IN THE UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT
No. 00-41269
BOBBY WATSON, On Behalf of Himself
and All Others Similarly Situated,
Plaintiff-Appellant,
versus
STATE OF TEXAS,
Defendant-Appellee.
Appeal from the United States District Court
for the Eastern District of Texas
August 7, 2001
Before HIGGINBOTHAM and BENAVIDES, Circuit Judges, and LITTLE,*
District Judge.
PATRICK E. HIGGINBOTHAM, Circuit Judge:
Texas smokers, suffering smoking-related illnesses treated
with Medicaid assistance, filed this suit asserting a right to
share in the settlement that resolved the lawsuit filed by the
State of Texas against members of the tobacco industry. The
district court dismissed the smokers’ complaint in the suit now
before us for failure to state a claim upon which relief can be
granted. It accepted the state’s contention that Texas sought and
is to be paid only for its own damages; that Texas did not sue as
*
District Judge of the Western District of Louisiana, sitting
by designation.
an assignee of Medicaid recipients. The district court rejected
the state’s plea that the Eleventh Amendment deprived the district
court of jurisdiction. We agree with the district court and
AFFIRM.
I
The facts are simple. The State of Texas and numerous other
states sued various tobacco companies. In 1998, these states and
defendants from the tobacco industry reached an agreement termed
a Comprehensive Settlement Agreement. Pursuant to the Agreement
the tobacco companies agreed to pay Texas an amount in excess of
$17,000,000,000.00, payable to the state over an extended period.
Bobby Watson seeks a share of the settlement for himself and
the class he represents. Watson and his class members are smokers
who have been treated for smoking-related illnesses and whose
medical expenses were covered in part under the Texas Medicaid
program.
The class argued before the district court that it was
entitled to a share of the settlement proceeds pursuant to 42
U.S.C. § 1396k. That statutory provision, entitled “Assignment,
enforcement, and collection of rights of payments for medical care;
establishment of procedures pursuant to State plan; amounts
retained by State,” provides in pertinent part that:
(a) For the purpose of assisting in the collection of medical
support payments and other payments for medical care owed to
2
recipients of medical assistance under the State plan approved
under this subchapter, a State plan for medical assistance
shall–
(1) provide that, as a condition of eligibility for
medical assistance under the State plan to an individual
who has the legal capacity to execute an assignment for
himself, the individual is required–
(A) to assign the State any rights, of the
individual or of any other person who is eligible
for medical assistance under this subchapter and on
whose behalf the individual has the legal authority
to execute an assignment of such rights, to support
(specified as support for the purpose of medical
care by a court or administrative order) and to
payment for medical care from any third party.
* * *
(b) Such part of any amount collected by the State under an
assignment made under the provisions of this section shall be
retained by the State as is necessary to reimburse it for
medical assistance payments made on behalf of an individual
with respect to whom such assignment was executed (with
3
appropriate reimbursement of the Federal Government to the
extent of its participation in the financing of such medical
assistance), and the remainder of such amount collected shall
be paid to such individual.1
According to plaintiffs, they comprise the class of “such
individual[s]” to whom “the remainder of such amount collected
shall be paid.”
The district court was not convinced. It first held that it
had jurisdiction under the Settlement Agreement, and that Texas’s
limited waiver of Eleventh Amendment immunity included this
dispute. It then held that Texas’s claims against the tobacco
industry were made directly and not as an assignee of Medicaid
recipients. It concluded that section 1396k therefore did not
apply, and dismissed the case under Rule 12(b)(6) as failing to
state a claim upon which relief can be granted.
Watson appeals, asking that we reverse the 12(b)(6) dismissal.
The State of Texas urges that we affirm, preferably on Eleventh
Amendment immunity grounds. We are persuaded that the waiver of
Eleventh Amendment immunity contained in the Comprehensive
Settlement Agreement reached this suit, narrow though the waiver
is. We are also persuaded that Texas proceeded directly and not as
1
42 U.S.C. § 1396k (2001).
4
an assignee, and we therefore AFFIRM the judgment of the district
court.
