In re the Consolidated Hospital Surcharge Appeals of Gillette Children's Specialty Healthcare
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In re the Consolidated Hospital Surcharge Appeals of Gillette Children's Specialty Healthcare
Opinion of the Court
OPINION
We are asked to decide whether the State of Minnesota may, without encroaching on federal law, assess and collect a surcharge on the revenues that Minnesota hospitals receive for providing health-care services to persons who are insured by group health-insurance plans that cover employees of the federal government. We conclude that the applicable federal statutes do not preempt the applicable state statute. Therefore, we affirm the decision of the commissioner of human services.
FACTS
In Minnesota, hospitals must pay a 1.56-percent surcharge on “net patient revenues.” Minn.Stat. § 256.9657, subd. 2 (2014). The surcharge is assessed and collected by the Minnesota Department of Human Services (DHS) and deposited into the state general fund. Minn.Stat. § 256.9656 (2014).
The Federal Employees Health Benefits Act (FEHBA) authorizes the federal government to provide health insurance to employees of the federal government. See generally 5 U.S.C. §§ 8901-14 (2012). The act directs the federal Office of Personnel Management (OPM) to enter into group health-insurance contracts with insurance carriers. 5 U.S.C. § 8902(a). The act includes a provision that preempts certain state laws:
(1) No tax, fee, or other monetary payment may be imposed, directly or indirectly, on a carrier or an underwriting or plan administration subcontractor of an approved health benefits plan by any State, the District of Columbia, or the Commonwealth of Puerto Rico, or by any political subdivision or other governmental authority thereof, with respect to any payment made from the Fund.
(2) Paragraph (1) shall not be construed to exempt any carrier or underwriting or plan administration subcontractor of an approved health benefits plan from the imposition, payment, or collection of a tax, fee, or other monetary payment on the net income or profit accruing to or realized by such carrier or underwriting or plan administration subcontractor from business conducted under this chapter, if that tax, fee, or payment is applicable to a broad range of business activity.
5 U.S.C. § 8909(f).
Similarly, the federal TRICARE program provides health-insurance plans to uniformed service members of the United States armed forces. 10 U.S.C. §§ 1071,
In 2012, seven hospitals operating in Minnesota challenged DHS’s assessments of the surcharge authorized by section 256.9657, subdivision 2(a), by separately filing administrative appeals. See Minn. Stat. § 256.9657, subd. 6. The sole ground of each administrative appeal was that FEHBA and the statute creating the TRI-CARE program preempt the state statute that authorizes the surcharge. The commissioner of human services denied the hospitals’ administrative appeals in September 2012.
The hospitals requested a consolidated contested-case hearing before the office of administrative hearings, and the commissioner consolidated the hospitals’ administrative appeals. See Minn. R. 9510.2040, subp. 3 (2013). In November 2013, the parties filed cross-motions for summary disposition. See Minn. R. 1400.5500(E) (2013). In January 2014, the assigned administrative law judge (ALJ) issued a ten-page order, recommending that DHS’s motion for summary disposition be granted, that the hospitals’ motion for summary disposition be denied, and that the hospitals’ administrative appeals be dismissed.
In July 2014, the commissioner’s delega-tee, the director of the appeals office of the department, issued a seven-page order adopting the ALJ’s recommendation. The hospitals appeal to this court by way of a writ of certiorari.
ISSUE
Do the federal statutes authorizing the FEHBA and TRICARE programs-preempt Minnesota Statutes section 256.9657, subdivision 2, which authorizes the department of human services to assess and collect a surcharge on revenues received by Minnesota hospitals for healthcare services to the extent that revenue is received for services provided to persons covered by the FEHBA and TRICARE programs? .
ANALYSIS
The hospitals argue that the commissioner erred by deciding that Minnesota’s surcharge on their revenues is not preempted by federal law to the extent that the hospitals receive revenues for services provided to persons covered by the FEHBA and TRICARE programs.
The commissioner’s decision arose from a motion for summary disposition. “Summary disposition is the administrative' equivalent of summary judgment.” Pietsch v. Board of Chiropractic Exam’rs, 683 N.W.2d 303, 306 (Minn. 2004) (citing Minn. R. 1400.5500(E) (2003)). Accordingly, the commissioner may grant a motion for summary disposition if there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. In re Rate Appeal of Benedictine Health Ctr., 728 N.W.2d 497, 500-01 n. 3 (Minn. 2007). In reviewing an agen
In a judicial review under sections 14.63 to 14.68, the court may affirm the decision of the agency or remand the case for further proceedings; or it may reverse or modify the decision if the substantial rights of the petitioners may have been prejudiced because the administrative finding, inferences, conclusion, or decisions are:
(a) in violation of constitutional provisions; or
(b) in excess of the statutory authority or jurisdiction of the agency; or
(c) made upon unlawful procedure; or
(d) affected by other error of law; or
(e) unsupported by substantial evidence in view of the entire record as submitted; or
(f) arbitrary or capricious.
