Under the Medicare program, providers of health care services
are reimbursed for the reasonable cost of services rendered to
Medicare beneficiaries and are required to submit annual cost
reports which are audited to determine actual costs. The Secretary
of Health and Human Services (Secretary) may reopen any
reimbursement determination within a 3-year period and make
appropriate adjustments. Respondent nonprofit corporation
(hereafter respondent), pursuant to its contract to provide home
health care services under the Medicare program, received
reimbursement through a fiscal intermediary, Travelers Insurance
Cos. (Travelers). Respondent also received a federal grant under
the Comprehensive Employment and Training Act (CETA), which
authorized the use of federal funds to provide training and job
opportunities for economically disadvantaged persons. This made it
possible for respondent to take on additional personnel and to
expand its home health care services. A regulation to prevent
double reimbursement of providers' costs indicated that grants
received by a provider to pay special operating costs must be
subtracted from the reasonable costs for which the provider may be
reimbursed under the Medicare program. Respondent asked Travelers
whether the salaries of its CETA-funded employees who provided
services to Medicare patients were reimbursable as reasonable costs
under Medicare, and was orally advised by Travelers' Medicare
manager that the CETA funds were "seed money" as defined in the
Provider Reimbursement Manual to mean "[g]rants designated for the
development of new health care agencies or for expansion of
services of established agencies," and that therefore, even though
the CETA employees' salaries constituted specific operating costs
paid by a federal grant, they were reimbursable under the Medicare
program. Relying on this advice, respondent included costs for
which it was receiving CETA reimbursement in its cost reports for
fiscal years 1975, 1976, and 1977, and received reimbursement for
those sums. Eventually, however, Travelers, as it should have done
previously, referred respondent's inquiry to the Department of
Health and Human Services, and was formally advised that the CETA
funds were not "seed money," and thus had
Page 467 U. S. 52
to be subtracted from respondent's Medicare reimbursement.
Travelers then reopened respondent's cost reports for the years in
question and recomputed the reimbursable costs, determining that
respondent had been overpaid $71,480. When Travelers demanded
repayment of this amount, respondent filed suit in Federal District
Court, but, after it had obtained temporary injunctive relief, the
parties stipulated that the suit would be stayed pending
administrative review. Thereafter, while rejecting the position
that CETA funds were "seed money," the Provider Reimbursement
Review Board found that the Secretary's right to recoup the 1975
overpayment was barred because Travelers had not given respondent a
written notice of reopening within the 3-year limitation period,
and accordingly reduced the amount in dispute. Respondent then
filed another suit in the District Court seeking review of this
determination. Consolidating the two suits, the court ruled in the
Secretary's favor, rejecting respondent's claim that the Secretary
ought to be estopped to deny that the CETA funds were "seed money"
because of the representations of the Secretary's agent, Travelers.
The Court of Appeals reversed, holding that the Government may be
estopped by the "affirmative misconduct" of its agents and that
Travelers' erroneous advice, coupled with its failure to refer the
question to the Secretary, constituted such misconduct.
Held: The Government is not estopped from recovering
the funds in question from respondent, since respondent has not
demonstrated that the traditional elements of an estoppel are
present with respect to either its change in position or its
reliance on Travelers' advice. Pp.
467 U. S.
59-66.
(a) The consequences of the Government's misconduct were not
entirely adverse, since respondent did receive an immediate benefit
as a result of the double reimbursement. Its detriment is the
inability to retain money that it should never have received in the
first place. Thus, this is not a case in which respondent has lost
any legal right or suffered any adverse change in its status.
Respondent cannot claim any right to expand its services to levels
greater than those it would have provided had the error never
occurred. Curtailment of operation does not justify an estoppel
when the expansion of respondent's operation was achieved through
unlawful access to federal funds. Respondent cannot raise an
estoppel without proving that it would be significantly worse off
than if it had never obtained the CETA funds in question. Pp.
467 U. S.
61-63.
(b) The regulations governing the cost reimbursement provisions
of Medicare should and did put respondent on ample notice of the
care with which its cost reports must be prepared, and the care
which would be taken to review them within the relevant 3-year
period. Yet respondent prepared those reports on the basis of an
oral policy judgment by an official who, it should have known, was
not in the business of making
Page 467 U. S. 53
policy. That is not the kind of reasonable reliance that could
even give rise to an estoppel against a private party, and
therefore cannot estop the Government. Pp.
467 U. S.
63-66.
