JOHN E. JONES III, District Judge.
This is a class action, asserted by Franklin Benjamin
Presently before the Court are two motions for summary judgment. Plaintiffs filed their Motion for Summary Judgment ("Plaintiffs' Motion") on June 23, 2010 (Doc. 48) and Defendants filed their Motion for Summary Judgment ("Defendants' Motion") on June 29, 2010 (Doc. 51). Both Motions have been fully briefed, including an amicus brief filed by the United States in support of Plaintiffs' Motion (see Doc. 62), and thus each is ripe for disposition. The parties agree that there is no material factual dispute in this action and each asks the Court to answer one legal question— whether DPW has violated Title II and Section 504 by failing to provide Plaintiffs with community support and services. Because one common question predominates, we will resolve both Motions in this Memorandum. For the reasons that follow, we hold that Defendants have not complied with the integration mandates of the relevant statutes. An appropriate Order shall enter after our analysis.
Plaintiffs filed the Complaint in this action on June 22, 2009 (Doc. 1) and an
As noted above, Plaintiffs filed their Motion for Summary Judgment on June 23, 2010 (Doc. 48) and Defendants filed their Motion for Summary Judgment on June 29, 2010 (Doc. 51). We referred the action to Magistrate Judge Martin Carlson for settlement discussions on October 6, 2010, but those discussions have thus far been unsuccessful. Though the parties have not foreclosed the possibility of further settlement negotiations, we believe the most prudent course is to resolve the motions that have been pending for months and to thereafter grant the opportunity to the parties to settle on the ultimate remedy themselves prior to additional and possibly unnecessary mandates by the Court.
DPW is responsible for providing services to Pennsylvanians with mental retardation under the Mental Health and Mental Retardation Act of 1966, 50 P.S. § 4201(1). One of the means by which DPW provides services to individuals with mental retardation is through the operation of five state Intermediate Care Facilities for Persons with Mental Retardation ("ICFs/MR").
DPW also funds community-based mental retardation services in addition to the state-operated or -funded institutions. These residential services can include small group homes, family living, vocational training, supported employment, development of skills, socialization, therapies, home health-care, and other support services. The services are funded primarily through Medical Assistance through a waiver system, of which the federal government pays a portion of costs. Though there is a limit to the number of persons
Plaintiff Benjamin has been institutionalized at the Ebensburg ICF/MR since 1966. Plaintiffs Grogg and Edgett have been institutionalized at the Selinsgrove ICF/MR for twenty (20) years each. Plaintiff Baldwin has been institutionalized at the Polk ICF/MR since 1990. Plaintiff Beard has been institutionalized at the Ebensburg ICF/MR for forty-two (42) years. All named Plaintiffs' mental retardation limits one or more of their major life activities but, with proper support, they could reasonably live in the community.
With appropriate community services, all of the named Plaintiffs could live in more integrated community settings rather than institutions because they would still have available all services and supports that are currently available to them. Further, pursuant to the principle of "normalization" that the Commonwealth of Pennsylvania has embraced
(Doc. 50, "Plaintiffs' Statement of Material Facts", ¶ 52.) The named Plaintiffs and others, and their appropriate guardians or family members, are unopposed to discharge to the community and some have been actively, albeit unsuccessfully, seeking such an opportunity.
Individuals are selected for community-based services via a waiting list that is divided into three categories. This categorization is determined by filling out a "Prioritization of Urgency for Need of Services" ("PUNS") form for each person applying for services. Those who need services immediately are designated as "emergency", those who will need services within two years are included on the waiting list as "critical", and those who will need services within two to five years are designated as "planning". Individuals are placed in the emergency waiting list if "community supports are needed to keep him/her from being placed in a state center, nursing home, large ICF/MR or other congregate settings." (Doc. 50 ¶ 79.) As of the filing of Plaintiffs' Motion, only 113 state ICF/MR residents had PUNS forms completed to put them on a waiting list.
Placement on a waiting list for community services does not, however, guarantee prompt placement in those programs. Indeed, no state ICF/MR residents in the past ten years have been discharged to the community as a result of these routine vacancies.
