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112 S.Ct. 1360 Page 1
503 U.S. 347, 112 S.Ct. 1360, 118 L.Ed.2d 1, 60 USLW 4251, Med & Med GD (CCH) P 40,087
(Cite as: 503 U.S. 347, 112 S.Ct. 1360)
(Formerly 78k108.1, 78k108) and Child Welfare Act, which created federal reim-
Action under § 1983 is not available to enforce vi- bursement program for expenses incurred by States
olation of federal statute if Congress has foreclosed in administering foster care and adoption services,
such enforcement of statute in enactment itself and did not create right, privilege, or immunity enforce-
if statute does not create enforceable rights, priv- able under § 1983; requirement that State have plan
ileges, or immunities within meaning of § 1983. 42 providing for reasonable efforts to prevent removal
U.S.C.A. § 1983. of children from their homes and facilitate reunific-
ation of families affected State's eligibility for fed-
[4] Civil Rights 78 1029 eral reimbursement and Act did not contain any
guidance for how to measure “reasonable efforts.”
78 Civil Rights
Social Security Act, § 471(a)(15), as amended, 42
78I Rights Protected and Discrimination Prohib-
U.S.C.A. § 671(a)(15); 42 U.S.C.A. § 1983.
ited in General
78k1026 Rights Protected [7] Civil Rights 78 1330(6)
78k1029 k. Other particular rights. Most
Cited Cases 78 Civil Rights
(Formerly 78k108.1, 78k108) 78III Federal Remedies in General
Congress must confer enforceable rights, privileges, 78k1328 Persons Protected and Entitled to
or immunities unambiguously when it intends to Sue
impose conditions on grant of federal moneys be- 78k1330 Private Right of Action
fore rights, privileges, and immunities may be en- 78k1330(6) k. Other particular cases
forceable under § 1983. 42 U.S.C.A. § 1983. and contexts. Most Cited Cases
(Formerly 78k200)
[5] Civil Rights 78 1027 Enforcement mechanisms of Adoption Assistance
and Child Welfare Act demonstrated that absence
78 Civil Rights
of private remedy under § 1983 would not make
78I Rights Protected and Discrimination Prohib-
“reasonable efforts” clause a “dead letter” with re-
ited in General
spect to alleged failure by States to make reason-
78k1026 Rights Protected
able efforts to prevent removal of children from
78k1027 k. In general. Most Cited Cases
their homes and to facilitate reunification of famil-
(Formerly 78k108.1, 78k108)
ies, even though enforcement mechanisms were not
Statutory provisions must be analyzed in detail, in
so comprehensive as to foreclose § 1983 remedy.
light of entire legislative enactment, to determine
Social Security Act, § 471(a)(15), as amended, 42
whether language created rights, privileges, and im-
U.S.C.A. § 671(a)(15); 42 U.S.C.A. § 1983.
munities enforceable within meaning of § 1983. 42
U.S.C.A. § 1983. [8] Action 13 3
(b) Congress did not unambiguously confer upon KENNEDY, SOUTER, and THOMAS, JJ., joined.
the Act's beneficiaries the right to enforce the BLACKMUN, J., filed a dissenting opinion, in
“reasonable efforts” requirement. The Act is man- which STEVENS, J., joined, post, p. 1370.
datory only insofar as it requires a State to have an Christina M. Tchen, Chicago, Ill., for petitioners.
approved plan containing the listed features; and it
is undisputed**1363 that the Illinois plan provides *349 John G. Roberts, Jr., Washington, D.C., as
that reasonable efforts at prevention and reunifica- amicus curiae, supporting petitioners.
tion will be made. Respondents err in basing their §
Michael Dsida, Chicago, Ill., for respondents.
1983 argument, in part, on § 671(a)(3)' s “in effect”
language, which is directed to the requirement that
the plan apply to all of a State's political subdivi- *350 Chief Justice REHNQUIST delivered the
sions and is not intended to otherwise modify the opinion of the Court.
word “plan.” Unlike the Medicaid legislation in
Wilder, supra -which actually required the States to This case raises the question whether private indi-
adopt reasonable and adequate reimbursement rates viduals have the right to enforce by suit a provision
for health care providers and which, along with reg- of the Adoption Assistance and Child Welfare Act
ulations, set forth in some detail the factors to be of 1980 (Adoption Act or Act), 94 Stat. 500, 42
considered in determining the methods for calculat- U.S.C. §§ 620-628, 670-679a, either under the Act
ing rates-here, the statute provides no further guid- itself or through an action under 42 U.S.C. § 1983.
FN1
ance as to how “reasonable efforts” are to be meas- The Court of Appeals for the Seventh Circuit
ured, and, within broad limits, lets the State decide held that 42 U.S.C. § 671(a)(15) contained an im-
how to comply with the directive. Since other sec- plied right of action, and that respondents could en-
tions of the Act provide mechanisms for the Secret- force this section of the Act through an action
ary to enforce the “reasonable efforts” clause, the brought under § 1983 as well. We hold that the Act
absence of a § 1983 remedy does not make the does not create an enforceable right on behalf of re-
clause a dead letter. The regulations also are not spondents.
specific and provide no notice that failure to do
FN1. Section 1983 provides, in relevant
anything other than submit a plan with the requisite
part: “Every person who, under color of
features is a further condition on the receipt of fed-
any statute, ordinance, regulation, custom,
eral funds. And the legislative history indicates that
or usage, of any State or Territory or the
the Act left a great deal of discretion to the States to
District of Columbia, subjects or causes to
meet the “reasonable efforts” requirement. Pp.
be subjected, any citizen of the United
1367-1370.
