Indiana v. Internal Revenue Service

38 F. Supp. 3d 1003, 2014 WL 3928455, 2014 U.S. Dist. LEXIS 111068
CourtDistrict Court, S.D. Indiana
DecidedAugust 12, 2014
DocketCause No. 1:13-cv-1612-WTL-TAB
StatusPublished
Cited by2 cases

This text of 38 F. Supp. 3d 1003 (Indiana v. Internal Revenue Service) is published on Counsel Stack Legal Research, covering District Court, S.D. Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Indiana v. Internal Revenue Service, 38 F. Supp. 3d 1003, 2014 WL 3928455, 2014 U.S. Dist. LEXIS 111068 (S.D. Ind. 2014).

Opinion

ENTRY ON MOTION TO DISMISS

WILLIAM T. LAWRENCE, District Judge.

This cause is before the Court on the Defendants’ motion to dismiss (Dkt. No. 36). The motion is fully briefed and the Court, being duly advised, GRANTS IN PART AND DENIES IN PART the motion to the extent and for the reasons set forth below.1

I. THE AMENDED COMPLAINT

The State of Indiana and thirty-nine of the state’s school corporations bring this suit challenging aspects of and a regulation implementing the Patient Protection and Affordable Care Act (“ACA”). They allege the following facts relevant to the issues raised in the instant motion to dismiss.

“The primary goal of the ACA is to create a health insurance system that provides nearly universal coverage while reducing health care costs.” Amended Complaint at ¶ 145. One of the means the ACA uses to further that goal is what is commonly referred to as the “employer mandate.” Pursuant to the ACA, a large employer as defined by the Act (which each of the Plaintiffs is or, in the case of one Plaintiff, would be but for efforts to avoid the requirements of the ACA) is required either to offer health insurance that provides “minimum essential coverage” to all of its full-time employees (as defined by the Act) or be subject to a “shared responsibility payment” for failing to do so as set forth in 26 U.S.C. § 4980H. The Plaintiffs aver that each of them offers minimum essential coverage to the majority of its employeés, but that each has employees who would be defined as full-time by the Act but who are not eligible for health insurance because they are considered part-time under the Plaintiffs personnel policies (hereinafter referred to as the “Affected Employees”). The Plaintiffs further aver that they do not wish to offer the Affected Employees health insurance because of the cost of doing so.

The shared responsibility payment provision is triggered as to an employer when at least one of its full-time employees purchases insurance from an “American Health Benefit Exchange” (“Exchange”) and applies for and is granted a premium tax credit or cost-sharing reduction (hereinafter referred to collectively as a “Tax Credit”).2 Some states have established insurance Exchanges for their residents (“State Exchanges”); others, including Indiana, have not. The Secretary of [1007]*1007Health and Human Services is required to establish an Exchange (“Federal Exchange”) in any state that does not establish its own, 42 U.S.C. § 1804(c), and has done so in Indiana.

The eligibility requirements for a Tax Credit are set forth in 26 U.S.C. § 36B; one of them is that the individual has enrolled in a qualified health plan “through an Exchange established by the State under section 1311 of the [ACA].” 26 U.S.C. § 36B(c)(2)(A)(i) (defining “coverage month” for which a Tax Credit can be allowed). The Plaintiffs argue that this provision of the ACA and others limit the availability of Tax Credits to individuals who enroll in State Exchanges; accordingly, they argue, there should be no consequence to them if some of their employees purchase insurance from a Federal Exchange and receive a Tax Credit. In other words, the Plaintiffs allege that by deciding not to create a State Exchange, Indiana insulated its employers from the employer mandate by eliminating any consequence for choosing not to provide ACA-compliant health insurance to their employees. See State’s Response at 3 (Dkt. No. 38 at 14) (“[I]f no federal subsidies are available in a State because the State has not established its own Exchange, employers in that State will not be subject to the Employer Mandate’s tax penalties. Indiana has not established its own Exchange, so by the terms of the ACA Indiana employers should not be subject to the Employer Mandate penalty if they fail to provide sufficient health insurance coverage to full-time employees.”3).

The Defendants disagree with that reading of the ACA. The Internal Revenue Serviee (“IRS”), as part of its role in implementing the ACA, promulgated a regulation (“the Regulation”) in which it defined the term “Exchange” for purposes of determining the eligibility of a Tax Credit as including both State Exchanges and Federal Exchanges, thus making the Tax Credit available to eligible individuals regardless of whether they purchase insurance from a State Exchange or a Federal Exchange. 26 C.F.R. § 1.36B-l(k) (incorporating definition found in 45 C.F.R. § 155.20).

The Plaintiffs in this action allege that the Regulation’s definition of “Exchange” creates a conflict with the statutory text of the ACA and will subject them to shared responsibility payments that are not authorized by the ACA. Accordingly, in Count I of their Amended Complaint, the Plaintiffs assert a claim pursuant to the Administrative Procedures Act (“APA”), 5 U.S.C. § 706, arguing that the IRS exceeded its statutory authority and/or abused its discretion when it enacted the Regulation. In Count II, they allege that applying the employer mandate to States and their political subdivisions violates the Tenth Amendment, either because it is a tax that violates the doctrine of intergovernmental tax immunity or, if it is not a tax, because it impermissibly interferes with the residual sovereignty of the State of Indiana. The Plaintiffs make the same allegation in Count III with regard to certain reporting and certification requirements the ACA imposes on employers. They assert in Count IV that the reporting requirements cannot be severed from the employer mandate. Finally, in Count V, [1008]*1008the Plaintiffs allege that the Federal Government is estopped from imposing any assessable payments on employers for noncompliance with the employer mandate in 2014 because the Department of the Treasury and President Obama have announced that its implementation will be delayed until 2015.

II. DISCUSSION

The Defendants advance several grounds in support of their motion to dismiss this case, each of which is addressed, in turn, below.

A. Count I: Validity of the Regulation

The Defendants argue that Count I of the Amended Complaint must be dismissed because, for a variety of reasons, the Plaintiffs lack standing to challenge the Regulation. As the Supreme Court explained recently:

Article III of the Constitution limits the jurisdiction of federal courts to “Cases” and “Controversies.” The doctrine of standing gives meaning to these constitutional limits by identifying those disputes which are appropriately resolved through the judicial process. The law of Article III standing, which is built on separation-of-powers principles, serves to prevent the judicial process from being used to usurp the powers of the political branches.

Susan B.

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Cite This Page — Counsel Stack

Bluebook (online)
38 F. Supp. 3d 1003, 2014 WL 3928455, 2014 U.S. Dist. LEXIS 111068, Counsel Stack Legal Research, https://law.counselstack.com/opinion/indiana-v-internal-revenue-service-insd-2014.