Plaintiffs assert that, because they are qualified for and unopposed to community integration, their continued institutionalization violates the antidiscrimination mandates of the ADA and Section 504. Plaintiffs argue that, because DPW has failed to provide services in the most integrated setting warranted and has failed to implement any plan to do so, the Court should grant their Motion for Summary Judgment and issue appropriate declaratory and injunctive relief to remedy those failures. In response, and in support of their Motion for Summary Judgment, Defendants admit Plaintiffs' pleadings to an extent, but counter that they have established the affirmative defense that the relief Plaintiffs seek would require a fundamental alteration of DPW's services and also deprive other individuals in need of important services. Defendants maintain that the eleventh-hour plan adopted in June of 2010 defeats Plaintiffs' claims regarding the absence of a viable integration plan, and argues that summary judgment should be granted in Defendants' favor because the Plan satisfies the requirements of the integration mandates.
In enacting the ADA, Congress made several important findings applicable to that statute. Relevant for these purposes, Congress asserted that "physical or mental disabilities in no way diminish a person's right to fully participate in all aspects of society", 42 U.S.C. § 12101(a)(1), and further found that:
42 U.S.C. § 12101(a)(2), (3), (5). Thus, Congress enacted the ADA to provide "to provide a clear and comprehensive national mandate for the elimination of discrimination against individuals with disabilities", 42 U.S.C. § 12101(b)(1), and establish "clear, strong, consistent, enforceable standards addressing discrimination against individuals with disabilities", 42 U.S.C. 12101(b)(2). Congress set forth prohibitions regarding discrimination against persons with disabilities in employment (Title I), public services (Title II), and public
This action concerns the ADA's prohibition against discrimination in public services in Title II. Title II provides: "Subject to the provisions of this subchapter, no qualified individual with a disability
Congress directed the Attorney General to promulgate regulations to fully implement the provisions of Title II. 42 U.S.C. § 12134. As instructed, the Attorney General issued "General prohibitions on discrimination", including the important "integration regulation" and "reasonable-modification regulation". See Olmstead v. L.C., 527 U.S. 581, 592, 119 S.Ct. 2176, 144 L.Ed.2d 540 (1999). The integration regulation mandates that "[a] public entity shall administer services, programs, and activities in the most integrated setting appropriate to the needs of qualified individuals with disabilities." 28 C.F.R. § 35.130(d).
The Supreme Court addressed the integration mandates and subsequent regulations of the ADA and RA in the seminal case of Olmstead v. L.C. In Olmstead, two residents of mental-health institutions alleged that the State of Georgia violated the ADA's integration mandate by unnecessarily institutionalizing them instead of placing them in community-based programs. A plurality of Justices construed the ADA's provisions and held that "[u]njustified isolation ... is properly regarded as discrimination based on disability." 527 U.S. 581, 597, 119 S.Ct. 2176, 144 L.Ed.2d 540 (1999). The Court noted that the ADA's
Id. at 600-01, 119 S.Ct. 2176. The Supreme Court further recognized that, although the states have a responsibility to provide community services, that responsibility "is not boundless"; but, rather, is limited by the ADA's "reasonable modification" and "fundamental alteration" provision. Id. at 603, 119 S.Ct. 2176. These provisions provide that a state need not make alterations that would require a fundamental alteration of the nature of the services provided or the program under
Id. at 604, 119 S.Ct. 2176. Ultimately, Olmstead identified three elements in an integration case: (1) that community placement is appropriate for the individual (as determined by the state's professionals); (2) that the individual does not oppose transfer to a more integrated setting; and (3) that a placement in a more integrated setting can be reasonably accommodated, "taking into account the resources available to the State and the needs of others with mental disabilities." Id. at 607, 119 S.Ct. 2176. If all three elements are present, the state is required to provide community-based services.
