<s> /Users/loicliegeois/TXM-0.8.1/treetagger-models/en.par /Users/loicliegeois/TXM-0.8.1/corpora/SUPREMECOURTUSV4-3/ptreetagger/Azar.xml-src.tt /Users/loicliegeois/TXM-0.8.1/corpora/SUPREMECOURTUSV4-3/treetagger/Azar.xml-out.tt pos tagset built from model /Users/loicliegeois/TXM-0.8.1/treetagger-models/en.par en lemma of the model /Users/loicliegeois/TXM-0.8.1/treetagger-models/en.par - [CHIEF JUSTICE ROBERTS]1LOC[CHIEF JUSTICE ROBERTS] We2PPwe 'll3MDwill hear4VVhear argument5NNargument next6JJnext in7INin Case8NPCase 17-14849CD@card@ ,10,, Azar11NPAzar versus12CCversus Allina13NPAllina Health14NPHealth Services15NPSServices .16SENT. Mr17NPMr .18SENT. Kneedler19NPKneedler .20SENT.

[MR. KNEEDLER]21LOC[MR. KNEEDLER] Mr22NPMr .23SENT. Chief24NPChief Justice25NPJustice ,26,, and27CCand may28MDmay it29PPit please30VVplease the31DTthe Court32NPCourt :33:: Section34NPSection 1395hh35NP1395hh did36VVDdo not37RBnot require38VVrequire CMS39NPCMS to40TOto go41VVgo through42INthrough notice-and-comment43NNnotice-and-comment rulemaking44VVGrulemak before45INbefore it46PPit could47MDcould furnish48VVfurnish its49PP$its calculation50NNcalculation of51INof one52CDone component53NNcomponent of54INof a55DTa hospital56NNhospital 's57POS's reimbursement58NNreimbursement to59TOto the60DTthe contractors61NNScontractor that62WDTthat perform63VVPperform the64DTthe initial65JJinitial determination66NNdetermination of67INof reimbursement68NNreimbursement for69INfor the70DTthe agency71NNagency .72SENT. That73DTthat calculation74NNcalculation was75VBDbe not76RBnot binding77VVGbind on78INon the79DTthe agency80NNagency ,81,, the82DTthe courts83NNScourt ,84,, or85CCor Respondents86NNSrespondent ,87,, and88CCand it89PPit could90MDcould be91VBbe challenged92VVNchallenge on93INon administrative94JJadministrative appeal95NNappeal ,96,, as97RBas ,98,, in99INin fact100NNfact ,101,, Respondents102NNSrespondent did103VVDdo here104RBhere .105SENT. [JUSTICE SOTOMAYOR]106LOC[JUSTICE SOTOMAYOR] I107PPI have108VHPhave a109DTa ...110:... a111DTa sort112NNsort of113INof problem114NNproblem with115INwith this116DTthis .117SENT. And118CCand I119PPI know120VVPknow you121PPyou say122VVPsay that123IN/thatthat ,124,, but125CCbut I126PPI do127VVPdo n't128RBn't know129VVknow how130WRBhow you131PPyou take132VVPtake this133DTthis outside134NNoutside of135INof being136VBGbe a137DTa policy138NNpolicy ,139,, meaning140VVGmean it141PPit 's142VBZbe applying143VVGapply to144TOto every145DTevery single146JJsingle provider147NNprovider uniformly148RBuniformly .149SENT. I150PPI do151VVPdo n't152RBn't know153VVknow the154DTthe basis155NNbasis that156IN/thatthat you157PPyou could158MDcould have159VHhave a160DTa individual161JJindividual adjudication162NNadjudication .163SENT. And164CCand what165WPwhat would166MDwould happen167VVhappen ?168SENT? The169DTthe board170NNboard would171MDwould look172VVlook at173INat it174PPit and175CCand say176VVPsay we177PPwe 're178VBPbe not179RBnot going180VVGgo to181TOto listen182VVlisten ,183,, even184RBeven though185INthough we186PPwe 're187VBPbe required188VVNrequire to189TOto listen190VVlisten ,191,, to192TOto the193DTthe agency194NNagency 's195POS's position196NNposition ;197:; we198PPwe 're199VBPbe going200VVGgo to201TOto tell202VVtell them203PPthem they204PPthey 're205VBPbe wrong206JJwrong ?207SENT? If208INif one209CDone case210NNcase tells211VVZtell you212PPyou the213DTthe agency214NNagency is215VBZbe wrong216JJwrong ,217,, does218VVZdo that219IN/thatthat case220NNcase then221RBthen become222VVNbecome the223DTthe new224JJnew policy225NNpolicy ?226SENT? Or227CCor ...228:... or229CCor are230VBPbe you231PPyou ...232:... I233PPI 'm234VBPbe a235DTa little236RBlittle lost237VVNlose as238INas to239TOto how240WRBhow this241DTthis is242VBZbe not243RBnot a244DTa agency245NNagency policy246NNpolicy .247SENT. [MR. KNEEDLER]248LOC[MR. KNEEDLER] So249INso several250JJseveral points251NNSpoint .252SENT. [JUSTICE SOTOMAYOR]253LOC[JUSTICE SOTOMAYOR] A254DTa statement255NNstatement of256INof policy257NNpolicy .258SENT. [MR. KNEEDLER]259LOC[MR. KNEEDLER] Several260JJseveral points261NNSpoint ,262,, Justice263NPJustice Sotomayor264NPSotomayor .265SENT. And266CCand the267DTthe ...268:... the269DTthe first270JJfirst is271VBZbe that272IN/thatthat we273PPwe are274VBPbe relying275VVGrely on276INon the277DTthe operative278JJoperative language279NNlanguage in280INin 1395hh281NP1395hh ,282,, whether283INwhether it284PPit 's285VHZhave called286VVNcall a287DTa ...288:... whether289INwhether the290DTthe issuance291NNissuance is292VBZbe called293VVNcall a294DTa policy295NNpolicy or296CCor a297DTa requirement298NNrequirement or299CCor whatever300WDTwhatever the301DTthe agency302NNagency calls303VVZcall it304PPit .305SENT. It306PPit is307VBZbe only308JJonly ...309:... it310PPit only311RBonly triggers312VVZtrigger notice-and-comment313NNnotice-and-comment rulemaking314VVGrulemak if315INif it316PPit establishes317VVZestablish or318CCor changes319VVZchange a320DTa substantive321JJsubstantive legal322JJlegal standard323NNstandard .324SENT. And325CCand that326DTthat is327VBZbe the328DTthe ...329:... [JUSTICE SOTOMAYOR]330LOC[JUSTICE SOTOMAYOR] Well331UHWell ,332,, that333WDTthat 's334VBZbe what335WPwhat I'm336NPI'm ...337:... that338WDTthat 's339VBZbe what340WPwhat I341PPI 'm342VBPbe having343VHGhave a344DTa problem345NNproblem with346INwith .347SENT. It348PPit 's349VBZbe every350DTevery single351JJsingle provider352NNprovider is353VBZbe going354VVGgo to355TOto be356VBbe given357VVNgive a358DTa fraction359NNfraction that360WDTthat incorporates361VVZincorporate your362PP$your policy363NNpolicy ,364,, and365CCand that366IN/thatthat binds367NNSbind what368WPwhat they369PPthey 're370VBPbe going371VVGgo to372TOto get373VVget .374SENT. [MR. KNEEDLER]375LOC[MR. KNEEDLER] No376NPNo ,377,, it378PPit ...379:... it380PPit ...381:... [JUSTICE SOTOMAYOR]382LOC[JUSTICE SOTOMAYOR] Because383INbecause they384PPthey have385VHPhave to386TOto use387VVuse that388DTthat fraction389NNfraction in390INin the391DTthe claims392NNSclaim they393PPthey made394VVDmake against395INagainst you396PPyou .397SENT. [MR. KNEEDLER]398LOC[MR. KNEEDLER] It399PPit ...400:... it401PPit only402RBonly governs403VVZgovern what404WPwhat the405DTthe contractor406NNcontractor does407VVZdo .408SENT. The409DTthe contractor410NNcontractor is411VBZbe just412RBjust like413INlike an414DTan agency415NNagency employee416NNemployee ,417,, making418VVGmake determinations419NNSdetermination on420INon behalf421NNbehalf of422INof the423DTthe agency424NNagency at425INat the426DTthe first427JJfirst step428NNstep .429SENT. When430WRBwhen ...431:... when432WRBwhen the433DTthe ...434:... [JUSTICE SOTOMAYOR]435LOC[JUSTICE SOTOMAYOR] From436INfrom you437PPyou ...438:... from439INfrom the440DTthe contractor441NNcontractor ,442,, from443INfrom the444DTthe agency445NNagency ,446,, they447PPthey 're448VBPbe only449RBonly going450VVGgo to451TOto get452VVget the453DTthe fraction454NNfraction as455INas you456PPyou told457VVDtell the458DTthe contractor459NNcontractor to460TOto calculate461VVcalculate it462PPit .463SENT. [MR. KNEEDLER]464LOC[MR. KNEEDLER] Only465RBonly if466INif they467PPthey do468VVPdo n't469RBn't appeal470VVappeal .471SENT. And472CCand ...473:... and474CCand as475RBas ...476:... as477INas we478PPwe point479VVPpoint out480RBout ...481:... [JUSTICE SOTOMAYOR]482LOC[JUSTICE SOTOMAYOR] I483PPI ...484:... I485PPI just486RBjust do487VVPdo n't488RBn't understand489VVunderstand what490WPwhat difference491NNdifference it492PPit means493VVZmean ...494:... it495PPit means496VVZmean ...497:... I498PPI mean499VVPmean ,500,, even501RBeven a502DTa regulation503NNregulation or504CCor a505DTa rule506NNrule may507MDmay have508VHhave legal509JJlegal meaning510NNmeaning only511RBonly until512INuntil it513PPit 's514VBZbe accepted515VVNaccept ,516,, but517CCbut even518RBeven a519DTa rule520NNrule can521MDcan be522VBbe challenged523VVNchallenge later524RBRlater on525INon appeal526NNappeal .527SENT. The528DTthe grounds529NNSground for530INfor that531DTthat challenge532NNchallenge might533MDmight be534VBbe different535JJdifferent ,536,, but537CCbut I538PPI can539MDcan go540VVgo into541INinto court542NNcourt and543CCand say544VVsay it545PPit 's546POS's ultra547JJultra vires548NNSvire .549SENT. I550PPI can551MDcan go552VVgo into553INinto court554NNcourt and555CCand say556VVPsay it557PPit 's558VBZbe not559RBnot supported560VVNsupport by561INby the562DTthe statute563NNstatute .564SENT. It565PPit 's566VBZbe not567RBnot binding568VVGbind in569INin ...570:... in571INin any572DTany meaningful573JJmeaningful way574NNway ,575,, other576JJother than577INthan that578DTthat 's579VBZbe what580WPwhat the581DTthe agency582NNagency 's583VBZbe going584VVGgo to585TOto do586VVdo .587SENT. [MR. KNEEDLER]588LOC[MR. KNEEDLER] Well589UHWell ,590,, if591INif I592PPI ...593:... if594INif I595PPI may596MDmay ,597,, in598INin our599PP$our view600NNview ,601,, 1395hh602NP1395hh codifies603VVZcodify for604INfor the605DTthe Medicare606NPMedicare program607NNprogram what608WPwhat this609DTthis Court610NPCourt referred611VVDrefer to612TOto in613INin Chrysler614NPChrysler Corporation615NPCorporation as616INas the617DTthe central618JJcentral distinction619NNdistinction in620INin the621DTthe APA622NPAPA between623INbetween substantive624JJsubstantive and625CCand interpretive626JJinterpretive rules627NNSrule .628SENT. And629CCand this630DTthis Court631NPCourt in632INin Guernsey633NPGuernsey ...634:... [JUSTICE SOTOMAYOR]635LOC[JUSTICE SOTOMAYOR] Well636UHWell ,637,, the638DTthe problem639NNproblem I640PPI have641VHPhave is642VBZbe that643IN/thatthat the644DTthe provision645NNprovision adds646VVZadd something647NNsomething .648SENT. It649PPit 's650VBZbe not651RBnot just652RBjust rule653NNrule or654CCor regulation655NNregulation ;656:; it657PPit 's658POS's statement659NNstatement of660INof policy661NNpolicy .662SENT. And663CCand it664PPit seems665VVZseem to666TOto suggest667VVsuggest to668TOto me669PPme that670IN/thatthat there671EXthere 's672VBZbe some673DTsome interpretive674JJinterpretive rules675NNSrule that676WDTthat are677VBPbe encompassed678VVNencompass by679INby that680DTthat .681SENT. Now682RBnow which683WDTwhich ones684NNSone is685VBZbe the686DTthe open687JJopen question688NNquestion .689SENT. But690CCbut it691PPit does692VVZdo seem693VVseem to694TOto suggest695VVsuggest that696IN/thatthat it697PPit 's698VBZbe broader699JJRbroad than700INthan the701DTthe APA702NPAPA ever703RBever was704VBDbe ,705,, because706INbecause the707DTthe APA708NPAPA only709JJonly talks710NNStalk about711INabout rules712NNSrule .713SENT. [MR. KNEEDLER]714LOC[MR. KNEEDLER] Well715UHWell ,716,, again717RBagain ,718,, several719JJseveral points720NNSpoint ...721:... several722JJseveral points723NNSpoint about724INabout that725DTthat .726SENT. This727DTthis Court728NPCourt 's729POS's decision730NNdecision in731INin Guernsey732NPGuernsey Memorial733NPMemorial Hospital734NPHospital ,735,, which736WDTwhich described737VVDdescribe the738DTthe general739JJgeneral APA740NPAPA standards741NNSstandard ,742,, distinguished743VVNdistinguish between744INbetween substantive745JJsubstantive rules746NNSrule and747CCand interpretive748JJinterpretive rules749NNSrule .750SENT. And751CCand the752DTthe interpretive753JJinterpretive rule754NNrule there755EXthere was756VBDbe something757NNsomething in758INin the759DTthe provider760NNprovider reimbursement761NNreimbursement manual762NNmanual which763WDTwhich ,764,, just765RBjust as766INas here767RBhere ,768,, bound769VVNbind the770DTthe contractor771NNcontractor but772CCbut could773MDcould be774VBbe changed775VVNchange ...776:... or777CCor could778MDcould be779VBbe challenged780VVNchallenge ...781:... [JUSTICE SOTOMAYOR]782LOC[JUSTICE SOTOMAYOR] Mr783NPMr .784SENT. Kneedler785NPKneedler ,786,, why787WRBwhy did788VVDdo n't789RBn't ...790:... [MR. KNEEDLER]791LOC[MR. KNEEDLER] ...792:... and793CCand set794VVDset aside795RPaside on796INon appeal797NNappeal .798SENT. [JUSTICE SOTOMAYOR]799LOC[JUSTICE SOTOMAYOR] ...800:... why801WRBwhy did802VVDdo n't803RBn't Congress804NPCongress just805RBjust say806VVPsay this807DTthis is808VBZbe like809INlike the810DTthe APA811NPAPA ?812SENT? Why813WRBwhy does814VVZdo it815PPit change816VVchange the817DTthe language818NNlanguage at819INat all820DTall ?821SENT? [MR. KNEEDLER]822LOC[MR. KNEEDLER] Well823UHWell ...824:... [JUSTICE SOTOMAYOR]825LOC[JUSTICE SOTOMAYOR] I826PPI have827VHPhave to828TOto give829VVgive some830DTsome meaning831NNmeaning different832JJdifferent than833INthan the834DTthe APA835NPAPA to836TOto Congress837NPCongress 's838POS's express839JJexpress choice840NNchoice of841INof a842DTa different843JJdifferent articulation844NNarticulation of845INof the846DTthe standard847NNstandard .848SENT. [MR. KNEEDLER]849LOC[MR. KNEEDLER] Well850UHWell ,851,, first852JJfirst of853INof all854DTall ,855,, when856WRBwhen ...857:... when858WRBwhen Congress859NPCongress first860RBfirst enacted861VVDenact the862DTthe provisions863NNSprovision or864CCor amended865VVDamend the866DTthe provisions867NNSprovision in868INin the869DTthe rulemaking870VVGrulemak in871INin 1986872CD@card@ ,873,, it874PPit said875VVDsay certain876JJcertain regulations877NNSregulation ...878:... regulations879NNSregulation have880VHPhave to881TOto go882VVgo through883INthrough notice884NNnotice and885CCand comment886NNcomment .887SENT. It888PPit did889VVDdo n't890RBn't define891VVdefine regulation892NNregulation at893INat that894DTthat point895NNpoint .896SENT. But897CCbut the898DTthe conference899NNconference report900NNreport said901VVDsay this902DTthis does903VVZdo not904RBnot require905VVrequire notice-and-comment906NNnotice-and-comment rulemaking907VVGrulemak for908INfor interpretive909JJinterpretive rules910NNSrule or911CCor other912JJother things913NNSthing that914WDTthat are915VBPbe not916RBnot now917RBnow subject918JJsubject to919TOto that920DTthat requirement921NNrequirement .922SENT. Then923RBthen ,924,, in925INin 1987926CD@card@ ,927,, Congress928NPCongress revisited929VVDrevisit the930DTthe ...931:... the932DTthe provision933NNprovision .934SENT. And935CCand if936INif you937PPyou look938VVPlook at939INat page940NNpage 34941CD@card@ of942INof our943PP$our brief944NNbrief ,945,, we946PPwe ...947:... we948PPwe set949VVDset out950RPout the951DTthe House952NPHouse version953NNversion ,954,, the955DTthe version956NNversion that957WDTthat was958VBDbe passed959VVNpass by960INby the961DTthe House962NPHouse ,963,, and964CCand then965RBthen ...966:... and967CCand contrast968VVPcontrast that969IN/thatthat to970TOto the971DTthe version972NNversion that973WDTthat was974VBDbe finally975RBfinally enacted976VVNenact .977SENT. The978DTthe House979NPHouse ...980:... the981DTthe House982NPHouse version983NNversion said984VVDsay no985DTno rule986NNrule requirement987NNrequirement or988CCor other989JJother statement990NNstatement of991INof policy992NNpolicy that993WDTthat has994VHZhave or995CCor may996MDmay have997VHhave a998DTa significant999JJsignificant effect1000NNeffect on1001INon the1002DTthe payment1003NNpayment for1004INfor services1005NNSservice can1006MDcan go1007VVgo into1008INinto effect1009NNeffect unless1010INunless promulgated1011VVNpromulgate through1012INthrough notice-and-comment1013NNnotice-and-comment rulemaking1014VVGrulemak .1015SENT. That1016DTthat was1017VBDbe changed1018VVNchange in1019INin conference1020NNconference .1021SENT. And1022CCand the1023DTthe enacted1024VVNenact language1025NNlanguage kept1026VVDkeep everything1027NNeverything but1028CCbut substituted1029VVNsubstitute for1030INfor that1031DTthat italicized1032VVNitalicize language1033NNlanguage the1034DTthe phrase1035NNphrase "1036''" that1037WDTthat has1038VHZhave "1039''" ...1040:... that1041DTthat ...1042:... excuse1043VVexcuse me1044PPme ,1045,, "1046''" that1047WDTthat establishes1048VVZestablish or1049CCor changes1050VVZchange a1051DTa substantive1052JJsubstantive legal1053JJlegal standard1054NNstandard .1055SENT. "1056``" [JUSTICE BREYER]1057LOC[JUSTICE BREYER] Is1058VBZbe ...1059:... is1060VBZbe this1061DTthis right1062NNright ?1063SENT? I1064PPI mean1065VVPmean ,1066,, I1067PPI ...1068:... it1069PPit 's1070VBZbe very1071RBvery complicated1072JJcomplicated ,1073,, what1074WPwhat you1075PPyou 're1076VBPbe saying1077VVGsay .1078SENT. I1079PPI thought1080VVDthink it1081PPit was1082VBDbe quite1083RBquite simple1084JJsimple ,1085,, that1086IN/thatthat for1087INfor a1088DTa long1089JJlong time1090NNtime in1091INin Medicare1092NPMedicare they1093PPthey did1094VVDdo n't1095RBn't have1096VHhave to1097TOto follow1098VVfollow the1099DTthe APA1100NPAPA .1101SENT. All1102DTall right1103NNright ?1104SENT? Then1105RBthen Congress1106NPCongress passes1107VVZpass a1108DTa statute1109NNstatute and1110CCand says1111VVZsay ,1112,, in1113INin this1114DTthis area1115NNarea ,1116,, you1117PPyou do1118VVPdo .1119SENT. So1120INso the1121DTthe reason1122NNreason it1123PPit says1124VVZsay no1125DTno rule1126NNrule ,1127,, requirement1128NNrequirement ,1129,, or1130CCor other1131JJother statement1132NNstatement of1133INof policy1134NNpolicy is1135VBZbe they1136PPthey have1137VHPhave certain1138JJcertain policy1139NNpolicy statements1140NNSstatement in1141INin mind1142NNmind ,1143,, certain1144JJcertain requirements1145NNSrequirement in1146INin mind1147NNmind ,1148,, and1149CCand certain1150JJcertain rules1151NNSrule in1152INin mind1153NNmind ,1154,, namely1155RBnamely ,1156,, those1157DTthose that1158WDTthat establish1159VVPestablish or1160CCor change1161VVPchange a1162DTa substantive1163JJsubstantive legal1164JJlegal standard1165NNstandard .1166SENT. [MR. KNEEDLER]1167LOC[MR. KNEEDLER] And1168CCand that1169DTthat ...1170:... [JUSTICE BREYER]1171LOC[JUSTICE BREYER] And1172CCand ,1173,, basically1174RBbasically ,1175,, what1176WPwhat they1177PPthey 're1178VBPbe doing1179VVGdo is1180VBZbe saying1181VVGsay to1182TOto the1183DTthe agency1184NNagency ,1185,, do1186VVPdo n't1187RBn't run1188VVrun around1189RParound this1190DTthis .1191SENT. We1192PPwe 're1193VBPbe not1194RBnot going1195VVGgo to1196TOto permit1197VVpermit a1198DTa run-around1199NNrun-around ,1200,, where1201WRBwhere what1202WPwhat you1203PPyou do1204VVPdo is1205VBZbe you1206PPyou change1207VVPchange the1208DTthe legal1209JJlegal standard1210NNstandard and1211CCand you1212PPyou call1213VVPcall what1214WPwhat you1215PPyou 're1216VBPbe doing1217VVGdo a1218DTa statement1219NNstatement of1220INof policy1221NNpolicy .1222SENT. So1223RBso do1224VVPdo n't1225RBn't run1226VVrun around1227INaround us1228PPus ,1229,, my1230PP$my friend1231NNfriend .1232SENT. You1233PPyou follow1234VVPfollow the1235DTthe APA1236NPAPA .1237SENT. Now1238RBnow that1239DTthat is1240VBZbe what1241WPwhat I1242PPI took1243VVDtake out1244RPout of1245INof your1246PP$your brief1247NNbrief ,1248,, but1249CCbut have1250VHhave I1251PPI got1252VVDget that1253DTthat right1254NNright ?1255SENT? [MR. KNEEDLER]1256LOC[MR. KNEEDLER] That1257DTthat ...1258:... that1259WDTthat is1260VBZbe exactly1261RBexactly ...1262:... that1263WDTthat is1264VBZbe exactly1265RBexactly our1266PP$our position1267NNposition .1268SENT. And1269CCand the1270DTthe ...1271:... [JUSTICE BREYER]1272LOC[JUSTICE BREYER] So1273RBso why1274WRBwhy did1275VVDdo n't1276RBn't you1277PPyou say1278VVPsay that1279WDTthat was1280VBDbe the1281DTthe answer1282NNanswer to1283TOto what1284WPwhat Justice1285NPJustice Sotomayor1286NPSotomayor said1287VVDsay ?1288SENT? [1289SYM[ LAUGHTER1290NNlaughter ]1291SYM] [JUSTICE SOTOMAYOR]1292LOC[JUSTICE SOTOMAYOR] Well1293UHwell ,1294,, the1295DTthe problem1296NNproblem I1297PPI have1298VHPhave with1299INwith that1300DTthat ...1301:... [MR. KNEEDLER]1302LOC[MR. KNEEDLER] I1303PPI ...1304:... I1305PPI ...1306:... I1307PPI tried1308VVDtry to1309TOto start1310VVstart down1311RPdown that1312DTthat path1313NNpath ...1314:... [JUSTICE SOTOMAYOR]1315LOC[JUSTICE SOTOMAYOR] ...1316:... counsel1317NNcounsel ...1318:... [MR. KNEEDLER]1319LOC[MR. KNEEDLER] ...1320:... but1321CCbut I1322PPI ...1323:... but1324CCbut that1325DTthat ...1326:... [JUSTICE SOTOMAYOR]1327LOC[JUSTICE SOTOMAYOR] ...1328:... but1329RBbut ...1330:... but1331CCbut let1332VVlet me1333PPme ...1334:... let1335VVlet me1336PPme stop1337VVstop you1338PPyou .1339SENT. If1340INif that1341DTthat 's1342VBZbe what1343WPwhat Congress1344NPCongress intended1345VVDintend ,1346,, it1347PPit could1348MDcould have1349VHhave stopped1350VVNstop in1351INin 19861352CD@card@ because1353RBbecause ,1354,, in1355INin 19861356CD@card@ ,1357,, it1358PPit had1359VHDhave done1360VVNdo what1361WPwhat you1362PPyou said1363VVDsay .1364SENT. But1365CCbut something1366NNsomething ...1367:... and1368CCand you1369PPyou read1370VVPread the1371DTthe House1372NPHouse report1373NNreport ...1374:... [MR. KNEEDLER]1375LOC[MR. KNEEDLER] The1376DTthe House1377NPHouse bill1378NNbill .1379SENT. [JUSTICE SOTOMAYOR]1380LOC[JUSTICE SOTOMAYOR] ...1381:... the1382DTthe House1383NPHouse bill1384NNbill ...1385:... was1386VBDbe leading1387VVGlead them1388PPthem to1389TOto believe1390VVbelieve that1391IN/thatthat a1392DTa different1393JJdifferent standard1394NNstandard was1395VBDbe necessary1396JJnecessary because1397INbecause they1398PPthey changed1399VVDchange it1400PPit .1401SENT. They1402PPthey had1403VHDhave the1404DTthe APA1405NPAPA standard1406NNstandard in1407INin 19861408CD@card@ .1409SENT. They1410PPthey chose1411VVDchoose intentionally1412RBintentionally to1413TOto alter1414VValter it1415PPit by1416INby altering1417VVGalter it1418PPit in1419INin '1420''' 871421CD@card@ .1422SENT. And1423CCand you1424PPyou look1425VVPlook at1426INat the1427DTthe rejection1428NNrejection of1429INof the1430DTthe House1431NPHouse bill1432NNbill as1433INas something1434NNsomething that1435WDTthat helps1436VVZhelp you1437PPyou ,1438,, but1439CCbut I1440PPI 'm1441VBPbe not1442RBnot sure1443JJsure how1444WRBhow .1445SENT. [MR. KNEEDLER]1446LOC[MR. KNEEDLER] It1447PPit ...1448:... it1449PPit ...1450:... [JUSTICE SOTOMAYOR]1451LOC[JUSTICE SOTOMAYOR] Because1452INbecause it1453PPit tells1454VVZtell me1455PPme they1456PPthey are1457VBPbe significantly1458RBsignificantly concerned1459VVNconcern about1460INabout things1461NNSthing that1462WDTthat make1463VVPmake major1464JJmajor changes1465NNSchange ,1466,, substantive1467JJsubstantive changes1468NNSchange in1469INin how1470WRBhow people1471NNSpeople are1472VBPbe being1473VBGbe paid1474VVNpay .1475SENT. [MR. KNEEDLER]1476LOC[MR. KNEEDLER] And1477CCand ...1478:... and1479CCand here's1480NNShere's ...1481:... here1482RBhere 's1483VBZbe what1484WPwhat matters1485NNSmatter there1486EXthere ,1487,, as1488RBas ...1489:... as1490INas I1491PPI pointed1492VVDpoint out1493RPout .1494SENT. Congress1495NPCongress substituted1496VVDsubstitute has1497VHZhave or1498CCor may1499MDmay have1500VHhave a1501DTa significant1502JJsignificant effect1503NNeffect .1504SENT. Maybe1505RBmaybe that1506IN/thatthat would1507MDwould sweep1508VVsweep in1509INin ordinary1510JJordinary statements1511NNSstatement of1512INof policy1513NNpolicy or1514CCor interpretive1515JJinterpretive rules1516NNSrule .1517SENT. But1518CCbut the1519DTthe ...1520:... the1521DTthe Conference1522NPConference Committee1523NPCommittee and1524CCand Congress1525NPCongress enacted1526VVDenact something1527NNsomething that1528WDTthat ...1529:... that1530WDTthat refers1531VVZrefer only1532RBonly to1533TOto substantive1534JJsubstantive legal1535JJlegal standards1536NNSstandard .1537SENT. And1538CCand the1539DTthe committee1540NNcommittee report1541NNreport said1542VVDsay this1543DTthis language1544NNlanguage reflects1545VVZreflect recent1546JJrecent court1547NNcourt rulings1548NNSruling .1549SENT. The1550DTthe recent1551JJrecent court1552NNcourt rulings1553NNSruling could1554MDcould only1555RBonly be1556VBbe APA1557NPAPA rulings1558NNSruling because1559INbecause there1560EXthere was1561VBDbe nothing1562NNnothing else1563NNelse that1564WDTthat would1565MDwould have1566VHhave governed1567VVNgovern Medicare1568NPMedicare .1569SENT. And1570CCand ,1571,, in1572INin fact1573NNfact ,1574,, as1575INas we1576PPwe point1577VVPpoint out1578RPout in1579INin our1580PP$our brief1581NNbrief ,1582,, there1583EXthere was1584VBDbe an1585DTan American1586NPAmerican Hospital1587NPHospital Association1588NPAssociation case1589NNcase decided1590VVDdecide ,1591,, I1592PPI think1593VVPthink ,1594,, just1595RBjust a1596DTa matter1597NNmatter of1598INof several1599JJseveral weeks1600NNSweek before1601INbefore the1602DTthe Conference1603NPConference Committee1604NPCommittee that1605WDTthat was1606VBDbe very1607RBvery similar1608JJsimilar to1609TOto this1610DTthis ,1611,, and1612CCand it1613PPit involved1614VVDinvolve instructions1615NNSinstruction affecting1616VVGaffect peer1617NNpeer review1618NNreview organizations1619NNSorganization ,1620,, which1621WDTwhich are1622VBPbe contractors1623NNScontractor that1624WDTthat operate1625VVPoperate on1626INon behalf1627NNbehalf of1628INof HHS1629NPHHS under1630INunder the1631DTthe Medicare1632NPMedicare program1633NNprogram .1634SENT. And1635CCand the1636DTthe court1637NNcourt there1638RBthere drew1639VVDdraw a1640DTa sharp1641JJsharp distinction1642NNdistinction between1643INbetween substantive1644JJsubstantive rules1645NNSrule on1646INon the1647DTthe one1648CDone hand1649NNhand and1650CCand interpretive1651JJinterpretive and1652CCand procedural1653JJprocedural rules1654NNSrule on1655INon the1656DTthe other1657JJother hand1658NNhand .1659SENT. [JUSTICE BREYER]1660LOC[JUSTICE BREYER] So1661INso the1662DTthe answer1663NNanswer is1664VBZbe that1665IN/thatthat it1666PPit did1667VVDdo n't1668RBn't do1669VVdo what1670WPwhat it1671PPit 's1672VBZbe trying1673VVGtry to1674TOto do1675VVdo in1676INin 19861677CD@card@ .1678SENT. What1679WPWhat it1680PPit talked1681VVDtalk about1682RBabout was1683VBDbe any1684DTany regulation1685NNregulation ,1686,, which1687WDTwhich could1688MDcould have1689VHhave included1690VVNinclude interpretive1691JJinterpretive regulations1692NNSregulation .1693SENT. I1694PPI would1695MDwould have1696VHhave found1697VVNfind out1698RPout ,1699,, because1700INbecause I1701PPI read1702VVPread the1703DTthe House1704NPHouse reports1705NNSreport .1706SENT. But1707CCbut those1708DTthose who1709WPwho think1710VVPthink they1711PPthey 're1712VBPbe irrelevant1713JJirrelevant might1714MDmight not1715RBnot have1716VHhave understood1717VVNunderstand the1718DTthe statute1719NNstatute .1720SENT. And1721CCand ,1722,, moreover1723RBmoreover ,1724,, there1725EXthere was1726VBDbe an1727DTan argument1728NNargument going1729VVGgo on1730INon in1731INin the1732DTthe D1733NPD .1734SENT. C1735LSc .1736SENT. Circuit1737NNcircuit about1738INabout what1739WPwhat is1740VBZbe a1741DTa legislative1742JJlegislative rule1743NNrule .1744SENT. Is1745VBZbe it1746PPit just1747RBjust important1748JJimportant versus1749CCversus unimportant1750JJunimportant ,1751,, or1752CCor is1753VBZbe it1754PPit legally1755RBlegally binding1756JJbinding versus1757CCversus non-legally1758RBnon-legally binding1759VVGbind no1760DTno matter1761NNmatter how1762WRBhow unimportant1763JJunimportant ?1764SENT? All1765DTall right1766NNright .1767SENT. That1768DTthat 's1769VBZbe what1770WPwhat they1771PPthey 're1772VBPbe thinking1773VVGthink about1774RBabout .1775SENT. And1776CCand it1777PPit 's1778VBZbe confused1779VVNconfuse .1780SENT. And1781CCand the1782DTthe statute1783NNstatute clarifies1784VVZclarify it1785PPit .1786SENT. [MR. KNEEDLER]1787LOC[MR. KNEEDLER] Yes1788NPYes .1789SENT. We1790PPwe ...1791:... [JUSTICE BREYER]1792LOC[JUSTICE BREYER] Am1793NPAm I1794PPI right1795RBright or1796CCor not1797RBnot right1798RBright ?1799SENT? [MR. KNEEDLER]1800LOC[MR. KNEEDLER] Yes1801NPYes ,1802,, we1803PPwe agree1804VVPagree .1805SENT. But1806CCbut ...1807:... but1808CCbut all1809RBall ...1810:... but1811CCbut 19861812CD@card@ ,1813,, we1814PPwe think1815VVPthink ,1816,, makes1817VVZmake that1818IN/thatthat clear1819JJclear too1820RBtoo .1821SENT. Not1822RBnot only1823RBonly the1824DTthe conference1825NNconference report1826NNreport ,1827,, which1828WDTwhich specifically1829RBspecifically says1830VVZsay interpretive1831JJinterpretive rules1832NNSrule are1833VBPbe not1834RBnot covered1835VVNcover ,1836,, in1837INin fact1838NNfact ,1839,, nothing1840NNnothing 's1841VHZhave covered1842VVNcover that1843DTthat was1844VBDbe n't1845RBn't already1846RBalready covered1847VVNcover by1848INby the1849DTthe APA1850NPAPA ,1851,, but1852CCbut the1853DTthe ...1854:... the1855DTthe ...1856:... the1857DTthe term1858NNterm "1859``" regulation1860NNregulation "1861''" as1862RBas used1863VVDuse itself1864PPitself connotes1865VVZconnote a1866DTa ...1867:... a1868DTa substantive1869JJsubstantive rule1870NNrule ,1871,, a1872DTa ...1873:... a1874DTa legislative1875JJlegislative type1876NNtype rule1877NNrule .1878SENT. People1879NNSpeople may1880MDmay talk1881VVtalk about1882INabout interpretive1883JJinterpretive rules1884NNSrule .1885SENT. You1886PPyou do1887VVPdo n't1888RBn't usually1889RBusually talk1890VVtalk about1891INabout interpretive1892JJinterpretive regulations1893NNSregulation .1894SENT. [JUSTICE GORSUCH]1895LOC[JUSTICE GORSUCH] Mr1896NPMr .1897SENT. Kneedler1898NPKneedler ,1899,, this1900DTthis is1901VBZbe where1902WRBwhere I1903PPI get1904VVPget stuck1905VVNstick .1906SENT. And1907CCand I'm1908NPI'm ...1909:... I'm1910NNI'm ...1911:... I1912PPI 'm1913VBPbe focusing1914VVGfocus more1915RBRmore on1916INon the1917DTthe language1918NNlanguage of1919INof the1920DTthe statute1921NNstatute ,1922,, I1923PPI confess1924VVPconfess ,1925,, than1926INthan ...1927:... than1928INthan the1929DTthe history1930NNhistory ,1931,, which1932WDTwhich I1933PPI 've1934VHPhave read1935VVNread but1936CCbut I1937PPI ...1938:... I1939PPI find1940VVPfind confused1941VVNconfuse ,1942,, as1943INas Justice1944NPJustice Breyer1945NPBreyer suggests1946VVZsuggest .1947SENT. So1948RBso (1949(( a1950DTa )1951)) (1952(( 21953LS2 )1954)) says1955VVZsay that1956IN/thatthat any1957DTany rule1958NNrule ,1959,, requirement1960NNrequirement ,1961,, or1962CCor other1963JJother statement1964NNstatement of1965INof policy1966NNpolicy that1967WDTthat establishes1968VVZestablish a1969DTa substantive1970JJsubstantive legal1971JJlegal change1972NNchange has1973VHZhave to1974TOto go1975VVgo through1976INthrough informal1977JJinformal rulemaking1978VVGrulemak ,1979,, not1980RBnot even1981RBeven formal1982JJformal rulemaking1983VVGrulemak .1984SENT. And1985CCand so1986RBso ,1987,, really1988RBreally ,1989,, the1990DTthe question1991NNquestion all1992RBall boils1993VVZboil down1994RPdown to1995TOto what1996WPwhat does1997VVZdo "1998``" substantive1999JJsubstantive "2000''" mean2001NNmean ,2002,, I2003PPI think2004VVPthink ,2005,, as2006RBas ...2007:... as2008RBas ...2009:... as2010INas I2011PPI understand2012VVPunderstand it2013PPit .2014SENT. And2015CCand the2016DTthe import2017NNimport of2018INof that2019DTthat in2020INin the2021DTthe government2022NNgovernment 's2023POS's view2024NNview is2025VBZbe that2026IN/thatthat it2027PPit 's2028VBZbe binding2029JJbinding ,2030,, as2031RBas opposed2032VVNoppose to2033TOto an2034DTan interpretive2035JJinterpretive rule2036NNrule ,2037,, borrowing2038VVGborrow language2039NNlanguage from2040INfrom the2041DTthe APA2042NPAPA .2043SENT. And2044CCand your2045PP$your friend2046NNfriend on2047INon the2048DTthe other2049JJother side2050NNside reads2051VVZread substantive2052JJsubstantive ,2053,, as2054INas it2055PPit 's2056VBZbe often2057RBoften read2058VVNread elsewhere2059RBelsewhere in2060INin the2061DTthe law2062NNlaw ,2063,, as2064INas material2065NNmaterial or2066CCor affecting2067VVGaffect private2068JJprivate rights2069NNSright ,2070,, as2071RBas opposed2072VVNoppose to2073TOto procedural2074JJprocedural .2075SENT. And2076CCand both2077DTboth seem2078VVPseem to2079TOto me2080PPme pretty2081RBpretty plausible2082JJplausible interpretations2083NNSinterpretation of2084INof that2085DTthat word2086NNword .2087SENT. And2088CCand ...2089:... and2090CCand the2091DTthe strikes2092NNSstrike against2093INagainst you2094PPyou ,2095,, as2096INas I2097PPI