Minn.Stat. § 14.69 (2014).
A.
We begin our analysis with the source of the federal preemption doctrine, the Supremacy Clause of the United States Constitution, which provides:
This Constitution, and the Laws of the United States which shall be made in Pursuance thereof; and all Treaties made, or which shall be made, under the Authority of the United States, shall be the supreme Law of the Land; and the Judges in every State shall be bound thereby, any Thing in the Constitution or Laws of any State to the Contrary notwithstanding.
U.S. Const. art. VI, cl. 2. The preemption of state law may operate impliedly, “through the direct operation of the Supremacy Clause,” either because a federal statute conflicts with a state statute or because “the scope of a [federal] statute indicates that Congress intended federal law to occupy a field exclusively.” Kurns v. Railroad Friction Prods. Corp., — U.S. —132 S.Ct. 1261, 1265-66, — L.Ed.2d-(2012) (quotations omitted); see also In re Qwest’s Wholesale Serv. Quality Standards, 702 N.W.2d 246, 250-51 (Minn. 2005). In addition, Congress may enact a statute that expressly preempts certain state laws. Kurns, 132 S.Ct. at 1265. Thus, “Federal law can preempt state law in three ways: through (1) field preemption, (2) express preemption, and (3) conflict preemption (sometimes called ‘implied conflict preemption’).” Housing & Redevelopment Auth. v. Lee, 852 N.W.2d 683, 687 (Minn. 2014) (citing Fidelity Fed. Sav. & Loan Ass’n v. de la Cuesta, 458 U.S. 141, 152-54, 102 S.Ct. 3014, 3022, 73 L.Ed.2d 664 (1982)); see also Freightliner Corp. v. Myrick, 514 U.S. 280, 287, 115 S.Ct. 1483, 1487, 131 L.Ed.2d 385 (1995); In re Estate of Barg, 752 N.W.2d 52, 63-64 (Minn. 2008). In this case, the parties agree that the issue presented by the hospitals’ appeal is a matter of express preemption. Accordingly, we focus on the doctrine of express preemption, i.e., the power of Congress “to preempt state law by so stating in express terms.” Hillsborough Cnty. v. Automated Med. Labs., Inc., 471 U.S. 707, 713, 105 S.Ct. 2371, 2375, 85 L.Ed.2d 714 (1985).
When interpreting the preemption provisions of the FEHBA and TRI-CARE statutes, we are. mindful of the caselaw concerning the interpretation of federal preemption statutes. The United States Supreme Court has stated that “ ‘[t]he purpose of Congress is the ultimate touchstone’ in every pre-emption case.”
B.
The preemption provision of FEHBA, which is quoted above in full, states, in pertinent part, that no state tax “may be imposed, directly or indirectly, on a carrier ... with respect to any payment made from the Fund.” 5 U.S.C. § 8909(f)(1). The plain language of section 8909(f)(1) reveals a clear and manifest intention by Congress to preempt any state law that imposes a tax on a “carrier” due to the carrier’s receipt of a payment from the FEHBA fund. See Health Maint. Org. of New Jersey, Inc. v. Whitman, 72 F.3d 1123, 1128, 1133 (3d Cir. 1995) (holding that state tax imposed on carrier is preempted by FEHBA). But the plain language of section 8909(f)(1) does not speak directly to the validity of a state law that imposes a tax on a provider that receives payment from a carrier that receives payment from the FEHBA fund. The parties have stipulated that the hospitals that are parties to this appeal - are health-care providers but not insurance carriers. The commissioner resolved the hospitals’ administrative appeals in part by reasoning that the surcharge authorized by section 256.9657, subdivision 2, “is not imposed upon carriers.”
The hospitals contend that section 8909(f) preempts section 256.9657, subdivision 2, even though they are not carriers. They emphasize the phrase “directly or indirectly.” See 5 U.S.C. § 8909(f)(1). They contend that section 256.9657, subdivision 2, indirectly imposes a tax on carriers because the hospitals pass along to carriers the costs of the surcharge authorized by section 256.9657, subdivision 2. More specifically, the hospitals contend that when they set their fees for services that are billed to insurance carriers, they do so in a manner that ensures that they recoup the costs of the surcharge, which inevitably causes the FEHBA fund to incur higher insurance premiums than would be incurred without the surcharge.