The United States Court of Appeal for the Third Circuit visited the confines of the fundamental-alteration defense with respect to fiscal considerations in Frederick L. v. Department of Public Welfare, 364 F.3d 487 (3d Cir.2004) ("Frederick L. I") and Frederick L. v. Department of Public Welfare, 422 F.3d 151 (3d Cir.2005) ("Frederick L. II"). In Frederick L. I, a class of individuals who were institutionalized in the Norristown State Hospital appealed the district court's judgment that found that DPW sufficiently established that accelerated community placement for the plaintiffs would require a fundamental alteration of DPW's services. The Third Circuit noted that establishment of the fundamental alteration defense relies on several relevant factors, including "the state's ability to continue meeting the needs of other institutionalized mental health patients for whom community placement is not appropriate, whether the state has a waiting list for community placements, and whether the state has developed a comprehensive plan to move eligible patients into community care settings." Frederick L. I, 364 F.3d at 495; see also 28 C.F.R. § 42.511(c); 45 C.F.R. § 84.12(c). The Third Circuit rejected the appellants' contention that the district court solely focused on the cost-constraints of integration, and further noted that "the judiciary is not well-suited to superintend the internal budgetary decisions of DPW..." Id. at 497-98. Nonetheless, the Court found that the district court erred in "accept[ing] the Commonwealth's reliance on past progress without requiring a commitment by it to take all reasonable steps to continue that progress...." Id. at 499. In vacating and remanding the decision, the Court articulated:
Id. at 500.
The action in Frederick L. I returned to the Third Circuit the following year.
In this action, we are tasked with answering the same question that was at issue in Frederick L. I and Frederick L. II, and similar cases: Does Defendants' segregation of Plaintiffs in public institutions constitute discrimination under Title II and Section 504? There is no dispute that community placement would be appropriate for an individual with appropriate services and supports and that the individuals in this litigation are not opposed to such a placement. Indeed, the definition of the class itself satisfies the first two elements articulated in Olmstead. Further, the existence of community programs demonstrates that providing community support could be reasonably accommodated. The central inquiry for the Court to resolve, therefore, is whether Defendants have demonstrated a commitment to action such that granting Plaintiffs' requested relief would require a fundamental alteration of the services already provided by the Commonwealth.
Defendants assert that there is no violation of Title II and Section 504 because DPW now has an Olmstead plan. According to Defendants, DPW will seek funding to move at least 50 institutionalized persons into community placements per year, if DPW determines a placement is available. Defendants assert that the Plan identifies the process for prioritizing individuals for community placement and moving them "as money comes available", and provides for the development of programs to educate residents and their guardians about the benefits of community services. (Doc. 66 p. 11.) Defendants admit, however, that there are contingencies to these commitments: First, no individual who would not thrive in a community placement may be moved; and, second, the money reserved to move institutionalized individuals may be directed to other, non-institutionalized individuals if a deputy secretary determines that it is necessary. (Id. pp. 11-12; Doc. 51-7 p. 4.) Defendants argue that, because the Plan was only adopted on June 18, 2010, there is no "history of implementation", but, "DPW has a long history
(Doc. 66 p. 13.) Noticeably missing from that recitation, however, is any indicator of why the census decreased, and no assurances that it was because of DPW's commitment to action rather than because of deaths or similar occurrences.
Defendants note that they will place no residents in the community until the new fiscal year beginning in July of 2011, and then "it would not be realistic to commit to seek money for more than 50 residential placements." (Doc. 66 p. 15.) Defendants highlight the Commonwealth of Pennsylvania's deficit and argue that DPW simply does not have the funds to transfer individuals from institutions, regardless of the eventual savings such community placements would eventually realize. Further, Defendants maintain that the limited universe of community placements must first be filled by those persons who have no services. Those individuals take priority over institutionalized persons because "[f]or at least the past 16 years, DPW has tried to avoid admitting new residents into the State centers." (Doc. 52 ¶ 20.) In sum, Defendants argument centers around the existence of the Plan that was adopted on June 18, 2010, and because DPW now has a written plan, it has "committed itself to deinstitutionalization and, thus, satisfies the requirements of Olmstead. Beyond asserting their compliance with the integration mandates, Defendants also assert that Plaintiffs' request for deinstitutionalization itself violates the ADA and RA because, according to Defendants, it would require them to deny services to other individuals. (Doc. 66. p. 17.)
