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867 N.W.2d 513
Minn. Ct. App.
2015
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Background

  • Minnesota imposes a 1.56% surcharge on hospital net patient revenues; DHS collects it and deposits to the general fund.
  • FEHBA preempts state taxes on carriers; 5 U.S.C. § 8909(f) blocks taxes on carriers with payments from FEHBA funds.
  • TRICARE program preemption exists under 10 U.S.C. § 1103, with regulatory alignment to FEHBA preemption.
  • Hospitals (providers, not carriers) filed seven administrative appeals challenging preemption, settled for summary disposition path.
  • ALJ recommended DHS summary disposition; commissioner adopted; hospitals appealed via writ of certiorari.
  • Court analyzes express preemption and whether FEHBA/TRICARE preempt Minnesota Minn. Stat. § 256.9657, subd. 2.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Does FEHBA preempt Minnesota surcharge on revenues to FEHBA/TRICARE patients? Hospitals argue FEHBA § 8909(f) preempts the surcharge DHS argues no preemption of the provider tax by FEHBA/TRICARE Not preempted; statute stands

Key Cases Cited

  • Altria Grp., Inc. v. Good, 555 U.S. 70 (U.S. 2008) (express preemption depends on clear congressional intent)
  • Chamber of Commerce of United States v. Whiting, 563 U.S. 582 (U.S. 2011) (plain language governs preemption when present)
  • Rice v. Santa Fe Elevator Corp., 331 U.S. 218 (U.S. 1947) (historic presumption against preemption; police powers)
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Case Details

Case Name: In re the Consolidated Hospital Surcharge Appeals of Gillette Children's Specialty Healthcare
Court Name: Court of Appeals of Minnesota
Date Published: Jul 6, 2015
Citations: 867 N.W.2d 513; 2015 Minn. App. LEXIS 42; 2015 WL 4379828; No. A14-1462
Docket Number: No. A14-1462
Court Abbreviation: Minn. Ct. App.
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