States or other person within the jurisdic-
2. The Act does not create an implied cause of ac- tion thereof to the deprivation of any
tion for private enforcement. Respondents have rights, privileges, or immunities, secured
failed to demonstrate that Congress intended to by the Constitution and laws shall be liable
make such a remedy available. See Cort, supra; to the party injured in an action at law, suit
Transamerica Mortgage Advisors, Inc. v. Lewis, in equity, or other proper proceeding for
444 U.S. 11, 15-16, 100 S.Ct. 242, 245, 62 L.Ed.2d redress.”
146. P. 1370.
The Adoption Act establishes a federal reimburse-
917 F.2d 980, (CA7 1990), reversed. ment program for certain expenses incurred by the
States in administering*351 foster care and adop-
REHNQUIST, C.J., delivered the opinion of the tion services. The Act provides that States will be
Court, in which WHITE, O'CONNOR, SCALIA, reimbursed for a percentage of foster care and ad-
option assistance payments when the State satisfies See Artist M. v. Johnson, 917 F.2d 980, 982-983
the requirements of the Act. 42 U.S.C. §§ 672-674, (CA7 1990). Once DCFS has jurisdiction over a
675(4)(A) (1988 ed. and Supp. I). child either in its temporary custody, or in the
child's home under a protective order, all services
To participate in the program, States must submit a are provided to the child and his family by means
plan to the Secretary of Health and Human Services of an individual caseworker at DCFS to whom the
for approval by the Secretary.**1364 §§ 670, 671. child's case is assigned. App. 35-39.
Section 671 lists 16 qualifications which state plans
must contain in order to gain the Secretary's ap- Respondents filed this class-action suit seeking de-
proval. As relevant here, the Act provides: claratory and injunctive relief under the Adoption
FN2
Act. They alleged that petitioners, in contra-
“(a) Requisite features of State plan vention of 42 U.S.C. § 671(a)(15), failed to make
reasonable efforts to prevent removal of children
“In order for a State to be eligible for payments
from their homes and to facilitate reunification of
under this part, it shall have a plan approved by FN3
families where removal had occurred. This fail-
the Secretary which-
ure occurred, as alleged by respondents, because
..... DCFS failed promptly to assign caseworkers to
children placed in DCFS custody and promptly to
“(3) provides that the plan shall be in effect in reassign cases when caseworkers were on leave
all political subdivisions of the State, and, if ad- from DCFS. App. 6-8. The District Court, without
ministered by them, be mandatory upon them; objection from petitioners, certified two separate
classes seeking relief, including all children who
..... are or will be wards of DCFS and are placed in
foster care or remain in their homes under a judicial
“(15) effective October 1, 1983, provides that, in FN4
protective order. *353Artist M. v. Johnson, 726
each case, reasonable efforts will be made (A)
F.Supp. 690, 691 (ND Ill.1989). The District Court
prior to the placement of a child in foster care, to
denied a motion to dismiss filed by petitioners,
prevent or eliminate the need for removal of the
holding, as relevant here, that the Adoption Act
child from his home, and (B) to make it possible
contained an implied cause of action and that suit
for the child to return to his home....” §§
could also be brought to enforce the Act **1365
671(a)(3), (15).
under 42 U.S.C. § 1983. 726 F.Supp., at 696, 697.
Petitioners in this action are Sue Suter and Gary T.
FN2. Count III of the complaint alleged
Morgan, the Director and the Guardianship Admin-
that petitioners violated the Due Process
istrator, respectively, of the Illinois Department of
Clause of the Constitution. App. 26. This
Children and Family Services (DCFS). DCFS is the
count was dismissed by the District Court
state agency responsible for, among other things,
and was not appealed. Artist M. v. John-
investigating charges of child abuse and neglect and
son, 917 F.2d 980, 982, n. 3 (CA7 1990).
providing services to abused and neglected children
and their families. DCFS is authorized under FN3. Although DCFS administers the child
Illinois law, see Ill.Rev.Stat., ch. 37, ¶ 802-1 et seq. welfare program for the entire State of
(1989), to gain temporary custody of an abused or Illinois, respondents only alleged viola-
neglected child after a *352 hearing and order by tions of the Adoption Act as to Cook
the Juvenile Court. Alternatively, the court may or- County. App. 6.
der that a child remain in his home under a protect-
ive supervisory order entered against his parents. FN4. Specifically, the following classes
were certified by the District Court: [1][2] The Court of Appeals affirmed. 917 F.2d 980
(CA7 1990). Relying heavily on this Court's de-
“Class A: Children who are or will be cision in Wilder v. Virginia Hospital Assn., 496
the subjects of neglect, dependency or U.S. 498, 110 S.Ct. 2510, 110 L.Ed.2d 455 (1990),
abuse petitions filed in the Circuit Court the Court of Appealsheld*354 that the “reasonable
of Cook County, Juvenile Division efforts” clause of the Adoption Act could be en-
(‘Juvenile Court’), who are or will be in forced through an action under § 1983. 917 F.2d, at
the custody of [DCFS] or in a home un- FN5
987-989. That court, applying the standard es-
der DCFS supervision by an order of Ju- tablished in Cort v. Ash, 422 U.S. 66, 95 S.Ct.
venile Court and who are now or will be 2080, 45 L.Ed.2d 26 (1975), also found that the Ad-
without a DCFS caseworker for a signi- option Act created an implied right of action such
ficant period of time. that private individuals could bring suit directly un-
der the Act to enforce the provisions relied upon by
“Class B: Children who are or will be
respondents. 917 F.2d, at 989-991. We granted cer-
the subjects of neglect, dependency or
tiorari, 500 U.S. 915, 111 S.Ct. 2008, 114 L.Ed.2d
abuse petitions filed in Juvenile Court FN6
97 (1991), and now reverse.
who are or will be placed in DCFS' cus-
tody and who are or will be without a FN5. The Court of Appeals also noted that
DCFS caseworker for a significant peri- the Fourth Circuit, in L.J. ex rel. Darr v.
od of time.” Artist M. v. Johnson, 726 Massinga, 838 F.2d 118 (CA4 1988), cert.
