Troy K. Scheffler v. Minnesota Department of Human Services, Anoka County
Opinion text
This opinion will be unpublished and
may not be cited except as provided by
Minn. Stat. § 480A.08, subd. 3 (2014).
STATE OF MINNESOTA
IN COURT OF APPEALS
A14-1939
Troy K. Scheffler,
Appellant,
vs.
Minnesota Department of Human Services,
Respondent,
Anoka County,
Respondent.
Filed July 27, 2015
Affirmed
Schellhas, Judge
Anoka County District Court
File No. 02-CV-13-4057
Peter J. Nickitas, Peter J. Nickitas Law Office, LLC, Minneapolis, Minnesota (for
appellant)
Lori Swanson, Attorney General, Anne Fuchs, Assistant Attorney General, St. Paul,
Minnesota (for respondent Department of Human Services)
Anthony C. Palumbo, Anoka County Attorney, Andrew T. Jackola, Assistant County
Attorney, Anoka, Minnesota (for respondent Anoka County)
Considered and decided by Bjorkman, Presiding Judge; Schellhas, Judge; and
Stauber, Judge.
UNPUBLISHED OPINION
SCHELLHAS, Judge
Appellant challenges the termination of his MinnesotaCare medical coverage
following his receipt of Social Security Disability Insurance (SSDI) payments and
resulting eligibility for Medicare coverage. Because the district court did not err by
granting summary judgment for respondents, we affirm.
FACTS
Appellant Troy K. Scheffler suffers from agoraphobia with panic disorder. While
receiving medical coverage through MinnesotaCare, Scheffler began to receive SSDI
payments. Due to his receipt of SSDI payments, Scheffler became eligible for medical
coverage through Medicare and was enrolled automatically in Medicare. Consequently,
Scheffler became ineligible for coverage through MinnesotaCare under federal and state
law. Respondent Anoka County (the county), acting on behalf of respondent Minnesota
Department of Human Services (the department), therefore terminated Scheffler’s
MinnesotaCare coverage. Scheffler’s premiums and out-of-pocket medical costs
increased through Medicare, and he enrolled in Medical Assistance for Employed
Persons with Disabilities (MAEPD) to mitigate the cost increase. But the medical costs
for which Scheffler is now responsible are still higher than when he was enrolled in
MinnesotaCare. Additionally, he must earn more than $65 per month to remain eligible
for MAEPD.
Scheffler challenged the termination of his MinnesotaCare coverage before a
human services judge (HSJ), arguing that his ineligibility for MinnesotaCare is due to his
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disability and therefore constitutes discrimination. The HSJ recommended that the
Minnesota Commissioner of Human Services (the commissioner) affirm the termination
of Scheffler’s MinnesotaCare coverage, concluding that no dispute existed about
Scheffler’s eligibility for Medicare and consequent ineligibility for MinnesotaCare. The
commissioner adopted the HSJ’s recommendation and explained that the HSJ “does not
have authority to make [a] ruling on constitutional issues, or alleged discrimination of
law.”
Scheffler appealed the commissioner’s decision to district court and moved for
summary judgment. Two weeks before the summary-judgment hearing, the county filed a
memorandum opposing Scheffler’s motion and requesting that summary judgment be
granted in the county’s favor. The court determined that Scheffler did not establish a
prima facie case of disability discrimination and was not requesting a reasonable
accommodation. The court affirmed the commissioner’s decision and granted summary
judgment to the county.
This appeal follows.
DECISION
I.
Scheffler argues that the grant of summary judgment to the county must be
reversed because the county filed, and served by mail, its request for summary judgment
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only 14 days before the summary-judgment hearing.1 “No [dispositive] motion shall be
heard until the moving party . . . serves the [specified] documents on all opposing counsel
and self-represented litigants and files the documents with the court administrator at least
28 days prior to the hearing . . . .” Minn. R. Gen. Pract. 115.03(a); see also Minn. R. Civ.
P. 56.03 (stating that “[s]ervice and filing of [a summary-judgment] motion shall comply
with the requirements of Rule 115.03 of the General Rules of Practice for the District
Courts, provided that in no event shall the motion be served less than ten days before the
time fixed for the hearing”).
