MEMORANDUM OPINION
Pending before this Court are cross motions for summary judgment filed by Plaintiffs A.T. Massey Coal Company, Inc., et al., (“Plaintiffs” or “Assigned Operators”) and Defendant Jo Anne B. Barnhart (“Barnhart” or “Commissioner”), Commissioner of the Social Security Administration (“SSA”) and Defendants Michael H. Holland, William P. Hobgood, Marty D. Hudson, Thomas O.S. Rand, Elliot A. Se-gal, Carl E. Van Horn, and Gail R. Wilen-sky, who are Trustees of the United Mine Workers of America Combined Benefit *471 Fund (collectively “Trustees”). 1 Plaintiffs comprise 118 companies assigned responsibility by the SSA to pay annual premiums to the United Mine Workers of America Combined Benefit Fund (“Combined Fund”) according to the Coal Industry Retiree Health Benefit Act of 1992 (“Coal Act”), 26 U.S.C. §§ 9701 et seq. On April 15, 2004, Plaintiffs filed a second amended complaint (“Second Amended Complaint”) against Defendants Barnhart and Trustees seeking injunctive and declaratory relief: (1) concerning the correct premium amount the Commissioner of the SSA is required to calculate and that the Plaintiffs are obliged to pay; and (2) to recover amounts owed to them due to the supposed unlawful premiums set by the Commissioner. Plaintiffs’ Second Amended Complaint seeks review of a two-tiered premium approach that was adopted by the Commissioner in 2003, which requires some coal operators to pay higher health care premium rates for retired workers and their dependents than those paid by other coal operators.
On November 22, 2004, Plaintiffs filed a Motion for Summary Judgment on Counts One and Two of their Second Amended Complaint. On January 21, 2005, Defendant Barnhart and Defendant Trustees filed separate Cross Motions for Summary Judgment on Counts One and Two. Count One of the Second Amended Complaint alleges that the Commissioner’s June 10, 2003 decision (“2003 Premium Decision”) altered the method used by the Commissioner to calculate annual premiums from 1995 to 2003 and in doing so violated the plain language of the Coal Act, 26 U.S.C. § 9704(b)(2)(A). Count Two of the Second Amended Complaint claims that the 2003 Premium Decision violated the Administrative Procedure Act (“APA”), in particular 5 U.S.C. § 706(2)(A), because the 2003 Premium Decision was arbitrary and capricious and not in accordance with the law.
In sum, the pending motions for summary judgment focus on the interpretation and application of the term “reimbursements” as it is used in 26 U.S.C. § 9704(b)(2)(A) of the Coal Act. Earlier premium decisions have faced similar challenges in federal courts in two other districts, the Northern District of Alabama
(National Coal Ass’n v. Shalala,
No. CV-94-H-780-S, 1995 U.S. Dist LEXIS 21116 (N.D.Ala. June 2, 1995),
aff'd sub nom. National Coal Ass’n v. Chater,
Accordingly, for the determination letter for the plan year beginning October 1, 2003, we intend to provide two per-beneficiary premium calculations. The higher amount will represent a calculation based on the initial interpretation of the term “reimbursement.” We believe that this interpretation is consistent with the text and structure of the Coal Act as a whole and represents a permissible construction of the statute’s plain language of the term “reimbursement.” The lower amount will represent a calculation consistent with the interpretation established in National Coal.
(See Pls’ Mem. Summ. J. Ex. 10 at 2, “2003 Premium Decision”.)
This Court has jurisdiction over this action pursuant to 28 U.S.C. § 1331, 26 U.S.C. § 9721 (the Coal Act), and 29 U.S.C. § 1451 (ERISA). The issues have been fully briefed and no hearing is necessary. See Local Rule 105.6 (D.Md.2004). For the reasons stated below, the Plaintiffs’ Motion for Summary Judgment on Counts One and Two is GRANTED, Defendant Barnhart’s Motion for Summary Judgment on Counts One and Two is DENIED, and Defendant Trustees’ Motion for Summary Judgment on Counts One and Two is DENIED.
