Seminole Tribe of Fla. v. Azar
Seminole Tribe of Fla. v. Azar
Opinion of the Court
RUDOLPH CONTRERAS, United States District Judge *103DENYING PLAINTIFF'S MOTION FOR SUMMARY JUDGMENT; DENYING DEFENDANTS' CROSS-MOTION FOR SUMMARY JUDGMENT
I. INTRODUCTION
The Indian Self-Determination and Education Assistance Act ("ISDEAA"),
II. BACKGROUND
A. Statutory and Regulatory Background
Congress passed the ISDEAA in 1975 in recognition of the right of Indian tribes to self-govern. Pub. L. No. 93-638, § 3,
Among those grounds for rejection is the Secretary's conclusion that "the amount of funds proposed under the" tribe's submission "is in excess of the applicable funding level for the contract."
On top of this base amount, however, the Secretary must also provide a second category of funds: "contract support costs" ("CSCs").
CSCs in turn comprise two sub-categories of funds. One is direct CSCs, which are, unsurprisingly, the "direct program expenses for the operation of the Federal program that is the subject of the contract,"
The ISDEAA provides no specific procedure for determining the amount of indirect CSCs a tribal contractor will incur related to a particular program in a given year. The Act merely states, as noted above, that the costs must be "reasonable ... to ensure compliance with the terms of the contract and prudent management,"
These negotiations are generally guided by uniform cost principles issued by the Office of Management and Budget ("OMB") that are applicable to all federal awards to non-federal entities-not just to Indian tribes. See generally 2 C.F.R. pt. 200; see also
Once the IBC and the tribal contractor agree on an indirect cost rate, they execute an "Indirect Cost Negotiation Agreement."
*105Pl.'s Mot. for Summ. J., Ex. C, ECF No. 9-3. It is then presumed that the agreed-upon rate will be used to allocate indirect costs to all of the tribal organization's individual federal contracts-by multiplying the rate by the base amount attributable to the individual contract at issue.
A hypothetical example may make this easier to understand. Take a fictional tribe with multiple federal contracts, which together represent $ 10 million in total direct costs, of which $ 8 million is spent on salaries and wages. On top of these costs, the tribe also estimates $ 2 million in indirect costs associated with all of its federal programs. To calculate the tribe's indirect cost rate, it would first choose the distribution base: either the total direct costs of $ 10 million or the salaries and wages amount of $ 8 million. It would then divide the $ 2 million indirect costs number by the chosen distribution base. So if the base was total direct costs, the resulting indirect cost rate would be 2 million divided by 10 million-.2, or 20 percent. And if the base was salaries and wages, the rate would be 2 million divided by 8 million-.25, or 25 percent.
Once one of these rates has been calculated, it is then used to allocate the indirect costs across the fictional tribe's federal awards. Assume that the tribe's federal health program has total direct costs of $ 5 million, of which $ 4 million are salaries and wages. If the rate had been determined using total direct costs, the 20 percent number calculated above would be applied to $ 5 million, producing an indirect cost award for the health program of $ 1 million. If, on the other hand, the rate had been determined using salaries and wages, the 25 percent number from above would be applied to $ 4 million, producing the same indirect cost award: $ 1 million.
Admittedly, this example involves round numbers and evenly distributed costs. In practice, the methodology would rarely be this clean, and the ultimate indirect cost award could vary slightly depending on whether the rate was pegged to total direct costs or salaries and wages. But, as the Court said earlier, the purpose of the methodology is to allocate indirect costs across awards in a roughly even manner-so that "each Federal award bear[s] a fair share of the indirect costs in reasonable relation to the benefits received from the costs." 2 C.F.R. pt. 200, app VII, § B.1 (emphasis added).
B. Factual Background
This case arises out of a dispute over the amount of recoverable indirect CSCs related to a self-determination contract for healthcare services. Such contracts for health care services, as one might expect, fall within the purview of the Secretary of HHS and are overseen by the Indian Health Services ("IHS"), one of HHS's operating divisions. Plaintiff, the Seminole *106Tribe of Florida, has for years contracted with HHS and IHS to operate its own health program. For fiscal year 2018, the parties were able to agree on the Secretarial amount and the level of direct CSCs to be transferred to the Tribe to fund the program, but the parties could not reach an agreement on indirect CSCs.