F.Supp. 690, 691 (ND Ill.1989). denied, 488 U.S. 1018, 109 S.Ct. 816, 102
L.Ed.2d 805 (1989), had found the sub-
The “Class B” plaintiffs only raised a
stantive requirements listed in § 671(a) to
constitutional due process claim, which
be enforceable under § 1983. 917 F.2d, at
was dismissed by the District Court. See
988.
n. 2, supra.
Several cases have addressed the en-
The District Court then entered an injunction re-
forceability of various sections of the
quiring petitioners to assign a caseworker to each
Adoption Act. See, e.g., Massinga,
child placed in DCFS custody within three working
supra, at 123 (finding case plan require-
days of the time the case is first heard in Juvenile
ments enforceable under § 1983); Lynch
Court, and to reassign a caseworker within three
v. Dukakis, 719 F.2d 504 (CA1 1983)
working days of the date any caseworker relin-
(same); Norman v. Johnson, 739 F.Supp.
quishes responsibility for a particular case. App. to
1182 (ND Ill.1990) (finding “reasonable
Pet. for Cert. 56a. The 3-working-day deadline was
efforts” clause enforceable under § 1983
found by the District Court to “realistically reflec
); B.H. v. Johnson, 715 F.Supp. 1387,
[t] the institutional capabilities of DCFS,” id., at
1401 (ND Ill.1989) (finding “reasonable
55a, based in part on petitioners' assertion that as-
efforts” clause not enforceable under §
signing caseworkers within that time frame “would
1983).
not be overly burdensome.” Id., at 54a. The District
Court, on partial remand from the Court of Ap- FN6. Subsequent to oral argument, re-
peals, made additional factual findings regarding spondents notified the Court of the entry of
the nature of the delays in assigning caseworkers a consent decree in the case of B.H. v.
and the progress of DCFS reforms at the time the Suter, No. 88-C 5599 (ND Ill.), which they
preliminary injunction was entered. App. 28-50. suggest may affect our decision on the
merits, or indeed may make the instant ac-
tion moot. We find no merit to respond- Respondents next contend that the B.H.
ents' contentions, and conclude that the decree “may also render much of this
B.H. consent decree has no bearing on the case moot.” Supp. Brief for Respondents
issue the Court decides today. Sue Suter, 8. Although petitioner here is the de-
petitioner in this case, is the defendant in fendant in B.H., the class certified in
the B.H. suit, which alleges statewide defi- B.H. does not include children living at
ciencies in the operations of DCFS. See home under a protective order, and
B.H. v. Johnson, supra. The class approved therefore is more narrow than the class
in B.H. contains “all persons who are or certified in the instant suit. In addition,
will be in the custody of [DCFS] and who while DCFS agrees in the B.H. consent
have been or will be placed somewhere decree to certain obligations, for ex-
other than with their parents.” 715 F.Supp., ample, a ceiling on the number of cases
at 1389. handled by each caseworker, none of
these obligations subsumes the injunc-
Respondents suggest that because peti- tion entered by the District Court and af-
tioner has agreed in the B.H. consent de- firmed by the Court of Appeals below,
cree to provide “reasonable efforts” to requiring petitioners to provide a case-
maintain and reunify families, she is worker within three days of when a child
somehow precluded from arguing in this is first removed from his home. Cf.
case that § 671(a)(15) does not grant a Johnson v. Board of Ed. of Chicago, 457
right for individual plaintiffs to enforce U.S. 52, 102 S.Ct. 2223, 72 L.Ed.2d 668
that section by suit. As we have recog- (1982) (per curiam ).
nized previously this Term, however,
parties may agree to provisions in a con- In short, the situation in this case is quite
sent decree which exceed the require- different from that in the cases cited by
ments of federal law. Rufo v. Inmates of respondents in which this Court re-
Suffolk County Jail, 502 U.S. 367, 389, manded for further proceedings after
112 S.Ct. 748, 762, 116 L.Ed.2d 867 events subsequent to the filing of the pe-
(1992). Paragraph two of the B.H. decree tition for certiorari or the grant of certi-
itself provides that the decree is not an orari affected the case before the Court.
admission of any factual or legal issue. Unlike the parties in J. Aron & Co. v.
In addition, the B.H. consent decree does Mississippi Shipping Co., 361 U.S. 115,
not require “reasonable efforts” with no 80 S.Ct. 212, 4 L.Ed.2d 148 (1959) (per
further definition, but rather defines the curiam ), the parties in the case before
standard against which those efforts are the Court have not entered a consent de-
to be measured. See B.H. Consent De- cree. Unlike Kremens v. Bartley, 431
cree ¶¶ 8, 16(a), pp. 12, 20. Thus, the U.S. 119, 97 S.Ct. 1709, 52 L.Ed.2d 184
agreement embodied in the consent de- (1977), the B.H. decree does nothing to
cree is not inconsistent with the position change the class at issue or the claims of
petitioner asserts here, namely, that § the named class members. And unlike
671(a)(15) requiring “reasonable ef- American Foreign Service Assn. v.
forts,” without further definition, does Garfinkel, 490 U.S. 153, 109 S.Ct. 1693,
not create an enforceable right on behalf 104 L.Ed.2d 139 (1989) (per curiam ),
of respondents to enforce the clause by where we noted that “[e]vents occurring
suit. since the District Court issued its ruling
place this case in a light far different “The legitimacy of Congress' power to legislate
from the one in which that court con- under the spending power thus rests on whether
sidered it,” id., at 158, 109 S.Ct., at the State voluntarily and knowingly accepts the
1696, the issue whether the reasonable terms of the ‘contract.’ There can, of course, be
efforts clause creates an enforceable no knowing acceptance if a State is unaware of
right on behalf of respondents is the the conditions or is unable to ascertain what is
same now as it was when decided by the expected of it. Accordingly, if Congress intends
District Court below. to impose a condition on the grant of federal
moneys, it must do so unambiguously.” 451 U.S.,
**1366 [3] *355 In Maine v. Thiboutot, 448 U.S. 1, at 17, 101 S.Ct., at 1540 (citations and footnote
100 S.Ct. 2502, 65 L.Ed.2d 555 (1980), we first es- omitted).
tablished that § 1983 is available as a remedy for We concluded that the statutory section sought to
violations of federal statutes as well as for constitu- be enforced by the Pennhurst respondents did not
tional violations. We have subsequently recognized provide such unambiguous notice to the States
that § 1983 is not available to enforce a violation of because it spoke in terms “intended to be hortat-
a federal statute “where Congress has foreclosed ory, not mandatory.” Id., at 24, 101 S.Ct., at
such enforcement of the statute in the enactment 1543.
