CompRehab Wellness Group, Inc. v. Secretary of Health and Human Services, No. 1:2011cv23377 - Document 31 (S.D. Fla. 2013)
Court Description: ORDER granting 21 Cross Motion for Summary Judgment; denying 20 Motion for Judgment on the Pleadings; denying 20 Motion for Summary Judgment, and CLosing Case. Signed by Judge Patricia A. Seitz on 4/30/2013. (lh)
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CompRehab Wellness Group, Inc. v. Secretary of Health and Human Services Doc. 31 UN I TED STATES DI STRI CO URT CT SO UTH ERN DISTRICT O F FLO RIDA CASE N O .1123377- V - TZ/ M ON TON Cl SEI Sl COM PREHA B W ELLN ESS G ROU P, m C. a Fl i Co or ton . orda m a i Pl ntf, ai if KATH LEEN SEBELI S, U Secr ar ofHealh and Hum an Ser ces et y t vi , D e e nt f nda . O RD ER GM NTI G DEFENDAN T' CRO SS- O TI N FO R SU M M ARY JUD G M ENT . N S M O DENYI G PLAI TIFF' M O TI N FOR JU DG M ENT O N TH E PLEADING S O R N N S O SUM M ARY JU DG M ENT. ND C LO SI G CA SE A N THI M ATTER c m e b o e t Cour upon Pl i ips M oto f r J S a ef r he t a ntf i n o udgmen on t t he Pla ng orSu r J me t( 20)a Dee da ' Cr sMoi f Su r J men e di s mmay udg n DE nd fn nts os- ton or mmay udg t ( 21. Pli if a Me cae PatB Prvi ,s e j calrviw ofadeemi ton by te DE q antf, di r r o der e ks udii e e tr nai h Se rtr of t De rme t of He t a Huma Sevie (eeiaûe t <se rtr jt t ceay he pat n alh nd n r c s h r n r he t cea/' ha Pl ntT s M edi e bilng prvieges wer pr l r ai i car li il e opery evoke The Cent s f M edi e and d. er or car M e c i Sevi s ( SI rvoke Pl ntf' bilng prvie es atr i con ud d Pl nifwa diad r ce CM I e d ai ifs li i lg fe t cl e aitf s i pr ry sa f d a t r f r non- pe a i nal a a Com pr h nsve Out te t Re a lt to m ope l t f e nd he e o e o r to s ee i pa i n h biia i n Faclt ( iiy CORF) Spe tc ly,CMS fund Pli ifsCoodi t ofSeviesMs Mai Fue ts . ci al s o antf' r naor rc . ra ne w a notlc ns d asa m e c pr e s on a w a t e e o e nota ç lfed pr es i al wihi t s ie e di al of s i al nd s h r f r s ii qua of s on ' t n he ' m eani of CO RF r atons. CM S alo f ng egul i s ound Pl ntf s physi an s ces w er i ai if' ci ervi e nadequat e be a e ism edi ldie t ,Dr Pedr Bos h,w a onl pr e att f ciiy onc a m o h a t n c us t ca r c or . o c s y es nt he a lt e nt nd he onl t si paper y o gn s. lCM S a nitr t M e ca e pr a a i a di son oft Depa t t of Heat and Huma Ser ies dmi se s he di r ogrm nd s vii he rmen 1h n vc (een ûe R ' spevs d b t S ceay. Gu o s Me S p y I .v S c eay HHS,4 8 F.d h r ia r HHS' u r ie y he e rtr I fc at d u pl, nc . er tr 6 3 1 471 4 ( 1hCi. 0 ) 3 ,3 9 1t r20 6. l Dockets.Justia.com l t s a ton, Pl i if r ies t ee g oun w h t r vo ton o is bilng prvie s i n hi c i a ntf a s hr r ds y he e ca i f t li i l ge s i ald. Fis ,Pl i if a gu s t r voc ton i i ald b a e CM S r v d is bilng prvie es nv i r t a ntf r e he e a i s nv i ec us e oke t li i lg un r a un ons iu i ly p o ul t r gul to Se on Pl i if a g de n c tt tona l r m ga ed e a i n. c d, a ntf r ues t r voc ton i he e a i s i va i be a e t r gulton t a r ies a CORF t de i na e ç alfe p of s im a ' t n ld c us he e a i h t equ r o s g t t ii d r e sc l' o qu f n he e t ii d of sona .z n l ai if guest qua ' he c r i t te t e do notde i e t t nn ç lfe pr es i l' Fi aly, Pl ntf ar oo d na e r a m nt es r vo a i i i ald be a e t r gul to t tr quie a CO RF t pr de physci n s v c doe e c ton s nv i c us he e a i n ha e r s o ovi i a er i es s not i s a ç i ht lne' s a da d f de e m i ng t s fi e cy of a ph i i n' o st s ue ç g -i ' t n r or t r ni he u fci n br ysc a s n- ie i vem ent. The Court ha ng c r ul c i rd t moins Pl nifsrpl bre ( 271 nvol 3 vi aef l onsdee he to , aitf' e y if DE y , a t A dm i sr tve Re or m us fnd t t t Se r t r ba e he de i i t uphol t nd he nita i c d, t i ha he c e a y s d r c son o d he r voc ton ofPl ntf' M e c r bilng prvie s on f t s e ai ai ifs di a e li i l ge ac s uppo t d b s t nta e de e i t e r e y ubsa i l vi nc n h r c d, a d t t t de i i n i i a o d wih a i bl lw . A c or ng y,t Cour g a s e or n ha he c s o s n cc r t pplca e a c di l he t r nt Defnda tsmotonf s e n ' i or ummayj gme . r ud nt I BACK GR O UND4 A.Rel evantRegul or Provi ons at y si M e c r Pa tB i a f de a pr gr m t tpa f m edi a ca e f t e de l a dia e di a e r s e r l o a ha ys or c l r or he l ry nd s bl d. 42U. C.551 j- 1 w- l ode t qualf a aMe c r PatB Pr d rame c lfclt S. 395 395 4. n r r o iy s diae r ovie dia a iiy mus bei rtona't Sur s M e c r ...sr ies .. 42C. R.j 4. 0d)6 .Ast tr t s ai l o ' nih diae ope ' f e vc . ' ' F. 42 51 ( () he em i i to ' m e ns t pr vi r i pr ry sa f d t pr de r quie s r c s 542 i nal a he o de s ope l t f e o ovi e r d e vi e . ' apples her oper i e, a C. R.5 4. F. 42 502. 24 c FR 5 2 5 () 2 4 4 8c 3Thi FRij 5 ()l d fom t a nitai r c d i t sc e,whih t parishav si aed c tt es 4 c s ton i de() r he dmi sr tve e or n hi as 2 s ec 4 s arve 8 i 4 c he te e tpult onsiut t undiput f c s Ciai t t Admi sr i Re d f l t Batssa he s ed a t . ttons o he nitatve cor olow he e tmpedpagenumbe s r. 5 The f l de i ton oftope ai l'i as f l :t pr de o s i has a qualfed physc lpr cie ul fnii ç r tona' s olows he ovi r r uppler ii ia a tc l ai i ope t t publcf t pu pos ofpr di he lh ca er ae s r ce ,i prpaed t s tvald oc ton, s n o he i or he r e ovi ng at r eltd evi s s e r o ubmi i Me c r cams a d i po ry safd,e up e ,a d so k d (sa pl a l,b sd o tetpeo fclt o diae li , n s rpel tfe q ip d n tc e a p i be a e n h y f a i y r c i o g nz to ,po ie o s p l rs cat,o te sr ie o i msben rn ee ) t fr ih t s i mso ra iain rvd r r u pi pe il r h e vc s r t e y e ig e d r d, o uns hee t e r s rie .4 C. R.9 0 e vcs 2 F. 5 2. 2 W hehe a pr vi r i pr ry saf d t pr vi r quied s r iesde nds ofc s ,on t r o de s ope l t fe o o de e r e vc pe s oure wha tepr d rdoe .Pli if Co t h ovie s antf, mpRe bWelne sGr p,nc.( ri fe t mple b' wa ha l s ou l heenatr t co k ha ' s l c t go i ed unde M e c r Pa tB r gul tonsasa Co pr he i e Ou pa i ntRe biia i Fa iiy a e rz r di a e r e a i m e ns v t te ha lt ton c lt (û ' CORF',a n r i ntalrha ltton fciiy opeae eihe b a ph i a or u r t ' ) on-esde i e biiai a lt rtd t r y yscin nde he s r son of a p iin6 Se 42 U. C.jl upevii hysca e S. 395x(c)2)A) B) Congrs i l d CORF c ( ( &( . es ncude . s r i e a a co r d M e c r be ftt pr de be fc a i co di t d a c s t ç br d a r y evc s s ve e di a e ne i o ovi ne i i res or na e c e s o û oa ra a ' h ofrha iiaton s ces. H. Rep.N o.l167,96t Cong., 2dSes.a 375 (9801 Acc r ngl e b lt i ervi ' R. s t 1 ). odi y, Congr s e powe e t Se r t r t r gul t Col Fs i t i t r s o t he lh a s f t of es m r d he c e a y o e a e k n he n e e t f he a t nd a e y CORF pains 42 U. C.j1 x(c()J. To t te d,t ceay prmulae a sreso te t. S. 395 c )2() ha n heSe rtr o g td ei f t i l y t hes r atons caled dcondii of Pari paton.' A CO RF m us contnualy compl w ih t e egul i l s tons tci i ' c ndii t mant n isbilngelgi lt Se 4 C. R.99 5 - 485. Ea hCondii of o tons o i ai t li i biiy. e 2 F. 485.4 66. c ton Pari i ton c a