Homestyle Direct, LLC v. Department of Human Services , 354 Or. 253 ( 2013 )


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  • No. 45	                   October 3, 2013	253
    IN THE SUPREME COURT OF THE
    STATE OF OREGON
    HOMESTYLE DIRECT, LLC,
    Respondent on Review,
    v.
    DEPARTMENT OF HUMAN SERVICES,
    Petitioner on Review.
    (DHS 20091957; CA A145136; SC S059874)
    En Banc
    On review from the Court of Appeals.*
    Argued and submitted September 21, 2012; resubmitted
    January 7, 2013.
    Cecil A. Reniche-Smith, Assistant Attorney General,
    Salem, argued the cause and filed the brief for petitioner on
    review. With her on the brief were John R. Kroger, Attorney
    General, and Anna M. Joyce, Solicitor General.
    Samuel E. Sears of Larimer & Sears, Salem, argued the
    cause and filed the brief for respondent on review.
    LANDAU, J.
    The decision of the Court of Appeals is reversed. The final
    order of the Department of Human Services is affirmed.
    ______________
    * Judicial review of the final order of the Oregon Department of Human
    Services. 245 Or App 598, 263 P3d 1118 (2011).
    254	                                  Homestyle Direct, LLC v. DHS
    The Department of Human Services (department) revoked a contractor’s
    eligibility to provide home delivered meals to Medicaid clients because the
    contractor breached its provider agreement with the department by failing to
    comply with certain food preparation and delivery standards. The contractor
    objected to the revocation, arguing that the standards in the provider
    agreement were not enforceable because they should have been promulgated as
    administrative rules. The department rejected those arguments. The Court of
    Appeals reversed, concluding that the department cannot enforce unpromulgated
    rules merely by making them terms of a contract. Held: (1) The matter was
    not rendered moot by the department’s later adoption of a temporary rule that
    expired; (2) the provider agreement between the contractor and the department
    constituted an enforceable contract; and (3) under Coats v. ODOT, 334 Or 587, 54
    P3d 610 (2002), the only relevant question was whether the terms of the provider
    agreement were binding on the contractor as contract terms, not whether the food
    preparation and delivery standards were valid as administrative rules.
    The decision of the Court of Appeals is reversed. The final order of the
    Department of Human Services is affirmed.
    Cite as 354 Or 253 (2013)	255
    LANDAU, J.
    This is a contested-case proceeding in which the
    Department of Human Services (department or DHS)
    revoked a contractor’s eligibility to provide home delivered
    meals to Medicaid clients because the contractor breached
    its contract with the department by failing to comply with
    certain food preparation and delivery standards. The con-
    tractor, Homestyle Direct, objected to the revocation, argu-
    ing that the standards in the contract are not enforceable
    because they should have been promulgated as administrative
    rules. The department rejected those arguments, concluding
    that whether the standards could have been promulgated as
    administrative rules is irrelevant to their enforceability as
    terms of a contract. The Court of Appeals reversed on the
    ground that, notwithstanding this court’s decision in Coats
    v. ODOT, 334 Or 587, 54 P3d 610 (2002), the department can-
    not enforce unpromulgated rules as terms of a contract. For
    the reasons that follow, we reverse the decision of the Court
    of Appeals and affirm the final order of the department.
    I. BACKGROUND
    A.  The Home Delivered Meals Program
    Title XIX of the Social Security Act, 42 USC § 1396
    et seq., authorizes federal grants to states for medical assis-
    tance, known as Medicaid, to low-income persons who are age
    65 or older, disabled, or members of families with dependent
    children. See 42 CFR § 430.0. Within a broad set of federal
    rules, states decide “eligible groups, types and ranges of ser-
    vices, payment levels for services, and administrative and
    operating procedures.” 
    Id. A participating
    state is required
    to submit a plan to the federal government “describing
    the nature and scope of its Medicaid program and giving
    assurances that it will be administered in conformity with”
    federal law. 42 CFR § 430.10. The states may contract with
    providers to furnish services under its Medicaid program.
    See 42 CFR 431.107(b). Such agreements must include com-
    mitments by the providers to keep adequate records, make
    certain disclosures, and comply with other standards. 
