Sierra Military Health Services, Inc. v. United States

58 Fed. Cl. 573, 2003 WL 22871789
CourtUnited States Court of Federal Claims
DecidedNovember 25, 2003
DocketNo. 03-2173 C
StatusPublished
Cited by41 cases

This text of 58 Fed. Cl. 573 (Sierra Military Health Services, Inc. v. United States) is published on Counsel Stack Legal Research, covering United States Court of Federal Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Sierra Military Health Services, Inc. v. United States, 58 Fed. Cl. 573, 2003 WL 22871789 (uscfc 2003).

Opinion

OPINION

MEROW, Senior Judge.

Sierra Military Health Services, Inc. (“Sierra”) seeks equitable relief pursuant to 28 U.S.C. § 1491(b)(2). As an unsuccessful of-feror for the contract to provide health care for the North Region, under the Department of Defense (“DOD”) TRICARE program, plaintiff timely filed a protest with the General Accounting Office (“GAO”) contesting the award of this contract to Health Net Federal Services, Inc. (“Health Net”). Under the Competition in Contracting Act (“CICA”) a timely filed protest requires that the agency direct the contractor to cease performance under the contract while the protest is pending, except that the head of the procuring activity may authorize performance, notwithstanding the protest, upon a written finding that:

(I) Performance of the contract is in the best interests of the United States; or
(II) Urgent and compelling circumstances that significantly affect interests of the United States will not permit waiting for the decision of the Comptroller General concerning the protest;

31 U.S.C. § 3553(d)(3)(C).

By a fifteen page memorandum, dated September 5, 2003, Ronald Richards, Director of Acquisition Management and Support for the TRICARE Management Activity (“TMA”), as the head of the contracting activity that awarded the TRICARE Managed Care Support Contract/North to Health Net on August 21, 2003, authorized contract performance by Health Net, notwithstanding Sierra’s pending GAO protest. Mr. Richards grounded his decision “on the basis that contract performance will be in the best interests of the United States.” Administrative Record (“AR”) 1.

On September 15, 2003, plaintiff filed its motion for a temporary restraining order (“TRO”) and a preliminary injunction addressed solely to the September 5, 2003, “override” decision by Mr. Richards. The merits of the protest over the award of the contract to Health Net remain with the GAO, whose decision on this protest is expected by December 8, 2003. The Court of Federal Claims has the requisite jurisdiction to consider protests concerning override decisions made pursuant to CICA. RAMCOR Servs. Group, Inc. v. United States, 185 F.3d 1286 (Fed.Cir.1999).

By Order, filed September 22, 2003, pursuant to RCFC 65, plaintiffs application for temporary equitable relief was consolidated with the request for an injunction and both made subject to resolution by dispositive motions based on the administrative record filed by defendant. However, following a decision on September 15, 2003, PGBA, LLC v. United States, 57 Fed.Cl. 655 (2003), which became available on September 29, 2003, in which a preliminary injunction was entered against an override decision by Mr. Richards with respect to a GAO protest pending on another TRICARE contract, plaintiff renewed its TRO motion. A hearing on this motion was held on October 10, 2003. On October 16, 2003, the court denied plaintiffs TRO motion. After subsequent briefing on [575]*575plaintiffs motion for preliminary injunction was completed, plaintiff then filed a motion for reconsideration of the court’s denial of the TRO. After briefing on plaintiffs motion for reconsideration was completed, the matter is now before the court on plaintiffs motion for preliminary injunction and its motion for reconsideration. Defendant and in-tervenors have also filed motions for summary judgment on the administrative record. For the reasons below, plaintiffs motions are DENIED. Defendant and defendant-inter-venors’ motions for summary judgment are GRANTED.

FACTS

Health care and related administrative services for dependants of active duty military service members and for retired service members and their dependants are currently being provided by seven separate Managed Care Support Contracts (“MCSCs”) covering the United States, as divided into eleven different geographical regions. A MCSC requires: establishing and managing a network of health care providers; enrolling beneficiaries in the TRICARE Prime (health maintenance organization option); operating a medical management program; processing health care claims; providing customer services; education of providers and beneficiaries regarding TRICARE programs and procedures; operating local TRICARE Service Centers; and providing government access to data. The current contracts were originally awarded starting in 1994 and all option periods have been exhausted. Extensions have been negotiated under statutory authority in DOD Appropriations Acts. The current contract expiration dates commence in 2004, starting with Region 11 on February 29, 2004. The procurement at issue in this litigation is part of the transformation of the Military Health System (“MHS”) which DOD has planned in connection with the expiration of the 1994 contracts. As a part of this next generation of TRICARE contracts (“T-Nex”) the current eleven geographical regions will be reduced to three regions — North, South, and West. The current seven contracts will be reduced to three contracts, one for each region. Certain functions in the existing contracts have been carved out and awarded as separate nation-wide contracts. An example is the contract at issue in the PGBA case cited previously. That contract provides for processing all claims from beneficiaries with dual eligibility for TRICARE and Medicare. The delivery of health care by the contractor is not involved.

The Request for Proposals (“RFP”) for the contract which forms the basis for the instant suit covered all three regions, but provided for the award of three separate contracts to three separate contractors. The RFP provided (in relevant part):

The Government will award three contracts for managed care support services to three different sources under this solicitation. There will be one area per contract award. All prospective offerors may submit a proposal for any one or all three of the contract areas; however, no one offeror will be awarded more than one contract.

Pursuant to this RFP, Sierra submitted only an offer for the North Region contract. Offers for the North Region were also submitted by Health Net and Aetna government Health Plans, LLC (“Aetna”). For the South Region, offers were submitted by Health Net and Humana Military Healthcare Services, Inc. (“Humana”). For the West Region, offers were submitted by Health Net and TriWest Healthcare Alliance Corp. (“TriWest”). Awards were made by TMA to Health Net for the North Region, Humana for the South Region, and TriWest for the West Region. Agency level protests were filed by Health Net concerning the South and West awards. By memoranda, both dated September 18, 2003, Mr. Richards authorized contract performance for the South and West Regions, pursuant to FAR § 33.103(f)(3), finding that performance would be in the best interests of the United States or that urgent and compelling circumstances existed. Aetna also filed a protest addressed to the North Region award to Health Net and on September 18, 2003, supported by a memorandum, dated September 17, 2003, Mr. Richards authorized contract performance notwithstanding the Aetna protest on the basis that this “will be in the best interests of the United States.” AR 38.

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58 Fed. Cl. 573, 2003 WL 22871789, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sierra-military-health-services-inc-v-united-states-uscfc-2003.