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SUPREME COURT OF THE UNITED STATES
_________________
Nos. 09–958, 09–1158, and 10–283
_________________
TOBY DOUGLAS, DIRECTOR, CALIFORNIA DE-
PARTMENT OF HEALTH CARE SERVICES, PETITIONER
09–958
v.
INDEPENDENT LIVING CENTER OF
SOUTHERN
CALIFORNIA, INC., et al.
TOBY DOUGLAS, DIRECTOR, CALIFORNIA DE-
PARTMENT OF HEALTH CARE SERVICES, PETITIONER
09–1158
v.
CALIFORNIA PHARMACISTS ASSOCIATION
et al.
TOBY DOUGLAS, DIRECTOR, CALIFORNIA DE-
PARTMENT OF HEALTH CARE SERVICES, PETITIONER
10–283
v.
SANTA ROSA MEMORIAL HOSPITAL
et al.
on writs of certiorari to the united states
court of appeals for the ninth circuit
[February 22, 2012]
Chief Justice Roberts, with whom Justice
Scalia, Justice Thomas, and Justice Alito join, dissenting.
The Medicaid Act established a collaborative
federal-state program to assist the poor, elderly, and disabled in
obtaining medical care. The Act is Spending Clause legislation; in
exchange for federal funds a State agrees to abide by specified
rules in implementing the program. One of those rules is set forth
in §30(A) of the Act, which requires States to meet particular
criteria in establishing Medicaid reimbursement rates for those
providing services under the Act. 42 U. S. C.
§1396a(a)(30)(A). In 2008 and 2009, California enacted legislation
reducing the rates at which it would compensate some providers.
Certain providers and individuals receiving Medicaid benefits
thought the new reimbursement rates did not comply with the
criteria set forth in §30(A). They sued the State to prevent the
new rates from going into effect.
But those plaintiffs faced a significant
problem: Nothing in the Medicaid Act allows providers or
beneficiaries (or anyone else, for that matter) to sue to enforce
§30(A). The Act instead vests responsibility for enforcement with a
federal agency, the Centers for Medicare & Medicaid Services
(CMS). See,
e.g., 42 U. S. C. §1316(a)(1). That is
settled law in the Ninth Circuit. See
Sanchez v.
Johnson,
416 F.3d 1051, 1058–1062 (2005) (“[T]he flexible,
administrative standards embodied in [§30(A)] do not reflect a
Congressional intent to provide a private remedy for their
violation”). And it is the law in virtually every other cir- cuit
as well. See,
e.g.,
Long Term Care Pharmacy Alli-
ance v.
Ferguson,
362 F.3d 50, 57–59 (CA1 2004) (holding that it would be
inconsistent with this Court’s precedent to find that §30(A)
creates rights enforceable by private parties). The respondents
have never argued the contrary. Thus, as this case comes to us, the
federal rule is that Medicaid reimbursement rates must meet certain
criteria, but private parties have no statutory right to sue to
enforce those requirements in court.
The providers and beneficiaries sought to
overcome that difficulty by arguing that they could proceed against
the State directly under the Supremacy Clause of the Constitution,
even if they could not do so under the Act. They contended that the
new state reimbursement rates were inconsistent with the
requirements of §30(A). The Supremacy Clause provides that a
federal statute such as §30(A) preempts contrary state law.
Therefore, the providers and beneficiaries claimed, they could sue
to enforce the Supremacy Clause, which requires striking down the
state law and giving effect to §30(A). The Ninth Circuit agreed
with this argument and blocked the new state reimbursement
rates.
During briefing and argument in this case, the
parties have debated broad questions, such as whether and when
constitutional provisions as a general matter are directly
enforceable. It is not necessary to consider these larger issues.
It is not even necessary to decide whether the Supremacy Clause can
ever provide a private cause of action. The question presented in
the certiorari petitions is narrow: “Whether Medicaid recipients
and providers may maintain a cause of action under the Supremacy
Clause to enforce [§30(A)] by asserting that the provision preempts
a state law reducing reimbursement rates.” To decide this case, it
is enough to conclude that the Supremacy Clause does not provide a
cause of action to enforce the requirements of §30(A) when
Congress, in establishing those requirements, elected not to
provide such a cause of action in the statute itself.
The Supremacy Clause operates differently than
other constitutional provisions. For example, if Congress says in a
law that certain provisions do not give rise to a taking without
just compensation, that obviously does not resolve a claim under
the Takings Clause that they do. The Supremacy Clause, on the other
hand, is “not a source of any federal rights.”
Chapman v.
Houston Welfare Rights Organization,
441
U.S. 600, 613 (1979); accord,
Dennis v.