    Id. DHS administers
    such a Medicaid program. The
    program includes, among other things, a Home Delivered
    256	                                     Homestyle Direct, LLC v. DHS
    Meals (HDM) Program, which provides meals to disabled
    homebound individuals as a subsidized benefit under the
    Medicaid program. DHS contracts with nongovernment
    agency providers to prepare and deliver the meals, which
    DHS reimburses directly for their services. To qualify as
    an HDM provider, an individual or organization must meet
    applicable regulatory and licensing standards. See OAR 410-
    120-1260(5) (2008).1 Providers must submit an application
    to DHS for agency approval and must sign a “Provider
    Agreement” form to obtain reimbursement for their services.
    The signed form “constitutes agreement * * * to comply with
    all applicable * * * Provider rules and federal and state laws
    and regulations.” OAR 410-120-1260(2). On completion of
    the application and execution of the Provider Agreement, the
    department issues a “provider number” to the applicant. OAR
    410-120-1260(7). Issuance of the provider number “estab-
    lishes enrollment of an individual or organization as a Pro-
    vider for the specific category(ies) of services covered by the
    * * * application.” OAR 410-120-1260(9).
    Under the applicable administrative rules, the pro-
    vider may terminate enrollment in the service program at
    any time. OAR 410-120-1260(15)(a). The department is also
    authorized to terminate or suspend a provider from enroll-
    ment in the program for, among other reasons, “[b]reaches
    of [the p]rovider agreement.” OAR 410-120-1260(15)(b)(A).
    When the department determines that a provider has failed
    to meet the requirements of the agreement, it is authorized
    to suspend the provider number immediately. OAR 410-120-
    1260(16). The provider then is entitled to a contested case
    hearing to determine whether the provider number should
    be revoked. Id.
    B.  Facts
    The relevant facts are not in dispute. Homestyle is
    an Idaho corporation that prepares frozen meals. In 2005,
    it applied for and obtained a provider number authorizing
    it to provide home-delivered meals to Medicaid recipients
    1
    OAR 410-120-1260 has since been amended. Those amendments, however,
    are not relevant to the disposition of this case. All references to the administrative
    rules in this opinion are to those rules in effect at the time of the events in this
    case.
    Cite as 354 Or 253 (2013)	257
    in Oregon. Homestyle prepared frozen meals and shipped
    them to Medicaid clients once or twice each month by United
    Parcel Service. The department then reimbursed Homestyle
    for the meals using Medicaid funds.
    In October 2008, the department adopted new
    standards governing the HDM program. Among other things, the
    new HDM standards impose “[n]utrition [p]rovider [b]asic
    [r]equirements.” Those include a requirement that “[n]utri-
    tion providers must be able to provide at least one hot meal
    or other appropriate meal at least once a day, five or more
    days per week.” If the provider believes that delivering five
    or more hot meals each week is not feasible, the providers
    “must provide a written request to the State agency for
    approval of a lesser frequency of meal service.” The meal pro-
    vider is further required to “develop procedures for regularly
    (does not have to be daily) taking and documenting meal
    temperatures of the last meal served on each route.” The new
    HDM standards note that the state health code requires a
    hot temperature of at least 140 degrees Fahrenheit.
    In November 2008, the department notified all HDM
    providers of the new standards by sending a letter to each
    provider with a packet of documents including the new stan-
    dards. The packet also included a new provider enrollment
    form. The department advised the recipients of the packet
    that each provider was required to complete the new provider
    enrollment form to continue receiving reimbursement for
    delivering HDM meals after January 31, 2009. The depart-
    ment stated that, after that date, providers who had not
    completed a new provider enrollment form and agreed to the
    new terms would no longer be eligible to participate in the
    program. It also stated that, “[b]y signing the provider
    enrollment form, providers agree to meet the * * * general pro-
    vider standards as well as the attached Nutrition Program
    Standards. * * * Compliance is mandatory for payment.”
    The new provider enrollment form consisted of a
    single page, which included areas for providers to fill in cur-
    rent business and contact information, as well as a signa-
    ture line. Immediately below the signature line, the form
    stated: “The Home Delivered Meal provider must comply
    with *  * the Medicaid Nutrition Standards published at
    *
    258	                         Homestyle Direct, LLC v. DHS
    http://www.dhs.state.or.us/spd/tools/cm/hdm/standards.pdf
    when providing Home Delivered Meals paid for by Medicaid.