The district court had discretion to modify the time limit in the general rules. See
Minn. R. Gen. Pract. 115.01(b) (“The time limits in this rule are to provide the court
adequate opportunity to prepare for and promptly rule on matters, and the court may
modify the time limits, provided, however, that in no event shall the time limited be less
than the time established by Minn. R. Civ. P. 56.03.”); Minn. R. Gen. Pract. 115.07
(stating that “if the interests of justice . . . require, the court may waive or modify the time
limits established by this rule”); Pfeiffer v. Allina Health Sys., 851 N.W.2d 626, 636 n.7
(Minn. App. 2014) (stating that the general rules of practice “may be relaxed or modified
in furtherance of justice,” and enforcement of local rules “is left to the discretion of the
district court” (quotation omitted)), review denied (Minn. Oct. 14, 2014).
Additionally, upon consideration of Scheffler’s summary-judgment motion, the
district court had authority to enter summary judgment in favor of the county, which the
1
The county included its request for summary judgment in a memorandum that it filed
with the court, along with an attorney’s affidavit, in response to Scheffler’s motion for
summary judgment.
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county sought in response to Scheffler’s summary-judgment motion. “Judgement shall be
rendered forthwith if the pleadings, depositions, answers to interrogatories, and
admissions on file, together with the affidavits, if any, show that there is no genuine issue
as to any material fact and that either party is entitled to a judgment as a matter of law.”
Minn. R. Civ. P. 56.03. We conclude that the district court did not err by granting
summary judgment for the county even though the county did not adhere strictly to the
time requirements of Minn. R. Gen. Pract. 115.03(a). See Benigni v. Cnty. of St. Louis,
585 N.W.2d 51, 53−54 (Minn. 1998) (upholding summary judgment although motion
was served by mail 12 days before hearing); see also Wikert v. N. Sand and Gravel, Inc.,
402 N.W.2d 178, 182−83 (Minn. App.1987) (upholding summary judgment although
motion was served by mail eight days before hearing when no material facts were in
dispute, judgment and opposing party was not prejudiced), review denied (Minn. May 18,
1987).
II.
A district court must grant summary judgment if, based on the entire record before
the court, there are no genuine issues of material fact and either party is entitled to
judgment as a matter of law. Minn. R. Civ. P. 56.03. An appellate court reviews a grant
of summary judgment de novo to determine whether any genuine issues of material fact
exist and whether the district court erred in applying the law. Larson v. Nw. Mut. Life Ins.
Co., 855 N.W.2d 293, 299 (Minn. 2014). The application of statutes to undisputed facts is
a legal conclusion that is reviewed de novo. Anderson v. Christopherson, 816 N.W.2d
626, 630 (Minn. 2012).
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MinnesotaCare was “established to promote access to appropriate health care
services” for “eligible persons.” Minn. Stat. § 256L.02, subds. 1, 2 (2014). To be eligible
for MinnesotaCare, an “individual must not have minimum essential health coverage,”
and “an applicant or enrollee who is entitled to Medicare Part A or enrolled in Medicare
Part B coverage . . . is considered to have minimum essential health coverage.” Minn.
Stat. § 256L.07, subd. 3 (2014). “An applicant or enrollee who is entitled to premium-
free Medicare Part A may not refuse to apply for or enroll in Medicare coverage to
establish eligibility for MinnesotaCare.” Id., subd. 3(b). Scheffler concedes that he is
entitled to “minimum essential health coverage” through Medicare and is therefore
ineligible for medical coverage through MinnesotaCare under the language of section
256L.07, subdivision 3. But he argues that the denial of coverage through MinnesotaCare
constitutes disability discrimination because he is eligible for Medicare due to his
disability and receipt of SSDI payments.
No prima facie case of disability discrimination
Scheffler argues that he has been subjected to disability discrimination in violation
of the Americans with Disabilities Act (ADA), the Rehabilitation Act, and the Minnesota
Human Rights Act (MHRA). Under the ADA, “no qualified individual with a disability
shall, by reason of such disability, be excluded from participation in or be denied the
benefits of the services, programs, or activities of a public entity, or be subjected to
discrimination by any such entity.” 42 U.S.C. § 12132 (2012). Under the Rehabilitation
Act, “[n]o otherwise qualified individual with a disability in the United States . . . shall,
solely by reason of her or his disability, be excluded from the participation in, be denied
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the benefits of, or be subjected to discrimination under any program or activity receiving
Federal financial assistance.” 29 U.S.C. § 794(a) (2012). And under the MHRA:
It is an unfair discriminatory practice to discriminate
against any person in the access to, admission to, full
utilization of or benefit from any public service because of
. . . disability . . . or to fail to ensure physical and program
access for disabled persons unless the public service can
demonstrate that providing the access would impose an undue
hardship on its operation.