ns s b- e l tons c le St nda ds Thes san r i pos e n tght r tc pa i ont i u r gu a i a ld a r . e t da ds m e ve i e r r equiement on CORF oper i s atons. TheCon to ofPa tcpainrlva t t saci i codi da 42C. R.5 58. Thi diin rii to ee nt o hi ton s se t F. 485. s c ndii r q r a CORF t pr de a l s t r t pes of s r c s -phys c a s r i es ph i l o ton e uies o ovi t ea t h ee y e vi e i i n e v c , ysca t rp s rie , nd,a ami mum, te s i o physol c sr ies 42C. R. 5. The hea y evc s a t ni eih r ocal r i ogial e vc . F. j48 58. st andar undert condii s f how patent ar teat by whom t ar teat and w her ds he ton peciy i s e r ed, hey e r ed, e t yaete td.42C. R 5j 58()-() Twoo t esa r aei ve her Thefrti he r rae F. 458. a g. f hes tndads r nvol d e. is s t sa adta rquiest CORFt ha eac or nao,42C. R.j 58c.Thec r naors he tnd r h t e r he o v o di tr F. 485. () oodi t ' j bi t c diaepaintte t ntwhih i ne es r gient taCORF pain mih bete td o s o oor n t te rame , c s c say v ha te t g t rae 6 ColF' ar f rhe detne i t Code of Fe r Re ai a pr de s çesa ihe a ope ae t s e u t r i d n he de al gultons s ovi r i tbls d nd r td excl i l f t pur e of pr di di usvey or he pos ovi ng agnosi t r peutc,a r t a i s rvc t oumaint f t tc, he a i nd esortve e ies o te s or he rh bitto o ij rd,dsbe o sc pesns a a snge tx d lc to ,b o u d rte s p r iin o a e a l ain f nue ia ld, r ik ro , t i l i t o ain y r n e h u evso f i p ysca . .'4 C. R. 48 . . h iin . ' 2 F. j 551 3 by a nu be ofm edi a pr e s o s a r s di c plne .? The sa r r quiest e c di t rbe a m r c l of s i nal c os s i i s t nda d e r h oor na o f alfe pr e son , butt t r t ualfe pr e sona' i n e e sy de i d wihn t ç ii d of s i al' qu ' he e m t ii d of s i l' s ot xpr s l fne t i he q s a da d.Th s a ar doe , w e r des rbe t Co di t ' e s nta du i sasf l w s tn r e t nd d s ho ve , c i he or na or s s e i l te olo : ( ) Pr dig t al pes el asocitd wih t f ii a she e 1 ovi n o 1 ronn s ae t he aclt y, c dul i c tng t e f e n y a t pe ofs r c pr de a t f iiy; ndia i h r que c nd y e vies ovi d t he ac lt ( A prce e f c 2) o dur or ommuniaig t al paintcae pes lpetne c tn o l te r ronne ri nt i or aton concer ng si fcantchangesi t patents sat ; nf m i ni gnii n he i ' t us () Pei c ci c rcod e res n i a lat t paints saus i 3 rodi lnial e r nti , otng t e s he te ' tt n r atonshi t goalatai ent and el i p o t nm ; ( Sc dulng paintc s rviw c ee e f pumossofd tr ni 4) he i te ae e e onfrnc s or e eemi ng a o it es of te t e t w h i c t d b t r s t of t i tal ppr pra en s r a m n , en ndi a e y he e uls he nii co e nsve paintase s nt rasesment) t rc mprhe i te ssme , e s s ts, he e omme dain of n to t f c l y ph iin ( ot r ph i a who esabls d t e pln of he a ii t ysca or he yscin t ihe h a te t nt,orup t r c r ame ) on he e omme ton o oneoft pr f s i al pr di g ndai f he o e son s ovi n s vi . er ces 1 d. The s econd sandar at is descrbes t physi an ser ces r r ent 42 C. R. t d s ue i he ci vi equiem s. F. 48 58a.Th sa r do no s ciyhow muc tmeaphysca mus a t l bea t fciiy, 5. () e tndad es t pe f hi iin t cualy the a lt on y t tt phy i i n s e s f i e ttm e t pe f r t f l i e s nta du i s l ha he s c a p nds u fci n i o r o m he olow ng s e i l te : () Pr de i a c da ce wih a e td prncpl of me c l p atc i ovi , n c or n t cc pe i i es dia r cie, m e c die ton, m e c l c r s r i es c ula i di al r c i di a a e e v c , ons t ton, a d m e c l n di a s vii ofnonphysi an saf; uper son ci t f (i Esa ih t pln ofteame t i c e whee a pln ha no b n i) tbls he a r t n n ass r a s t ee esabls by t r er i physi an; t i hed he ef rng ci (i)As iti esa ihi a d i e tngt f ciiy' pa i tc r ii ss n tbls ng n mplmen i he a lt s ten a e polci and i es; (v)Pa tcpae i pln oftt t e tr viws pa in c e rvi w c e e e , i rii t n a r am n e e , te t as e e onf r nc s com pr ehensi pa i ass m entand r sess ent and utlzaton r ew . ve tent ess eas m s, ii i evi 1 d. 1Ther gulton de c i st r e oft Coor naor i pa t a f l e ai s rbe he ol he di t , n r, s olows:ç di ton ofs vies Thef ciiy d coor na i er c . a lt mus desgnat,i wrtng,a qualfed pr e so lt e ur t tpr esi pes t i e n ii ii of s ina o ns e ha of sonal ronnelcoor nae t r r a e di t hei elt d a t iisa e c a eif r to a o te c p te tu d rterc r. 4 C. R. 4 558c ci t nd x h ng n omain b u a h ain n e h i ae' 2 F. j 8 . () v e ' 4 #.Re oc i o v aton fcompRe 'Me c eBiln Prvlge habs diar lig iie s CM S as e s c m pla e w ih c tons a s a a dsby c s s es o i nc t ondii nd t nd r ondu tng on- ie r vi w s Onci st e e . st rviwsaeun nnoun d i pe tonso aPr d rsprmies 42 C. R.9 51 a. CMS ie e e r a ce ns ci f ovie ' e s . F. 424. 74) ofe c nta t wih t r pa t t c nduc t s rviws Se 42U. C.jl 95u.l aPrvi ri tn o rcs t hid- ri o o t hee e e . e es S. 3 f o de s f dn c oun on- ompla t a t r a on- ie r vi w ,CM S,or a a i s r tve c ta t ,i au h i e t i n fe n st e e n dm nita i on r c or s t orz d o r oket Prvi rsbilngprvieg s 42C. R.5 a)5() ev he o de ' li i l e . F. 35( ()i. l t s c e i es i a o s fom Sa eGua d Se vi es LLC a a m e c lr vi w nu s fom n hi as , nv tg t r r f r r c , nd di a e e re r ItgrGuad,LLC c ce a o st rviw o Comp ha on Mac 11 2 0. ( 0 1 ne i r ondu td n n-ie e e f Re b rh , 01 AR 01. l s i a o s r vi we b i s r c ds a t d p te c r s phot a d Com p ha sf c l i s nve tg t r e e d us ne s e or s udie a i nt ha t , ogr phe Re b' a ii e t a i e oid iste me eq pme . r 1 - 21 J The i esiaor alo i e ve d Ms nd nv ntre t rat nt ui nt AR 91 9. nv tg t s s ntr iwe . Ma i Fue e ,Co ra nts mpRe b' pa towne,fciiy a mi srtr a d de inae c r naor ( ha s r- r a lt d nitao, n sg td oodi t . AR l - 1 1 M s Fue eswa t onl e oy e prs ta t fclt dui te on st rviw. 93 95 . . nt s he y mpl e een t he a iiy rng h -ie e e ( 1 .Thei si t sdic er Ms Fue tsdi no hol a me c pr e sona lc ns . AR 931 nvetgaor s ov ed . ne d t d ny dial ofsi l ie es g 1 1 I siaosalo lane fo M s Fue tst tCompRe b' Me ca Diet ,Dr AR 89 . nvetg tr s e r d rm . ne ha ha s di l rcor . Pe oBosh,ony vstdt fclt onc amo h a t no yt sgndo ume s ( 1 41 On dr c l iie he a iiy e nt nd he nl o i c nt. AR 9 . Apr l 28 201 Fis Coa t Se vi e Optons l . a CM S a i s r tve c r c or i or e i , 0, r t s r cs i , nc , dm ni ta i onta t , nf m d Com pReh b t a is M e c r bilng nu be ha be r voke be a e i w a n l nge ope a i l a h t t di a e li m r d en e d c us t s o o r r tona t f ni h M e c r s r c s Re e a t t s m a t r t r voc ton no i e ct d bo h t t M s o ur s di a e e vi e . l v nt o hi te , he e a i tc ie t ha . Fuent was not qualfed t s es ii o erve as coor nat becaus she w as unlcens and t Dr Bos s di or e i ed hat . ch' mo hl viisweei ufiintt pr dea q t physcins r c s8 E 1 ) Thervoc ton nt y st r ns fce o ovi de uae i a evie . AR 89 . e ai was efectve as of M ar 11, 201 t dat of t on- ie r ew. I f i ch 0, he e he st evi d Com pRehab s ought rc i rton oft rv ai Se 4 C. R.55 5 ( 498. 1,498. $. OnAug t5, e onsdeai he e oc ton. e 2 F. 424.45*, 5() 22( us 201 aCMSHeai Of erafr dt rvoc ton.( 1 - 1 . 