*356 itself and where the statute did not create en-
forceable rights, privileges, or immunities within In Wright, the Brooke Amendment to existing hous-
the meaning of § 1983.” Wright v. Roanoke Re- ing legislation imposed a ceiling on the rent which
development and Housing Authority, 479 U.S. 418, might be charged low-income tenants living in pub-
423, 107 S.Ct. 766, 770, 93 L.Ed.2d 781 (1987). lic housing projects. *357 The regulations issued by
the Department of Housing and Urban Develop-
[4] In Pennhurst State School and Hospital v. Hal- ment in turn defined rent to include “ ‘a reasonable
derman, 451 U.S. 1, 101 S.Ct. 1531, 67 L.Ed.2d amount for [use of] utilities,’ ” and further defined
694 (1981), we held that § 111 of the Development- how that term would be measured. Wright, supra,
ally Disabled Assistance and Bill of Rights Act of 479 U.S., at 420-421, n. 3, 107 S.Ct., at 769, n. 3.
1975, 42 U.S.C. § 6010 (1976 ed. and Supp. III), We held that tenants had **1367 an enforceable
did not confer an implied cause of action. That stat- right to sue the Housing Authority for utility
ute, as well as the statute before us today, was en- charges claimed to be in violation of these provi-
acted by Congress pursuant to its spending power. sions. In Wilder, 496 U.S., at 503, 110 S.Ct., at
FN7
In Pennhurst, we noted that it was well estab- 2514, the Boren Amendment to the Medicaid Act
lished that Congress has the power to fix the terms required that Medicaid providers be reimbursed ac-
under which it disburses federal money to the cording to rates that the “ ‘State finds, and makes
States. 451 U.S., at 17, 101 S.Ct., at 1539, citing assurances satisfactory to the Secretary,’ ” are “
Oklahoma v. United States Civil Service Comm'n, ‘reasonable and adequate’ ” to meet the costs of “
330 U.S. 127, 67 S.Ct. 544, 91 L.Ed. 794 (1947); ‘efficiently and economically operated facilities.’ ”
Rosado v. Wyman, 397 U.S. 397, 90 S.Ct. 1207, 25 Again, we held that this language created an en-
L.Ed.2d 442 (1970). As stated in Pennhurst: forceable right, on the part of providers seeking re-
imbursement, to challenge the rates set by the State
FN7. Article I, § 8, cl. 1, of the Constitu-
as failing to meet the standards specified in the
tion contains the spending power, which
Boren Amendment.
provides, “Congress shall have Power to ...
provide for the ... general Welfare of the [5] In both Wright and Wilder the word
United States.” “reasonable” occupied a prominent place in the crit-
ical language of the statute or regulation, and the only the filing of a plan for approval by the
word “reasonable” is similarly involved here. But Secretary would add a new “prerequisite
this, obviously, is not the end of the matter. The for the existence of a right under § 1983,”
opinions in both Wright and Wilder took pains to Brief for Respondents 22, n. 6, our holding
analyze the statutory provisions in detail, in light of today imposes no new “prerequisites” but
the entire legislative enactment, to determine merely counsels that each statute must be
whether the language in question created interpreted by its own terms.
“enforceable rights, privileges, or immunities with-
in the meaning of § 1983.” Wright, supra, 479 U.S. Respondents do not dispute that Illinois in fact has
at 423, 107 S.Ct., at 769. And in Wilder, we caution a plan approved by the Secretary which provides
that “ ‘[s]ection 1983 speaks in terms of “ rights, that reasonable efforts at prevention and reunifica-
FN9
privileges, or immunities,” not violations of federal tion will be made. Tr. of Oral Arg. 29-30. Re-
law.’ ” Wilder, supra, 496 U.S., at 509, 110 S.Ct., spondents argue, **1368 however, that § 1983
at 2517, quoting Golden State Transit Corp. v. Los *359 allows them to sue in federal court to obtain
Angeles, 493 U.S. 103, 106, 110 S.Ct. 444, 448, enforcement of this particular provision of the state
107 L.Ed.2d 420 (1989). plan. This argument is based, at least in part, on the
assertion that 42 U.S.C. § 671(a)(3) requires that
Did Congress, in enacting the Adoption Act, unam- the State have a plan which is “in effect.” This sec-
biguously confer upon the child beneficiaries of the tion states that the state plan shall “provid[e] that
Act a right to enforce the requirement that the State the plan shall be in effect in all political subdivi-
make “reasonable efforts” to prevent a child from sions of the State, and, if administered by them, be
being removed from his home, and once removed to mandatory upon them.” But we think that “in ef-
reunify the child with his family? We turn now to fect” is directed to the requirement that the plan ap-
that inquiry. ply to all political subdivisions of the State, and is
not intended to otherwise modify the word “plan.”