II
In reviewing a dismissal under Rule 12(b)(6), we accept as
true all well-pleaded facts and view them in the light most
favorable to the plaintiff, asking whether it “appears beyond doubt
that the plaintiff can prove no set of facts in support of his
claim which would entitle him to relief.”2 We first examine the
State of Texas’s Eleventh Amendment immunity defense.
We begin with the black letter, or to borrow a student phrase,
the “red eye law.” “[T]he Constitution does not provide for
federal jurisdiction over suits against nonconsenting States.”3
Texas’s Eleventh Amendment immunity 4 will bar this suit unless it
has been validly abrogated or waived. No party here argues
2
See Conley v. Gibson, 355 U.S. 41, 45-46 (1957); see also
Baker v. Putnal, 75 F.3d 190, 196 (5th Cir. 1996).
3
Kimel v. Florida Bd. of Regents, 528 U.S. 62, 73 (2000).
4
We will refer to a state’s immunity from suit in federal
court as Eleventh Amendment immunity, for convenience to
distinguish it from a state’s sovereign immunity from suit in its
own courts. Cf. Atascadero State Hosp. v. Scanlon, 473 U.S. 234,
241 (1985) (distinguishing for waiver purposes between a state’s
sovereign immunity from suit in state courts and a state’s immunity
from suit in federal courts). We recognize that the text of the
Eleventh Amendment refers only to suits against states by citizens
of other states. The immunity invoked in this case, by a citizen
of Texas against Texas, thus comes not from the text of the
Eleventh Amendment, but rather from the constitutional
presupposition of sovereign immunity the Supreme Court has
recognized. See Kimel, 528 U.S. at 72-73.
5
abrogation, so the question is whether Texas’s waiver of immunity
included this dispute.5 We find that it did.
While Eleventh Amendment immunity “partakes of the nature of
a jurisdictional bar,”6 unlike any other issue of federal subject
matter jurisdiction, it can be waived by the state.7 A state’s
waiver must be unequivocal, but it can be either express or
implied.8 Where waiver is by express statement, the intent to
waive immunity from suit in federal court must be “stated by the
most express language or by such overwhelming implications from the
text as [will] leave no room for any other reasonable
construction.”9 We will find waiver by implication from conduct
5
Watson urges a third theory: that the court possesses
ancillary jurisdiction over this case. It is true that
supplemental jurisdiction (the rubric under which ancillary
jurisdiction is now contained) would permit a court to exercise
jurisdiction over a case even where the court would not otherwise
have jurisdiction to hear the case. See Manges v. McCamish,
Martin, Brown & Loeffler, 37 F.3d 221, 224 (5th Cir. 1994). It is
also true that Eleventh Amendment immunity is jurisdictional in
character. See Edelman v. Jordan, 415 U.S. 651, 677-78 (1974).
However, the presence of supplemental jurisdiction does not
eliminate an Eleventh Amendment bar. See County of Oneida v.
Oneida Indian Nation, 470 U.S. 226, 251 (1985). The mere presence
of a jurisdictional basis cannot defeat the Eleventh Amendment,
lest the Amendment become a nullity.
6
Edelman, 415 U.S. at 677-78.
7
See Clark v. Barnard, 108 U.S. 436, 447 (1883) (“The
immunity from suit belonging to a state . . . is a personal
privilege which it may waive at pleasure.”); Atascadero, 473 U.S.
at 238.
8
See Neinast v. Texas, 217 F.3d 275, 279 (5th Cir. 2000).
9
Edelman, 415 U.S. at 673 (internal quotation marks omitted).
6
only under narrow circumstances: we require that the state employ
the power of the federal court in such a way that its intent to
forego its acceptance of immunity be unequivocal.10
The Comprehensive Settlement Agreement was signed by the
attorney general of Texas, on behalf of the State of Texas.11 Two
clauses of the Agreement in combination unequivocally waive Texas’s
Eleventh Amendment immunity for a limited class of disputes. They
acknowledge the parties’ acceptance of federal jurisdiction and the
retention by the court of jurisdiction to enforce the settlement
and recite their agreement to present all disputes over the
settlement agreement to the court.
[The parties] acknowledge that this Court has jurisdiction
over the subject matter of this action and over each of the
parties hereto, and that this court shall retain jurisdiction
for the purposes of implementing and enforcing this Settlement
Agreement.