    Compliance is mandatory for payment.”
    On November 21, 2008, Homestyle’s owner, completed
    and signed the new provider enrollment form and returned the
    form to the department. Following that, however, Homestyle
    continued to prepare frozen meals for home delivery once
    or twice each month to Oregon Medicaid clients. It did not
    submit a written request to the department for permission
    to deliver meals less frequently than the HDM standards
    required. Homestyle also continued to have its frozen meals
    delivered by UPS package delivery service, whose drivers
    did not check the temperature of the food inside the delivered
    packages.
    In April 2009, the Department of Human Services
    determined that Homestyle was not complying with the new
    HDM standards because, among other things, it had failed
    to provide hot meals, failed to provide meals at least five
    days each week without first seeking authorization to do so,
    and failed to perform temperature checks on delivered food.
    DHS issued a notice to Homestyle that it intended to revoke
    Homestyle’s provider number, ending its right to receive reim-
    bursement. Homestyle requested a contested case hearing
    as provided in OAR 410-120-1260(16).
    At the hearing, Homestyle did not dispute that it had
    failed to meet the HDM standards as DHS had contended.
    Instead, it asserted that those standards were unenforceable
    because they amounted to unpromulgated administrative
    rules. In the alternative, Homestyle asserted that it had
    not breached the provider agreement because the provider
    agreement did not amount to a contract in the first place.
    According to Homestyle, the agreement amounted to an
    unlawful contract of adhesion and, in any event, lacked con-
    sideration.
    In response, DHS first asserted that whether it could
    have promulgated the HDM standards as formal administrative
    rules was irrelevant, because, under this court’s decision in
    Coats, the standards were enforceable terms of a contract
    that Homestyle freely agreed to meet. DHS further asserted
    Cite as 354 Or 253 (2013)	259
    that the provider agreement is an enforceable contract,
    secured by the consideration of reimbursement for delivery
    services performed.
    The administrative law judge (ALJ) held in favor
    of DHS. The ALJ first concluded that the HDM standards
    were enforceable as contract terms, whether or not they also
    could have been promulgated as administrative rules:
    “*  * I find no authority that prevents an agency from
    *
    including terms in a contract that can be construed as
    unpromulgated rules. While the new HDM standards do
    meet the statutory definition of rules, because the Depart-
    ment is attempting to enforce the standards as contractual
    terms in this matter I do not address their validity as rules
    under the [Administrative Procedures Act].”
    The ALJ further concluded that the provider agreement
    constituted an enforceable contract, which Homestyle had
    breached in each of the particulars that DHS had asserted.
    DHS issued a final order adopting the ALJ’s decision
    and order and revoking Homestyle’s provider number.
    Homestyle sought judicial review of that final order
    in the Court of Appeals, which reversed. Homestyle Direct,
    LLC v. DHS, 245 Or App 598, 600, 263 P3d 1118 (2011).
    The court concluded that the HDM standards amounted to
    unenforceable, unpromulgated administrative rules. DHS,
    the court explained, “cannot enforce its own unpromulgated
    standards by putting them in the provider agreement and
    then enforcing the rule that allows sanctions for noncom-
    pliance with that agreement. In substance, if not in form, that
    is an attempt to enforce an invalid rule.” 
    Id. at 605.
    The court
    acknowledged that this court’s decision in Coats could be
    read to support DHS’s position. 
    Id. at 604.
    Nevertheless, the
    court concluded that Coats was distinguishable, for reasons
    that we detail below. Having determined that the HDM
    standards were unenforceable, the court did not address
    Homestyle’s argument that the provider agreement was not
    an enforceable contract.
    DHS sought review in this court. In the meantime,
    in response to the decision of the Court of Appeals, DHS
    260	                           Homestyle Direct, LLC v. DHS
    adopted a temporary administrative rule that incorporated
    the HDM standards. It then notified this court that its
    adoption of the temporary rule might render the case moot.
    In light of that information, this court asked the parties
    to address a series of questions related to justiciability.
    In response, DHS noted that the temporary rule was set
    to expire on June 13, 2012, and that it did not intend to
    promulgate a permanent rule to replace it. The temporary
    rule has since expired, and DHS has not promulgated a
    permanent rule adopting the HDM standards.
    II. ANALYSIS
    A.  Mootness
    We begin, as we must, with the issue of justiciability.
