*2 DeMOSS, SMITH, Before DUHÉ Judges. Circuit PER CURIAM: impression, In this are case of first interpret meaning called of Con- gress’ 1990 amendment to 10 U.S.C. (Supp.1995). 1095 allows the mili- Section tary to be reimbursed insurance carriers treating for medical incurs soldiers whom the carriers insure. de-We “no-fault insurance termine the term carrier,” statute, appears as it is am- biguous. interpre- defer to the We therefore tation of that term the entitled to administer the (“DOD”), summary reverse the judgment in favor of the United Services (“USAA”), Association Automobile and ren- stipulated that there were no summary judgment government.1 disputed for the der facts and filed cross-motions for
summary judgment. The district court ruled favor, holding USAA’s I. no-fault insurance and USAA is therefore not *3 separate This case arises from twelve a third-party payer auto- government liable to the involving § mobile accidents2 under government members of the 1095. timely The ap- military pealed. who were entitled to receive and did military hospital
receive medical care
a
weye
by
who
also
II.
insured
USAA. The
inju-
members were
service
treated for their
government
contends that USAA
military hospitals
ries at
at no cost to the
a “third-party
payer”
§
under
re
§§
soldiers.
10 U.S.C.
(Supp.
quired to
government
reimburse the
for
individually-
Each soldier had an
military provides
health care the
its insureds.
by
owned automobile insurance
issued
We must
whether
determine
USAA is a
USAA that
coverage,
contained
unin-
“third-party payer” because of the inclusion
motorist coverage, coverage
sured
for dam-
Medpay
of its
coverage in its automobile
age to the insured’s vehicle and medical pay-
policy.
coverage
ments
(“Medpay”), which covered
1990, §
Before
1095 defined “third-party
insureds for
arising
medical costs
from
payer”
entity
as “an
provides insurance,
automobile accidents.
medical
plan by
service or health
contract or
government
USAA,
with
filed claims
agreement.” Congress amended the statute
seeking reimbursement for costs
incurred in
adding
“including
the words
an auto-
treating
government
USAA’s
insureds.
mobile
insurance or no-fault insur-
its claim
based
on 10 U.S.C.
government
ance carrier.” The
and USAA
provides
“the United States shall have
already
have
litigated the issue of whether
right
to collect
a third-party payer
from
USAA a third-party payer
because of Med-
the reasonable costs of health care services
pay
under
1095 as
prior
it was
to 1990. In
incurred
States on
United
behalf
Ass’n,
United States v. United Services Auto.
person through
[military
such
hospi-
Cir.1993),
including an
insurance or
toppel,
preclude
carrier.”
Id.
re-litigating against
from
party
the same
an
1095(h)(1).
issue
which another circuit has ruled
USAA refused to pay,
against
and instead
government.
filed
United States v.
declaratory judgment
against
gov-
Co.,
action
165, 171,
Chem.
Stauffer
ernment, seeking a
575, 578-79,
determination that it did S.Ct.
L.Ed.2d
owe
Specifically,
Thus,
reimbursement.
USAA
if
prevail
is to
in its
sought a determination that
it was not a
view that USAA is now a
payer,
third-party payer
under
1095.
it must do so under the 1990 amendments.3
defendants-appellants
1. The
dealing
injuries arising
this action are
out of automo-
Defense,
Perry, Secretary
William J.
and the
appear
bile accidents.
It would also
that these
parties
United States of America. Both
will col-
accidents occurred after lectively
'‘government.”
be referred to as the
position
3.We
prior
take no
as to whether the
appear
It would
that all of these accidents
against
correctly.
case
USAA was decided
We
occurred in states which have retained tort theo-
that,
merely
conclude
because the
and the
recovery
injuries
ries as the basis for
same,
precluded
issues are the
adopted
automobile accidents
have not
arguing
"third-party
pay-
that USAAwas a
comprehensive scheme of "no-fault insurance”
must,
therefore,
agency’s
permis-
whether
answer is based on a
determine
We
an “automobile
insurance or
sible construction
statute.