FACTUAL AND PROCEDURAL HISTORY
I. History and Structure of the Coal Act
For well over seventy years, the employers of the coal mining industry and the United Mine Workers of America (“UMWA”), an organization representing coal miners, have disputed the extent of employee benefits provided to coal miners. Much of this lengthy history is described in a variety of cases, including
Barnhart v. Sigmon Coal Co.,
The four main parties currently involved in the Combined Fund are: (1) the group of current or retired coal miners and their dependents; (2) the Commissioner of the Social Security Administration, who is *473 charged with calculating the per beneficiary premium each coal operator must pay; 2 (3) the Trustees who are required to collect premiums and administer the Combined Fund; and (4) the coal operators that are required to pay annual premiums to the Trustees as calculated by the Commissioner.
II. Calculation of Health Benefit Premiums Under the Coal Act
A. Calculating Health Benefits Premium
Calculating the premium to be paid by the coal operators under the Coal Act is governed by 26 U.S.C. § 9704(b)(2)(A), which states:
(2) Per beneficiary premium.-The Commissioner of Social Security shall calculate a per beneficiary premium for each plan year beginning on or after February 1, 1993, which is equal to the sum of-
(A) the amount determined by dividing-
(i) the aggregate amount of payments from the 1950 UMWA Benefit Plan and the 1974 UMWA Benefit Plan for health benefits (less reimbursements but including administrative costs) for the plan year beginning July 1, 1991, for all individuals covered under such plans for such plan year, by
(ii) the number of such individuals
The first plan year of the Combined Fund was February 1, 1993 to September 30, 1993. Each subsequent plan year starts on October 1st. See 26 U.S.C. § 9702(c). However, the calculation for the base year established by Congress, beginning July 1, 1991, is crucial, as it provides the basis for all premium calculations going forward. It is this base year calculation that is at issue in the parties’ motions for summary judgment. After the initial calculation, the premiums are adjusted by taking the initial calculation per beneficiary and multiplying the premium amount by the percentage of the medical component of the Consumer Price Index that surpasses the medical component for 1992. See 26 U.S.C. § 9704(b)(2)(B).
B. The Combined Fund’s Practices Relating to Reimbursements From Medicare
The controversy surrounding the correct base year reimbursement figure focuses on two conflicting approaches to the term reimbursement. The first approach is a capitation-based approach to reimbursement, described below, which was actually in place during the base year established by 26 U.S.C. § 9704(b)(2)(A), which is July 1, 1991 to June 30, 1992. The second approach, also described below, is a cost-based approach to reimbursement that was in place prior to July 1, 1990. The cost-based approach had been abandoned, in lieu of the capitation-based approach, by the base year.
See Holland,
The term reimbursements, as it is used in the relevant section of the Coal Act, relates to reimbursements the Combined *474 Fund receives from Medicare. The Combined Fund has a partnership with Medicare. Prior to July 1, 1990, the Combined Fund paid for Part B (physician) related medical expenses for eligible beneficiaries and their dependents eligible to receive medical assistance from the Medicare program. The Combined Fund would then seek reimbursement from the Health Care Financing Administration (“HCFA”), an agency within the SSA administering Medicare. The HCFA would provide the Combined Fund with reasonable cost-based reimbursements for services Medicare covered under Part B. Id. This arrangement led to disputes between HCFA and the Combined Fund due to the negotiating of reasonable cost-based Medicare reimbursements. Id.
In 1990, to try to eliminate these disputes, HCFA and the Combined Fund entered into a “risk-capitation” agreement pursuant to which HCFA would pay the Combined Fund a fixed monthly per-person fee instead of the reasonable cost-based amount. Id. From July 1, 1990 to June 30, 1993, HCFA agreed to pay the Combined Fund a “predetermined amount per beneficiary per month which was based on a prediction of the Plans’ Medicare-covered expenditures.” (Def. Trustees’ Mem. Summ. J. at 10.) The fixed monthly fee for the first year was $141.87. {Id.)