    This court has explained that the judicial power granted
    to the courts under Article VII (Amended) of the Oregon
    Constitution is “limited to the adjudication of an existing
    controversy.” Yancy v. Shatzer, 337 Or 345, 362, 97 P3d 1161
    (2004). Consequently, Oregon courts “have no authority to
    decide moot cases.” State v. Hemenway, 353 Or 498, 500,
    302 P3d 413 (2013). A justiciable, nonmoot case is one in
    which “the parties to the controversy * * * have adverse legal
    interests and the court’s decision in the matter [will] have
    some practical effect on the rights of the parties.” State v.
    Snyder, 337 Or 410, 418, 97 P3d 1181 (2004).
    In this case, the parties contend that, notwithstand-
    ing the temporary adoption of temporary rules, the matter
    remains justiciable at this point. We agree. There is no ques-
    tion that the parties have adverse interests; both DHS and
    Homestyle have vigorously and ably advocated their opposing
    viewpoints. There is also no question that this court could grant
    effective relief to the parties. If we agree with the department,
    then its revocation of Homestyle’s provider number will stand,
    and it will not be required to promulgate its HDM standards
    as administrative rules to enforce them against providers in
    the HDM program. Conversely, if we agree with Homestyle,
    then the department’s order will be vacated.
    An interesting question arises whether the matter
    was justiciable during the time that the temporary rules
    Cite as 354 Or 253 (2013)	261
    were in effect. We need not address that question in this
    case, however, because those temporary rules have expired.
    B.  Merits
    On review, the parties essentially reprise the argu-
    ments that they have made in previous stages of this con-
    tested case proceeding. Homestyle contends that the HDM
    standards are unenforceable, unpromulgated rules, as the
    Court of Appeals held, and that, in any event, the provider
    agreement did not constitute an enforceable contract. DHS,
    on the other hand, contends that the Court of Appeals erred
    in failing to apply this court’s decision in Coats and in
    concluding that it may not enforce the HDM standards as
    contract terms.
    1.  Whether the Provider Agreement Is an Enforceable
    Contract
    We begin with the question whether the provider
    agreement is an enforceable contract in the first place. If it
    is not, then that obviates the need to address whether the
    HDM standards are enforceable as contract terms.
    Homestyle begins by arguing that the 2008 pro-
    vider agreement was not an enforceable contract. According
    to Homestyle, the form is simply “an administrative form
    designed to collect necessary information regarding pro-
    viders” and is not subject to the public contracting require-
    ments of the state public contracting law.
    To begin with, it is not clear that Homestyle pre-
    served that particular contention. Before the ALJ and the
    Court of Appeals, Homestyle argued that the provider agree-
    ment was not an enforceable contract for two reasons—first,
    because it amounted to an unlawful contract of adhesion
    (an argument that it does not advance before this court),
    and second, because it lacked consideration. There was no
    mention of the argument that it now asserts, based on the
    nature of the provider agreement form itself.
    At all events, the argument is unavailing. Even
    assuming for the sake of argument that Homestyle is correct
    262	                          Homestyle Direct, LLC v. DHS
    that the form was designed to collect necessary information
    from providers, it cannot be contested that the form also
    unambiguously states that “[t]he Home Delivered Meal
    provider must comply with *  * the [HDM] standards” and
    *
    that “[c]ompliance is mandatory for payment.” Moreover,
    the rules that require provider agreements state that the
    signed form “constitutes agreement *  * to comply with all
    *
    applicable * * * Provider rules and federal and state laws and
    regulations.” OAR 410-120-1260(2). Thus, whatever addi-
    tional purposes the form may serve, it is clear that it con-
    stitutes an enforceable agreement.
    In the alternative, Homestyle argues that the pur-
    ported agreement fails for want of consideration. In Homestyle’s
    view, since 2005, it had operated under a provider agreement,
    the terms of which the department attempted to alter in
    2008 by simply substituting new HDM standards. The new
    standards, Homestyle argues, amounted to an attempted
    modification of the existing contract, which requires new con-
    sideration. DHS argues, and the ALJ concluded, that the
    department terminated the 2005 provider agreement in
    2008 and then offered providers a new agreement with new
    terms fully supported by the consideration of reimbursement
    in exchange for agreement to comply with its terms. We
    agree with DHS.