USAA is
carrier.”
no-fault insurance
(footnotes
842-43,
Id. at
surance carrier Accordingly, our first task is to deter no-fault insurance. DOD is entrusted to ad- If mine whether the statute is minister and has issued spo we determine interpreting the term “no-fault insurance” as done; job precise ken to the then our “give unambiguously we will effect to the compensa- providing an insurance contract expressed Congress.” intent of Id. at tion for health and medical relat- at 2781. we find that S.Ct. injury
ing personal arising from the *4 plainly spoken has not to the issue operation in of a motor vehicle which the face, ambiguous and the statute is on its we may compensation premised on who agency’s then will determine whether responsible causing have been such permissible construction of the a statute is injury. per- No-fault insurance includes one. injury protection pay- sonal and medical involving personal in ments benefits eases ambiguous A if statute it is sus injuries resulting operation of a mo- ceptible meaning. to more than one NORMAN tor vehicle. Statutory SingeR, 2a J. Sutherland CON (1995). urges 32 C.F.R. USAA us (5th 1992). 220.12© STRUCTION 45.02 ed. In inter definition, reject arguing this that “no- preting begin a plain with its only fault insurance” refers state- language. Phillips v. Marine Concrete adopted regime of insurance that Structures, Inc., (5th 1035
pays
regard
without
to fault.
Cir.1990).
glance,
At first
either USAA’s or
government’s
interpretation
of
1095
interpreta-
anWhen
has issued an
plausible.
seems
Recourse to dictionaries
administer,
tion
it
of
statute
is entitled to
issue,
clarify
only
not
does
but
serves to
interpretation
our own
of the statute is not
prove that the term “no-fault insurance carri
entirely
de novo. The
Court has
authority
er” is
One
defines no-
Chevron,
given
guidance,
us
U.S.A v. Nat-
indicating
system
fault as
or
“[o]f
of auto
Council, Inc.,
ural Resources
motive insurance in which accident victims
S.Ct.
how the word is used in the insurance field.
leading
A
agree
majority
insurance treatise uses “no-fault”
I
with the
that the control-
system
to refer to a state
ling
of insurance with-
issue
this case is “whether
USAA
legisla-
"legislative history”
4. The dissent concludes
upon by
that the statute’s
relied
history
tive
renders the term "no-fault
all,
insur-
really legislative history
dissent is not
but a
unambiguous, although
ance"
it concedes that
general background history of the statute drawn
the text of the statute is
It is a rare
non-legislative
from
sources. This is an even less
legislative history
case indeed in which
alone will
legislative history
reliable basis than
from which
permit
“Congress
directly
us to find that
has ...
face,
to conclude that a
on its
precise question
addressed the
at issue.” Chev-
Indeed,
unambiguous
in fact.
we conclude
ron,
843,
I.
1994) (en banc). The court first must use the
that,
government argues
statutory
under the
“traditional
tools of
construction”
regulations,
a no-fault
Congress
USAA is
insurance
to determine “whether
has
respect Medpay.
spoken
carrier with
precise question
to
No-fault
to the
at
issue.”
insurance,
Chevron,
maintains,
any
9,
the
is
301 However, 842-43,104 at 2781. amendment, or, “[i]f S.Ct. reason behind the as the ambiguous” partic- on the statute is silent it, explained Second Circuit has the “mis- issue, the court must determine “wheth- ular Congress sought remedy chief’ with the agency’s permis- Clemente, er answer is based on a amendment. United States v. 608 848, (2d of the statute.” Id. at Cir.1979) (“The sible construction F.2d 79 amendment 104 at 2782. S.Ct. interpreted must be in terms of the mischief (citing rectify.”) it was intended In re determining Congress “In whether has di Rogatory, Letters (2d 385 F.2d 1020 issue, rectly may spoken to the the court Cir.1967)); 2a SUTHERLANDSTATUTORYCON- only plain meaning consider not of the STRUCTION A 45.09. review of the any pertinent legislative but also his military’s attempts to collect from Shalala, tory.” Doyle v. 745 third-parties general, and of (5th Cir.1995) Chevron, (citing 467 U.S. at particular, Congress’ clarifies intent. After 2783). at S.Ct. Court review, apparent such a it is problem judiciary has made clear retains its trying remedy was was the is,’ is, right say “to Vhat the law thwarting military’s collection efforts interpret Mississippi Poultry, statutes.” passage caused of no-fault automobile Chevron, (quoting F.3d 467 U.S. at systems many states. 9, 104 n. S.Ct. at 2781-82 n. Members of the United military States Accordingly, our first task is to determine dependents their are entitled to free medical If whether statute is we care in military hospitals. 