IVAN L.R. LEMELLE, District Judge.
Before the Court is Defendant Kathy Kliebert's Rule 12(b)(6) Motion to Dismiss (Rec. Doc. No. 15) and Motion for Sanctions (Rec. Doc. No. 16). For the reasons enumerated below,
Plaintiffs, James Boyle and Janis Boyle individually and on behalf of their minor child "D.B.", brought the instant suit against Kathy Kliebert in her official capacity as the Secretary of the Louisiana Department of Health and Hospitals (DHH)
As part of the Waiver Program, Plaintiffs utilized an agency approved support coordination services provider to develop a comprehensive plan of care (CPOC) for D.B. D.B.'s CPOC included intensive physical therapy at the Pediatric Fitness Center (PFC) in Michigan. D.B. received treatment at the PFC on several occasions while she was enrolled in Medicaid and the Waiver Program. After each occasion that D.B. received treatment, Plaintiffs requested payments be made using funds allocated to her through the Waiver Program. The Office for Citizens with Developmental Disabilities (OCDD), a state agency, denied each of the requests at various points in 2008 and 2009.
In 2010, Plaintiffs allege that DHH and OCDD officials advised Plaintiffs that Medicaid, rather than CC, was the primary payor for D.B.'s treatments. Subsequently, on September 3, 2010, Plaintiffs submitted a claim to the state agency responsible for administering Medicaid. Plaintiffs did not receive a response. They submitted a second claim on February 3, 2012. Plaintiffs allege that they have yet to receive a response to either claim.
Plaintiffs originally filed suit against various state defendants for failure to reimburse Medicaid and CC benefits in 2011. That suit, captioned CA 11-3192, was dismissed without prejudice by this Court by order of May 29, 2012 on prescription grounds. The Court found that, based on Plaintiffs' Complaint, "because Plaintiffs' funding requests were denied in 2008 and 2009, the prescription period began accruing at that time and had run" by the time suit was filed. CA 11-3192, (Rec. Doc. No. 28 at 7). The Court did not separately consider Plaintiffs' additional argument that they had submitted further claims to the state agency responsible for administering Medicaid, because Plaintiffs' filings gave no indication that these claims were submitted later than 2009. As the Court noted in dismissing the claim without prejudice, "[t]o the extent that Defendants alleged conduct constituted malfeasance in violation of federal law, Plaintiffs must plead such with enough specificity to determine that these acts, at a minimum, took place within the prescriptive period." (Id. at 9).
Rather than filing a motion to set aside or a motion to vacate the Court's prior decision under Rule 59 or Rule 60
Plaintiffs seek declaratory and injunctive relief to enjoin Defendant from continued implementation of invalid regulations and policies. Plaintiffs also seek incidental money damages and penalties for (1) Defendant's failure to process Plaintiffs' Medicaid claims, and (2) Defendant's failure to implement D.B.'s plan of care. Additionally, Plaintiffs seek attorneys' fees and costs.
Defendant's Motion to Dismiss is based on two separate defenses. Defendant argues: (1) Plaintiffs fail to state a claim because an official capacity suit against a state official cannot proceed under 42 U.S.C. § 1983; and (2) Plaintiffs' claims are prescribed. The Court reviews each defense in turn.
Whether a state officer may be sued in their official capacity under 42 U.S.C. § 1983 depends on what relief is being sought by the plaintiff. An official capacity suit may proceed where the plaintiff is seeking only prospective injunctive relief, but must be dismissed where the plaintiff is seeking money damages. Am. Bank & Trust Co. of Opelousas v. Dent, 982 F.2d 917, 921 (5th Cir. 1993); Horton v. Mississippi State Senate, 68 F.3d 468 (5th Cir. 1995); see also Edelman v. Jordan, 415 U.S. 651, 678 (1974) (holding the Eleventh Amendment bars suit for the retroactive payment of government benefits).
Here, Plaintiffs' only remaining claims are against Kliebert in her official capacity under 42 U.S.C. § 1983. Plaintiffs seek both injunctive and monetary relief. Pursuant to the cases cited above, Plaintiffs' claims for monetary relief must be dismissed, while their claims for injunctive relief may proceed. See Blanchard v. Forrest, 1994 WL 495857 at *1-2 (E.D. La. Sept. 6, 1994) (denying motion to dismiss plaintiffs' § 1983 official capacity suit for violations of the Medicaid Act wherein injunctive relief was sought).
Plaintiffs cite in their Opposition a number of cases to establish that they have stated a valid cause of action for all of their claims to relief. However, none of the cases cited deal with immunity issues, but instead discuss only whether a party has a private right of action to enforce Medicaid provisions under § 1983. Indeed, in the lone Fifth Circuit case cited by Plaintiffs, the only cause of action alleged was for injunctive relief. See S.D. ex rel. Dickson v. Hood, 391 F.3d 581, 585 (5th Cir. 2004) (plaintiff brought action "seeking injunctive and declaratory relief").
