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Shalala v. Illinois Council on Long Term Care, Inc.

United States Supreme Court
529 U.S. 1 (2000)


Part A of the federal Medicare Act provides payment to nursing homes that provide health care services to Medicare beneficiaries after a stay in the hospital. The Illinois Council on Long Term Care, Inc. (ICLTC) (plaintiff) is an association of 200 nursing homes that participate in the Medicare Part A program. The ICLTC alleges that certain Medicare-related regulations violated various federal statutes and are unconstitutional. The ICLTC brought suit against the Secretary of the U.S. Department of Health and Human Services, Shalala (defendant) in federal court on the grounds that the claim is based on a federal question jurisdiction, 28 U.S.C. § 1331. The district court dismissed the suit for lack of jurisdiction and held that 42 U.S.C.A. § 405(h) created a separate system of administrative and judicial review for denials of Medicare claims and explicitly barred any § 1331 suits. The court of appeals reversed and the U.S. Supreme Court granted certiorari.

Rule of Law


Holding and Reasoning (Breyer, J.)

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