SOUTHERN UTE INDIAN TRIBE v. KATHLEEN SEBELIUS, Secretary of the United States Department of Health and Human Services; RICHARD H. CARMONA, Surgeon General of the United States; CHARLES W. GRIM, Assistant Surgeon General and Director of the Indian Health Service; JAMES L. TOYA, Director, Albuquerque Area Office of the Indian Health Service; UNITED STATES INDIAN HEALTH SERVICE; UNITED STATES PUBLIC HEALTH SERVICE; UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES
No. 09-2281 & 09-2291
United States Court of Appeals, Tenth Circuit
September 19, 2011
657 F.3d 1071
UNITED STATES COURT OF APPEALS
TENTH CIRCUIT
Appeal from the United States District Court for the District of New Mexico (D.C. No. 1:05-CV-00988-WJ-LAM)
Steven C. Boos of Maynes, Bradford, Shipps & Sheftel, LLP, Durango, Colorado (Monte Mills of Southern Ute Indian Tribe Legal Department, Ignacio, Colorado, with him on the briefs), for Plaintiff-Appellant/Cross-Appellee.
Jeffrica Jenkins Lee, Attorney, Civil Division (Tony West, Assistant Attorney General; Gregory J. Fouratt, United States Attorney; and Barbara C. Biddle,
Before MURPHY, SEYMOUR and O‘BRIEN, Circuit Judges.
SEYMOUR, Circuit Judge.
This is the second appeal in litigation arising from the Secretary of Health and Human Services’ (“HHS“) decision not to enter into a self-determination contract with the Southern Ute Indian Tribe (“Tribe“). In an initial order, the district court ruled that HHS‘s decision was unlawful, granted summary judgment to the Tribe, and directed the parties to prepare a proposed order for injunctive relief. See Southern Ute Indian Tribe v. Leavitt (Southern Ute I), 497 F. Supp. 2d 1245 (D.N.M. 2007). After the parties were unable to agree on the proposed order, the district court issued an interlocutory order in which it endorsed HHS‘s approach to the contract‘s start date and contract support costs. See Southern Ute Indian Tribe v. Leavitt, Mem. Op. & Order Following Presentment H‘rg (Southern Ute II), Civil No. 05-988 WJ/LAM (D.N.M. Oct. 18, 2007). The Tribe appealed, and we dismissed the appeal for lack of jurisdiction. See Southern Ute Indian Tribe v. Leavitt (Southern Ute III), 564 F.3d 1198 (10th Cir. 2009). On remand, the district court issued a final order, directing the parties to enter a self-determination contract including HHS‘s proposed language regarding the contract
Both parties appeal. We affirm the district court‘s determination that HHS was required to contract with the Tribe and regarding the contract start date, but reverse regarding contract support costs.
I.
The statutory and factual background underpinning this litigation is set forth in detail in our prior decision. Southern Ute III, 564 F.3d at 1200-06. We repeat here only those details necessary to understand our disposition.
A.
The Indian Self-Determination and Education Assistance Act (“ISDA“) directs the Secretary of HHS (the “Secretary“), upon request of an Indian tribe, to enter into a contract by which the tribe assumes direct operation of HHS‘s federal Indian health care programs for the tribe‘s members.
Under the ISDA, the Secretary must approve a Tribe‘s contract proposal unless he or she makes a “specific finding that clearly demonstrates or . . . is supported by a controlling legal authority” that one or more of the statutory grounds for declination are met.
Once the Secretary enters into a self-determination contract, the ISDA directs the Secretary to provide two types of contract funding. The first is the “secretarial amount,” which is the amount of funding Congress would have provided HHS to operate the programs had they not been turned over to the tribe.
The Secretary‘s obligation to fund self-determination contracts is not absolute. The ISDA includes an “availability clause,” which states that the Secretary‘s payment of funds to contractor tribes is “subject to the availability of appropriations.”
Every self-determination contract must also contain or incorporate by reference the provisions of the “model agreement” prescribed by the ISDA and “such other provisions as are agreed to by the parties.”
