Mayo Foundation for Medical Education & Research v. United States

22 Fla. L. Weekly Fed. S 743, 178 L. Ed. 2d 588, 562 U.S. 44, 131 S. Ct. 704, 2011 U.S. LEXIS 609, 79 U.S.L.W. 4015, 107 A.F.T.R.2d (RIA) 341
Supreme Court of the United States·Decided January 11, 2011·No. 09-837·Published·Cited by 15 cases

Opinion

Chief Justice Roberts

delivered the opinion of the Court.

Nearly all Americans who work for wages pay taxes on those wages under the Federal Insurance Contributions Act (FICA), which Congress enacted to collect funds for Social Security. The question presented in this case is whether doctors who serve as medical residents are properly viewed as “student[s]” whose service Congress has exempted from FICA taxes under 26 U. S. C. § 3121(b)(10).

I

A

Most doctors who graduate from medical school in the United States pursue additional education in a specialty to become board certified to practice in that field. Petitioners Mayo Foundation for Medical Education and Research, Mayo Clinic, and the Regents of the University of Minnesota (collectively Mayo) offer medical residency programs that pro *48 vide such instruction. Mayo’s residency programs, which usually last three to five years, train doctors primarily through hands-on experience. Residents often spend between 50 and 80 hours a week caring for patients, typically examining and diagnosing them, prescribing medication, recommending plans of care, and performing certain procedures. Residents are generally supervised in this work by more senior residents and by faculty members known as attending physicians. In 2005, Mayo paid its residents annual “stipends” ranging between $41,000 and $56,000 and provided them with health insurance, malpractice insurance, and paid vacation time.

Mayo residents also take part in “a formal and structured educational program. ” Brief for Petitioners 5 (internal quotation marks omitted). Residents are assigned textbooks and journal articles to read and are expected to attend weekly lectures and other conferences. Residents also take written exams and are evaluated by the attending faculty physicians. But the parties do not dispute that the bulk of residents’ time is spent caring for patients.

B

Through the Soeial Security Act and related legislation, Congress has created a comprehensive national insurance system that provides benefits for retired workers, disabled workers, unemployed workers, and their families. See United States v. Lee, 455 U. S. 252, 254, 258, and nn. 1, 7 (1982). Congress funds Social Security by taxing both employers and employees under FICA on the wages employees earn. See 26 U. S. C. § 3101(a) (tax on employees); § 3111(a) (tax on employers). Congress has defined “wages” broadly, to encompass “all remuneration for employment.” § 3121(a) (2006 ed. and Supp. III). The term “employment” has a similarly broad reach, extending to “any service, of whatever nature, performed ... by an employee for the person employing him.” § 3121(b).

*49 Congress has, however, exempted certain categories of service and individuals from FICA’s demands. As relevant here, Congress has excluded from taxation “service performed in the employ of ... a school, college, or university . . ' if such service is performed by a student who is enrolled and regularly attending classes at such school, college, or university.” §3121(b)(10) (2006 ed.). The Social Security Act, which governs workers’ eligibility for benefits, contains a corresponding student exception materially identical to § 3121(b)(10). 42 U. S. C. § 410(a)(10).

Since 1951, the Treasury Department has applied the student exception to exempt from taxation students who work for their schools “as an incident to and for the purpose of pursuing a course of study” there. 16 Fed. Reg. 12474 (adopting Treas. Regs. 127, § 408.219(c)); see Treas. Reg. § 31.3121(b)(10)-2(d), 26 CFR §31.3121(b)(10)-2(d) (2010). Until 2005, the Department determined whether an individual’s work was “incident to” his studies by performing a case-by-case analysis. The primary considerations in that analysis were the number of hours worked and the course load taken. See, e. g., Rev. Rui. 78-17, 1978-1 Cum. Bull. 307 (services of individual “employed on a full-time basis” with a part-time course load are “not incident to and for the purpose of pursuing a course of study”).

For its part, the Social Security Administration (SSA) also articulated in its regulations a case-by-case approach to the corresponding student exception in the Social Security Act. See 20 CFR § 404.1028(c) (1998). The SSA has, however, “always held that resident physicians are not students.” SSR 78-3, Cum. Bull. 1978, pp. 55-56. In 1998, the Court of Appeals for the Eighth Circuit held that the SSA could not categorically exclude residents from student status, given that its regulations provided for a case-by-case approach. See Minnesota v. Apfel, 151 F. 3d 742, 747-748. Following that decision, the Internal Revenue Service received more than 7,000 claims seeking FICA tax refunds on *50 the ground that medical residents qualified as students under §3121(b)(10) of the Internal Revenue Code. 568 F. 3d 675, 677 (CA8 2009).

Facing that flood of claims, the Treasury Department “determined that it [wa]s necessary to provide additional clarification of the ter[m]” “student” as used in § 3121(b)(10), particularly with respect to individuals who perform “services that are in the nature of on the job training.” 69 Fed. Reg. 8605 (2004). The Department proposed an amended rule for comment and held a public hearing on it. See id., at 76405.

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Mayo Foundation for Medical Education & Research v. United States, 22 Fla. L. Weekly Fed. S 743, 178 L. Ed. 2d 588, 562 U.S. 44, 131 S. Ct. 704, 2011 U.S. LEXIS 609, 79 U.S.L.W. 4015, 107 A.F.T.R.2d (RIA) 341 (U.S. 2011).

22 Fla. L. Weekly Fed. S 743 (Mayo Foundation for Medical Education & Research v. United States) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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