Minn. Stat. § 363A.12, subd. 1 (2014).
To make a prima facie case of disability discrimination, “a plaintiff must show:
(1) he is a person with a disability as defined by statute; (2) he is otherwise qualified for
the benefit in question; and (3) he was excluded from the benefit due to discrimination
based upon disability.” Randolph v. Rodgers, 170 F.3d 850, 858 (8th Cir. 1999) (applying
test to claim of disability discrimination in violation of ADA and Rehabilitation Act); see
Sonkowsky ex rel. Sonkowsky v. Bd. of Educ., 327 F.3d 675, 678 (8th Cir. 2003)
(applying test to claim of disability discrimination in violation of MHRA); see also
Somers v. City of Minneapolis, 245 F.3d 782, 788 (8th Cir. 2001) (“Claims under the
MHRA are analyzed the same as claims under the ADA.”); Layton v. Elder, 143 F.3d
469, 472 (8th Cir. 1998) (stating that “[t]he rights, procedures, and enforcement
remedies” under ADA are same as under Rehabilitation Act). Summary judgment is
appropriate if a plaintiff fails to establish any element of a prima facie case of disability
discrimination. Treanor v. MCI Telecomms. Corp., 200 F.3d 570, 574 (8th Cir. 2000).
The parties do not dispute that Scheffler is a person with a disability; they dispute
whether Scheffler is otherwise qualified for MinnesotaCare coverage and whether he has
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been excluded from MinnesotaCare due to discrimination based upon disability. The
ADA’s “term ‘qualified individual with a disability’ means an individual with a disability
who, with or without reasonable modifications to rules, policies, or practices, . . . or the
provision of auxiliary aids and services, meets the essential eligibility requirements for
the receipt of services or the participation in programs or activities provided by a public
entity.” 42 U.S.C. § 12131(2) (2012); see also Falcone v. Univ. of Minn., 388 F.3d 656,
659 (8th Cir. 2004) (stating that “otherwise qualified [individual]” under language of
Rehabilitation Act is “one who is able to meet all of a program’s requirements in spite of
his handicap” (quotation omitted)).
Scheffler appears to argue that a lack of “minimum essential health coverage”
should not be regarded as an “essential eligibility requirement” for MinnesotaCare
coverage. But a purpose of MinnesotaCare is to provide medical coverage to people who
do not otherwise have coverage available. See Minn. Stat. §§ 256L.02, subds. 1, 2, .07,
subds. 2, 3 (2014). The requirement that a recipient of MinnesotaCare coverage lack
“minimum essential health coverage,” see Minn. Stat. § 256L.07, subd. 3, is essential to
the fulfillment of this purpose. See Mary Jo C. v. N.Y. State & Local Ret. Sys., 707 F.3d
144, 158 (2d Cir. 2013) (stating that “essential eligibility requirements are those
requirements without which the nature of the program would be fundamentally altered”
(quotations omitted)).
Scheffler does not meet this essential eligibility requirement of MinnesotaCare
because he is eligible for and enrolled in Medicare, which constitutes “minimum essential
health coverage.” See Minn. Stat. § 256L.07, subd. 3(b). Scheffler is disqualified from
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MinnesotaCare due to his Medicare coverage, not due to discrimination based upon
disability. Anyone who has minimum essential health coverage, whether due to disability
or otherwise, is disqualified from MinnesotaCare. Scheffler is being treated the same as
others who have minimum essential health coverage and are thus ineligible for
MinnesotaCare. Cf. DeBord v. Bd. of Educ. of Ferguson-Florissant Sch. Dist., 126 F.3d
1102, 1105 (8th Cir. 1997) (stating that school policy limiting the administration of
prescription medication to students did not discriminate based on disability because
“[t]he policy is neutral; it applies to all students regardless of disability”).
Scheffler compares his case to Huston v. Comm’r of Emp’t & Econ. Dev., in which
we invalidated under the ADA a statutory provision disqualifying unemployed applicants
and recipients of SSDI payments from the receipt of unemployment benefits unless they
received SSDI payments while employed. 672 N.W.2d 606, 609, 611 (Minn. App. 2003),
review dismissed (Minn. May 25, 2004). The provision created an irrebuttable statutory
presumption that unemployed SSDI applicants and recipients are unable to work and
therefore are unqualified to receive unemployment benefits. Id. at 609. We determined
that “[w]ithout an opportunity to rebut that [statutory] presumption, the Minnesota law
effectively discriminates against disabled individuals who file for or receive SSDI
benefits but are also able to work.” Id. at 609–11 (noting that application for and even
receipt of SSDI payments does not necessarily mean that individual is unable to work).