Amidst this impasse, the Tribe submitted to IHS a formal "proposal for a self-determination contract" within the meaning of the ISDEAA.
Consistent with the ISDEAA's procedural requirements, IHS responded by rejecting the Tribe's proposal within the prescribed ninety-day period. And also consistent with the Act, IHS based its decision on one of the five enumerated grounds for rejection-that being its belief that the Tribe's request was "in excess of the applicable funding level for the contract."
In its rejection letter, IHS stressed that "[f]or purposes other than CSC calculations, the Tribe may reallocate or redirect funds subject to the confines of the" ISDEAA. Pl.'s Mot. for Summ. J., Ex. B. at 9. For purposes of CSC calculations, however, the agency reasoned that the Tribe's reallocation had the effect of artificially inflating the base amount. The Tribe had, in other words, used its reallocation authority to get the best of both worlds: it had made its base amount resemble total direct costs while keeping the higher indirect cost rate that had been negotiated based on salaries and wages. This, IHS said, "inappropriately shift[ed] expenses to ... IHS for purposes of calculating indirect CSC"-because application of the higher rate to the inflated base meant that the indirect CSC amount had been determined using expenses that were effectively not IHS-funded.
As an alternative to the Tribe's proposal, IHS suggested that indirect CSCs be calculated by applying the Tribe's negotiated indirect cost rate to an equitable proportion of the Tribe's salaries, wages, and benefits. Pl.'s Mot. for Summ. J., Ex. B at 8. The agency explained that it normally "expends 71 percent of the total funding on salaries and fringe benefits when it directly operates a program."
Upon receipt of IHS's rejection letter, the Tribe opted to exercise its right under the ISDEAA to go straight to federal court. See
III. LEGAL STANDARD
Under the Administrative Procedure Act ("APA"), courts typically defer to agency adjudications unless the plaintiff demonstrates that the decision was "arbitrary, capricious, an abuse of discretion, or otherwise not in accordance with the law."
Also relevant in this context is what courts have taken to calling the "Indian law canon of statutory construction," which counsels that "laws affecting Indians 'be construed liberally in favor of the Indians, with ambiguous provisions interpreted to their benefit.' " Pyramid Lake ,
Taking all of this into account, courts usually apply a de novo standard of review when considering a tribe's challenge to an agency rejection under the ISDEAA. See, e.g., Pyramid Lake ,
Of course, in performing its de novo review, the Court is guided by the familiar summary judgment standard, which provides that summary judgment is warranted only where "the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). "When, as in this case, both parties file cross-motions for summary judgment, each must carry its own burden under the applicable legal standard." Ehrman v. United States ,
IV. ANALYSIS
As noted above, the Tribe's complaint in this case asserts two separate claims.
*109Count One focuses on IHS's offer to use eighty percent of total direct costs as the base for calculating indirect CSCs. The Tribe asks that the Court declare that that approach is "contrary to the express terms of the ISDEAA and cannot serve as the basis for rejecting the Tribe's final offer." Compl. ¶ 40. Count Two, by contrast, focuses on the validity of the Tribe's proposal. According to the Tribe, the IHS's rejection letter did not establish that the proposal "exceed[ed] the applicable funding level to which the Tribe [was] entitled." Id. ¶ 43. The Tribe therefore asks that the Court " 'compel the Secretary to award and fund' the agreement as proposed." Id. ¶ 44 (quoting
As the Tribe seems to see it, both of these claims turn on the same "straightforward issue of statutory interpretation: Does the ISDEAA allow IHS to arbitrarily limit the reallocation authority in § 5386(e) by imposing an 80% salary cap on the Tribe?" Pl.'s Mot. for Summ. J at 1-2. The answer to that question is no, the Tribe says, meaning IHS had no authority to reject the Tribe's indirect CSC proposal and offer its alternative calculation.