0, rng sc fime he e ai AR 91 921 BCo Re a sbiigp i lg sweerv k du de 4 C. R. 42 5 5a()i, c al rv cto o a mp h b' l n rvi e r e o e n r 2 F. j 4.3 ()5 ()whih l l e ows e o ain n fndi apr deri non- a i f l ng a on- ie r ew. l a ton t t t gr undsdicused ab i ng ovi s opertonal olowi n st evi n ddii o he wo o s s ove, Fis Coa tciedat r basst ti noti ve i t sca e, s i tx r r . rt s t hid i ha s nvol d n hi s misng a eco ds 5 C. cso o h HHSAd nsr tv L w J d e De iin fte mi itaie J u g CompRe b a ae t rvoc to t a Ad nitai La J dge ( )oft Ci l ha ppe ld he e ain o n mi srtve w u ALJ he vi Re i Di son,HHS. ( e AR 0 - 01 . Comp ha n t rdip e t tFue tswas medes vii & 0l 21 Re b eihe sutd ha ne unlc ns nort tDr Bos h onl c m e t t f ciiy onc a m o h t sgn pa r r l t d, i e ed ha . c y a o he a lt e nt o i pe wo k. nsea Com p ha a gue t t CM S i pr ry a i d t coo di t a d physci n s r c s s a r . Re b r d ha m ope l pple he r na or n i a e vi e t nda ds Com pRehab cl m ed i was i pr ai t m oper f CM S t r or o evoke Com pRehab' prvieges on t bass t s il he i hat Fue t s was unlce e be a e t c r na or sa r g on y r quie a fq lte pr f sona ' ne i ns d c us he oo di t t nda d l e r s ç ua i d o es i l i ' m l y gued i w as i pr t m oper f CM S or and not explcil a lcens prof i . Com pRehab si iarl ar , i ty, i ed essonal t r voke isprvie s o t bass t tDr Bos h o y vi ied t e f c lt on a m ont be a e t oe t i l ge n he i ha . c nl st h a iiy ce h c us he ph i i n s r i s sa r o onl r quie a physc an be pr e t f s f i i n tm e t pr vi ys c a e v ce t nda dl y e rs ii es n or u f c e t i o o de ne de s r ce a n f a p es rbe a o oftm e. 1 e d e vi s nd ot or r c i d m unt i 1 Th AL ds ge d. He n td t a,frt CM S h d t ma e aprmaf ce s o n ta e J ia re oe h t is, a o k i a i h wig h t Com pRe b f ie t s t nta l compl w ih f er r qu r m en s a t at i CM S m a e t a ha a l d o ubsa i ly y t ed al e ie t nd h f d ht s wi CompRe b ha t ove c me i b apr po r nc o t e de e.z TheALJf und t t ho ng ha d o r o t y e nde a e f he vi nc i o ha Co p ha di nots m Re b d how by pr pon r nc oft e de e t a is bilng prvie w e e wr y e de a e he vi nc h t t li i lges r ongl r vok d. Ac or ngl t A LJ f nd t r voc ton v i He is d t f l i fndi o f c e e c di y, he ou he e a i ald. s ue he olow ng i ngs f a t a c ncuso o lw:( )icompRe b)wa n opeaina be us i ha dei e tsafng a nd o l ins f a 1 ç t ha s ot rto l ca e t d fcin tfi t t tm e oft e i pe to a t r f e i f l d t m ee al M e ca e c tonsofpa tci to of he i h ns c i n, nd, he e or , t aie o t l di r ondii ri pa i n 942 C.F. j 55 () R. 48 .8c 1 42 C.F. j 5.8a 0 R. 48 5 () r u g n. e e id u r u g n e a e 1 Pr dur ly,boh pa teshadm ovedf S mmayJ d me t Th ALJd ne smmayj d me tb cus he l oce al t ri or u ac, is, o t ha d i t t lfe f ound t t r we e matral is s of f t frt as t wheher Com pRe b ha desgnaed a tquaiid hat he e r e i s ue pr e sonal't s r e asc di t ra s cond,whehe CompReha had a f iiy physci t pr demedi of s i ' o e v oor na o nd. e t r b aclt i an o ovi cal s r ce asr quie CompReha a CM S s bmitd afi t cont ni die t tmony ofpr e wine s e vi s e r d. b nd u te fdavis ai ng r ct esi opos d t s es butnet rsde r se c os -xa nai o opposng wineses Acc di y,t ALJ deemi d he wo d ihe i eque td r se mi ton f i t s . or ngl he tr ne ul d cd t c s o terc r wi o tahern .( 0 3 . e ie he ae n h eo d t u aig AR 0 1 h 1 Bot pa te s te e de e. CM S s 1 h ris ubmitd vi nc e r ubmit t i tgaor ,r po t j j ng t i er iw notsfom ted he nvesi t s e r,ncudi he nt ve t i e vi ofM a i Fue es a fda t off ri vi swhoeiherpr or t on-ier ew o we e he ntr ew ra nt , fi vis ou ndi dual t ef med he st evi r r fm ii wih t deal,a t r cor oft pr ee ngs whi t t poi conssedoflte st and fom CM S a lar t he tis nd he e d he oc di , ch o hat nt it etr o r a Co nd mpRe scouns l CompReha s bmitd a fda t fom M s Fuenesa Dr Bos h i a tont ot r hab' e. b u te fi vis r . t nd . c n ddii o he evi enotr lva t t saci denc ee nt o hi ton. 6 a CORF;'( 0 ;( çcompleha j lck d a qu iid pr e sonalwho wa c diai ' AR 051 2) ç l k b a e alte ofsi s oor n tng s r c s arquie tf aCORF;'( 00 ;a ()Sl evie, e rmen or ' AR 61 nd 3 icompRe bjlck d afclyphyscin ha a e a ii t ia on s a f w h w a pr di t r quie l ve of m e c l die to medi a c e s r c s tf o s ovi ng he e r d e l di a r c i n, c l ar e vi e , cons t i , a me c ls r iin o non ulaton nd dia upe vso f physca saf arquie s r c ofaCORF.1 ( , 3 AR , iin tf, e r d evie 0 . 081 D. n De ii o heDe t nt Ap al Boar Fial cson ft parme al pe s d Com pRe b a a e e c oft ALJ Sfndi gs o f c a c us onsoflw s tou a ha ppe l d a h he ' i n f a t nd oncl i a e t bove t t HHS De rme tlAppe sBoad ( r natrE o he pat na al r heei fe C ' ('eAR 01 - 025 .4 Th tre DAB') ke s 3 )1 e he - j gepa afr d,deemi n s bsa i e de es ppore t ALJSfcualfndi sa t t ud nel fime tr nig u tntal vi nc u td he ' a t i ng nd ha t A LJ' concl i of l wer not er oneous.s The DA B r i i t fnal deci on of t he s usons aw e r l ulng s he i si he Se eaya i t sbec oft Cou tsrviw.Se 42U. C.j g) crtr nd s he u j t he r' e e e S. 405( . E.The I antCase nst I t slws tPli ifs ksj ca rviw oft Se rtralde ii a rquet rv s l n hi a ui, antf ee udiil e e he cea i cson nd e ss e era oft rvoc to o isbilngprvie .Pl ntf ha mov d f j gme ont pla ngsa i he e ain f t li i lges ai if s e or ud nt he e di nd,n t alenai f s he tr tve,or ummayj men.TheSe rtr cos- sf s r udg t ceay r smove or ummayj me . r udg nt II DISCU SSIO N . 4 JudiilRe iw o c ear 'De son . ca ve fse r t . s cii v , J ci lr vi w oft Se r t y' de son i a l bl un rt M edi a e Ac . S 42 udi a e e he c e ar s cii s vaia e de he c r t ee U. C.j1 95f( () Howe r rviw i lmie t ç tert r i s tnta e de e t S. 3 fb)1. ve, e e s i td o ç h hee s ubsa il vi nc o whe s por t fndi soft ...( ceay,a wheh rte c rc lgalsa r weea id. up t he i ng he Se rtr) nd te h oret e tndads r pple ' ' 1 TheA LJm a an a tona fndi t tCom pRe ha r eied a 3 de ddii l i ng ha hab d ec v dequaeduepr es butt tm a t i not t oc s, ha ter s beor t Cour i t sa ton. f e he tn hi ci 1 CompRe di no r s t de alofduepr s t t DAB. 4 hab d t aie he ni oce s o he 1 w hiet DAB a fnne t ALJ' fndi offc a c usons of1 i not t ti di no a 5 l he fi d he S i ngs a t nd oncl i aw t ed ha t d t doptt he ALJSfndi t CompReha f l t mee t r quieme sofanon- ier viw undert enr l ntr gultons ' i ng hat b aied o t he e r nt st e e he olme e ai i 42 C. R.Par 424,s r Pswhi t DAB r cog z a e difr nt fom an on- ie c tt ton s ve n F. t ubpa t ch he e nied r fe e r st erika i ur y purua t Pa t 488 a 489 t dee ne compla e w ih a a iabl c to ofpa tcpain. The DAB s nt o rs nd o tnni inc t n pplc e ondiins rii to notd isnon- onc r ncew ih t ALJon t spoi w a i atralt isa fr a i oft ALJ' uli er i e t c ure t he hi nt s mm e i o t fim ton he S tmat ulng ta CMSwa a to ie t rv k Co Re b sMe iaebligp iie su d rscin4 4.3 ()5() ( ht s uh rz d o e o e mp ha ' dc r il rvlge n e e to 2 5 5a()i. AR n 0 0. 