FILED

United States Court of Appeals

Tenth Circuit

July 25, 2017

UNITED STATES COURT OF APPEALS
Elisabeth A. Shumaker
TENTH CIRCUIT Clerk of Court

ALFRED PECHA, by and through

Patty Pecha-Weber, Next Friend and
attorney-in-fact,

Plaintiff - Appellant,

v. No. 16-6143
(D.C. No. 5:14-CV-01356-R)
ED LAKE, Director of Oklahoma (W.D. Okla.)
Department of Human Services; JOEL
NICO GOMEZ, Director of Oklahoma
Health Care Authority,

Defendants - Appellees.

ORDER AND JUDGMENT *

Before BRISCOE, HARTZ, and HOLMES, Circuit Judges.

This case presents the question of whether a plaintiffs death moots his

request for an injunction ordering certain officials of the State of Oklahoma to

determine him eligible for Medicaid benefits. We answer yes. The claim for

injunctivethat is, prospectiverelief is moot because there is no concrete threat

of a continuing or repeated injury to the plaintiff-appellant, Alfred Pecha, because

*
This order and judgment is not binding precedent except under the
doctrines of law of the case, res judicata, and collateral estoppel. It may be cited,
however, for its persuasive value consistent with Federal Rule of Appellate
Procedure 32.1 and Tenth Circuit Rule 32.1.
he is dead. Any harm to Mr. Pecha lies squarely in the past.

Mr. Pechas attorney-in-fact, his niece, Patty Pecha-Weber, argues on

appeal that Mr. Pechas death does not moot his claim for injunctive relief. She

further argues for an order for an award of retrospective Medicaid benefits under

42 U.S.C. 1396a(a)(34). However, because we determine that Mr. Pechas

claim for prospective injunctive relief is moot and Ms. Pecha-Weber concedes

that any order of retrospective benefits must be ancillary to such prospective

relief, we can find no error in the district courts dismissal of the case.

Accordingly, we affirm the district courts judgment.

Mr. Pecha initially applied for Medicaid benefits in early July 2014.

Acting on Mr. Pechas behalf in that administrative matterand throughout his

subsequent judicial quest for Medicaid benefitshas been Patty Pecha-Weber,

Mr. Pechas niece, whom Mr. Pecha appointed his attorney-in-fact in February

2011. After Mr. Pecha failed to obtain a determination of his eligibility for

benefits, he brought suit in the United States District Court for the Western

District of Oklahoma alleging a failure to timely provide such a determination.

Specifically, invoking 42 U.S.C. 1983, Mr. Pecha sued Ed Lake, the Director of

the Oklahoma Department of Human Services (OKDHS), and Joel Nico Gomez,

Director of the Oklahoma Health Care Authority (OHCA) (collectively

Defendants-Appellees). As reflected in his amended complaint, he requested

2
both injunctive and related declaratory relief. The requested injunction would

have required both that Defendants-Appellees certify Mr. Pecha as eligible for

Medicaid benefits and that the State pay three months retrospective Medicaid

benefits. 1

On July 21, 2015, the district court granted in part and denied in part the

Defendants-Appellees initial motions to dismiss. The court dismissed Mr.

Pechas claim for a declaratory judgment on the basis of Eleventh Amendment

immunity. However, the court ruled that the payment of three months

retrospective benefits could be ordered and would not run afoul of the Eleventh

Amendment in light of 42 U.S.C. 1396a(a)(34). 2 Aplees. Supp. App. at 6

1
While Mr. Pechas suit was pending, on January 9, 2015, OKDHS
denied his application, determining that he was ineligible for Medicaid benefits.
The basis for the denial was that Mr. Pecha had disposed of various parcels of
real estate to fund a trust and was unable to actively participate in farming on his
remaining property; consequently, he allegedly could not claim an exemption as
to that property.
2
The relevant paragraph of this statute requires state Medicaid plans
to
provide that in the case of any individual who has been
determined to be eligible for medical assistance under the plan,
such assistance will be made available to him for care and
services included under the plan and furnished in or after the
third month before the month in which he made application (or
application was made on his behalf in the case of a deceased
individual) for such assistance if such individual was (or upon
application would have been) eligible for such assistance at the
time such care and services were furnished . . . .

42 U.S.C. 1396a(a)(34).

3
(Order, filed July 21, 2015). The court permitted Mr. Pechas claim for injunctive

relief to go forward.

Mr. Pecha died on March 6, 2016. The Defendants-Appellees subsequently

filed a suggestion of mootness and a motion to dismiss. In her response brief, in

addition to arguing that the case was not moot, Ms. Pecha-Weberwhom a state

court in April 2016 had appointed the personal representative of Mr. Pechas

estatesought to substitute herself and Mr. Pechas estate as the plaintiff. The

district court, however, dismissed the action concluding that the death of Mr.