The Court sees things differently, however. The Tribe's reallocation authority is not directly at issue here, as IHS has not attempted to prevent the Tribe from redirecting its federal funding. Instead, the critical question is whether the Tribe's proposal for indirect CSCs exceeded "the applicable funding level for the contract."
A. The ISDEAA's Limit on Indirect CSC Funding
To evaluate the merits of both of the Tribe's claims, the Court begins by reviewing what the ISDEAA says about indirect CSCs-and then also what the Act does not say. The Act defines CSCs as the "reasonable costs for activities which must be carried on by a tribal organization as a contractor to ensure compliance with the terms of the contract and prudent management."
Reading these provisions together, the ISDEAA is clear about at least one thing: as another court in this circuit has already held, the Act "explicitly prohibits" IHS from "funding ... indirect costs 'associated with' non-IHS entities." Tunica-Biloxi Tribe of La. v. United States ,
The ISDEAA provides little instruction, though, on how IHS should go about fulfilling its obligation. The Act is silent on what "reasonable" means in this context, and it does not say how indirect CSCs should be estimated. Instead, as the Court said earlier, those calculations are guided by OMB-issued uniform cost principles that are codified in the Code of Federal Regulations. See generally 2 C.F.R. pt. 200. Those principles state that indirect CSCs may be calculated using an indirect cost rate that is determined by taking an estimate of total indirect costs associated with all of a tribal organization's federal awards together and dividing that estimate by a distribution base made up of costs resulting from those federal awards. See 2 C.F.R. pt. 200, app. VII, §§ B.9, E.2. That distribution base is usually either the total direct costs of all of those federal programs, or the portion of those costs made up by salaries and wages.
Here, the Tribe has agreed on an indirect cost rate with the IBC that is pegged to salaries, wages, and fringe benefits. And the Tribe's proposal for indirect CSCs is based on application of that rate to the salaries, wages, and benefits that it contends are attributable to its federally funded health program. In its motion for summary judgment, the Tribe seems to suggest that IHS must accept the results of this methodology in all instances. See, e.g. , Pl.'s Mot. for Summ. J. at 7 ("IHS accepts the Tribe's rate, as it must."); Pl.'s Reply in Support of Mot. for Summ. J. ("Pl.'s Reply") at 7, ECF No. 15 ("IHS's 80% ... cap lacks any grounding in the statute."). Essentially, the Tribe says that, by rejecting the methodology here, IHS violated the ISDEAA.
The Court disagrees with this as a general contention, however. Nothing in the OMB principles come close to indicating that the prescribed methodology will produce the statutorily correct result every time. To the contrary, in fact, the principles say that "[o]nce a rate has been agreed upon, it will be accepted and used by all Federal agencies unless prohibited or limited by statute. " 2 C.F.R. pt. 200, app VII § E.1 (emphasis added); see also
Having said all of this, IHS's published Indian Health Manual -its guidance document on self-determination contracts and CSC awards-indicates that OMB's uniform principles are generally accepted, while also maintaining that "costs must be analyzed to ensure they meet the definition of CSC[s]" in the ISDEAA. See Defs.' Cross-Mot. for Summ. J. ("Defs.' Cross-Mot."), Ex. 1 at 19, ECF No. 14-2. In weighing the parties' specific arguments here, then, the Court starts with the premise that application of OMB's uniform principles will result in indirect CSC awards that are reasonable and consistent with the ISDEAA, absent abnormal circumstances.
IHS contends that abnormal circumstances are present here because the Tribe has allocated an unusually large portion of its IHS funds to salaries, wages, and fringe benefits. IHS does not dispute that the Tribe has the statutory authority to redirect its federal money in this manner, see
Here, the Tribe has chosen to redirect its IHS funds so that 98.93 percent of its Secretarial amount is spent on salaries, wages, and benefits. See Pl.'s Mot. for Summ J., Ex. B at 8-9. Thus, the Tribe's base amount for its indirect CSC calculation more closely resembles the total direct costs of the entire program than the amount one would expect to be expended on salaries, wages, and benefits. Yet that base amount was still subject to an indirect cost rate that had been pegged to salaries, wages, and benefits-a kind of rate that, again, is generally higher than a rate based on total direct costs. According to IHS, therein lies the mismatch: a high indirect cost rate applied to a high base amount produces an "artificially" increased indirect CSC estimate. Defs.' Cross-Mot. at 12, ECF No. 14.