By the second year of the calculations (the baseline year for Coal Act premium calculations started July 1, 1991), the Medicare flat fixed monthly fee was $156.11. (Def. Barnhart’s Mem. Summ. J. at 8.) The flat fee or capitation calculation produced a $182.3 million payment owed by HCFA to the Combined Fund. However, the Combined Fund had actually only paid $156.8 million for Medicare-covered services— resulting in a $25 million surplus in the fund during the base year.
C. The Initial 1993 Premium Decision
In calculating the premium for the base year, the Secretary of Health and Human Services (“Secretary”), who was tasked with this calculation at the time, subtracted the reimbursements from the aggregate amount of payments made by the Combined Fund. On October 4, 1993, then-Secretary Shalala issued a memorandum (“1993 Premium Decision”) where she proffered two definitions of reimbursement — one applying the cost-based approach and the other applying the capitation-based approach.
3
The Secretary selected the cost-based approach. In doing so, the Secretary used $156.8 million as the reimbursement figure instead of the $182.3 million amount the Combined Fund actually received from the HCFA for the base year under the capitation-based approach. (Pis.’ Mem. Summ J. at 5.) The Secretary used the $156.8 million amount as the reimbursement figure because it represented the amount paid by the Combined Fund for Medicare Part B and administrative costs— resembling a cost-based methodology rather than a capitation-based basis computation of $182.3 million. In using the figure of $156.8 million, the annual premium for coal operators for the following year was higher— $2,245.33 versus $2,013.83 if the $182.3 million figure was used.
See National Coal Ass’n,
III. Prior Premium Rate Litigation
A. National Coal Association Litigation — (Coal Miners v. SSA)
In 1994, the National Coal Association and seven coal companies
(“National Coal
Plaintiffs”) filed a complaint in the United States District Court for the Northern District of Alabama against the Secretary alleging a violation of the Coal Act in response to the 1993 Premium Decision.
4
National Coal Ass’n,
The Alabama district court held that the term “reimbursement” should be computed to include the total amount of money the HCFA paid to the Combined Fund “regardless of whether such a payment would be greater or less than the actual cost of Medicare expenses incurred by the UMWA plans for Medicare Part B expenses.”
Id.
at *14.
5
The now-Commissioner of the SSA appealed the district court’s decision to the United States Court of Appeals for the Eleventh Circuit, which affirmed the lower court’s ruling.
National Coal Ass’n,
B. 1995 Premium Decision
On July 28, 1995, the Commissioner notified the Trustees of the health premium amount calculated in accordance with the National Coal decision. (“1995 Premium Decisions”) (Pis.’ Mem. Summ. J. Ex. 8.) The 1995 Premium Decision used the total money HCFA paid to the Combined Fund, $182.3 million, for the reimbursement figure, which resulted in a ten percent decrease in the annual health premium amount charged to the coal operators. (Pis.’ Mem. Summ. J. at 12.) From 1995 to 2003, the Commissioner calculated the annual health premium amounts uniformly to all assigned operators in accordance with the 1995 Premium Decision. (Id.)
C. Holland v. Apfel
On July 26, 1996, two months after the Eleventh Circuit’s decision in
National Coal,
the Trustees, after having declined to intervene in the Alabama litigation, filed a complaint against the Commissioner of the SSA, Kenneth S. Apfel in United States District Court for the District of Columbia. The Trustees claimed that the 1995 Premium Decision misinterpreted the Coal Act in violation of section 706(2)(A) of the Administrative Procedure Act (“APA”) for failing to be in accordance with the law.
See Holland v. Apfel,
The D.C. District Court in
Holland I
denied the Trustees’ and the
National Coal
Plaintiffs’ motions for summary judgment.