We stated that an “applicant for unemployment benefits should be able to make his case”
that he is able to work. Id. at 611.
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Scheffler suggests that his ineligibility for MinnesotaCare due to his receipt of
SSDI payments is comparable to the automatic ineligibility for unemployment benefits
due to receipt of SSDI payments that was invalidated in Huston. But the disability
discrimination at issue in Huston was the irrebuttable statutory presumption that an SSDI
recipient is unable to work. In this case, no presumption based on disability is at issue.
The statutory scheme that Scheffler challenges disqualifies anyone with minimum
essential health coverage from MinnesotaCare coverage, regardless of the reason for
entitlement to other medical coverage. We therefore conclude that the district court did
not err by granting summary judgment on the ground that Scheffler did not establish a
prima facie case of disability discrimination by showing that he has otherwise qualified
for MinnesotaCare coverage and that he was excluded from MinnesotaCare due to
discrimination based upon disability.
A reasonable accommodation
Even if Scheffler could establish a prima facie case of discrimination, his claim of
disability discrimination would fail because he is not requesting a reasonable
accommodation for his disability. As an affirmative defense to a claim of disability
discrimination, “a defendant may demonstrate that [a] requested accommodation would
constitute an undue burden.” Randolph, 170 F.3d at 858; see also 28 C.F.R.
§ 35.130(b)(7) (2014) (“A public entity shall make reasonable modifications in policies,
practices, or procedures when the modifications are necessary to avoid discrimination on
the basis of disability, unless the public entity can demonstrate that making the
modifications would fundamentally alter the nature of the service, program, or activity.”);
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Minn. Stat. § 363A.12, subd. 1 (stating that discrimination on the basis of disability in
providing access to a public service does not constitute an unfair discriminatory practice
if “the public service can demonstrate that providing the access would impose an undue
hardship on its operation”). “There is no precise reasonableness test, but an
accommodation is unreasonable if it either imposes undue financial or administrative
burdens, or requires a fundamental alteration in the nature of the program.” DeBord, 126
F.3d at 1106; see also Pottgen v. Mo. State High Sch. Activities Ass’n, 40 F.3d 926, 930
(8th Cir. 1994) (“Reasonable accommodations do not require an institution to lower or to
effect substantial modifications of standards to accommodate a handicapped person.”
(quotation omitted)).
Scheffler requests “an equivalent, equitable substitute for the medical care benefits
he enjoyed” under MinnesotaCare and contends that this can be accomplished by
“placement of the state as a secondary insurer behind Medicare.” But this proposed
accommodation would fundamentally alter the nature of MinnesotaCare and impose a
financial burden by making the state responsible for the costs not covered under
Medicare. The accommodation would necessitate waiver of the essential eligibility
requirement that a recipient of MinnesotaCare coverage lack minimum essential health
coverage. See Pottgen, 40 F.3d at 930 (“Waiving an essential eligibility standard would
constitute a fundamental alteration in the nature of the . . . program.”). We conclude that
the district court did not err by granting summary judgment on the ground that the
accommodation that Scheffler requests is unreasonable and would constitute an undue
burden.
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Discrimination based on receipt of public assistance
Scheffler also contends that the termination of his MinnesotaCare coverage
constitutes discrimination based on the receipt of public assistance in violation of the
MHRA. Under the MHRA, “[i]t is an unfair discriminatory practice to discriminate
against any person in the access to, admission to, full utilization of or benefit from any
public service because of . . . status with regard to public assistance.” Minn. Stat.
§ 363A.12, subd. 1; see also Minn. Stat. § 363A.03, subd. 47 (2014) (defining “status
with regard to public assistance” to include “the condition of being a recipient of federal,
state, or local assistance, including medical assistance” (quotation marks omitted)).
Scheffler argues that his disqualification from medical coverage through MinnesotaCare
due to his receipt of medical coverage through Medicare is discriminatory. His argument
that he must be permitted to be enrolled simultaneously in two public programs that
provide the same type of benefit—medical coverage—lacks legal support and merit.
Affirmed.
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