This line of reasoning alone would maybe be sufficient for IHS if this were an APA case. Under the ISDEAA, however, it is IHS's burden to show by "clear and convincing evidence" that this claimed mismatch amounts to a statutory violation. See
IHS's key piece of evidence illustrates the problem quite well. With its cross-motion for summary judgment, the agency submitted financial documents from 2015 that purportedly supported the Tribe's indirect cost proposal to the IBC in support of its indirect cost rate negotiations. See Defs.' Cross-Mot., Ex. 2, ECF No. 14-3. Those documents, IHS claims, show that the Tribe operates a very large health program, and that the Secretarial amount funds "only a small fraction" of that program-about 10 percent. See Defs.' Cross-Mot. at 16, 19. According to IHS, the 2015 documents also show that IHS money funds approximately 50 percent of the salaries, wages, and benefits for the Tribe's entire expanded health program.
Yet as the Court just said, to show distortion, IHS needs evidence concerning the Tribe's rate as well. It is possible that the 2015 documents that IHS has submitted include information to this effect, but if they do, the information is redacted. The distribution base, for example, that was used to determine the Tribe's indirect cost rate should have comprised costs associated with all of the Tribe's federal programs. The submitted documents appear to include financial information regarding such other programs, but the information is redacted. Thus, as things currently stand, the Court does not know what other federal programs the Tribe operates, and the Court certainly does not know how costly those programs are, or what percentage of those costs are for salaries, wages, and benefits. If salaries, wages, and benefits made up a similarly high percentage of the budgets of those other federal programs, it is theoretically possible that the resulting indirect cost rate would have no distortive effect.
To be sure, IHS may not have submitted any of this evidence because it does not have it. The Tribe negotiated its indirect cost rate with the IBC; IHS played no role. The redactions on the 2015 documents also may be the Tribe's responsibility and not the agency's. At the same time, though, the ISDEAA places a heavy burden on IHS, and the agency has not even provided more generalized information, such as evidence that shows what typical indirect cost rates pegged to salaries might look like compared to those pegged to total direct costs.
By not providing any information whatsoever, IHS's motion for summary judgment depends on the Court accepting a critical assumption: that the Tribe's indirect cost rate does not somehow account for the unusually high amount of salaries, wages, and benefits being expended in relation to the Tribe's federal health program. That assumption might be a reasonable one; the Court has no cause to believe that the rate does offset the effect of the inflated base amount. However, reliance on an assumption does not constitute "clear and convincing evidence" that the Tribe's proposal exceeded "the applicable funding level for the contract."
*113That said, if IHS is correct in its assumption that the Tribe's indirect cost rate is incompatible with the base amount to which it is applied, the Court agrees that this presents a potential problem under the ISDEAA. It raises the possibility that the Tribe's estimate is based on costs that are not actually "attributable to" or "associated with" the Tribe's self-determination contract.
As IHS explained in its rejection letter, the Tribe's reallocation left "less than $ 90,000 in the remaining budget funded by the Secretarial amount." Pl.'s Mot. for Summ J., Ex. B at 9. "Clearly," IHS said, "it would be impossible for the Tribe to operate a health care program with these remaining funds unless it was relying on its own separate revenue," so it is "obvious that the Tribe's proposed indirect CSC amount is being calculated based, at least in part, on additional resources the Tribe is choosing to use" and is "not solely based on specific activities that are necessary to support the" federal program.