see2098VVPsee it2099PPit from2100INfrom the2101DTthe text2102NNtext of2103INof the2104DTthe statute2105NNstatute ,2106,, are2107VBPbe a2108DTa few2109JJfew .2110SENT. First2111RBfirst ,2112,, the2113DTthe statute2114NNstatute speaks2115VVZspeak of2116INof statements2117NNSstatement of2118INof policy2119NNpolicy as2120INas being2121VBGbe substantive2122JJsubstantive .2123SENT. But2124CCbut ,2125,, of2126INof course2127NNcourse ,2128,, in2129INin APA2130NPAPA language2131NNlanguage ,2132,, statements2133NNSstatement of2134INof policy2135NNpolicy are2136VBPbe interpretive2137JJinterpretive .2138SENT. They2139PPthey 're2140VBPbe not2141RBnot substantive2142JJsubstantive .2143SENT. They2144PPthey do2145VVPdo n't2146RBn't bind2147VVbind the2148DTthe agency2149NNagency in2150INin any2151DTany reasonable2152JJreasonable sense2153NNsense .2154SENT. It2155PPit speaks2156VVZspeak of2157INof substantive2158JJsubstantive changes2159NNSchange in2160INin an2161DTan interpretive2162JJinterpretive rule2163NNrule in2164INin (2165(( e2166LSe )2167)) .2168SENT. And2169CCand ,2170,, of2171INof course2172NNcourse ,2173,, that2174WDTthat 's2175VBZbe like2176INlike a2177DTa ...2178:... a2179DTa complete2180JJcomplete incoherent2181JJincoherent statement2182NNstatement in2183INin APA2184NPAPA language2185NNlanguage ,2186,, but2187CCbut entirely2188RBentirely coherent2189JJcoherent in2190INin the2191DTthe language2192NNlanguage of2193INof the2194DTthe law2195NNlaw if2196INif "2197``" substantive2198JJsubstantive "2199''" means2200NNmeans material2201NNmaterial .2202SENT. And2203CCand then2204RBthen ,2205,, of2206INof course2207NNcourse ,2208,, the2209DTthe statute2210NNstatute also2211RBalso adopts2212VVZadopt the2213DTthe APA2214NPAPA good2215JJgood faith2216NNfaith ...2217:... the2218DTthe good2219JJgood clause2220NNclause exception2221NNexception to2222TOto ...2223:... to2224TOto ...2225:... to2226TOto rulemaking2227VVGrulemak verbatim2228RBverbatim .2229SENT. And2230CCand it2231PPit clearly2232RBclearly does2233VVZdo n't2234RBn't adopt2235VVadopt the2236DTthe substantive2237JJsubstantive interpretive2238JJinterpretive language2239NNlanguage verbatim2240RBverbatim ,2241,, which2242WDTwhich is2243VBZbe right2244RBright next2245JJnext door2246NNdoor in2247INin ...2248:... in2249INin the2250DTthe APA2251NPAPA .2252SENT. I2253PPI mean2254VVPmean ,2255,, it2256PPit 's2257VBZbe the2258DTthe next2259JJnext section2260NNsection .2261SENT. And2262CCand you2263PPyou 're2264VBPbe asking2265VVGask us2266PPus to2267TOto think2268VVthink that2269IN/thatthat Congress2270NPCongress recreated2271VVDrecreate that2272DTthat section2273NNsection in2274INin this2275DTthis statute2276NNstatute through2277INthrough this2278DTthis rather2279RBrather oblique2280JJoblique mechanism2281NNmechanism .2282SENT. So2283RBso ,2284,, there2285RBthere ,2286,, I2287PPI 've2288VHPhave put2289VVNput my2290PP$my cards2291NNScard on2292INon the2293DTthe table2294NNtable .2295SENT. Tell2296VVtell me2297PPme where2298WRBwhere I2299PPI 've2300VHPhave gone2301VVNgo wrong2302JJwrong .2303SENT. [MR. KNEEDLER]2304LOC[MR. KNEEDLER] Okay2305NPOkay .2306SENT. Starting2307VVGstart with2308INwith the2309DTthe good2310JJgood cause2311NNcause exception2312NNexception ,2313,, as2314RBas ...2315:... as2316INas we2317PPwe say2318VVPsay ,2319,, in2320INin our2321PP$our view2322NNview ,2323,, the2324DTthe statute2325NNstatute only2326RBonly applies2327VVZapply to2328TOto substantive2329JJsubstantive or2330CCor legislative2331JJlegislative rules2332NNSrule .2333SENT. And2334CCand the2335DTthe good2336JJgood cause2337NNcause exception2338NNexception under2339INunder the2340DTthe APA2341NPAPA applies2342VVZapply to2343TOto things2344NNSthing that2345WDTthat have2346VHPhave to2347TOto go2348VVgo through2349INthrough notice-and-comment2350NNnotice-and-comment rulemaking2351VVGrulemak ,2352,, which2353WDTwhich are2354VBPbe substantive2355JJsubstantive rules2356NNSrule ,2357,, so2358RBso it2359PPit was2360VBDbe necessary2361JJnecessary to2362TOto incorporate2363VVincorporate that2364DTthat .2365SENT. But2366CCbut ,2367,, in2368RBin ...2369:... in2370INin our2371PP$our view2372NNview ,2373,, the2374DTthe text2375NNtext of2376INof the2377DTthe provision2378NNprovision ,2379,, which2380WDTwhich refers2381VVZrefer only2382RBonly to2383TOto substantive2384JJsubstantive legal2385JJlegal standards2386NNSstandard ,2387,, does2388VVZdo not2389RBnot include2390VVinclude interpretive2391JJinterpretive rules2392NNSrule to2393TOto begin2394VVbegin with2395INwith or2396CCor procedural2397JJprocedural rules2398NNSrule for2399INfor that2400DTthat matter2401NNmatter ,2402,, so2403INso there2404EXthere 's2405VBZbe no2406DTno need2407NNneed to2408TOto have2409VHhave an2410DTan express2411JJexpress exception2412NNexception because2413INbecause the2414DTthe operative2415JJoperative text2416NNtext excludes2417VVZexclude it2418PPit .2419SENT. With2420INwith respect2421NNrespect to2422TOto the2423DTthe substantive2424JJsubstantive change2425NNchange in2426INin regulations2427NNSregulation under2428INunder (2429(( e2430LSe )2431)) (2432(( 12433LS1 )2434)) ,2435,, it2436PPit does2437VVZdo not2438RBnot say2439VVsay substantive2440JJsubstantive legal2441JJlegal standard2442NNstandard ,2443,, which2444WDTwhich is2445VBZbe the2446DTthe operative2447JJoperative language2448NNlanguage in2449INin ...2450:... in2451INin (2452(( a2453DTa )2454)) (2455(( 22456LS2 )2457)) .2458SENT. It2459PPit says2460VVZsay a2461DTa substantive2462JJsubstantive change2463NNchange .2464SENT. And2465CCand we2466PPwe think2467VVPthink "2468``" substantive2469JJsubstantive "2470''" means2471NNSmean in2472INin substance2473NNsubstance ,2474,, as2475RBas opposed2476VVNoppose to2477TOto perhaps2478RBperhaps form2479VVform or2480CCor wording2481NNwording or2482CCor something2483NNsomething like2484INlike that2485DTthat .2486SENT. [JUSTICE KAGAN]2487LOC[JUSTICE KAGAN] But2488CCbut then2489RBthen you2490PPyou would2491MDwould be2492VBbe using2493VVGuse the2494DTthe word2495NNword "2496``" substantive2497JJsubstantive "2498''" in2499INin two2500CDtwo different2501JJdifferent ways2502NNSway in2503INin two2504CDtwo very2505RBvery nearby2506JJnearby provisions2507NNSprovision ,2508,, would2509MDwould n't2510RBn't you2511PPyou ?2512SENT? [MR. KNEEDLER]2513LOC[MR. KNEEDLER] Well2514UHWell ,2515,, but2516CCbut we2517PPwe ...2518:... but2519CCbut we2520PPwe think2521VVPthink that2522IN/thatthat they2523PPthey ...2524:... that2525IN/thatthat they2526PPthey have2527VHPhave a2528DTa different2529JJdifferent effect2530NNeffect .2531SENT. But2532CCbut even2533RBeven ...2534:... but2535CCbut even2536RBeven ...2537:... even2538RBeven if2539INif you2540PPyou said2541VVDsay an2542DTan interpretive2543JJinterpretive rule2544NNrule can2545MDcan address2546VVaddress something2547NNsomething of2548INof substance2549NNsubstance ,2550,, it2551PPit 's2552VBZbe ...2553:... for2554INfor example2555NNexample ,2556,, if2557INif it2558PPit 's2559VBZbe interpreting2560VVGinterpret a2561DTa statute2562NNstatute or2563CCor a2564DTa regulation2565NNregulation ,2566,, it2567PPit may2568MDmay have2569VHhave some2570DTsome effect2571NNeffect as2572INas a2573DTa substantive2574JJsubstantive matter2575NNmatter ,2576,, but2577CCbut it2578PPit is2579VBZbe not2580RBnot binding2581JJbinding .2582SENT. And2583CCand what2584WPwhat this2585DTthis Court2586NPCourt has2587VHZhave said2588VVNsay in2589RPin ...2590:... in2591INin Chrysler2592NPChrysler Corporation2593NPCorporation ,2594,, said2595VVDsay it2596PPit in2597INin Guernsey2598NPGuernsey Memorial2599NPMemorial Hospital2600NPHospital ,2601,, which2602WDTwhich deals2603VVZdeal with2604INwith this2605DTthis very2606JJvery program2607NNprogram ,2608,, a2609DTa substantive2610JJsubstantive rule2611NNrule is2612VBZbe one2613CDone that2614WDTthat has2615VHZhave the2616DTthe force2617NNforce and2618CCand effect2619NNeffect of2620INof law2621NNlaw .2622SENT. An2623DTan interpretive2624JJinterpretive rule2625NNrule does2626VVZdo not2627RBnot .2628SENT. It2629PPit simply2630RBsimply explains2631VVZexplain the2632DTthe agency2633NNagency 's2634POS's construction2635NNconstruction of2636INof the2637DTthe statutes2638NNSstatute and2639CCand rules2640NNSrule that2641IN/thatthat it2642PPit implements2643VVZimplement .2644SENT. So2645RBso ...2646:... [JUSTICE GORSUCH]2647LOC[JUSTICE GORSUCH] Mr2648NPMr .2649SENT. Kneedler2650NPKneedler ,2651,, there2652EXthere 's2653VBZbe a2654DTa lot2655NNlot of2656INof words2657NNSword there2658RBthere ,2659,, but2660CCbut I2661PPI 'm2662VBPbe not2663RBnot sure2664RBsure there2665EXthere 's2666VBZbe an2667DTan answer2668NNanswer to2669TOto Justice2670NPJustice Kagan2671NPKagan 's2672POS's question2673NNquestion .2674SENT. So2675RBso I'm2676NPI'm ...2677:... I2678PPI 'm2679VBPbe going2680VVGgo to2681TOto give2682VVgive you2683PPyou an2684DTan opportunity2685NNopportunity to2686TOto try2687VVtry again2688RBagain ,2689,, because2690INbecause it2691PPit 's2692VBZbe very2693RBvery important2694JJimportant to2695TOto me2696PPme as2697INas well2698RBwell .2699SENT. Are2700VBPbe n't2701RBn't you2702PPyou using2703VVGuse the2704DTthe word2705NNword "2706``" substantive2707JJsubstantive "2708''" in2709INin two2710CDtwo different2711JJdifferent senses2712NNSsense ,2713,, first2714JJfirst in2715INin the2716DTthe APA's2717NPAPA's ...2718:... what2719WPwhat I2720PPI call2721VVPcall the2722DTthe APA2723NPAPA sense2724NNsense in2725INin (2726(( a2727DTa )2728)) ,2729,, and2730CCand then2731RBthen what2732WPwhat I2733PPI 'll2734MDwill call2735VVcall the2736DTthe other2737JJother traditional2738JJtraditional legal2739JJlegal sense2740NNsense in2741INin (2742(( e2743LSe )2744)) ?2745SENT? So2746RBso you2747PPyou 're2748VBPbe conceding2749VVGconcede to2750TOto your2751PP$your colleague2752NNcolleague on2753INon the2754DTthe other2755JJother side2756NNside that2757IN/thatthat it2758PPit is2759VBZbe used2760VVNuse in2761INin that2762DTthat sense2763NNsense at2764INat least2765JJSleast in2766INin (2767(( e2768LSe )2769)) ,2770,, I2771PPI believe2772VVPbelieve .2773SENT. [MR. KNEEDLER]2774LOC[MR. KNEEDLER] Well2775UHwell ,2776,, it2777PPit ...2778:... it2779PPit does2780VVZdo n't2781RBn't say2782VVsay substantive2783JJsubstantive rule2784NNrule or2785CCor substantive2786JJsubstantive standard2787NNstandard ,2788,, which2789WDTwhich would2790MDwould be2791VBbe the2792DTthe ...2793:... [JUSTICE GORSUCH]2794LOC[JUSTICE GORSUCH] Substantive2795NPSubstantive ...2796:... it2797PPit says2798VVZsay substantive2799JJsubstantive change2800NNchange to2801TOto an2802DTan interpretive2803JJinterpretive rule2804NNrule .2805SENT. [MR. KNEEDLER]2806LOC[MR. KNEEDLER] Right2807NPRight .2808SENT. [JUSTICE GORSUCH]2809LOC[JUSTICE GORSUCH] Which2810WDTwhich is2811VBZbe a2812DTa nonsense2813NNnonsense under2814INunder your2815PP$your view2816NNview ,2817,, I2818PPI believe2819VVPbelieve .2820SENT. [MR. KNEEDLER]2821LOC[MR. KNEEDLER] But2822CCbut ...2823:... but2824CCbut substantive2825JJsubstantive there2826RBthere ,2827,, we2828PPwe ...2829:... we2830PPwe think2831VVPthink in2832INin substance2833NNsubstance is2834VBZbe whatever2835JJwhatever ...2836:... no2837RBno ,2838,, I'm2839NPI'm ...2840:... I'm2841NNI'm ...2842:... I2843PPI 'm2844VBPbe serious2845JJserious ,2846,, is2847VBZbe what2848WPwhat it2849PPit refers2850VVZrefer to2851TOto .2852SENT. It2853PPit 's2854VBZbe not2855RBnot in2856INin form2857NNform .2858SENT. It2859PPit 's2860VBZbe meaningful2861JJmeaningful .2862SENT. But2863CCbut beyond2864INbeyond that2865DTthat ,2866,, the2867DTthe ...2868:... the2869DTthe subsequent2870JJsubsequent words2871NNSword used2872VVNuse in2873INin the2874DTthe section2875NNsection refer2876VVPrefer to2877TOto regulations2878NNSregulation ,2879,, manual2880JJmanual instructions2881NNSinstruction ,2882,, interpretive2883JJinterpretive rules2884NNSrule ,2885,, statements2886NNSstatement of2887INof policy2888NNpolicy .2889SENT. It2890PPit is2891VBZbe distinguishing2892VVGdistinguish regulations2893NNSregulation ,2894,, which2895WDTwhich are2896VBPbe the2897DTthe things2898NNSthing that2899WDTthat have2900VHPhave to2901TOto go2902VVgo through2903INthrough notice-and-comment2904NNnotice-and-comment under2905INunder (2906(( a2907DTa )2908)) ,2909,, from2910INfrom the2911DTthe subsequent2912JJsubsequent things2913NNSthing ,2914,, manual2915JJmanual instructions2916NNSinstruction ,2917,, interpretive2918JJinterpretive rules2919NNSrule ,2920,, which2921WDTwhich do2922VVPdo not2923RBnot .2924SENT. [JUSTICE GORSUCH]2925LOC[JUSTICE GORSUCH] Again2926NPAgain ,2927,, a2928DTa lot2929NNlot of2930INof words2931NNSword ,2932,, but2933CCbut I2934PPI think2935VVPthink at2936INat the2937DTthe end2938NNend of2939INof the2940DTthe day2941NNday you2942PPyou are2943VBPbe agreeing2944VVGagree that2945IN/thatthat Congress2946NPCongress is2947VBZbe using2948VVGuse that2949DTthat word2950NNword in2951INin two2952CDtwo different2953JJdifferent senses2954NNSsense ,2955,, right2956RBright ?2957SENT? [MR. KNEEDLER]2958LOC[MR. KNEEDLER] We2959PPwe ...2960:... we2961PPwe ...2962:... we2963PPwe think2964VVPthink the2965DTthe phrase2966NNphrase "2967``" substantive2968JJsubstantive change2969NNchange "2970''" here2971RBhere is2972VBZbe different2973JJdifferent from2974INfrom substantive2975JJsubstantive legal2976JJlegal standard2977NNstandard ,2978,, which2979WDTwhich is2980VBZbe ...2981:... we2982PPwe think2983VVPthink is2984VBZbe the2985DTthe same2986JJsame as2987INas substantive2988JJsubstantive ...2989:... as2990INas substantive2991JJsubstantive rule2992NNrule .2993SENT. And2994CCand ,2995,, I2996PPI 'm2997VBPbe sorry2998JJsorry ,2999,, I3000PPI ...3001:... I3002PPI forgot3003VVDforget the3004DTthe third3005JJthird point3006NNpoint you3007PPyou asked3008VVDask me3009PPme .3010SENT. [JUSTICE KAGAN]3011LOC[JUSTICE KAGAN] Statement3012NNstatement of3013INof policy3014NNpolicy ,3015,, because3016INbecause that3017WDTthat 's3018VBZbe hanging3019VVGhang me3020PPme up3021RPup too3022RBtoo .3023SENT. [MR. KNEEDLER]3024LOC[MR. KNEEDLER] Okay3025NPOkay .3026SENT. State3027NNstate ...3028:... statement3029NNstatement of3030INof policy3031NNpolicy ,3032,, again3033RBagain ,3034,, frankly3035RBfrankly ,3036,, I3037PPI think3038VVPthink that3039DTthat is3040VBZbe an3041DTan artifact3042NNartifact of3043INof the3044DTthe House3045NPHouse version3046NNversion of3047INof the3048DTthe ...3049:... of3050INof the3051DTthe bill3052NNbill .3053SENT. If3054INif you3055PPyou go3056VVPgo back3057RBback to3058TOto page3059NNpage 343060CD@card@ ,3061,, it3062PPit read3063VVDread off3064RPoff no3065DTno rule3066NNrule ,3067,, requirement3068NNrequirement ,3069,, or3070CCor other3071JJother statement3072NNstatement of3073INof policy3074NNpolicy that3075WDTthat has3076VHZhave or3077CCor may3078MDmay have3079VHhave a3080DTa significant3081JJsignificant effect3082NNeffect .3083SENT. It3084PPit 's3085VBZbe possible3086JJpossible that3087IN/thatthat a3088DTa statement3089NNstatement of3090INof policy3091NNpolicy ,3092,, or3093CCor an3094DTan interpretive3095JJinterpretive rule3096NNrule ,3097,, could3098MDcould have3099VHhave a3100DTa significant3101JJsignificant effect3102NNeffect on3103INon ...3104:... on3105INon ...3106:... [JUSTICE SOTOMAYOR]3107LOC[JUSTICE SOTOMAYOR] This3108DTthis one3109CDone does3110VVZdo .3111SENT. [MR. KNEEDLER]3112LOC[MR. KNEEDLER] ...3113:... interpretation3114NNinterpretation ,3115,, but3116CCbut it3117PPit does3118VVZdo n't3119RBn't have3120VHhave the3121DTthe force3122NNforce of3123INof law3124NNlaw .3125SENT. [JUSTICE KAGAN]3126LOC[JUSTICE KAGAN] So3127INso you3128PPyou 're3129VBPbe ...3130:... you3131PPyou 're3132VBPbe agreeing3133VVGagree it3134PPit 's3135VBZbe incoherent3136JJincoherent as3137RBas written3138VVNwrite .3139SENT. It3140PPit 's3141VBZbe just3142RBjust that3143IN/thatthat when3144WRBwhen the3145DTthe language3146NNlanguage was3147VBDbe different3148JJdifferent it3149PPit was3150VBDbe not3151RBnot incoherent3152JJincoherent ?3153SENT? [MR. KNEEDLER]3154LOC[MR. KNEEDLER] Well3155UHWell ...3156:... [JUSTICE KAGAN]3157LOC[JUSTICE KAGAN] As3158INas written3159VVNwrite ,3160,, it3161PPit 's3162VBZbe incoherent3163JJincoherent because3164INbecause a3165DTa statement3166NNstatement of3167INof policy3168NNpolicy is3169VBZbe ,3170,, by3171INby definition3172NNdefinition ,3173,, not3174RBnot a3175DTa substantive3176JJsubstantive rule3177NNrule ?3178SENT? [MR. KNEEDLER]3179LOC[MR. KNEEDLER] Yes3180NPYes ,3181,, but3182CCbut I3183PPI think3184VVPthink it3185PPit ...3186:... I3187PPI think3188VVPthink it3189PPit serves3190VVZserve the3191DTthe purpose3192NNpurpose that3193IN/thatthat Justice3194NPJustice Breyer3195NPBreyer was3196VBDbe identifying3197VVGidentify ,3198,, basically3199RBbasically saying3200VVGsay we3201PPwe do3202VVPdo n't3203RBn't care3204VVcare what3205WPwhat you3206PPyou call3207VVPcall it3208PPit ,3209,, whether3210INwhether you3211PPyou call3212VVPcall it3213PPit a3214DTa rule3215NNrule ,3216,, whether3217INwhether you3218PPyou call3219VVPcall it3220PPit a3221DTa requirement3222NNrequirement ,3223,, whether3224INwhether you3225PPyou call3226VVPcall it3227PPit a3228DTa statement3229NNstatement of3230INof policy3231NNpolicy .3232SENT. A3233DTa rule3234NNrule ,3235,, after3236INafter all3237DTall ,3238,, includes3239VVZinclude interpretive3240JJinterpretive rules3241NNSrule .3242SENT. So3243RBso no3244RBno matter3245VVmatter what3246WPwhat you3247PPyou call3248VVPcall it3249PPit ,3250,, a3251DTa rule3252NNrule ,3253,, a3254DTa requirement3255NNrequirement ,3256,, or3257CCor a3258DTa statement3259NNstatement of3260INof policy3261NNpolicy ,3262,, it3263PPit ...3264:... it3265PPit covers3266VVZcover ...3267:... it3268PPit 's3269VBZbe only3270RBonly covered3271VVNcover if3272INif it3273PPit would3274MDwould have3275VHhave established3276VVNestablish or3277CCor changed3278VVNchange a3279DTa substantive3280JJsubstantive legal3281JJlegal standard3282NNstandard .3283SENT. And3284CCand ,3285,, in3286INin fact3287NNfact ,3288,, the3289DTthe conference3290NNconference report3291NNreport on3292INon the3293DTthe 19873294CD@card@ amendment3295NNamendment specifically3296RBspecifically stresses3297VVZstress ...3298:... [JUSTICE GORSUCH]3299LOC[JUSTICE GORSUCH] What3300WPWhat would3301MDwould be3302VBbe the3303DTthe ...3304:... [MR. KNEEDLER]3305LOC[MR. KNEEDLER] ...3306:... that3307IN/thatthat it3308PPit only3309RBonly covers3310VVZcover ...3311:... [JUSTICE GORSUCH]3312LOC[JUSTICE GORSUCH] What3313WPWhat would3314MDwould be3315VBbe the3316DTthe point3317NNpoint ...3318:... [MR. KNEEDLER]3319LOC[MR. KNEEDLER] ...3320:... substantive3321JJsubstantive legal3322JJlegal standards3323NNSstandard .3324SENT. [JUSTICE GORSUCH]3325LOC[JUSTICE GORSUCH] What3326WPWhat would3327MDwould be3328VBbe the3329DTthe point3330NNpoint of3331INof that3332DTthat ,3333,, though3334RBthough ,3335,, if3336INif a3337DTa statement3338NNstatement of3339INof policy3340NNpolicy could3341MDcould n't3342RBn't have3343VHhave operative3344JJoperative legal3345JJlegal effect3346NNeffect on3347INon anyone3348NNanyone anyway3349RBanyway ?3350SENT? [MR. KNEEDLER]3351LOC[MR. KNEEDLER] Well3352UHWell ,3353,, again3354RBagain ,3355,, if3356INif ...3357:... if3358INif ...3359:... if3360INif that3361WDTthat was3362VBDbe the3363DTthe ...3364:... [JUSTICE GORSUCH]3365LOC[JUSTICE GORSUCH] I3366PPI mean3367VVPmean ,3368,, a3369DTa party3370NNparty would3371MDwould simply3372RBsimply say3373VVsay that3374WDTthat 's3375VBZbe just3376RBjust a3377DTa statement3378NNstatement of3379INof policy3380NNpolicy .3381SENT. Have3382VHPhave a3383DTa nice3384JJnice day3385NNday .3386SENT. [MR. KNEEDLER]3387LOC[MR. KNEEDLER] Well3388UHWell ,3389,, but3390CCbut if3391INif ...3392:... but3393CCbut if3394INif it3395PPit ...3396:... if3397INif it3398PPit purports3399VVZpurport to3400TOto ,3401,, as3402INas the3403DTthe language3404NNlanguage the3405DTthe Court3406NNcourt used3407VVNuse in3408INin Chrysler3409NPChrysler ,3410,, to3411TOto establish3412VVestablish a3413DTa substantive3414JJsubstantive legal3415JJlegal standard3416NNstandard ,3417,, it3418PPit 's3419VBZbe not3420RBnot just3421RBjust a3422DTa statement3423NNstatement of3424INof policy3425NNpolicy .3426SENT. It3427PPit 's3428VHZhave called3429VVNcall a3430DTa statement3431NNstatement of3432INof policy3433NNpolicy .3434SENT. Then3435RBthen it3436PPit actually3437RBactually describes3438VVZdescribe ...3439:... [JUSTICE GORSUCH]3440LOC[JUSTICE GORSUCH] Well3441UHWell ,3442,, then3443RBthen it3444PPit 's3445VBZbe not3446RBnot a3447DTa statement3448NNstatement ...3449:... then3450RBthen the3451DTthe argument3452NNargument would3453MDwould be3454VBbe it3455PPit 's3456VBZbe not3457RBnot a3458DTa statement3459NNstatement of3460INof policy3461NNpolicy ,3462,, right3463RBright ?3464SENT? [MR. KNEEDLER]3465LOC[MR. KNEEDLER] Right3466NPRight ,3467,, that3468WDTthat ...3469:... that3470DTthat ...3471:... that3472WDTthat is3473VBZbe true3474JJtrue ,3475,, but3476CCbut that3477DTthat ...3478:... but3479CCbut that3480DTthat ...3481:... [JUSTICE GORSUCH]3482LOC[JUSTICE GORSUCH] Okay3483NPOkay .3484SENT. [MR. KNEEDLER]3485LOC[MR. KNEEDLER] ...3486:... that3487WDTthat does3488VVZdo n't3489RBn't mean3490VVmean that3491DTthat ...3492:... that3493WDTthat does3494VVZdo n't3495RBn't mean3496VVmean it3497PPit 's3498VBZbe not3499RBnot ...3500:... it3501PPit 's3502VBZbe not3503RBnot a3504DTa statement3505NNstatement of3506INof policy3507NNpolicy within3508INwithin the3509DTthe precise3510JJprecise meaning3511NNmeaning of3512INof the3513DTthe APA3514NPAPA .3515SENT. [JUSTICE BREYER]3516LOC[JUSTICE BREYER] Well3517UHwell ,3518,, they3519PPthey do3520VVPdo n't3521RBn't want3522VVwant a3523DTa run-around3524NNrun-around .3525SENT. [MR. KNEEDLER]3526LOC[MR. KNEEDLER] Right3527NPRight .3528SENT. [JUSTICE BREYER]3529LOC[JUSTICE BREYER] But3530NPBut ,3531,, (3532(( e3533LSe )3534)) ,3535,, they3536PPthey do3537VVPdo n't3538RBn't run3539VVrun around3540INaround it3541PPit by3542INby calling3543VVGcall it3544PPit a3545DTa statement3546NNstatement of3547INof policy3548NNpolicy when3549WRBwhen you3550PPyou 're3551VBPbe ...3552:... [MR. KNEEDLER]3553LOC[MR. KNEEDLER] Right3554RBright .3555SENT. [JUSTICE BREYER]3556LOC[JUSTICE BREYER] ...3557:... changing3558VVGchange the3559DTthe substantive3560JJsubstantive ...3561:... [JUSTICE KAGAN]3562LOC[JUSTICE KAGAN] Yes3563NPYes ,3564,, but3565CCbut it3566PPit 's3567VBZbe at3568INat least3569JJSleast ...3570:... [JUSTICE BREYER]3571LOC[JUSTICE BREYER] And3572CCand ...3573:... and3574CCand I3575PPI have3576VHPhave a3577DTa different3578JJdifferent question3579NNquestion ,3580,, which3581WDTwhich is3582VBZbe (3583(( e3584LSe )3585)) ,3586,, which3587WDTwhich is3588VBZbe because3589INbecause they3590PPthey are3591VBPbe using3592VVGuse the3593DTthe word3594NNword "3595``" substantive3596JJsubstantive change3597NNchange "3598''" there3599RBthere possibly3600RBpossibly in3601INin a3602DTa different3603JJdifferent sense3604NNsense .3605SENT. So3606RBso ...3607:... so3608RBso ...3609:... so3610INso I3611PPI ...3612:... I3613PPI agree3614VVPagree with3615INwith that3616DTthat ,3617,, and3618CCand I3619PPI ...3620:... but3621CCbut I3622PPI thought3623VVDthink that3624IN/thatthat (3625(( e3626LSe )3627)) has3628VHZhave something3629NNsomething to3630TOto do3631VVdo that3632DTthat 's3633VBZbe not3634RBnot involved3635VVNinvolve here3636RBhere .3637SENT. (3638(( e3639NNe )3640)) is3641VBZbe a3642DTa kind3643NNkind of3644INof codification3645NNcodification of3646INof a3647DTa different3648JJdifferent common3649JJcommon law3650NNlaw rule3651NNrule of3652INof administrative3653JJadministrative law3654NNlaw that3655IN/thatthat ,3656,, when3657WRBwhen you3658PPyou do3659VVPdo something3660NNsomething retroactively3661RBretroactively that3662DTthat 's3663VBZbe important3664JJimportant ,3665,, Mr3666NPMr .3667SENT. Agency3668NNagency ,3669,, you3670PPyou better3671VVPbetter have3672VHhave a3673DTa reason3674NNreason .3675SENT. You3676PPyou better3677RBRwell look3678VVlook at3679INat why3680WRBwhy you3681PPyou 've3682VHPhave changed3683VVNchange it3684PPit .3685SENT. [MR. KNEEDLER]3686LOC[MR. KNEEDLER] Right3687NPRight .3688SENT. [JUSTICE BREYER]3689LOC[JUSTICE BREYER] If3690INif you3691PPyou 're3692VBPbe changing3693VVGchange policy3694NNpolicy ,3695,, go3696VVgo look3697VVlook at3698INat it3699PPit and3700CCand explain3701VVexplain it3702PPit to3703TOto us3704PPus .3705SENT. [MR. KNEEDLER]3706LOC[MR. KNEEDLER] Right3707NPRight .3708SENT. [JUSTICE BREYER]3709LOC[JUSTICE BREYER] Something3710NNsomething this3711DTthis Court3712NPCourt has3713VHZhave said3714VVNsay many3715JJmany ,3716,, many3717JJmany times3718NNStime .3719SENT. [MR. KNEEDLER]3720LOC[MR. KNEEDLER] Right3721NPRight .3722SENT. [JUSTICE BREYER]3723LOC[JUSTICE BREYER] And3724CCand I3725PPI thought3726VVDthink that3727WDTthat 's3728VBZbe what3729WPwhat (3730(( e3731LSe )3732)) is3733VBZbe about3734RBabout .3735SENT. [MR. KNEEDLER]3736LOC[MR. KNEEDLER] Yes3737NPYes .3738SENT. [JUSTICE BREYER]3739LOC[JUSTICE BREYER] It3740PPit 's3741VBZbe a3742DTa different3743JJdifferent subject3744NNsubject .3745SENT. [MR. KNEEDLER]3746LOC[MR. KNEEDLER] That3747DTthat ...3748:... that3749WDTthat is3750VBZbe ...3751:... that3752WDTthat 's3753VBZbe correct3754JJcorrect in3755INin our3756PP$our view3757NNview .3758SENT. And3759CCand it3760PPit talks3761VVZtalk about3762INabout a3763DTa substantive3764JJsubstantive change3765NNchange in3766INin regulations3767NNSregulation ,3768,, again3769RBagain ,3770,, which3771WDTwhich are3772VBPbe the3773DTthe things3774NNSthing that3775WDTthat have3776VHPhave to3777TOto go3778VVgo through3779INthrough notice-and-comment3780NNnotice-and-comment rule3781NNrule ...3782:... rulemaking3783VVGrulemak under3784INunder subsection3785NNsubsection (3786(( a3787DTa )3788)) .3789SENT. And3790CCand then3791RBthen goes3792VVZgo on3793RPon to3794TOto say3795VVsay manual3796JJmanual instructions3797NNSinstruction ,3798,, interpretive3799JJinterpretive rules3800NNSrule ,3801,, statements3802NNSstatement of3803INof policy3804NNpolicy or3805CCor guidelines3806NNSguideline ,3807,, which3808WDTwhich do3809VVPdo not3810RBnot have3811VHhave the3812DTthe force3813NNforce and3814CCand effect3815NNeffect of3816INof law3817NNlaw ,3818,, they3819PPthey are3820VBPbe not3821RBnot substantive3822JJsubstantive rules3823NNSrule or3824CCor ,3825,, in3826INin the3827DTthe language3828NNlanguage here3829RBhere ,3830,, they3831PPthey do3832VVPdo not3833RBnot establish3834VVestablish or3835CCor change3836VVchange substantive3837JJsubstantive legal3838JJlegal standards3839NNSstandard .3840SENT. [JUSTICE KAGAN]3841LOC[JUSTICE KAGAN] May3842NPmay ...3843:... may3844MDmay ...3845:... [MR. KNEEDLER]3846LOC[MR. KNEEDLER] And3847CCand so3848RBso it3849PPit distinguishes3850VVZdistinguish right3851RBright ...3852:... right3853RBright in3854INin there3855RBthere the3856DTthe reg3857NNreg ...3858:... the3859DTthe sort3860NNsort of3861INof regulations3862NNSregulation that3863IN/thatthat (3864(( a3865DTa )3866)) is3867VBZbe talking3868VVGtalk about3869RBabout and3870CCand these3871DTthese ...3872:... these3873DTthese non-binding3874JJnon-binding sorts3875NNSsort of3876INof things3877NNSthing that3878WDTthat ...3879:... that3880IN/thatthat either3881DTeither way3882NNway they3883PPthey should3884MDshould be3885VBbe made3886VVNmake retroactive3887JJretroactive .3888SENT. If3889INif they3890PPthey 're3891VBPbe interpretive3892JJinterpretive ,3893,, the3894DTthe interpretation3895NNinterpretation should3896MDshould n't3897RBn't be3898VBbe made3899VVNmake retroactive3900JJretroactive unless3901INunless it3902PPit ...3903:... it3904PPit goes3905VVZgo through3906RPthrough ...3907:... unless3908INunless the3909DTthe agency3910NNagency makes3911VVZmake it3912PPit specified3913VVDspecify .3914SENT. [JUSTICE KAGAN]3915LOC[JUSTICE KAGAN] May3916NPmay ...3917:... may3918MDmay I3919PPI take3920VVtake you3921PPyou back3922RBback ,3923,, Mr3924NPMr .3925SENT. Kneedler3926NPKneedler ,3927,, to3928TOto one3929CDone of3930INof Justice3931NPJustice Sotomayor3932NPSotomayor 's3933POS's original3934JJoriginal questions3935NNSquestion ,3936,, which3937WDTwhich is3938VBZbe just3939RBjust what3940WPwhat ,3941,, on3942INon your3943PP$your theory3944NNtheory ,3945,, this3946DTthis provision3947NNprovision ends3948VVZend up3949RPup actually3950RBactually accomplishing3951VVGaccomplish ?3952SENT? Because3953RBbecause ,3954,, as3955INas I3956PPI understand3957VVPunderstand the3958DTthe 193959CD@card@ ...3960:... the3961DTthe 19863962CD@card@ ,3963,, the3964DTthe ...3965:... the3966DTthe prior3967JJprior year3968NNyear 's3969POS's provision3970NNprovision ,3971,, Congress3972NPCongress essentially3973RBessentially already3974RBalready said3975VVDsay ,3976,, for3977INfor Medicare3978NPMedicare substantive3979JJsubstantive rules3980NNSrule ,3981,, you3982PPyou have3983VHPhave to3984TOto go3985VVgo through3986INthrough notice3987NNnotice and3988CCand comment3989NNcomment .3990SENT. And3991CCand I3992PPI understand3993VVPunderstand how3994WRBhow this3995DTthis would3996MDwould have3997VHhave been3998VBNbe different3999JJdifferent if4000INif it4001PPit was4002VBDbe the4003DTthe original4004JJoriginal version4005NNversion of4006INof the4007DTthe thing4008NNthing ,4009,, the4010DTthe "4011``" has4012VHZhave or4013CCor may4014MDmay have4015VHhave a4016DTa significant4017JJsignificant effect4018NNeffect .4019SENT. "4020''" But4021CCbut ,4022,, as4023INas written4024VVNwrite ,4025,, on4026INon your4027PP$your theory4028NNtheory ,4029,, it4030PPit seems4031VVZseem to4032TOto just4033RBjust repeat4034VVrepeat the4035DTthe 19864036CD@card@ command4037NNcommand ,4038,, does4039VVZdo n't4040RBn't it4041PPit ?4042SENT? [MR. KNEEDLER]4043LOC[MR. KNEEDLER] Well4044UHWell ,4045,, again4046RBagain ,4047,, the4048DTthe House4049NPHouse would4050MDwould have4051VHhave done4052VVNdo something4053NNsomething broader4054JJRbroad in4055INin 19874056CD@card@ .4057SENT. And4058CCand I4059PPI ...4060:... and4061CCand I4062PPI think4063VVPthink that4064IN/thatthat the4065DTthe ...4066:... I4067PPI think4068VVPthink the4069DTthe Court4070NPCourt should4071MDshould realize4072VVrealize that4073DTthat ...4074:... [JUSTICE KAGAN]4075LOC[JUSTICE KAGAN] But4076CCbut are4077VBPbe you4078PPyou saying4079VVGsay ...4080:... I4081PPI want4082VVPwant to4083TOto make4084VVmake sure4085JJsure I4086PPI understand4087VVPunderstand this4088DTthis .4089SENT. Are4090VBPbe you4091PPyou saying4092VVGsay that4093IN/thatthat the4094DTthe compromise4095NNcompromise was4096VBDbe essentially4097RBessentially to4098TOto just4099RBjust repeat4100VVrepeat the4101DTthe 19864102CD@card@ provision4103NNprovision ?4104SENT? [MR. KNEEDLER]4105LOC[MR. KNEEDLER] Yes4106NPYes .4107SENT. I4108PPI mean4109VVPmean ,4110,, I4111PPI think4112VVPthink ...4113:... I4114PPI think4115VVPthink that4116WDTthat is4117VBZbe ...4118:... it4119PPit was4120VBDbe carried4121VVNcarry forward4122RBforward .4123SENT. And4124CCand the4125DTthe ...4126:... and4127CCand ,4128,, again4129RBagain ,4130,, the4131DTthe conference4132NNconference committee4133NNcommittee report4134NNreport stresses4135VVZstress that4136IN/thatthat only4137JJonly things4138NNSthing that4139WDTthat establish4140VVestablish or4141CCor change4142VVchange a4143DTa substantive4144JJsubstantive legal4145JJlegal standard4146NNstandard .4147SENT. And4148CCand that4149DTthat ...4150:... the4151DTthe word4152NNword "4153``" substantive4154JJsubstantive "4155''" in4156INin the4157DTthe rulemaking4158VVGrulemak context4159NNcontext has4160VHZhave a4161DTa ...4162:... has4163VHZhave a4164DTa long4165JJlong history4166NNhistory in4167INin administrative4168JJadministrative law4169NNlaw under4170INunder the4171DTthe APA4172NPAPA .4173SENT. It4174PPit also4175RBalso ...4176:... the4177DTthe distinction4178NNdistinction ...4179:... that4180DTthat very4181JJvery distinction4182NNdistinction is4183VBZbe drawn4184VVNdraw in4185INin Black4186NPBlack 's4187POS's Law4188NPLaw Dictionary4189NPDictionary ,4190,, as4191INas we4192PPwe explain4193VVPexplain in4194INin our4195PP$our ...4196:... in4197INin our4198PP$our brief4199NNbrief .4200SENT. [JUSTICE KAGAN]4201LOC[JUSTICE KAGAN] I4202PPI mean4203VVPmean ,4204,, it4205PPit is4206VBZbe a4207DTa little4208JJlittle bit4209NNbit odd4210JJodd ,4211,, do4212VVPdo n't4213RBn't you4214PPyou agree4215VVPagree ,4216,, Mr4217NPMr .4218SENT. Kneedler4219NPKneedler ,4220,, because4221RBbecause ,4222,, if4223INif the4224DTthe compromise4225NNcompromise was4226VBDbe not4227RBnot to4228TOto do4229VVdo anything4230NNanything beyond4231INbeyond 19864232CD@card@ ,4233,, then4234RBthen you4235PPyou would4236MDwould think4237VVthink that4238IN/thatthat people4239NNSpeople would4240MDwould just4241RBjust say4242VVsay ,4243,, okay4244RBokay ,4245,, let4246VVPlet 's4247VBZbe not4248RBnot do4249VVdo it4250PPit .4251SENT. Not4252RBnot put4253VVNput in4254INin a4255DTa new4256JJnew ...4257:... a4258DTa new4259JJnew ...4260:... a4261DTa new4262JJnew statute4263NNstatute saying4264VVGsay precisely4265RBprecisely the4266DTthe same4267JJsame thing4268NNthing .4269SENT. [MR. KNEEDLER]4270LOC[MR. KNEEDLER] Well4271UHWell ,4272,, the4273DTthe ...4274:... the4275DTthe bill4276NNbill was4277VBDbe in4278INin conference4279NNconference ...4280:... in4281INin conference4282NNconference at4283INat that4284DTthat point4285NNpoint ,4286,, and4287CCand there4288EXthere were4289VBDbe several4290JJseveral other4291JJother things4292NNSthing that4293WDTthat were4294VBDbe in4295INin the4296DTthe bill4297NNbill at4298INat that4299DTthat point4300NNpoint .4301SENT. This4302DTthis is4303VBZbe ...4304:... this4305DTthis change4306NNchange was4307VBDbe not4308RBnot the4309DTthe only4310JJonly one4311CDone .4312SENT. The4313DTthe bill4314NNbill was4315VBDbe in4316INin conference4317NNconference ,4318,, and4319CCand they4320PPthey ...4321:... the4322DTthe conference4323NNconference committee4324NNcommittee decided4325VVDdecide that4326IN/thatthat something4327NNsomething should4328MDshould be4329VBbe enacted4330VVNenact ,4331,, rather4332RBrather than4333INthan nothing4334NNnothing done4335VVNdo at4336INat all4337DTall .4338SENT. But4339CCbut ,4340,, as4341RBas to4342TOto this4343DTthis provision4344NNprovision ,4345,, we4346PPwe think4347VVPthink that4348IN/thatthat it4349PPit ...4350:... that4351DTthat ...4352:... [JUSTICE GORSUCH]4353LOC[JUSTICE GORSUCH] It4354PPit 's4355VBZbe entirely4356RBentirely superfluous4357JJsuperfluous ?4358SENT? [MR. KNEEDLER]4359LOC[MR. KNEEDLER] I4360PPI ...4361:... I4362PPI ...4363:... I4364PPI do4365VVPdo n't4366RBn't think4367VVthink 34368CD3 it4369PPit 's4370VBZbe ...4371:... [JUSTICE GORSUCH]4372LOC[JUSTICE GORSUCH] It4373PPit does4374VVZdo nothing4375NNnothing ?4376SENT? [MR. KNEEDLER]4377LOC[MR. KNEEDLER] No4378NPNo ,4379,, I4380PPI do4381VVPdo n't4382RBn't think4383VVthink it4384PPit 's4385VBZbe superfluous4386JJsuperfluous .4387SENT. [JUSTICE GORSUCH]4388LOC[JUSTICE GORSUCH] It4389PPit does4390VVZdo nothing4391NNnothing new4392JJnew ?4393SENT? [MR. KNEEDLER]4394LOC[MR. KNEEDLER] Well4395UHwell ,4396,, it4397PPit ...4398:... it4399PPit ...4400:... it4401PPit substitutes4402VVZsubstitute ...4403:... it4404PPit ...4405:... it4406PPit elaborates4407VVZelaborate ...4408:... it4409PPit elaborates4410VVZelaborate on4411RPon ...4412:... [JUSTICE GORSUCH]4413LOC[JUSTICE GORSUCH] But4414CCbut substantively4415RBsubstantively ...4416:... sorry4417RBsorry ...4418:... it4419PPit does4420VVZdo nothing4421NNnothing new4422JJnew ?4423SENT? [MR. KNEEDLER]4424LOC[MR. KNEEDLER] No4425NPNo ,4426,, it4427PPit ...4428:... it4429PPit ...4430:... it4431PPit reiterates4432VVZreiterate through4433INthrough the4434DTthe use4435NNuse of4436INof such4437JJsuch ...4438:... [JUSTICE GORSUCH]4439LOC[JUSTICE GORSUCH] It4440PPit reiterates4441VVZreiterate ,4442,, okay4443RBokay .4444SENT. It4445PPit reiterates4446VVZreiterate what4447WPwhat 's4448VBZbe already4449RBalready the4450DTthe law4451NNlaw ...4452:... [MR. KNEEDLER]4453LOC[MR. KNEEDLER] Well4454UHwell ,4455,, it4456PPit was4457VBDbe not4458RBnot ...4459:... it4460PPit was4461VBDbe not4462RBnot in4463INin the4464DTthe ...4465:... [JUSTICE GORSUCH]4466LOC[JUSTICE GORSUCH] ...4467:... which4468WDTwhich is4469VBZbe to4470TOto say4471VVsay it4472PPit is4473VBZbe superfluous4474JJsuperfluous .4475SENT. [MR. KNEEDLER]4476LOC[MR. KNEEDLER] It4477PPit was4478VBDbe not4479RBnot in4480INin the4481DTthe statute4482NNstatute in4483INin 19864484CD@card@ .4485SENT. [JUSTICE GORSUCH]4486LOC[JUSTICE GORSUCH] Can4487MDcan I4488PPI ...4489:... can4490MDcan I4491PPI take4492VVtake you4493PPyou ...4494:... [MR. KNEEDLER]4495LOC[MR. KNEEDLER] The4496DTthe statute4497NNstatute referred4498VVDrefer to4499TOto regulation4500NNregulation ...4501:... [JUSTICE GORSUCH]4502LOC[JUSTICE GORSUCH] Can4503MDcan I4504PPI take4505VVtake you4506PPyou back4507RBback just4508RBjust to4509TOto one4510CDone other4511JJother problem4512NNproblem I4513PPI have4514VHPhave ?4515SENT? You4516PPyou want4517VVPwant us4518PPus to4519TOto ...4520:... to4521TOto ...4522:... to4523TOto view4524VVview this4525DTthis statute4526NNstatute as4527INas very4528RBvery carefully4529RBcarefully using4530VVGuse APA4531NPAPA terminology4532NNterminology when4533WRBwhen it4534PPit comes4535VVZcome to4536TOto substantive4537JJsubstantive .4538SENT. But4539CCbut ,4540,, when4541WRBwhen it4542PPit comes4543VVZcome to4544TOto statements4545NNSstatement of4546INof policy4547NNpolicy ,4548,, you4549PPyou want4550VVPwant us4551PPus to4552TOto ignore4553VVignore the4554DTthe fact4555NNfact that4556IN/thatthat what4557WPwhat ...4558:... what4559WPwhat the4560DTthe APA4561NPAPA ...4562:... how4563WRBhow it4564PPit treats4565VVZtreat them4566PPthem and4567CCand say4568VVPsay even4569RBeven faux4570NNfaux statements4571NNSstatement of4572INof policy4573NNpolicy that4574WDTthat are4575VBPbe really4576RBreally rules4577NNSrule and4578CCand requirements4579NNSrequirement and4580CCand regulations4581NNSregulation ,4582,, that4583WDTthat 's4584VBZbe what4585WPwhat it4586PPit 's4587VBZbe aiming4588VVGaim at4589INat .4590SENT. Is4591VBZbe n't4592RBn't that4593IN/thatthat a4594DTa problem4595NNproblem for4596INfor you4597PPyou too4598RBtoo ?4599SENT? [MR. KNEEDLER]4600LOC[MR. KNEEDLER] No4601NPNo ,4602,, I4603PPI do4604VVPdo n't4605RBn't ...4606:... I4607PPI do4608VVPdo n't4609RBn't think4610VVthink so4611RBso because4612INbecause the4613DTthe ...4614:... the4615DTthe statement4616NNstatement of4617INof policy4618NNpolicy is4619VBZbe in4620INin the4621DTthe opening4622NNopening clause4623NNclause ,4624,, which4625WDTwhich refers4626VVZrefer to4627TOto rules4628NNSrule ,4629,, which4630WDTwhich could4631MDcould include4632VVinclude interpretive4633JJinterpretive rules4634NNSrule ,4635,, requirement4636NNrequirement ,4637,, or4638CCor statement4639NNstatement of4640INof policy4641NNpolicy .4642SENT. Those4643DTthose are4644VBPbe descriptions4645NNSdescription of4646INof the4647DTthe kind4648NNkind of4649INof agency4650NNagency issues4651NNSissue ...4652:... [JUSTICE SOTOMAYOR]4653LOC[JUSTICE SOTOMAYOR] But4654CCbut when4655WRBwhen is4656VBZbe ever4657RBever a4658DTa statement4659NNstatement of4660INof policy4661NNpolicy binding4662NNbinding ?4663SENT? [MR. KNEEDLER]4664LOC[MR. KNEEDLER] Pardon4665NPPardon me4666PPme ?4667SENT? [JUSTICE SOTOMAYOR]4668LOC[JUSTICE SOTOMAYOR] Meaning4669NNmeaning ,4670,, when4671WRBwhen is4672VBZbe a4673DTa statement4674NNstatement ...4675:... if4676INif it4677PPit 's4678VBZbe not4679RBnot a4680DTa rule4681NNrule or4682CCor regulation4683NNregulation ,4684,, if4685INif it4686PPit 's4687VBZbe just4688RBjust a4689DTa statement4690NNstatement of4691INof policy4692NNpolicy ,4693,, when4694WRBwhen is4695VBZbe it4696PPit ever4697RBever binding4698JJbinding as4699INas you4700PPyou 've4701VHPhave defined4702VVNdefine "4703``" binding4704JJbinding "4705''" ?4706SENT? [MR. KNEEDLER]4707LOC[MR. KNEEDLER] I4708PPI ...4709:... [JUSTICE SOTOMAYOR]4710LOC[JUSTICE SOTOMAYOR] Is4711VBZbe n't4712RBn't policy4713NNpolicy something4714NNsomething that4715WDTthat can4716MDcan be4717VBbe challenged4718VVNchallenge ?4719SENT? [MR. KNEEDLER]4720LOC[MR. KNEEDLER] It4721PPit ...4722:... it4723PPit ...4724:... it4725PPit is4726VBZbe ,4727,, but4728CCbut I4729PPI think4730VVPthink it4731PPit 's4732VBZbe important4733JJimportant for4734INfor the4735DTthe Court4736NPCourt to4737TOto focus4738VVfocus on4739INon the4740DTthe ...4741:... on4742INon the4743DTthe operative4744JJoperative language4745NNlanguage ,4746,, which4747WDTwhich is4748VBZbe whether4749INwhether it4750PPit changes4751VVZchange ...4752:... establishes4753VVZestablish or4754CCor changes4755VVZchange a4756DTa substantive4757JJsubstantive legal4758JJlegal standard4759NNstandard .4760SENT. That4761DTthat 's4762VBZbe what4763WPwhat Congress4764NPCongress enacted4765VVDenact .4766SENT. I4767PPI 'd4768MDwould also4769RBalso like4770VVlike to4771TOto point4772VVpoint out4773RPout what4774WPwhat the4775DTthe consequences4776NNSconsequence of4777INof this4778DTthis for4779INfor the4780DTthe Medicare4781NPMedicare program4782NNprogram are4783VBPbe .4784SENT. As4785RBas ...4786:... as4787INas this4788DTthis Court4789NPCourt has4790VHZhave pointed4791VVNpoint out4792RPout in4793INin Guernsey4794NPGuernsey Memorial4795NPMemorial Hospital4796NPHospital and4797CCand other4798JJother cases4799NNScase ,4800,, the4801DTthe Medicare4802NPMedicare program4803NNprogram has4804VHZhave ,4805,, you4806PPyou know4807VVPknow ,4808,, hundreds4809NNShundred of4810INof pages4811NNSpage of4812INof statutes4813NNSstatute ,4814,, probably4815RBprobably thousands4816NNSthousand of4817INof pages4818NNSpage of4819INof regulations4820NNSregulation ,4821,, but4822CCbut the4823DTthe Court4824NPCourt has4825VHZhave recognized4826VVNrecognize that4827IN/thatthat that4828DTthat can4829MDcan 't4830RB't answer4831VVanswer all4832DTall questions4833NNSquestion that4834WDTthat come4835VVPcome up4836RPup .4837SENT. And4838CCand ...4839:... and4840CCand the4841DTthe Court4842NPCourt in4843INin Guernsey4844NPGuernsey recognized4845VVDrecognize the4846DTthe importance4847NNimportance of4848INof interpretive4849JJinterpretive materials4850NNSmaterial like4851VVPlike ,4852,, in4853INin that4854DTthat case4855NNcase ,4856,, a4857DTa provision4858NNprovision in4859INin the4860DTthe provider4861NNprovider reimbursement4862NNreimbursement manual4863NNmanual .4864SENT. There4865EXthere are4866VBPbe similar4867JJsimilar manuals4868NNSmanual governing4869VVGgovern the4870DTthe program4871NNprogram integrity4872NNintegrity for4873INfor hospitals4874NNShospital and4875CCand doctors4876NNSdoctor and4877CCand ...4878:... and4879CCand ...4880:... and4881CCand whatnot4882NNwhatnot .4883SENT. There4884EXthere are4885VBPbe still4886RBstill reimbursement4887NNreimbursement issues4888NNSissue that4889WDTthat are4890VBPbe ...4891:... that4892WDTthat are4893VBPbe fleshed4894VVNflesh out4895RPout in4896INin the4897DTthe manual4898NNmanual .4899SENT. [JUSTICE SOTOMAYOR]4900LOC[JUSTICE SOTOMAYOR] But4901CCbut I4902PPI look4903VVPlook at4904INat the4905DTthe subsequent4906JJsubsequent history4907NNhistory of4908INof this4909DTthis in4910RBin ...4911:... in4912INin the4913DTthe D4914NPD .4915SENT. C4916LSc .4917SENT. Circuit4918NNcircuit ,4919,, and4920CCand I4921PPI look4922VVPlook at4923INat Clarian4924NPClarian Health4925NPHealth West4926NPWest ,4927,, and4928CCand your4929PP$your fears4930NNSfear there4931RBthere are4932VBPbe overstated4933VVNoverstate .4934SENT. A4935DTa fairly4936RBfairly significant4937JJsignificant change4938NNchange was4939VBDbe held4940VVNhold not4941RBnot to4942TOto be4943VBbe encompassed4944VVNencompass by4945INby this4946DTthis provision4947NNprovision because4948INbecause it4949PPit really4950RBreally was4951VBDbe just4952RBjust following4953VVGfollow the4954DTthe statute4955NNstatute .4956SENT. This4957DTthis is4958VBZbe filling4959VVGfill a4960DTa gap4961NNgap in4962INin the4963DTthe statute4964NNstatute .4965SENT. I4966PPI do4967VVPdo n't4968RBn't know4969VVknow what4970WPwhat else4971RBelse is4972VBZbe clearly4973RBclearly more4974RBRmore a4975DTa policy4976NNpolicy than4977INthan that4978IN/thatthat when4979WRBwhen you4980PPyou 're4981VBPbe filling4982VVGfill in4983INin a4984DTa gap4985NNgap as4986RBas opposed4987VVNoppose to4988TOto interpreting4989VVGinterpret a4990DTa statute4991NNstatute .4992SENT. And4993CCand that4994DTthat seems4995VVZseem to4996TOto be4997VBbe the4998DTthe distinction4999NNdistinction the5000DTthe D5001NPD .5002SENT. C5003SYMc ...5004:... .5005SENT. D5006LSd .5007SENT. C5008LSc .5009SENT. Circuit5010NPCircuit is5011VBZbe applying5012VVGapply .5013SENT. [MR. KNEEDLER]5014LOC[MR. KNEEDLER] Well5015UHWell ,5016,, Clarian5017NPClarian did5018VVDdo not5019RBnot go5020VVgo to5021TOto the5022DTthe substantive5023JJsubstantive provisions5024NNSprovision for5025INfor reimbursement5026NNreimbursement .5027SENT. It5028PPit had5029VHDhave to5030TOto do5031VVdo with5032INwith a5033DTa procedure5034NNprocedure for5035INfor various5036JJvarious screening5037NNscreening .5038SENT. [JUSTICE SOTOMAYOR]5039LOC[JUSTICE SOTOMAYOR] That5040DTthat 's5041VBZbe my5042PP$my point5043NNpoint .5044SENT. That5045DTthat 's5046VBZbe my5047PP$my point5048NNpoint .5049SENT. [MR. KNEEDLER]5050LOC[MR. KNEEDLER] Yes5051NPYes ,5052,, but5053CCbut it5054PPit ...5055:... [JUSTICE SOTOMAYOR]5056LOC[JUSTICE SOTOMAYOR] Which5057WDTwhich is5058VBZbe not5059RBnot everything5060NNeverything is5061VBZbe going5062VVGgo to5063TOto come5064VVcome under5065INunder this5066DTthis .5067SENT. [MR. KNEEDLER]5068LOC[MR. KNEEDLER] It5069PPit 's5070VBZbe not5071RBnot everything5072NNeverything ,5073,, but5074CCbut it5075PPit ...5076:... but5077CCbut it5078PPit ...5079:... but5080CCbut it5081PPit certainly5082RBcertainly would5083MDwould subject5084VVsubject to5085TOto notice-and-comment5086NNnotice-and-comment rule5087NNrule ...5088:... rulemaking5089VVGrulemak a5090DTa broad5091JJbroad swath5092NNswath of5093INof what5094WPwhat has5095VHZhave never5096RBnever been5097VBNbe done5098VVNdo .5099SENT. This5100DTthis is5101VBZbe ...5102:... [JUSTICE GORSUCH]5103LOC[JUSTICE GORSUCH] Well5104UHWell ,5105,, on5106INon that5107DTthat ...5108:... on5109INon that5110DTthat ...5111:... [MR. KNEEDLER]5112LOC[MR. KNEEDLER] ...5113:... this5114DTthis is5115VBZbe 305116CD@card@ years5117NNSyear later5118RBRlater in5119INin HHS5120NPHHS ...5121:... [JUSTICE GORSUCH]5122LOC[JUSTICE GORSUCH] ...5123:... on5124INon that5125DTthat ...5126:... on5127INon that5128DTthat ,5129,, though5130RBthough ,5131,, I5132PPI do5133VVPdo n't5134RBn't doubt5135VVdoubt it5136PPit 's5137VBZbe more5138RBRmore convenient5139JJconvenient for5140INfor the5141DTthe government5142NNgovernment to5143TOto proceed5144VVproceed through5145INthrough adjudication5146NNadjudication of5147INof an5148DTan individual5149JJindividual case5150NNcase and5151CCand announce5152VVannounce a5153DTa new5154JJnew rule5155NNrule that5156WDTthat applies5157VVZapply to5158TOto the5159DTthe whole5160NNwhole of5161INof society5162NNsociety without5163INwithout inviting5164VVGinvite comment5165NNcomment and5166CCand providing5167VVGprovide notice5168NNnotice to5169TOto everyone5170NNeveryone affected5171VVDaffect .5172SENT. Surely5173RBsurely ,5174,, I5175PPI ...5176:... I5177PPI get5178VVPget that5179IN/thatthat that5180DTthat 's5181VBZbe easier5182JJReasy and5183CCand preferable5184JJpreferable ,5185,, certainly5186RBcertainly more5187RBRmore efficient5188JJefficient .5189SENT. But5190CCbut could5191MDcould n't5192RBn't Congress5193NPCongress make5194VVmake rationally5195RBrationally an5196DTan alternative5197JJalternative decision5198NNdecision that5199IN/thatthat informal5200JJinformal rulemaking5201VVGrulemak ,5202,, not5203RBnot even5204RBeven formal5205JJformal rulemaking5206VVGrulemak ,5207,, that5208WDTthat 's5209VBZbe gone5210VVNgo by5211INby the5212DTthe boards5213NNSboard ,5214,, but5215CCbut just5216RBjust informal5217JJinformal notice5218NNnotice