Pa. Prof'l Liab. Joint Underwriting Ass'n v. WolfPa. Prof'l Liab. Joint Underwriting Ass'n v. Wolf
On May 17, 2018, this court entered judgment in
Act 41 of 2018, No. 41, 2018 Pa. Laws __ (June 22, 2018) ("Aсt 41"), is the General Assembly's answer to JUA I. Utilizing our earlier analysis as a blueprint, Act 41 endeavors to avoid the constitutional infirmities of Act 44. Specifically, it purports to, inter alia , fold the nonprofit Joint Underwriting Association into the Commonwealth's Insurance Department ("Department"), shift control of the Association from its current member-led board to a board comprised of political appointees, oust the Association's president in favor of a new executive director hired by the Commonwealth's Insurance Commissioner ("Commissioner"), and mandate transfer of all of the Assoсiation's documents, files, and assets to the Department within 30 days of the Act's effective date. The Association asks the court to enjoin enforcement of the operative provisions of Act 41.
I. Background
The Joint Underwriting Association commenced this lawsuit with the filing of a verified complaint on June 28, 2018, subsequently filing an amended complaint on July 3, 2018. Therein, the Association challenges the constitutionality of Act 41 under
The Association moved for a temporary restraining order and preliminary injunction contemporaneously with the commencement of this case. The court denied the request for temporary restraining order and еxpedited proceedings on the request for a preliminary injunction. The court heard argument on the Association's motion on July 6, 2018. The parties agreed during oral argument that, for purposes of resolving the Association's motion, the factual record developed in JUA I is stipulated into the record sub judice. Accordingly, the findings of fact that follow are adopted from the court's summary judgment opinion in JUA I, with emphasis and reiteration of the facts most pertinent to the Association's instant claims.
II. Findings of Fact
The Joint Underwriting Association is a nonprofit association organized under the laws of the Commonwealth of Pennsylvаnia. See JUA I,
A. The MCARE Act and the Joint Underwriting Association
The MCARE Act is a sweeping piece of legislation, with an overarching goal of ensuring a "comprehensive and high-quality health care system" for the citizens of the Commonwealth.
The MCARE Act continues the operation of the Joint Underwriting Association.
The MCARE Act requires the Association to offer medical professional liability insurance to health care providers and entities who "cannot conveniently obtain medical professional liability insurance through ordinary methods at rates not in excess of" rates applicable to those similarly situated.
The Association, like other insurers in the Commonwealth, is "supervised" by the Department through the Commissioner.
The MCARE Act provides that all "powers and duties" of the Association "shall be vested in and exercised by a board of directors." Id. § 1303.731(a). The board's composition, and all of the Association's
The Joint Underwriting Association writes insurance policies directly to its insured health care рroviders, and those policyholders pay premiums directly to the Association.
The Association maintains contingency funds-its "reserves" and its "surplus"-which allow the Association to fulfill its insurance obligations in the event of greater-than-anticipated claims or losses.
B. Act 85 of 2016
On July 13, 2016, Governor Wolf signed into law Act 85 of 2016, P.L. 664, No. 85 ("Act 85"). Act 85 is wide-ranging in scope, but its principal effect was to amend the General Appropriation Act of 2016 and balance the Commonwealth's budget. Act 85, § 1. Among other things, Act 85 prоvides for certain transfers to the Commonwealth's General Fund. See
The Association did not transfer funds to the Commonwealth pursuant to Act 85. On May 18, 2017, the Association commenced a lawsuit, also pending before the undersigned, challenging the constitutionality of Act 85. See Pa. Prof'l Liab. Joint Underwriting Ass'n v. Albright, No. 1:17-CV-886, Doc. 1 (M.D. Pa. May 18, 2017). The lawsuit names Randy Albright in his official capacity as the Commonwealth's Secretary of the Budget as the sole defendant. At the parties' request, that litigation has been held in abeyance pending resolution of appeals filed in JUA I.
C. Act 44 of 2017
Governor Wolf signed Act 44 into law on October 30, 2017, in another attempt to bring balance to the state budget. Act 44, § 1. Therein, the General Assembly expressly repeals Act 85.