Pecha renders prospective injunctive relief impossible and therefore, the

incidental back benefits sought cannot be tied to any prospective injunctive

relief. Aplt.s App. at 469 (Order, filed May 18, 2016). Though it did not

explicitly address the matter, the courts dismissal of the action effectively denied

Ms. Pecha-Webers motion to substitute parties.

Ms. Pecha-Weberin her role as attorney-in-factnow appeals, arguing

that prospective relief is still possible in the form of an injunction requiring the

Defendants-Appellees to determine posthumously that Mr. Pecha was eligible for

Medicaid benefits. Such prospective relief would in turn permit the district court

to enter an order for the payment of retrospective Medicaid benefits under

42 U.S.C. 1396a(a)(34).

Notably, Ms. Pecha-Weber does not argue on appeal that the district court

4
erred by failing to grant her motion to substitute. Nor has she sought to substitute

herself on appeal as plaintiff-appellant, in her role as personal representative of

Mr. Pechas estate, by filing a motion under Fed. R. App. P. 43(a). Thus we

conduct our analysis as though Mr. Pecha were the sole plaintiff before us; any

contrary argument that Ms. Pecha-Weber could have (but has not) raised is

waived. See, e.g., Kannady v. City of Kiowa, 590 F.3d 1161, 1175 (10th Cir.

2010); United States v. Abdenbi, 361 F.3d 1282, 1289 (10th Cir. 2004).

Consequently, as she did before the district court, Ms. Pecha-Weber litigates this

appeal solely as the attorney-in-fact of Mr. Pecha. And, significantly,

Defendants-Appellees do not question her authority to do so. Cf. Bush v.

Remington Rand, 213 F.2d 456, 464 (2d Cir. 1954) (concluding that the

defendant, by its long delay in raising the issue, had waived its right to object to

failure to substitute in the district court a proper party-plaintiff upon plaintiffs

death). 3 With the stage thus set, we turn to the central question of whether Mr.

3
We need not consider whether ordinarily it would be advisable or
even required for us to dismiss on our own initiative this appeal based on the
arguable absence of a proper plaintiff-appellantstemming from Mr. Pechas
death and Ms. Pecha-Webers failure to move for substitution of herself, as
personal representative of the estate, under Federal Rule of Appellate Procedure
43because, ultimately, the resolution of this non-merits question is not material:
even if a dismissal of this action could be appropriately based on this lack-of-
proper-party ground, we may elect to determine this case on the alternative non-
merits, jurisdictional basis of mootness. Federal courts have flexibility in
electing among non-merits grounds for ruling on cases. See, e.g., Sinochem Intl
Co. v. Malaysia Intl Shipping Corp., 549 U.S. 422, 431 (2007) ([A] federal
court has leeway to choose among threshold grounds for denying audience to a
(continued...)
5
Pechas death mooted this case, and answer in the affirmative. 4

II

[W]e apply a de novo standard of review because the case presents a

question of constitutional mootness. Rio Grande Silvery Minnow v. Bureau of

Reclamation, 601 F.3d 1096, 1123 (10th Cir. 2010). Similarly, we review de

novo issues of sovereign immunity. See, e.g., Governor of Kan. v. Kempthorne,

516 F.3d 833, 841 (10th Cir. 2008).

Ms. Pecha-Weber argues that the claim for an injunction to oblige

Defendants-Appellees to declare Mr. Pecha eligible for Medicaid benefits is not

mooted by his death. She argues that [t]he District Court erroneously equated

prospective injunctive relief to the payment of future Medicaid benefits. Aplt.s

3
(...continued)
case on the merits. (quoting Ruhrgas AG v. Marathon Oil Co., 526 U.S. 574,
585 (1999))); accord Kelley v. City of Albuquerque, 542 F.3d 802, 817 n.15 (10th
Cir. 2008). And whether we dismiss for lack of a proper plaintiff-appellant or
resolve this case on mootness grounds, we never reach the merits of this action
seeking a determination of Medicaid eligibility and the payment of three months
retrospective Medicaid benefits.
4
We will not ruminate or opine on whether the outcome would have
been different if Mr. Pechas estate (with Ms. Pecha-Weber as personal
representative) was the plaintiff-appellant. It is not. And we are not empowered
to issue advisory opinions. McKinney v. Gannett Co., 694 F.2d 1240, 1247 (10th
Cir. 1982) (Under the circumstances with which we are now confronted, were we
to opt to address the allegations of error raised herein, we would surely be
rendering an advisory opinion, which federal courts are not empowered to
issue.).
6
Opening Br. at 5 (emphasis added). Instead, Ms. Pecha-Weber posits that the

prospective relief she seeks is an injunction ordering the Defendants-Appellees

to cease denying [Mr. Pechas] Medicaid application and coverage. Id. at 26.

That prospective relief would in turn allow[] Pecha to receive past Medicaid

benefits pursuant to 42 U.S.C. 1396(a)(34) as relief ancillary to and in

furtherance of the injunction. Id. at 6 (emphasis added). The Defendants-

Appellees respond that the district court did not err because Mr. Pechas death

moots his claim for prospective relief; consequently, in their view, no ancillary

relief can be awarded.

