B.E. et al v. Teeter

Filing 87

ORDER FINALLY APPROVING CLASS SETTLEMENT granting Plaintiff's 83 Motion. The Settlement Agreement is approved as fair, reasonable, and adequate under Federal Rule of Civil Procedure 23. WHCA is required to provide coverage for direct-acting antivirals (DAAs) for the treatment of HCV as set forth in paragraph 11 of order. Class counsel is awarded fees and litigation costs in the amounts of $335,377 and $8,016.86, respectively. Case contribution awards of $7,500 per named Plaintiff as set forth in the Agreement are approved. Signed by U.S. District Judge John C Coughenour. (PM)

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THE HONORABLE JOHN C. COUGHENOUR 1 2 3 4 5 6 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT SEATTLE 7 8 9 10 B. E. and A.R., on their own behalf and on behalf of all similarly situated individuals, Plaintiffs, 11 CASE NO. C16-0227-JCC ORDER FINALLY APPROVING CLASS SETTLEMENT v. 12 13 14 DOROTHY F. TEETER, in her official capacity as Director of the Washington State Health Care Authority, Defendant. 15 16 17 18 19 20 21 22 23 24 25 I. BACKGROUND On January 5, 2017, the Court preliminarily approved a proposed Settlement Agreement, attached at Dkt. No. 59-1 (Agreement), between the class and Defendant Dorothy F. Teeter, in her official capacity as the Director of the Washington State Health Care Authority (WHCA). (Dkt. No. 63.) In conjunction with that order, the Court directed notice to be provided by direct mail to all class members by January 26, 2017. The Court approved a form of notice. The order further provided that class members who wished to comment on or object to the proposed Agreement were required to do so by March 21, 2017. Class members were informed of their rights, and of this deadline, in the notices that were mailed to them. 26 ORDER FINALLY APPROVING CLASS SETTLEMENT PAGE - 1 1 The order further scheduled a final settlement hearing, which was held on April 4, 2017, 2 to consider objections and comments by class members and to determine whether the proposed 3 Agreement is fair, reasonable, adequate, and should be approved by the Court. 4 II. 5 FINDINGS 1. The parties have reached a Settlement Agreement providing coverage for direct 6 acting antiviral medications for the treatment of class members diagnosed with Hepatitis C, the 7 exact terms of which are set out in the Agreement. 8 9 2. The Agreement codifies this Court’s May 27, 2016, preliminary injunction order, (Dkt. No. 40), for a period of three years and restricts WHCA’s ability to enforce its February 10 25, 2015 treatment policy that restricted access to treatment based on fibrosis score. The 11 Agreement provides substantial prospective relief to the class members; i.e., class members will 12 be entitled to seek coverage for direct-acting antivirals to treat Hepatitis C without regard to their 13 fibrosis score, subject only to narrow and reasonable exceptions. 14 3. The Court’s order required WHCA to mail court-approved notices to class 15 members by direct mail. The notices informed class members that they had an opportunity to 16 object or submit comments to the Court regarding the proposed Agreement and that they must do 17 so in writing by March 21, 2017. Counsel for WHCA confirmed, by declaration, that the notices 18 were timely mailed. (Dkt. No. 66.) 19 4. The Court and the Parties received 21 letters concerning the Settlement 20 Agreement. The majority of the letters were supportive of the Agreement, while others were 21 written by class members seeking information on how to obtain treatment. Significantly, no class 22 members objected to the Settlement Agreement or any of its terms or conditions. 23 24 25 III. CONCLUSIONS 5. Federal Rule of Civil Procedure 23(e) provides that “[t]he claims, issues, or defenses of a certified class may be settled, voluntarily dismissed, or compromised only with the 26 ORDER FINALLY APPROVING CLASS SETTLEMENT PAGE - 2 1 court’s approval.” Compromise and arbitration of complex litigation is encouraged and favored 2 by public policy. See Simula, Inc. v. Autoliv, Inc., 175 F.3d 716, 719 (9th Cir. 1999). 3 6. A presumption of fairness and adequacy attaches to a class action settlement 4 reached in arm’s-length negotiations by experienced class counsel after meaningful discovery. 5 See, e.g., Officers for Justice v. Civil Service Com., 688 F.2d 615, 625 (9th Cir. 1982); Pickett v. 6 Holland Am. Line-Westours, Inc., 145 Wn. 2d 178, 209, 35 P.3d 351 (2001). 