Susan Combs, Successor to Carole Keeton Strayhorn, Comptroller of Public Accounts of the State of Texas, and Greg Abbott, Attorney General of the State of Texas v. Health Care Services Corporation, a Mutual Legal Reserve Company, Successor to Blue Cross and Blue Shield of Texas, Inc.

CourtCourt of Appeals of Texas
DecidedMarch 16, 2011
Docket03-09-00617-CV
StatusPublished

This text of Susan Combs, Successor to Carole Keeton Strayhorn, Comptroller of Public Accounts of the State of Texas, and Greg Abbott, Attorney General of the State of Texas v. Health Care Services Corporation, a Mutual Legal Reserve Company, Successor to Blue Cross and Blue Shield of Texas, Inc. (Susan Combs, Successor to Carole Keeton Strayhorn, Comptroller of Public Accounts of the State of Texas, and Greg Abbott, Attorney General of the State of Texas v. Health Care Services Corporation, a Mutual Legal Reserve Company, Successor to Blue Cross and Blue Shield of Texas, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Susan Combs, Successor to Carole Keeton Strayhorn, Comptroller of Public Accounts of the State of Texas, and Greg Abbott, Attorney General of the State of Texas v. Health Care Services Corporation, a Mutual Legal Reserve Company, Successor to Blue Cross and Blue Shield of Texas, Inc., (Tex. Ct. App. 2011).

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN

NO. 03-09-00617-CV

Susan Combs, Successor to Carole Keeton Strayhorn, Comptroller of Public Accounts of the State of Texas, and Greg Abbott, Attorney General of the State of Texas, Appellants

v.

Health Care Services Corporation, A Mutual Legal Reserve Company, Successor to Blue Cross and Blue Shield of Texas, Inc., Appellee

FROM THE DISTRICT COURT OF TRAVIS COUNTY, 53RD JUDICIAL DISTRICT NO. D-1-GN-04-001955, HONORABLE ORLINDA NARANJO, JUDGE PRESIDING

MEMORANDUM OPINION

This is a sales tax refund case in which Blue Cross and Blue Shield of Texas, Inc.

(“Blue Cross”)1 claimed refunds on grounds related to the tax code’s sale-for-resale exemption, as

applied to purchases of taxable items in connection with its performance of three federal government

contracts. After the Comptroller of Public Accounts denied Blue Cross’s refund claims, Blue Cross

sued in district court and obtained a judgment awarding it approximately $4.8 million, plus interest.

The Comptroller2 appeals the judgment. In four issues, the Comptroller asserts that (1) the sale-for-

1 Appellee Health Care Services Corporation is the successor by merger to Blue Cross. For clarity and consistency, we will use “Blue Cross” to refer to both entities. 2 Because the interests of the Comptroller and Attorney General in the lawsuit and appeal align, see Tex. Tax Code Ann. § 112.053 (West 2008) (requiring both the Comptroller and the Attorney General to be named as defendants in tax refund suits under tax code chapter 112), we will use “Comptroller” as shorthand for the state government parties at both the administrative and judicial stages of this proceeding. resale exemption does not, as a matter of law, apply to the Blue Cross purchases in question if

the exemption is properly construed; (2) there is no evidence that any taxable items were “resold”

to the federal government as a matter of state contract law; (3) there is no evidence to support

the district court’s determination that Blue Cross did not “double-recover” by getting reimbursed by

the federal government for sales tax payments for which it also recovered a refund; and (4) the

district court lacked jurisdiction over certain of Blue Cross’s refund claims because Blue Cross

failed to exhaust its administrative remedies. We will overrule these contentions and affirm the

district court’s judgment.