Mootness is a threshold issue because the existence of a live case or

controversy is a constitutional prerequisite to federal court jurisdiction. Rio

Grande Silvery Minnow, 601 F.3d at 1109 (quoting Disability Law Ctr. v.

Millcreek Health Ctr., 428 F.3d 992, 996 (10th Cir. 2005)). 5 The constitutional

aspect of the mootness doctrine, at issue here, is related to the standing doctrine.

Mootness is essentially the doctrine of standing set in a time frame: The

requisite personal interest that must exist at the commencement of the litigation

(standing) must continue throughout its existence (mootness). S. Utah

5
In addition to the constitutional dimension of mootness, which stems
from Article III of the U.S. Constitution, there is a prudential dimension, which
relates to the prudenceor, more precisely, the possible lack thereofof granting
relief in a particularly attenuated case where concerns of comity arise. See
Jordan v. Sosa, 654 F.3d 1012, 102324 (10th Cir. 2011). Our concern here is
only the threshold, constitutional aspect of mootness.

7
Wilderness All. v. Smith, 110 F.3d 724, 727 (10th Cir. 1997) (quoting Arizonans

for Official English v. Arizona, 520 U.S. 43, 68 n.22 (1997)).

The relevant inquiry for a question of constitutional mootness is have

circumstances changed since the beginning of litigation that forestall any occasion

for meaningful relief. Id. Put differently, to moot a case, interim relief or

events [must] have completely and irrevocably eradicated the effects of the

alleged violation. Bldg. & Constr. Dept v. Rockwell Intl Corp., 7 F.3d 1487,

1491 (10th Cir. 1993) (emphasis added) (quoting Cty. of Los Angeles v. Davis,

440 U.S. 625, 631 (1979)).

Where a plaintiff seeks prospective equitable relief, such as an injunction,

we have recognized that, for purposes of the mootness inquiry, a mere showing

that he maintains a personal stake in the outcome of the controversy is

insufficient. Jordan v. Sosa, 654 F.3d 1012, 1024 (10th Cir. 2011). [P]ast

exposure to illegal conduct does not in itself show a present case or controversy

regarding injunctive relief . . . if unaccompanied by any continuing, present

adverse effects. Id. (omission in original) (emphasis added) (quoting OShea v.

Littleton, 414 U.S. 488, 49596 (1974)). Specifically, the plaintiff must show

susceptibility to continuing injury, id., or a likelihood of substantial and

immediate irreparable injury, id. (quoting OShea, 414 U.S. at 499); see Citizen

Ctr. v. Gessler, 770 F.3d 900, 906 (10th Cir. 2014) (Because Citizen Center

seeks only prospective equitable relief, past exposure to illegal conduct would not

8
establish a live controversy in the absence of continuing ill effects. (emphasis

added)); Beattie v. United States, 949 F.2d 1092, 1093 (10th Cir. 1991) ([W]hile

a plaintiff who has been constitutionally injured can bring a[n] . . . action to

recover damages, that same plaintiff cannot maintain a declaratory or injunctive

action unless he or she can demonstrate a good chance of being likewise injured

in the future. (omission and second alteration in original) (emphasis added)

(quoting Facio v. Jones, 929 F.2d 541, 544 (10th Cir. 1991))); see also Randolph

v. Rodgers, 170 F.3d 850, 856 (8th Cir. 1999) (A claim for equitable relief is

moot absent a showing of irreparable injury, a requirement that cannot be met

where there is no showing of any real or immediate threat that the plaintiff will

be wronged again. (emphases added) (quoting City of Los Angeles v. Lyons, 461

U.S. 95, 111 (1983))).

It is beyond peradventure that the dead are not susceptible to continuing or

future harm; therefore, claims for prospective (e.g., injunctive) relief brought by

deceased plaintiffs ordinarily are moot. See, e.g., Tandy v. City of Wichita, 380

F.3d 1277, 1290 (10th Cir. 2004) (Beltzs claims for prospective relief are moot

because he has died. . . . [O]nce dead, he is no longer under a real and immediate

threat of repeated injury. Thus, there is no longer a live controversy with respect

to Beltzs claims for prospective relief.). Tandys holding leads ineluctably to

the termination of this litigation. That is, Mr. Pechas death has mooted this case,

which is based on claims for prospective reliefnotably, for purposes of this

9
appeal, a claim for injunctive relief. 6

Ms. Pecha-Webers contention that this case is not moot rests, in principal

part, on the assertion that there is an ongoing violation of federal law herea

requisite of an action for prospective equitable relief (e.g., injunctive relief)

against state officials. See, e.g., Verizon Md. Inc. v. Pub. Serv. Commn of Md.,

535 U.S. 635, 645 (2002) (In determining whether the doctrine of Ex parte

Young [7] avoids an Eleventh Amendment bar to suit, a court need only conduct a

straightforward inquiry into whether [the] complaint alleges an ongoing violation