    The formation of a contract requires a “bargain in
    which there is a manifestation of mutual assent to the
    exchange and a consideration.” Restatement (Second) of Con-
    tracts § 17(1) (1981). Mutual assent, historically referred to
    as the “meeting of the minds,” may be expressed in words or
    inferred from the actions of the parties. Bennett v. Farmers
    Ins. Co., 332 Or 138, 148, 26 P3d 785 (2001). Consideration
    is defined as “some right, interest, profit or benefit or some
    forbearance, deteriment, loss or responsibility given, suffered
    or undertaken by the other.” Shelley v. Portland Tug & Barge
    Co., 158 Or 377, 387, 76 P2d 477 (1938).
    In this case, as we have described, in November
    2008, DHS notified its providers that they would no longer be
    eligible for Medicaid reimbursement for home delivery of meals
    after January 31, 2009; the existing provider agreements, in
    other words, were terminated. There is no suggestion that
    Cite as 354 Or 253 (2013)	263
    DHS lacked authority to do that. DHS then extended an
    offer to enter into a new provider agreement. It included in
    the information packet that it sent to all providers a new
    provider enrollment application, which incorporated the new
    HDM standards and expressly stated that participation in
    the reimbursement program was conditioned on agreement
    to comply with those standards. Homestyle completed that
    new provider enrollment application, signed it, and returned
    it to DHS. The parties thus manifested the required mutual
    assent and satisfied the requisite element of consideration
    when DHS offered to provide reimbursement in exchange for
    Homestyle’s agreement to provide meals under the HDM pro-
    gram and comply with the HDM standards, and Homestyle
    accepted that offer by signing and returning the new provider
    enrollment application, which expressly stated those terms.
    2.  Whether the HDM Standards Are Enforceable as
    Contract Terms
    We turn, then, to the issue of the enforceability of
    the HDM standards. Because the arguments of both parties,
    as well as the reasoning of the Court of Appeals, largely turn
    on the applicability of this court’s opinion in Coats, we begin
    with a review of that case.
    The plaintiff in Coats was a contractor who con-
    structed and repaired highways in Oregon. 334 Or at 589. The
    plaintiff contracted with the Oregon Department of Trans-
    portation to pave a portion of a state highway. The contract
    required the plaintiff to pay its workers in accordance with
    wage and hour rules that had been adopted by the Oregon
    Bureau of Labor and Industries (BOLI). 
    Id. at 590.
    The
    plaintiff did not comply with those rules. As a result, ODOT
    withheld payment under the contract. 
    Id. at 591.
    The plaintiff responded by bringing an action against
    ODOT for breach of contract in circuit court, alleging that
    the BOLI wage and hour rules were invalid because they
    were predicated on a misinterpretation of the applicable
    wage and hour statutes. 
    Id. at 591-92.
    ODOT counterclaimed
    for breach of contract, and both parties moved for summary
    judgment. 
    Id. at 592.
    264	                              Homestyle Direct, LLC v. DHS
    The plaintiff argued that ODOT could not lawfully
    bind him to comply with invalid BOLI wage and hour rules.
    ODOT responded that, among other things, even if the BOLI
    rules were invalid, the plaintiff was bound to comply with
    them as terms of his highway contract. 
    Id. at 593.
    The trial
    court granted the plaintiff’s motion, denied ODOT’s motion,
    and entered judgment accordingly. 
    Id. The Court
    of Appeals
    affirmed, agreeing with the plaintiff that the BOLI wage and
    hour rules were invalid, at least as applied to the plaintiff,
    because that application was at odds with relevant wage
    and hour statutes. Coats v. ODOT, 170 Or App 32, 40-41,
    11 P3d 258 (2000).
    This court reversed, holding that the lower courts
    lacked subject matter jurisdiction to address the validity of
    BOLI’s administrative rule. The court explained that, as
    a general rule, one who seeks to challenge the validity of
    an administrative rule must do so in accordance with the
    rule-challenge provisions of the APA. 334 Or at 595. The
    plaintiff had not done that. The court noted, however, that
    an earlier decision—Hay v. Dept. of Transportation, 301 Or
    129, 719 P2d 860 (1986)—had recognized an exception to
    that general rule: The validity of a rule may be challenged
    in a civil action if validity is properly “ ‘at issue.’ ” Coats, 334
    Or at 596 (quoting Hay, 301 Or at 138). The plaintiff in Coats
    invoked that exception, arguing that his breach of contract
    claim placed the validity of BOLI’s rules “at issue.” 