Holland v. Apfel,
96-9744(CKK),
On appeal, the United States Court of Appeals for the District of Columbia held that the SSA’s 1995 Premium Decision, pursuant to the Eleventh Circuit’s decision in
National Coal,
was not restricted from APA review simply because an injunctive order was issued by the Eleventh Circuit.
Holland v. Nat. Mining Ass’n,
In Holland I, the D.C. Circuit remanded the case for clarification as to the basis of the SSA’s issuance of the 1995 Premium Decision since the term “reimbursement” lacked a “plain meaning.” Id. at 816, 819. Ultimately, the court requested the SSA to explain whether the SSA felt it was forced to adopt the Eleventh Circuit’s interpretation of “reimbursement” nationwide. Id. at 816-17. If the agency felt it was compelled to apply the Eleventh Circuit’s definition of “reimbursement” nationwide, then Chevron 8 deference would not apply to the SSA since the nationwide application would be the reasoning of a court and not the administrative agency promulgated with those powers by Congress. Id. at 817. Conversely, if the SSA “voluntarily acquiesced” and used its own reasoned judgment, then Chevron deference might apply. Id.
In sum, the D.C. Circuit: (1) affirmed the lower court’s denial of the motion to dismiss; (2) vacated the lower court’s injunction concerning the recalculation of annual health care premiums for National Coal Plaintiffs; (3) vacated the 1995 Premium Decision because the SSA had failed to appropriately rationalize its decision to apply the National Coal decision to all coal operators nationwide; and (4) reversed the lower court’s decision to support the SSA’s original interpretation of the term “reimbursements” pending clarification from the SSA. See id. at 819.
D. 2008 Premium Decision
On January 9, 2003, the D.C. District Court remanded the case to the SSA to address the questions posed by the D.C. Circuit. (Pis.’ Mem. Summ. J. at 16.) On June 10, 2003, the SSA sent a letter to the chairman of the Trustees of the Combined Fund stating:
After a diligent search, the Agency has been unable to locate documents that illuminate the rationale that provided the basis for the 1996[sic] decision to publish a single per-beneficiary rate. The officials involved in making the decision are no longer with the Agency, so there is no available “institutional memory” sufficient to determine whether the Agency voluntarily acquiesced in the Eleventh Circuit’s interpretation or believed that it had no choice but to apply the revised interpretation nationwide.
(Pis.’ Mem. Summ. J. Ex. 10 at 2.)
In this same June 10, 2003 letter, referred to as the 2003 Premium Decision, the Commissioner established a new, two-tiered premium calculation scheme. Basically, the coal operators that were parties in the National Coal case would pay a *478 lower premium calculation. To reach this result, the Commissioner explained that the SSA will define reimbursement, consistent with the Eleventh Circuit’s definition, to mean the payment received from HCFA, based on the capitation-based approach. The remaining coal operators, that were not parties in National Coal, would pay a higher premium. This higher premium was reached by defining reimbursement to mean a cost-based approach or the actual amount the Combined Fund paid out in Medicare covered expenses. (Pl.’s Mem. Mot. Summ. J. Ex. 10 at 2.) The 2003 Premium Decision states, in relevant part:
Accordingly, for the determination letter for the plan year beginning October 1, 2003, we intend to provide two per-beneficiary premium calculations. The higher amount will represent a calculation based on the initial interpretation of the term “reimbursement.” We believe that this interpretation is consistent with the text and structure of the Coal Act as a whole and represents a permissible construction of the statute’s plain language of the term “reimbursement.” The lower amount will represent a calculation consistent with the interpretation established in National Coal. The establishment of two calculations will allow the Fund to apply the higher premium amount to those coal operators who were not parties to the National Coal litigation. The Agency believes that implementation of the Eleventh Circuit’s decision in this manner, which enhances the financial viability of the UMWA Combined Benefit Fund, is consistent with the Coal Act’s stated purpose of stabilizing plan funding and allowing for the provision of health care benefits to retired coal miners and their dependents.