of federal law and seeks relief properly characterized as prospective. (alteration

in original) (quoting Idaho v. Coeur dAlene Tribe of Idaho, 521 U.S. 261, 296,

(1997) (OConnor, J., joined by Scalia and Thomas, JJ., concurring in part and

6
Although Mr. Pecha included in his complaint and amended
complaint a request for a declaratory judgment, it is unnecessary to discuss or
analyze whether a declaratory judgment would be available to Mr. Pecha because
Ms. Pecha-Weber does not challenge the district courts dismissal of Mr. Pechas
claim for a declaratory judgment. Ms. Pecha-Weber fails to make any argument
regarding declaratory relief in her opening brief (or her reply brief for that
matter). Indeed, the courts order that dismissed Mr. Pechas declaratory-
judgment claim was omitted from Ms. Pecha-Webers appendix and is in the
record on appeal only because the Defendants-Appellees submitted it to us in a
supplemental appendix. See Aplees. Supp. App. at 1 (Order, filed July 21,
2015). The failure to raise an issue in an opening brief waives that issue.
Anderson v. U.S. Dept of Labor, 422 F.3d 1155, 1174 (10th Cir. 2005); accord
Silverton Snowmobile Club v. U.S. Forest Serv., 433 F.3d 772, 783 (10th Cir.
2006). Therefore, even if Ms. Pecha-Weber did profess to be challenging the
courts denial of declaratory relief, such a challenge would be waived.
7
See Ex parte Young, 209 U.S. 123 (1908).

10
concurring in judgment))); accord Muscogee (Creek) Nation v. Pruitt, 669 F.3d

1159, 1167 (10th Cir. 2012). Ms. Pecha-Weber views the purported existence of

such an ongoing (i.e., continuing) violation as a basis for distinguishing Tandy.

She says that, unlike in this case, in Tandy no continuing violation of federal law

could occur because the city of Wichitas violation of the Americans with

Disabilities Act (ADA) occurred each time Beltz used [the] transit system,

Aplt.s Reply Br. at 3, and he could not use it after his death.

However, even if the existence of an ongoing violation of federal law were

material to the resolution of this action (which it is not, as explicated infra), Ms.

Pecha-Webers attempt to distinguish Tandy on this basis would be mistaken.

The violation of law that the plaintiffs alleged in Tandy was, inter alia, Wichitas

continued use of its policy of giving drivers the discretion to deny wheelchair-

bound passengers access to an accessible bus on an inaccessible route. 380 F.3d

at 1280 (emphases added). They reason[ed] that this policy violates the ADA.

Id. (emphasis added) (describing the district courts entry of an injunction under

this reasoning). In other words, the Tandy plaintiffs alleged that Wichitas

existing policy was noncompliant with the ADAa violation of law independent

of whether any particular plaintiff was able to attempt to ride the buses. Thus,

instead of focusing on the bus-riding conduct of one individual, the Tandy

plaintiffs centered their challenge on an existing policy that they believed

represented a continuing violation of federal law. Therefore, Ms. Pecha-Webers

11
attempt to distinguish Tandy for its ostensible lack of a continuing violation is

mistaken.

More importantly, the existence of a continuing (i.e., ongoing) violation of

federal law is immaterial to the resolution of this case. Irrespective of whether

there is such a violation here, Mr. Pechas action still has to pursue relief

properly characterized as prospective, Verizon Md. Inc., 535 U.S. at 645 (quoting

Coeur dAlene Tribe, 521 U.S. at 296 (OConnor, J., joined by Scalia and

Thomas, JJ., concurring in part and concurring in judgment)), in the sense that it

seeks to remedy a continuing injury to him, Jordan, 654 F.3d at 1024. And

Tandy forcefully underscores what commonsense should already tell us: the dead,

like Mr. Pecha, cannot suffer a continuing injury. Therefore, this action for

injunctive (i.e., prospective) relief is moot.

Because of this conclusion regarding the mootness of Mr. Pechas claim for

injunctive relief, Ms. Pecha-Weber cannot secure any other relief in this appeal.

Ms. Pecha-Weber acknowledges that she ultimately seeks a district court order for

the payment of retrospective Medicaid benefits under 42 U.S.C. 1396a(a)(34);

she characterizes this relief as ancillary to her requested prospective relief and so

permissible under Ex parte Young. See Aplt.s Opening Br. at 1719.

Retrospective relief against a state is barred by the Eleventh Amendment.

12
See Quern v. Jordan, 440 U.S. 332, 337 (1979) (In Edelman [8] we reaffirmed the

rule that . . . a suit in federal court by private parties seeking to impose a liability

which must be paid from public funds in the state treasury is barred by the

Eleventh Amendment. . . . [U]nder the landmark decision in Ex parte Young, 209

U.S. 123 (1908), a federal court, consistent with the Eleventh Amendment, may

enjoin state officials to conform their future conduct to the requirements of

federal law, even though such an injunction may have an ancillary effect on the

state treasury. The distinction between [the two] was the difference between

prospective relief on one hand and retrospective relief on the other. (citations

omitted)); accord Buchheit v. Green, 705 F.3d 1157, 1159 (10th Cir. 2012).