Plaintiffs and the United States as Amicus argue that Defendants' Plan, "hastily assembled at the eleventh hour", does not amount to an Olmstead plan that is sufficient to establish the fundamental alteration defense. In support of this argument, Plaintiffs argue that "(1) on its face, the Plan lacks even the minimal required components; (2) the Plan fails to demonstrate the requisite commitment to integration; and (3) Defendants have not implemented the Plan." (Doc. 61 p. 15.) First, Plaintiffs highlight that the Plan lacks any time frames or dates for discharge, and instead provides only a target starting date of July 2011. Further, Plaintiffs maintain that the Plan's vague declarations of a commitment to integration, without identifiable benchmarks, are insufficient to demonstrate a "tangible commitment to action toward deinstitutionalization for which they can be held accountable." (Id. p. 17.) Plaintiffs highlight that the Plan is "riddled with exceptions and loopholes." (Id. p. 18.) Finally, Plaintiffs note that DPW has failed to implement the Plan, and expresses no intention to do so until July of 2011, nearly a year after its adoption.
We note at the outset of our analysis that Plaintiffs filed their Motion before any awareness of DPW adopting the June 18, 2010 Plan upon which they rely to defeat liability. The existence of the Plan does not, however, automatically defeat liability because we do not read Olmstead, Frederick L. I, or Frederick L. II, or any of their progeny to stand for the proposition that a written document purporting a commitment to deinstitutionalization alone
As the Third Circuit articulated in Frederick L. II, "[g]eneral assurances and good-faith intentions neither meet federal law nor a patient's expectations" without providing when, if ever, a patient can expect to be discharged. Frederick L. II, 422 F.3d at 158. Indeed, the possibility of placement is, based upon the plain terms of the Plan, quite remote. It is contingent upon the prioritization of non-institutionalized individuals, (based upon DPW's stated policy of, essentially, using institutionalization as a last resort), DPW's assessment of the availability of funding, and the broad authority to use the funds that are allegedly directed to integrate institutionalized persons to place those who are not presently institutionalized. On its face, the Plan gives DPW nearly unfettered discretion to disregard its terms—for each of the 50 individuals it purports to place each year, the deputy secretary could find, based upon unidentified prioritization procedures, that the requisite funds be directed to a non-institutionalized person. Clearly, those who are currently receiving no services should have the opportunity to acquire supports; but within the dictates of the law DPW cannot continue to ensure this by relegating institutionalized individuals to second-class status in order to avoid subjecting any new individual to the same segregation. We recognize that avoiding institutionalization is an important goal; however, it is not one that can be achieved by discriminating against individuals who have equal rights to community support.
Beyond the deficient commitment to action on the face of the Plan, the absence of implementation, or even any demonstrated step toward implementation, is insufficient for Defendants to assert a fundamental alteration defense. Defendants cite fiscal considerations for the lack of any demonstrable progress toward deinstitutionalization, and readily admit that no steps will be taken toward that goal until the new fiscal year. Even overlooking the numerous loopholes and contingencies of the Plan, there is nothing on the record that illustrates any sort of viability of the Plan. Defendants cannot avail themselves of a fundamental alteration defense to their continued violation of the ADA and RA by merely supplying a written document that alleges a future commitment. Considering the absence of concrete benchmarks for deinstitutionalization in the contingency-ridden Plan, no record of actual implementation of the Plan, and a history of unnecessary segregation of and discrimination against institutionalized persons, we cannot conclude that DPW has complied with or will comply with the integration mandates of the ADA and RA.
Based upon the undisputed facts, Plaintiffs have established that Defendants have violated the integration mandates of Section II of the ADA and Section 504 of the RA by unnecessarily institutionalizing Plaintiffs. Despite Defendants' protestations, Plaintiffs are not seeking any impermissible