Higgins,
498 U.S.
439, 450 (1991) (contrasting, in this regard, the Supremacy
Clause and the Commerce Clause). The purpose of the Supremacy
Clause is instead to ensure that, in a conflict with state law,
whatever Congress says goes. See The Federalist, No. 33,
p. 205 (C. Rossiter ed. 1961) (A. Hamilton) (the
Supremacy Clause “only declares a truth which flows immediately and
necessarily from the institution of a federal government”).
Thus, if Congress does not intend for a statute
to supply a cause of action for its enforcement, it makes no sense
to claim that the Supremacy Clause itself must provide one. Saying
that there is a private right of action under the Supremacy Clause
would substantively change the federal rule established by Congress
in the Medicaid Act. That is not a proper role for the Supremacy
Clause, which simply ensures that the rule established by Congress
controls.
Indeed, to say that there is a federal statutory
right enforceable under the Supremacy Clause, when there is no such
right under the pertinent statute itself, would effect a complete
end-run around this Court’s implied right of action and 42
U. S. C. §1983 jurisprudence. We have em- phasized that
“where the text and structure of a statute provide no indication
that Congress intends to create new individual rights, there is no
basis for a private suit, whether under §1983 or under an implied
right of action
.”
Gonzaga Univ. v.
Doe,
536 U.S.
273, 286 (2002). This body of law would serve no purpose if a
plaintiff could overcome the absence of a statutory right of action
simply by invoking a right of action under the Supremacy Clause to
the exact same effect. Cf.
Astra USA, Inc. v.
Santa Clara
County, 563 U. S. ___, ___ (2011) (slip op., at 7)
(rejecting contention that contract incorporating statutory terms
could be enforced in private action when statute itself could not
be; “[t]he absence of a private right to enforce the statutory
ceiling price obligations would be rendered meaningless if
[contracting] entities could overcome that obstacle by suing to
enforce the contract’s ceiling price obligations instead”).
The providers and beneficiaries argue, however,
that the traditional exercise of equity jurisdiction supports
finding a direct cause of action in the Supremacy Clause. This
contention fails for the same reason. It is a longstand- ing maxim
that “[e]quity follows the law.” 1 J. Pomeroy, Treatise on Equity
Jurisprudence §425 (3d ed. 1905). A court of equity may not “create
a remedy in violation of law, or even without the authority of
law.”
Rees v.
Watertown, 19 Wall. 107, 122 (1874).
Here the law established by Congress is that there is no remedy
available to private parties to enforce the federal rules against
the State. For a court to reach a contrary conclusion under its
general equitable powers would raise the most serious concerns
regarding both the separation of powers (Congress, not the
Judiciary, decides whether there is a private right of action to
enforce a federal statute) and federalism (the States under the
Spending Clause agree only to conditions clearly specified by
Congress, not any implied on an ad hoc basis by the
courts).
This is not to say that federal courts lack
equitable powers to enforce the supremacy of federal law when such
action gives effect to the federal rule, rather than contravening
it. The providers and beneficiaries rely heavily on cases of this
kind, most prominently
Ex parte Young,
209 U.S.
123 (1908). Those cases, however, present quite different
questions involving “the pre-emptive assertion in equity of a
defense that would otherwise have been available in the State’s
enforcement proceedings at law.”
Virginia Office for Protection
and Advocacy v.
Stewart, 563 U. S. ___, ___ (2011)
(Kennedy, J., concurring) (slip op., at 1). Nothing of that sort is
at issue here; the respondents are not subject to or threatened
with any enforcement proceeding like the one in
Ex parte
Young. They simply seek a private cause of action Congress
chose not to provide.
* * *
The Court decides not to decide the question
on which we granted certiorari but instead to send the cases back
to the Court of Appeals, because of the recent action by CMS
approving California’s new reimbursement rates. But the CMS
approvals have no impact on the question before this Court. If, as
I believe, there is no private right of action under the Supremacy
Clause to enforce §30(A), that is the end of the matter. If, on the
other hand, the Court believes that there is such a cause of
action, but that CMS’s recent rate approvals may have an effect on
that action going forward, then the Court should say just that and
then remand to the Ninth Circuit for consideration of the
effect of the agency approvals.
I am not sure what a remand without answering
the preliminary question is meant to accomplish. The major- ity
claims that the agency’s recent action “may change the [lower
courts’] answer” to the question whether the particular state rates
violate §30(A).
Ante, at 6. But that fact-specific question
is not the one before us; we chose not to grant certiorari on the
question whether California’s rates complied with §30(A), limiting
our grant to the cause of action question. 562 U. S. ___
(2011).
The majority also asserts that the lower courts
must “decide whether these cases may proceed directly under the
Supremacy Clause now that the agency has acted.”
Ante, at 8.
