NOTICE: This opinion is subject to
formal revision before publication in the preliminary print of the
United States Reports. Readers are requested to notify the Reporter
of Decisions, Supreme Court of the United States, Washington,
D. C. 20543, of any typographical or other formal errors, in
order that corrections may be made before the preliminary print
goes to press.
SUPREME COURT OF THE UNITED STATES
_________________
Nos. 18–1023, 18–1028 and 18–1038
_________________
MAINE COMMUNITY HEALTH OPTIONS,
PETITIONER
18–1023
v.
UNITED STATES
MODA HEALTH PLAN, INC., PETITIONER
18–1028
v.
UNITED STATES
BLUE CROSS AND BLUE SHIELD OF NORTH
CAROLINA, PETITIONER
v.
UNITED STATES
LAND OF LINCOLN MUTUAL HEALTH INSURANCE
COMPANY, AN ILLINOIS NONPROFIT MUTUAL INSURANCE CORPORATION,
PETITIONER
18–1038
v.
UNITED STATES
on writs of certiorari to the united states
court of appeals for the federal circuit
[April 27, 2020]
Justice Sotomayor delivered the opinion of the
Court.[
1]*
The Patient Protection and Affordable Care Act
expanded healthcare coverage to many who did not have or could not
afford it. The Affordable Care Act did this by, among other things,
providing tax credits to help people buy insurance and establishing
online marketplaces where insurers could sell plans. To encourage
insurers to enter those marketplaces, the Act created several
programs to defray the carriers’ costs and cabin their risks.
Among these initiatives was the “Risk Corridors”
program, a temporary framework meant to compensate insurers for
unexpectedly unprofitable plans during the marketplaces’ first
three years. The since-expired Risk Corridors statute, §1342, set a
formula for calculating payments under the program: If an insurance
plan loses a certain amount of money, the Federal Government “shall
pay” the plan; if the plan makes a certain amount of money, the
plan “shall pay” the Government. See §1342, 124Stat. 211–212
(codified at 42 U. S. C. §18062). Some plans made money
and paid the Government. Many suffered losses and sought
reimbursement. The Government, however, did not pay.
These cases are about whether
petitioners—insurers who claim losses under the Risk Corridors
program—have a right to payment under §1342 and a damages remedy
for the unpaid amounts. We hold that they do. We conclude that
§1342 of the Affordable Care Act established a money-mandating
obligation, that Congress did not repeal this obligation, and that
petitioners may sue the Government for damages in the Court of
Federal Claims.
I
A
In 2010, Congress passed the Patient
Protection and Affordable Care Act, 124Stat. 119, seeking to
improve national health-insurance markets and extend coverage to
millions of people without adequate (or any) health insurance. To
that end, the Affordable Care Act called for the creation of
virtual health-insurance markets, or “Health Benefit Exchanges,” in
each State. 42 U. S. C. §18031(b)(1). Individuals may buy
health-insurance plans directly on an exchange and, depending on
their household income, receive tax credits for doing so. 26
U. S. C. §36B; 42 U. S. C. §§18081, 18082. Once
an insurer puts a plan on an exchange, it must “accept every
employer and individual in the State that applies for such
coverage,” 42 U. S. C. §300gg–1(a), and may not tether
premiums to a particular applicant’s health, §300gg(a). In other
words, the Act “ensure[s] that anyone can buy insurance.”
King v.
Burwell, 576 U.S. 473, 493 (2015).
Insurance carriers had many reasons to
participate in these new exchanges. Through the Affordable Care
Act, they gained access to millions of new customers with tax
credits worth “billions of dollars in spending each year.”
Id., at 485. But the exchanges posed some business risks,
too—including a lack of “reliable data to estimate the cost of
providing care for the expanded pool of individuals seeking
coverage.” 892 F.3d 1311, 1314 (CA Fed. 2018) (case below in No.
18–1028).
This uncertainty could have given carriers pause
and affected the rates they set. So the Affordable Care Act created
several risk-mitigation programs. At issue here is the Risk
Corridors program.[
2]
B
The Risk Corridors program aimed to limit
participating plans’ profits and losses for the exchanges’ first
three years (2014, 2015, and 2016). See §1342, 124Stat. 211, 42
U. S. C. §18062. It did so through a formula that
computed a plan’s gains or losses at the end of each year. Plans
with profits above a certain threshold would pay the Government,
while plans with losses below that threshold would receive payments
from the Government. §1342(b), 124Stat. 211. Specifically, §1342
stated that the eligible profitable plans “shall pay” the Secretary
of the Department of Health and Human Services (HHS), while the
Secretary “shall pay” the eligible unprofitable plans.
Ibid.[
3]
When it enacted the Affordable Care Act in 2010,
Congress did not simultaneously appropriate funds for the yearly
payments the Secretary could potentially owe under the Risk
Corridors program. Neither did Congress limit the amounts that the
Government might pay under §1342. Nor did the Congressional Budget
Office (CBO) “score”—that is, calculate the budgetary impact of—the
Risk Corridors program.
In later years, the CBO noted that the Risk
Corridors statute did not require the program to be budget neutral.
The CBO reported that, “[i]n contrast” to the Act’s other
risk-mitigation programs, “risk corridor collections (which will be
recorded as revenues) will not necessarily equal risk corridor
payments, so that program can have net effects on the budget
deficit.” CBO, The Budget and Economic Outlook: 2014 to 2024, p. 59
(2014). The CBO thus recognized that “[i]f insurers’ costs exceed
their expectations, on average, the risk corridor program will
impose costs on the federal budget.”
Id., at 110.