21 7 Gufo s Me . p yI c v S c#, pto a t a d Hu nS c' 4 8F. d l 4 ,1 5 , n 4 l a t d Supl n . . e De . fHe lh n ma v s 6 3 3 7 3 0 f . c , ( 1h Ci.200 (iig Wis v Bar r,284 F. 1 9,1 ( 1h Ci.200 ; 42 U. C. 1 t r 6) ctn lon . nha t 3d 21 221 1 t r 2) S. j1 95f( ()A)(nc r aig it t Me c r Ac t sa r ofrviw stf t i 42U. C. 3 fb)l( i oportn no he diae t he tndad e e e orh n S. f ( )1 Subsa i e de e i moetan amee s ntla,bu i i ls t n aprpo rnc . 405g) 6 tntal vi nc s r h r ci il t t s e s ha e ndea e . Cr w o d v Co ' o S c S c,3 3 F3 1 5 ,l 5 - 5 ( 1h Ci.2 0 ) çtme n s c a f r . mm r f o . e . 6 .d l 5 1 8 9 1 t r 0 4 . ' a s u h I r evant evi el dence as a r onabl m i m i accept as adequa e t s eas e nd ght t o uppor a concl on. Thus, t usi s t n i l e de e e s s e en when t o i co it n c ncl i c n be dr ubs a ta vi nc xit v w n ns s e t o usons a awn f om t s m e r he a e de e. St e&We serCon t.I .v Unie St e De to ab ,68 F. 1 27,11 ( 1h vi nc ' on ' bt sr, nc . td ats p' fL or 4 3d 1 32 1 t Ci.201 .Therc de de ei viwe i t lgh mos fv a et t a nc sde sonan r 2) e or vi nc s e d n he i t t a orbl o he ge y' cii d a1 e s n be ifrn e aed a i fv ro ta d cso Adf miv As c ot 3 6F.d l 1 1 ra o a l nee c s r rwn n a o f h t e iin. ee . h r- , 8 3 0l , f 1 ( 1h Ci.200 . Unde te s bsa tale de e sa ad t r viwi co ti prcud 027 1 t r 4) r h u tni vi nc tnd r he e e ng ur s e l ed fom i c di t f c s a w ,m ak ng c e biiy d e m i to , or r w e ghi t e e d e' r t i ng he a t ne de i r di lt et r na i ns e- i ng h vi enc . ' Moor v. nhar, F. 1 1 1( 1hCi. ) l t Se rt ysde so i sppore by e Bar t405 3d 208, 21 1 t r 2005 . f he cear' ciin s u td s bs a ta evi e e s h t t a r a o bl m i m i ht a c pt i a a equ t t s por h r u t n i l d nc uc ha e s na e nd g c e t s d a e o up t e c nc us o a t c r c l ga sa r wer a i d,t Cour m us a fr t Se r t r s o l i n nd he ore t e l t nda ds e pple he t t fi m he c e a y' deci on. si #.Stnda dforSummat Jud nt a r y gme Gie ten tr o c s ,h r i n dfee c b t e Plitf' moinf r u g n o v n h au e f ae tee s o ifrn e ewe n an i s to o j d me t n f tepe dn so i atr aiemoinf rs mmayj d me t 1 S mmayj d me ti a p o r t h la ig r t l n t s e v to o u r u g n .7 u r u g n s p r p i e a 14 U sc j 05 g i p r ofte S c a Se u i Ac a d p o i e , t r s e t ot e sa d r o r ve ç h t 62 4 ( ) s a t h o il c rt t n r v d s wi e p c t h t n a d f e iw, t a y h t tefn igso t e(e rtr la t a yfc,fsp re b s b tnil vd nc,sal ec ncu ie' h idn f h S ceay s o n a ti u potd y u sa ta e ie e h lb o lsv . ' 1 Hee a y dsicin b t e j d me tonte pe dng a d smmayj d me ti aditn to wi o t 7 r1 n itn to ewe n u g n h la i s n u r u g n s sicin t u h dfee c ;tep rish v fldco smoin frs mmayj d n,a ret ttefcsc nan di t rc r ifrn e h at a e i r s- to s o u r u gme t ge ha h at o tie n he e o d e e aeteo l maeil at rq rdfrrve a dPanifh sic r oae tee tr rc r it isc mpan ( r h ny tra fcs e uie o e iw, n litf a n o p rtd h nie e o d no t o lit DE l ! J t t tesmmayj d me tp o e r a dtemoin fr u g n o tepla n saec n en dwi ,r . ç h h u l u g n r cdue n h t o j d me t n h e dig r o c re t 6 Bo o h t s btn eo tep ris camsa dd fnssa daed ce twad afn l u g n ont mei .I ei he u sa c f h at ' li n ee e n r ketd o r s ia j d me t he rt nd e e s t sandar a id b t cour a he t d pple y he t ppear t be i ntc unde b0t motons Al fctal i ernce and s o de ial r h i . l a u nf e s itn me t aetk n a ans temo ig p ry u de boh Rue 1 ()a d Rue5 a d n i e moin wi be ne d ns r a e g i t h vn at n r t l 2 c n l 6, n et r to l h l ga tdu ls temo a ti e tte t j d me ta amatro Iw. 5 Ch re Aln Wrg t Arh rR.Mie, rne nes h v n s n i d o u g n s te f a ' C als a ih, tu l ' lr l Fe rl rciea dPr cd r j1 6 (d. 1 9 )(mp a i a de ) dea P atc n o e u e 3 9 3 Ed.9 8 e h ss d d . 8 w h n t he pl di s d pos tons ans r t i e r a o i s a a m is ons on fl ,t ge he w ih e t t ea ng , e ii , we s o nt r og t r e , nd d s i ie o t r t t e a fd vis i a ,s h fi a t , f ny how t tt er i no ge n i s ast a m a e i lf c a t a t m ovi ha h e s nui e s ue o ny t ra a t nd h t he ng p ry i e tt dt aj d me t samatro lw.An e s nv fiet L b y I c, 7 U.. 4 , 4 a t s nie o u g n a l te fa d r o . b r o b , n .4 7 S 2 2 2 7 y ( 98 .Onc t mo ngpa t de taest a e o age neis ofmaeilfc,heno 1 6) e he vi ry monsrt he bsnce f nui sue tra a tt nm ovi pary m us com e f war wih s fc f s s i t t e i a genui isue f ti . ng t t or d t pecii act how ng hat her s ne s or ral Matu hiaElc.ndu .Co.v Zent Ra o Cor ,47 U. 57 587(986 ( otn Fe R.Ci P. ss t e I s . ih di p. 5 S. 4, 1 ) qu ig d. v. 5 e) The Cou tmus viw te rc d a al fcuali ee e t rfo i te lgh mos 6(). r t e h e or nd l a t nfrnc s heerm n h i t t f abl t t non- ovi pary and deci w het S he evi avor e o he m ng t de her i t dence pr ent a s fci es s ufi ent dsg e me torq ies b sint aj r o wh te ii s o esd dt a o ep rymutp e al ia re n t e ur u miso o uy r eh r ts o n -ie h t n at s rv i a a malr o lw. Ale v.T on Foods l . 1 1F. 642,6 ( 1h Ci.1 )( tn s te f a ' ln ys ' , nc, 2 3d 46 1 t r 997 quoig Andes 477U. a 25l5 ron, S. t -2:. C:Cr s- otonsforSummar Jud nt osM l y gme By flng cos- to f s ii r smoins or ummay j men,te patesa eeta t r i no is of r udg t h ri gr h t hee s sue ma e i l f c a t s e i s s a e que tons of l w f t Cou ts de er i ton. CompRe b t ra a t nd he ol s ue r si a or he r ' t m na i ha s e r vi w oft e Se r t r s a ton on t ee gr nds CompRe b' fr tc ai i t tr oc ton e ks e e h c e a y' c i hr ou . ha s i s l m s ha ev a i i ivai be a e 42 C. R. j 535, te c scton auhoi n CMS' rvoc to of s n ld c us F. 424. h ode e i t rzig S e ain Co pRe b' prvie s i c tt ton l de e tv be a e i wa pr m ul t d i vi a i n o t m ha s i l ge , s ons iu i aly f c i e c us t s o ga e n ol to f he non- eg ton d t i e. Se on Com pReh c ai s t r voc to i i ld be au e 42 C. R. del a i oc r n c d, ab l m he e a i n s nva i c s F. 5 58/)doe notdei t tr t lfe prf so .' Fi l CompRe b agu s te 485. s fne he em ç iid oesinal' naly, qua ha r e h rv ain i ivald b c s 4 C. R.j 58a( )d snotesa ih t i ln 'sa r f e oc to s n i e au e 2 F. 485. ()1 oe tbls t ght ie' tndads or br det m i ng t s fci er ni he ufi ency of a physci s on- t i vem ent The Secr ar s i an' sie nvol . et y eeks a de e na i t the de son i co it twih t 1 w an s ppore b s bs a i e de e. t nni ton ha r ci i s ns sen t he a d u t d y u t ntal vi nc 1 Consiutonalt of4 CFR j4 5 . tt i iy 2 24.35 9 Thoug i di notr ie t is a a y sag oft a i sr tve pr e di s Co p ha ht d a s he s ue t n t e he dm nita i oc e ng , m Re b n c le st c nsiui alyof42 C. R.5 535.8 Spe fc l CompRe bcl msta ow halnge he o ttton i t F. 424. 