and5219CCand comment5220VVcomment to5221TOto affected5222JJaffected parties5223NNSparty in5224INin something5225NNsomething as5226INas significant5227JJsignificant as5228INas changing5229VVGchange the5230DTthe formula5231NNformula for5232INfor Medicare5233NPMedicare for5234INfor all5235DTall Medicare5236NPMedicare providers5237NNSprovider nationwide5238RBnationwide ,5239,, that5240IN/thatthat maybe5241RBmaybe they5242PPthey should5243MDshould have5244VHhave 605245CD@card@ days5246NNSday to5247TOto at5248INat least5249JJSleast throw5250VVthrow in5251INin their5252PP$their comments5253NNScomment .5254SENT. [MR. KNEEDLER]5255LOC[MR. KNEEDLER] Well5256UHWell ,5257,, first5258JJfirst of5259INof all5260DTall ,5261,, the5262DTthe agency5263NNagency has5264VHZhave tried5265VVNtry to5266TOto go5267VVgo through5268INthrough notice-and-comment5269NNnotice-and-comment rulemaking5270VVGrulemak twice5271RBtwice on5272INon this5273DTthis .5274SENT. It5275PPit did5276VVDdo ...5277:... it5278PPit did5279VVDdo it5280PPit in5281INin 20045282CD@card@ ,5283,, when5284WRBwhen the5285DTthe issue5286NNissue was5287VBDbe brought5288VVNbring to5289TOto its5290PP$its attention5291NNattention .5292SENT. It5293PPit did5294VVDdo it5295PPit in5296INin 20135297CD@card@ .5298SENT. It5299PPit recognizes5300VVZrecognize that5301DTthat .5302SENT. But5303CCbut what5304WPwhat it5305PPit did5306VVDdo here5307RBhere was5308VBDbe ...5309:... was5310VBDbe not5311RBnot ...5312:... not5313RBnot establish5314VVestablish a5315DTa binding5316JJbinding provision5317NNprovision that5318WDTthat has5319VHZhave the5320DTthe force5321NNforce and5322CCand effect5323NNeffect of5324INof law5325NNlaw but5326CCbut simply5327RBsimply furnish5328VVfurnish fractions5329NNSfraction to5330TOto the5331DTthe contractors5332NNScontractor who5333WPwho were5334VBDbe performing5335VVGperform calculations5336NNScalculation at5337INat the5338DTthe very5339RBvery first5340JJfirst stage5341NNstage of5342INof the5343DTthe ...5344:... of5345INof the5346DTthe process5347NNprocess .5348SENT. [JUSTICE KAGAN]5349LOC[JUSTICE KAGAN] Could5350MDcould I5351PPI very5352RBvery quickly5353RBquickly ask5354VVask you5355PPyou ,5356,, given5357VVNgive Clarian5358NPClarian Health5359NPHealth ,5360,, what5361WPwhat consequences5362NNSconsequence are5363VBPbe you5364PPyou afraid5365JJafraid of5366INof ?5367SENT? [MR. KNEEDLER]5368LOC[MR. KNEEDLER] Afraid5369JJafraid of5370INof ,5371,, again5372RBagain ,5373,, the5374DTthe broad5375JJbroad swath5376NNswath of5377INof ...5378:... of5379INof manual5380JJmanual provisions5381NNSprovision that5382RBthat ...5383:... I5384PPI mean5385VVPmean ,5386,, that5387WDTthat ...5388:... that5389IN/thatthat really5390RBreally just5391RBjust dealt5392VVNdeal with5393INwith procedures5394NNSprocedure .5395SENT. I5396PPI mean5397VVPmean ,5398,, I5399PPI ...5400:... in5401INin ...5402:... in5403INin one5404CDone respect5405NNrespect ,5406,, you5407PPyou could5408MDcould look5409VVlook at5410INat it5411PPit as5412RBas ...5413:... as5414INas recognizing5415VVGrecognize the5416DTthe procedures5417NNSprocedure .5418SENT. Procedural5419JJprocedural rules5420NNSrule are5421VBPbe not5422RBnot covered5423VVNcover by5424INby notice5425NNnotice and5426CCand comment5427NNcomment under5428INunder the5429DTthe APA5430NPAPA .5431SENT. A5432DTa procedure5433NNprocedure about5434INabout how5435WRBhow contractors5436NNScontractor are5437VBPbe supposed5438VVNsuppose to5439TOto evaluate5440VVevaluate certain5441JJcertain situations5442NNSsituation without5443INwithout changing5444VVGchange substantive5445JJsubstantive standards5446NNSstandard is5447VBZbe n't5448RBn't ...5449:... is5450VBZbe n't5451RBn't covered5452VVNcover .5453SENT. And5454CCand that5455DTthat 's5456VBZbe our5457PP$our ...5458:... you5459PPyou know5460VVPknow ,5461,, when5462WRBwhen it5463PPit comes5464VVZcome to5465TOto interpretive5466JJinterpretive rules5467NNSrule ,5468,, that5469WDTthat 's5470VBZbe our5471PP$our position5472NNposition ,5473,, because5474INbecause they5475PPthey ...5476:... they5477PPthey explain5478VVPexplain the5479DTthe agency5480NNagency 's5481POS's own5482JJown interpretation5483NNinterpretation ,5484,, but5485CCbut it5486PPit 's5487VBZbe the5488DTthe statute5489NNstatute that5490WDTthat governs5491VVZgovern ,5492,, not5493RBnot ...5494:... and5495CCand this5496DTthis is5497VBZbe not5498RBnot a5499DTa regulation5500NNregulation that5501WDTthat establishes5502VVZestablish a5503DTa substantive5504JJsubstantive legal5505JJlegal standard5506NNstandard on5507INon its5508PP$its own5509JJown terms5510NNSterm .5511SENT. If5512INif I5513PPI may5514MDmay reserve5515VVreserve the5516DTthe balance5517NNbalance of5518INof my5519PP$my time5520NNtime .5521SENT. [CHIEF JUSTICE ROBERTS]5522LOC[CHIEF JUSTICE ROBERTS] Thank5523VVthank you5524PPyou ,5525,, Mr5526NPMr .5527SENT. Kneedler5528NPKneedler .5529SENT. Mr5530NPMr .5531SENT. Shah5532NNshah .5533SENT.

[MR. SHAH]5534LOC[MR. SHAH] Mr5535NPMr .5536SENT. Chief5537NPChief Justice5538NPJustice ,5539,, and5540CCand may5541MDmay it5542PPit please5543VVplease the5544DTthe Court5545NPCourt :5546:: By5547INby making5548VVGmake the5549DTthe legal5550JJlegal determination5551NNdetermination to5552TOto count5553VVcount Part5554NPPart C5555NPC days5556NNSday as5557INas Part5558NNpart A5559DTa entitled5560VVNentitle days5561NNSday in5562INin the5563DTthe Medicare5564NPMedicare fraction5565NNfraction ,5566,, the5567DTthe agency5568NNagency 's5569POS's 20145570CD@card@ issuance5571NNissuance reduced5572VVDreduce the5573DTthe payment5574NNpayment right5575NNright of5576INof hospitals5577NNShospital nationwide5578JJnationwide by5579INby ...5580:... and5581CCand this5582DTthis is5583VBZbe according5584VVGaccord to5585TOto the5586DTthe agency5587NNagency 's5588POS's own5589JJown estimate5590NNestimate ...5591:... billions5592NNSbillion of5593INof dollars5594NNSdollar .5595SENT. That5596WDTthat is5597VBZbe ...5598:... [CHIEF JUSTICE ROBERTS]5599LOC[CHIEF JUSTICE ROBERTS] But5600CCbut it5601PPit 's5602VBZbe not5603RBnot ...5604:... it5605PPit 's5606VBZbe not5607RBnot binding5608VVGbind at5609INat all5610DTall .5611SENT. [MR. SHAH]5612LOC[MR. SHAH] Well5613UHWell ,5614,, Your5615PP$your Honor5616NPHonor ...5617:... [CHIEF JUSTICE ROBERTS]5618LOC[CHIEF JUSTICE ROBERTS] Interim5619JJinterim calculation5620NNcalculation .5621SENT. [MR. SHAH]5622LOC[MR. SHAH] I5623PPI ...5624:... I5625PPI think5626VVPthink it5627PPit 's5628VBZbe binding5629VVGbind in5630INin every5631DTevery normal5632JJnormal sense5633NNsense of5634INof the5635DTthe word5636NNword .5637SENT. Let5638VVlet me5639PPme give5640VVgive you5641PPyou two5642CDtwo responses5643NNSresponse .5644SENT. First5645RBfirst ,5646,, let5647VVlet me5648PPme address5649VVaddress your5650PP$your concern5651NNconcern on5652INon binding5653VVGbind as5654INas a5655DTa factual5656JJfactual matter5657NNmatter and5658CCand then5659RBthen tell5660VVtell you5661PPyou why5662WRBwhy it5663PPit 's5664VBZbe legally5665RBlegally irrelevant5666JJirrelevant .5667SENT. First5668RBfirst ,5669,, as5670INas a5671DTa factual5672JJfactual matter5673NNmatter ,5674,, they5675PPthey call5676VVPcall it5677PPit just5678RBjust an5679DTan internal5680JJinternal instruction5681NNinstruction .5682SENT. The5683DTthe fact5684NNfact is5685VBZbe the5686DTthe contractors5687NNScontractor are5688VBPbe the5689DTthe ones5690NNSone who5691WPwho make5692VVPmake the5693DTthe final5694JJfinal payment5695NNpayment determination5696NNdetermination .5697SENT. How5698WRBHow this5699DTthis regime5700NNregime works5701VVZwork is5702VBZbe the5703DTthe hospitals5704NNShospital submit5705VVPsubmit a5706DTa cost5707NNcost report5708NNreport form5709NNform that5710WDTthat has5711VHZhave all5712PDTall the5713DTthe data5714NNSdatum on5715INon it5716PPit .5717SENT. The5718DTthe contractors5719NNScontractor then5720RBthen use5721VVPuse the5722DTthe fractions5723NNSfraction from5724INfrom the5725DTthe agency5726NNagency ,5727,, and5728CCand they5729PPthey then5730RBthen compute5731VVcompute the5732DTthe final5733JJfinal adjustment5734NNadjustment that5735IN/thatthat the5736DTthe hospital5737NNhospital is5738VBZbe owed5739VVNowe .5740SENT. That5741DTthat is5742VBZbe then5743RBthen a5744DTa final5745JJfinal binding5746JJbinding payment5747NNpayment determination5748NNdetermination .5749SENT. That5750DTthat 's5751VBZbe it5752PPit .5753SENT. That5754DTthat 's5755VBZbe how5756WRBhow much5757JJmuch the5758DTthe hospital5759NNhospital is5760VBZbe owed5761VVNowe ,5762,, unless5763INunless the5764DTthe hospitals5765NNShospital could5766MDcould do5767VVdo an5768DTan administrative5769JJadministrative appeal5770NNappeal or5771CCor they5772PPthey can5773MDcan sue5774VVsue in5775INin court5776NNcourt .5777SENT. If5778INif you5779PPyou do5780VVPdo n't5781RBn't do5782VVdo the5783DTthe administrative5784JJadministrative appeal5785NNappeal or5786CCor sue5787VVsue in5788INin court5789NNcourt ,5790,, there5791EXthere 's5792VBZbe no5793DTno doubt5794NNdoubt about5795INabout it5796PPit ,5797,, it5798PPit 's5799VBZbe in5800INin the5801DTthe reg5802NNreg ,5803,, that5804WDTthat is5805VBZbe your5806PP$your final5807JJfinal determination5808NNdetermination of5809INof your5810PP$your legal5811JJlegal right5812NNright to5813TOto payment5814NNpayment .5815SENT. Now5816RBnow ,5817,, here5818RBhere ...5819:... [CHIEF JUSTICE ROBERTS]5820LOC[CHIEF JUSTICE ROBERTS] But5821CCbut does5822VVZdo n't5823RBn't it5824PPit make5825VVPmake sense5826NNsense if5827INif you5828PPyou 've5829VHPhave got5830VVNget ...5831:... I5832PPI do5833VVPdo n't5834RBn't know5835VVknow exactly5836RBexactly ...5837:... I5838PPI mean5839VVPmean ,5840,, how5841WRBhow many5842JJmany of5843INof these5844DTthese interim5845JJinterim calculations5846NNScalculation do5847VVPdo they5848PPthey have5849VHPhave ?5850SENT? [MR. SHAH]5851LOC[MR. SHAH] Well5852UHWell ,5853,, when5854WRBwhen you5855PPyou 're5856VBPbe talking5857VVGtalk about5858INabout interim5859JJinterim calculations5860NNScalculation for5861INfor the5862DTthe DSH5863NPDSH adjustment5864NNadjustment ,5865,, there5866EXthere 's5867VBZbe only5868RBonly two5869CDtwo calculations5870NNScalculation .5871SENT. There5872EXthere 's5873VBZbe the5874DTthe Medicaid5875NPMedicaid ...5876:... Medicare5877NPMedicare fraction5878NNfraction and5879CCand the5880DTthe Medicaid5881NPMedicaid fraction5882NNfraction .5883SENT. That5884DTthat is5885VBZbe it5886PPit .5887SENT. And5888CCand ...5889:... and5890CCand they5891PPthey compute5892VVPcompute that5893IN/thatthat ,5894,, and5895CCand then5896RBthen they5897PPthey give5898VVPgive you5899PPyou a5900DTa number5901NNnumber for5902INfor that5903DTthat adjustment5904NNadjustment .5905SENT. [JUSTICE BREYER]5906LOC[JUSTICE BREYER] I5907PPI think5908VVPthink in5909INin ...5910:... [CHIEF JUSTICE ROBERTS]5911LOC[CHIEF JUSTICE ROBERTS] Well5912UHWell ,5913,, but5914CCbut ,5915,, I5916PPI mean5917VVPmean ,5918,, how5919WRBhow many5920JJmany every5921DTevery year5922NNyear or5923CCor whatever5924WDTwhatever the5925DTthe payment5926NNpayment schedule5927NNschedule is5928VBZbe ?5929SENT? My5930PP$my ...5931:... my5932PP$my understanding5933NNunderstanding is5934VBZbe they5935PPthey were5936VBDbe using5937VVGuse this5938DTthis to5939TOto tell5940VVtell you5941PPyou how5942WRBhow to5943TOto calculate5944VVcalculate what5945WPwhat you5946PPyou owe5947VVPowe ,5948,, but5949CCbut not5950RBnot until5951INuntil the5952DTthe ,5953,, I5954PPI do5955VVPdo n't5956RBn't know5957VVknow ,5958,, the5959DTthe final5960JJfinal bill5961NNbill comes5962VVZcome in5963INin .5964SENT. [MR. SHAH]5965LOC[MR. SHAH] Oh5966NPOh ,5967,, okay5968JJokay .5969SENT. So5970RBso ,5971,, just5972RBjust to5973TOto clarify5974VVclarify here5975RBhere ,5976,, so5977RBso this5978DTthis is5979VBZbe in5980INin the5981DTthe context5982NNcontext of5983INof a5984DTa final5985JJfinal payment5986NNpayment determination5987NNdetermination .5988SENT. [CHIEF JUSTICE ROBERTS]5989LOC[CHIEF JUSTICE ROBERTS] Right5990NPRight .5991SENT. [MR. SHAH]5992LOC[MR. SHAH] So5993INso this5994DTthis happens5995VVZhappen once5996RBonce a5997DTa year5998NNyear .5999SENT. At6000INat the6001DTthe end6002NNend of6003INof the6004DTthe year6005NNyear ,6006,, the6007DTthe hospital6008NNhospital will6009MDwill ,6010,, after6011INafter the6012DTthe year6013NNyear is6014VBZbe closed6015VVNclose ,6016,, they6017PPthey 'll6018MDwill file6019VVfile a6020DTa cost6021NNcost report6022NNreport form6023NNform ,6024,, and6025CCand the6026DTthe agency6027NNagency will6028MDwill then6029RBthen use6030VVuse that6031DTthat data6032NNSdatum ,6033,, along6034RBalong with6035INwith the6036DTthe Medicare6037NPMedicare fraction6038NNfraction that6039IN/thatthat the6040DTthe agency6041NNagency has6042VHZhave given6043VVNgive them6044PPthem ,6045,, and6046CCand give6047VVgive them6048PPthem a6049DTa final6050JJfinal total6051NNtotal for6052INfor that6053DTthat year6054NNyear .6055SENT. So6056RBso it6057PPit 's6058VBZbe used6059VVNuse to6060TOto ...6061:... as6062INas a6063DTa payment6064NNpayment total6065NNtotal for6066INfor the6067DTthe end6068NNend of6069INof the6070DTthe year6071NNyear .6072SENT. And6073CCand then6074RBthen that6075DTthat Medicare6076NPMedicare fraction6077NNfraction is6078VBZbe used6079VVNuse ,6080,, just6081RBjust the6082DTthe Medicare6083NPMedicare fraction6084NNfraction ,6085,, is6086VBZbe then6087RBthen used6088VVNuse to6089TOto compute6090VVcompute the6091DTthe interim6092JJinterim payments6093NNSpayment for6094INfor the6095DTthe next6096JJnext year6097NNyear until6098INuntil the6099DTthe next6100JJnext fractions6101NNSfraction are6102VBPbe issued6103VVNissue .6104SENT. So6105RBso all6106DTall of6107INof that6108WDTthat is6109VBZbe binding6110VVGbind ,6111,, however6112RBhowever that6113DTthat word6114NNword is6115VBZbe used6116VVNuse .6117SENT. Obviously6118RBobviously ,6119,, it6120PPit 's6121VBZbe not6122RBnot in6123INin the6124DTthe statute6125NNstatute .6126SENT. But6127CCbut the6128DTthe hospitals6129NNShospital are6130VBPbe stuck6131VVNstick with6132INwith that6133DTthat .6134SENT. That6135DTthat 's6136VBZbe their6137PP$their payment6138NNpayment determination6139NNdetermination .6140SENT. Their6141PP$their only6142JJonly recourse6143NNrecourse ,6144,, of6145INof course6146NNcourse ,6147,, is6148VBZbe to6149TOto file6150VVfile an6151DTan administrative6152JJadministrative appeal6153NNappeal or6154CCor sue6155VVsue in6156INin court6157NNcourt .6158SENT. They6159PPthey did6160VVDdo that6161IN/thatthat here6162RBhere .6163SENT. And6164CCand here6165RBhere is6166VBZbe what6167WPwhat the6168DTthe agency6169NNagency 's6170POS's own6171JJown board6172NNboard said6173VVDsay .6174SENT. We6175PPwe are6176VBPbe bound6177VVNbind by6178INby the6179DTthe agency6180NNagency 's6181POS's action6182NNaction .6183SENT. That6184DTthat is6185VBZbe ,6186,, we6187PPwe lack6188VVPlack the6189DTthe legal6190JJlegal authority6191NNauthority to6192TOto look6193VVlook behind6194INbehind the6195DTthe policy6196NNpolicy and6197CCand adjudicate6198VVadjudicate this6199DTthis .6200SENT. The6201DTthe agency6202NNagency 's6203POS's own6204JJown board6205NNboard says6206VVZsay they6207PPthey can6208MDcan 't6209RB't do6210VVPdo that6211DTthat .6212SENT. So6213RBso for6214INfor ...6215:... for6216INfor the6217DTthe government6218NNgovernment ...6219:... [JUSTICE BREYER]6220LOC[JUSTICE BREYER] Well6221UHWell ,6222,, then6223RBthen they6224PPthey 're6225VBPbe wrong6226JJwrong ,6227,, because6228INbecause the6229DTthe SG6230NPSG is6231VBZbe telling6232VVGtell us6233PPus that6234IN/thatthat they6235PPthey do6236VVPdo have6237VHhave that6238DTthat power6239NNpower .6240SENT. [MR. SHAH]6241LOC[MR. SHAH] Well6242UHWell ,6243,, okay6244JJokay .6245SENT. [JUSTICE BREYER]6246LOC[JUSTICE BREYER] And6247CCand so6248RBso ,6249,, therefore6250RBtherefore ,6251,, your6252PP$your complaint6253NNcomplaint is6254VBZbe to6255TOto go6256VVgo to6257TOto a6258DTa court6259NNcourt and6260CCand say6261VVPsay they6262PPthey did6263VVDdo n't6264RBn't do6265VVdo