The Association responded with a second lawsuit, JUA I, challenging the constitutionality of Act 44. We preliminarily enjoined enforcement of Act 44 and accelerated proceedings on the merits of the Association's claims. On May 17, 2018, we issued a memorandum opinion concluding that the Assоciation is a private entity and its surplus funds are private property that the Commonwealth cannot take without just compensation. JUA I,
D. Act 41 of 2018
On June 22, 2018, Governor Wolf signed Act 41 into law. Act 41 radically reshapes the Joint Underwriting Association and alters its governance structure to give the Commonwealth direct control of the Association's assets and operations. See Act 41, §§ 3-5. Specifically, Act 41 does the following:
(1) Finds that "placing the Association within the Department will give the Commissioner more oversight of expenditures and ensure better efficiencies in the operation of the Association";
(2) Declares that the Association "shall continue as an instrumentality of the Commonwealth" and "shall operate under the control, direction and oversight of the Department";
(3) Replaces the Association's current member-led board with a state-controlled board, consisting of three gubernatorial appointees and one member appointed by each of the president pro tempore and the minority leader of the Pennsylvania Senate and the speaker and the minority leader of the Pennsylvania House of Representatives, with the chair of the board to be appointed by the Governor;
(4) Installs a new executive director to be hired by the Commissioner and compensated by the Commonwealth, to whom authority to act on behalf of the Association will be transferred within 30 days of the Act's effective date;
(5) Assumes Commonwealth liability for any claims or liabilities of the Association arising under its insurance policies;
(6) Mandates that the new board prepare and submit a new plan of operations to the Commissioner for approval within 60 days of the Act's effective date;
(7) Articulates with specificity the duties and responsibilities of and the authority granted to the new board; and
(8) Provides that all documents, papers, and assets in the Association'spossession shall be transferred to the Department within 30 days of the Act's effective date.
III. Legal Standard
The court applies a four-factor test in determining the propriety of preliminary injunctive relief. The movant must, as a threshold matter, establish the two "most critical" factors: likelihood of success on the merits and irreparable harm. Reilly v. City of Harrisburg,
IV. Discussion
A. Likelihood of Success on the Merits
To establish a likelihood of success on the merits, a movant must produce sufficient evidence to satisfy the essential elements of the underlying cause of action. See Punnett v. Carter,
The Association asserts three
The Association's Takings Clause claim is grounded in large part in our summary judgment opinion in JUA I. The parties' arguments sub judice each center on attempted analogy to or distinction from that decision. Accordingly, before examining the plausible merit of the Association's claims in this case, we briefly revisit the ratio decidendi undergirding JUA I.
1. JUA I
In JUA I, the Association brought similar constitutional claims challenging the General Assembly's attempt to transfer $200,000,000 of the Association's surplus to the Commonwealth's General Fund. JUA I,
We disagreed with defendants' contention that the Association is a public entity and its assets public property solely by virtue of the Association's statutory roots, drawing on a body of persuasive federal and state court decisions. JUA I,
Through the prism of these factors, we found both the Association and its funds to be private in nature. As to the Association itself, we determined that it is "at its core, an insurance company," which performs an "inherently private" function and is funded exclusively by privately-paid premiums. Id. at *12. We rejected defendants' suggestion that the MCARE Act subjects the Association to the imperious control of the Commissioner and observed that, per contra , the statute vested all "powers and duties" of the Association "in and [to be] exercised by a board of directors." Id. (alteration in original) (quoting 40 PA. STAT. & CONS. STAT. ANN. § 1303.731(a) ). We acknowledged that the MCARE Act includes limitations concerning rate-setting and dissolution, and required Commissioner approval of the Association's deficits, but held that those limitations were not meaningfully distinguishable from regulations applicable
We also found the Association's surplus funds to be private property. Id. (citing Miss. Surplus Lines Ass'n,
Based on these considerations, we concluded that the Joint Underwriting Association is a private entity and its surplus funds are private property. Id. at *14. In so doing, we observed that the Commonwealth made a choice when it created the Association in 1975, and that its choice has present-day constitutional consequences:
The legislature had the option to tightly circumscribe the Association's operations and composition of its board, cf. MMIA,, 537 N.Y.S.2d 1 533 N.E.2d at 1036-37 (citing MCKINNEY'S INSURANCE LAW § 5501 et seq. ); to establish the Association as a special fund within the state's treasury, cf. 40 PA. STAT. & CONS. STAT. ANN . § 1303.712(a); or to retain meaningful control in any number of other ways. That the General Assembly chose to achieve a public health objective through a private association has a perceptible benefit: it assures availability of medical professional liability coverage throughout the Commonwealth at no public cost. By the same token, it also has a consequence: the General Assembly cannot claim carte blanch access to the Association's assets.