Like the CBO, the federal agencies charged with
implementing the program agreed that §1342 did not require budget
neutrality. Nine months before the program started, HHS
acknowledged that the Risk Corridors program was “not statutorily
required to be budget neutral.” 78 Fed. Reg. 15473 (2013). HHS
assured, however, that “[r]egardless of the balance of payments and
receipts, HHS will remit payments as required under Section 1342 of
the Affordable Care Act.”
Ibid.
Similar guidance came from the Centers for
Medicare and Medicaid Services (CMS), the agency tasked with
helping the HHS Secretary collect and remit program payments. CMS
confirmed that a lack of payments from profitable plans would not
relieve the Government from making its payments to the unprofitable
ones. See 79 Fed. Reg. 30260 (2014). Citing “concerns that risk
corridors collections may not be sufficient to fully fund risk
corridors payments” to the unprofitable plans, CMS declared that
“[i]n the unlikely event of a shortfall . . . HHS
recognizes that the Affordable Care Act requires the Secretary to
make full payments to issuers.”
Ibid.
C
The program’s first year, 2014, tallied a
deficit of about $2.5 billion. Profitable plans owed the Government
$362 million, while the Government owed unprofitable plans $2.87
billion. See CMS, Risk Corridors Payment Proration Rate for 2014
(2015).
At the end of the first year, Congress enacted a
bill appropriating a lump sum for CMS’ Program Management. See Pub.
L. 113–235, Div. G, Tit. II, 128Stat. 2130–2131 (providing for the
fiscal year ending September 30, 2015). The bill included a rider
restricting the appropriation’s effect on Risk Corridors payments
out to issuers:
“None of the funds made available by this
Act . . . or transferred from other accounts funded by
this Act to the ‘Centers for Medicare and Medicaid Services—
Program Management’ account, may be used for payments under section
1342(b)(1) of Public Law 111–148 (relating to risk corridors).”
§227,
id., at 2491.
The program’s second year resembled its first.
In February 2015, HHS repeated its belief that “risk corridors
collections w[ould] be sufficient to pay for all” of the
Government’s “risk corridors payments.” 80 Fed. Reg. 10779 (2015).
The agency again “recognize[d] that the Affordable Care Act
requires the Secretary to make full payments to issuers.”
Ibid. “In the unlikely event that risk corridors
collections” were “insufficient to make risk corridors payments,”
HHS reassured, the Government would “use other sources of funding
for the risk corridors payments, subject to the availability of
appropriations.”
Ibid.
The 2015 program year also ran a deficit, this
time worth about $5.5 billion. See CMS, Risk Corridors Payment and
Charge Amounts for the 2015 Benefit Year (2016). Facing a second
shortfall, CMS continued to “recogniz[e] that the Affordable Care
Act requires the Secretary to make full payments to issuers.” CMS,
Risk Corridors Payments for 2015, p. 1 (2016). CMS also confirmed
that “HHS w[ould] record risk corridors payments due as an
obligation of the United States Government for which full payment
is required.”
Ibid. And at the close of the second year,
Congress enacted another appropriations bill with the same rider as
before. See Pub. L. 114–113, §225, 129Stat. 2624 (providing for the
fiscal year ending September 30, 2016).
The program’s final year, 2016, was similar. The
Government owed unprofitable insurers about $3.95 billion more than
profitable insurers owed the Government. See CMS, Risk Corridors
Payment and Charge Amounts for the 2016 Benefit Year (2017). And
Congress passed an appropriations bill with the same rider. See
Pub. L. 115–31, §223, 131Stat. 543 (providing for the fiscal year
ending September 30, 2017).
All told, the Risk Corridors program’s deficit
exceeded $12 billion.
D
The dispute here is whether the Government
must pay the remaining deficit. Petitioners in these consolidated
cases are four health-insurance companies that participated in the
healthcare exchanges: Maine Community Health Options, Blue Cross
and Blue Shield of North Carolina, Land of Lincoln Mutual Health
Insurance Company, and Moda Health Plan, Inc. They assert that
their plans were unprofitable during the Risk Corridors program’s
3-year term and that, under §1342, the HHS Secretary still owes
them hundreds of millions of dollars.
These insurers sued the Federal Government for
damages in the United States Court of Federal Claims, invoking the
Tucker Act, 28 U. S. C. §1491. They alleged that §1342 of
the Affordable Care Act obligated the Government to pay the full
amount of their losses as calculated by the statutory formula and
sought a money judgment for the unpaid sums owed—a claim that, if
successful, could be satisfied through the Judgment Fund.[
4] These lawsuits saw mixed results in
the trial courts. Petitioner Moda prevailed; the others did
not.[
5]
A divided panel of the United States Court of
Appeals for the Federal Circuit ruled for the Government in each
appeal. See 892 F.3d 1311; 892 F.3d 1184 (2018); 729 Fed. Appx. 939
(2018). As relevant here, the Federal Circuit concluded that §1342
had initially created a Government obligation to pay the full
amounts that petitioners sought under the statutory formula. See
892 F. 3d, at 1320–1322. The court also recognized that “it
has long been the law that the government may incur a debt
independent of an appropriation to satisfy that debt, at least in
certain circumstances.”
Id., at 1321.
Even so, the court held that Congress’
appropriations riders impliedly “repealed or suspended” the
Government’s obligation.
Id., at 1322
. Although the
panel acknowledged that “[r]epeals by implication are generally
disfavored”—especially when the “alleged repeal occurred in an
appropriations bill”—it found that the riders here “adequately
expressed Congress’s intent to suspend” the Government’s payments
to unprofitable plans “beyond the sum of payments” it collected
from profitable plans.
Id., at 1322–1323, 1325.