698 F.2d 615, reversed and remanded.
STEVENS, J., delivered the opinion of the Court, in which
BRENNAN, WHITE, MARSHALL, BLACKMUN, POWELL, and O'CONNOR, JJ.,
joined. REHNQUIST, J., filed an opinion concurring in the judgment,
in which BURGER, C.J., joined,
post, p.
467 U. S.
66.
JUSTICE STEVENS delivered the opinion of the Court.
Under what is recognized for present purposes as an incorrect
interpretation of rather complex federal regulations, during 1975,
1976, and 1977 respondent received and expended $71,480 in federal
funds to provide health care services to Medicare beneficiaries to
which it was not entitled. The question presented is whether the
Government is estopped from recovering those funds because
respondent relied on the express authorization of a responsible
Government agent in making the expenditures.
I
Under the Medicare program, Title XVIII of the Social Security
Act, 79 Stat. 291, as amended, 42 U.S.C. §§ 1395-1395vv, providers
of health care services are reimbursed for the reasonable cost of
services rendered to Medicare beneficiaries as determined by the
Secretary of Health and Human Services (Secretary). §
1395x(v)(1)(A). Providers receive interim payments at least monthly
covering the cost of services
Page 467 U. S. 54
they have rendered. § 1395g(a). Congress recognized, however,
that these interim payments would not always correctly reflect the
amount of reimbursable costs, and accordingly instructed the
Secretary to develop mechanisms for making appropriate retroactive
adjustments when reimbursement is found to be inadequate or
excessive. § 1395x(v)(1)(A)(ii). [
Footnote 1] Pursuant to this statutory mandate, the
Secretary requires providers to submit annual cost reports which
are then audited to determine actual costs. 42 CFR §§ 405.454,
405.1803 (1982). The Secretary may reopen any reimbursement
determination within a 3-year period and make appropriate
adjustments. § 405.1885.
The Act also permits a provider to elect to receive
reimbursement through a "fiscal intermediary." 42 U.S.C. § 1395h;
42 CFR § 421.103 (1982). If the intermediary the provider has
nominated meets the Secretary's requirements, the Secretary then
enters into an agreement with the intermediary to have it perform
those administrative responsibilities she assigns it. §§ 421.5,
421.110. These duties include receipt, disbursement, and accounting
for funds used in making Medicare payments, auditing the records of
providers in order to ensure payments have been proper, resolving
disputes over cost reimbursement, reviewing and reconsidering
payments to providers, and recovering overpayments to providers. §§
421. 100(b), (c), (e), (f), 421.120(e). The fiscal intermediary
must also
"serve as a center for, and communicate to providers, any
information or instructions furnished to it by the Secretary, and
serve as a channel of communication from providers to the
Secretary."
42 U.S.C. § 1395h(a)(2)(A).
Respondent Community Health Services of Crawford County, Inc.
(hereafter respondent), is a nonprofit corporation. In 1966, it
entered into a contract with petitioner's predecessor, the
Secretary of Health, Education, and Welfare, to provide home health
care services to individuals eligible
Page 467 U. S. 55
for benefits under Part A of the Medicare program, 42 U.S.C. §§
1395c to 1395i-2. Under the contract, respondent received
reimbursement through a fiscal intermediary, the Travelers
Insurance Cos. (Travelers).
In 1973, Congress enacted the Comprehensive Employment and
Training Act (CETA), 87 Stat. 839, codified, as amended, at 29
U.S.C. § 801
et seq. (1976 ed. and Supp. V), and repealed,
Pub.L. 97-300, 96 Stat. 1357, authorizing the use of federal funds
to provide training and job opportunities for economically
disadvantaged persons. In 1975, respondent began participating in
the program, which reimbursed it for the salaries and fringe
benefits paid to certain of its employees. CETA funds made it
possible for respondent to take on additional personnel and to
provide additional home health care services.
To prevent what would be in effect double reimbursement of
providers' costs, one of the regulations concerning reasonable
costs reimbursable under the Medicare program indicates that grants
received by a provider in order to pay specific operating costs
must be subtracted from the reasonable costs for which the provider
may receive reimbursement. [
Footnote 2]
Page 467 U. S. 56
After obtaining a CETA grant, respondent's administrator
contacted Travelers to ask whether the salaries of its CETA-funded
employees who provided services to patients eligible for Medicare
benefits were reimbursable as reasonable costs under Medicare.