The Supreme Court has approved of some forms of relief against a state

that it has characterized as ancillary to prospective (e.g., injunctive) relief. See

Quern, 440 U.S. at 349 (approving the issuance of a notice ancillary

to . . . prospective relief that in effect simply informs class members that their

federal suit is at an end, that the federal court can provide them with no further

relief, and that there are existing state administrative procedures which they may

wish to pursue. . . . The class members are given no more . . . than what they

would have gathered by sitting in the courtroom. (second omission in original)

(quoting Jordan v. Trainor, 563 F.2d 873, 87778 (7th Cir. 1977))).

8
Edelman v. Jordan, 415 U.S. 651 (1974).

13
 But the problem for Ms. Pecha-Weber is that, even if this court were

willing to assume that her requested order for retrospective benefits under 42

U.S.C. 1396a(a)(34) could be characterized as ancillary to an injunction

obliging the Defendants-Appellees to declare Mr. Pecha eligible for Medicaid

benefits, such injunctive reliefas demonstrated suprais not possible.

Therefore, Mr. Pechas claim for retrospective benefits stands untethered to a

claim for injunctive (i.e., prospective) relief. In other words, there is no

injunctive relief to which the claim for retrospective benefits can be ancillary.

Therefore, Ms. Pecha-Webers claim for retrospective benefits as ancillary relief

must fail for want of a prospective predicate.

Indeed, Ms. Pecha-Weber concedes that she cannot obtain the payment of

past Medicaid benefits unless it is ancillary to prospective injunctive relief

ordering the Defendants-Appellees to determine Mr. Pecha to have been eligible

for Medicaid benefits: OKDHS and OHCA cited Green v. Mansour, 474 U.S. 64,

67 (1985) for the proposition that ancillary relief cannot be awarded independent

of prospective injunctive relief. Pecha agrees. In order to receive ancillary

relief, he must be entitled to receive prospective injunctive relief. Aplt.s Reply

Br. at 5 (emphasis added). 9

9
The Courts Green decisionwhich Ms. Pecha-Weber
identifiesclearly underscores the point. Specifically, it held that ancillary relief
generally cannot be awarded independent of prospective relief, see 474 U.S. at
7172unless the requested relief may also be characterized as an independent
(continued...)
14
 Ms. Pecha-Webers concession is determinative regarding whether an order

of retrospective Medicaid benefits can survive the mooting of Mr. Pechas claim

for prospective relief. It cannot. Mr. Pechas death mooted any claim for

injunctive (i.e., prospective) relief. Thus, Ms. Pecha-Weber cannot seek ancillary

retrospective benefits. The foregoing analysis disposes of this case.

III

In sum, this action for injunctive (i.e., prospective) relief is moot because

Mr. Pecha does not face a concrete threat of continuing or repeated injury to him

because he is dead. This conclusion in turn bars relief in the form of

retrospective benefits, which Ms. Pecha-Weber characterizes as ancillary to the

requested injunction. We AFFIRM the district courts judgment.

Entered for the Court

JEROME A. HOLMES
Circuit Judge

9
(...continued)
form of relief, id. at 71, that is able to stand on its own feet as an appropriate
exercise of federal jurisdiction, id. at 74, consistent with the Eleventh
Amendment. Ms. Pecha-Weber has not attempted to establish that the order of
retrospective benefits she seeks stands on its own feet as an independent form of
relief valid under the Eleventh Amendment. Therefore, we have no occasion to
explore that possibility here.
15
 FILED
United States Court of Appeals
PUBLISH Tenth Circuit

UNITED STATES COURT OF APPEALS July 25, 2017

Elisabeth A. Shumaker
FOR THE TENTH CIRCUIT Clerk of Court
_________________________________

ALFRED PECHA, by and through Patty

Pecha-Weber, Next Friend and attorney-in-
fact,

Plaintiff - Appellant,

v.
No. 16-6143
ED LAKE, Director of Oklahoma
Department of Human Services; JOEL
NICO GOMEZ, Director of Oklahoma
Health Care Authority,

Defendants - Appellees.
_________________________________

PUBLISHED CONCURRENCE
_________________________________

HARTZ, Circuit Judge, concurring:

In its unpublished opinion, Pecha v. Lake, No. 16-6143 (10th Cir. July 25, 2017),

the panel majority fails to follow the lead of a prior panel of this court and correct the

most harmless of technical errorsfailure to substitute the estate of a decedent as the

party before us. It then somehow manages to handle this appeal as if a deceased person

could be a party, but not with respect to some claims (I am not sure what they are) that

his estate could raisethereby avoiding a core argument addressed by the parties and

providing no guidance to future litigants on an important issue that can be easily

resolved. In this concurrence I will discuss the procedural background of the case, the
technical errors, the proper way to deal with those errors, and why the claim must

nevertheless be dismissed as moot because of the limitations imposed on the federal

district court by the Eleventh Amendment.