Judge Newman dissented, observing that the
Government had not identified any “statement of abrogation or
amendment of the statute,” nor any “disclaimer” of the Government’s
“statutory and contractual commitments.”
Id., at 1335. The
dissent also reasoned that precedent undermined the court’s
conclusion and that the appropriations riders could not apply
retroactively because the Government had used the Risk Corridors
program to induce insurers to enter the exchanges.
Id., at
1336–1339. Emphasizing the importance of Government credibility in
public-private enterprise, the dissent warned that the majority’s
decision would “undermin[e] the reliability of dealings with the
government.”
Id., at 1340.
A majority of the Federal Circuit declined to
revisit the court’s decision en banc, 908 F.3d 738 (2018)
(
per curiam); see also
id., at 740 (Newman, J.,
dissenting);
id., at 741 (Wallach, J., dissenting), and we
granted certiorari, 588 U. S. ___ (2019).
These cases present three questions: First, did
§1342 of the Affordable Care Act obligate the Government to pay
participating insurers the full amount calculated by that statute?
Second, did the obligation survive Congress’ appropriations riders?
And third, may petitioners sue the Government under the Tucker Act
to recover on that obligation? Because our answer to each is yes,
we reverse.
II
The Risk Corridors statute created a
Government obligation to pay insurers the full amount set out in
§1342’s formula.
A
An “obligation” is a “definite commitment that
creates a legal liability of the government for the payment of
goods and services ordered or received, or a legal duty
. . . that could mature into a legal liability by virtue
of actions on the part of the other party beyond the control of the
United States.” GAO, A Glossary of Terms Used in the Federal Budget
Process 70 (GAO–05–734SP, 2005). The Government may incur an
obligation by contract or by statute. See
ibid.
Incurring an obligation, of course, is different
from paying one. After all, the Constitution’s Appropriations
Clause provides that “No Money shall be drawn from the Treasury,
but in Consequence of Appropriations made by Law.” Art. I, §9,
cl. 7; see also GAO, Principles of Federal Appropriations Law 2–3
(4th ed. 2016) (hereinafter GAO Redbook) (“[T]he authority to incur
obligations by itself is not sufficient to authorize payments from
the Treasury”). Creating and satisfying a Government obligation,
therefore, typically involves four steps: (1) Congress passes an
organic statute (like the Affordable Care Act) that creates a
program, agency, or function; (2) Congress passes an Act
authorizing appropriations; (3) Congress enacts the appropriation,
granting “budget authority” to incur obligations and make payments,
and designating the funds to be drawn; and (4) the relevant
Government entity begins incurring the obligation. See
id.,
at 2–56; see also Op. Comp. Gen., B–193573 (Dec. 19, 1979).
But Congress can deviate from this pattern. It
may, for instance, authorize agencies to enter into contracts and
“incur obligations in advance of appropriations.” GAO Redbook 2–4.
In that context, the contracts “constitute obligations binding on
the United States,” such that a “failure or refusal by Congress to
make the necessary appropriation would not defeat the obligation,
and the party entitled to payment would most likely be able to
recover in a lawsuit.”
Id., at 2–5; see also,
e.g.,
Cherokee Nation of Okla. v.
Leavitt,
543 U.S.
631, 636–638 (2005) (rejecting the Government’s argument that
it is legally bound by its contractual promise to pay “if, and only
if, Congress appropriated sufficient funds”);
Salazar v.
Ramah Navajo Chapter,
567 U.S.
182, 191 (2012) (“Although the agency itself cannot disburse
funds beyond those appropriated to it, the Government’s ‘valid
obligations will remain enforceable in the courts’ ” (quoting
2 GAO Redbook 6–17 (2d ed. 1992)).
Congress can also create an obligation directly
by statute, without also providing details about how it must be
satisfied. Consider, for example,
United States v.
Langston,
118 U.S.
389 (1886). In that case, Congress had enacted a statute fixing
an official’s annual salary at “$7,500 from the date of the
creation of his office.”
Id., at 394. Years later, however,
Congress failed to appropriate enough funds to pay the full amount,
prompting the officer to sue for the remainder.
Id., at 393.
Understanding that Congress had created the obligation by statute,
this Court held that a subsequent failure to appropriate enough
funds neither “abrogated [n]or suspended” the Government’s
pre-existing commitment to pay.
Id., at 394. The Court thus
affirmed judgment for the officer for the balance owed.
Ibid.[
6]
The GAO shares this view. As the Redbook
explains, if Congress created an obligation by statute without
detailing how it will be paid, “an agency could presumably meet a
funding shortfall by such measures as making prorated payments.”
GAO Redbook 2–36, n. 39. But “such actions would be only temporary
pending receipt of sufficient funds to honor the underlying
obligation” and “[t]he recipient would remain legally entitled to
the balance.”
Ibid. Thus, the GAO warns, although a “failure
to appropriate” funds “will prevent administrative agencies from
making payment,” that failure “is unlikely to prevent recovery by
way of a lawsuit.”
Id., at 2–63 (citing,
e.g.,
Langston, 118 U. S., at 394).
Put succinctly, Congress can create an
obligation directly through statutory language.
B
Section 1342 imposed a legal duty of the
United States that could mature into a legal liability through the
insurers’ actions—namely, their participating in the healthcare
exchanges.
This conclusion flows from §1342’s express terms
and context. See,
e.g.,
Merit Management Group, LP v.
FTI Consulting, Inc., 583 U. S. ___, ___ (2018) (slip
op., at 11) (statutory interpretation “begins with the text”). The
first sign that the statute imposed an obligation is its mandatory
language: “shall.” “Unlike the word ‘may,’ which implies
discretion, the word ‘shall’ usually connotes a requirement.”