[6] *358 As quoted above, 42 U.S.C. § 671(a)(15) FN10
requires that to obtain federal reimbursement, a
State have a plan which “provides that, in each FN9. The state plan filed by Illinois relies
case, reasonable efforts will be made ... to prevent on a state statute and DCFS internal rules
or eliminate the need for removal of the child from to meet the “reasonable efforts” require-
his home, and ... to make it possible for the child to ment. Department of Health and Human
return to his home....” As recognized by petitioners, Services, Office of Human Development
respondents, and the courts below, the Act is man- Services Administration for Children,
datory in its terms. However, in the light shed by Youth and Families, Children's Bureau,
Pennhurst, we must examine exactly what is re- State Plan for Title IV-E of the Social Se-
quired of States by the Act. Here, the terms of § curity Act Foster Care and Adoption As-
671(a) are clear: “In order for a State to be eligible sistance, State Illinois 2-13 (1988).
for payments under this part, it shall have a plan ap-
proved by the Secretary.” Therefore the Act does The Illinois statute to which the plan
place a requirement on the States, but that require- refers imposes a requirement that before
ment only goes so far as to ensure that the State temporary custody may be ordered, the
have a plan approved by the Secretary which con- court must find that reasonable efforts
FN8 have been made or good cause has been
tains the 16 listed features.
shown why “reasonable efforts cannot
FN8. Contrary to respondents' assertion prevent or eliminate the necessity of re-
that finding 42 U.S.C. § 671(a) to require moval of the minor from his or her
home.” Ill.Rev.Stat., ch. 37, ¶ 802-10(2) In the present case, however, the term “reasonable
(1989). The statute further provides: efforts” to maintain an abused or neglected child in
“The Court shall require documentation his home, *360 or return the child to his home from
by representatives of [DCFS] or the pro- foster care, appears in quite a different context. No
bation department as to the reasonable further statutory guidance is found as to how
efforts that were made to prevent or “reasonable efforts” are to be measured. This dir-
eliminate the necessity of removal of the ective is not the only one which Congress has given
minor from his or her home, and shall to the States, and it is a directive whose meaning
consider the testimony of any person as will obviously vary with the circumstances of each
to those reasonable efforts.” Ibid. individual case. How the State was to comply with
this directive, and with the other provisions of the
FN10. Respondents also based their claim Act, was, within broad limits, left up to the State.
for relief on 42 U.S.C. § 671(a)(9) which
states that the state plan shall “provid[e] [7] Other sections of the Act provide enforcement
that where any agency of the State has mechanisms for the “reasonable efforts” clause of
reason to believe that the home or institu- 42 U.S.C. § 671(a)(15). The Secretary has the au-
tion in which a child resides whose care is thority to reduce or eliminate payments to a State
being paid for in whole or in part with on finding that the State's plan no longer complies
funds provided under this part or part B of with § 671(a) or that “there is a substantial failure”
this subchapter is unsuitable for the child in the administration of a plan such that the State is
because of the neglect, abuse, or exploita- not complying with its own plan. § 671(b). The Act
tion of such child, it shall bring such con- also requires that in order to secure federal reim-
dition to the attention of the appropriate bursement for foster care payments made with re-
court or law enforcement agency....” spect to a child involuntarily removed from his
home the removal must be “the result of a judicial
As this subsection is merely another fea- determination to the effect that continuation [in the
ture which the state plan must include to child's home] would be contrary to the welfare of
be approved by the Secretary, it does not such child and (effective October 1, 1983) that
afford a cause of action to the respond- reasonable efforts of the type described in section
ents anymore than does the “reasonable 671(a)(15) of this title have been made.” §
efforts” clause of § 671(a)(15). 672(a)(1). While these statutory provisions may not
provide a comprehensive enforcement mechanism
In Wilder, the underlying Medicaid legislation sim-
so as to manifest Congress' intent to foreclose rem-
ilarly required participating States to submit to the FN11
edies under § 1983, they do show that the ab-
Secretary of Health and Human Services a plan for
sence of a remedy to private*361 plaintiffs **1369
medical assistance describing the State's Medicaid
under § 1983 does not make the “reasonable ef-
program. But in that case we held that the Boren FN12
forts” clause a dead letter.
Amendment actually required the States to adopt
reasonable and adequate rates, and that this obliga- FN11. We have found an intent by Con-
tion was enforceable by the providers. We relied in gress to foreclose remedies under § 1983
part on the fact that the statute and regulations set where the statute itself provides a compre-
forth in some detail the factors to be considered in hensive remedial scheme which leaves no
determining the methods for calculating rates. room for additional private remedies under
Wilder, 496 U.S., at 519, n. 17, 110 S.Ct., at 2522, § 1983. Smith v. Robinson, 468 U.S. 992,
n. 17. 104 S.Ct. 3457, 82 L.Ed.2d 746 (1984);
Middlesex County Sewerage Authority v. the receipt of funds from the Federal Government.
National Sea Clammers Assn., 453 U.S. 1, Respondents contend that “[n]either [petitioners]
101 S.Ct. 2615, 69 L.Ed.2d 435 (1981). nor amici supporting them present any legislative
We need not consider this question today history to refute the evidence that Congress inten-
due to our conclusion that the Adoption ded 42 U.S.C. § 671(a)(15) to be enforceable.”
Act does not create the federally enforce- Brief for Respondents 33. To the extent such his-
able right asserted by respondents. tory may be relevant, our examination of it leads us
to conclude that Congress was concerned that the
FN12. The language of other sections of required reasonable efforts be made by the States,
the Act also shows that Congress knew but also indicated that the Act left a great deal of
how to impose precise requirements on the FN15
discretion to them.
States aside from the submission of a plan
to be approved by the Secretary when it in- FN13. Cf. Wright v. Roanoke Redevelop-
tended to. For example, 42 U.S.C. § 672(e) ment and Housing Authority, 479 U.S. 418,
provides that “[n]o Federal payment may 430-432, 107 S.Ct. 766, 773-775, 93
be made under this part” for a child volun- L.Ed.2d 781 (1987) (statute providing that
tarily placed in foster care for more than tenants in low-income housing could only
180 days unless within that period there is be charged 30% of their income as rent, in
a judicial determination that the placement conjunction with regulations providing that
is in the best interest of the child. That the “reasonable utilities” costs were included
“reasonable efforts” clause is not similarly in the rental figure, created right under §
worded buttresses a conclusion that Con- 1983 to not be charged more than a
gress had a different intent with respect to “reasonable” amount for utilities).
it.