The original complaint was filed on behalf of 97-year-old Alfred Pecha by his

niece, Patty Pecha-Weber, acting as next friend and attorney-in-fact (under a power of

attorney). The complaint claimed that the state-official defendants had unlawfully

refused to determine that Mr. Pecha was eligible for Medicaid benefits. Among other

things, it sought a declaratory judgment and an injunction ordering the defendants to

cease denying coverage and ordering that they certify him as eligible for coverage from

the date of his requested eligibility and pay Medicaid benefits accordingly. Aplt. App.,

Vol. I at 14. The defendants moved to dismiss the complaint on several grounds,

including sovereign immunity under the Eleventh Amendment. They argued that the

Eleventh Amendment prohibited the federal court from issuing a declaratory judgment or

ordering payment of any past Medicaid benefits. The district court granted the motion as

to the declaratory judgment but ruled that if the court granted an injunction ordering the

defendants to certify Mr. Pecha as eligible for Medicaid benefits, the Eleventh

Amendment would not prohibit extending three months of pre-injunction benefits, as

provided in 42 U.S.C. 1396a(a)(34) (providing for three months of pre-application

eligibility for benefits in certain circumstances).

Unfortunately, Mr. Pecha died during the litigation. The defendants then filed a

Suggestion of Mootness and Motion to Dismiss because of his death. In response, Ms.

Pecha-Weber, now acting in the capacity of personal representative of Mr. Pechas estate

2
(she attached the state-court order naming her as personal representative), filed a motion

for substitution of parties (replacing Mr. Pecha by his estate) under Fed. R. Civ. P. 25.

She also argued against the defendants suggestion of mootness, contending that if the

court granted the injunction requiring defendants to certify Mr. Pechas Medicaid

eligibility, Pecha's estate still [would have] the ability to recover Medicaid benefits back

to their application date since they would be ancillary to and in furtherance of [the

injunction]. Aplt. App. Vol. III at 450. The defendants objected to the substitution of

the estate as a party, essentially on the ground that the estates claim was mooted, at least

in federal court, by Mr. Pechas death. They argued that the Eleventh Amendment barred

the federal court from granting any ancillary relief (such as the payment of past benefits)

once Mr. Pechas death mooted any claim for prospective relief.

The first technical error was that the district court did not grant the motion to

substitute the estate as the plaintiff. It did not address the motion to substitute at all, but it

granted the defendants motion to dismiss, in effect denying the motion to substitute. The

court may have thought that substitution of parties was unnecessary because the case was

moot anyway. Without substitution, however, there would be no proper plaintiff to take

an appeal challenging the district courts mootness ruling. The failure to grant the motion

to substitute was an undeniable abuse of discretion. The merits of the claim is not a

proper consideration in resolving such a motion. See 7C Charles Alan Wright, Arthur R.

Miller, Mary Kay Kane, Richard L. Marcus, A. Benjamin Spencer & Adam N. Steinman,

Federal Practice and Procedure 1956, 691 (3d ed. 2017) (Wright & Miller) (The

court will not resolve the merits of the controversy in passing on a motion for

3
substitution.). And denial of a timely motion to substitute, as in this case, can be

justified only in extreme circumstances. [I]t is difficult to imagine a case where

discretion might properly be exercised to deny a motion to substitute for a deceased

plaintiff made within the rules time limits. 6 James Wm. Moore et al., Moores

Federal Practice 25.12[4] (3d ed. 2017) (quoting Saylor v. Bastedo, 623 F.2d 230, 237

(2d Cir. 1980)). As stated in Wright & Miller, There appears to be only one reported

case under [the 1963 amendment to Rule 25(a)(1)] in which substitution has been denied

when the motion was made within the 90-day period [after service of a statement of

death], 7C Wright & Miller 1955 at 686; and in that case the party had been tardy in

many respects, including in serving a statement of death, see Ashley v. Ill. Cent. Gulf R.R.

Co., 98 F.R.D. 722, 724 (S.D. Miss. 1983).

The second technical error was the failure of counsel for Ms. Pecha-Weber (as

personal representative of the estate) to appeal the denial of the motion to substitute. This

likely was an oversight. Counsel began oral argument in this court by stating that he was

representing Mr. Pecha and his estate. The failure to substitute parties was then raised by

the panel during the argument. The oversight had not been noted in the defendants

pleadings on appeal. They did not rely in their briefing on the absence of the substitution

of parties. As set forth in the following footnote, the defendants 20-page brief

repeatedly argued as if the estate were a party on appeal.1

1
The District Court granted Defendants motion [to dismiss for mootness], holding
that Mr. Pechas estates sole interestthe award of ancillary monetary relief in the form
4
 The proper way for this court to deal with the technical errors is simple and

straightforward. We should sua sponte substitute Mr. Pechas estate as the plaintiff-

appellant. That is what this court did in Copier v. Smith & Wesson Corp., 138 F.3d 833,