The fact that the Secretary‘s payment of CSCs is subject to the availability of appropriations is important in light of Congress‘s funding decisions. In fiscal year 1994, Congress began capping CSC funding. Ramah Navajo Chapter, 644 F.3d at 1059. Because of these caps, aggregate shortfalls in CSC funding have been ubiquitous, leaving the HHS with insufficient funds to pay full CSCs under both ongoing and new contracts. See id. (noting “funding shortfalls for CSCs
The ISDA includes remedial provisions. Relevant here, it gives United States district courts jurisdiction to hear tribal claims against the Secretary for actions taken contrary to the ISDA.
Such litigation has led to decisions by the Supreme Court and this court about the Secretary‘s obligation to pay CSCs to tribes under existing contracts in the face of chronic shortfalls in CSC funding. See Cherokee Nation of Okla. v. Leavitt, 543 U.S. 631 (2005); Ramah Navajo Chapter, 644 F.3d 1054. This appeal, by contrast, requires us to consider the Secretary‘s obligations in deciding
B.
On January 31, 2005, the Tribe submitted a proposal to enter into a self-determination contract to assume control of the Southern Ute Health Center (the “Clinic“), beginning on May 1, 2005. This initiated protracted negotiations, and on July 13, 2005, the Tribe submitted a final, amended contract proposal in which it sought to assume control of the Clinic on October 1, 2005.2
During the negotiations, HHS expressed concerns that it lacked funds to pay the Tribe‘s CSCs. In February 2005, the month after the Tribe submitted its initial contract proposal, for example, HHS sent the Tribe a letter stating that it was continuing to review the Tribe‘s proposal for CSCs, but cautioning that “Congress failed to add any new money to the CSC appropriation this year and therefore it is very unlikely that any pre-award or startup costs will be paid for [fiscal year] 2005 program assumptions.” App., vol. I at 105-06. The appropriations act for fiscal year 2005 provided that
not to exceed $267,398,000 shall be for payments to tribes and tribal organizations for contract . support costs associated with contracts . . . or annual funding agreements between [the Secretary] and a tribe or tribal organization prior to or during fiscal year 2005, of which
not to exceed $2,500,000 may be used for contract support costs associated with new or expanded self-determination contracts . . . or annual funding agreements . . . .
Consolidated Appropriations Act, 2005,
In June 2005, HHS informed the Tribe that it had adopted a new policy of requiring all tribes seeking to enter into new self-determination contracts to include language in their contracts making clear that HHS “will not pay CSC, does not promise to pay CSC, that the tribes cannot rely on any promise to pay, and tribes cannot report a failure to receive CSC as a shortfall.” Southern Ute I, 497 F. Supp. 2d at 1250. The Tribe refused to agree to this language. The Tribe instead submitted amendments to its proposal on July 13, 2005 confirming that although it would not agree to HHS‘s proposed caveats, it nevertheless sought a contract to begin operating the Clinic on October 1, 2005. On August 15, 2005, HHS rejected the Tribe‘s proposal, including the amendments submitted by the
After informing HHS that its declination decision was unlawful, the Tribe filed this action seeking preliminary and permanent injunctive relief reversing HHS‘s declination of its contract proposal; it also sought damages. The Tribe alleged that insufficient funding was not a basis for declining to contract pursuant to the ISDA, and that it had a right not to agree to HHS‘s proposed CSC language, which differed from the ISDA‘s model contract.4 In response, HHS moved for summary judgment. The parties agreed to consolidate the motion for preliminary injunction with the merits of the case, and the district court treated the parties’ respective motions as cross-motions for summary judgment.
On June 15, 2007, the district court issued an order siding with the Tribe. It held that HHS “did not have discretion to decline [the Tribe‘s] proposal on the basis of insufficient Congressional appropriations to pay CSC and did not have discretion to condition approval of [the Tribe‘s] proposal on new contract language contradicting statutory model language or on [the Tribe‘s] waiver of funding specifically provided under the [ISDA].” Southern Ute I, 497 F. Supp. 2d
In preparing the order, the parties could not agree on two issues. First, HHS continued to press the Tribe to agree to language indicating that HHS did not have enough funds to pay the Tribe‘s CSCs. The Tribe refused, maintaining that the proposed CSC language was akin to the language that prompted the Tribe to litigate in the first place and did not conform to terms of the ISDA‘s model agreement. The second issue concerned the contract start date. The Tribe maintained that the start date should be October 1, 2005, the date listed in its final contract proposal, while HHS asserted it should be the date on which the Tribe would begin to operate the Clinic under the contract.