The Tribe, for its part, does not dispute that this is true; it concedes that it is able to use its own funds to cover the remaining costs of the federal program. According to the Tribe, it is permissible to factor those other funds into the indirect CSC calculation because "[a]t least one court has held that such third-party revenues used by a tribe to provide services under its ISDEAA agreement are part of the Secretarial amount and generate CSC just like IHS-appropriated funds." Pl.'s Mot. for Summ. J. at 15.
But even if that other decision was correctly decided, the Tribe has not shown that it is applicable here. The case on which the Tribe relies, Navajo Health Foundation-Sage Memorial Hospital, Inc. v. Burwell ,
By contrast, here, the Tribe has not established that any of its supplemental funds constitute program income earned in the course of carrying out its federal health program. In fact, the Tribe has hinted that most of the money is unrelated to the federal health program. See Pl.'s Mot. for Summ. J. at 8 ("[T]he Tribe is willing and able to cover these additional expenses with its own funds and, to a lesser extent , third-party revenues." (emphasis added) ). Nonetheless, the Tribe argues that "this case presents an easier question than ... Sage Memorial " because it has merely "proposed to recover *114CSC in support of IHS-appropriated funding, not tribal or third-party funding."
Although the Tribe may have suggested that most of the supplemental funding it is using here does not constitute program income, the reality is that the Court currently has no information concerning the source of the money. If the Tribe can show that its other money is program income, Sage Memorial may ultimately govern. But for now, there are at least two categories of material factual issues that remain unresolved: (1) the source of the Tribe's supplemental funds; and (2) the specific circumstances surrounding the determination of the Tribe's indirect cost rate. With these issues outstanding, the Court is unable to conclude that either party is entitled to judgment as a matter of law.
Having concluded that material factual issues remain unresolved and that summary judgment is inappropriate, the Court's final task is to determine where the factual questions should be addressed in the first instance. IHS has suggested it is open to further negotiation, and it argues that the proper course is remand. See Defs.' Reply at 7, ECF No. 17. The Court agrees that this is the preferable approach under these circumstances. Although the ISDEAA permits the Court to retain jurisdiction over the parties' dispute, see
IHS's desire for remand here appears legitimate: it says that it is willing to negotiate in line with the Court's holding, and it says that it remains "flexible in offering an appropriate figure that represents [the Tribe's] CSC according to the requirements of the ISDEAA." Defs.' Reply at 7. As the Court has no reason to question these assertions, it thinks that the parties should be afforded another opportunity to reach an agreement before time and resources are expended on further judicial proceedings. The Tribe also does not argue that the Court lacks the authority to remand; it contends only that remand is inappropriate because IHS's denial was contrary to the ISDEAA as a matter of law. See Pl.'s Reply at 11-12. Of course, the Court has now rejected that position and concluded that it is unable to rule in *115the Tribe's favor based on the current record. In circumstances like these, the Tribe itself seems to acknowledge that remand can be beneficial. See id. at 12 ("Remand is appropriate when a court requires more information to make a decision...."). The Court therefore exercises its discretion to remand to IHS for further consideration, and the Court stays this case in the interim. If the parties ultimately do reach an agreement, they should file a stipulation of dismissal with the Court. In the meantime, they must file a joint status report every 60 days that updates the Court on the progress of negotiations and proposes a schedule for further proceedings.
For the foregoing reasons, the Tribe's motion for summary judgment and Defendants' cross-motion for summary judgment are both DENIED . An order consistent with this Memorandum Opinion is separately and contemporaneously issued.
The observant mathematicians will notice that 28.32% of $ 6,655,712 is in fact roughly $ 1,884,897. As far as the Court can tell, IHS's number of $ 1,740,786 was the product of subtracting a credit for indirect-cost funding that is contained within the Secretarial amount. The use of such a credit is not an issue in this case. See Compl. ¶ 32 n.5, ECF No. 1. Indeed, the Tribe's proposed amount similarly involved the subtraction of a credit that was contained within the Secretarial amount. Id. ¶ 32.
Reference
- Full Case Name
- SEMINOLE TRIBE OF FLORIDA v. Alex M. AZAR, II
- Cited By
- 5 cases
- Status
- Published