(Pis.’ Mem. Summ. J. Ex. 10 at 2.)
As mentioned above, Plaintiffs contend that this decision violates the plain language of the Coal Act, 26 U.S.C. § 9704(b)(2)(A), which they believe requires the capitation-based approach to be used to determine the reimbursement amount and that the SSA’s determination violated the APA, in particular 5 U.S.C. § 706(2)(A), because it was arbitrary and capricious and not in accordance with the law. The SSA and the Trustees disagree.
IV The Instant Litigation
On June 16, 2003, a number of assigned operators filed an action against the Commissioner and the Trustees in the Northern District of Alabama, challenging the 2003 Premium Decision.
A.J. Taft Coal Co. v. Barnhart,
No. C.V. 03-BE-1390-S (N.D.Ala.). On July 15, 2003, the Combined Fund filed an action in the District of Columbia against more than 100 assigned operators seeking a declaration that the defendants were required to pay the higher premium rate set forth in the 2003 Premium Decision.
Holland v. A.J. Taft Coal Co.,
C.A., No. RJL-03-1523 (D.D.C.) (this action will be referred to as “Holland II”). Both cases were transferred to this Court for resolution.
See A.J. Taft Coal Co. v. Barnhart,
*479 STANDARD OF REVIEW
This is an action for declaratory judgment
10
and injunctive relief. Currently pending are cross-motions for summary judgment. Rule 56 of the Federal Rules of Civil Procedure provides that summary judgment “shall be rendered forthwith if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no
genuine
issue as to any
material
fact and that the moving party is entitled to a judgment, as a matter of law.” Fed.R.Civ.P. 56(c) (emphasis added). In
Anderson v. Liberty Lobby, Inc.,
When both parties file motions for summary judgment, as here, the court applies the same standards of review.
Taft Broad Co. v. United States,
DISCUSSION
The parties in this case agree that there are no material facts in dispute, as to Counts One and Two of Plaintiffs’ Second Amended Complaint, and that this matter can be decided on summary judgment. Count One alleges that the Commissioner’s June 10, 2003 decision (“2003 Premium
*480
Decision”) altered the method used by the Commissioner to calculate annual premiums from 1995 to 2003 and in doing so violated the plain language of the Coal Act, 26 U.S.C. § 9704(b)(2)(A). This Court is now placed in the position to essentially revisit whether the term “reimbursements”, in 26 U.S.C. § 9704(b)(2)(A)(i) of the Coal Act, is ambiguous. As the Northern District of Alabama noted in transferring this case to this District, “[t]here is a disagreement between the Eleventh Circuit and the D.C. Circuit as to whether or not the term ‘reimbursements’ is ambiguous.”
Barnhart,
With respect to Count Two, the Plaintiffs claim that the 2003 Premium Decision violated the APA, in particular 5 U.S.C. § 706(2)(A), because the 2003 Premium Decision was arbitrary and capricious and not in accordance with the law. However, the Commissioner argues that the SSA is entitled to
Chevron
deference in determining the premium application and that the 2003 Premium Decision was not arbitrary and capricious.
See generally Chevron U.SA., Inc.,
' The Court will address each Count in turn.
I. Count I — The Term, Reimbursements
The Court is first presented with a pure question of statutory analysis, in that it must determine the meaning of the term “reimbursements” as it is used in 26 U.S.C. § 9704(b)(2)(A).
11
Statutory interpretation begins with the language of the act.
