United States v. Vernon Home Health, Inc., Vernon Home Health Care Agency, Inc., 21 F.3d 693 (5th Cir. 1994). · Go Syfert
United States v. Vernon Home Health, Inc., Vernon Home Health Care Agency, Inc., 21 F.3d 693 (5th Cir. 1994). Cases Citing This Book View Copy Cite
“ederal law governs cases involving the rights of the united states arising under a nationwide federal program.”
50 citation events (36 in the last 25 years) across 13 distinct courts.
Strongest positive: United States of America v. Sade Williams (laed, 2026-03-10)
Treatment trajectory · 1996 → 2026 · click a year to view as-of
1996 2011 2026
Top citers, strongest first. 14 distinct citers. How cited ↗
discussed Cited as authority (verbatim quote) United States of America v. Sade Williams
E.D. La. · 2026 · quote attribution · 1 verbatim quote · confidence high
ederal law governs cases involving the rights of the united states arising under a nationwide federal program.
discussed Cited as authority (verbatim quote) BP Care, Inc. v. Thompson (2×) also: Cited "see"
S.D. Ohio · 2003 · signal: see · quote attribution · 1 verbatim quote · confidence high
could have chosen not to accept the automatic assignment of the provider agreement
discussed Cited as authority (rule) Mission Hospital Regional Medical Center v. Burwell (2×)
9th Cir. · 2016 · confidence medium
We note that, “[b]y encompassing a system of interim payments on an estimated cost basis, subject to year-end accounting, the program ensures Medicare providers a steady flow of income sufficient to provide service.” United States v. Vernon Home Health, Inc., 21 F.3d 693, 696 (5th Cir.1994).
discussed Cited as authority (rule) Eagle Healthcare, Inc. v. Sebelius
D.D.C. · 2013 · confidence medium
An assigned Provider Agreement is subject to all of the terms and conditions under which it was originally issued. 42 C.F.R. § 489.18 (d); United States v. Vernon Home Health, Inc., 21 F.3d 693, 696 (5th Cir.), cert. denied, 513 U.S. 1015 , 115 S.Ct. 575 , 130 L.Ed.2d 491 (1994).
cited Cited as authority (rule) United States Ex Rel. Roberts v. Aging Care Home Health, Inc.
W.D. La. · 2007 · confidence medium
United States v. Vernon Home Health, 21 F.3d 693, 695 (5th Cir.1994) (“[F]ederal law governs cases involving the rights of the United States arising under a nationwide federal program....”).
examined Cited as authority (rule) Delta Health Group, Inc. v. United States Department of Health & Human Services (4×) also: Cited "see"
N.D. Fla. · 2006 · confidence medium
All federal and state court cases and administrative decisions of which I am aware have held those three claims are, indeed, “legally foreclosed.” See, e.g., BP Care, Inc., supra, 398 F.3d at 506 n. 1, 513-14 (noting that the governing regulations require the agency “to issue a notice of right to hearing to a facility assessed with CMPs, not to the business operating it;” further observing that while successor liability is not directly mentioned in the Medicare Act or the regulations, it is endorsed “under HHS policy”) (emphasis in original); In re Charter Behavioral Health Sys., L…
cited Cited as authority (rule) Charter Behavioral Health Systems, LLC v. Chase Manhattan Bank
3rd Cir. · 2002 · confidence medium
See 42 C.F.R. § 489.18 (d); Deerbrook Pavilion, LLC v. Sha-lala, 235 F.3d 1100, 1103-05 (8th Cir.2000); United States v. Vernon Home Health, Inc., 21 F.3d 693, 696 (5th Cir.1994). .
cited Cited as authority (rule) South Texas Medical Clinics, P.A. v. PhyCor, Inc.
S.D. Tex. · 2000 · confidence medium
U.S. v. Vernon Home Health, Inc. 21 F.3d 693, 695 (citing U.S. v. Kimbell Foods, 440 U.S. 715, 726 , 99 S.Ct. 1448 , 59 L.Ed.2d 711 (1979)).
examined Cited as authority (rule) Garrelts v. SmithKline Beecham Corp. (3×) also: Cited "see, e.g."
N.D. Iowa · 1996 · confidence medium
However, de la Cuesta is in accord with this court’s reading of City of New York, because this earlier decision also calls for deference to the agency’s determination only in the narrow circumstances in which the agency’s choice is a “reasonable accommodation of conflicting policies that were committed to the agency’s care by statute.” de la Cuesta, 458 U.S. at 154 , 102 S.Ct. at 3023 (quoting Shimer, 367 U.S. at 383 , 81 S.Ct. at 1560 , with emphasis added by this court); and see City of New York, 486 U.S. at 64 ; 108 S.Ct. at 1642 (also quoting Shimer)-, com *1046 pare Vernon Hom…
discussed Cited as authority (rule) OLA M. THRASH, on behalf of Jerry K. Thrash Estate, on behalf of Dominique D. Gillham v. KENNETH S. APFEL, COMMISSIONER OF SOCIAL SECURITY
unknown court · confidence medium
See 20 C.F.R. § 404.355 (a)(1); United States v. Vernon Home Health, Inc., 21 F.3d 693, 696 (5th Cir. 1994); Anthony v. Sullivan, 954 F.2d 289, 292 (5th Cir. 1992); Smith v. Bowen, 862 F.2d 1165, 1166 (5th Cir. 1989).
discussed Cited "see" Deerbrook Pavilion v. Donna E. Shalala (2×)
8th Cir. · 2000 · signal: see · confidence high
See id. at 694 .
discussed Cited "see" United States Ex Rel. Thompson v. Columbia/HCA Healthcare Corp.
S.D. Tex. · 1998 · signal: see · confidence high
See United States v. Vernon Home Health, Inc., 21 F.3d 693, 695 (5th Cir.1994) (affidavit of government’s expert that purchase of assets became liable for Medicare overpay-ments made to prior provider did not create fact issue, but were mere opinions about legal issues that the appellate court resolved de novo), cert. denied, 513 U.S. 1015 , 115 S.Ct. 575 , 130 L.Ed.2d 491 (1994).
cited Cited "see, e.g." TRIAD AT JEFFERSONVILLE I, LLC v. Leavitt
D.D.C. · 2008 · signal: see, e.g. · confidence medium
See, e.g., United States v. Vernon Home Health, Inc., 21 F.3d 693, 696 (5th Cir.1994) (“[The defendant] could have chosen not to accept the automatic assignment of the provider agreement ...
Retrieving the full opinion text from the archive…
UNITED STATES of America, Plaintiff-Appellee,
v.
VERNON HOME HEALTH, INC., Et Al., Defendants, Vernon Home Health Care Agency, Inc., Defendant-Appellant
93-4621.
Court of Appeals for the Fifth Circuit.
Jun 1, 1994.
21 F.3d 693
Cecil S. Mathis, Dallas, TX, for appellant., Marquerite Lokey, Asst. Regional Counsel, U.S. Dept, of Health and Human Services, Dallas, TX, Bob Wortham, U.S. Atty., Randi Russell, Asst. U.S. Atty., Tyler, TX, for ap-pellee.
King, Smith, Kazen.
Cited by 18 opinions  |  Published
JERRY E. SMITH, Circuit Judge:

Vernon Home Health Care Agency, Inc. (“Vernon II”), a purchaser of the corporate assets of a medicare provider, Vernon Home Health, Inc. (“Vernon I”), appeals a summary judgment in favor of the government for repayment of medicare overpayments made to Vernon I. Finding that the Social Security Act and federal regulations preempt state corporate law in this regard, we affirm.

I.

In March 1985, Vernon I, a Texas nonprofit corporation, sold its assets to Vernon II, a Texas corporation. Under the terms of the purchase agreement, Vernon II paid $23,051.96 for the assets of Vernon I and assumed no liabilities.

Vernon II provides home health care to Medicare patients. Pursuant to the provisions of Medicare, a provider number is assigned to each participant in the Medicare programs. Vernon I held Provider No. 45-7124, which was automatically transferred to Vernon II in October 1985.

The government filed a civil action in federal court alleging Medicare overpayments to Vernon I in the amount of $30,072.08 for the fiscal year ending June 30, 1984. The district court granted summary judgment, finding Vernon II jointly and severally hable with Vernon I for the overpayments.

II.

A.

We review a grant of summary judgment de novo. Hanks v. Transcontinental Gas [*695] Pipe Line Corp., 953 F.2d 996, 997 (5th Cir.1992). Summary judgment is appropriate “if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Fed.R.Civ.P. 56(c). The party seeking summary judgment carries the burden of demonstrating that there is an absence of evidence to support the non-moving party’s ease. Celotex Corp. v. Catrett, 477 U.S. 317, 325, 106 S.Ct. 2548, 2554, 91 L.Ed.2d 265 (1986). After a proper motion for summary judgment is made, the non-movant must set forth specific facts showing that there is a genuine issue for trial. Hanks, 953 F.2d at 997.

We begin our determination by consulting the applicable substantive law to determine what facts and issues are material. King v. Chide, 974 F.2d 653, 655-56 (5th Cir.1992). We then review the evidence relating to those issues, viewing the facts and inferences in the light most favorable to the non-mov-ant. Id. If the non-movant sets forth specific facts in support of allegations essential to his claim, a genuine issue is presented. Celotex, 477 U.S. at 327, 106 S.Ct. at 2555.

Both the government and Vernon II filed affidavits of expert witnesses. John Singer, Vernon II’s expert witness, stated that he did not know of any policy that would obligate the purchaser of assets of a provider for overpayments made to the prior provider. He claimed that representatives of Health Care and Financing Administration had made statements to him that such a policy would seriously disrupt health care services. [1] John Eury, the government’s expert, claimed in his affidavit that the purchaser of assets does become liable for overpayments made to the prior provider.

Vernon II claims that these conflicting affidavits create a genuine issue of material fact that cannot be resolved on summary judgment. We disagree. The affidavits express opinions about legal issues that we must resolve de novo. International Ass’n of Machinists & Aerospace Workers v. Texas Steel Co., 538 F.2d 1116, 1119 (5th Cir.1976), cert. denied, 429 U.S. 1095, 97 S.Ct. 1110, 51 L.Ed.2d 542 (1977).