1 ciial y, ha ai h t 42C. R.j 24. i i ld be a eispr g tonvi aedt t - lgain do ti '-te F. 4 535 s nvai c us t omulai olt he ç dee to crne' h non prnci e t I sl i aut iy i excl vel ves ed w ih Congr s and t del i of t i pl hat egi atve hort s usi y t t es hat egaton he a ho iy i o y pr r whe t e s a ut au horz ng d e ton m e t ce t i r uie e s Se ut rt s nl ope n h t t e t i i el ga i e s ra n eq r m nt . e Wa nv Souhar 23U. 1(8 ) yma . t d, S. 1 25. l h r c os - o i n a r s e, he St r t r c t nds Co pRe b' co tt tona c a m n t r s m to nd e pons t c e a y on e m ha s ns iu i l l i i une ha t d a w a ve be aus Com pReh f ie t b i t c a m t t ag nc s r vi s x us e nd i d c e ab a ld o rng he l i o he e y' e ew p oc s Grt The Co t s r s t t vi w . The Se r t r poi s t Shal a v I lnoi Counc lon r e s s. ur ha e ha e c e a y nt o al . li s i Lo Tem Car I .529U. l( ng r e, nc, S. 2000)t s ppor he c t tont tCompReh sc ttton o u t r oneni ha ab' onsiui al cl m i bar ed. ai s r I Ilnoi Counc l t pl n if a a s i to o nur i hom e ,s d t Se r t r i e n li s i, he ai tf , n s oc a i n f sng s ue he c e a y, nt r ala,on gr i ounds t cert n M edi e PartA pr sons r at t pos-ns i s i wer hat ai car ovii el ed o ti pecton anctons e c tt ton l d ec i - t y de e t n s n hom e du pr c s t y we e va ,a t y ons iu i aly ef tve he ni d he ur i g s e o es , he r gue nd he wer pr ul ed i exces of t M edi r Acts l sl i m a e. I t of brngi t e om gat n s ht ca e ' egi atve ndat nsead i ng he camst te a e c a d te se igj dca rve p ru n t 4 U. C.j 0 ( ) tepani li o h g n y n h n e kn u iil e iw u s a t o 2 S. 4 5g , h litf f fld s tdiety i dititc tund rfdea q tonj rs ci purua tt 28U. C.51 .9 ie ui rcl n src our e e rl uesi u iditon s n o S. 3311 Th DititCour dimis f lc o j iditon ctng t Me c r Ac' çvit lye usve e src t s sed or a k f urs ci ii he diae ts ç rual xcl i , s tm ofa mi srtvean j di a rviw f Me caecai ... 1 a 5.Thou t Cour of yse d nitai d u cil e e or di r l ms ' d. t ' gh he t Appe srvere teSupe Cou tafr dt DititCo tsdimislf lc ofurs ci al e sd,h rme r fime he src ur' s sa or a k j iditon. The Me c r Ac' û rual e l i 's tm a stou i 4 U. C.j g)i mad diae ts é t l xcusve' yse s e t n 2 S. 405( s e vi y ex u ie b 42 U. C.j h,whih b sfdealc rsfom rviwi Mediae c ss u r clsv y S. 405() c ar e r ou t r e e ng c r ae nde ' ASdic s d above Com pReha sprviege w ee r B s us e b' i l s r evoke pur ua t 42 C.F. j 45 ()5() whc d s nt o R. 42 .35a( )i, ih auhorze r vocain wher CM S fndsaCORF i non-pe ai lafe a o st r viw. t i s e to e i s o r tona tr n n-ie e e 1 Panifwa ag o pta rp ee tdmo eta 2 0 n rig h me t ti e dld a v n ekn wld e( f 9 litf s r u h t e rsne r h n 0 usn o s ha ç e e ) d a c o e g o n wh te terg lt sweec nsiuin l frpa nngp r o e . Iln i Co n i 5 9a 1 . eh r h e uai on r o ttt a) o ln i u p ss' l os u cl 2 t 0 o ' i , 1 0 fd rlq eto j rs ito Un e te Me iae rve s se dititc u t ma o l rve e ea u sin u idcin. d r h dc r e iw y tm, src o rs y ny e iw c di y, ai if e ki o e er e cl m s t ar partof t Secr ar s fnal deci on. A c or ngl pl ntf s s e ng t pr s v ai hat e he et y' i si de e he h e or t camsf rj dca rve mu th v to e cams consi r d by t agency and t er f e m us li o u iil e iw s a e h s li exhaus al agency-l t 1 evel r ecour e. The cl m ' nat e i ir evant t exhaus i r r m ent s ai s ur s r el ; he ton equie a i t d vi ntay,r er ae sautr c nsiuinal or(l mso oh lg gou . pples o d de ir ul-eltd, tt oy, o ttto , cai n) ter e al r nds' e ' Il osCo n i, 2 U.. tl ;c Lf sa Amb ln eS nw,Ic v UntdS ae , 6 F.d 1 9 , ln i u cl5 9 S a 0 f e tr ua c e i n . . ie t ts 3 5 3 2 3 1 ( 1h Ci.20 (inIlnoi Councl t Cour hel ta,depie t fc t ts cai , 297 1 t r 04) i li s l i, he t d h t s t he a t ha ome l ms s as cons iutonal or s a ut y chalenges,cannot be r ol adm i sr i y,t m us sil uch tt i t t or l es ved nitatvel hey t tl pr e d frtt ou tea nitai pr es. Suc camsa es bec t pl ayj diilrviw oc e is hr gh h dmi srtve oc s h li r u j t o en r u ca e e un r t Mediae rme a s h me onl atr te a mi srtve rviw pr es h b e de he c r e dil c e y fe h d nitai e e oc s as e n e hautd.)(ntr lcttono te (mpha i orgi l. x se ' i ena iai mild) e ' ss i na) CompRe abpoit t Cal o v Sand s 430 U. 99,1 ( 977 f t poposton t t h ns o fan . er, S. 09 1 ) or he r ii ha consiutonalcl m sar dobvi l unsuied t r uton i adm i sr i heari pr tt i ai e l ousy t o esol i n nitatve ng oceedi and ngs, t rf ea c s t t c t i ese i t t de sonofs hqu tons'( 27a p.l-2) Thi heeor c e s o he ours s sntalo he cii uc esi . DE- t ' . s ln u g fo S n e srfr t teSu rmeCo r' d cso si Wen eg rv S s, 2 U.. 4 a g a e r m a d r ee s o h p e u ts e iin n ib r e . a 4 2 S 7 9 ( 97 ,a Mat ws v El i ,424 U. 31 ( 97 ,t c s swhee t Suprme Cour di 1 5) nd he . drdge S. 9 1 6) wo a e r he e t d alo j ca r e ofu xha t co tt ina cli .Howe r t ec e t n donfcsn lw udiil eviw ne used nsiuto l ams ve,hes ass ure a t ot pr ent her and contar t Pl ntf' s es e r y o ai ifs ugges i t ton, hey do not sand f t prnci e t t or he i pl hat cons iutonalcl m sar exem pt fom t exhauston r r ent tt i ai e ed r he i equiem . l Salb t Cou talowe t pl ntf' u xha td camst pr e d be a ete Cour n t he r l d he ai ifs ne use li o oc e c us h t f dt tt Se rtr di no o jc t t rgoi fr r TheCour c nsr dt Seceay' oun ha he ceay d t be t o hei ng o wad. t o tue he rtr s n obe ton a a i or ain oft c ttton cli it t Se rtr sGnalde iin. on- jci s n nc porto he onsiui al am no he ceay' cso Salb 422 U. a 76 l El ige,t no e used cli wa a c ttto d pr e s j S. t 9. n drd he n-xha t am s onsiuinal ue oc s chalenge t t gener pr l o he al ocedur t Soci Securiy A dm i s r i us t deny beneft a cl m es he al t nit aton ed o is, ai t Cou tf d c l e a t t Se e a y' de s on on t t r i to ofPl i ifsbe is I a he r oun olat r l o he cr t r s cii he e m na i n a ntf neft . d t 3 0 Net e e c pin a pish r. Th S ceay o jcst Co Re a riig u e h u td 3. i r x e t p l ee e e rtr be t o mp h b asn n x a se h o e camsh r g 21a p .1 - l )a dtecamsCo Re a rie (e dsu so if a c n en li ee DE t p 2 4 n h li mp h b as s se ic sin nr ) o c r t subsance oft r atonsatisue,nott colat alm aterofgener adm i sr i pr he t he egul i s he l er t al nitatve ocedur e. Accor ngl t Cour fndsPl ntf ' non- egaton cl m i bar ed. di y, he ti ai if s del i ai s r Ev n i t cl i w e e be or t Cour i woul be de e Co pRe b' a gu e ti t t e f he a m r f e he qt d ni d. m ha s r m n s ha t rvoc tonun r42CFR 5 535 t sci t talo rvoc to wheeaPr de ha b e he e ai de 424. ,he e ton ha lws e ain r ovi r s e n f ound non- atonalaûeran on- ie r ew ,i i i becauset r e i t pr oper i st evi s nvald he ul s he oductofan enablng i s a ut t tvi a est n de e ton prnci e Pa t424 of t Cod of Fe r Re a i ns t t t e ha ol t he on- l ga i i pl . r he e de al gul to , he par c t i ng t r e, c t s a is sa ut r a hort b h of t M e c r l w ' en blng t on a ni he ul ie s t t t o y ut iy ot he di a e a s a i prvii s 42U. C.jjl 2a 1 5hh.Thea horznglng geof51 sae : o son , S. 30 nd 39 ut ii a ua 302 tts ()t Se rtr ...ofHe Ih a Huma Sewies...s l ma a he ceay at nd n lc hal ke and publsh such r es and r atons,noti i ul egul i nconsit w ih t s sent t hi chapt ,as m ay be neces ar t t ef i entadm i s r i oft er s y o he fci nit aton he fnci wihwhih (e o s qi c red u rg pt 7 of u tons t c h r he s hag nde cha er Til 42( ai wihSocilSe rt pr rmsa M e c rl. te de lng t a cuiy oga nd diael Thea torziglngu geofj1 hhi a f l : uh i n a a 395 s s olows ( ) The Se r tl s al pr c i s h r g ai a ma be a c ea' h l es rbe uc e ul tons s y y necess y t car y out t adm i sr i of t i ur ar o r he nitaton he ns ance prgrmsunde (heMediaepr a . o a rt c r ogrml An enablng sat e t gi t agency an (i eli bl pri pl 'w ih whi t r at i t ut hat ves he snt lgi e nci e' t ch o egul e doesnotvi at t prnci e ofnon- ega i W himan v.Am .Trucki ol e he i pl del ton. t ngAss' 531 U. 457,472 ns, S. ( ) Hee Con e sa horz dt Se rtr t ma r ulto frM e c r pr rmst tae 2001. r, grs ut ie he ceay o ke eg ains o diae oga ha r neces ar t car y outt adm i sr i oft M edi e pr am s ort m ake r atonsneces y s yo r he nitaton he car ogr o egul i sar t car y outt ef i entadm i sr i ofsuch pr am s. By com par s t Supr e Courthas o r he fci nit aton ogr i on, he em f ound t br he oader l anguage of ot enablng s at es t pr de an di eli bl prnci e.' See, her i t ut o ovi çnt lgi e i pl ' cg. Nat1 Br ., oad. Co. v Unie St e, 31 U. 1 , 2 -2 ( 9 ) ( ol ng Fe rl . td ats 9 S. 90 25 26 1 43 uph di dea Com m uni i Com m i i s pow ert r at aiw aves ças t publc conveni catons sson' o egul e r s he i ence,i er tand nt es ne esiy rquie';Ne Yor Ce .Se . Cop.v Unied St e ,287 U. 1 24 (932 c st e rs' w k nt c r . t ats ) S. 2, -25 1 ) (ph di l esae Commece Commison' powert a ove r lo d c oldai in t u ol ng ntrtt r si s o ppr aira ons i tons i he i p i i eef'. M oe r fom a hitrc pes tve te Su e Cour h be n ublc ntrs ) rove, r soial rpeci , h prme t as e e ta r naiydeee taloCongrs i j ngConges' dee tonofislgiltvepowe.fn xrodi rl frni t es n udgi r ss lgai t e sai r t l te hit y oft Cou tgth lf d te rquiie titli bl prncpl' lc ng i onl t h sor he r i as oun h e st snelgi e i i e' a ki n y wo s at es,one ofw hi pr ded lt aly no gui t ut ch ovi ier l dance f t exer se ofdicr i , and t ot of or he ci s eton he her whi h co e r d a t iy t r ul t t e tr e o y on t e ba i ofno m or pr cie a s a a d c nf r e u hort o eg a e he n ie c nom h ss e e s t nd r t n si ul tng t e e onom y by a s i tf r c ha tm a i h c s urng tai ompe ii .' Whi tton ' t 531U. a 473(iai man, S. t cttons o te .Esenily,wha CompRe bs e i t i aldai o asauegrni a hort t a mitd) s tal t ha e ks s he nv i ton f ttt a tng ut iy o n d a nc t r gul t a i ntie f de a pr a usng s a ut y l gua w e lw ihi t ame ge y o e a e n de i d e r l ogr m i t t or an ge l t n he b oundsof wha ha alea y b n de m ed c tt tona . Unde t es c r um s a e a i lg of t s r d ee e ons iu i l r h e ic t nc s nd n i ht t Su e e Cour ' pro r i , d t c a m be n be or t e Cou q i woul ha be n de e . he pr m ts i r ulngs ha he l i e f e h r t d ve e ni d 2. Deer natont Pl ntf' de i e Co di orwasno açoualfe t mi i hat ai ifs sgnatd or nat t ç iid Prof si ' es onal' Pl n if a g s r vo ton of is bilng prvie s i i ld bt us 42 C .F. 5 5. /) ai tf r ue e ca i t li i l ge s nva i ca e R. 48 58 does notdefne t t m tqualfed pr essonal' The Secr r acknowl i he er ç ii of i .' el y edges t r aton does he egul i n d fnetetr bu he cos- tonf s ot ei h em, t r r smoi or ummayj me tpoit t ana e eofe de ei r udg n ns o bsnc vi nc n t e r c d t t Com p ha s co di t wa , i f c , a d lfe pr es i na .' The Secr ar h e or ha Re b' or na or s n a t t ii d of s o l ' qua et y a gu t tund r t r g a i as i e pr t d b t A LJ Co pRe b c d ha p ove Fu t s r es ha e he e ul ton nt r e e y he , m ha oul ve r n en e wa qua i e b vit oft re t a tai ng asoppo e t lce ur ,bu ,a Com p ha f ie s lt d y rue xpe i nc nd r ni s s d o i ns e t s Re b a l d t m ake t ss i t ALJm ade t appr i e fndi t Fuent w asunqualfed.zo o hi how ng, he he oprat i ng hat es ii 2 Ot e t n is Fis a Fit ar e s whih a e a es i s ctons l a 3 oft s or r r s ctvel 0 h r ha t r t nd fh gum nt, c r ddr s n e i nd hi de e pe i y, Plitf' rs n e t t Sertr s co smo inrpl b if ( 2 )i lrey n -epo sv . ls sc n anifs epo s o he ceay' r s- to /e y re DE 7 s ag l onrs n ie t eo d agume i t tt ALJ i ope l s he t bur t Pl ntf t s r nt s ha he mpr ry hi d he den o ai if o how t tis desgnaed c di o was ha t i t oor natr q aiidwi o tGrt e urn CMSt frtma eaprmaf ces o n ta ter v c to wa j siid Istid u l e t u s rq iig f h o is k i a i h wig h th e o ain s u tfe . t hr ag me ti ta 4 C. R.9 8 .8c i u o si to al v g e TheCo r d e n tr ah te meiso ete ru n s h t 2 F. 4 55 () s nc n tuin ly a u . t u t o s o e c h rt f i r h cam a nc d i Com pRe sr s et t Se e ay' c os - oto . Fis,CompRe b di notr s t s li dva e n hab' e pons o he crt r s r sm in rt ha d aie he e cli t t DAB a a or ngl t Co tfndst y ar une use . Se ams o he nd, cc di y, he ur i he e xha td cond,t t e e t tCompReha o he xtnt ha b s eks afimai r lefby r ii saut y a c tttonalar e s i a r s e t Cour noes t t a e fr tve ei asng tt or nd onsiu i gum nt n e pons , he t t ha r s et amoton i notamoton.Se Fe R.Ci P.7. e pons o i s i e d. v. 1 3 Tur ng t Pl i tf' a gume ,i of r a Co pRe b a gue a a pu el l lm a t r t t ni o a n if s r nt ns a s m ha r s s r y tga tt ha r vo a i w a i vald be a e t e c r na or r gul to doe not d i e t t r d lfe e c ton s n i c us h oo di t e a i n s efn he e m d ii d qua pr f s i l' t Cour doe no a r . The ALJ di no fnd M s Fue es non-i e ur t be o e sona r he ' t s t g ee d ti . nt ' lc ns e o dipostve. l t ad,t A LJ co tue t n d i ed t r ç ua ii d pr e s o l t m e n a s ii nst he ns r d he on- efn e m ç lfe of s i na ' o a n q ' i vi lqua ii d on t bass o lc ns e i r ha lt tv s r i es or e a i a ta ni i ndi dua lfe he i f i e ur n e biia i e e v c duc ton nd r i ng n r ehabiiatve s ces. A genci ar entted t consr am bi tesi t rr atonspr ded t lt i ervi es e il o tue guii n hei egul i ovi he c tuc i i bo h é e s bl ' Ehl t v onsr ton s t t a ona es r ' er .Unie St e ,40 U .S. 1 (971,a t e i y t d at s 2 99, 05 1 ) nd l nsbl s conf m s t t pur e and wor ng oft r atons' N I ana Pub. A rp Co.v Pore Ca@. or o he pos di he egul i ,' ndi . . tr Cha e o z ak Walon L: :o ,Ic.423 U. l 1 ( 975 . Wheea ag nc ha me ptr fla t JP/ fAm. n , S. 2, 5 1 ) r n e y s t t e pr equi t t agency' consr i di entted t s t i def ence.' fyng v.Payne, hes er sies he s tucton ds il o ubsantal er ' 47 U. 9 93 ( 98 . 6 S. 26, 9 1 6) The A LJ' c ns r ton o t t nm ûq lGe p o e sona , a a r ed by t D AB,w a S o t uc i f he e s ua i d r f s i l' s m m ' he s r easonabl and i conf m iy w ih t pur e n or t t he pose and wor ng of CORF r atons. The ALJ di egul i consr t r aton i a m anner t t he beleved çr ponsbl ' gi t pur uant t t tued he egul i n ha i ies i e,' ven hat s o he rgulton te c di trmus ()prvi t fclispero a s h ul of te t t a d e ai h oor nao t l o de he a iie snnel c ed e t ramens n a ia es ri s ( pr deaprc dur t c valbl evce ;2) ovi o e e o ommuni t sg fc n c ng i apain' saust cae iniia t ha es n te ts tt o alpes el( pr depei cci ca e resnoi a l s t paintssausi r ai hi t l ronn ; 3) ovi rodi lni l nti tng ttat he te ' tt n eltons p o g lati nt a ()s he e rviw c ee e t consde t a opraen s o a gi n oa tanme ; nd 4 c dul e e onfrnc s o i r he ppr it es f ve patent s teat ent on as es m ent r ses ent or pr essonalpr der r i ' r m s s , eas sm , of i ovi ecom m endaton. ( i AR 0 . The ALJ loke t publsed ad nitai gui nc ,s ciial t Sae Opeai 08) o d o ih mi srtve da e pe fc ly he tt rtons M a l( ) CM