The majority contends that the parties have not “fully argued this
question.”
Ibid. But the agency proceedings that ultimately
led to the CMS approvals were well underway when this Court granted
certiorari. The parties debated the import of the parallel adminis-
trative proceedings in their initial briefs and at oral argument.
See,
e.g., Brief for Petitioner 28–29 (“Private lawsuits
. . . interfere with . . . CMS’s own
enforcement procedures,” as is “vividly demonstrated in the present
cases”); Brief for Respondents Santa Rosa Memorial Hospital
et al. in No.10–283, p. 46 (“This case vividly illustrates why
the [administrative] enforcement scheme . . . cannot
substitute for a constitutional preemption claim”). No party—nor
the United States as
amicus curiae—argued that any action by
CMS would affect the answer to the question we granted certiorari
to review. See,
e.g., Tr. of Oral Arg. 53–54 (counsel for
respondents) (arguing that, “to be sure,” there would be a cause of
action under the Supremacy Clause even after the agency took action
on the challenged rates).
Once the CMS approvals were issued, this Court
directed the parties to file supplemental briefs to address “the
effect, if any, of the [CMS approvals] on the proper disposition of
this case.” 565 U. S. ___ (2011). Again, no one argued on
supplemental briefing that the CMS approvals affected the answer to
the question before this Court. See,
e.g., Supp. Letter
Brief for Certain Respondents 6 (“The CMS findings do not directly
resolve whether the Constitution supports a right of action”);
Supp. Letter Brief for Petitioner 6 (agreeing that “
if a
preemption cause of action may be stated here against the State,
[CMS] approval may affect its merits but not its existence”). It
seems odd, then, to claim that the parties have not had the
opportunity to fully address the impact of the agency action on the
question that we granted certiorari to review: whether the Ninth
Circuit correctly recognized a private cause of action under the
Supremacy Clause to enforce §30(A).
So what is the Court of Appeals to do on remand?
It could change its view and decide that there is no cause of
action directly under the Supremacy Clause to enforce §30(A). The
majority itself provides a compelling list of reasons for such a
result: “The Medicaid Act commits to the federal agency the power
to administer a federal program”; “the agency is comparatively
expert in the statute’s subject matter”; “the language of the
particular provision at issue here is broad and general, suggesting
that the agency’s expertise is relevant”; and APA review would
provide “an authoritative judicial determination.”
Ante, at
6–7. Allowing for both Supremacy Clause actions and agency
enforcement “threatens potential inconsistency or confusion,” and
imperils “the uniformity that Congress intended by centralizing
administration of the federal program in the agency.”
Ante,
at 7–8; see
Gonzaga, 536 U. S., at 291–293 (Breyer, J.,
concurring in judgment) (explaining that Congress often means to
preclude a private right of action in statutes where it employs an
ad- ministrative enforcement scheme that achieves “expertise,
uniformity, widespread consultation, and resulting administrative
guidance,” while “avoid[ing] the comparative risk of inconsistent
interpretations and misincentives that can arise out of an
occasional inappropriate application of the statute in a private
action for damages”).
The majority acknowledges, in light of all this,
that the Supremacy Clause challenge appears “at best redundant,”
and that “continuation of the action in that form would seem to be
inefficient.”
Ante, at 8. Still, according to the majority,
the Court of Appeals on remand could determine that the Supremacy
Clause action may be brought but then must abate “now that the
agency has acted,”
ibid.—as everyone knew the agency would.
A Court concerned with “inefficien[cy]” should not find that result
very palatable, and the majority cites no precedent for a cause of
action that fades away once a federal agency has acted. Such a
scenario would also create a bizarre rush to the courthouse, as
litigants seek to file and have their Supremacy Clause causes of
action decided before the agency has time to arrive at final agency
action reviewable in court.
Or perhaps the suits should continue in a
different “form,” by which I understand the Court to suggest that
they should morph into APA actions. The APA judicial review
provisions, however, seem to stand in the way of such a
transformation. To convert the litigation into an APA suit, the
current defendant (the State) would need to be dismissed and the
agency (which is not currently a party at all) would have to be
sued in its stead. 5 U. S. C. §§701–706. Given that APA
actions also feature—among other things—different standards of
review, different records, and different potential remedies, it is
difficult to see what would be left of the original Supremacy
Clause suit. Or, again, why one should have been permitted in the
first place, when agency review was provided by statute, and the
parties were able to and did participate fully in that process.
I would dispel all these difficulties by simply
holding what the logic of the majority’s own opinion suggests: When
Congress did not intend to provide a private right of action to
enforce a statute enacted under the Spending Clause, the Supremacy
Clause does not supply one of its own force. The Ninth Circuit’s
decisions to the contrary should be reversed.