Kingdomware Technologies, Inc. v.
United States, 579
U. S. ___, ___ (2016) (slip op., at 9); see also
Lexecon
Inc. v.
Milberg Weiss Bershad Hynes & Lerach,
523 U.S.
26, 35 (1998) (observing that “ ‘shall’ ” typically
“creates an obligation impervious to . . . discretion”).
Section 1342 uses the command three times: The HHS Secretary “shall
establish and administer” the Risk Corridors program from 2014 to
2016, “shall provide” for payments according to a precise statutory
formula, and “shall pay” insurers for losses exceeding the
statutory threshold. §§1342(a), (b)(1), 114Stat. 211, 42
U. S. C. §§18062(a), (b)(1).
Section 1342’s adjacent provisions also
underscore its mandatory nature. In §1341 (a reinsurance program)
and §1343 (a risk-adjustment program), the Affordable Care Act
differentiates between when the HHS Secretary “shall” take certain
actions and when she “may” exercise discretion. See §1341(b)(2),
124Stat. 209, 42 U. S. C. §18061(b)(2) (“[T]he Secretary
. . . shall include” a formula that “may be designed” in
multiple ways); §1343(b), 124Stat. 212, 42 U. S. C.
§18063(b) (“The Secretary . . . shall establish” and “may
utilize” certain criteria). Yet Congress chose mandatory terms for
§1342. “When,” as is the case here, Congress “distinguishes between
‘may’ and ‘shall,’ it is generally clear that ‘shall’ imposes a
mandatory duty.”
Kingdomware, 579 U. S., at ___ (slip
op., at 9).
Nothing in §1342 requires the Risk Corridors
program to be budget neutral, either. Nor does the text suggest
that the Secretary’s payments to unprofitable plans pivoted on
profitable plans’ payments to the Secretary, or that a partial
payment would satisfy the Government’s whole obligation. Thus,
without “any indication” that §1342 allows the Government to lessen
its obligation, we must “give effect to [Section 1342’s] plain
command.”
Lexecon, 523 U. S., at 35. That is, the
statute meant what it said: The Government “shall pay” the sum that
§1342 prescribes.[
7]
C
The Government does not contest that §1342’s
plain terms appeared to create an obligation to pay whatever amount
the statutory formula provides. It insists instead that the
Appropriations Clause, Art. I, §9, cl. 7, and the
Anti-Deficiency Act, 31 U. S. C. §1341, “qualified” that
obligation by making “HHS’s payments contingent on appropriations
by Congress.” Brief for United States 20. “Because Congress did not
appropriate funds beyond the amounts collected” from profitable
plans, this argument goes, “HHS’s statutory duty [to pay
unprofitable plans] extended only to disbursing those collected
amounts.”
Id., at 24–25.
That does not follow. Neither the Appropriations
Clause nor the Anti-Deficiency Act addresses whether Congress
itself can create or incur an obligation directly by statute.
Rather, both provisions constrain how federal employees and
officers may make or authorize payments without appropriations. See
U. S. Const., Art. I, §9, cl. 7 (requiring an
“Appropriatio[n] made by Law” before money may “be drawn” to
satisfy a payment obligation); 31 U. S. C. §1341(a)(1)(A)
(“[A]n officer or employee of the United States Government
. . . may not . . . make or authorize an
expenditure or obligation exceeding an amount available in an
appropriation or fund for the expenditure or obligation”). As we
have explained, “ ‘[a]n appropriation
per se
merely imposes limitations upon the Government’s own
agents,’ ” but “ ‘its insufficiency does not pay the
Government’s debts, nor cancel its obligations.’ ”
Ramah, 567 U. S., at 197 (quoting
Ferris v.
United States, 27 Ct. Cl. 542, 546 (1892)). If anything, the
Anti-Deficiency Act confirms that Congress can create obligations
without contemporaneous funding sources: That Act’s prohibitions
give way “as specified” or “authorized” by “any other provision of
law.” 31 U. S. C. §1341(a)(1). Here, the Government’s
obligation was authorized by the Risk Corridors statute.
And contrary to the Government’s view, §1342’s
obligation-creating language does not turn on whether Congress
expressly provided “budget authority” before appropriating funds.
Budget authority is an agency’s power “provided by Federal law to
incur financial obligations,” 88Stat. 297, 2 U. S. C.
§622(2)(A), “that will result in immediate or future outlays of
government funds,” GAO Redbook 2–1; see also
id., at 2–55
(“Agencies may incur obligations only after Congress grants budget
authority”); GAO, A Glossary of Terms Used in the Federal Budget
Process, at 20–21. As explained above, Congress usually gives
budget authority through an appropriations Act or by expressly
granting an agency authority to contract for the Government. See
GAO Redbook 2–1 to 2–5. But budget authority is not necessary for
Congress itself to create an obligation by statute. See
Langston, 118 U. S., at 394; cf.
Raines v.
Byrd,
521 U.S.
811, 815 (1997) (treating legal obligations of the Government
as distinct from budget authority).
The Government’s arguments also conflict with
well- settled principles of statutory interpretation. At bottom,
the Government contends that the existence and extent of its
obligation here is “subject to the availability of appropriations.”
Brief for United States 41. But that language appears nowhere in
§1342, even though Congress could have expressly limited an
obligation to available appropriations or specific dollar amounts.
Indeed, Congress did so explicitly in other provisions of the
Affordable Care Act.[
8]
This Court generally presumes that “ ‘when
Congress includes particular language in one section of a statute
but omits it in another,’ ” Congress “ ‘intended a
difference in meaning.’ ”
Digital Realty Trust, Inc. v.