In the absence of any binding precedent, we resolve this appeal by applying the general principles concerning the interpretation of express preemption statutes. To reiterate, we ask whether the federal statute reveals that preemption “ ‘was the clear and manifest purpose of
C.
Before concluding, we must address three additional arguments by the hospitals that relate to the- preemption analysis.
. First, the hospitals contend that the commissioner erred by relying on the Fourth Circuit’s opinion in West Virginia^ which the hospitals assert is flawed in its reasoning. The commissioner relied on West Virginia only insofar as the Fourth Circuit relied on United States v. Fresno, 429 U.S. 452, 97 S.Ct. 699, 50 L.Ed.2d 683 (1977). See West Virginia, 339 F.3d at 216. In Fresno, the United States Supreme Court considered whether a state could impose a tax on federal employees’ possessory interests in housing provided by the federal government on federal land. Id. at 455-56, 97 S.Ct. at 701. The Supreme Court upheld the state statute, holding that “the economic burden on a federal function of a state tax imposed on those who deal with the Federal Government does not render the tax unconstitu
Second, the hospitals contend that the commissioner erred by not applying a decision of the Minnesota Tax Court. In Healthpartners, Inc. v. Commissioner of Revenue, No. 6925, 1999 WL 123289 (Minn. Tax Ct. Mar. 4, 1999), the tax court considered whether section 8909(f) of FEHBA preempted the MinnesotaCare tax, which the commissioner of revenue is authorized to collect from health-care providers based on gross revenue. See Minn. Stat. § 295.52 (1994). HealthPartners was a “staff model health plan company” that contracted directly with OPM to serve both as an insurance carrier and a healthcare services provider for federal employees. Healthpartners, 1999 WL 123289, at *1-2. The tax court concluded that HealthPartners was a “carrier” and that the tax was imposed “indirectly ... with respect to the payment by FEHBA.” Id. at *6. Thus, the tax court held that FEH-BA preempted the MinnesotaCare tax as applied to OPM’s payments from the FEHBA fund to HealthPartners. Id.
In this case, the commissioner reasoned that Healthpartners “is neither binding nor applicable” to the hospital surcharge authorized by section 256.9657, subdivision 2. The commissioner is correct. The Healthpartners decision is not binding precedent in this case because the tax court is an executive-branch agency. See Minn.Stat. § 271.01, subd. 1 (2014). For that reason, tax court decisions have “little, if any, precedential effect.” Kmart Corp. v. County of Steams, 710 N.W.2d 761, 769 (Minn. 2006). This court has said that the tax court itself may not be bound by its own decisions but merely subject to a duty to provide reasons or explanations for any departure from its prior decisions. See In re Whitehead, 399 N.W.2d 226, 229 (Minn.App. 1987) (citing Peoples Natural Gas Co. v. Minnesota Pub. Utilities Comm’n, 342 N.W.2d 348, 352-53 (Minn. App. 1983), review denied, (Minn. Apr. 24, 1984)). In any event, the Healthpartners decision is distinguishable because it depended on the fact that HealthPartners was both a carrier and a provider, while the hospitals in this case are only providers. See Healthpartners, 1999 WL 123289, at *6; see also Group Health Co-op. v. City of Seattle, 146 Wash.App. 80, 189 P.3d 216, 223 (2008) (noting that city could not avoid preemption of tax on HMO that served as both carrier and provider under section 8909(f) “by unilaterally recharac-terizing” HMO “as a health care ‘provider’ rather than a carrier”). Thus, the commissioner did not err by not applying or following the tax court’s decision in Healthpartners.