Travelers' Medicare manager orally advised respondent that the CETA
funds were "seed money" within the meaning of § 612.2 of the
Provider Reimbursement Manual, which is defined as "[g]rants
designated for the development of new health care agencies or for
expansion of services of established agencies," [
Footnote 3] and therefore, even though the
CETA employees' salaries constituted specific operating costs paid
by a federal grant, they were reimbursable under the Medicare
program.
Relying on Travelers' advice, respondent included costs for
which it was receiving CETA reimbursement in its cost reports, and
received reimbursement for those sums amounting
Page 467 U. S. 57
to $7,694, $32,460, and $31,326 in fiscal 1975, 1976, and 1977,
respectively. [
Footnote 4] On
several occasions during this period, respondent requested and
received from Travelers oral verification of the propriety of this
treatment. [
Footnote 5] With
these additional funds, respondent expanded its annual number of
home health care visits from approximately 4,000 in 1974 to over
81,000 in the next three years. Its annual budget increased during
that period from about $200,000 to about $900,000.
It is undisputed that correct administrative practice required
Travelers to refer respondent's inquiry to the Department of Health
and Human Services for a definitive answer. However, Travelers did
not do this until August 7, 1977, when a written request for
instructions was finally submitted to the Philadelphia office of
the Department's Bureau of Health Insurance. Travelers was then
formally advised that the CETA funds were not "seed money," and
therefore had to be subtracted from respondent's Medicare
reimbursement. On October 7, 1977, Travelers formally notified
respondent of this determination. Travelers then reopened
respondent's cost reports for the preceding three years and
recomputed respondent's reimbursable costs, determining that
respondent had been overpaid a total of $71,480.
In May, 1978, Travelers made a formal demand for repayment of
the disputed amount. Respondent filed suit and obtained temporary
injunctive relief against the Secretary and Travelers; in November,
1979, the parties entered into a
Page 467 U. S. 58
stipulation providing that the Secretary would postpone any
attempts at recoupment and that the civil action would be stayed
pending the outcome of administrative review.
Thereafter, the Secretary's Provider Reimbursement Review Board
(PRRB) conducted a hearing and issued a written opinion rejecting
the position that CETA funds were "seed money." The PRRB found,
however, that the Secretary's right to recoup the 1975 overpayment
was barred because Travelers had not given respondent a written
notice of reopening within the 3-year limitations period; [
Footnote 6] thus, the amount in dispute
was reduced to approximately $63,800. On April 10, 1980, respondent
filed a complaint in the District Court seeking review of the
administrative determination. The District Court consolidated that
case with the equitable action that had been filed about two years
earlier. On cross-motions for summary judgment, the District Court
ruled in favor of the Secretary, accepting the PRRB's view of the
Secretary's regulations and rejecting respondent's claim that the
Secretary ought to be estopped to deny that the CETA grants were
"seed money" because of the representations of her agent,
Travelers. The District Court held that it was unreasonable for
respondent to believe it could be in effect twice reimbursed for a
given expense. [
Footnote 7]
The Court of Appeals reversed, reaching only the estoppel
question.
Community Health Services of Crawford County, Inc. v.
Califano, 698 F.2d 615 (CA3 1983). It held that the Government
may be estopped by the "affirmative misconduct" of its agents, and
that Travelers' erroneous advice, coupled with its failure to refer
the question to the Secretary, constituted such misconduct. It
rejected as "clearly erroneous"
Page 467 U. S. 59
the District Court's finding that it was unreasonable for
respondent to rely on Travelers' advice, concluding instead that
respondent acted reasonably because the relevant regulation had no
clear meaning and respondent had no source other than Travelers to
which it could turn for advice.
II
Estoppel is an equitable doctrine invoked to avoid injustice in
particular cases. While a hallmark of the doctrine is its flexible
application, certain principles are tolerably clear:
"If one person makes a definite misrepresentation of fact to
another person having reason to believe that the other will rely
upon it and the other in reasonable reliance upon it does an act .
. . the first person is not entitled"
"
* * * *"
"(b) to regain property or its value that the other acquired by
the act, if the other in reliance upon the misrepresentation and
before discovery of the truth has so changed his position that it
would be unjust to deprive him of that which he thus acquired."
Restatement (Second) of Torts § 894(1) (199). [
Footnote 8] Thus, the party claiming the
estoppel must have relied on its adversary's conduct "in such a
manner as to change his position for the worse," [
Footnote 9] and that reliance must have been
reasonable in that the party claiming the estoppel did not know nor
should it have known that its adversary's conduct was misleading.
[
Footnote 10]
See Wilber
National Bank v. United States, 294 U.
S. 120,
294 U. S.
124-125 (1935).
