Opal ANDERSON; Jack Davis; Sherry Ewalt; Doris Francisco; Estate of David E. Rickerts; Shirley Rickerts, Plaintiffs-Appellants, v. Michael WILLDEN; Kenny Guinn; Brian Krolicki, Defendants-Appellees, 314 F.3d 1004

PER CURIAM: This is an action brought by Nevada residents who allegedly suffered smoking-related illnesses for which they received state-administered medical care under the Medicaid program. They seek certain benefits from Nevada or its officials arising out of the multi-state tobacco settlement reached between major tobacco companies and 46 States. The plaintiffs’ claim is indistinguishable from that brought by similar Hawai’i plaintiffs in Cardenas v. Anzai, 311 F.3d 929 (9th Cir.2002), and Cardenas forecloses their claims.

Among other things, Cardenas held that the plaintiffs’ claims of entitlement to any part of the settlement funds were wholly barred by 42 U.S.C. § 1396b(d)(3)(B)(ii), which authorized the settling States to “use amounts recovered or paid to the State as part of a comprehensive or individual settlement ... for any expenditures determined appropriate by the State.” Cardenas, 311 F.3d at 939. Only one claim advanced by the plaintiffs here arguably differs from those put forth in Cardenas.

The plaintiffs here contend that they are entitled to notice and an accounting when Nevada attempts to recoup Medicaid payments from the estates of plaintiffs by imposing and enforcing liens on their property. See 42 U.S.C. § 1396p(b). The plaintiffs argue that Nevada should notify them of the amount of “overages” collected in the tobacco settlement, and an accounting of the amount of settlement recovery Nevada received for the medical care of the plaintiffs from whom recoupment is sought. This claim, however, is also foreclosed by Cardenas.

It presumes that some part of the tobacco settlement must be allocated by Nevada to the accounts of the plaintiffs, either as a collected “overage” in excess of the cost of medical care furnished them, or as a setoff against the debt otherwise owed by the plaintiffs’ estates to Nevada for medical care furnished. Cardenas holds, however, that § 1396b(d)(3)(B)(ii) precludes plaintiffs from establishing any claim for their own accounts arising from the tobacco settlement. The judgment of the district court dismissing the plaintiffs’ action is AFFIRMED. .

As the Seventh Circuit noted, the administrative problems in assessing what, if any, part of the tobacco settlement was paid for particular individuals' medical care "would be nightmarish,” because no attempt was made to relate the settlement funds (the ultimate extent of which is uncertain) to particular costs of care supplied. Floyd v. Thompson, 227 F.3d 1029, 1038 (7th Cir.2000).