834 n.1, 835 (10th Cir. 1998). Plaintiffs counsel in that case had not moved to substitute

parties in the district court (the plaintiff died during district-court proceedings) or on

of a retroactive payment of back benefitscould not be awarded in the absence of a

viable claim for prospective injunctive relief. Aplee. Br. at 3 (emphasis added).
While Mr. Pechas estate may have appropriate recourse in the Oklahoma state
courts, in the wake of Mr. Pechas death, it cannot seek in a federal court the retroactive
payment of benefits it believes may be owed without running afoul of the Eleventh
Amendment bar. Id. at 5 (emphasis added).
Simply put, Mr. Pechas death moots his claims for prospective injunctive relief.
As a result, his estates interest in the retroactive payment of past benefits ancillary to the
entry of prospective injunctive relief cannot be awarded consistent with the Eleventh
Amendment. Id. (emphasis added).
Instead, his estates only remaining interest is in the award of ancillary relief in
the form of a retroactive payment of past benefits, which cannot be ordered without
running afoul of the Eleventh Amendment. Id. at 9 (emphasis added).
While Oklahoma state law may shed light on whether Mr. Pechas estate may or
may not have an action in state court in the wake of Mr. Pechas death, it is not
determinative of Eleventh Amendment limitations on the District Court to grant
retroactive relief in this case. Id. at 1011 n.9 (emphasis added).
Without the possibility of prospective relief, Mr. Pechas estates remaining
interest in this litigation is indistinguishable from a claim for retroactive monetary
reliefi.e., damagesand is barred by the Eleventh Amendment. Id. at 11 (emphasis
added).
Because Mr. Pechas estates only interest at this stage is in the retroactive award
of past Medicaid benefits, and because such relief must be tied to an award of prospective
injunctive relief that can no longer be granted in this case, the District Court properly
dismissed the Amended Complaint. Id. (emphasis added).
Only if this Court first decides that the case was improperly dismissed and
remands the case to the District Court, and if the District Court then finds in Mr. Pechas
favor on the issue of liability, and if the District Court then enters an order compelling
DHS and OHCA to pay Mr. Pechas estate retroactive benefits, will the issue be one ripe
for consideration by this Court on appeal. Id. at 1314 (emphasis added) (emphasis in
original omitted).

5
appeal. The equities here are much more favorable to Mr. Pechas estate, because it did

everything it should have in district court, and the matter should have been properly dealt

with there. Our substitution of parties would create zero unfair prejudice to the

defendants.

Instead of proceeding in that manner, the majority opinion conduct[s] [its]

analysis as though Mr. Pecha were the sole plaintiff before us. O&J at 5. It notes that

the defendants have not questioned Ms. Pecha-Webers authority to proceed as the

attorney-in-fact of Mr. Pecha. I am confused by what that means, because the majority

does not explain how a deceased person can be represented by counsel or can be a party

and, if so, what sort of relief can be granted to a deceased person (as opposed to the

decedents estate). In particular, the majority opinion states that it will not ruminate or

opine on whether the outcome would have been different if Mr. Pecha's estate (with Ms.

Pecha-Weber as personal representative) was the plaintiff-appellant. O&J at 6 n.4. But

it does not suggest what might be different if the estate were the appellant. We are just

left with a hint that somehow the result might change if, in future cases, there was a

substitution of parties.

As support for proceeding as it does, the majority cites the Second Circuit opinion

in Bush v. Remington Rand, 213 F.2d 456 (2d Cir. 1954). The majority reads that

opinion as concluding that the defendant, by its long delay in raising the issue, had

waived its right to object to failure to substitute in the district court a proper party-

plaintiff upon plaintiffs death. O&J at 5 (quoting Bush, 213 F.2d at 464). The

majoritys statement is essentially correct. But it ignores what happened in that case as

6
the result of the waiver. The defendant-appellant had sought to dismiss the claims

against it because the estate had not been substituted for the decedent within the two-year

time limit of the then-current version of Rule 25. See Bush, 213 F.2d at 463. What was

waived was the right to obtain a dismissal. The waiver did not lead the Bush court to

somehow treat the decedent as a party, which is what the majority does here. Rather,

Bush ruled that as a result of the waiver, the district court had proceeded properly by,

among other things, adding the administratrix of the estate as a party. See id. at 464. The

circuit court then resolved the case just as if the proper parties had been substituted all

along. We should do the same.

In contrast to the length of the above preliminary material, the merits of the

mootness issue can be dealt with briefly. In deciding whether a case is moot, the crucial

question is whether granting a present determination of the issues offered will have some

effect in the real world. Kan. Judicial Review v. Stout, 562 F.3d 1240, 1246 (10th Cir.

2009) (brackets, ellipsis, and internal quotation marks omitted); see also Phelps v.

Hamilton, 122 F.3d 885, 891 (10th Cir. 1997) (inability to grant effective relief

renders . . . issue moot). Appellant concedes that no future Medicaid benefits can be

due. But she asserts that the case is not moot because of the prospect of receiving past

benefits, which would be relief ancillary to a court order requiring that Mr. Pechas

Medicaid application be approved.