Page 467 U. S. 60
When the Government is unable to enforce the law because the
conduct of its agents has given rise to an estoppel, the interest
of the citizenry as a whole in obedience to the rule of law is
undermined. It is for this reason that it is well settled that the
Government may not be estopped on the same terms as any other
litigant. [
Footnote 11]
Petitioner urges us to expand this principle into a flat rule that
estoppel may not in any circumstances run against the Government.
We have left the issue open in the past, [
Footnote 12] and do so again today. Though the
arguments the Government advances for the rule are substantial, we
are hesitant, when it is unnecessary to decide this case, to say
that there are no cases in which the public interest in ensuring
that the Government can enforce the law free from
Page 467 U. S. 61
estoppel might be outweighed by the countervailing interest of
citizens in some minimum standard of decency, honor, and
reliability in their dealings with their Government. [
Footnote 13] But however heavy the
burden might be when an estoppel is asserted against the
Government, the private party surely cannot prevail without at
least demonstrating that the traditional elements of an estoppel
are present. We are unpersuaded that that has been done in this
case with respect to either respondent's change in position or its
reliance on Travelers' advice.
III
To analyze the nature of a private party's detrimental change in
position, we must identify the manner in which reliance on the
Government's misconduct has caused the private citizen to change
his position for the worse. In this case, the consequences of the
Government's misconduct were not entirely adverse. Respondent did
receive an immediate benefit as a result of the double
reimbursement. Its detriment is the inability to retain money that
it should never have received in the first place. Thus, this is not
a case in which the respondent has lost any legal right, either
vested or contingent,
Page 467 U. S. 62
or suffered any adverse change in its status. [
Footnote 14] When a private party is
deprived of something to which it was entitled of right, it has
surely suffered a detrimental change in its position. Here
respondent lost no rights, but merely was induced to do something
which could be corrected at a later time. [
Footnote 15]
There is no doubt that respondent will be adversely affected by
the Government's recoupment of the funds that it has already spent.
It will surely have to curtail its operations, and may even be
forced to seek relief from its debts through bankruptcy. However,
there is no finding as to the extent of the likely curtailment in
the volume of services provided by respondent, much less that
respondent will reduce its activities below the level that obtained
when it was first advised that the double reimbursement was proper.
Respondent may need an extended period of repayment or other
modifications in the recoupment process if it is to continue to
operate, but questions concerning the Government's method of
enforcing collection are not before us. The question is whether the
Government has entirely forfeited its right to the money.
A for-profit corporation could hardly base an estoppel on the
fact that the Government wrongfully allowed it the interest-free
use of taxpayers' money for a period of two or three years,
enabling it to expand its operation. [
Footnote 16] No more can respondent claim any right to
expand its services to levels greater than those it would have
provided had the error never occurred. Curtailment of operation
does not justify an estoppel when -- by respondent's own account --
the expansion
Page 467 U. S. 63
of its operation was achieved through unlawful access to
governmental funds. And even if there will be a reduction below the
service provided by respondent prior to its receipt of CETA funds,
the record does not foreclose the possibility that the aggregate
advantages to the community stemming from respondent's use of the
money have more than offset the actual hardship associated with now
being required to restore these funds. Respondent cannot raise an
estoppel without proving that it will be significantly worse off
than if it had never obtained the CETA funds in question.
IV
Justice Holmes wrote: "Men must turn square corners when they
deal with the Government."
Rock Island, A. & L. R. Co. v.
United States, 254 U. S. 141,
254 U. S. 143
(1920). This observation has its greatest force when a private
party seeks to spend the Government's money. Protection of the
public fisc requires that those who seek public funds act with
scrupulous regard for the requirements of law; respondent could
expect no less than to be held to the most demanding standards in
its quest for public funds. This is consistent with the general
rule that those who deal with the Government are expected to know
the law, and may not rely on the conduct of Government agents
contrary to law. [
Footnote
17]
Page 467 U. S. 64
As a participant in the Medicare program, respondent had a duty
to familiarize itself with the legal requirements for cost
reimbursement. Since it also had elected to receive reimbursement
through Travelers, it also was acquainted with the nature of and
limitations on the role of a fiscal intermediary. When the question
arose concerning respondent's CETA funds, respondent's own action
in consulting Travelers demonstrates the necessity for it to have
obtained an interpretation of the applicable regulations;
respondent indisputably knew that this was a doubtful question not
clearly covered by existing policy statements. The fact that
Travelers' advice was erroneous is, in itself, insufficient to
raise an estoppel, [
Footnote
18] as is the fact that the Secretary had not anticipated this
problem and made a clear resolution available to respondent.