Having reached an impasse, the Tribe submitted a motion for a hearing, along with a proposed writ of mandamus stating that the contract‘s start date would be October 1, 2005. In response, HHS filed a motion for clarification and suggested language that
would reflect that defendants currently owe the tribe $0 in contract support costs (on the basis that the tribe has not incurred any costs, and because no funds are available to be dispersed); that the [contract support costs] amount reflecting plaintiff‘s required [contract support costs] will be calculated; but in view of the congressional earmark for [contract support costs], the amount will be placed on the shortfall list for payment if and when funding becomes available.
Southern Ute III, 564 F.3d at 1205 (alterations in original). HHS also argued that
On October 18, 2007, the district court issued an order endorsing HHS‘s proposed CSC language and start date. It held that the contract‘s start date “will be the date on which the Tribe begins the operation of the Clinic,” rather than the October 1, 2005 date listed in the Tribe‘s final proposal. Southern Ute II at 6. Accepting HHS‘s position that it lacked funds to pay the Tribe‘s CSCs, the district court also held that “the Tribe is not entitled to full and immediate payment of all costs and expenses.” Id. at 10. Relying on this rationale, it approved HHS‘s proposed language indicating that HHS “currently owed” the Tribe $0 in CSCs and that the Tribe would be placed on the shortfall list and given funding if and when it becomes available. Accordingly, the court denied the Tribe‘s motion for a writ of mandamus, granted HHS‘s request for clarification, and ordered the parties to resume and complete negotiations for a contract containing HHS‘s proposed CSC language and contract start date.
Rather than resume negotiations, the Tribe appealed the district court‘s second order to this court. Because we concluded the order was not a final, appealable decision, we dismissed the appeal for lack of jurisdiction and remanded for further proceedings. Southern Ute III, 564 F.3d at 1210.
The district court thereafter issued a final order in which it directed the parties to execute a self-determination contract consistent with its prior orders. It
B. Contract Support Costs: The Secretary currently owes the Tribe $0 in CSC funds. . . . The parties have calculated Southern Ute Indian Tribe‘s annual CSC . . . to be $1,262,562.00 . . . . [HHS] will place the amount on the annual Shortfall Report. If and when Congress appropriates additional funding, [HHS] will amend the AFA to add funding according to [HHS‘s] policy . . . .
App., vol. II at 480. In entering the agreement, the parties reserved their rights to appeal “any final order . . . affecting the terms of th[e] Contract.” Id. at 480.
The Tribe now appeals the district court‘s order requiring the use of HHS‘s proposed CSC language and contract start date. HHS cross-appeals the district court‘s initial ruling that HHS was required to contract with the Tribe. It asks us to reverse the court‘s grant of summary judgment to the Tribe or, alternatively, to affirm the court‘s order regarding the CSC language and contract start date.
II.
We have jurisdiction under
In construing the ISDA, we begin with its text. Id. (citing Chickasaw Nation v. United States, 208 F.3d 871, 876 (10th Cir. 2000)). “If the terms of the statute are clear and unambiguous, they are controlling absent rare and exceptional circumstances.” Id. (internal quotation marks omitted). “We also take into account the broader context of the statute as a whole when ascertaining the meaning of a particular provision.” Id. (internal quotation marks omitted). “If a statute is ambiguous, we look to traditional canons of statutory construction to inform our interpretation.” Id. (internal quotation marks omitted). One such canon is the one favoring Native Americans: “[I]f the [ISDA] can reasonably be construed as the Tribe would have it construed, it must be construed that way.” Id. (internal quotation marks omitted). This canon of construction controls over more general rules of deference to an agency‘s interpretation of an ambiguous statute. Id.
A.
We begin with HHS‘s challenge to the district court‘s determination that HHS lacked discretion to decline the Tribe‘s contract proposal. HHS claims it
1.
Relying on the ISDA, HHS contends the Secretary may decline a tribe‘s proposal to contract if “the amount of funds proposed under the contract is in excess of the applicable funding level for the contract.”