Somers, 583 U. S. ___, ___ (2018) (slip op., at 10)
(quoting
Loughrin v.
United States,
573 U.S.
351, 358 (2014) (alterations omitted)). The Court likewise
hesitates “ ‘to adopt an interpretation of a congressional
enactment which renders superfluous another portion of that same
law.’ ”
Republic of Sudan v.
Harrison, 587
U. S. ___, ___ (2019) (slip op., at 10) (quoting
Mackey
v.
Lanier Collection Agency & Service, Inc.,
486 U.S.
825, 837 (1988)). The “subject to appropriations” and
payment-capping language in other sections of the Affordable Care
Act would be meaningless had §1342 simultaneously achieved the same
end with silence.
In sum, the plain terms of the Risk Corridors
provision created an obligation neither contingent on nor limited
by the availability of appropriations or other funds.
III
The next question is whether Congress
impliedly repealed the obligation through its appropriations
riders. It did not.
A
Because Congress did not expressly repeal
§1342, the Government seeks to show that Congress impliedly did so.
But “repeals by implication are not favored,”
Morton v.
Mancari,
417 U.S.
535, 549 (1974) (internal quotation marks omitted), and are a
“rarity,”
J. E. M. Ag Supply, Inc. v.
Pioneer Hi-Bred Int’l, Inc.,
534 U.S.
124, 142 (2001) (internal quotation marks omitted). Presented
with two statutes, the Court will “regard each as effective”—unless
Congress’ intention to repeal is “ ‘ “clear and
manifest,” ’ ” or the two laws are “irreconcilable.”
Morton, 417 U. S., at 550–551 (quoting
United
States v.
Borden Co.,
308 U.S.
188, 198 (1939)); see also
FCC v.
NextWave Personal
Communications Inc.,
537 U.S.
293, 304 (2003) (“[W]hen two statutes are capable of
co-existence, it is the duty of the courts, absent a clearly
expressed congressional intention to the contrary, to regard each
as effective” (internal quotation marks omitted)).
This Court’s aversion to implied repeals is
“especially” strong “in the appropriations context.”
Robertson v.
Seattle Audubon Soc.,
503 U.S.
429, 440 (1992); see also
New York Airways, Inc. v.
United States, 177 Ct. Cl. 800, 810, 369 F.2d 743, 748
(1966). The Government must point to “something more than the mere
omission to appropriate a sufficient sum.”
United States v.
Vulte,
233 U.S.
509,
515
(1914); accord, GAO Redbook 2–63 (“The mere failure to appropriate
sufficient funds is not enough”). The question, then, is whether
the appropriations riders manifestly repealed or discharged the
Government’s uncapped obligation.
Langston confirms that the appropriations
riders did neither. Recall that in
Langston, Congress had
established a statutory obligation to pay a salary of $7,500, yet
later appropriated a lesser amount. 118 U. S., at 393–394.
This Court held that Congress did not “abrogat[e] or suspen[d]” the
salary-fixing statute by “subsequent enactments [that] merely
appropriated a less amount” than necessary to pay, because the
appropriations bill lacked “words that expressly or by clear
implication modified or repealed the previous law.”
Id., at
394.
Vulte reaffirmed that a mere failure to
appropriate does not repeal or discharge an obligation to pay. At
issue there was whether certain appropriations Acts had repealed a
Government obligation to pay bonuses to military servicemen. 233
U. S., at 511–512. A 1902 statute had provided a 10 percent
bonus to officers serving outside the contiguous United States, but
in 1906 and 1907, Congress enacted appropriations funding the
bonuses for officers “except [those in] P[ue]rto Rico and Hawaii.”
Id., at 512. Then, in 1908, Congress enacted a statute
stating “ ‘[t]hat the increase of pay . . . shall be
as now provided by law.’ ”
Id., at 513. When Lieutenant
Nelson Vulte sought a bonus for his service in Puerto Rico from
1908 to 1909, the Government refused, contending that the
appropriations Acts had impliedly repealed its obligation
altogether.
Relying on
Langston,
Vulte
rejected that argument. “[I]t is to be remembered,” the Court
wrote, that the alleged repeals “were in appropriation acts and no
words were used to indicate any other purpose than the disbursement
of a sum of money for the particular fiscal years.” 233 U. S.,
at 514. At most, the appropriations had “temporarily suspend[ed]”
payments, but they did not use “ ‘the most clear and positive
terms’ ” required to “modif[y] or repea[l]” the Government’s
obligation itself.
Id., at 514–515 (quoting
Minis v.
United States, 15 Pet. 423, 445 (1841)). Because the
Government had failed to show that repeal was the only
‘ “reasonable interpretation’ ” of the appropriation
Acts, the obligation persisted. 233 U. S., at 515 (quoting
Minis, 15 Pet., at 445).
The parallels among
Langston,
Vulte, and these cases are clear. Here, like in
Langston and
Vulte, Congress “merely appropriated a
less amount” than that required to satisfy the Government’s
obligation, without “expressly or by clear implication modif[ying]”
it.
Langston, 118 U. S., at 394; see also
Vulte,
233 U. S., at 515. The riders stated that “[n]one of the funds
made available by this Act,” as opposed to any other sources of
funds, “may be used for payments under” the Risk Corridors statute.
§227, 128Stat. 2491; accord, §225, 129Stat. 2624; §223, 131Stat.
543. But “no words were used to indicate any other purpose than the
disbursement of a sum of money for the particular fiscal years.”
Vulte, 233 U. S., at 514. And especially because the
Government had already begun incurring the prior year’s obligation
each time Congress enacted a rider, reasonable (and nonrepealing)
interpretations exist. Indeed, finding a repeal in these
circumstances would raise serious questions whether the
appropriations riders retroactively impaired insurers’ rights to
payment. See
Landgraf v.