[
Footnote 19] There is
simply no requirement that the Government anticipate every problem
that may arise in the administration of a complex program such as
Medicare; neither can it be expected to ensure that every bit of
informal advice given by its agents in the course of such a program
will be sufficiently reliable to justify expenditure of sums of
money as substantial as those spent by respondent. [
Footnote 20] Nor was the advice given under
circumstances that should have induced respondent's reliance. As a
recipient of public funds well acquainted with the role of a fiscal
intermediary, respondent knew Travelers only acted as a conduit; it
could not resolve policy questions. The relevant statute,
regulations, and Reimbursement Manual, with which respondent should
have
Page 467 U. S. 65
been and was acquainted, made that perfectly clear. [
Footnote 21] Yet respondent made no
attempt to have the question resolved by the Secretary; it was
satisfied with the policy judgment of a mere conduit. [
Footnote 22]
The appropriateness of respondent's reliance is further
undermined because the advice it received from Travelers was oral.
It is not merely the possibility of fraud that undermines our
confidence in the reliability of official action that is not
confirmed or evidenced by a written instrument. Written advice,
like a written judicial opinion, requires its author to reflect
about the nature of the advice that is given to the citizen, and
subjects that advice to the possibility of review, criticism, and
reexamination. The necessity for ensuring that governmental agents
stay within the lawful scope of their authority, and that those who
seek public funds act with scrupulous exactitude, argues strongly
for the conclusion that an estoppel cannot be erected on the basis
of the oral advice that underlay respondent's cost reports. That is
especially true when a complex program such as Medicare is
involved, in which the need for written records is manifest.
In sum, the regulations governing the cost reimbursement
provisions of Medicare should and did put respondent on
Page 467 U. S. 66
ample notice of the care with which its cost reports must be
prepared, and the care which would be taken to review them within
the relevant 3-year period. Yet respondent prepared those reports
on the basis of an oral policy judgment by an official who, it
should have known, was not in the business of making policy. That
is not the kind of reasonable reliance that would even give rise to
an estoppel against a private party. It therefore cannot estop the
Government.
Thus, assuming estoppel can ever be appropriately applied
against the Government, it cannot be said that the detriment
respondent faces is so severe or has been imposed in such an unfair
way that petitioner ought to be estopped from enforcing the law in
this case. Accordingly, the judgment of the Court of Appeals is
reversed, and the case is remanded to that court for further
proceedings consistent with this opinion.
It is so ordered.
[
Footnote 1]
Congress also authorized petitioner to adjust interim payments
on account of previous overpayments or underpayments. 1395g(a).
[
Footnote 2]
"(a)
Principle. Unrestricted grants, gifts, and income
from endowments should not be deducted from operating costs in
computing reimbursable cost. Grants, gifts, or endowment income
designated by a donor for paying specific operating costs should be
deducted from the particular operating cost or group of costs."
"(b)
Definitions -- (1) Unrestricted grants, gifts,
income from endowment. Unrestricted grants, gifts, and income from
endowments are funds, cash or otherwise, given to a provider
without restriction by the donor as to their use."
"(2)
Designated or restricted grants, gifts, and income from
endowments. Designated or restricted grants, gifts, and income
from endowments are funds, cash or otherwise, which must be used
only for the specific purpose designated by the donor. This does
not refer to unrestricted grants, gifts, or income from endowments
which have been restricted for a specific purpose by the
provider."
"(c)
Application. (1) Unrestricted funds, cash or
otherwise, are generally the property of the provider to be used in
any manner its management deems appropriate and should not be
deducted from operating costs. It would be inequitable to require
providers to use the unrestricted funds to reduce the payments for
care. The use of these funds is generally a means of recovering
costs which are not otherwise recoverable."
"(2) Donor-restricted funds which are designated for paying
certain hospital operating expenses should apply and serve to
reduce these costs or group of costs and benefit all patients who
use services covered by the donation.
If such costs are not
reduced, the provider would secure reimbursement for the same
expense twice; it would be reimbursed through the donor-restricted
contributions as well as from patients and third-party payers
including the title XVIII health insurance program."