There is no question the ISDA authorizes HHS to decline to enter into a self-determination contract if it makes a “specific finding that clearly demonstrates or is supported by a controlling legal authority that . . . the amount of funds proposed under the contract is in excess of the applicable funding level for the contract.”
In urging the contrary conclusion, HHS relies on the ISDA‘s availability clause, which provides: “Notwithstanding any other provision of [the ISDA], the provision of funds under [the ISDA] is subject to the availability of appropriations . . . .”
As an initial matter, the Tribe‘s proposal, which HHS declined, did not request CSCs for fiscal year 2005. As stated above, the Tribe initially sought funds to begin operating the Clinic on May 1, 2005, but then amended its proposal to begin operations on October 1, 2005, the first day of fiscal year 2006. HHS‘s focus on fiscal year 2005 appropriations, therefore, is misguided. Whether HHS‘s appropriations were available to fund the Tribe‘s proposal depended entirely on
In any event, HHS‘s interpretation of
The ISDA‘s availability clause does not alter this result. Although the clause makes clear that the ”provision of funds under [the ISDA] is subject to the availability of appropriations,”
2.
HHS next contends its decision to decline the Tribe‘s contract proposal was justified, if not mandated, by the Anti-Deficiency Act,
HHS ignores the fact that the Tribe‘s proposal, as amended, sought CSCs beginning in fiscal year 2006, not 2005. This oversight is fatal to HHS‘s argument. Because the Tribe‘s proposal did not request any amounts for CSCs in
The Anti-Deficiency Act would not have barred HHS from accepting the Tribe‘s amended proposal for CSCs beginning in fiscal year 2006. The Act provides: “An officer or employee of the United States Government may not . . . involve [the] government in a contract or obligation for the payment of money before an appropriation is made unless authorized by law.”
3.
HHS‘s appeal to the Appropriations Clause is equally unavailing. The Appropriations Clause states: “No Money shall be drawn from the Treasury, but in Consequence of Appropriations made by Law . . . .”
Having held that HHS was required to contract with the Tribe, we turn to the Tribe‘s contentions that the district court erred in: 1) directing the Tribe to accept HHS‘s proposed contract language waiving immediate payment of CSCs, and 2) determining that the contract‘s start date would be October 1, 2009. We consider these contentions in turn.
1.
We begin with the disputed CSC language. After the district court correctly held that it was impermissible for HHS to condition approval of the Tribe‘s contract on the “availability of appropriations,” the Tribe sought a contract providing the full statutory amount of CSCs (which the parties ultimately agreed was approximately $1.2 million). The Tribe agreed to add the statutorily-mandated caveat that payment of funds under the contract would be “subject to the availability of appropriations,” but it refused HHS‘s continued pleas to add language conceding that “available appropriations” were, in fact, insufficient to pay any of the Tribe‘s CSCs upon execution of the contract.
In response, HHS sought an order from the district court requiring the Tribe to “waive immediate payment of CSC” on the ground that HHS lacked funds to pay them. Southern Ute II, at 8. The district court obliged and directed the Tribe to include HHS‘s proposed language in the annual funding agreement (of the yet-to-be executed contract) indicating:
[HHS] currently owe[s] the Tribe $0 in CSC . . . ; that the CSC amount reflecting [the Tribe‘s] required CSC will be calculated; but in view of the congressional earmark for CSC, the amount will be placed on the shortfall list for payment if and when funding becomes available.
Id. at 6. The court determined these terms were not prohibited by the ISDA. It also opined that the Tribe “should have no objection to the inclusion of [these] terms in the annual funding agreement which reflect the practical ramifications of the current statutory cap on available appropriations.” Id. at 8-9. It also cautioned that the omission of such language would “open[] the door to unwinnable – and perhaps frivolous – breach of contract claims,” id. at 9, by authorizing the Tribe to press its claim for immediate payment of CSCs when HHS clearly lacked any funds to pay them.
The Tribe contends that the district court‘s ruling required it to accept CSC terms that deviate from the model agreement and conflict with the ISDA‘s funding provisions. We conclude that the required CSC language is without basis and also violates the ISDA.
