No. 18-1038

Land of Lincoln Mutual Health Insurance Company, an Illinois Nonprofit Mutual Insurance Corporation v. United States

Lower Court: Federal Circuit
Docketed: 2019-02-07
Status: Judgment Issued
Type: Paid
Relisted (2) Experienced Counsel
Tags: affordable-care-act appropriations appropriations-riders government-contracts government-obligations legislative-history money-mandating-statute retroactive-abrogation retroactive-application risk-corridors
Key Terms:
SocialSecurity ERISA Takings Immigration WageAndHour JusticiabilityDoctri
Latest Conference: 2019-06-20 (distributed 2 times)
Related Cases: 18-1023 (Vide) 18-1028 (Vide)
Question Presented (AI Summary)

Whether a temporary cap on appropriations availability from certain specified funding sources may be construed, based on its legislative history, to abrogate retroactively the Government's payment obligations under a money-mandating statute, for parties that have already performed their part of the bargain under the statute

Question Presented (OCR Extract)

QUESTION PRESENTED This case involves the “risk corridors” program established by the Patient Protection and Affordable Care Act (“ACA”), 42 U.S.C. § 18062, which mandates that for the first three years of the ACA, the Government “shall pay” mathematically determined amounts to health insurers based on a statutory formula in order to induce them to participate in health insurance exchanges and to reduce the premiums they would otherwise charge. In this case, the Federal Circuit held on the basis of legislative history that the Government’s obligation to make risk corridors payments was extinguished by appropriations riders temporarily foreclosing certain sources of funds for the risk corridors program. The riders were included in spending bills enacted several years after the ACA was adopted — and after Petitioner had already performed its part of the bargain under the risk corridors program. The Question Presented is: Whether a temporary cap on appropriations availability from certain specified funding sources may be construed, based on its legislative history, to abrogate retroactively the Government’s payment obligations under a moneymandating statute, for parties that have already performed their part of the bargain under the statute. i

Docket Entries

2020-05-29
JUDGMENT ISSUED.
2019-11-05
Record received from the U.S.C.A. Federal Circuit is electronic and located on Pacer.
2019-10-25
CIRCULATED
2019-10-23
Record requested from the U.S.C.A. Federal Circuit.
2019-06-17
DISTRIBUTED for Conference of 6/20/2019.
2019-05-28
DISTRIBUTED for Conference of 6/13/2019.
2019-05-24
Reply of petitioner Land of Lincoln Mutual Health Insurance Company, An Illinois Nonprofit Mutual Insurance Company filed. (Distributed)
2019-04-01
Motion to extend the time to file a response is granted and the time is further extended to and including May 8, 2019.
2019-03-29
Motion to extend the time to file a response from April 8, 2019 to May 8, 2019, submitted to The Clerk.
2019-02-27
Motion to extend the time to file a response is granted and the time is extended to and including April 8, 2019.
2019-02-26
Motion to extend the time to file a response from March 11, 2019 to April 8, 2019, submitted to The Clerk.
2019-02-04
Petition for a writ of certiorari filed. (Response due March 11, 2019)

Attorneys

Blue Cross Blue Shield Association
K. Lee Blalack IIO'Melveny & Myers, LLP, Amicus
Economists M. Kate Bundorf; Scott Harrington; Michael Chernew; Leemore S. Dafny; Thomas G. McGuire; Mark V. Pauly; Kosali Simon
Andrew H. SchapiroQuinn Emanuel Urquhart & Sullivan, LLP, Amicus
Land of Lincoln Mutual Health Insurance Company, An Illinois Nonprofit Mutual Insurance Company
Jonathan S. MasseyMassey & Gail LLP, Petitioner
United States
Noel J. FranciscoSolicitor General, Respondent