S' gui nc t s v y sa c ta t s Afe r viwi t SOM ,t e ALJ nua SOM , S da e o ur e or nd on r cor . tr e e ng he h c cl e tec r naorsr ewa no a nitai butme c l g 007 .TheDAB afr on ud d h oodi t ' ol s t dmi srtve dia. AR 1 fimed t A LJ' i em r a i oft r aton satng t tSt ALJ cor ecty not t t i ue w as not he S nt et ton he egul i t i ha she r l ed hat he ss whet t A dm i sr or was qualfed t adm i sert f lt butwhet she w as qualfed t her he nitat ii o nit he aciiy her ii o coor nat t pr si ofpr essonalr di e he ovi on of i ehabiiatve s vi .' g 020 (e or ctton omi e . lt i er ces' AR 1 rc d iai t d) t 1 4 The DA B alo f nd t t wihi t fa ewo k of CORF r g a i t e t r s i ua ii d s ou ha t n he r m r e ultons h e m i lfe q pr e sona ' a d i of s i al' r l t t pr di pr e sona co pr he i r abiia i of s i l' n ç e s on ' e a e o ovi ng of s i l m e nsve eh l tve pr t s ces t CORF patent as oppos t t adm i s r i t ks of r ng t CO RF pr tce.zl ervi o i s ed o he nit atve as unni he ac i ( 021.Ac or ngy,t c tucin oftetr % alfe pr e sona'conor t h te AR 1 c di l he onsr to h em i iid ofs i l' f ms o ow h qu t r i us d wihi CORF r gul to . The Cour fndst A LJ' co t u ton oft t r ç lfe em s e t n e a i ns t i he S ns r c i he e m i ii d qua pr e sona ,'a t DAB ' afim a e oft c tuc i n t be w ihi t lm is ofan ag nc s of s i l' nd he S fr nc he onsr to o t n he i t e y' i r ntau hort a di a r e w ih Com pRe b' a g en t tr voc ton u r t r gul to nhe e t iy nd s g e s t ha s r um t ha e a i nde he e a i n w asi i asa l m a t nvald egal ter. Tur ng t t A LJ' applcaton oft f s t t r aton as i em r t , t Cour fnds ni o he S i i he act o he egul i nt e ed he ti t ALJ S f t lfndi a e s he ' ac ua i ngs r uppore by s t nta evi en e i t e r c d. The key evi td ubsa i l d c n h e or dence on t s poi ,t e a fda t of M s Fue e , i l gel non-es i t CM S' alega i t M s. hi nt h fi vi . nt s s ar y r ponsve o S l ton hat Fuent was unqualfed. The A LJf es ii ound M s. Fue t s afi vi di no s n e ' fda t d t uppo t h tM s Fue e w a r ta . nt s s qua ii t b c di a o . M s Fue ess r e a Co pRe b' a m i sr t fom M ay ll 2006. lfed o e oor n t r . nt e v d s m ha s d nita or r , He dutes a a i s r t i l td t ns i t t t pr t s ona pe s nne c nta t d wih r i s dm nit a or nc ud s urng ha he of s i l r o l o r c e i t Com pRe a c r na e t i r a e a i tes a e ha e i or a i a t e c pa i nt und r h b oo di t he r elt d ctvii nd xc ng nf m ton bou a h te e teicae. ( 280) TheALJn e t tteatd vima sn me i ofMs Fue es e cai h r r ' AR ' . ots ha h fi a t ke o nton . nt ' du ton an e re e no do i pr de a i o ma i whi w oul s d xpe i nc , r es t ovi ny nf r ton ch d uppor t c l i n t a M s t he onc us o h t . Fut t sw a q lfe t c uc pa i n c r ac o d ng t t e m e a e d i s s touti 42 C .F. . n e s ua ii d o ond t te t a e c r i o he nu r t d ute e n R j 5. () I lgh oft ef t,t Cou tfndsta t ALJSc l i t tMs Fu ntswa 48 58c. n i t hes acs he r i h t he ' oncuson ha . e e s n q lfe t s r as Com p ha s c di a o , a t D AB ' a fr a i of t e s ot ua ii d o e ve Re b' oor n t r nd he S fi m ton h ame, i s suppored by s t i evi t ubsantal dence i t r d. n he ecor 21 The Se ear diecst Cour t 42 C. .R. 48 .0, c s t o th q aiiain f rv rousco ly crt y r t he to F j 57 whih es u te u l c to s . aj t f o potso asi ldngq yiinsl esdprcia n re,e itrdn e, cu to lhrpit, rhtss rfsin l ncu i h sca ,i ne atcl ussrgsee mssocpainatea ssotoit, c ph i t r pit, yscalheapita ssant,pr t tss ps yscalhe a ss ph l t r s s it s osheit, ycholgit,r ha ltton c el s r s rt y o ss e biiai ouns or, e piaor t r pit, es rt r t r pitt hni a , s a w o ke s a s ec lnguagepahol ss ( 2l.Th ALJ he a ss r pia o y he a s ec cins ocil r r , nd pe h/a t ogit. DE j e S c tuci oft tnn l ii pr es ona'i i a or wihhow t ss tonoft r gultondes rbest onsr ton he e % fed of si l' s n cc d t qual hi eci he e ai c i he qu i ai ofot rCORFmedialpr e sonas TheDAB alo r e e st ss c i oft r gulton i is alt tons k he c of s i l. s efr nce hi e ton he e ai n t afr n e g 021. fima c . AR J Det i i t Pl ntf w asnotproperl s af ed t pr de an adequat erm nat on hat ai if y t f o ovi e I ofphysi an servi evel ci ces Com pReh b do not dipu e Dr Bos was o y a t f cii on a m on h t sgn a es s t . ch nl t he a lt ce y t o i docum ent Rat , Com pRehab ar s. her gues t r hat evocaton under 42 C .F. 5 5. a i i al i R. 48 584) s nv i d because t r aton l he egul i ends isel t %ar tar and caprci ' adm i sr i gi t i l t f o ' bir y i ous' nitaton ven hat t acks a t i tln ' sa r f h s gh - i e' t nda d or ow m u h tm e a f ciiy phy i a m us s nd a t f c lt . br c i a lt s ci n t pc t he a iiy Com pRehab al o ar s gues t Dr. Bos h' monhl vii i co j ncin wi hi av lbit b hat c s t y st n n u to t s aia ly y h i t l pho hi perodi r vi w of m e ca r c ds and hi consulaton w ih f lt pr der e e ne, s i c e e di l e or , s t i t aciiy ovi s amoun e t Com pReh b pr vi ng a a qu t l ve ofphy i i n s r c s2 The Se r t r s is td o a o di n de a e e l s c a e vi e . 2 c e a y ubm t t Com pRehab' ar ent ast t adequacy ofisphysci s cesar concl y and, t on hat s gum s o he t i an ervi e usor hat r vi w,CM S' r voc ton w a a r i t gi n t l c o e de e i Dr Bos s a da t The e e S e ai s pp opra e ve he a k f vi nc n . ch' m vi. Cour doesnotr t each t m ert ofCom pRehab' non-es he is s r ponsi , unexhaused,count - gum ent o ve t tr ar s. See Shal a v.Ilnoi Counci on Long Term Care, I c. 29, S. ( 00) al li s l n 5 U. 1 20 . Com pRehab' ar entt t r s gum hat he evocaton i i i becaus 42 C .F. j 5. a lc a i s nvald e R. 48 58() a ks i i ht ln 'i u va lng. Th Cou tfnds t td pie t l k ofa t i t lne,' t r aton' i g - i e' s na ii br e r i ha es t he ac % gh -i ' he egul i s br o h r quie t c pl d w ih t a iabiiy ofa nc gui nc pr vi s a m i s r t r wih a t er e r men s ou e t he va l lt ge y da e o de d nita o s t s fci fam ework t adm i sert regul i i a non- bir y, nonufi ent r o nit he aton n ar tar capri ous m anner. O n is ci t fc t r ulto rquie mor t j tt taphyscin s ndaç ufcin a ntoftmea a a e,he eg ain e rs e han us ha i a pe i fi e t mou s i t f ciiy. Ra he ,i r uie a p i i n s nd a s Gc e tm e doi a num be o de i a ed t s . a lt ' t r t eq r s hys c a pt ' uf i nt i ng r f lne t a ks Co e nty,t r gulton p o de a m i sr t s a m e r c b whi h t de e m i i a physci n i ns que l he e a i r vi s d nit a or ti y c o t r ne f ia s s pendi a suf i entam ountoftm e att f lt and adm i sr or m ay l t w het ornott ng fci i he aciiy nitat s ook o her he 2 2 TheCour noesagant tisr ew offcua de e mi tonsi notdeno . Rahert Cour, r j j t t i ha t evi a t l t r na i s vo t he ts evew s lmie t çwhehe t r i s tnta e de t s ppor t fndi oft . . . E extrl a dwheh rte i td o ç t r he e s ubsa il vi nce o u the i ngs he s ceay , n te h c retlg l tn ad weea pid. Gu o s A/t Supl l c, 6 F 3 a 1 5 , 4( lhCi. 0 6. orc e a sa d rs r p le ' fc at è; p y n .4 8 . d t 3 0 1. 