42 CFR § 405.423 (1982) (emphasis supplied).
[
Footnote 3]
"
Seed Money Grants. -- Grants designated for the
development of new health care agencies or for expansion of
services of established agencies are generally referred to as 'seed
money' grants. 'Seed money' grants are not deducted from costs in
computing allowable costs. These grants are usually made to cover
specific operating costs or group[s] of costs for services for a
stated period of time. During this time, the provider will develop
sufficient patient caseloads to enable continued self-sustaining
operation with funds received from Medicare reimbursement as well
as from funds received from other patients or other third-party
payers."
Medicare Provider Reimbursement Manual, HIM-15, Pt. I, § 612.2
(Aug.1968), reproduced in 1 CCH, Medicare & Medicaid Guide
115461 (1983).
[
Footnote 4]
Presumably because CETA program participants provided services
to some individuals not eligible for Medicare benefits, the
aggregate amount of CETA reimbursements was substantially larger
than the portion for which Medicare reimbursement was claimed. The
total amount of reimbursement respondent received in CETA funds was
$16,555, $53,952 and $81,118 in 1975, 1976, and 1977,
respectively.
[
Footnote 5]
From its review of the record, the Court of Appeals concluded
that respondent had consulted Travelers and was advised that the
CETA grants qualified as "seed money" on five separate occasions.
However, the District Court made no finding as to the number of
times that this advice was requested and received.
[
Footnote 6]
The Board also found that the required written notice for 1976
had not been served on respondent, but noted that the Secretary
still had time to comply with the notice requirement for that year.
A timely notice for 1976 was thereafter served on respondent.
[
Footnote 7]
The District Court also held that Travelers was not
independently liable to respondent for its incorrect advice.
[
Footnote 8]
See also Restatement (Second) of Agency § 8B
(1958).
[
Footnote 9]
3 J. Pomeroy, Equity Jurisprudence § 805, p.192 (S. Symons
ed.1941);
see also id. § 812.
[
Footnote 10]
"The truth concerning these material facts must be unknown to
the other party claiming the benefit of the estoppel, not only at
the time of the conduct which amounts to a representation or
concealment, but also at the time when that conduct is acted upon
by him. If, at the time when he acted, such party had knowledge of
the truth, or had the means by which with reasonable diligence he
could acquire the knowledge so that it would be negligence on his
part to remain ignorant by not using those means, he cannot claim
to have been misled by relying upon the representation or
concealment."
Id. § 810, at 219 (footnote omitted).
[
Footnote 11]
See, e.g., INS v. Hibi, 414 U. S.
5,
414 U. S. 8 (1973)
(per curiam);
Federal Crop Insurance Corp. v. Merrill,
332 U. S. 380,
332 U. S. 383
(1947).
[
Footnote 12]
See INS v. Miranda, 459 U. S. 14,
459 U. S. 19
(1982) (per curiam);
Schweiker v. Hansen, 450 U.
S. 785,
450 U. S. 788
(1981) (per curiam);
Montana v. Kennedy, 366 U.
S. 308,
366 U. S. 315
(1961). In fact, at least two of our cases seem to rest on the
premise that, when the Government acts in misleading ways, it may
not enforce the law if to do so would harm a private party as a
result of governmental deception.
See United States v.
Pennsylvania Industrial Chemical Corp., 411 U.
S. 655,
411 U. S.
670-675 (1973) (criminal defendant may assert as a
defense that the Government led him to believe that its conduct was
legal);
Moser v. United States, 341 U. S.
41 (1951) (applicant cannot be deemed to waive right to
citizenship on the basis of a form he signed when he was misled as
to the effect signing would have on his rights).
See also
Kaiser-Aetna v. United States, 444 U.
S. 164,
444 U. S.
178-180 (1979);
Santobello v. New York,
404 U. S. 257
(1971);
Branson v.
Wirth, 17 Wall. 32,
84 U. S. 42
(1873). This principle also underlies the doctrine that an
administrative agency may not apply a new rule retroactively when
to do so would unduly intrude upon reasonable reliance interests.
See NLRB v. Bell Aerospace Co., 416 U.
S. 267,
416 U. S. 295
(1974);
Atchison, T. & S. F. R. Co. v. Wichita Bd. of
Trade, 412 U. S. 800,
412 U. S.
807-808 (1973) (plurality opinion);
SEC v. Chenery
Corp., 332 U. S. 194,
332 U. S. 203
(1947).
