court review of the Sec-
retary’s “ﬁnal decision . . . made after a hearing . . . .” Section 405(h),
a provision of the Social Security Act incorporated into the Medicare
. . to recover
Act by 42 U. S. C. § 1395ii, provides that “[n]o action .
on any claim arising under” the Medicare laws shall be “brought under
[28 U. S. C. § ]1331.”
if not all, Medicare claims
through this special review system. Respondent, the Illinois Coun-
cil on Long Term Care, Inc. (Council), an association of nursing homes,

It channels most,

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