1t r 2 0 ) ' l 2 Com pRe b' f rha sxhag me t i isr so erpl b if( 2 1aeu e h u td CompRe s 3 ha s ou t nd it ru ns n t ep ns/e y re DE 7 r n x a se hab' . f rh a g ou t r umen i t t t Sec ea y unc tt i l pr ga i a r gulton t s t r quie s f t s ha he r tr onsiutonaly omul tng e ai hat es e r ment or physca pr s nce i e s oft e s tby Congr s i 42 U .S. j 8 1c )2 whc ,Co Re a c ne ds iin e e n xces hos e es n C. 1 6 (c() ih mp h b o tn , r r s onl t t a physcin be avalbl a t f ciiy on a f l- pa ttme bass not acualy pr s t equie y ha ia ia e t he a lt ulor r-i i, t l e en . CompRe ssxt agu hab' i h r menti i t aler tve t isfrtsaut y/ tt inala gume . Fort r as s t s n he t nai o t is tt or consiuto r nt he e ons e f t i noe20,s pr t Cou tdoesnotr ac t me isoft s . orh n t u a, he r e h he rt he e physci n, w hie a t f ciiy, i pr f r i t r quie t ks i a c da e w ih a c pt d ia l t he a lt s e o m ng he e r d as n c or nc t ce e prnci es ofm edi pr i t det m i i physi an ser ces ar adequat . These t ks i ude i pl cal actce o er ne f ci vi e e as ncl pr vi ng m e c l die ton, m e c l ca e s r c s c ns t to an m edi a s pe v s o o o di di a r c i di a r e vi e , o ula i n, d c l u r iin f n hys c a s a f esa ihi t pl n ofte t en i c s w he e a pl n ha notb en e t ihe onp i i n t f ; t bls ng he a r a m t n a es r a s e sabls d by t e r f ni g ph i i n; a ss i i e t bls ng a i pl m e i g t f iiy' pa i n c e h ee n ys c a s itng n s a ihi nd m e ntn he ac lt s te t ar polc es an pa tc pa i i pl n of te m e r vi ws patent cas revi conf ences, i i ; d r i i tng n a r at nt e e , i e ew er c ompr he i e pa i tas es m en an r a s s m e s an utl ai rviw.42C. R. 485. 4 e ns v ten s s t d e s e s nt , d iz t e e i on F. 5 58*. M or eover t f lnt adm i stat s ofM edi e r atons, t CM S c t a t st tdo , ht ronti ni r or car egul i he on r c or ha t i pe tons ar s ci ly die t d t e u t i a ph i i n i p ef m i t s t s w h he ns c i , e pe Gca l r c e o val a e f ys c a s r or ng he e a ks en ass i i t COR F i pr di adequat physi an ser ces essng f he s ovi ng e ci vi . . SOM j 58( i tu t 485. a) nsrcs i s i t s a s s n phys c a pr s nc t ' . .Re e t a tvii o t g oup of pr e sona nve tga or s es i g iin e e e o $ . vi w he c i tes f he r of s i l per sonnel utlzaton r ew pr s, pa i r ds and r , ii i evi oces tent ecor eport of cas r ew conf ences t s e evi er o as t n t ext of physci pari paton i patent car actvii . The ext of physci cerai he ent i an tci i n i e i tes ent i an pa tci to c n be de e ne i pa t by t t a vol e ofpa i nt , s ri pa i n a t nni d, n r, he ype nd um te s cope of s ces and ervi need f consula i and m edi ca e s vi .' Des t t l ofa çbri - i ' t r aton, or t ton cal r er ces ' pie he ack i ghtlne,' he egul i o is f c pr vi es a i sr t s a prn pl by whi h t n a bir r l a non- ap i ou l n t a e, o d dm nit a or i ci e c o on- r ta iy nd c rci s y enf ce is pr si and becaus t as at gui or t ovi ons, e he soci ed dance diect adm i s r t s how t enf ce r s nit a or o or t m i pr tc ,t Cou tfn t t41 C .F. 5 584 )i n i al on t e g oun sa e b he n ac i e he r i ds ha R. 485. a s ot nv i d h r ds ttd y Pl n if ai tf . Tur ng t Com pRehab' ar entt D r Bos h s nts fc e tm e a t f iiy a t ni o s gum hat . c pe ufi i nt i t he ac lt nd he Secr t y' count - gum entt tt r d doesnotsuppor such a concl on, t Courtconcl e ar s er ar ha he ecor t usi he udes t Se r t y i c r c . The ALJ l ke t t SOM whi h die t i s i t r t e ur t atwhe e he c e ar s or e t oo d o he c r c s nve tga o s o ns e h r a physi an i ser ng par-i e as a f lt physi an, as w a t c e a CompRe b, t pa ci s vi ttm aciiy ci s he as t ha o y a t n i t whe he t physci n i e f tvel pe f m i r q r r po i lte . te ton o t r he i a s fec i y r or ng e uied es ns biii s SOM j 58() Ac or ngl t ALJ l ke t e de e i t rc d t ts d Dr Bosch w as 485. a . c di y, he oo d o vi nc n he e or ha howe . a tve y die tng r ha lt tve s r ce . Des t D r Bosch' t ephoni avaiabiiy, ptrodi c i l r c i e biia i e vi s pie . s el c l lt i c r vi w ofm e c r co ds a hi c ula i n w ih f ciiy p ovi r , t ALJ c d no c ncl dt e e dial e r , nd s ons t to t a lt r de s he oul t o u t tDr Bo ch wasa tv y die tng r ha lt tve s r ce . ha . s c i el r c i e biia i e vi s D r Bos h' a fd vi, c i e e a ong w ih t ot r evi ce i t r co d, does not . c s fi a t ons d r d l t he he den n he e r s ppor Com pRe b' a s ri t tisI velofphys c a s r c sw e e a qua e. Fi t Dr.Bos s u t ha s s t ton ha t e i i n e vi e r de t rs , ch' a da tde c i s hi e ag ng i s e butn al,oft du i s r quie by a f ciiy p i a i m vi s rbe s ng i n om , ot l he tt e r d a lt hysci n n a c da ewih42 C. R.j 58*. Spe ûcal t afda tdoe notme i t tDr Bosh c or nc t F. 485. 4 ci ly, he fi vi s nton ha . c partci t i pl of teat ent r ew s patent cas r ew conf ences com pr i pa ed n an r m evi , i e evi er , ehensi patent ve i as ess ent and r ess ent or utlzaton r ews. 42 C. R.j 58 a (v . Mor ove ,Dr s m s eass m s, ii i evi F. 485. ()i) e r . Bos doesnotpr de any i or aton abouthow m uch tm e he act l s ch ovi nf m i i ualy pentatt f lt , m uch he aciiy l s a ofhi pur red a tvii . W hie he doe a s r i a c l o y s a e e t a t ph i i n e s ny s po t c i tes l s s e t n onc us r t t m nt h t he ys c a s r c s he pr de a e i a o da e wih a c pt d prnc pl s o m e c pr c ie, he ofe s no e vi e ovi s r n cc r nc t c e e i i e f di al a tc fr e de e a out ho he die t ,c uls or s r ies n m e c sa f Thi l c o e d ce vi nc b w r c s ons t , upe v s on- di al t f . s a k f vi en , c ed w ih p a tc a i s r t / oo di t M a i Fue e 'l c ofknowl dg ab Dr Bos h' oupl t r c i e dm nit a orc r na or r a nt s a k e e out . c s a ia lt a t fciiy durng agi n mont ( 1 4)s t tae t ALJSco uson t t valbiiy t he a l t i ve h AR 9 ubsanits he ' ncl i ha Com pRt b' physci n s r i eswer i de ua e. Thi concl on and t ALJ' applcaton oft ha s i a e vc e na q t s usi he S i i he r gul tons w a a fr e by t DA B. On r vi w , t s Cou t fnds t e Se r t ral de i i n as e ai s fi m d he e e hi r i h c ea i cso r nde ed i t DAB' a fr an e oft ALJ Sfndi of f ti s e r n he S fim c he ' i ngs ac s uppo t b s t nta evi nc red y ubsa i l de e i t r d i ar as a r onabl m i m i accept i as adequat t s n he ecor nsof eas e nd ght t e o upportt Secr ar s he et y' c ncl i Se St e & Web t r Cons r I . Uni dSt e De to o us on. e on se t., nc v. t ats p' fLab , 4F.d 1 27,l 3 e or 68 3 1 l 2 ( lhCi. 2)( s us ig s t n i e de esa r ) TheCo talo Gn t tt Se r t y' 1 t r 201 dic sn ubsa tal vi nc t nda d . ur s ds ha he c ear s deci on i i accor wih applcabl l and r atons. si s n d t i e aws egul i 18 1 1 C ON CLU SI N 1. O Fort r a onss tf r h a ve,i i he e s e o t bo t s ORD ERED THAT ( ) Pli ifsMoi f J gme on t Pla ng o Summay J gme i DENI 1 antf' ton or ud nt he e di s r r ud nt s ED. g 20j DE . ()Dee n' Cr sMoto frSu r J dgme i GRANTED.( 21. 2 fnda ts os- in o mmay u nts DE j ()Th CAS i CLOS 3 e Es ED. Y / DONEANDORDER D iMimiFoiati S* dyo Api 2 1 . E n a , lrd,hs a f r, 03 9 < PATRI I A .S l A TZ UN I TED STATES DI STRI JUD GE C cc: Honor e A ndr M .Si ont abl ea m on Al couns ofr d l el ecor 1 9
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