See Bailey v. United States,
The Coal Act does not define the term reimbursements, in § 9704(b)(2)(A), or elsewhere in the Act. However, at the time the Coal Act was passed, in 1992, the *481 practice of the Secretary of HHS and the Combined Fund was to calculate reimbursements using a capitation-based methodology. This practice was memorialized in a Memorandum of Agreement dated September 25,1990 and a subsequent Contract dated January 13, 1992. (Pis.’ Mem. Summ. J. Exs. 4 & 5.) The Contract under the heading “Reimbursement” states, “[p]ursuant to waivers ... the [Combined Fund] will be reimbursed on a risk-based capitated payment basis for a period of 3 years, beginning July 1, 1990 and ending June 30 1993.” (Pis.’ Mem. Summ. J. Ex 5.) The capitation-based approach was in fact used for the base year (July 1, 1991 to June 30, 1992) established by Congress in § 9704(b)(2)(A). 12
In appropriate circumstances, courts will presume that Congress was aware of certain facts or practices in place at the time a statute was enacted.
See Mori v. International Broth. of Boilermakers,
Notwithstanding Congress’ level of awareness of the capitation-based approach, the ordinary, contemporary, and plain meaning of reimbursements is consistent with the capitation-based approach. In interpreting the plain language of a statute, “[w]e give the words of a statute their ordinary, contemporary, common meaning, absent an indication Congress intended them to bear some different import.”
North Carolina Growers Ass’n,
Consistent among all of these definitions is that a reimbursement is essentially a payment made. The SSA argues that the notion of
re
payment means that the recipient is only provided the amount he or she expended. The common meaning of reimbursement, however, is not as narrow as the SSA suggests. Therefore, the capitation-based payment of $182.3 million made by HCFA to the Combined Fund during the base year squarely falls within the common meaning of the term reimbursement. “If the words convey a clear meaning, courts may not sift through secondary indices of intent to discover alternative meanings.”
Southern Mgmt. Corp.,
The Trustees, however, invite this Court to take a more holistic approach in conducting the statutory interpretation necessary to resolve this dispute. The Trustees cite
Regions Hosp. v. Shalala,
Similarly, the SSA invites the Court to look at the statutory purpose of the Coal Act to determine the meaning of the term “reimbursements.”
See United Sav. Ass’n v. Timbers of Inwood Forest Assocs.,
The Commissioner’s 2003 Premium Decision violates the plain language of the Coal Act, 26 U.S.C. § 9704(b)(2)(A), in that the Commissioner established two different definitions of reimbursement, one based on a cost-based amount, reflecting costs incurred, and a second based on a capitation-based amount, reflecting the
*483
amount received. This Court concurs with the analysis conducted
ten years ago
by the United States District Court for the Northern District of Alabama that “the term reimbursement clearly and unambiguously refers to the
full amount paid ...
in the base year pursuant to the
capitation
agreement.”
National Coal Ass’n,
II Count II — APA Analysis
This Court finds the statutory text of § 9704(b)(2) clear, thus deference analysis is not necessary.
See Chevron U.S.A., Inc.,
Assuming
arguendo
that “reimbursements” in 26 U.S.C. § 9704(b)(2)(A) is ambiguous, this Court must review the SSA’s 2003 Premium Decision in accordance with the APA.
See
5 U.S.C. § 706(2)(A). To review agency determinations, courts frequently apply the well-known analysis established in
Chevron.
15
Under
Chevron,
if Congress has explicitly or implicitly delegated authority to an agency “to elucidate a specific provision of the statute by regulation” then the agency’s determination shall not be disturbed by the reviewing court unless it is arbitrary or capricious.
Chevron,
More recently, the Supreme Court in
United States v. Mead,
This Court finds that the SSA’s 2003 Premium Decision would not be entitled to
Chevron
deference, as Congress did not delegate the type of authority necessary to afford the SSA’s decision such deference. In establishing the standards of deference in
Chevron
noted above, the Supreme Court further stated: “We have recognized a very good indicator of delegation meriting
Chevron
treatment in express congressional authorizations to engage in the process of rulemaking or adjudication that produces regulations or rulings for which deference is claimed.”