The premise of the district court‘s ruling – that “available appropriations” were insufficient to pay CSCs upon execution of the contract – is not supported by the record. The only evidence HHS presented to the district court was an affidavit discussing the congressional cap on CSC appropriations for fiscal year 2005. The cap on fiscal year 2005 appropriations, however, had nothing to do with HHS‘s ability to pay CSCs upon execution of the contract at issue here – a contact which
Even assuming arguendo, that HHS lacked funds to pay any CSCs upon execution of the contract, it was improper to require the Tribe to include HHS‘s requested CSC language. That language identifies the “current” level of CSC funding as “$0,” which is contrary to the ISDA‘s requirement that each contract include the full amount of CSCs. See
We respectfully disagree with the district court‘s interpretation of the statute. The meaning of “time and method of payment” is plain when read in light of the “payment” provision of the model agreement, which is titled “[q]uarterly, semiannual, lump-sum, and other methods of payment.”
For these reasons, we hold that the Tribe is entitled to a contract specifying the full statutory amount of CSCs, not “$0“, albeit with the required caveat that “the provision of funds . . . is subject to the availability of appropriations,”
2.
The Tribe also challenges the district court‘s determination that the appropriate start date of the contract is the date on which the Tribe assumed operation of the Clinic. The Tribe contends its contract was “approved by operation of law” when the district court held in its initial order that HHS lacked discretion to decline the Tribe‘s contract proposal, which specified an October 1, 2005 start date. Accordingly, the Tribe argues that the contract‘s start date should be October 1, 2005, the date designated in its amended contract proposal, not October 1, 2009, the date it began operating the Clinic. We are not persuaded.
The ISDA‘s model agreement makes clear that the default start date for a contract is the date on which the contract is approved and executed by the parties.
The Tribe cites one decision in which a court expressly deemed a contract and its successor funding agreement to be “approved by operation of law,” as a result of the Secretary‘s “failure to comply with the declination statutes and regulations.” Cheyenne River Sioux Tribe v. Kempthorne, 496 F. Supp. 2d 1059, 1062-68 (D.S.D. 2007). In that case, the Bureau of Indian Affairs (BIA) refused to continue funding an already-executed mature contract. In doing so, it failed to take timely action on the tribe‘s request for funding as required by the ISDA‘s declination guidelines. Id. at 1068; see also
The Tribe also relies on Crownpoint Inst. of Tech. v. Norton, Findings of Fact and Conclusions of Law, Civ. No. 04-531 JP/DJS (D.N.M. Sept. 19, 2005). There, the district court similarly held that the BIA had wrongfully declined a series of self-determination contract proposals. The court deemed the contracts to be approved a certain number of days after the tribe submitted those proposals to the BIA. In that case, however, the Tribe had been running the program for years
Cheyenne and Crownpoint suggest that a “deemed” start date may be appropriate when it is necessary to ensure that a tribe is reimbursed for costs and expenses of running the program before the court-mandated execution of a contract. But that rationale is not applicable here, where the Tribe did not begin operating the Clinic until October 1, 2009, and thus did not incur any such costs or expenses until four years after the October 1, 2005 start date listed in its proposal. Unlike in Cheyenne and Crownpoint, a retroactive start date is not necessary to ensure the Tribe is reimbursed for program-related costs incurred before the parties executed their contract.
Nor has the Tribe persuaded us it was prejudiced by the October 1, 2009 start date. The Tribe suggests the later start date denied it the opportunity to recover damages for HHS‘s failure to execute a contract beginning October 1, 2005. The statute gives federal courts jurisdiction “over any civil action or claim against the Secretary for money damages arising under contracts” authorized by the statute.
Absent any authority or rationale for doing otherwise, we affirm the district court‘s determination that the start date of the contract is October 1, 2009, not October 1, 2005.
III.
For the reasons stated above, we AFFIRM the district court‘s determination that HHS was required to enter a contract with the Tribe. As to the contract‘s specifics, we REVERSE the court‘s ruling requiring the inclusion of HHS‘s requested CSC terms and AFFIRM its determination that the start date of the contract is October 1, 2009, the date on which the Tribe began operating the Clinic pursuant to the executed contract.