USI Film Products,
511 U.S.
244, 265–266, 280 (1994); see also GAO Redbook 1–61 to
1–62.
The relevant agencies’ responses to the riders
also undermine the case for an implied repeal here. Had Congress
“clearly expressed” its intent to repeal, one might have expected
HHS or CMS to signal the sea change.
Morton, 417 U. S.,
at 551. But even after Congress enacted the first rider, the
agencies reiterated that “the Affordable Care Act requires the
Secretary to make full payments to issuers,” 80 Fed. Reg. 10779,
and that “HHS w[ould] record risk corridors payments due as an
obligation of the United States Government for which full payment
is required,” CMS, Risk Corridors Payments for 2015, at 1. They
understood that profitable insurers’ payments to the Government
would not dispel the Secretary’s obligation to pay unprofitable
insurers, even “in the event of a shortfall.”
Ibid.
Given the Court’s potent presumption in the
appropriations context, an implied-repeal-by-rider must be made of
sterner stuff.
B
To be sure, this Court’s implied-repeal
precedents reveal two situations where the Court has deemed
appropriations measures irreconcilable with statutory obligations
to pay. But neither one applies here.
The first line of cases involved appropriations
bills that, without expressly invoking words of “repeal,” reached
that outcome by completely revoking or suspending the underlying
obligation before the Government began incurring it. See
United
States v.
Will,
449 U.S.
200 (1980);
United States v.
Dickerson,
310 U.S.
554 (1940).
Will concluded that Congress had canceled an
obligation to pay cost-of- living raises through appropriations
bills that bluntly stated that future raises “ ‘shall not take
effect’ ” or that restricted funds from “ ‘this Act or
any other Act.’ ” 449 U. S., at 206–207, 223.[
9] Likewise,
Dickerson held that
a series of appropriations bills repealed an obligation to pay
military-reenlistment bonuses due in particular fiscal years. See
310 U. S., at 561. One enactment “ ‘hereby
suspended’ ” the bonuses before they took effect, and another
“continued” this suspension for additional years, providing that
“ ‘no part of any appropriation in this or any other Act for
the [next] fiscal year . . . shall be available for the
payment [of the bonuses] notwithstanding’ ” the statute
creating the Government’s obligation to pay.
Id., at
555–557.
Here, by contrast, the appropriations riders did
not use the kind of “shall not take effect” language decisive in
Will. See 449 U. S., at 222–223. Nor did the riders
purport to “suspen[d]” §1342 prospectively or to foreclose funds
from “any other Act” “notwithstanding” §1342’s money-mandating
text.
Dickerson, 310 U. S., at 556–557; see also
Will, 449 U. S., at 206–207. Neither
Will nor
Dickerson supports the Federal Circuit’s implied-repeal
holding.
The second strand of precedent turned on
provisions that reformed statutory payment formulas in ways
“irreconcilable” with the original methods. See
United
States v.
Mitchell,
109 U.S.
146,
150
(1883); see also
United States v.
Fisher,
109 U.S.
143, 145–146 (1883). In
Mitchell, an appropriations bill
decreased the salaries for federal interpreters (from $400 to $300)
and changed how the agency would distribute any “ ‘additional
pay’ ” (from “ ‘all emoluments and allowances
whatsoever’ ” to payments at the agency head’s discretion).
109 U. S., at 147, 149. And in
Fisher, Congress altered
an obligation to pay judges $3,000 per year by providing that a
lesser appropriation would be “ ‘in full compensation’ ”
for services rendered in the next fiscal year. 109 U. S., at
144.[
10]
The appropriations bills here created no such
conflict as in
Mitchell and
Fisher. The riders did
not reference §1342’s payment formula at all, let alone
“irreconcilabl[y]” change it.
Mitchell, 109 U. S., at
150. Nor did they provide that Risk Corridors payments from
profitable plans would be “ ‘in full compensation’ ” of
the Government’s obligation to unprofitable plans.
Fisher,
109 U. S., at 146. Instead, the riders here must be taken at
face value: as a “mere omission to appropriate a sufficient sum.”
Vulte, 233 U. S., at 515. Congress could have used the
kind of language we have held to effect a repeal or
suspension—indeed, it did so in other provisions of the relevant
appropriations bills. See,
e.g., §716, 128Stat. 2163 (“None
of the funds appropriated or otherwise made available by this or
any other Act shall be used . . . ”); §714, 129Stat. 2275
(same); §714, 131Stat. 168 (same). But for the Risk Corridors
program, it did not.
C
We also find unpersuasive the only pieces of
legislative history that the Federal Circuit cited. According to
the Court of Appeals, a floor statement and an unpublished GAO
letter provided “clear intent” to cancel or “suspend” the
Government’s Risk Corridors obligation. See 892 F. 3d, at
1318–1319, 1325–1326. We doubt that either source could ever evince
the kind of clear congressional intent required to repeal a
statutory obligation through an appropriations rider. See
United
States v.
Kwai Fun Wong, 575 U.S. 402, 412 (2015). But
even if they could, they did not do so here.