10
See Neinast, 217 F.3d at 279.
11
We presume that the attorney general for the State of Texas
had the power to sign the Agreement on behalf of Texas and had the
power to waive the state’s sovereign immunity. See Ford Motor Co.
v. Dept. of Treasury, 323 U.S. 459, 467 (1945) (“It is conceded .
. . that if it is within the power of the administrative and
executive officers of Indiana to waive the state’s immunity, they
have done so in this proceeding. The issue thus becomes one of
their power under state law to do so.”).
7
The second clause is the disputes clause, which states that the
parties:
agree to present any disputes under this Settlement Agreement,
including without limitation any claims for breach or
enforcement of this Settlement Agreement, exclusively to this
Court.
It is undisputed that these two clauses waive immunity for the
class of cases they cover.
The phrase “this Court” refers to the United States District
Court for the Eastern District of Texas, Texarkana Division, the
court suit was brought in and from which this appeal was taken.
The court referred to in the Agreement is a federal court.12
The enforcement clause acknowledged that the federal court had
subject matter13 and personal jurisdiction over the State of Texas.
12
Compare Kennecott Copper Corp. v. State Tax Comm’n., 327
U.S. 573, 579-80 (1946) (finding insufficiently clear a statute
permitting suit in “any court of competent jurisdiction”), with
Kimel v. Florida Bd. of Regents, 528 U.S. 62, 74-76 (2000) (finding
sufficiently clear a statute authorizing suit in “any Federal or
State court of competent jurisdiction”).
13
The provision purporting to vest a federal court with
subject matter jurisdiction cannot, of course, create federal
subject matter jurisdiction where it otherwise would not exist.
See Commodity Futures Trading Comm’n v. Schor, 478 U.S. 833, 850-51
(1986). We need not concern ourselves with that issue here,
however. Plaintiffs have sued under a federal statute, 42 U.S.C.
§ 1396k, thereby raising a federal question.
8
While vesting of jurisdiction alone is not sufficient to overcome
the Eleventh Amendment,14 the state consented to the vesting of
jurisdiction “for the purposes of implementing and enforcing” the
Agreement. Ordinary usage suggests that “enforcing” the Agreement
might entail one party suing the other, which would be impossible
unless Texas’s consent to jurisdiction embodied a waiver of its
Eleventh Amendment immunity.
By the disputes clause, the parties (including Texas) agreed
to present to the court below “any disputes” under the agreement.
“Any disputes” encompasses not only disputes initiated by Texas,
but also disputes initiated by the tobacco industry. The clause
goes on to say “including without limitation any claims for breach
or enforcement.” This phrase encompasses all claims, including
claims brought by tobacco companies against the sovereign State of
Texas. By its plain language, then, the disputes clause expresses
Texas’s consent that covered claims are to be presented exclusively
to the United States District Court for the Eastern District of
Texas. That is an express and unequivocal waiver of Texas’s
Eleventh Amendment immunity.
Watson contends that the State of Texas of necessity sued the
tobacco companies under an assignment of rights from himself and
the class he represents. Texas, according to Watson, stood in the
14
See County of Oneida v. Oneida Indian Nation, 470 U.S. 226,
251 (1985).
9
class’s shoes when it signed the Agreement, and thus Watson and the
class are not strangers to the Agreement. Rather, Watson and the
class, while not named parties, were real parties in interest in
the underlying tobacco litigation. This highlights the fact that
the claim here is to the proceeds of a settlement fund assertedly
created by settlement of a claimed breach of duty owed both to
Texas and the Watson class.