Id.
at 229,
According to
Mead,
an agency’s interpretation may merit some form of deference other than
Chevron
deference.
We consider that the rulings, interpretations, and opinions of the Administrator under this Act, while not controlling upon the courts by reason of their authority, do constitute a body of experience and informed judgment to which courts and litigants may properly resort for guidance. The weight of such a judgment in a particular case will depend upon the thoroughness evident in its consideration, the validity of its reasoning, its consistency ivith earlier and later pronouncements, and all those factors ivhich give it power to persuade, if lacking power to control.
Skidmore v. Swift & Co.,
The 2003 Premium Decision adopted a two-tiered premium structure by applying two different definitions of the term reimbursement. As a result, certain coal operators, who were not parties to the
National Coal
litigation initiated in Alabama, pay a higher premium than those who were parties in that litigation. As has been discussed at length previously,
see infra
“Background,” this structure was not always in place. The SSA abandoned its 1993 premium calculation methodology
17
in 1995,
18
and then adopted the 2003 Premium Decision, a hybrid between the 1993 and 1995 decisions. It is certainly difficult to catagorize the SSA’s pronouncements as consistent. The United States Court of Appeals for the Fourth Circuit has specifically stated that less deference is given “to an agency’s interpretations of a statute that conflict with the agency’s previous interpretations of that same statute.”
NISH v. Cohen,
In its three page letter to the Trustees of the Combined Fund (the “2003 Premium Decision”), the SSA cannot provide a rational basis for abandoning the prior single per-beneficiary rate for all coal operators utilizing the capitated calculation for reimbursements. {See Pis.’ Mem. Summ. J. Ex. 10, “2003 Premium Decision”.) Although the SSA was unable to “establish the rationale for [its] decision in the past,” it determined that “it is now appropriate to adopt a different approach in light of recent litigation and the current financial condition of the Fund.” {Id. at 2.) The SSA explained that it was not required to apply the holding of the Eleventh Circuit to non- National Coal plaintiffs and that this reason coupled with the Combined Fund’s worsening condition made it necessary to “afford[] all the premium revenues contemplated by the Coal Act.” {Id.) The SSA does not provide any other rationale for why certain coal operators should be required to bear more financial burden than others. Although this Court appreciates the SSA’s concern for the financial viability of the Combined Fund, it cannot accept that this reason supports applying two different definitions of reimbursement, which *486 results in certain coal operators being required to carry more of the financial load. 19 Therefore, this Court will accord little deference to the SSA’s 2003 Premium Decision. The definition of reimbursements must be uniformly applied to all coal operators in accordance with the term’s plain meaning, as determined above.
CONCLUSION
For the reasons stated below, the Plaintiffs’ Motion for Summary Judgment on Counts One and Two is GRANTED, Defendant Barnhart’s Motion for Summary Judgment on Counts One and Two is DENIED, and Defendant Trustees’ Motion for Summary Judgment on Counts One and Two is DENIED.
Notes
. This case was transferred from the United States District Court for the Northern District of Alabama.
See A.J. Taft Coal Co. v. Barnhart,
. The Secretary of Health and Human Services (''Secretary”) was initially granted the authority by Congress to calculate the per beneficiary premium each coal operator must pay. See 26 U.S.C. § 9704(b)(2). However, the Program Improvement Act of 1994, Pub.L. No 103-296, § 108(h)(9)(A), 108 Stat. 1481, 1487 (codified at 26 U.S.C. §§ 9704(b)(2), 9704(h)), amended the Coal Act by substituting the Secretary of Health and Human Services with the Commissioner of the Social Security Administration. This opinion will use "Secretary” for events before March 31, 1995 and "Commissioner” for events on March 31, 1995 to present.