The floor statement (which Congress adopted as
an “explanatory statement”) does not cross the clear-expression
threshold. See 160 Cong. Rec. 17805, 18307 (2014); see also §4,
128Stat. 2132. That statement interpreted an HHS regulation as
saying that “the risk corridor program will be budget neutral,
meaning the federal government will never pay out more than it
collects.” 160 Cong. Rec., at 18307.[
11] But that misunderstands the referenced regulation,
which provided only that HHS “project[ed]” that the program would
be budget neutral and that the agency “intend[ed]” to treat it that
way, while making clear that “it [was] difficult to estimate” the
“aggregate risk corridors payments and charges at [the] time.” 79
Fed. Reg. 13829. HHS’ goals did not alter its prior interpretation
that the Risk Corridors program was “not statutorily required to be
budget neutral.” 78 Fed. Reg. 15473. And neither the floor
statement nor the appropriations rider said anything requiring
budget neutrality or redefining §1342’s formula.[
12]
The GAO letter is even more inapt. In it, the
GAO responded to two legislators’ inquiry by identifying two
sources of available funding for the first year of Risk Corridors
payments: CMS’ appropriations for the 2014 fiscal year and
profitable insurance plans’ payments to the Secretary. 892
F. 3d, at 1318; see also App. in No. 17–1994 (CA Fed.), pp.
234–240. Because the rider cut off the first source of funds, the
Federal Circuit inferred congressional intent “to temporarily cap”
the Government’s payments “at the amount of payments” profitable
plans made “for each of the applicable years” of the Risk Corridors
program. 892 F. 3d, at 1325. That was error. The letter has
little value because it appears nowhere in the legislative record.
Perhaps for that reason, the Government does not rely on it.
IV
Having found that the Risk Corridors statute
established a valid yet unfulfilled Government obligation, this
Court must turn to a final question: Where does petitioners’
lawsuit belong, and for what relief? We hold that petitioners
properly relied on the Tucker Act to sue for damages in the Court
of Federal Claims.
A
The United States is immune from suit unless
it unequivocally consents.
United States v.
Navajo
Nation,
556 U.S.
287, 289 (2009). The Government has waived immunity for certain
damages suits in the Court of Federal Claims through the Tucker
Act, 24Stat. 505. See
United States v.
Mitchell,
463 U.S.
206, 212 (1983). That statute permits “claim[s] against the
United States founded either upon the Constitution, or any Act of
Congress or any regulation of an executive department, or upon any
express or implied contract with the United States, or for
liquidated or unliquidated damages in cases not sounding in tort.”
28 U. S. C. §1491(a)(1).
The Tucker Act, however, does not create
“substantive rights.”
Navajo Nation, 556 U. S., at 290.
A plaintiff relying on the Tucker Act must premise her damages
action on “other sources of law,” like “statutes or contracts.”
Ibid. For that reason, “[n]ot every claim invoking the
Constitution, a federal statute, or a regulation is cognizable
under the Tucker Act.”
Mitchell, 463 U. S., at 216. Nor
will every “failure to perform an obligation . . .
creat[e] a right to monetary relief ” against the Government.
United States v.
Bormes,
568 U.S.
6, 16 (2012).
To determine whether a statutory claim falls
within the Tucker Act’s immunity waiver, we typically employ a
“fair interpretation” test. A statute creates a “right capable of
grounding a claim within the waiver of sovereign immunity if, but
only if, it ‘can fairly be interpreted as mandating compensation by
the Federal Government for the damage sustained.’ ”
United
States v.
White Mountain Apache Tribe,
537 U.S.
465, 472 (2003) (quoting
Mitchell, 463 U. S., at
217)); see also
Navajo Nation, 556 U. S., at 290 (“The
other source of law need not
explicitly provide that the
right or duty it creates is enforceable through a suit for
damages”). Satisfying this rubric is generally both necessary and
sufficient to permit a Tucker Act suit for damages in the Court of
Federal Claims.
White Mountain Apache, 537 U. S., at
472–473.[
13]
But there are two exceptions. The Tucker Act
yields when the obligation-creating statute provides its own
detailed remedies, or when the Administrative Procedure Act,
60Stat. 237, provides an avenue for relief. See
Bormes, 568
U. S., at 13, 16;
Bowen v.
Massachusetts,
487 U.S.
879, 900–908 (1988).
B
Petitioners clear each hurdle: The Risk
Corridors statute is fairly interpreted as mandating compensation
for damages, and neither exception to the Tucker Act applies.
1
Rarely has the Court determined whether a
statute can “fairly be interpreted as mandating compensation by the
Federal Government.”
Mitchell, 463 U. S., at 216–217
(internal quotation marks omitted). Likely this is because
so-called money-mandating provisions are uncommon, see M. Solomson,
Court of Federal Claims: Jurisdiction, Practice, and Procedure 4–18
(2016), and because Congress has at its disposal several blueprints
for conditioning and limiting obligations, see n. 7,
supra; see also GAO Redbook 2–22 to 2–24, 2–54 to 2–58. But
Congress used none of those tools in §1342. The Risk Corridors
statute is one of the rare laws permitting a damages suit in the
Court of Federal Claims.
Here again §1342’s mandatory text is
significant. Statutory “ ‘shall pay’ language” often reflects
congressional intent “to create both a right and a remedy” under
the Tucker Act.
Bowen, 487 U. S., at 906, n. 42; see
also,
e.g., id., at 923 (Scalia, J., dissenting) (“[A]
statute commanding the payment of a specified amount of money by
the United States impliedly authorizes (absent other indication) a
claim for damages in the defaulted amount”);
United States
v.
Testan,
424 U.S.
392, 404 (1976) (suggesting that the Back Pay Act,
5 U. S. C. §5596, may permit damages suits under the
Tucker Act “in carefully limited circumstances”);
Mitchell,
463 U. S., at 217 (similar). Section 1342’s triple
mandate—that the HHS Secretary “shall establish and administer” the
program, “shall provide” for payment according to the statutory
formula, and “shall pay” qualifying insurers—falls comfortably
within the class of money- mandating statutes that permit recovery
of money damages in the Court of Federal Claims.