Accordingly, the Court finds that Plaintiffs' claims for monetary relief must be dismissed, and now moves to a consideration of whether Plaintiffs' claims for declaratory relief survive prescription.
Although § 1983 does not contain a federal statute of limitations, courts reviewing § 1983 claims apply the forum state's personal injury limitations period. Moore v. McDonald, 30 F.3d 616, 620 (5th Cir. 1994). In Louisiana, that period (known as prescription) is one year. La. Civ. Code art. 3492; Jacobsen v. Osborne, 133 F.3d 315, 319 (5th Cir. 1998). However, federal law is used to determine when the claim arises. Jacobsen at 319. Under federal law, a claim arises "when the plaintiff knows or has reason to know of the injury which is the basis of the action" Jackson v. Johnson, 950 F.2d 263, 265 (5th Cir. 1992) (internal citation omitted) and has information sufficient to "file suit and obtain relief." Walker v. Epps, 550 F.3d 407, 414 (5th Cir. 2008). The standard is the same where only prospective relief is sought. Id.
Defendant argues that the Court already decided that Plaintiffs' claims are prescribed in its May 29, 2012 Order in CA 11-3192. The Court disagrees. That Order dismissed without prejudice Plaintiffs' claims for four CC Waiver Program "funding requests [] denied in 2008 and 2009," as well as Plaintiffs' claims that the named Defendants in that action had engaged in an unlawful pattern or practice and continuing violation of federal law. CA 11-3192, (Rec. Doc. No. 28 at 7). Here, Plaintiffs raise as new matters the two Medicaid claims they subsequently made to the state in 2010 and 2012, which have gone unanswered. Although the 2010 request to Medicaid was mentioned in the Court's prior Order, it was not addressed by its reasoning — which was limited to the finding that Plaintiffs had "`reason to know'" they had a cognizable injury, at the latest, a year after the 2009 request was denied. Id. (quoting Jackson at 265). The matter now before the Court — i.e., when Plaintiffs had reason to know of their injury for claims which they never received a response — is a different matter.
In order to determine when Plaintiffs had reason to know they had been injured, the Court turns to the statutes governing state Medicaid procedure. State plans administering Medicaid are required to adhere to certain time requirements contained in 42 C.F.R. § 447.45. Most relevant to this proceeding, the state Medicaid agency must pay claims within "12 months of the date of receipt." Id. at (d)(4).
Plaintiffs submitted their first Medicaid claim on September 3, 2010 for payment. The state agency was therefore required respond no later than September 3, 2011. When they did not respond, Plaintiffs were on notice on that date that they had been injured by the lack of state action. Jackson at 265; see also St. Amant v. Benoit, 806 F.2d 1294, 1298 (5th Cir. 1987) (recognizing that government silence combined with previous denials of similar requests should lead a plaintiff to reasonably infer that they have been injured, thus commencing the applicable limitation period). Plaintiffs had one year from that date to file suit — by September 3, 2012. The instant case was filed on November 11, 2013 — outside the time period for filing a claim. The claim is therefore prescribed.
The fact that Plaintiffs submitted a further Medicaid request in February of 2012 does not extend the prescription date. A plaintiff may not extend the limitation period under federal statutes by repeating the same claim to the state agency after already being placed on notice that their rights have been violated. See Odaiyappa v. Bd. of Sup'rs of Louisiana State Univ., 933 F.Supp. 575, 577 (E.D. La. 1996)(holding that civil rights plaintiff may not "extend the limitation periods indefinitely simply by `filing a series of appeals and fresh requests'") (quoting Lever v. Nw. Univ., 979 F.2d 552, 555 (7th Cir. 1992); Cf. Delaware State Coll. v. Ricks, 449 U.S. 250, 261 n.15 (1980) ("Mere requests to reconsider [] cannot extend the limitations periods applicable to the civil rights laws."). Further, to the extent Plaintiffs argue a single continuing violation has persisted over several years, their claims fair no better: a plaintiff "may not employ the continuing violation theory to resurrect claims about discrimination concluded in the past, even though its effects persist." Berry v. Bd. of Sup'rs of L.S.U., 715 F.2d 971, 979 (5th Cir. 1983) (internal citation omitted). Moreover, Plaintiffs offer no exception for extending the limitation period. Bourdais v. New Orleans City, 485 F.3d 294, 298 (5th Cir. 2007) ("Once it is established that the statutory limitations period has run, the plaintiffs have the burden to prove that some exception to prescription applies."). Accordingly, the claims must be dismissed.
Because the Court determines that Plaintiffs' cause of action here is distinct from that which was previously alleged, the Court finds no cause to impose sanctions for improper filing of the instant suit, nor does the Court find the suit was filed solely for the purpose of harassing Defendant. Sanctions are therefore inappropriate, and denied.
Accordingly, and for the reasons enumerated above,