. The Secretary’s first definition defined "reimbursement” as the "amount the Combined Fund paid under a fee-for-service arrangement [which was $156.8 million]. (This option results in more money for the Combined Fund.).” (Pis.’ Mem. Summ. J. Ex. 1 at 2.) The Secretary's second definition defined "reimbursement” as "the Medicare capitated payments received by the fund [which was $182.3 million]. (This option results in less money for the Combined Fund.).” {Id.)
. The Trustees of the Combined Fund were not named as parties to this suit over the objection of the Secretary. The Trustees declined to voluntarily intervene and participate in the Alabama litigation. (Def. Barnhart's Mem. Summ. J. at 10.)
. In a later memorandum opinion, the district court ordered the SSA to: (1) recompute the annual premiums based upon the total payments made by HCFA to the 1950 and 1974 Benefit Plans for the plan year July 1, 1991 to June 30, 1992; (2) inform the Combined Fund of the premium amount the SSA should have determined for assigned operators for February 1, 1993 to October 1, 1993; and (3) apprise the Combined Fund of the annual premiums assigned operators should have paid for the plan year starting October 1, 1994.
National Coal Ass’n v. Chater,
No. CV-94-H-780-S,
.After the
National Coal
decisions, the successor to the National Coal Association, the National Mining Association, filed a complaint against the Combined Fund demanding repayment for the difference of the annual health premium rates calculated by the SSA.
National Mining Ass’n v. Apfel,
No. CV-96-J-1385-S (N.D.Ala.). In February 1999, the United States District Court for the Northern District of Alabama granted summary judgment in favor of the Plaintiff coal operators by requiring a refund of $35 million of their overpayments for health benefit premiums.
National Mining Ass’n v. Apfel,
. The D.C. Circuit stressed that "[i]t is altogether possible for the Commissioner to calculate the premium twice, according to the two different interpretations of 'reimbursements,' and to apply the appropriate calculation to each coal operator, depending on whether the particular coal operator was or was not party to the Eleventh Circuit suit.”
Holland,
.
Chevron, U.S.A., Inc. v. Natural Res. Def. Council, Inc.,
. This action has been appropriately re-captioned.
. “In a case of actual controversy within its jurisdiction, ... any court of the United States, upon the filing of an appropriate pleading, may declare the rights and other legal relations of any interested party seeking such declaration, whether or not further relief is or could be sought.” 28 U.S.C. § 2201(a).
. In this case, the type of pure statutory analysis required to address Count One of Plaintiffs' Complaint is virtually identical to the type of analysis required in the first step of
Chevron,
which is more directly implicated by Count Two of Plaintiffs’ complaint.
See Chevron,
. It is also noteworthy that at no time after the Eleventh Circuit National Coal decision, which was issued almost ten year ago, did Congress choose to act to indicate that the capitation-based approach was inconsistent with its intended meaning of the term “reimbursements.”
. The SSA also cites Regions Hosp. in its brief.
. The United States District Court for the Northern District of Alabama and the United States Court of Appeals for the Eleventh Circuit held the statutory text of § 9704(b)(2) was clear and found it unnecessary to address whether the then-Secretary's interpretation was reasonable and entitled to deference.
See National Coal Ass’n,
.
Chevron U.S.A., Inc. v. Natural Resources Defense Council, Inc.,
. Under
Chevron
analysis, when a court reviews an agency’s construction of a statute it regulates, the court shall perform a two-step process.
Chevron U.S.A., Inc.,
. In the 1993 Premium Decision, the then-Secretary interpreted the term ''reimbursements” to include the amount of actual costs incurred by the Combined Fund rather than the amount of money received from HCFA. This approach was applied uniformly to all coal operators.
. In the 1995 Premium Decision, the term ''reimbursements” was defined as the amount of money received from HCFA. This approach was applied uniformly to all coal operators.
. Even if this Court were to apply the heightened level of deference required under
Chevron,
it would conclude that the SSA’s 2003 Premium Decision was arbitrary and capricious for these same reasons.
See Mercy Catholic Med. Ctr.
v.
Thompson,