FACTUAL AND PROCEDURAL BACKGROUND

Blue Cross is a private insurance carrier that entered into separate contracts with

the federal government to administer three different federal health insurance programs. The first

two contracts were with the United States Department of Health and Human Services (“HHS”)

and concerned the administration of federal programs known as “Medicare Part A” and “Medicare

Part B.”3 Blue Cross’s duties under these two contracts included performing a variety of specific

functions to carry out the purposes of the Medicare programs, including reviewing claims and, as

appropriate, paying the claims out of the government’s trust fund. In return, HHS paid Blue Cross’s

3 Title XVIII of the Social Security Act, 42 U.S.C. §§ 1395-1395ggg (2000), commonly known as the Medicare program, is administered by the HHS. See Schweiker v. McClure, 456 U.S. 188, 189 (1982). “Part A” of the Medicare program provides insurance covering the cost of institutional health services, such as hospitals and nursing homes, for persons in financial need. Id. (describing Part A). “Part B” provides, for a monthly premium, supplemental benefits for additional medical needs, such as physician services and laboratory tests, for persons who are disabled or are 65 or older. Id. at 190 (describing Part B). Congress authorized HHS to contract with private insurance carriers to administer these programs on HHS’s behalf. Id.

2 costs of claims administration. The third contract was with the United States Office of Personnel

Management (“OPM”) and involved the administration of the Federal Employees Health Benefit

Program (“FEP”).4 This contract required Blue Cross to provide health care plans for federal

employees, including enrollment, review of claims, and payment of benefits. In return, the OPM

reimbursed Blue Cross for certain costs the company incurred in administering the FEP.

During the refund period—December 1, 1988 through December 31,

1998—Blue Cross purchased and paid sales tax on various taxable items in connection with

its performance of the three contracts. The parties later stipulated to seven different categories of

tangible personal property and taxable services that Blue Cross acquired:

• “Allowable”—purchases of tangible personal property (e.g., office supplies, furniture).

• “Capitalized Assets”—sales tax paid on the purchase of capital assets that Blue Cross “booked” as an asset, depreciated, and claimed as a depreciation expense to the federal government.

• “Utilities”—purchases of gas and electricity.

• “Leases” of office equipment and items such as telephones, postage machines, and water coolers.

• “Software/Software Maintenance,” including purchases of software (i.e., licenses to use it) and maintenance of the software.

• “Taxable Services on Tangible Personal Property,” such as repairs of computer equipment or purchases of a burglar or fire alarm service.

4 The Federal Employees Health Benefits Act of 1959 established a health insurance program for federal employees and charged the Office of Personnel Management with negotiating contracts with qualifying private insurance carriers to offer health insurance to those federal employees who choose to enroll. See 5 U.S.C. § 8901-12 (2000).

3 • “Maintenance on Tangible Personal Property,” including maintenance agreements for the service and maintenance of computer hardware and other tangible personal property.5

Blue Cross sought refunds from the Comptroller of the sales taxes Blue Cross had

paid on these purchases. Blue Cross asserted that it was entitled to a refund because these purchases

came within the tax code’s sale-for-resale exemption from the sales and use tax. See Tex. Tax Code

Ann. § 151.302 (West 2008) (“The sale for resale of a taxable item is exempted from the taxes

imposed by this chapter.”). The “resale,” Blue Cross reasoned, occurred through the operation of

title-passage provisions that each of the three contracts incorporated from the Federal Acquisition

Regulations (“FAR”). See 48 C.F.R. § 1.101 (1997). The two Medicare contracts incorporated

FAR 52.245-5(c):

(1) The Government shall retain title to all Government-furnished property.

(2) Title to all property purchased by the Contractor for which the Contractor is entitled to be reimbursed as a direct item of cost under this contract shall pass to and vest in the Government upon the vendor’s delivery of such property.

Id. § 52.245-5(c). The FEP contract incorporated FAR 52.245-2(c), which includes the following

language:

(1) The Government shall retain title to all Government-furnished property.

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Susan Combs, Successor to Carole Keeton Strayhorn, Comptroller of Public Accounts of the State of Texas, and Greg Abbott, Attorney General of the State of Texas v. Health Care Services Corporation, a Mutual Legal Reserve Company, Successor to Blue Cross and Blue Shield of Texas, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/susan-combs-successor-to-carole-keeton-strayhorn-comptroller-of-public-texapp-2011.