No. 24-1110

Saint Anthony Hospital v. Elizabeth M. Whitehorn, Director, Illinois Department of Healthcare and Family Services, et al.

Lower Court: Seventh Circuit
Docketed: 2025-04-25
Status: Denied
Type: Paid
Response RequestedResponse WaivedRelisted (2)
Tags: federal-enforcement hospital-rights medicaid-law prompt-payment-rule section-1983 spending-clause
Key Terms:
Arbitration SocialSecurity DueProcess EducationPrivacy Privacy JusticiabilityDoctri
Latest Conference: 2025-10-17 (distributed 2 times)
Question Presented (AI Summary)

In determining whether Saint Anthony Hospital has a right to sue to enforce the prompt payment rule, should the court of appeals have treated Wilder as relevant and, based upon that precedent, as well as Gonzaga and Talevski, upheld the Hospital's right to sue the State under 42 U.S.C. § 1983?

Question Presented (OCR Extract)

This Court has granted a writ of certiorari in Medina v. Planned Parenthood South Atlantic , No. 23-1275, and its decision in that case will likely decide whether Wilder v. Virginia Hospital Ass’n , 496 U.S. 498 (1990), remains good law in cases seeking to assert individual rights to sue under Spending Clause statutes. The Court’s Medina decision will likely decide the outcome in this case, which has sharply divided the Court of Appeals for the Seventh Circuit, as reflected in its three opinions—all with dissents—the last en banc. All address whether Petitioner Saint Anthony Hospital may sue the State to enforce a requirement of federal Medicaid law to pay providers 90% of completed claims within 30 days of submission and 99% within 90 days. The continued viability of Wilder within the analytical framework of Health and Hospital Corp. of Marion County v. Talevski , 599 U.S. 166 (2023), and Gonzaga University v. Doe , 536 U.S. 273 (2002), is central to the disagreements that have generated the conflicting opinions in this case. Therefore, the sole question framed by this Petition is the same as in Medina, but in relation to a different provision of federal Medicaid law: In determining whether Saint Anthony Hospital has a right to sue to enforce the prompt payment rule, should the court of appeals have treated Wilder as relevant and, based upon that precedent, as well as Gonzaga and Talevski, upheld the Hospital’s right to sue the State under 42 U.S.C. § 1983?

Docket Entries

2025-10-20
Petition DENIED.
2025-10-01
DISTRIBUTED for Conference of 10/17/2025.
2025-09-29
Reply of petitioner Saint Anthony Hospital filed. (Distributed)
2025-09-29
Reply of Saint Anthony Hospital submitted.
2025-09-15
Brief of respondents Meridian Health Plan of Illinois, Inc., et al. in opposition filed.
2025-09-15
Brief of respondent Elizabeth M. Whitehorn, Director, Illinois Department of Healthcare and Family Services in opposition filed.
2025-09-15
Brief of Meridian Health Plan of Illinois, Inc. in opposition submitted.
2025-09-15
Brief of Dir. Whitehorn in opposition submitted.
2025-08-08
Motion to extend the time to file a response is granted and the time is extended to and including September 15, 2025, for all respondents.
2025-08-06
Motion to extend the time to file a response from August 15, 2025 to September 15, 2025, submitted to The Clerk.
2025-08-06
Motion of Dir. Whitehorn for an extension of time submitted.
2025-07-08
Motion to extend the time to file a response is granted and the time is extended to and including August 15, 2025, for all respondents.
2025-07-07
Motion to extend the time to file a response from July 16, 2025 to August 15, 2025, submitted to The Clerk.
2025-07-07
Motion of Dir. Whitehorn for an extension of time submitted.
2025-06-16
Response Requested. (Due July 16, 2025)
2025-06-10
DISTRIBUTED for Conference of 6/26/2025.
2025-05-27
Waiver of right of respondents Cook County Health and Hospital Systems d/b/a Cook County Health to respond filed.
2025-05-27
Waiver of right of respondent Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company to respond filed.
2025-05-27
Waiver of right of respondent IlliniCare Health Plan to respond filed.
2025-05-27
Waiver of IlliniCare Health Plan of right to respond submitted.
2025-05-27
Waiver of right of respondent Meridian Health Plan of Illinois, Inc. to respond filed.
2025-05-27
Waiver of right of respondent Dir. Whitehorn to respond filed.
2025-04-22
Petition for a writ of certiorari filed. (Response due May 27, 2025)

Attorneys

Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company
Emily Tomoko Barner KuwaharaCrowell & Moring LLP, Respondent
Emily Tomoko Barner KuwaharaCrowell & Moring LLP, Respondent
Kevin TessierReed Smith, LLP, Respondent
Cook County Health and Hospital Systems d/b/a Cook County Health
Silvia Mercado MastersCook County State's Attorney Office, Respondent
Silvia Mercado MastersCook County State's Attorney Office, Respondent
Dir. Whitehorn
Jane Elinor NotzOffice of the Attorney General, State of Illinois, Respondent
Jane Elinor NotzOffice of the Attorney General, State of Illinois, Respondent
IlliniCare Health Plan
Caleb Collins WolanekMaynard Nexsen PC, Respondent
Caleb Collins WolanekMaynard Nexsen PC, Respondent
Meridian Health Plan of Illinois, Inc.
Hugh Scott BalsamTroutman Pepper Locke LLP, Respondent
Hugh Scott BalsamTroutman Pepper Locke LLP, Respondent
Saint Anthony Hospital
Edward William FeldmanMiller Shakman Levine and Feldman LLP, Petitioner
Edward William FeldmanMiller Shakman Levine and Feldman LLP, Petitioner