what6266WPwhat they6267PPthey admit6268VVPadmit they6269PPthey were6270VBDbe supposed6271VVNsuppose to6272TOto 96273CD9 do6274VVPdo ...6275:... [MR. SHAH]6276LOC[MR. SHAH] Well6277UHWell ,6278,, Justice6279NPJustice Breyer6280NPBreyer ...6281:... [JUSTICE BREYER]6282LOC[JUSTICE BREYER] ...6283:... which6284WDTwhich is6285VBZbe that6286IN/thatthat they6287PPthey treat6288VVPtreat the6289DTthe substantive6290JJsubstantive matter6291NNmatter ...6292:... [MR. SHAH]6293LOC[MR. SHAH] Justice6294NPJustice Breyer6295NPBreyer ,6296,, the6297DTthe government6298NNgovernment made6299VVDmake that6300IN/thatthat exact6301JJexact argument6302NNargument to6303TOto the6304DTthe district6305NNdistrict court6306NNcourt ,6307,, and6308CCand the6309DTthe district6310NNdistrict court6311NNcourt found6312VVDfind that6313IN/thatthat the6314DTthe board6315NNboard was6316VBDbe right6317JJright .6318SENT. They6319PPthey made6320VVDmake that6321DTthat ...6322:... [JUSTICE BREYER]6323LOC[JUSTICE BREYER] That6324DTthat 's6325VBZbe what6326WPwhat both6327DTboth of6328INof these6329DTthese things6330NNSthing seem6331VVPseem to6332TOto me6333PPme to6334TOto be6335VBbe somewhat6336RBsomewhat side6337JJside issues6338NNSissue .6339SENT. I6340PPI understand6341VVPunderstand why6342WRBwhy they6343PPthey give6344VVPgive color6345NNcolor to6346TOto the6347DTthe problem6348NNproblem .6349SENT. [MR. SHAH]6350LOC[MR. SHAH] Right6351NPRight .6352SENT. [JUSTICE BREYER]6353LOC[JUSTICE BREYER] And6354CCand I6355PPI accept6356VVPaccept that6357RBthat .6358SENT. But6359CCbut the6360DTthe basic6361JJbasic problem6362NNproblem to6363TOto me6364PPme is6365VBZbe whether6366INwhether or6367CCor not6368RBnot this6369DTthis statute6370NNstatute ,6371,, in6372INin using6373VVGuse words6374NNSword like6375INlike policy6376NNpolicy and6377CCand so6378RBso forth6379RBforth ,6380,, is6381VBZbe saying6382VVGsay :6383:: Agency6384NNagency ,6385,, when6386WRBwhen you6387PPyou have6388VHPhave a6389DTa legislative6390JJlegislative rule6391NNrule ,6392,, which6393WDTwhich is6394VBZbe defined6395VVNdefine as6396INas a6397DTa rule6398NNrule that6399WDTthat establishes6400VVZestablish or6401CCor changes6402VVZchange a6403DTa legal6404JJlegal ...6405:... substantive6406JJsubstantive legal6407JJlegal standard6408NNstandard ,6409,, when6410WRBwhen you6411PPyou have6412VHPhave that6413DTthat kind6414NNkind of6415INof rule6416NNrule and6417CCand do6418VVPdo n't6419RBn't hide6420VVhide it6421PPit under6422INunder a6423DTa statement6424NNstatement of6425INof policy6426NNpolicy or6427CCor some6428DTsome other6429JJother way6430NNway ,6431,, when6432WRBwhen it6433PPit 's6434VBZbe doing6435VVGdo that6436IN/thatthat ,6437,, use6438VVuse notice-and-comment6439NNnotice-and-comment .6440SENT. Now6441RBnow ,6442,, if6443INif you6444PPyou are6445VBPbe n't6446RBn't doing6447VVGdo that6448IN/thatthat ,6449,, you6450PPyou can6451MDcan use6452VVuse notice-and-comment6453NNnotice-and-comment .6454SENT. You6455PPyou 're6456VBPbe more6457RBRmore free6458JJfree to6459TOto do6460VVdo what6461WPwhat you6462PPyou want6463VVPwant .6464SENT. Now6465RBnow that6466DTthat 's6467VBZbe basically6468RBbasically their6469PP$their argument6470NNargument .6471SENT. [MR. SHAH]6472LOC[MR. SHAH] Right6473NPRight .6474SENT. [JUSTICE BREYER]6475LOC[JUSTICE BREYER] That6476DTthat has6477VHZhave considerable6478JJconsiderable importance6479NNimportance even6480RBeven beyond6481INbeyond this6482DTthis area6483NNarea .6484SENT. And6485CCand so6486RBso I6487PPI 'd6488MDwould like6489VVlike you6490PPyou at6491INat some6492DTsome ...6493:... you6494PPyou know6495VVPknow ,6496,, to6497TOto get6498VVget to6499TOto your6500PP$your view6501NNview on6502INon that6503DTthat .6504SENT. [MR. SHAH]6505LOC[MR. SHAH] Sure6506NPSure .6507SENT. Okay6508JJokay .6509SENT. So6510RBso ,6511,, Your6512PP$your Honor6513NPHonor ,6514,, that6515WDTthat ...6516:... that6517DTthat argument6518NNargument makes6519VVZmake no6520DTno sense6521NNsense because6522INbecause it6523PPit goes6524VVZgo ...6525:... it6526PPit does6527VVZdo n't6528RBn't go6529VVgo any6530DTany further6531JJRfurther than6532INthan the6533DTthe 19866534CD@card@ enactment6535NNenactment that6536IN/thatthat we6537PPwe 've6538VHPhave already6539RBalready discussed6540VVNdiscuss .6541SENT. And6542CCand even6543RBeven under6544INunder the6545DTthe APA6546NPAPA ,6547,, if6548INif you6549PPyou call6550VVPcall a6551DTa legislative6552JJlegislative rule6553NNrule a6554DTa ham6555NNham sandwich6556NNsandwich ,6557,, that6558WDTthat does6559VVZdo n't6560RBn't get6561VVget you6562PPyou out6563RPout of6564INof the6565DTthe notice-and-comment6566NNnotice-and-comment requirement6567NNrequirement .6568SENT. If6569INif you6570PPyou called6571VVDcall an6572DTan interpretive6573JJinterpretive rule6574NNrule or6575CCor a6576DTa statement6577NNstatement of6578INof policy6579NNpolicy ,6580,, there6581EXthere is6582VBZbe an6583DTan exception6584NNexception for6585INfor those6586DTthose ,6587,, but6588CCbut if6589INif it6590PPit 's6591VBZbe actually6592RBactually a6593DTa legislative6594JJlegislative rule6595NNrule ,6596,, you6597PPyou have6598VHPhave to6599TOto go6600VVgo through6601INthrough notice-and-comment6602NNnotice-and-comment .6603SENT. So6604INso the6605DTthe government's6606NNSgovernment's ...6607:... [JUSTICE BREYER]6608LOC[JUSTICE BREYER] Well6609UHWell ,6610,, yes6611UHyes ,6612,, you6613PPyou know6614VVPknow that6615DTthat ...6616:... [MR. SHAH]6617LOC[MR. SHAH] Yeah6618NPYeah .6619SENT. [JUSTICE BREYER]6620LOC[JUSTICE BREYER] ...6621:... and6622CCand I6623PPI know6624VVPknow that6625RBthat .6626SENT. But6627CCbut there6628EXthere are6629VBPbe many6630JJmany ,6631,, many6632JJmany people6633NNSpeople perhaps6634RBperhaps in6635INin the6636DTthe United6637NPUnited States6638NPSStates ,6639,, and6640CCand including6641VVGinclude many6642DTmany who6643WPwho work6644VVPwork in6645INin agencies6646NNSagency ...6647:... [MR. SHAH]6648LOC[MR. SHAH] Well6649UHWell ,6650,, Your6651PP$your Honor6652NPHonor ,6653,, the6654DTthe ...6655:... [JUSTICE BREYER]6656LOC[JUSTICE BREYER] ...6657:... who6658WPwho do6659VVPdo n't6660RBn't know6661VVknow that6662DTthat .6663SENT. And6664CCand so6665RBso where6666WRBwhere it6667PPit said6668VVDsay in6669INin 19866670CD@card@ the6671DTthe word6672NNword "6673``" regulation6674NNregulation ,6675,, "6676''" and6677CCand then6678RBthen you6679PPyou read6680VVPread the6681DTthe House6682NPHouse report6683NNreport ...6684:... [MR. SHAH]6685LOC[MR. SHAH] Yes6686NPYes .6687SENT. [JUSTICE BREYER]6688LOC[JUSTICE BREYER] ...6689:... then6690RBthen we6691PPwe arrive6692VVParrive at6693INat the6694DTthe same6695JJsame conclusion6696NNconclusion that6697IN/thatthat it6698PPit already6699RBalready said6700VVDsay it6701PPit .6702SENT. But6703CCbut many6704JJmany people6705NNSpeople do6706VVPdo n't6707RBn't read6708VVread House6709NPHouse reports6710NNSreport .6711SENT. And6712CCand that6713DTthat word6714NNword "6715``" regulation6716NNregulation "6717''" might6718MDmight not6719RBnot explain6720VVexplain itself6721PPitself .6722SENT. And6723CCand ,6724,, therefore6725RBtherefore ,6726,, they6727PPthey reenact6728VVPreenact 19876729CD@card@ 's6730POS's law6731NNlaw in6732INin order6733NNorder to6734TOto put6735VVput the6736DTthe House6737NPHouse report6738NNreport ,6739,, in6740INin essence6741NNessence ,6742,, in6743INin the6744DTthe law6745NNlaw .6746SENT. [MR. SHAH]6747LOC[MR. SHAH] Well6748UHWell ...6749:... [JUSTICE BREYER]6750LOC[JUSTICE BREYER] And6751CCand they6752PPthey show6753VVPshow exactly6754RBexactly what6755WPwhat they6756PPthey mean6757VVPmean ,6758,, okay6759JJokay ?6760SENT? [MR. SHAH]6761LOC[MR. SHAH] Well6762UHWell ,6763,, a6764DTa ...6765:... [JUSTICE BREYER]6766LOC[JUSTICE BREYER] That6767DTthat 's6768VBZbe the6769DTthe argument6770NNargument on6771INon the6772DTthe other6773JJother side6774NNside .6775SENT. [MR. SHAH]6776LOC[MR. SHAH] Well6777UHWell ,6778,, a6779DTa couple6780NNcouple responses6781NNSresponse .6782SENT. If6783INif you6784PPyou want6785VVPwant to6786TOto ignore6787VVignore the6788DTthe text6789NNtext and6790CCand look6791VVlook at6792INat the6793DTthe House6794NPHouse report6795NNreport ,6796,, I6797PPI would6798MDwould suggest6799VVsuggest we6800PPwe look6801VVlook at6802INat the6803DTthe House6804NPHouse report6805NNreport ,6806,, which6807WDTwhich is6808VBZbe the6809DTthe one6810CDone that6811WDTthat led6812VVDlead to6813TOto Section6814NPSection (6815(( a6816DTa )6817)) (6818(( 26819LS2 )6820)) .6821SENT. And6822CCand what6823WPwhat it6824PPit says6825VVZsay there6826EXthere is6827VBZbe we6828PPwe tried6829VVDtry this6830DTthis in6831INin 19866832CD@card@ .6833SENT. It6834PPit turns6835VVZturn out6836RPout that6837IN/thatthat the6838DTthe agency6839NNagency ,6840,, and6841CCand this6842DTthis is6843VBZbe a6844DTa quote6845NNquote ,6846,, "6847''" with6848INwith growing6849VVGgrow frequency6850NNfrequency is6851VBZbe enacting6852VVGenact significant6853JJsignificant "6854''" ...6855:... unquote6856VVunquote ...6857:... is6858VBZbe enacting6859VVGenact significant6860JJsignificant policies6861NNSpolicy without6862INwithout going6863VVGgo through6864RPthrough not6865RBnot ...6866:... notice-and-comment6867NNnotice-and-comment ,6868,, notwithstanding6869INnotwithstanding our6870PP$our 19866871CD@card@ enactment6872NNenactment .6873SENT. And6874CCand ,6875,, in6876INin fact6877NNfact ,6878,, it6879PPit ...6880:... the6881DTthe next6882JJnext sentence6883NNsentence says6884VVZsay ,6885,, in6886INin fact6887NNfact ,6888,, it6889PPit 's6890VBZbe doing6891VVGdo these6892DTthese things6893NNSthing through6894INthrough things6895NNSthing like6896INlike manual6897JJmanual instructions6898NNSinstruction .6899SENT. And6900CCand so6901INso what6902WPwhat we6903PPwe are6904VBPbe going6905VVGgo to6906TOto do6907VVdo is6908VBZbe enact6909VVenact a6910DTa further6911JJRfurther requirement6912NNrequirement that6913IN/thatthat even6914RBeven if6915INif it6916PPit is6917VBZbe a6918DTa rule6919NNrule ,6920,, whatever6921WDTwhatever type6922NNtype ,6923,, interpretive6924JJinterpretive or6925CCor legislative6926JJlegislative ,6927,, a6928DTa requirement6929NNrequirement or6930CCor a6931DTa statement6932NNstatement of6933INof policy6934NNpolicy ,6935,, as6936RBas long6937RBlong as6938INas it6939PPit 's6940VBZbe actually6941RBactually affecting6942VVGaffect a6943DTa standard6944JJstandard changing6945VVGchange effect6946NNeffect on6947INon Medicare6948NPMedicare providers6949NNSprovider or6950CCor beneficiaries6951NNSbeneficiary ,6952,, their6953PP$their legal6954JJlegal rights6955NNSright ,6956,, then6957RBthen they6958PPthey have6959VHPhave to6960TOto go6961VVgo through6962INthrough notice-and-comment6963NNnotice-and-comment .6964SENT. And6965CCand ...6966:... and6967CCand let6968VVlet me6969PPme point6970VVpoint out6971RPout ,6972,, let6973VVlet 's6974VBZbe get6975VVget back6976RBback to6977TOto the6978DTthe fatal6979JJfatal flaw6980NNflaw ,6981,, which6982WDTwhich the6983DTthe government6984NNgovernment has6985VHZhave still6986RBstill not6987RBnot addressed6988VVNaddress in6989INin its6990PP$its statutory6991JJstatutory construction6992NNconstruction ,6993,, other6994JJother than6995INthan saying6996VVGsay that6997IN/thatthat Congress6998NPCongress 's6999POS's use7000NNuse of7001INof the7002DTthe word7003NNword "7004''" statement7005NNstatement of7006INof policy7007NNpolicy "7008``" is7009VBZbe an7010DTan artifact7011NNartifact ,7012,, that7013WDTthat essentially7014RBessentially Congress7015NPCongress made7016VVDmake a7017DTa mistake7018NNmistake when7019WRBwhen they7020PPthey enacted7021VVDenact the7022DTthe statute7023NNstatute because7024INbecause it7025PPit did7026VVDdo n't7027RBn't change7028VVchange ...7029:... it7030PPit did7031VVDdo n't7032RBn't strike7033VVstrike everything7034NNeverything out7035RPout except7036INexcept legislative7037JJlegislative rule7038NNrule .7039SENT. The7040DTthe statute7041NNstatute here7042RBhere says7043VVZsay any7044DTany rule7045NNrule ,7046,, requirement7047NNrequirement ,7048,, or7049CCor statement7050NNstatement of7051INof policy7052NNpolicy .7053SENT. Now7054RBnow it7055PPit 's7056VBZbe not7057RBnot an7058DTan artifact7059NNartifact .7060SENT. A7061DTa statement7062NNstatement of7063INof policy7064NNpolicy ...7065:... this7066DTthis is7067VBZbe the7068DTthe government7069NNgovernment 's7070POS's construction7071NNconstruction ...7072:... only7073JJonly things7074NNSthing that7075WDTthat have7076VHPhave the7077DTthe force7078NNforce of7079INof law7080NNlaw can7081MDcan have7082VHhave a7083DTa standard7084NNstandard ...7085:... can7086MDcan affect7087VVaffect a7088DTa substantive7089JJsubstantive legal7090JJlegal standard7091NNstandard .7092SENT. Well7093UHwell ,7094,, categorically7095RBcategorically ,7096,, as7097INas the7098DTthe government7099NNgovernment says7100VVZsay on7101INon page7102NNpage 167103CD@card@ its7104PP$its reply7105NNreply brief7106NNbrief ,7107,, a7108DTa statement7109NNstatement of7110INof policy7111NNpolicy under7112INunder decades7113NNSdecade of7114INof APA7115NPAPA law7116NNlaw categorically7117RBcategorically lacks7118VVZlack the7119DTthe force7120NNforce of7121INof law7122NNlaw .7123SENT. So7124RBso Congress7125NPCongress has7126VHZhave now7127RBnow enacted7128VVNenact a7129DTa statute7130NNstatute that7131WDTthat says7132VVZsay any7133DTany rule7134NNrule ,7135,, requirement7136NNrequirement ,7137,, or7138CCor statement7139NNstatement of7140INof policy7141NNpolicy can7142MDcan trigger7143VVtrigger notice-and-comment7144NNnotice-and-comment ,7145,, except7146INexcept you7147PPyou could7148MDcould never7149RBnever have7150VHhave a7151DTa statement7152NNstatement of7153INof policy7154NNpolicy that7155WDTthat triggers7156VVZtrigger a7157DTa notice7158NNnotice of7159INof comment7160NNcomment .7161SENT. Both7162DTboth sides7163NNSside agree7164VVPagree on7165INon that7166DTthat .7167SENT. You7168PPyou are7169VBPbe now7170RBnow reading7171VVGread significant7172JJsignificant words7173NNSword out7174INout of7175INof a7176DTa statute7177NNstatute .7178SENT. That7179DTthat is7180VBZbe not7181RBnot how7182WRBhow statutory7183JJstatutory construction7184NNconstruction works7185NNSwork .7186SENT. Now7187RBnow the7188DTthe government7189NNgovernment says7190VVZsay :7191:: Oh7192UHoh ,7193,, you7194PPyou should7195MDshould just7196RBjust read7197VVread this7198DTthis provision7199NNprovision as7200INas simply7201RBsimply codifying7202VVGcodify the7203DTthe preexisting7204VVGpreexist distinction7205NNdistinction between7206INbetween substantive7207JJsubstantive and7208CCand interpretive7209JJinterpretive rules7210NNSrule in7211INin the7212DTthe APA7213NPAPA ,7214,, the7215DTthe APA7216NPAPA 's7217POS's interpretive7218JJinterpretive rule7219NNrule exception7220NNexception .7221SENT. Well7222UHwell ,7223,, first7224JJfirst of7225INof all7226DTall ,7227,, the7228DTthe term7229NNterm "7230``" substantive7231JJsubstantive legal7232JJlegal standard7233NNstandard "7234''" that7235IN/thatthat they7236PPthey use7237VVPuse in7238INin (7239(( a7240DTa )7241)) (7242(( 27243LS2 )7244)) appears7245VVZappear nowhere7246RBnowhere in7247INin the7248DTthe APA7249NPAPA or7250CCor in7251INin any7252DTany APA7253NPAPA cases7254NNScase .7255SENT. So7256RBso it7257PPit would7258MDwould be7259VBbe an7260DTan exceedingly7261RBexceedingly ,7262,, extraordinarily7263RBextraordinarily round-about7264JJround-about way7265NNway for7266INfor Congress7267NPCongress to7268TOto try7269VVtry to7270TOto adopt7271VVadopt the7272DTthe interpretive7273JJinterpretive rule7274NNrule exception7275NNexception which7276WDTwhich is7277VBZbe sitting7278VVGsit on7279INon the7280DTthe books7281NNSbook ,7282,, instead7283RBinstead to7284TOto introduce7285VVintroduce new7286JJnew language7287NNlanguage which7288WDTwhich has7289VHZhave never7290RBnever been7291VBNbe used7292VVNuse in7293INin the7294DTthe APA7295NPAPA to7296TOto duplicate7297VVduplicate the7298DTthe interpretive7299JJinterpretive rule7300NNrule