Barele, Inc. v. Contract Dispute Resolution Bd. of N.Y., Index No. 110556/11

Decision Date17 January 2014
Docket NumberIndex No. 110556/11
CourtNew York Supreme Court
PartiesBARELE, INC. d/b/a OMEGA HOME HEALTH CARE, Petitioner v. CONTRACT DISPUTE RESOLUTION BOARD OF THE CITY OF NEW YORK, NEW YORK CITY HUMAN RESOURCES ADMINISTRATION, ROBERT DOAR, AS ADMINISTRATOR AND COMMISSIONER OF THE HUMAN RESOURCES ADMINISTRATION AND DEPARTMENT OF SOCIAL SERVICES, JOHN C. LIU, AS COMPTROLLER OF THE CITY OF NEW YORK, and CITY OF NEW YORK, Respondents

DECISION AND ORDER

APPEARANCES:

For Petitioner

Philip Rosenberg Esq.

Nixon Peabody LLP

Albany,

For Respondents New York City Human Resources

Administration, Doar, Liu, and City of New York

Gary P. Rosenthal, Assistant Corporation Counsel

LUCY BILLINGS, J.:

Petitioner commenced this proceeding pursuant to C.P.L.R. Article 78 challenging respondent Contract Dispute Resolution Board (CDRB) of the City of New York's dismissal due to untimeliness of petitioner's application to annul a determination of respondent New York City Human Resources Administration (HRA). For the reasons explained below, the court grants the petition to vacate CDRB's decision dismissing petitioner's claims.

I. PRIOR ADMINISTRATIVE AND JUDICIAL PROCEEDINGS

Petitioner is a home care services provider for respondent HRA's Home Attendant Program for Medicaid recipients. Petitioner's contract with HRA provides for and incorporates the process delineated by the New York City Procurement Policy Board Rules (PPB Rules) to resolve contractual disputes administratively. The administrative process required petitioner first to notify the head of the City agency in writing of the agency action that petitioner disputed to obtain a determination of the dispute by the agency before submitting a Notice of Claim to the New York City Comptroller for resolution or adjustment. The Agency Head and the Comptroller may conduct an investigation before rendering a determination. Petitioner then may apply to CDRB for review of the determination by the Agency Head and the Comptroller.

Pursuant to petitioner's contract with HRA, petitioner is entitled to reimbursement for the services petitioner furnished under the contract. In 2008, HRA determined that petitioner was required to repay specified reimbursements it received through the Medicaid program for the 2004 fiscal year, including funds New York State had appropriated under the New York Health Care Reform Act (HCRA) Health Care Work Force Recruitment and Retention Program. Aff. of Laurie T. Cohen Ex. 2; N.Y. Pub. Health Law § 2807-v(1)(bb). HRA's Director of its Home Care Services Program rejected petitioner's challenge to HRA's determination to recoup the HCRA funds. Petitioner then formallysubmitted a Notice of Dispute to respondent Administrator of HRA, claiming HRA lacked the authority to audit and recoup HCRA funds, which rested exclusively with New York State pursuant to New York Public Health Law § 2807-v(1)(bb)(iii), and requested HRA to defer action on the dispute pending judicial resolution of the scope of HRA's authority. Respondent Administrator neither responded to petitioner's Notice of Dispute nor made any determination regarding the dispute.

Petitioner previously commenced a proceeding pursuant to C.P.L.R. Article 78 against HRA and its Administrator in this court, but the court (Edmead, J.) dismissed the petition due to petitioner's failure to exhaust administrative remedies according to its contract with respondent HRA and the PPB Rules. Barele, Inc. v. City of New York Human Resources Admin., 2010 N.Y. Slip Op. 30760(U), 2010 WL 1458992 (Sup. Ct. N.Y. Co. Apr. 2, 2010). Petitioner then pursued its administrative challenge and submitted a Notice of Claim to respondent City Comptroller. After seeking additional materials from petitioner, the Comptroller determined that both Public Health Law § 2807-v(1)(bb) and HRA's contract with petitioner conferred on HRA the authority to audit and recover HCRA funds and therefore denied petitioner's claim.

Petitioner appealed this determination to CDRB. In opposition HRA maintained, for the first time, that petitioner filed its Notice of Claim with the Comptroller untimely. CDRB issued a decision accepting HRA's position, finding that the HRAAgency Head's lack of response to petitioner's Notice of Dispute constituted an adverse determination under PPB Rule § 4-09(b), 9 R.C.N.Y. § 4-09(b). Because petitioner failed to submit its Notice of Claim to the Comptroller within 30 days after the Agency Head's determination, a deadline that CDRB concluded was 90 days after petitioner submitted its Notice of Dispute to the HRA Agency Head, petitioner's claim was time barred.

