Court Opinion

ID: 4154632
Source: CourtListenerOpinion
Date Created: 2017-03-22 15:07:28.802668+00
Date Added: 2024-06-11T09:20:54.535362
License: Public Domain

IN THE COURT OF APPEALS OF IOWA

                                   No. 16-1049
                              Filed March 22, 2017

LOIS NOLL and LEONARD NOLL,
      Petitioners-Appellees,

vs.

IOWA DEPARTMENT OF HUMAN SERVICES,
     Respondent-Appellant.
________________________________________________________________

      Appeal from the Iowa District Court for Van Buren County, Joel D. Yates,

Judge.

      The Iowa Department of Human Services appeals the denial of its motion

to dismiss. REVERSED AND REMANDED.

      Thomas J. Miller, Attorney General, and Daniel W. Hart, Assistant

Attorney General, for appellant.

      Curtis R. Dial of Law Office of Curtis Dial, Keokuk, for appellee.

      Considered by Danilson, C.J., and Vogel and Vaitheswaran, JJ.
                                          2

VAITHESWARAN, Judge.

       The Iowa Department of Human Services appeals the denial of its motion

to dismiss a judicial review petition for failure to exhaust administrative remedies.

I.     Background Facts and Proceedings

       The department denied Leonard Noll medical assistance after concluding

resources attributable to him exceeded regulatory limits.        Noll filed an intra-

agency appeal, which was considered by an administrative law judge. The ALJ

issued a proposed decision affirming the attribution of certain resources to Noll

and the denial of medical assistance. See Iowa Admin. Code § 441-7.16(3)(17A)

(2016) (“Following the reception of evidence, the presiding officer shall issue a

proposed decision, consisting of the issues of the appeal, the decision, the

findings of fact and conclusions of law.”). Noll did not seek administrative review

of the proposed decision as permitted by department rules.           See id. § 441-

7.16(4)(a)(17A) (“The appellant . . . may appeal for the director’s review of the

proposed decision.”). The department notified Noll that, in the absence of a

timely request for review of the proposed decision, the proposed decision

became final. See id. § 441-7.16(4)(b)(17A) (noting if “the appellant . . . has not

appealed the proposed decision . . . the proposed decision shall become the final

decision”).

       Noll filed a petition for judicial review. The department moved to dismiss

the petition for failure to exhaust administrative remedies.      The district court

denied the motion. The department sought and obtained interlocutory review of

the ruling.
                                           3

II.    Exhaustion of Administrative Remedies

       The Iowa Administrative Procedure Act states, “A person or party who has

exhausted all adequate administrative remedies . . . is entitled to judicial review.”

Iowa Code § 17A.19(1) (2015). To decide whether the exhaustion requirement

applies, we must determine if an administrative remedy exists for the claimed

wrong and if a statute expressly or implicitly requires that remedy to be

exhausted before resort to the courts. Keokuk Cty. v. H.B., 593 N.W.2d 118, 123

(Iowa 1999).    If exhaustion is required, the failure to exhaust administrative

remedies deprives a court of authority to hear a case. See Ghost Player, LLC v.

State, 860 N.W.2d 323, 326 (Iowa 2015).

       Iowa Code chapter 249A, titled Medical Assistance, vests the department

with authority to determine eligibility.   See Iowa Code §§ 249A.2(1) (defining

department); 249A.4(1) (requiring director of department to determine “the

broadest range of eligible individuals to whom assistance may effectively be

provided”); 249A.3 (prescribing eligibility rules).    The statute authorizes the

department to “[a]dopt rules pursuant to chapter 17A [the Iowa Administrative

Procedure Act] in determining the method and the level of reimbursement for all

medical and health services.” Id. § 249A.4(9). The statute also requires the

department to “provide an opportunity for a fair hearing before the department of

inspections and appeals to an individual whose claim for medical assistance

under this chapter is denied.” Id. § 249A.4(11). According to the statute, the

proposed decision “is subject to review by the department of human services.”

Id.   Judicial review is permitted “in accordance with chapter 17A.”              Id.
                                         4

§ 249A.4(15). We conclude chapter 249A requires exhaustion of administrative

remedies prior to seeking judicial review.

       In a last-ditch attempt to save the court’s ruling, Noll asserts exhaustion

was not required because “the administrative remedy was inadequate and/or its

pursuit would have been fruitless.” This argument implicates the futility doctrine,

which is “concerned with the adequacy of the remedy, not the perceived

predisposition of the decision maker.” H.B., 593 N.W.2d at 125. Because Noll’s

argument is premised on the perceived predisposition of the decision maker, the

futility exception is inapplicable.

       Noll failed to exhaust his administrative remedies, thereby depriving the

district court of authority to hear the case. We reverse and remand for dismissal

of the petition.

       REVERSED AND REMANDED.