This is not a case where the plaintiff seeks to recover money
from the state for breach of some duty owed only by the state, and
tries to bootstrap his way into an Eleventh Amendment waiver by
demanding the proceeds of the Settlement Agreement. Here, the
basis for Watson’s claim is inextricable from the issues raised by
the case that the Settlement Agreement settled. Watson bases his
claim on the theory that he was an implied party to the underlying
tobacco litigation. That claim goes directly to the judgment of
the district court in the underlying tobacco litigation, and to the
assumptions upon which the Settlement Agreement was based. If
Watson submits that issue to a state court, and returns with a
state court judgment ordering that he be paid proceeds from the
Settlement Agreement as an assignor of the state, the Agreement’s
goal of resolving all disputes over the Agreement in one court will
be frustrated. The gathering of disputes is reinforced by the
district court’s retention of control over the disbursement of the
settlement proceeds. Paragraph 11 of the Agreement provides that
all payments under the Agreement will be made into the court’s
10
registry, and shall be disbursed “only in accordance with the
orders of the Court.” Watson and his class are urging the court to
order that a portion of the proceeds be disbursed to the class, a
request assertedly under the Settlement Agreement. And another
court will be ordering disbursement from the settlement proceeds.
We conclude that this suit is within the waiver in the
Settlement Agreement. In so concluding, we agree with the state
that its waiver was not general. Rather, it was a narrow and
carefully crafted instrument intended to relinquish no more of the
state’s sovereign immunity than it must to effectuate the
settlement in a sound and efficient manner. In short, we today
treat only the claims of Watson and his class with their uniquely
snug fit with the case that was settled.
III
Watson seeks to recover proceeds of the Settlement Agreement
under 42 U.S.C. § 1396k(b). Section 1396k requires states who wish
to participate in Medicaid to require individual beneficiaries to
assign to the state any rights to support and payment of medical
care by any third party.15 It then creates a distribution scheme
by which any money governed by section 1396k(b) is used first to
reimburse the Federal Government, then to reimburse the state, with
any surplus paid over to the beneficiary:
15
42 U.S.C. § 1396k(a)(1)(A).
11
Such part of any amount collected by the State under an
assignment made under the provisions of this section shall be
retained by the State as is necessary to reimburse it for
medical assistance payments made on behalf of an individual
with respect to whom such assignment was executed (with
appropriate reimbursement of the Federal Government to the
extent of its participation in the financing of such medical
assistance), and the remainder of such amount collected shall
be paid to such individual.16
The Federal Government has waived any claim it may have to
reimbursements.17 Hence, the claim of the class is that under
section 1396k(b) the settlement proceeds are to be paid first to
Texas, up to the amount spent by Texas, with any surplus paid to
the class. Our task is to decide whether section 1396k(b) applies.
Watson’s assertion is empty beside the plain text of section
1396k(b). The text reaches only recoveries made under an
assignment of rights. The statute begins with “[s]uch part of any
amount collected by the State under an assignment made under the
provisions of this section shall be . . . .”18
16
42 U.S.C. § 1396k(b).
17
See 42 U.S.C. § 1396b(d)(D)(3)(B)(i).
18
42 U.S.C. § 1396k(b) (emphasis added).
12
Whether section 1396k(b) applies turns on whether the State of
Texas proceeded directly or under an assignment. In the underlying
tobacco litigation, the district court held that the state
proceeded directly.19 The tobacco industry urged an assumption of
the risk defense available against the State only if it were
proceeding as an assignee. The contention was in part that §
32.033 of the Texas Human Resources Code was Texas’s exclusive
remedy; that the State was only authorized to proceed as an
assignee and was not authorized to proceed directly.20 The district
court rejected this argument, holding that the State was authorized
by law to proceed directly and had a quasi-sovereign interest
warranting a direct action.21 In short, the district court held
that Texas asserted its own claim and did not assert the claims of
assignees; that it was not required to do so.
Having reviewed the complaint independently, we agree with the
district court that the State of Texas proceeded directly. The
first place to look when attempting to characterize the underlying
lawsuit is, of course, the complaint itself.22 If this action were
19
See State of Texas v. Am. Tobacco Co., 14 F. Supp. 2d 956,
961-65 (E.D. Tex. 1997) (holding that the subrogation provisions of
Texas law do not provide the state’s exclusive remedy, but rather
that the state can and did proceed directly under a common law
theory).
20
Tex. Human Resources Code § 32.033 (2001).
21
See Am. Tobacco Co., 14 F. Supp. 2d at 961-65.