2. Merits in the Instant Case
Act 41 responds directly to our analysis in JUA I. The Act endeavors to alter the nature of the Association and wholly remodel its governance structure in a post hoc attempt to "clarif[y] the intent that [the Association] is an instrumentality" of the state. (See Doc. 19 at 1; see also id. at 8). As set forth supra , Act 41 absorbs the Association into the Department as an arm of the Commonwealth, transfers control of the Association from its private board to a board of political appointees, articulates with specificity the board's authority and responsibilities, and allows the Commissioner to select a new executive director to head the Association. See Act 41, § 3. The Act directs the newly-reconstituted Association to transfer its existing assets to the Department by July 22, 2018. See id. §§ 3, 7.
The Association contends that Act 41 is the General Assembly's attempt to do indirectly what JUA I prohibits it from doing directly-taking the Association's private assets without just compensation in violation of the Fifth Amendment. (See Doc. 5 at 4-8). At this preliminary stage, we find that the Association has shown a "significantly better than negligible" probability of success on the merits of this claim. See Reilly,
Our decision in JUA I establishes as a matter of law that monies earned by the Association and held in its accounts are privatе funds entitled to the protection of the Takings Clause. See JUA I,
Defendants rejoin that Act 41 reflects an intervening change in the law, rendering JUA I inapplicable. (See Doc. 18 at 9; Doc. 19 at 10). Collateral estoppel generally will not apply when " 'controlling facts or legal principles have changed significantly since the [prior] judgment.' " Karns v. Shanahan,
At its essence, Governor Wolf's position is that, with a legislative vote and the stroke of the Governor's pen, what were private funds yesterday may become public funds tomorrow-with no consideration due the prior owner. (See
The parties also dispute whether and to what extent the General Assembly may alter the governance structure of the Joint Underwriting Association itself. In defense of Act 41, the General Assembly invokes the axiom that "the State may destroy or reshape any unit it creates." Hess v. Port Auth. Trans-Hudson Corp.,
We held in JUA I that, by relinquishing control of the Association to its board, the General Assembly released the Association from any residual sovereign mooring. JUA I,
B. Irreparable Harm
Irreparable injury is harm of such an irreversible character that prospective judgment would be "inadequate" to make the moving party whole. See Anderson v. Davila,
We have little difficulty concluding that the Association will suffer imminent and irreparable harm if Act 41 is not enjoined from taking effect. We found in JUA I that by forcing the Association to turn $200,000,000 of its surplus funds over to the state, Act 44 exposed the Association to imminent, irreрarable harm. See JUA I,
C. Remaining Factors
As this court has previously observed, the public interest favors preliminary injunctive relief when a plaintiff has demonstrated both a likelihood of success on the merits and irreparable harm. See Johnson v. Wetzel,
To determine whether injunctive relief would result in greater harm to the nonmovant, we must examine the terms of the requested injunction, consider the parties' respective positions, and assess the ramifications of the relief sought. See Novartis Consumer Health Inc. v. Johnson & Johnson-Merck Consumer Pharms., Inc.,
We agree with both the Commonwealth defendants and the legislative leaders that the General Assembly and the public have strong interests in free exercise of the legislative prerogative and an unencumbered lawmaking process. Beyond this generalized interest, however, defendants have failed to point to any countervailing injury to the Commonwealth or to the public if Act 41 is temporarily enjoined. Nor has the General Assembly identified any exigency justifying its desire to absorb the Association into the Commonwealth immediately. As in JUA I, the court stands ready to expedite full merits disposition of this matter, such that Act 41 will be preliminarily enjoined for only a short period of time. Accordingly, we conclude that the balance of the respective hardships favors injunctive relief.
V. Conclusion
For all of the reasons stated herein, we find that preliminary injunctive relief is necessary to preserve the status quo pending merits review of the Joint Underwriting Association's constitutional claims. An appropriate order shall issue.
Notes
Counsel have entered their aрpearances on behalf of Governor Wolf, Commissioner Altman, and the elected leadership of both chambers of the General Assembly. Counsel has not yet entered an appearance on behalf of the General Assembly itself.
The Joint Underwriting Association argues that the elected leaders of the General Assembly are in privity with the General Assembly itself for purposes of any res judicata application sub judice. (See Doc. 5 at 6). Because the Association need only show a likelihood of success on a single claim in order to obtain injunctive relief, see Trefelner,
At oral argument, defendants asserted that any takings claim must fail because Act 41 does not "take" anything from the Association. Act 41 transfers total control of the Association to the Commonwealth and grants possession and authority over the Association's assets thereto. Specifically, the Act provides that "within 30 days following the effective date of this section, all paper and electronic documents and files and other assets of the association in the possession of the association, its executive director and employees shall be transferred to the Department." Act 41, § 3 (emphasis added). We reject defendants' suggestion that Act 41 does nothing to deprive the Association of its private property.