American Med. Ass'n v. Thompson,
No. 99 C 7850 (N.D. Ill. May 29, 2001)
A 1989 Medicare statute introduced the idea of a fee schedule, which was to
be recalculated for the 1998 and 1999 fiscal years by the Health and Human Services
("HHS") Secretary. One of the core factors to the recalculation formula
is the sustainable growth rate ("SGR"). When the Secretary decided
not to adjust the SGR rate, a group of physicians sued HHS claiming violations
of due process and the takings clause of the Fifth Amendment of the United States
Constitution. The Secretary filed a motion to dismiss citing the "no review"
provision of the Medicare statute, which prohibits the judiciary from hearing
this case. The United States District Court for the Northern District of Illinois
granted the motion to dismiss, stating there was no violation of the Constitution
and holding that the Medicare statute does not explicitly contain a provision
requiring the Secretary to make adjustments to the SGR. The district court also
held that the physicians did not have a viable "takings" claim because
participation in Medicare is voluntary.