10 U.S.C. spoken determine has §§ Occasionally a service mem- done; job “give then our we will injured ber will be due to the fault of another unambiguously expressed effect to the intent (often accident) in an automobile and the Chevron, Congress.” military soldier will be hospital. treated S.Ct. at 2781. we find that During World II military began War clearly spoken to the issue seeking reimbursement from tort-feasors for face, and the statute is on its treating injured the cost of soldiers. The legislative history clarify then will look to Army Regula- for these actions was purpose. legislative history ambigu- If Capt. tion Dominique Dillenseg- 25-220. See ous, agency’s interpreta- we will defer to the Capt. Hawley, er and Milo H. Sources of permissible tion if it is on a “based construc- Recovery Medical Care in Automobile Acci- *7 843, tion of the statute.” Id. at 104 S.Ct. at Army (October 1991) Cases, 50, dent 51 Law. 2782. (hereinafter, ”). Recovery “Medical Care military bring The continued to such claims II. until 1947when the Court held that agree majority I with the government that the statute the federal impose could not lia- susceptible bility to more than one injure reasonable on tort-feasors who soldiers be- and, thus, meaning on its face. passed legislation cause had not Therefore, legislative we must authorizing government consider the to do so. United history of the 1990 amendment. The com- California, States v. Standard Oil 332 of reports 301, 315-16, pro- 1604, 1611-12, mittee of the House and Senate guidance, they merely vide no additional L.Ed. 2067 restate the of text the amendment. See years Congress For 15 declined the H.Rep. 923, Sess., Cong., No. 101st 2d re- invitation to Court’s create for tort- H.Rep. printed 3110; at 1990 U.S.C.C.A.N. 1960, however, injuring feasors soldiers. In Sess., Cong., reprinted No. 101st 2d Comptroller report General revealed that S.Rep. 2931; 1990 U.S.C.C.AN. No. losing significant the United States was sums Sess., Cong., Cong. 101st 2d U.S.Code & money of due to healthcare unreimbursed 1990,p.
Admin.News 3283-3. expenditures provided injured to soldiers. Comptroller construing In an amendment to a General of United Rights important it to understand the States, Review Government’s GA1.13:NSlAXM0-49 Improved, RECOVERY OF THE Can Be
AND PRACTICES CONCERNING 1990) (hereinafter, (April report”). “GAO Hospital Medical Services Cost (1960) (cited Negligent report passage The GAO noted that since the Party Third Cases Recovery Respond- Medical Care of the FMCRA: ing report, Congress passed [Sjome passed states have ... in- Recovery the Federal Medical Care Act generally surance laws that allow for re- (“FMCRA”), seq. et U.S.C. covery by individuals from their own insur- government FMCRA allows the to recover companies irrespective ance pro- from tort-feasors for medical it Since no-fault laws definition do not al- vides service members. FMCRA an party, establish at-fault or liable [the recovery injury when the occurs “under lows government’s] legal ability to conduct re- creating circumstances tort coveries under [the FMCRA] varies ac- 2651(a). person.” some third U.S.C. cording to the no-fault statutes these injury The law of the state where the takes states. place determines whether a tort has oc- report at 4. Recovery report curred. Medical Care at 51.2 GAO The GAO recom- mended “that legislation enact required Because tort for recovery by to enable recovery, FMCRA could not states with no-fault automobile insurance adopted recover in states which no-fault au- laws.”6 Id. In tomobile insurance laws.- states where no- fault automobile insurance laws have been (“DOD”), of Defense adopted,3 injuries there is no tort promulgated when its Instead, sustained in automobile accidents. recognized amended the GAO all pays individuals have insurance report prompted Congress was what gardless of who is at fault. 12A Couch on amend 1095 to include no-fault insurance (2d 45:661, 1981).4 Insurance 245^16 ed. .at (1992) (“based Fed.Reg. carriers. 57
In
Accounting
1990 the General
report, Congress supplemented
Office on the GAO
(GAO) provided
report
Congress.5
legal authority
current
to collect
tort liabil-
GAO,
ity
eases
new
to also collect
Military
ReCOvery
Health
Care:
carriers”).7
from no-fault insurance
Medical
from Liable
Costs
Third
Parties
recognize
In some
majority
circumstances,
can
I
does not consider
also
legitimate
recover under
state law as a
discussion of the GAO
to be
my
report
e.g.,
legislative
the insurance
contract.
See,
beneficiary
because it is not a committee
Co.,
United. States v. Allstate Ins.
910 F.2d
congressman.
or a statement
from a
Ma-
report
(5th Cir.1990).
1283-84
jority
This is
at 299 n. 4.
separate
do not share the
Opinion
the FMCRA and
1095. United States v. State
majority's
legislative
narrow view of
history.
Mutual
Co.,
Farm
Automobile Ins.
consider
instructive
quite
report
(5th Cir.1991).
Neither
raises
this
agree,
party
all
which,
provided
impetus
issue, so I
not address
do
it.
leading
to act. A
treatise on statutory
non-legislative
*8
3.
In
suggesting
states,
the District of
committees or
Columbia and
commissions
particular
legislation
Puerto Rico had some version of no-fault
insur-
"are considered valuable aids."