    Id. The court
    rejected that argument, concluding that
    the validity of BOLI’s rules was simply “not relevant.” 
    Id. at 597.
    Even if the rules could not be enforced against the
    plaintiff as rules, the court explained, they could still be
    enforced against him as contract terms:
    “Plaintiff * * * seeks to challenge the validity of state agency
    rules that, earlier, he had agreed to as contract terms. Even
    if plaintiff could not be forced to comply with those rules by
    operation of law, he nonetheless could bind himself to do
    so by contract, as he did here. Instead, the only relevant
    question is whether BOLI’s rules are applicable to plaintiff
    as contract terms. The validity of BOLI’s rules, therefore, is
    not relevant to, or ‘at issue’ in, plaintiff’s breach of contract
    action.”
    
    Id. (emphasis in
    original; citations and footnotes omitted).
    Cite as 354 Or 253 (2013)	265
    Coats squarely controls this dispute. As in Coats, this
    case involves what is essentially a breach of contract action:
    DHS terminated Homestyle’s provider number because of
    “[b]reaches of [the p]rovider agreement.” OAR 410-120-1260
    (15)(b)(A). As in Coats, even assuming that Homestyle could
    not be forced to comply with the HDM standards by operation
    of law—that is, as rules—it nonetheless could bind itself to
    do so by contract, as it did here. Accordingly, as in Coats,
    the only relevant question is whether the HDM standards
    are applicable to Homestyle as contract terms. It necessarily
    follows that, as in Coats, the validity of the HDM standards,
    as rules, is irrelevant.
    As we have noted, the Court of Appeals, while
    acknowledging that “broad language” in Coats supports the
    notion that the validity of the HDM standards as rules is
    irrelevant, nevertheless concluded that the decision was dis-
    tinguishable. The court identified four rationales for that
    conclusion. With respect, however, we find none of those
    rationales to be persuasive.
    First, the Court of Appeals noted that the BOLI
    rules were invalid for a different reason from the invalid
    HDM standards at issue in this case. According to the court,
    “there is a difference between a rule that may be invalid
    because it results from an agency’s misinterpretation of a
    statute, the situation in Coats, and a rule that is invalid
    because it was never promulgated.” Homestyle, 245 Or App
    at 604. In the view of the Court of Appeals, DHS’s failure
    to promulgate the HDM standards as rules implicated “one
    of the basic precepts of administrative law: A rule that can
    be brought to bear so as to impose serious disabilities on
    citizens must, at the least, be subjected to some level of public
    scrutiny before it goes into effect.” 
    Id. (footnote omitted).
    At the outset, we note that the court’s rationale pro-
    ceeds from a mistaken premise. The court is not quite correct
    in asserting that, before any rule can go into effect, it must
    be subject to public scrutiny. Merely because a given admin-
    istrative standard or policy satisfies the statutory definition
    of a “rule” under the Administrative Procures Act (APA)
    does not necessarily mean that it is invalid unless preceded
    266	                          Homestyle Direct, LLC v. DHS
    by notice and comment rulemaking proceedings. Most public
    contracts, for example, are exempt from rulemaking pro-
    cedures, even if they contain terms that otherwise qualify as
    “rules.” See ORS 183.335(10). In addition, the APA provides
    that agencies are authorized to adopt general policies that
    otherwise would qualify as “rules” during contested case pro-
    ceedings, without going through notice-and-comment rule-
    making. See ORS 183.355(5) (“[I]f an agency, in disposing of
    a contested case, announces in its decision the adoption of a
    general policy applicable to such case and subsequent cases
    of like nature, the agency may rely upon such decision in
    disposition of later cases.”). Whether an agency is required
    to adopt a policy that qualifies as a “rule” solely by means of
    rulemaking procedures depends on whether the legislature
    has declared that rulemaking is the sole acceptable means
    of adopting the particular policy at issue. See, e.g., Forelaws
    on Board v. Energy Fac. Siting Council, 306 Or 205, 214,
    760 P2d 212 (1988) (“If an agency is required to adopt a rule
    through rulemaking proceedings, that requirement must
    be found through analysis of the specific statutory scheme
    under which an agency operates and the nature of the rule
    that the agency wishes to adopt.”); Trebesch v. Employment
    Division, 300 Or 264, 267, 710 P2d 136 (1985) (Whether an
    agency is required to engage in rulemaking may not be
    “divined from the administrative procedures act;” rather,
    “[t]he authorizing statutes will specify whether rulemaking
    or adjudication authority, or both, are delegated to the
    agency and will indicate the agency’s tasks, the breadth
    of the agency’s discretion to carry out these tasks, and the
    process by which they are to be accomplished.”).