FN14. The regulation, 45 CFR §
The regulations promulgated by the Secretary to en- 1357.15(e)(2) (1991), goes on to provide a
force the Adoption Act do not evidence a view that list of which services may be included in
§ 671(a) places any requirement for state receipt of the State's proposal: “Twenty-four hour
federal funds other than the requirement that the emergency caretaker, and homemaker ser-
State submit a plan to be approved by the Secretary. vices; day care; crisis counseling; individu-
FN13
The regulations provide that to meet the re- al and family counseling; emergency shel-
quirements of § 671(a)(15) the case plan for each ters; procedures and arrangements for ac-
child must “include a description of the services cess to available emergency financial as-
offered and the services provided to prevent remov- sistance; arrangements for the provision of
al of the child from the home and to reunify the temporary child care to provide respite to
family.” 45 CFR § 1356.21(d)(4) (1991). Another the family for a brief period, as part of a
regulation, entitled “requirements and submittal,” plan for preventing children's removal
provides that a state plan must specify “which pre- from home; other services which the
placement preventive and reunification services are agency identifies as necessary and appro-
available to children and families in need.” § priate such as home-based family services,
FN14
1357.15(e)(1). What is *362 significant is that self-help groups, services to unmarried
the regulations are not specific and do not provide parents, provision of, or arrangements for,
notice to the States that failure to do anything other mental health, drug and alcohol abuse
than submit a plan with the requisite features, to be counseling, vocational counseling or voca-
approved by the Secretary, is a further condition on tional rehabilitation; and post adoption ser-
State to establish and maintain such rates. Id., at enforceable under § 1983. Each of the three ele-
512, 110 S.Ct., at 2518. In so concluding, we em- ments of our three-part test is satisfied. First, and
phasized two features of the Medicaid reimburse- most obvious, the plaintiff children in this case are
ment scheme. First, we observed that the language clearly the **1373 intended beneficiaries of the re-
of the provision is “cast in mandatory rather than quirement that the State make “reasonable efforts”
precatory terms,” stating that the plan “ must ” to prevent unnecessary removal and to reunify tem-
provide for reasonable and adequate reimburse- porarily removed children with their families.
ment. Ibid. Second, we noted that the text of the
statute expressly conditions federal funding on state FN1. “In order for a State to be eligible for
compliance with the amendment and requires the payments under this part, it shall have a
Secretary to withhold funds from noncomplying plan approved by the Secretary which- ...
States. Ibid. In light of these features of the Medi- (3) provides that the plan shall be in effect
caid Act, we rejected the argument, advanced by in all political subdivisions of the State,
the defendant state officials and by the United and, if administered by them, be mandat-
States as amicus curiae, that the only enforceable ory upon them; [and] ... (15) ... provides
state obligation is the obligation to file a plan with that, in each case, reasonable efforts will
the Secretary, to find that its rates are reasonable be made (A) prior to the placement of a
and adequate, and to make assurances to that effect child in foster care, to prevent or eliminate
in the plan. Id., at 512-515, 110 S.Ct., at the need for removal of the child from his
2519-2520. Rather, we concluded, participating home, and (B) to make it possible for the
States are required actually to provide reasonable child to return to his home.” 42 U.S.C. §
and adequate rates, not just profess to the Secretary 671(a).
that they have done so. Ibid.
Second, the “reasonable efforts” clause imposes a
Finally, we rejected the State's argument that Medi- binding obligation on the State because it is “cast in
caid providers' right to “reasonable and adequate” mandatory rather than precatory terms,” providing
reimbursement*368 is “too vague and amorphous” that a participating State “ shall have a plan ap-
for judicial enforcement. We acknowledged that the proved by the Secretary which ... shall be in effect
State has “substantial discretion” in choosing in all political subdivisions of the State, and, if ad-
among various methods of calculating reimburse- ministered by them, be mandatory upon them.”
ment rates. Id., at 519, 110 S.Ct., at 2523; see also Further, the statute requires the plan to “provid[e]
id., at 505-508, 110 S.Ct., at 2515-2517. A State's that, in each case, reasonable efforts will be made.”
discretion in determining how to calculate what Moreover, as *369 in Wilder, the statutory text ex-
rates are “reasonable and adequate,” we concluded, pressly conditions federal funding on state compli-
“may affect the standard under which a court re- ance with the plan requirement and requires the
views” the State's reimbursement plan, but it does Secretary to reduce payments to a State if “in the
not make the right to reasonable reimbursement ju- administration of [the State's] plan there is a sub-
dicially unenforceable. Id., at 519, 110 S.Ct., at stantial failure to comply with the provisions of the
2522. plan.” 42 U.S.C. § 671(b). Under our holding in
Wilder, these provisions of the Adoption Act im-
pose a binding obligation on the State. Indeed,
C neither the petitioner state officials nor amicus
United States dispute this point. Brief for Petition-
These principles, as we applied them in Wilder, re-
ers 17; Reply Brief for Petitioners 3, n. 2; Brief for
quire the conclusion that the Adoption Act's
FN1 United States as Amicus Curiae 13-14.
“reasonable efforts” clause establishes a right
What petitioners and amicus United States do dis- ultimately refers us to a second reasonableness
pute is whether the third element of the Golden clause: The “benchmark” facility, we are told, is
State-Wilder-Dennis test has been satisfied: They one that “ensure[s] ‘ reasonable access' to eligible
argue that the “reasonable efforts” clause of the Ad- participants.” This second reasonableness clause is
option Act is too “vague and amorphous” to be ju- left undefined. Contrary to petitioners' suggestions,
dicially enforced. Aware that Wilder enforced an then, the “reasonable and adequate” rates provision
apparently similar “reasonableness” clause, they ar- of the Boren Amendment is not “objective” in the
gue that this clause is categorically different. sense of being mechanically measurable. The fact
that this Court found the provision judicially en-
According to petitioners, the Court would not have forceable demonstrates that an asserted right is not
found the Boren Amendment's reasonableness “vague and amorphous” simply because it cannot
clause enforceable had the statute not provided an be easily “calculated or quantified.”