7 7. The following factors are generally considered when determining whether a 8 settlement is fair, adequate, and reasonable: the likelihood of success by plaintiffs; the amount 9 of discovery or evidence; the settlement terms and conditions; recommendation and experience 10 of counsel; future expense and likely duration of litigation; recommendation of neutral parties, if 11 any; number of objectors and nature of objections; and the presence of good faith and absence of 12 collusion. Officers for Justice, 688 F.2d at 625. 13 8. Based upon these factors, the Court finds that the Agreement is fair, reasonable, 14 and in the best interests of the class. The requirement of Federal Rule of Civil Procedure 23 and 15 due process have been satisfied. 16 9. Specifically, the Court concludes that the Agreement was the result of arm’s- 17 length bargaining. It was reached after discovery and motions practice, including a preliminary 18 injunction order from this Court. Although the class had a strong likelihood of success, a 19 settlement in which class members will be able to obtain coverage of direct acting antivirals for 20 the treatment of their Hepatitis C without regard to fibrosis score achieves the goals of the 21 litigation. There is no evidence of collusion between the parties, and the agreement was reached 22 in good faith. 23 10. The class was provided with adequate notice, and due process has been satisfied 24 in connection with the distribution of the notice. There were no objections to the proposed 25 Agreement. 26 ORDER FINALLY APPROVING CLASS SETTLEMENT PAGE - 3 1 IV. 2 EXTENSION OF INJUNCTION ORDER 11. Pursuant to Sections 2.3 and 5.1.1 of the Settlement Agreement, the class 3 requests, and WHCA does not oppose, that the Court order that the requirements contained in the 4 May 27, 2016 Preliminary Injection Order, (Dkt. No. 40), remain in effect for a period of three 5 years from the effective date of the settlement. The Court so orders. WHCA shall not apply its 6 February 25, 2015 Hepatitis C virus (HCV) treatment policy, including its exclusion of all 7 treatment based on fibrosis score, and is required to provide coverage for prescription 8 medications to treat HCV without regard to fibrosis score, consistent with existing state and 9 federal Medicaid requirements for a period of three years from the effective date of settlement. 10 11 The Court retains jurisdiction for purposes of enforcement of this Order. V. 12 ATTORNEY FEES AND LITIGATION COSTS 12. Pursuant to the Settlement Agreement, WHCA is obligated to pay the reasonable 13 fees of class counsel. Class counsel seeks $335,377 in fees, which WHCA has elected not to 14 oppose. The Court finds this sum reasonable, and it is approved. 15 13. No objections were received to class counsel’s fee request. 16 14. Class counsel is also entitled to reimbursement of its actual litigation costs and 17 expenses. Class counsel seeks reimbursement in the sum of $8,016.86, reflecting its 18 unreimbursed actual out-of-pocket litigation costs and expenses. This request is supported, is 19 reasonable, and is approved. 20 15. 21 expenses. 22 VI. No objections were received to class counsel’s request for an award of costs and 23 CASE CONTRIBUTION AWARDS 16. Pursuant to the Settlement Agreement, WHCA has agreed to pay each class 24 representative the sum of $7,500 as a case contribution award. This amount is reasonable, and is 25 approved. 26 17. No objections were received to the request for case contribution awards. ORDER FINALLY APPROVING CLASS SETTLEMENT PAGE - 4 1 VII. ORDER 2 It is hereby ORDERED that: 3 1. 4 5 6 7 8 9 10 11 The Settlement Agreement is approved as fair, reasonable, and adequate under Federal Rule of Civil Procedure 23. 2. WHCA is required to provide coverage for direct-acting antivirals (DAAs) for the treatment of HCV as set forth in paragraph 11, above. 3. Class counsel is awarded fees and litigation costs in the amounts of $335,377 and $8,016.86, respectively. 4. Case contribution awards of $7,500 per named Plaintiff as set forth in the Agreement are approved. DATED this 10th day of April 2017. A 12 13 14 John C. Coughenour UNITED STATES DISTRICT JUDGE 15 16 17 18 19 20 21 22 23 24 25 26 ORDER FINALLY APPROVING CLASS SETTLEMENT PAGE - 5

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