Bolstering our finding is §1342’s focus on
compensating insurers for past conduct. In assessing Tucker Act
actions, this Court has distinguished statutes that “attempt to
compensate a particular class of persons for past injuries or
labors” from laws that “subsidize future state expenditures.”
Bowen, 487 U. S., at 906, n. 42. (The first group
permits Tucker Act suits; the second does not.) The Risk Corridors
statute sits securely in the first category: It uses a
backwards-looking formula to compensate insurers for losses
incurred in providing healthcare coverage for the prior
year.[
14]
2
Nor is there a separate remedial scheme
supplanting the Court of Federal Claims’ power to adjudicate
petitioners’ claims.
True, the Tucker Act “is displaced” when “a law
assertedly imposing monetary liability on the United States
contains its own judicial remedies.”
Bormes, 568 U. S.,
at 12. A plaintiff in that instance cannot rely on our “fair
interpretation” test, and instead must stick to the money-
mandating statute’s “
own text” to “determine whether the
damages liability Congress crafted extends to the Federal
Government.”
Id., at 15–16. Examples include the Fair Credit
Reporting Act, 84Stat. 1127, and the Agricultural Marketing
Agreement Act of 1937, 50Stat. 246. The former superseded the
Tucker Act by creating a cause of action, imposing a statute of
limitations, and providing subject-matter jurisdiction in federal
district courts. See 15 U. S. C. §§1681n, 1681
o,
1681p;
Bormes, 568 U. S., at 15. And the latter did so
by allowing aggrieved parties to petition the Secretary of
Agriculture and by paving a path for judicial review. See 7
U. S. C. §608c(15);
Horne v.
Department of
Agriculture,
569 U.S.
513, 527 (2013).
Unlike those statutes, however, the Affordable
Care Act did not establish a comparable remedial scheme. Nor has
the Government identified one. So this exception to the Tucker Act
is no barrier here.
Neither does the Administrative Procedure Act
bar petitioners’ Tucker Act suit. To be sure, in
Bowen, this
Court held in the Medicaid context that a State properly sued the
HHS Secretary under the Administrative Procedure Act (not the
Tucker Act) in district court (not the Court of Federal Claims) for
failure to make statutorily required payments. See 487 U. S.,
at 882–887, 901–905.
But
Bowen is distinguishable on several
scores. First, the relief requested there differed materially from
what petitioners pursue here. In
Bowen, the State did not
seek money damages, but instead sued for prospective declaratory
and injunctive relief to clarify the extent of the Government’s
ongoing obligations under the Medicaid program. Unlike §1342, which
“provide[s] compensation for specific instances of past injuries or
labors,”
id., at 901, n. 31, the pertinent Medicaid
provision was a “grant-in-aid program,” which “direct[ed] the
Secretary . . . to subsidize future state expenditures,”
id., at 906, n. 42. Thus, the suit in
Bowen “was not
merely for past due sums, but for an injunction to correct the
method of calculating payments going forward.”
Great-West Life
& Annuity Ins. Co. v.
Knudson,
534 U.S.
204, 212 (2002). And because the Court of Federal Claims “does
not have the general equitable powers of a district court to grant
prospective relief,” 487 U. S., at 905, the Court reasoned
that
Bowen belonged in district court.
Second, the parties’ relationship in
Bowen also differs from the one implicated here. The State
had employed the Administrative Procedure Act in
Bowen
because of the litigants’ “complex ongoing relationship,” which
made it important that a district court adjudicate future disputes.
Id., at 905; see also
id., at 900, n. 31. The Court
added that the Administrative Procedure Act “is tailored” to
“[m]anaging the relationships between States and the Federal
Government that occur over time and that involve constantly
shifting balance sheets,” while the Tucker Act is suited to
“remedy[ing] particular categories of past injuries or labors for
which various federal statutes provide compensation.”
Id.,
at 904–905, n. 39.
These observations confirm that petitioners
properly sued the Government in the Court of Federal Claims.
Petitioners’ prayer for relief under the Risk Corridors statute
looks nothing like the requested redress in
Bowen.
Petitioners do not ask for prospective, nonmonetary relief to
clarify future obligations; they seek specific sums already
calculated, past due, and designed to compensate for completed
labors. The Risk Corridors statute and Tucker Act allow them that
remedy. And because the Risk Corridors program expired years ago,
this litigation presents no special concern about managing a
complex ongoing relationship or tracking ever-changing accounting
sheets. Petitioners’ suit thus lies in the Tucker Act’s
heartland.[
15]
V
In establishing the temporary Risk Corridors
program, Congress created a rare money-mandating obligation
requiring the Federal Government to make payments under §1342’s
formula. And by failing to appropriate enough sums for payments
already owed, Congress did simply that and no more: The
appropriation bills neither repealed nor discharged §1342’s unique
obligation. Lacking other statutory paths to relief, and absent a
Bowen barrier, petitioners may seek to collect payment
through a damages action in the Court of Federal Claims.[
16]
These holdings reflect a principle as old as the
Nation itself: The Government should honor its obligations. Soon
after ratification, Alexander Hamilton stressed this insight as a
cornerstone of fiscal policy. “States,” he wrote, “who observe
their engagements . . . are respected and trusted: while
the reverse is the fate of those . . . who pursue an
opposite conduct.” Report Relative to a Provision for the Support
of Public Credit (Jan. 9, 1790), in 6 Papers of Alexander Hamilton
68 (H. Syrett & J. Cooke eds. 1962). Centuries later, this
Court’s case law still concurs.
The judgments of the Court of Appeals are
reversed, and the cases are remanded for further proceedings
consistent with this opinion.
It is so ordered.