“objective benchmark” against which “reasonable
and adequate” reimbursement rates could be meas- Petitioners also argue that the right to “reasonable
ured. Reasonable and adequate rates, the Boren efforts” is “vague and amorphous” because of sub-
Amendment provides, are those that meet the costs stantial disagreement **1374 in the child-welfare
that would be incurred by “an ‘efficiently and eco- community concerning appropriate strategies. Fur-
nomically operated facilit[y]’ providing care in thermore, they contend, because the choice of a
compliance with federal and state standards while particular strategy in a particular case necessarily
at the same time ensuring ‘reasonable access' to eli- will depend upon the facts of that case, a court-
gible participants.” Wilder, 496 U.S., at 519, 110 enforced right to reasonable efforts either will ho-
S.Ct., at 2523 (quoting 42 U.S.C. § mogenize very different situations or else will frag-
1396a(a)(13)(A)). Petitioners claim that, given this ment into a plurality of “rights” that vary from
benchmark, “reasonable and adequate” rates can be State to State. For both of these reasons, petitioners
ascertained by “ monetary calculations easily de- contend, Congress left the question of what efforts
termined based on prevailing rates in the market.” are “reasonable” to state juvenile courts, the recog-
Brief for Petitioners 21. By contrast, they observe, nized experts in such matters.
there is “no market for ‘reasonable efforts' to keep
or return a child home, and such ‘reasonable efforts' Here again, comparison with Wilder is instructive.
cannot be calculated or quantified.” Ibid. The Court noted the lack of consensus concerning
which of various*371 possible methods of calculat-
*370 Petitioners misunderstand the sense in which ing reimbursable costs would best promote efficient
the “benchmark” in Wilder is “objective.” The operation of health-care facilities. See Wilder, 496
Boren Amendment does not simply define U.S., at 506-507, 110 S.Ct., at 2515-2516. The
“reasonable and adequate” rates as market rates. Court further noted that Congress chose a standard
Rather, it defines a “reasonable and adequate” rate that leaves the States considerable autonomy in se-
by referring to what would be provided by a hypo- lecting the methods they will use to determine
thetical facility-one that operates “efficiently and which reimbursement rates are “reasonable and ad-
economically,” “compli[es] with federal and state equate.” Id., at 506-508, 515, 110 S.Ct., at
standards,” and “ensur[es] ‘reasonable access' to 2515-2517, 2520. The result, of course, is that the
eligible participants.” Whether particular existing “content” of the federal right to reasonable and ad-
facilities meet those criteria is not a purely empiric- equate rates-the method of calculating reimburse-
al judgment that requires only simple “monetary ment and the chosen rate-varies from State to State.
calculations.” Indeed, the Boren Amendment's spe- And although federal judges are hardly expert
cification of the words “reasonable and adequate” either in selecting methods of Medicaid cost reim-
bursement or in determining whether particular Co. v. Railway Employees, 300 U.S. 515, 518, 550,
rates are “reasonable and adequate,” neither the ma- 57 S.Ct. 592, 597, 601, 81 L.Ed. 789 (1937)
jority nor the dissent found that the right to reason- (enforcing “every reasonable effort” provision of
able and adequate reimbursement was so vague and the Railway Labor Act and noting that “whether ac-
amorphous as to be “beyond the competence of the tion taken or omitted is ... reasonable [is an] every-
judiciary to enforce.” See id., at 519-520, 110 S.Ct., day subjec[t] of inquiry by courts in framing and
at 2522-2523; id., at 524, 110 S.Ct., at 2525. enforcing their decrees”). Petitioners have not
(REHNQUIST, C.J., dissenting). State flexibility in shown that the Adoption Act's reasonableness
determining what is “reasonable,” we held, clause is exceptional in this respect.
noted that the Medicaid Act expressly conditions forts” should be interpreted.
federal funding on state compliance with the provi-
sions of an approved plan, and that the Secretary is Even assuming that it is accurate to call the statute
required to withhold payments from noncomplying and regulations involved in that case “detailed,”
FN4
States. See Wilder, 496 U.S., at 512, 110 S.Ct., at the Court has misread **1376Wilder. The
FN2 Court there referred to the relative specificity of the
2519 (citing 42 U.S.C. § 1396c). In substan-
tially identical language, the Adoption Act, too, re- statute and regulations not to demonstrate that the
quires States to live up to the commitments stated health-care providers enjoyed a substantive right to
FN3 reasonable and adequate rates-we had already con-
in their plans. To be sure, the Court's reasoning
is consistent with the dissent in Wilder. See id., at cluded that the State was under a binding obligation
524, 527-528, 110 S.Ct., at 2525, 2526-2527 to adopt such rates, see Wilder, 496 U.S., at
(REHNQUIST, C.J., dissenting). But it flatly con- 514-515, 110 S.Ct., at 2519-2520-but only to rein-
tradicts what the Court held in that case. force our conclusion that the providers' interest was
not so “vague and amorphous” as to be “beyond the
FN2. “If the Secretary ... finds ... that in competence of judicial enforcement.” See 496 U.S.,
the administration of the plan there is a at 519, n. 17, 110 S.Ct., at 2522, n. 17. Under our
failure to comply substantially with any ... three-part test, the Court would not have inquired
provision [required to be included in the whether that interest was “vague and amorphous”
plan,] the Secretary shall notify [the] State unless it had already concluded that the State was
agency that further payments will not be required to do more than simply file a paper plan
made....” 42 U.S.C. § 1396c. that lists the appropriate factors.