If this proceeding were in state court, this argument might well be correct. In

federal court, however, an award of past benefits is barred by the Eleventh Amendment

absent any continuing violation of federal law justifying injunctive relief. The doctrine is

7
explained in Green v. Mansour, 474 U.S. 64 (1985), where the Supreme Court considered

two consolidated class actions challenging Michigans denial of benefits under the

federal Aid to Families With Dependent Children (AFDC) program. One suit

complained that the State was not deducting child-care expenses in computing a potential

beneficiarys income. The other complained that the State included stepparent income in

the computation. After the suits were brought, federal law was changed to allow

deductions for child-care expenses and to require inclusion of stepparent income. See id.

at 6667. The State thereafter clearly complied with federal law, so the district court

vacated its preliminary injunction. It then dismissed the cases as moot although the

plaintiffs had pending claims (1) for declarations that Michigan officials had improperly

denied benefits in the past and (2) for notice relief, requiring state officials to provide

notices to AFDC applicants informing them that state administrative procedures were

available to determine whether they were eligible for past benefits. See id. The Supreme

Court held that the dismissal was correct.

The Court noted that since Ex parte Young, 209 U.S. 123 (1908), it had held that

the Eleventh Amendment does not prevent federal courts from granting prospective

injunctive relief to prevent a continuing violation of federal law. 474 U.S. at 68. On the

other hand, retrospective relief is not permissible. See id. The Court recognized that it

had permitted declaratory relief complementing a permanent injunction against current

violations of federal law; but in that circumstance the declaratory judgment had no legal

effect beyond that of the injunction. See id. at 6970 & n.1. Absent any ground for a

continuing injunction, however, a declaratory judgment would be barred by the

8
Constitution. The Court explained that issuing a declaratory judgment would be

tantamount to granting retrospective relief because its sole purpose would be to bind a

state court under preclusion principles:

There is a dispute about the lawfulness of respondent's past actions, but the
Eleventh Amendment would prohibit the award of money damages or restitution if
that dispute were resolved in favor of petitioners. We think that the award of a
declaratory judgment in this situation would be useful in resolving the dispute
over the past lawfulness of respondent's action only if it might be offered in state-
court proceedings as res judicata on the issue of liability, leaving to the state
courts only a form of accounting proceeding whereby damages or restitution
would be computed. But the issuance of a declaratory judgment in these
circumstances would have much the same effect as a full-fledged award of
damages or restitution by the federal court, the latter kinds of relief being of
course prohibited by the Eleventh Amendment. . . . [A] declaratory judgment is
not available when the result would be a partial end run around our decision
[barring a federal district court from ordering retroactive benefits].

Id. at 73 (emphasis added).2

Although the issue in our case is not the propriety of a declaratory judgment, the

governing doctrine is clear. I see no way that the grant of any relief here could avoid the

prohibition of Green. Because Mr. Pecha has died there could be no continuing violation

of federal law with respect to his benefits. If, as Appellant seems to argue, the continuing

refusal to pay past benefits constitutes a continuing violation that can be corrected, then

the Eleventh Amendment bar on retrospective relief would be an illusion. Every failure

to pay retrospective damages could be characterized as a continuing failure to do what is

2
Notice relief was also unavailable. The Court acknowledged that a request for a
limited notice order will escape the Eleventh Amendment bar if the notice is ancillary to
the grant of some other appropriate relief that can be noticed. Id. at 71. But in that
case there was no continuing violation of federal law to enjoin, so an injunction [was]
not available. Id. Therefore, notice [could not] be justified as a mere case-management
device that is ancillary to a judgment awarding valid prospective relief. Id.

9
right. The injunction sought hererequiring the defendants to certify a deceased man as

eligible for benefitscan have no effect on future benefits. What is desired by an order

requiring the defendants to certify Mr. Pechas Medicaid eligibility is, in essence, a

federal-court judgment that might be offered in state-court proceedings as res judicata

on the issue of liability, leaving to the state courts only a form of accounting proceeding

whereby damages or restitution would be computed. Id. But that is barred by the

Eleventh Amendment because it would have much the same effect as a full-fledged

award of damages or restitution by the federal court. Id.; see Tarrant Regl Water Dist.

v. Sevenoaks, 545 F.3d 906, 911 (10th Cir. 2008) ([W]hen the requested relief is akin to

a retrospective damages award, Ex Parte Young is inapplicable and the Eleventh

Amendment prohibits the federal suit.).

Thus, even if Mr. Pechas estate is substituted as the plaintiff, no relief is available

in federal court (regardless of whether Mr. Pecha was Medicaid eligible) so the case is

moot. I therefore concur in the result.

Unfortunately, the majority opinion is not being published. I would think that it

merits publication under 10 Cir. R. 36.2 because the manner of disposition of this case is

apparently unprecedented.

10