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Earlier this year, the federal government lost an attempt to deny insurance coverage to doctors who — in their capacity as sole owners of their own corporations — signed contracts with the United States to provide health care to patients at a non-profit clinic. When the government attempted to tell the doctors — after the doctors had been sued for malpractice — that they were not eligible for coverage, the doctors fought back in the U.S. District Court for the District of Columbia.
In their suit, El Rio Santa Cruz Neighborhood Health Center Inc. v. Department of Health and Human Services, Civil Action No. 03-1753 (ESH), 2004 U.S. Dist. LEXIS 465 (1/15/04), the plaintiff doctors sought review under the Administrative Procedure Act (APA), 5 U.S.C. ' 701, et seq., of a Department of Health and Human Services (HHS) determination that they were ineligible for medical malpractice liability coverage from the federal government under the Federally Supported Health Centers Assistant Act (FSHCAA) 42 U.S.C. ' 233(g).
The plaintiff physicians provided obstetric and gynecological services in Arizona for patients of El Rio Santa Cruz Neighborhood Health Center Inc. (El Rio) through contracts established between El Rio and each physician's individually owned, eponymous corporation. As a non-profit clinic that receives federal funds for the provision of medical care to low-income patients, El Rio receives professional liability coverage from the federal government pursuant to the FSHCAA. This act makes federally funded community health centers and their employees, officers, and individual contractors eligible for medical malpractice coverage under the Federal Tort Claims Act (FTCA), 28 U.S.C. '' 1346, 2671, to the same extent as federal employees of the Public Health Service.
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