    Aside from that, the notion that the reason for the
    invalidity of the rule makes a difference cannot be reconciled
    with the stated rationale of Coats. This court explained that
    whether the BOLI rules were invalid was irrelevant because
    the parties had bound themselves to comply with the same
    obligations by contract. Because the obligations were sep-
    arately enforceable by contract, the reason for the possible
    invalidity of the same obligation as an administrative rule
    simply did not matter.
    Cite as 354 Or 253 (2013)	267
    Second, the Court of Appeals suggested that the
    HDM standards at issue in this case are “significantly more
    burdensome” than the allegedly invalid rule in Coats. 245 Or
    App at 604. The relative burden that those rules imposed,
    however, was not mentioned as a relevant consideration in
    Coats, and we do not understand how it would be relevant to
    Coats’s stated rationale, which was that parties are bound
    to comply with obligations that they agree to comply with by
    contract, regardless of whether they might also be bound to
    comply for other reasons.
    Third, the Court of Appeals differentiated between
    the focus of the breach of contract action in Coats and the
    focus of this action, which the court characterized as a “rule
    challenge as part of the defense to an agency action to
    enforce a rule.” 
    Id. The court
    stated that, in a breach of con-
    tract action, the focus is on “whether the parties to the
    contract have honored the mutual obligations that they
    have undertaken.” 
    Id. The court
    observed that, “[i]n a rule
    challenge that is a part of the defense to an agency action to
    enforce a rule, * * * the focus is on whether the agency’s rule
    is within its authority, and the fact that the rule has been
    rebranded as a contract term does not alter that basic fact.”
    
    Id. Again, the
    court’s reasoning proceeds from a mis-
    taken premise, which is that DHS has merely “rebranded”
    the HDM standards as contract terms. The fact is that they
    were contract terms. Aside from that, it is not clear to us
    that the action in this case is properly characterized as a
    “rule enforcement” proceeding. The assumption that it is
    a rule enforcement proceeding appears to beg the ques-
    tion whether it is an administrative rule or a contract term
    that is at issue in the first place. Moreover, contrary to the
    characterization of the Court of Appeals, Homestyle has not
    asserted a rule challenge as a defense to an agency action to
    enforce a rule. DHS did not initiate this action to enforce any
    administrative rule. Homestyle initiated the contested case
    proceeding to challenge DHS’s revocation of Homestyle’s
    provider number because of its “[b]reach of [the] [p]rovider
    agreement.”
    268	                          Homestyle Direct, LLC v. DHS
    Fourth, and relatedly, the Court of Appeals com-
    pared the relatively attenuated connection between the
    invalidity of the BOLI rules and the breach of contract
    action in Coats with the more direct connection between the
    invalidity of the HDM standards and the DHS action in this
    case. “In an agency action to enforce a contract term that is
    itself an invalid rule,” the court reasoned, “the connection is
    direct.” 
    Id. at 597
    (emphasis omitted).
    Once again, the Court of Appeals assumed that DHS
    initiated this action to enforce an administrative rule, which
    is incorrect. Moreover, even assuming that this is, as the
    court characterized it, “an agency action to enforce a contract
    term that is itself an invalid rule,” the fact remains that,
    under Coats, the validity or invalidity of a rule as a rule is
    irrelevant if the agency seeks to enforce the obligation as a
    contract term.