22
Cf. Caterpillar Inc. v. Williams, 482 U.S. 386, 392-93
(1987) (holding that the plaintiff is the master of the complaint
13
brought under an assignment of rights, the complaint would have to
plead the state’s right to file suit for an injury to citizen
smokers. Texas’s Fourth Amended Complaint in the underlying action
does not do so. It nowhere alleges that the state holds an
assignment of rights from smokers, nor does it plead that such
assignment entitles it to enforce the rights of smokers.
Texas’s complaint in the tobacco litigation makes clear that
as regards the Medicaid reimbursement theories of recovery, the
state is not suing for the full amount of injury the tobacco
companies may have inflicted upon smokers, but rather only for the
money spent by the state. The complaint states that the action is
“to recover funds expended by the State to provide medical
treatment to citizens suffering from smoking-related illnesses.”23
It also says “For decades, the State has incurred significant
expenses associated with the provision of necessary health care .
. . .”24
for purposes of determining federal question jurisdiction, and may
choose not to assert federal causes of action that he or she would
by law be entitled to assert).
23
The italics in this and subsequent quotations from the
complaint are ours.
24
Plaintiff places great emphasis on the fact that the
complaint expressly seeks reimbursement of Medicaid expenses. That
misses the point. Mere invocation of the Medicaid statute does not
require the state to split a recovery under 1396k(b), rather as we
have explained, the lawsuit must be under an assignment for
1396k(b) to apply.
14
The payments provided for in the Agreement are not broken down
by claim. Thus, it would be difficult, if possible at all, to
calculate the percentage of the state’s recovery based on Medicaid
expenses and the percentage, for example, based on RICO punitive
damages.25 The Medicaid portion of the payment stream might only
be the amount the state itself spent on Medicaid.26 If so, then
there would be no surplus Medicaid recovery to be distributed under
section 1396k(b) – all excess funds in the payment stream might
properly be attributed to the state’s myriad other theories of
recovery.27 The relevant point is that absence of earmarking is
inconsistent with the assertion that the parties to the Settlement
25
Cf. Floyd v. Thompson, 227 F.3d 1029, 1038 (7th Cir. 2000)
(“We add that the administrative problems that would be created by
any other ruling would be nightmarish. As Wisconsin and the other
states point out, the total sums of money to be paid under the
M.S.A. are not earmarked for different claims. . . . The final
amount to be paid, after 25 years have elapsed, is unknown and
unknowable at this point, because it depends partly on how
successful the anti-smoking campaigns turn out to be.”).
26
The complaint would support this reading. Texas’s Fourth
Amended Complaint in the underlying action makes abundantly clear
that the action is “to recover funds expended by the State to
provide medical treatment to citizens suffering from smoking-
related illnesses.” We do not insist that this is necessarily the
correct view of the agreement; rather we mention this
interpretation to demonstrate the difficulties associated with
trying to apply section 1396k(b) to this case.
27
For example, the state asserted a RICO claim, a federal
antitrust claim, a state law antitrust claim, a common law nuisance
claim, a common law unjust enrichment claim, and a product
liability claim. If the Medicaid recovery was only the amount
actually spent by Texas, Watson would have no claim to any portion.
Cf. Floyd, 227 F.3d at 1037.
15
Agreement understood the settlement to be for the benefit of the
state and not others.
Nothing in Section 32.033 of the Texas Human Resources Code is
intolerant of the state pursuing only its own claim. After
requiring the assignment of rights mandated by federal law, the
code provides that “[a] separate and distinct cause of action in
favor of the state is hereby created, and the department may,
without written consent, take direct civil action . . . .”28
Where the relevant statute authorizes a direct action, the
complaint makes no mention of an assignment of rights but does
repeatedly assert a direct injury to the state, and the case was
allowed to proceed on the understanding that it was a direct
action, we have no difficulty in concluding that the distribution
scheme in section 1396k(b) does not apply. If the distribution
scheme upon which plaintiff rests his case is inapplicable, then
Watson can prove no set of facts in support of his claim which will
entitle him to relief. Dismissal under Rule 12(b)(6) was therefore
appropriate.29
IV
The judgment of the district court is AFFIRMED.
28
Tex. Human Resources Code § 32.033(d).
29
See Conley v. Gibson, 355 U.S. 41, 45-46 (1957).
16