If an agency has not promulgated a regulation on a particular issue, courts should give the agency’s position a lesser form of deference. Skidmore v. Swift & Co., 323 U.S. 134, 139-40, 65 S.Ct. 161, 164, 89 L.Ed. 124 (1944). Under Skidmore, a court should consider several factors in determining the degree of deference owed to an agency’s interpretation of a federal statute, such as “the thoroughness evident in its consideration, the validity of its reasoning, its consistency with earlier and later pronouncements, and all those factors that give it power to persuade.” Young v. United Parcel Serv., Inc., — U.S.-, 135 S.Ct. 1338, 1352, 191 L.Ed.2d 279 (2015) (quoting Skidmore, 323 U.S. at 140, 65 S.Ct. at 164). The hospitals rely primarily on a 2004 letter opinion, which OPM issued after the Fourth Circuit’s decision in West Virginia. That letter states merely that section 8909(f) “does not preempt the West Virginia Health Care Provider Tax Act of 1993” and that OPM “will evaluate whether 5 U.S.C. § 8909(f) preempts taxes in other states in the Fourth Circuit in accordance with the rationale set forth in” the West Virginia opinion. See Office of Pers. Mgmt., FEHBA Program Carrier Letter No. 2004-12 (Oct. 4, 2004), available at http://www.opm.gov/healthcare-insurance/ healthcare/carriers/2004/2004-12.pdf. The letter is not meaningful for purposes of this case because the letter does not state a position with respect to the laws of states located outside the Fourth Circuit. Because OPM’s opinion letter does not reveal a clear statement about the scope of the FEHBA preemption provision, there is nothing to which we can defer. See Young, 135 S.Ct. at 1352 (considering multiple factors, including “thoroughness evident in its consideration”).
In sum, the hospitals’ additional arguments do not alter our interpretation of the FEHBA preemption provision. Therefore, we conclude that Minnesota Statutes section 256.9657, subdivision 2, is not preempted by FEHBA or by the statute authorizing the TRICARE program.
DECISION
The commissioner did not err by adopting the recommendation of the ALJ and granting the department’s motion for summary disposition.
Affirmed.
. The hospitals have submitted a thorough factual record to support this assertion. On appeal of a summary disposition, we view the facts in the light most favorable to the non-
. The commissioner did not cite the Connecticut opinion in her decision, and the ALJ did not do so in his recommendation. The district court in Connecticut concluded that the state tax was not preempted because the United States did not submit evidence that the providers actually passed along the expenses of the tax to FEHBA carriers. See 1 F.Supp.2d at 153. We do not perceive the Connecticut opinion to be particularly helpful or persuasive for our purposes because, in reaching its conclusion, the court relied solely on Travelers Ins. Co. v. Cuomo, 14 F.3d 708 (2d Cir. 1993), rev'd on other grounds by New York State Conference of Blue Cross & Blue Shield Plans v. Travelers Ins. Co., 514 U.S. 645, 115 S.Ct. 1671, 131 L.Ed.2d 695 (1995). Connecticut, 1 F.Supp.2d at 153. But in Travelers, the state tax was, in reality, a tax on carriers, although providers were required to collect the tax from carriers on behalf of the state. See 14 F.3d at 712. In Connecticut, however, the tax was imposed directly on providers. 1 F.Supp.2d at 153.
. Because Congress’s intent to preempt a tax on providers is not clear and manifest from the plain language of the FEHBA preemption provision, it is inappropriate to refer to legislative history. See Chamber of Commerce, 131 S.Ct. at 1980. "Extrinsic materials have a role in statutory interpretation only to the extent they shed a reliable light on the enacting Legislature's understanding of otherwise ambiguous terms." Exxon Mobil Corp. v. Allapattah Servs., Inc., 545 U.S. 546, 568, 125 S.Ct. 2611, 2626, 162 L.Ed.2d 502 (2005). We nonetheless note that the legislative history available to us does not indicate that Congress clearly intended to preempt a state tax on a provider merely because the tax would cause providers to charge carriers higher fees. A committee report indicates that the FEHBA preemption provision was intended to "exempt! ] the [Federal Employees Health Benefits Program] from state premium taxes.” See H.R.Rep. No. 101-881, at 173 (1990), reprinted in 1990 U.S.C.C.A.N. 2017, 2181 (emphasis added). The committee report also states that the FEHBA preemption provision is "intended to be similar in nature and application to the existing premium tax exemptions applicable to the Employees’ Life Insurance Fund.” Id., 1990 U.S.C.C.A.N. at 2184 (citing 5 U.S.C. § 8714(c)(1) (2012) (providing that no state tax "may be imposed ... on, or with respect to, any premium paid under an insurance policy purchased under this chapter”)). Because premiums are paid by the FEHBA fund to carriers, the committee report indicates that the House committee intended to preclude the operation of state taxes only to the extent that they are imposed on transactions between the FEHBA fund and carriers, but not on transactions between carriers and providers.
Reference
- Full Case Name
- In the Matter of the Consolidated Hospital Surcharge Appeals of GILLETTE CHILDREN'S SPECIALTY HEALTHCARE, St. Luke's Hospital, North Memorial Health Care, HealthEast Care System, Park Nicollet Health Services, Fairview Health Services, and Children's Hospitals and Clinics of Minnesota
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- Published