Suth-
Statutory
injuries.
ance
to
§
collision
Construction
automobile
48.11 at
applicable
347.
I
erland
suggesting legis-
consider
the
of the GAO
report
lation to be
(such
coverages
similarly helpful.
4.
Medpay)
Medical
as
payment
differ from
under no-fault
insurance
policies
sys-
tems in two
First,
key respects.
Medpay
7.
It
that
the DOD misinter-
appears,
statute;
it
is a
add-on.
required by
voluntary
the GAO
The DOD described the
preted
report.
Second,
does not alter tort
it
liability;
"recommending]
expanding
GAO
as
[the
report
the insured medical
merely compensates
any
government's]
to cover
auto-
no-fault
he has incurred due to an automobile
Fed.Reg.
mobile insurance
....”
policies
accident.
added).
(emphasis
The GAO
did
report
not refer
to insurance
instead
but
rec-
policies,
5.
the
"Congress
legislation
was addressed
to the
ommended
that
Specifically,
report
enact
to
Chairman, Subcommittee on
Readiness, Commit-
enable
the
in states with
recovery by
tee
Services,
on Armed
House of
automobile
insurance
laws." GAO re-
Representa-
no-fault
added).
tives.
(emphasis
at 4
port
(1)
Thus,
Congress
given
that
we see
was
mobile
or no
insurance carrier
fault
(Em
'report detailing problems
collecting
governed by
shall be
the [FMCRA].”
added).
in
phasis
imbursements
states with no-fault insur-
Congress quickly realized
(2)
systems;
given
ance
was
a recommenda-
that
language
“or no fault insurance” was
changed
tion that
the law be
to allow the
place
out of
in a
concerning
section
tort
to obtain
in
reimbursements
liability,
phrase
so the
was deleted. Pub.L.
systems;
102-190,
states with no-fault insurance
§ 714. The
Report
House
makes
(3)
passed
providing
then
a law
that
change
clear that this
ais “technical amend
government can collect from “no fault insur- ment” and that no
change
substantive
in
facts,
ance carriers.” Based on these
it is
H.Rep.
§
tended.
No.
reprinted in
phrase
clear that
fault
“no
insurance
1991 U.S.C.C.A.N.
Section
carriers,” Congress
compa-
meant insurance
1095(i)(2) concerns states which have re
providing coverage in
nies
states with no-
tained
liability.8
traditional tort
If the term
systems
fault
of automobile insurance. Con-
“no fault
particu
insurance carrier”
to
refers
gress
referring
compa-
was not
to insurance
policies,
lar
it
properly
then would
be includ
providing
liability policies
nies
1095(i)(2),
§in
ed
can
there
be no-fault
coverages
pay regardless
which contain
that
coverages
in
policies
auto
when there
nothing
legislative
found
liability.9
is tort
“no fault insur
“medpay”
to
which refers
cover-
systems,
ance carrier” refers to
then it is out
age
policies
involved
this case.
place
discussing
liability.
a section
tort
passing
In
the 1990
amendments
foregoing,
Based on the
apparent
it is
that
§
Congress provided that
“[i]n cases
Congress sought
the harm
remedy
with its
which tort
is created
some
govern-
amendments
1095 was the
person,
third
collection from a
inability
get
ment’s
reimbursement
payer
is an automobile
insur-
payments in
medical
states with no-fault in-
governed by
provi-
ance carrier shall be
systems. Considering
legislative
surance
[the FMCRA].”
sions of
10 U.S.C. history
amendments,
and the 1991technical
1095(i)(2).
differently,
Stated
when a
ambiguous. Congress
find
1095 is not
third-party tortiously injures a service mem-
clearly intended “no fault insurance carrier”
in a
ber
state which uses traditional
tort
systems
to refer to state
that have eliminated
liability,
must
recover
theory
recovery
as a
tort
and substituted
FMCRA,
through
than
rather
requirements
pay
insurance
without re-
provision
Congress
This
shows that
was con- gard
Congress
clearly spoken
to fault.
systems
cerned with state
of fault or no-fault
we,
as well the executive
insurance,
based
rather than with individual branch,
Congress.
must
Mississip-
defer to
plans.
fact
was
(“core
pi Poultry,
expenses that the grant court’s affirm the district
would and,
summary judgment favor of USAA
therefore, respectfully dissent. America,
UNITED STATES
Plaintiff-Appellee,
v. WILD, Defendant-Appellant. L.
James
No. 95-10857. Appeals,
United States Court of
Fifth Circuit.
Aug. construction notes reports