[
Footnote 13]
See generally St. Regis Paper Co. v. United States,
368 U. S. 208,
368 U. S. 229
(1961) (Black, J., dissenting) ("Our Government should not by
picayunish haggling over the scope of its promise, permit one of
its arms to do that which, by any fair construction, the Government
has given its word that no arm will do. It is no less good morals
and good law that the Government should turn square corners in
dealing with the people than that the people should turn square
corners in dealing with their government");
Federal Crop
Insurance Corp. v. Merrill, 332 U.S. at
332 U. S.
387-388 (Jackson, J., dissenting) ("It is very well to
say that those who deal with the Government should turn square
corners. But there is no reason why the square corners should
constitute a one-way street");
Brandt v. Hickel, 427 F.2d
53, 57 (CA9 1970) ("To say to these appellants,
The joke is on
you. You shouldn't have trusted us,' is hardly worthy of our great
government"); Menges v. Dentler, 33 Pa. 495 500 (1859)
("Men naturally trust in their government, and ought to do so, and
they ought not to suffer for it"). See also Giglio v. United
States, 405 U. S. 150,
405 U. S.
154-155 (1972).
[
Footnote 14]
This case is, therefore, plainly distinguishable from
Moser
v. United States, 341 U. S. 41
(1951), in which the petitioner "was led to believe that he would
not thereby lose his rights to citizenship."
Id. at
341 U. S.
46.
[
Footnote 15]
See Schweiker v. Hansen, 450 U.S. at
450 U. S. 789
(per curiam).
[
Footnote 16]
See United States v. Stewart, 311 U. S.
60,
311 U. S. 70
(1940);
Sutton v. United States, 256 U.
S. 575 (1921);
Pile River Logging Co. v. United
States, 186 U. S. 279,
186 U. S. 291
(1902);
Hart v. United States, 95 U. S.
316 (1877).
See also Automobile Club v.
Commissioner, 353 U. S. 180
(1957).
[
Footnote 17]
"Whatever the form in which the Government functions, anyone
entering into an arrangement with the Government takes the risk of
having accurately ascertained that he who purports to act for the
Government stays within the bounds of his authority. The scope of
this authority may be explicitly defined by Congress or be limited
by delegated legislation, properly exercised through the rulemaking
power. And this is so even though, as here, the agent himself may
have been unaware of the limitations upon his authority."
Federal Crop Insurance Corp. v. Merrill, 332 U.S. at
332 U. S. 384.
See United States v. California, 332 U. S.
19,
332 U. S. 39-40
(1947);
United States v. Stewart, 311 U.S. at
311 U. S. 70;
United States v. San Francisco, 310 U. S.
16,
310 U. S. 31-32
(1940);
Wilber National Bank v. United States,
294 U. S. 120,
294 U. S.
123-124 (1935);
Utah v. United States,
284 U. S. 534,
284 U. S.
545-546 (1932);
Jeems Bayou Fishing & Hunting
Club v. United States, 260 U. S. 561,
260 U. S. 564
(1923);
Sutton v. United States, 256 U.S. at
256 U. S. 579;
Utah Power & Light Co. v. United States, 243 U.
S. 389,
243 U. S. 409
(1917);
Pine River Logging Co. v. United States, 186 U.S.
at
186 U. S. 291;
Hart v. United States, 95 U.S. at
95 U. S.
318-319;
Gibbons v. United
States, 8 Wall. 269,
75 U. S. 274
(1869);
Lee v. Munroe,
7 Cranch 366 (1813).
[
Footnote 18]
See Schweiker v. Hansen, 450 U.S. at
450 U. S.
789-790 (per curiam);
Montana v. Kennedy,
366 U. S. 308,
366 U. S.
314-315 (1961).
[
Footnote 19]
See INS v. Miranda, 459 U. S. 14 (1982)
(per curiam);
INS v. Hibi, 414 U. S.
5 (1973) (per curiam).
[
Footnote 20]
See generally Schweiker v. Hansen, supra.
[
Footnote 21]
Under the law of agency, a principal may be bound by the acts of
an agent only if that agent acted with actual or apparent
authority. Restatement (Second) of Agency §§ 145, 159 (1958).
Travelers had neither with respect to the interpretation of the
regulations in question.
See also id. § 141, Comment b
(principal may be estopped to deny lack of actual or apparent
authority only when it negligently leads third parties to believe
authority exists).
[
Footnote 22]
The Court of Appeals believed that respondent did all it could
have done, since it was unable to deal with the Secretary directly.
However, that belief, even if accurate, would not make respondent's
reliance on Travelers' policy judgment any more reasonable.
Moreover, given the role of Travelers as a conduit for information,
it is far from clear that, had respondent specifically requested
that Travelers pass on its question to the Department, Travelers
would not have been under a duty to do so. Even if there were no
such duty, there is nothing in the record to indicate that
Travelers would have been unwilling to honor such a request.