II. THIS PROCEEDING

Petitioner commenced this proceeding challenging CDRB's interpretation of PPB Rule § 4-09(b) as an error of law and in violation of petitioner's rights to due process under the New York and United States Constitutions. All respondents except CDRB, which takes no position here, maintain that CDRB's dismissal of petitioner's claim as untimely was rational and permitted under PPB Rule § 4-09(b), citing petitioner's one year delay between filing its Notice of Dispute with the HRA Agency Head and filing its Notice of Claim with the Comptroller while the prior judicial proceeding was pending. These respondents insist that, since petitioner's commencement of its first Article 78 proceeding did not toll its compliance with the administrative dispute resolution process, its Notice of Claim was beyond any time period allowed by the contract and PPB Rules.

Respondents also claim that the dismissal of petitioner's prior proceeding due to its failure to exhaust its contractual administrative remedies bars the current petition based on res judicata and collateral estoppel. See Barele, Inc. v. City ofN.Y. Human Res. Admin., 2010 N.Y. Slip Op. 30760(U), 2010 WL 1458992. In the prior proceeding, petitioner challenged HRA's initial determination to recoup HCRA funds and the HRA Agency Head's failure to respond to petitioner's Notice of Dispute. Here, petitioner seeks judicial review of CDRB's dismissal of its claim. CDRB was not a party to the prior proceeding. For collateral estoppel to bar petitioner from pursuing its claim here, the claim necessarily must have been decided in the prior proceeding, where there was a full and fair opportunity to litigate the issue. Tydings v. Greenfield, Stein & Senior, LLP, 11 N.Y.3d 195, 199 (2008); City of New York v. Welsbach Elec. Corp., 9 N.Y.3d 124, 128 (2007); Buechel v. Bain, 97 N.Y.2d 295, 303-304 (2001); Martin v. Safeco Ins. Co. of Am., 19 A.D.3d 221 (1st Dep't 2005). Because the prior proceeding did not decide or necessarily resolve that petitioner's Notice of Claim to CDRB was untimely or that CDRB's dismissal was rational and lawful, neither res judicata nor collateral estoppel applies to bar this proceeding. Josev v. Goord, 9 N.Y.3d 386, 389-90 (2007); Gomez v. Brill Sec., Inc., 95 A.D.3d 32, 35 (1st Dep't 2012). See CRP/Extell Parcel I. L.P. v Cuomo, 101 A.D.3d 473, 474 (1st Dep't 2012); Constantine v. Teachers College, 93 A.D.3d 493, 494 (1st Dep't 2012).

III. CDRB'S ERRONEOUS INTERPRETATION OF THE PPB RULES

The court's review of CDRB's decision is limited to whether it was rationally based and not arbitrary nor affected by an error of law. C.P.L.R. § 7803(3); City of New York v. ContractDispute Resolution Bd. of the Citv of N.Y., 110 A.D.3d 647, 647 (1st Dep't 2013); L&L Painting Co.. Inc. v. Citv of New York, 69 A.D.3d 517, 517-18 (1st Dep't 2010); Weeks Marine Inc. v. Citv of New York, 291 A.D.2d 277, 278 (1st Dep't 2002). An agency's interpretation of its own regulations, if rational or reasonable, is entitled to deference. Roberts v. Bloomberg, 83 A.D.3d 457, 458 (1st Dep't 2011); Smith v. Donovan, 61 A.D.3d 505, 508 (1st Dep't 2009). Discerning a regulation's plain meaning, however, requires no administrative agency expertise, so the court may ascertain the meaning from the regulation's terms themselves without deferring to the promulgating agency's interpretation. ATM One v. Landaverde, 2 N.Y.3d 472, 476-77 (2008); Associated Mut. Ins. Coop, v. 198, LLC, 78 A.D.3d 597, 598 (1st Dep't 2010); Smith v. Donovan, 61 A.D.3d at 508; Sombrotto v. Christina W., 50 A.D.3d 63, 69 (1st Dep't 2008).

The PPB Rules provided the agency's designated officer 30 days after petitioner filed its Notice of Dispute to submit pertinent materials to the Agency Head. 9 R.C.N.Y. § 4-09(d)(1). After this initial submission, however, the applicable rule then permitted the agency and petitioner to demand the other party's production of documents or other materials and imposed no time limit on this additional discovery. Id. The Agency Head was empowered to convene an informal conference, seek expert opinions, require additional materials, and compel additional parties' participation, thus extending the Agency Head's deadline, without any prescribed limit, to render a determinationof the dispute. 9 R.C.N.Y. § 4-09(d)(2). Finally, although the Agency Head was required to make his determination within 3 0 days after he received all materials and information, this time was further extendable upon the parties' consent. 9 R.C.N.Y. § 4-09(d)(3).

PPB Rule § 4-09(b) provides that the Agency Head's failure to issue a determination "shall be deemed a non-determination . . . that will allow application to the next level." CDRB interpreted that provision so as not to give petitioner an indefinite toll of time to appeal and merely to permit petitioner to appeal by presenting its claim to the Comptroller. CDRB interpreted PPB Rule § 4-09(d)(1) and (3) as requiring the HRA Agency Head to issue a determination within 60 days after receiving petitioner's Notice of Dispute, so that petitioner was required to file its Notice of Claim with the Comptroller within 90 days after first notifying the Agency Head of the dispute. Even though CDRB admits that discovery requests,may extend the 60 days, it...

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