B.

Vernon II argues that the purchaser of corporate assets does not assume any liabilities under Texas corporate law because the imposition of liability would amount to a prohibited de facto merger. See Mudgett v. Paxson Mach. Co., 709 S.W.2d 755, 758 (Tex.App.—Corpus Christi 1986, writ ref d n.r.e.). And as Vernon II paid Vernon I a reasonable value for the assets, the sale is not subject to attack as a fraudulent transfer. Tex.Bus. & Com.Code Ann. ch. 24. Thus, Vernon II concludes that the government is not entitled to recover against Vernon II for the overpayments.

Regardless of the result under state corporate law, federal law governs cases involving the rights of the United States arising under a nationwide federal program such as the Social Security Act. United States v. Jon-T Chems., 768 F.2d 686, 690 n. 6 (5th Cir.1985) (citing United States v. Kimbell Foods, 440 U.S. 715, 99 S.Ct. 1448, 59 L.Ed.2d 711 (1979)), cert. denied, 475 U.S. 1014, 106 S.Ct. 1194, 89 L.Ed.2d 309 (1986). The authority of the United States in relation to funds disbursed and the rights acquired by it in relation to those funds are not dependent upon state law. Kimbell Foods, 440 U.S. at 726, 99 S.Ct. at 1457. Moreover, when a dispute involves the validity of an agency action, the preemptive force of the action does not depend upon express congressional authorization to displace state law. NCNB Texas Nat’l Bank v. Cowden, 895 F.2d 1488, 1494 (5th Cir.1990). Instead, if Congress has authorized an administrator to exercise his discretion, judicial review is limited to determining whether the administrator has exceeded his authority or acted arbitrarily. Fidelity Fed. Sav. & Loan Ass’n v. [*696] De la Cuesta, 458 U.S. 141, 154, 102 S.Ct. 3014, 73 L.Ed.2d 664 (1982). See First Gibraltar Bank, FSB v. Morales, 19 F.3d 1032 (5th Cir.1994). Similarly, when the administrator promulgates regulations that preempt state law, the court’s inquiry is limited to whether the regulations are reasonable, authorized, and consistent with the statute. Id.

The regulations were promulgated pursuant to the Social Security Act, and there is no question that they preempt state law in this area. Thus, the only question is whether the regulations unambiguously require the purchaser of a provider agreement to assume liability for Medicare overpayments made to the prior provider.

C.

The controlling regulation is Title 42 C.F.R. § 489.18(d) which requires: “An assigned agreement is subject to all applicable statutes and regulations and to the terms and conditions under which it was originally issued....” Thus, any purchase of assets that involves the assignment of the provider agreement is subject to the relevant statutory and regulatory conditions. One of these conditions is that adjustments are made for overpayments, pursuant to 42 U.S.C. § 1395g(a): “The Secretary shall periodically determine ... necessary adjustments on account of previously made overpayments....” See Beverly Enters. v. Califano, 460 F.Supp. 830 (D.D.C.1978) (holding purchaser of stock of corporate owners of nursing home liable for medicare overpayments to corporation); see also In re Metro. Hosp., 131 B.R. 283, 291 (E.D.Pa.1991) (holding that the Secretary’s right to offset overpayments is mandated by 42 U.S.C. § 1395g, which serves as a limitation on the assignment in bankruptcy of the provider payments).

We also note that the Secretary’s interpretation of the regulation and statute is eminently reasonable. By encompassing a system of interim payments on an estimated cost basis, subject to year-end accounting, the program ensures Medicare providers a steady flow of income sufficient to provide service. The assignee of a provider number is subject to this accounting procedure in order to provide continuous service.

The operative effect of section 498.18(d) is that all assigned provider agreements are subject to the rules and regulations of the Social Security Act. Thus, the state corporate law provisions recognizing Vernon II’s right to purchase only assets is preempted by the federal law mandating that all assignments of provider agreements be subject to federal terms and conditions.

Vernon II could have chosen not to accept the automatic assignment of the provider agreement. Indeed, the government acknowledges that the case would be different if Vernon II had not assumed Vernon I’s provider number. In that case, Vernon II would have had to apply as a new applicant to participate in the Medicare program. But Vernon II accepted the automatic assignment because it did not want a break in service while it awaited approval. Provider No. 45-7124 was automatically assigned to Vernon II pursuant to 42 U.S.C. § 1395cc. By accepting that assignment, Vernon II agreed (albeit unknowingly) to accept the terms and conditions of the regulatory scheme. Thus, it is liable for the overpayments.

AFFIRMED.

1

. Because we conclude that the interpretation of the statute and regulations is a legal issue that we must resolve at this stage, we do not reach the issue of whether the affidavit violates Fed. R.Civ.P. 56(e), requiring affidavits to be made “on personal knowledge” and not on what the affiant "heard” from someone else. See Leonard v. Dixie Well Serv. & Supply, 828 F.2d 291, 295 (5th Cir.1987).