JUSTICE REHNQUIST, with whom THE CHIEF JUSTICE joins, concurring
in the judgment.
I entirely agree with the Court that there was no estoppel in
favor of respondent by reason of the Government's conduct in this
case, because even a private party under like circumstances would
not have been estopped. I write separately because I think the
Court's treatment of our decided cases in this area gives an
inaccurate and misleading impression of what those cases have had
to say as to the circumstances, if any, under which the Government
may be estopped to enforce the laws.
Sixty-seven years ago, in
Utah Power & Light Co. v.
United States, 243 U. S. 389
(1917), private parties argued that they had acquired rights in
federal lands, contrary to the law, because Government employees
had acquiesced in their exercise of those rights. In that case, the
Court laid down the general principle governing claims of estoppel
on behalf of private individuals against the Government:
Page 467 U. S. 67
"As a general rule, laches or neglect of duty on the part of
officers of the Government is no defense to a suit by it to enforce
a public right or protect a public interest. [Citations omitted.]
And, if it be assumed that the rule is subject to exceptions, we
find nothing in the cases in hand which fairly can be said to take
them out of it as heretofore understood and applied in this court.
A suit by the United States to enforce and maintain its policy
respecting lands which it holds in trust for all the people stands
upon a different plane in this and some other respects from the
ordinary private suit to regain the title to real property or to
remove a cloud from it. [Citation omitted.]"
Id. at
243 U. S.
409.
Since then, we have applied that principle in a case where a
private party relied on the misrepresentation of a Government
agency as to the coverage of a crop insurance policy, a
misrepresentation which the Court agreed would have estopped a
private insurance carrier.
Federal Crop Insurance Corp. v.
Merrill, 332 U. S. 380,
332 U. S.
383-386 (1947). We have applied it in a case where a
private party relied on a misrepresentation by a Government
employee as to Social Security eligibility, a misrepresentation
which resulted in the applicant's losing 12 months of Social
Security benefits.
Schweiker v. Hansen, 450 U.
S. 785 (1981) (per curiam). And we have applied it on at
least three occasions to claims of estoppel in connection with the
enforcement of the immigration laws and the denial of citizenship
because of the conduct of immigration officials.
INS v.
Miranda, 459 U. S. 14 (1982)
(per curiam);
INS v. Hibi, 414 U. S.
5 (1973) (per curiam);
Montana v. Kennedy,
366 U. S. 308,
366 U. S.
314-315 (1961). In none of these cases have we ever held
the Government to be estopped by the representations or conduct of
its agents. In
INS v. Hibi, supra, at
414 U. S. 8, we
noted that it is still an open question whether, in some future
case, "affirmative misconduct" on the part of the Government might
be grounds for an estoppel.
See Montana v. Kennedy, supra,
at
366 U. S.
314-315.
Page 467 U. S. 68
I agree with the Court that there is no need to decide in this
case whether there are circumstances under which the Government may
be estopped, but I think that the Court's treatment of that
question,
ante at
467 U. S. 60-61, gives an impression of hospitality
towards claims of estoppel against the Government which our decided
cases simply do not warrant. In
footnote 12 ante at
467 U. S. 60,
the Court intimates that two of our decisions have allowed the
Government to be estopped:
United States v. Pennsylvania
Industrial Chemical Corp., 411 U. S. 655
(1973), and
Moser v. United States, 341 U. S.
41 (1951). But these cases are not traditional equitable
estoppel cases.
Pennsylvania Industrial Chemical Corp. was
a criminal prosecution, and we held that,
"to the extent that [Government regulations] deprived [the
defendant] of fair warning as to what conduct the Government
intended to make criminal, we think there can be no doubt that
traditional notions of fairness inherent in our system of criminal
justice prevent the Government from proceeding with the
prosecution."
411 U.S. at
411 U. S. 674.
And the Court's rather cryptic opinion in
Moser, holding
that an alien who declined to serve in the Armed Forces was not
barred from United States citizenship pursuant to a federal
statute, expressly rejected any doctrine of estoppel, and rested on
the absence of a knowing and intentional waiver of the right to
citizenship. 341 U.S. at
341 U. S.
47.
We do not write on a clean slate in this field, and our cases
have left open the possibility of estoppel against the Government
only in a rather narrow possible range of circumstances. Because I
think the Court's opinion, in its efforts to phrase new statements
of the circumstances under which the Government may be estopped,
casts doubt on these decided cases, I concur only in the
judgment.