USA v. State of Mississippi, No. 21-60772 (5th Cir. 2023)
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The United States commenced an investigation of Mississippi’s mental health system. This investigation was not prompted any individual instance of discrimination against a person with serious mental illness. The United States filed suit against the state of Mississippi, alleging that its entire mental health care system violated the “integration mandate” prescribed by 28 C.F.R. Section 35.130(d) and reified in the Supreme Court’s decision, Olmstead v. L.C. ex rel. Zimring. The district court conducted a trial, upheld the federal government’s theory of liability, and ordered not only sweeping modifications to the state’s system but also the indefinite appointment of a monitor who would oversee the system. Mississippi contends that (1) the federal government has not proved a cause of action for discrimination in violation of the ADA (2) the court erred in rejecting its defense that remediation would require an impermissible “fundamental alteration” of its existing programs and (3) the court’s remedial order vastly exceeds the scope of claimed liability
The Fifth Circuit reversed. The court explained that the possibility that some un-named individual with serious mental illness or all such people in Mississippi could be unjustifiably institutionalized in the future does not give rise to a cognizable claim under Title II. The court further wrote that nor does such a vague and standardless theory license courts under the ADA to rework an entire state’s mental health system. Accordingly, the court held that the government did not prove that the state of Mississippi violated Title II pursuant to the statute, regulations, or Olmstead as properly construed.
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