FN3. “[I]n any case in which the Secretary FN4. Petitioners suggest a sharp contrast
finds ... there is a substantial failure to between the implementing regulations con-
comply with the provisions of [an ap- sidered in Wilder and the implementing
proved] plan, the Secretary shall notify the regulation for the Adoption Act
State that further payments will not be “reasonable efforts” provision: The former,
made ..., or that such payments will be they say, require the State to consider cer-
made to the State but reduced by an tain factors, but the latter merely provides
amount which the Secretary determines ap- “a laundry list of services the States may
propriate....” 42 U.S.C. § 671(b). provide.” Brief for Petitioners 34 (citing 45
CFR § 1357.15(e) (1991)). Further, peti-
The Court attempts to fend off this conclusion in tioners emphasize HHS's remark during
two ways, neither of them persuasive. First, the rulemaking that States must retain flexibil-
Court seeks to distinguish Wilder, asserting that our ity in administering the Adoption Act's
conclusion-that the Boren Amendment gave the “reasonable efforts” requirement. Brief for
health-care providers a substantive right to reason- Petitioners 34-35.
able and adequate reimbursement-“relied in *374
part on the fact that the statute and regulations set Neither of these factors marks a signific-
forth in some detail the factors to be considered in ant difference between Wilder and the
determining the methods for calculating rates.” present case. The difference between re-
Ante, at 1368 (citing Wilder, 496 U.S., at 519, n. quiring States to consider certain
17, 110 S.Ct., at 2522, n. 17). By contrast, the factors, as in Wilder, and permitting
Court continues, neither the provisions of the Ad- States to provide certain listed services,
option Act nor the implementing regulations offer as in the present case, is hardly dramatic.
any guidance as to how the term “reasonable ef- As for the second asserted difference,
Wilder itself emphasized that States to whether the second exception to § 1983 enforce-
must retain substantial discretion in cal- ment applies-whether, that is, “ ‘Congress has fore-
culating “reasonable and adequate” re- closed such enforcement of the statute in the enact-
imbursement rates. ment itself.’ ” Wilder, 496 U.S., at 508, 110 S.Ct.,
at 2517 (quoting *376Wright v. Roanoke Redevel-
*375 Second, the Court emphasizes: “Other sec- opment and Housing Authority, 479 U.S., at 423,
tions of the [Adoption] Act provide enforcement 107 S.Ct., at 770). In determining whether this
mechanisms for the reasonable efforts clause of 42 second exception to § 1983 enforcement applies,
U.S.C. § 671(a)(15).” Ante, at 1369. Such we have required the defendant not merely to point
“mechanisms” include the Secretary's power to cut to the existence of alternative means of enforce-
off or reduce funds for noncompliance with the ment, but to demonstrate “by express provision or
state plan, and the requirement of a state judicial other specific evidence from the statute itself that
finding that “reasonable efforts” have been made Congress intended to foreclose [ § 1983] enforce-
before federal funds may be used to reimburse ment.” 496 U.S., at 520-521, 110 S.Ct., at 2523.
foster care payments for a child involuntarily re- We have said repeatedly that we will not “lightly”
moved. conclude that Congress has so intended. Id., at 520,
110 S.Ct., at 2523 (quoting Wright, 479 U.S., at
The Court has apparently forgotten that ever since
423-424, 107 S.Ct., at 770, in turn quoting Smith v.
Rosado v. Wyman, 397 U.S. 397, 90 S.Ct. 1207, 25
Robinson, 468 U.S. 992, 1012, 104 S.Ct. 3457,
L.Ed.2d 442 (1970), the power of the Secretary to
3468, 82 L.Ed.2d 746 (1984)). In only two in-
enforce congressional spending conditions by cut-
stances, where we concluded that “the statute itself
ting off funds has not prevented the federal courts
provides a comprehensive remedial scheme which
from enforcing those same conditions. See id., at
leaves no room for additional private remedies un-
420, 422-423, 90 S.Ct., at 1222, 1223. Indeed, we
der § 1983,” ante, at ----, n. 11, **1377 have we
reasoned in Wilder that a similar “cutoff” provision
held that Congress has intended to foreclose § 1983
supports the conclusion that the Medicaid Act cre-
enforcement. See Smith v. Robinson, 468 U.S. 992,
ates an enforceable right, because it puts the State
104 S.Ct. 3457, 82 L.Ed.2d 746 (1984) (“carefully
“on notice” that it may not simply adopt the reim-
tailored” mixed system of enforcement beginning
bursement rates of its choosing. See 496 U.S., at
with local administrative review and culminating in
514, 110 S.Ct., at 2519-2520. As for the Court's
a right to judicial review); Middlesex County Sew-
contention that § 671(a)(15) should be enforced
erage Authority v. National Sea Clammers Assn.,
through individual removal determinations in state
453 U.S. 1, 101 S.Ct. 2615, 69 L.Ed.2d 435 (1981)
juvenile court, the availability of a state judicial
(enforcement scheme authorizing Environmental
forum can hardly deprive a § 1983 plaintiff of a
Protection Agency to bring civil suits, providing for
federal forum. Monroe v. Pape, 365 U.S. 167, 183,
criminal penalties, and including two citizen-suit
81 S.Ct. 473, 482, 5 L.Ed.2d 492 (1961). The
provisions).
Court's reliance on enforcement mechanisms other
than § 1983, therefore, does not support its conclu- The Court does not find these demanding criteria
sion that the “reasonable efforts” clause of the Ad- satisfied here. See ante, at 1369, and n. 11. Instead,
option Act creates no enforceable right. it simply circumvents them altogether: The Court
holds that even if the funding cutoff provision in
The Court, without acknowledgment, has departed
the Adoption Act is not an “express provision” that
from our precedents in yet another way. In our prior
“provides a comprehensive remedial scheme” leav-
cases, the existence of other enforcement mechan-
ing “no room for additional private remedies under
isms has been relevant not to the question whether
§ 1983,” Wilder, 496 U.S., at 520, 110 S.Ct., at
the statute at issue creates an enforceable right, but
*377 III
U.S.Ill.,1992.
Suter v. Artist M.
503 U.S. 347, 112 S.Ct. 1360, 118 L.Ed.2d 1, 60
USLW 4251, Med & Med GD (CCH) P 40,087
END OF DOCUMENT