    Homestyle offers its own rationale for distinguishing
    Coats. According to Homestyle, Coats “should be viewed as an
    aberration” and should be narrowly confined to its facts. In
    particular, Homestyle emphasizes that the contract in Coats
    was a “bilateral bargained-for-exchange contract,” while the
    contract at issue in this case “can, at best, be described as a
    series of unilateral contracts.” In support of that proposition,
    Homestyle cites this court’s opinion in Pharmaceutical Ass’n
    v. Welfare Com., 248 Or 60, 432 P2d 296 (1967). The distinc tion
    is important, Homestyle explains, because, in a unilateral
    contract such as this one, “the state agency enjoys an unequal
    bargaining position.” In Homestyle’s view, that unequal bar-
    gaining position leaves contracting parties with no recourse
    but the rulemaking safeguards of the APA, should they wish
    to contest particular terms of the agreement.
    Homestyle’s argument, too, is predicated on a mis-
    taken premise, namely, that the agreement in this case is
    a unilateral contract. A unilateral contract is one in which
    one party makes a promise in return for consideration other
    than a promise. Restatement (Second) of Contracts § 45 (1981).
    Pharmaceutical Ass’n provides an example. In that case, the
    State Public Welfare Commission simply offered to reim-
    burse any pharmacist that provided prescription drugs to
    eligible recipients of public assistance for stipulated prices
    Cite as 354 Or 253 (2013)	269
    published in a “Drug Guide”; the Commission required no
    promise or commitment in advance. 248 Or at 64-65. As the
    court explained:
    “We think it is clear that * * * we are dealing here with
    a unilateral contract, or, to be more exact, a series of such
    contracts. The Commission, through the Drug Guide, made
    a continuing offer to the druggists to pay them stipulated
    prices for drugs dispensed to eligible recipients of public
    assistance and each and every such transaction carried
    out by the druggists in accordance with the regulations in
    the Drug Guide constituted acceptance of the offer and an
    executed contract supported by valuable consideration.”
    
    Id. at 67.
    	        This is not such a case. The provider agreement at
    issue in this case expressly consisted of a one promise in
    exchange for another: DHS agreed to provide Medicaid
    reimbursement in exchange for Homestyle’s agreement to
    comply with, among other things, the HDM standards in
    delivering meals to recipients. Thus, the agreement in this
    case is not a unilateral contract of the sort at issue in
    Pharmaceutical Ass’n. It is, instead, the same sort of bilateral
    contract that was at issue in Coats.
    Finally, Homestyle argues that Coats is distin-
    guishable because the contracting party in that case “was
    apparently aware of ODOT’s interpretation of the contested
    rule before entering into the contract,” while in this case,
    “Homestyle did not have actual knowledge of the new stan-
    dards until receiving a letter indicating that they were in
    violation of the standards.” According to Homestyle, “[t]o
    the extent that Coats provides a judicially created excep-
    tion to the general statutory rulemaking requirements, its
    holding should be limited” to cases in which the contracting
    parties had notice of the terms an agency seeks to enforce by
    contract.
    Once again, Homestyle appears to be advancing an
    argument for the first time on review; we have searched the
    record in vain for any such argument made to the ALJ or to
    the Court of Appeals. In any event, the argument fails. As
    we have noted, it is undisputed that DHS notified all HDM
    providers of the new standards in November 2008, a full
    270	                         Homestyle Direct, LLC v. DHS
    two months before the new standards were scheduled to go
    into effect. The notification included a packet of information
    that contained a copy of the new standards, a new provider
    enrollment form, and a cover letter explaining the new rules,
    declaring that, “[b]y signing the provider enrollment form,
    providers agree to meet the *  * [HDM] standards,” and
    *
    warning that “[c]ompliance is mandatory for payment.” It
    is further undisputed that Homestyle received that packet
    of information and that its owner signed and returned the
    new provider enrollment form. We reject Homestyle’s final
    argument without further discussion.
    In sum, we conclude that department’s final order
    correctly determined both that the 2008 provider agreement
    was an enforceable contract and that the HDM standards
    with which the agreement required compliance were enforce-
    able as terms of that agreement. The Court of Appeals erred in
    concluding that those standards were unenforceable because
    they were unpromulgated administrative rules.
    The decision of the Court of Appeals is reversed.
    The final order of the Department of Human Services is
    affirmed.
    

Document Info

Docket Number: DHS 20091957; CA A145136; SC S059874

Citation Numbers: 354 Or. 253, 311 P.3d 487, 2013 WL 5497217, 2013 Ore. LEXIS 782

Judges: Landau

Filed Date: 10/3/2013

Precedential Status: Precedential

Modified Date: 11/13/2024