and7301CCand section7302NNsection .7303SENT. Instead7304RBinstead of7305INof introducing7306VVGintroduce that7307DTthat novel7308NNnovel concept7309NNconcept ,7310,, if7311INif all7312PDTall that7313DTthat 's7314VBZbe what7315WPwhat the7316DTthe ...7317:... what7318WPwhat Congress7319NPCongress wanted7320VVDwant to7321TOto do7322VVdo in7323INin (7324(( a7325DTa )7326)) (7327(( 27328LS2 )7329)) ,7330,, it7331PPit could7332MDcould have7333VHhave simply7334RBsimply cross-referenced7335VVNcross-reference the7336DTthe interpretive7337JJinterpretive rule7338NNrule exception7339NNexception in7340INin the7341DTthe APA7342NPAPA ,7343,, just7344RBjust like7345INlike it7346PPit cross-referenced7347VVDcross-reference the7348DTthe neighboring7349JJneighboring good7350JJgood cause7351NNcause exception7352NNexception ,7353,, or7354CCor it7355PPit could7356MDcould have7357VHhave simply7358RBsimply said7359VVDsay any7360DTany substantive7361JJsubstantive rule7362NNrule requires7363VVZrequire notice-and-comment7364NNnotice-and-comment .7365SENT. That7366DTthat would7367MDwould have7368VHhave been7369VBNbe a7370DTa lot7371NNlot simpler7372JJRsimple .7373SENT. And7374CCand yet7375RByet ,7376,, obviously7377RBobviously ,7378,, Congress7379NPCongress did7380VVDdo n't7381RBn't do7382VVdo that7383DTthat .7384SENT. It7385PPit did7386VVDdo almost7387RBalmost the7388DTthe opposite7389NNopposite .7390SENT. It7391PPit ...7392:... it7393PPit took7394VVDtake ...7395:... it7396PPit expressly7397RBexpressly includes7398VVZinclude any7399DTany rule7400NNrule ,7401,, requirement7402NNrequirement ,7403,, or7404CCor statement7405NNstatement of7406INof policy7407NNpolicy ,7408,, which7409WDTwhich ,7410,, if7411INif you7412PPyou compare7413VVPcompare it7414PPit to7415TOto the7416DTthe interpretive7417JJinterpretive rule7418NNrule exception7419NNexception in7420INin the7421DTthe APA7422NPAPA ,7423,, that7424WDTthat expressly7425RBexpressly carves7426VVZcarve out7427RPout any7428DTany interpretive7429JJinterpretive rule7430NNrule or7431CCor statement7432NNstatement of7433INof policy7434NNpolicy .7435SENT. [JUSTICE SOTOMAYOR]7436LOC[JUSTICE SOTOMAYOR] Could7437MDcould you7438PPyou give7439VVgive meaning7440VVGmean to7441TOto legal7442JJlegal ,7443,, substantive7444JJsubstantive legal7445JJlegal ?7446SENT? [MR. SHAH]7447LOC[MR. SHAH] Sure7448NPSure .7449SENT. So7450RBso ...7451:... [JUSTICE SOTOMAYOR]7452LOC[JUSTICE SOTOMAYOR] Because7453INbecause that7454DTthat ...7455:... that7456WDTthat 's7457VBZbe where7458WRBwhere the7459DTthe strongest7460JJSstrong argument7461NNargument ,7462,, I7463PPI think7464VVPthink your7465PP$your adversary7466NNadversary makes7467VVZmake ,7468,, which7469WDTwhich is7470VBZbe generally7471RBgenerally we7472PPwe think7473VVPthink of7474INof legal7475JJlegal as7476INas binding7477VVGbind .7478SENT. So7479RBso ,7480,, if7481INif you7482PPyou can7483MDcan deal7484VVdeal with7485INwith that7486DTthat ,7487,, I7488PPI think7489VVPthink ...7490:... [MR. SHAH]7491LOC[MR. SHAH] Sure7492NPSure .7493SENT. [JUSTICE SOTOMAYOR]7494LOC[JUSTICE SOTOMAYOR] ...7495:... everything7496NNeverything else7497RBelse you7498PPyou 're7499VBPbe saying7500VVGsay falls7501NNSfall into7502INinto place7503NNplace .7504SENT. [MR. SHAH]7505LOC[MR. SHAH] Sure7506NPSure .7507SENT. So7508INso substantive7509JJsubstantive legal7510JJlegal standard7511NNstandard ,7512,, how7513WRBhow we7514PPwe ...7515:... how7516WRBhow we7517PPwe would7518MDwould view7519VVview it7520PPit is7521VBZbe a7522DTa legal7523JJlegal standard7524NNstandard is7525VBZbe ,7526,, obviously7527RBobviously ,7528,, a7529DTa term7530NNterm that7531WDTthat 's7532VBZbe used7533VVNuse in7534INin law7535NNlaw all7536RBall the7537DTthe time7538NNtime .7539SENT. It7540PPit 's7541VBZbe this7542DTthis legal7543JJlegal test7544NNtest ,7545,, right7546RBright ?7547SENT? And7548CCand so7549RBso ,7550,, here7551RBhere ,7552,, the7553DTthe legal7554JJlegal standard7555NNstandard in7556INin their7557PP$their issuance7558NNissuance is7559VBZbe whether7560INwhether Part7561NNpart A7562DTa entitled7563VVNentitle days7564NNSday cover7565VVPcover Part7566NPPart C7567NPC days7568NNSday ,7569,, whether7570INwhether they7571PPthey cover7572VVPcover days7573NNSday that7574WDTthat are7575VBPbe not7576RBnot covered7577VVNcover under7578INunder paid7579VVNpay or7580CCor covered7581VVNcover under7582INunder Part7583NPPart A7584NPA .7585SENT. So7586CCso that7587WDTthat 's7588VBZbe ...7589:... in7590INin substantive7591JJsubstantive legal7592JJlegal standard7593NNstandard ,7594,, the7595DTthe legal7596JJlegal standard7597NNstandard is7598VBZbe the7599DTthe test7600NNtest .7601SENT. Here7602RBhere ,7603,, we7604PPwe obviously7605RBobviously have7606VHPhave a7607DTa test7608NNtest ,7609,, that7610WDTthat 's7611VBZbe what7612WPwhat the7613DTthe whole7614JJwhole 20147615CD@card@ issuance7616NNissuance is7617VBZbe doing7618VVGdo ,7619,, defining7620VVGdefine when7621WRBwhen Part7622NPPart C7623NPC days7624NNSday are7625VBPbe covered7626VVNcover .7627SENT. So7628RBso that7629DTthat 's7630VBZbe your7631PP$your legal7632JJlegal standard7633NNstandard .7634SENT. Now7635RBnow the7636DTthe question7637NNquestion is7638VBZbe ,7639,, what7640WPwhat work7641VVPwork is7642VBZbe substantive7643JJsubstantive doing7644VVGdo ?7645SENT? Well7646UHwell ,7647,, then7648RBthen the7649DTthe work7650NNwork substantive7651NNsubstantive doing7652VVGdo it7653PPit ,7654,, it7655PPit 's7656VBZbe doing7657VVGdo it7658PPit in7659INin contravention7660NNcontravention to7661TOto procedural7662JJprocedural .7663SENT. And7664CCand there7665EXthere is7666VBZbe no7667DTno doubt7668NNdoubt here7669RBhere ,7670,, everyone7671NNeveryone on7672INon both7673DTboth sides7674NNSside agree7675VVPagree that7676IN/thatthat in7677INin that7678DTthat sense7679NNsense ,7680,, substantive7681JJsubstantive versus7682CCversus procedural7683JJprocedural ,7684,, what7685WPwhat the7686DTthe agency7687NNagency did7688VVDdo here7689RBhere has7690VHZhave a7691DTa substantive7692JJsubstantive effect7693NNeffect .7694SENT. It7695PPit 's7696VBZbe an7697DTan effect7698NNeffect towards7699INtowards billions7700NNSbillion of7701INof dollars7702NNSdollar ,7703,, it7704PPit reduces7705VVZreduce the7706DTthe right7707NNright of7708INof recovery7709NNrecovery or7710CCor reimbursement7711NNreimbursement for7712INfor these7713DTthese hospitals7714NNShospital .7715SENT. Now7716RBnow what7717WPwhat the7718DTthe government7719NNgovernment says7720VVZsay ,7721,, they7722PPthey point7723VVPpoint to7724TOto this7725DTthis D7726NPD .7727SENT. C7728LSc .7729SENT. Circuit7730NNcircuit case7731NNcase called7732VVNcall AHA7733NPAHA v7734NNv .7735SENT. Bowen7736NPBowen ,7737,, and7738CCand they7739PPthey say7740VVPsay Congress7741NPCongress made7742VVDmake this7743DTthis change7744NNchange in7745INin the7746DTthe statutory7747JJstatutory language7748NNlanguage and7749CCand added7750VVDadd the7751DTthe phrase7752NNphrase "7753``" substantive7754JJsubstantive legal7755JJlegal standard7756NNstandard "7757''" to7758TOto reflect7759VVreflect that7760DTthat ruling7761NNruling .7762SENT. Well7763UHwell ,7764,, first7765JJfirst of7766INof all7767DTall ,7768,, when7769WRBwhen Congress7770NPCongress made7771VVDmake that7772DTthat change7773NNchange ,7774,, it7775PPit said7776VVDsay we7777PPwe are7778VBPbe clarifying7779VVGclarify the7780DTthe statute7781NNstatute .7782SENT. It7783PPit did7784VVDdo not7785RBnot say7786VVsay we7787PPwe are7788VBPbe doing7789VVGdo a7790DTa wholesale7791JJwholesale change7792NNchange in7793INin the7794DTthe statute7795NNstatute ,7796,, which7797WDTwhich is7798VBZbe what7799WPwhat the7800DTthe government7801NNgovernment 's7802POS's position7803NNposition is7804VBZbe today7805NNtoday at7806INat oral7807JJoral argument7808NNargument .7809SENT. It7810PPit said7811VVDsay it7812PPit 's7813VBZbe clarifying7814VVGclarify the7815DTthe statute7816NNstatute .7817SENT. Second7818JJsecond point7819NNpoint :7820:: That7821DTthat AHA7822NPAHA v7823NNv .7824SENT. Bowen7825NPBowen case7826NNcase ,7827,, actually7828RBactually ,7829,, substantive7830JJsubstantive versus7831CCversus procedural7832JJprocedural is7833VBZbe also7834RBalso a7835DTa distinction7836NNdistinction in7837INin the7838DTthe APA7839NPAPA .7840SENT. There7841EXthere are7842VBPbe substantive7843JJsubstantive rules7844NNSrule ,7845,, there7846EXthere are7847VBPbe interpretive7848JJinterpretive rules7849NNSrule ,7850,, and7851CCand there7852EXthere are7853VBPbe procedural7854JJprocedural rules7855NNSrule .7856SENT. And7857CCand what7858WPwhat AHA7859NPAHA v7860NNv .7861SENT. Bowen7862NPBowen says7863VVZsay is7864VBZbe procedural7865JJprocedural rules7866NNSrule ,7867,, as7868RBas opposed7869VVNoppose to7870TOto substantive7871JJsubstantive and7872CCand interpretive7873JJinterpretive rules7874NNSrule ,7875,, also7876RBalso lack7877NNlack notice-and-comment7878NNnotice-and-comment .7879SENT. And7880CCand it7881PPit draws7882VVZdraw the7883DTthe distinction7884NNdistinction between7885INbetween substantive7886JJsubstantive and7887CCand procedural7888JJprocedural .7889SENT. This7890DTthis is7891VBZbe on7892INon pages7893NNSpage to7894TOto 10477895CD@card@ of7896INof AHA7897NPAHA v7898NNv .7899SENT. Bowen7900NPBowen .7901SENT. So7902RBso even7903RBeven if7904INif we7905PPwe assume7906VVPassume that7907IN/thatthat Congress7908NPCongress had7909VHDhave AHA7910NPAHA v7911NNv .7912SENT. Bowen7913NPBowen in7914INin mind7915NNmind ...7916:... Congress7917NPCongress is7918VBZbe silent7919JJsilent about7920RBabout that7921IN/thatthat in7922INin the7923DTthe House7924NPHouse report7925NNreport ...7926:... but7927CCbut I7928PPI 'm7929VBPbe willing7930JJwilling to7931TOto take7932VVtake the7933DTthe government7934NNgovernment at7935INat face7936NNface value7937NNvalue that7938WDTthat ...7939:... [JUSTICE KAGAN]7940LOC[JUSTICE KAGAN] Do7941VVPdo you7942PPyou have7943VHPhave any7944DTany other7945JJother case7946NNcase that7947IN/thatthat that7948WDTthat might7949MDmight be7950VBbe when7951WRBwhen the7952DTthe conference7953NNconference report7954NNreport says7955VVZsay we7956PPwe 're7957VBPbe reflecting7958VVGreflect recent7959JJrecent cases7960NNScase ?7961SENT? Is7962VBZbe there7963RBthere anything7964NNanything else7965RBelse other7966JJother than7967INthan Bowen7968NPBowen that7969IN/thatthat you7970PPyou think7971VVPthink it7972PPit might7973MDmight be7974VBbe referring7975VVGrefer to7976TOto ?7977SENT? [MR. SHAH]7978LOC[MR. SHAH] That7979DTthat ...7980:... that7981WDTthat 's7982VBZbe the7983DTthe ...7984:... I7985PPI mean7986VVPmean ,7987,, we7988PPwe 've7989VHPhave looked7990VVNlook .7991SENT. There7992EXthere really7993RBreally is7994VBZbe n't7995RBn't anything7996NNanything that7997WDTthat 's7998VBZbe on7999INon point8000NNpoint of8001INof the8002DTthe ones8003NNSone that8004IN/thatthat we8005PPwe could8006MDcould find8007VVfind in8008INin that8009DTthat time8010NNtime frame8011NNframe .8012SENT. Bowen8013NPBowen is8014VBZbe obviously8015RBobviously the8016DTthe one8017CDone that8018IN/thatthat the8019DTthe government8020NNgovernment focuses8021VVZfocus on8022INon .8023SENT. And8024CCand we8025PPwe 're8026VBPbe happy8027JJhappy to8028TOto focus8029VVfocus on8030INon that8031DTthat because8032INbecause the8033DTthe core8034NNcore of8035INof Bowen8036NPBowen is8037VBZbe distinguishing8038VVGdistinguish a8039DTa procedural8040JJprocedural rule8041NNrule ,8042,, things8043NNSthing like8044INlike enforcement8045NNenforcement policies8046NNSpolicy ,8047,, auditing8048VVGaudit requirements8049NNSrequirement on8050INon contractors8051NNScontractor ,8052,, how8053WRBhow often8054RBoften you8055PPyou need8056VVPneed ...8057:... the8058DTthe contractor8059NNcontractor has8060VHZhave to8061TOto go8062VVgo and8063CCand check8064VVcheck the8065DTthe books8066NNSbook of8067INof the8068DTthe hospital8069NNhospital ,8070,, those8071DTthose sort8072NNsort of8073INof things8074NNSthing .8075SENT. It8076PPit 's8077VBZbe distinguishing8078VVGdistinguish them8079PPthem from8080INfrom substantive8081JJsubstantive and8082CCand interpretive8083JJinterpretive rules8084NNSrule .8085SENT. And8086CCand so8087RBso in8088INin ...8089:... in8090INin ...8091:... if8092INif that8093DTthat 's8094VBZbe what8095WPwhat Congress8096NPCongress was8097VBDbe trying8098VVGtry to8099TOto do8100VVdo ,8101,, that8102WDTthat makes8103VVZmake perfect8104JJperfect sense8105NNsense .8106SENT. We8107PPwe agree8108VVPagree that8109IN/thatthat (8110(( a8111DTa )8112)) (8113(( 28114LS2 )8115)) excludes8116VVZexclude procedural8117JJprocedural rules8118NNSrule from8119INfrom its8120PP$its ambit8121NNambit .8122SENT. It8123PPit says8124VVZsay any8125DTany rule8126NNrule ,8127,, requirement8128NNrequirement ,8129,, or8130CCor statement8131NNstatement of8132INof policy8133NNpolicy that8134WDTthat alters8135VVZalter a8136DTa substantive8137JJsubstantive legal8138JJlegal standard8139NNstandard ,8140,, so8141RBso what8142WPwhat 's8143VBZbe off8144RBoff the8145DTthe table8146NNtable are8147VBPbe like8148INlike the8149DTthe rules8150NNSrule in8151INin Clarion8152NPClarion ;8153:; things8154NNSthing that8155WDTthat have8156VHPhave to8157TOto do8158VVdo with8159INwith enforcement8160NNenforcement policies8161NNSpolicy ,8162,, enforcement8163NNenforcement priorities8164NNSpriority ,8165,, anything8166NNanything that8167WDTthat 's8168VBZbe procedural8169JJprocedural in8170INin nature8171NNnature is8172VBZbe off8173RBoff the8174DTthe table8175NNtable .8176SENT. So8177RBso it8178PPit 's8179VBZbe completely8180RBcompletely consistent8181JJconsistent .8182SENT. Congress8183NPCongress used8184VVDuse words8185NNSword that8186WDTthat make8187VVPmake sense8188NNsense .8189SENT. They8190PPthey departed8191VVDdepart from8192INfrom the8193DTthe APA8194NPAPA .8195SENT. And8196CCand it8197PPit 's8198VBZbe completely8199RBcompletely consistent8200JJconsistent with8201INwith the8202DTthe legislative8203JJlegislative history8204NNhistory .8205SENT. Now8206RBnow ,8207,, if8208INif I8209PPI could8210MDcould ...8211:... [JUSTICE BREYER]8212LOC[JUSTICE BREYER] What8213WPWhat about8214INabout the8215DTthe practical8216JJpractical ...8217:... [MR. SHAH]8218LOC[MR. SHAH] Yes8219NPYes .8220SENT. [JUSTICE BREYER]8221LOC[JUSTICE BREYER] ...8222:... the8223DTthe practical8224JJpractical ?8225SENT? And8226CCand the8227DTthe reason8228NNreason is8229VBZbe practical8230JJpractical is8231VBZbe relevant8232JJrelevant is8233VBZbe you8234PPyou make8235VVPmake a8236DTa very8237RBvery coherent8238JJcoherent argument8239NNargument for8240INfor one8241PPone view8242VVPview that8243IN/thatthat ,8244,, at8245INat one8246CDone time8247NNtime ,8248,, the8249DTthe D8250NPD .8251SENT. C8252LSc .8253SENT. Circuit8254NPCircuit waffled8255VVDwaffle between8256INbetween that8257IN/thatthat a8258DTa legislative8259JJlegislative rule8260NNrule was8261VBDbe an8262DTan important8263JJimportant rule8264NNrule .8265SENT. And8266CCand the8267DTthe other8268JJother side8269NNside of8270INof it8271PPit is8272VBZbe ,8273,, no8274UHno ,8275,, it8276PPit might8277MDmight or8278CCor might8279MDmight not8280RBnot be8281VBbe .8282SENT. It8283PPit is8284VBZbe a8285DTa legally8286RBlegally binding8287JJbinding rule8288NNrule .8289SENT. That8290DTthat was8291VBDbe Davis8292NPDavis .8293SENT. And8294CCand the8295DTthe D8296NPD .8297SENT. C8298LSc .8299SENT. Circuit8300NPCircuit tried8301VVDtry your8302PP$your approach8303NNapproach but8304CCbut then8305RBthen went8306VVDgo back8307RBback .8308SENT. And8309CCand the8310DTthe reason8311NNreason was8312VBDbe practical8313JJpractical ,8314,, that8315IN/thatthat once8316RBonce you8317PPyou start8318VVPstart to8319TOto say8320VVsay ,8321,, as8322INas you8323PPyou 're8324VBPbe reading8325VVGread this8326DTthis statute8327NNstatute ,8328,, that8329IN/thatthat what8330WPwhat they8331PPthey 're8332VBPbe talking8333VVGtalk about8334RBabout are8335VBPbe important8336JJimportant rules8337NNSrule ,8338,, you8339PPyou see8340VVPsee ,8341,, and8342CCand that8343DTthat 's8344VBZbe why8345WRBwhy they8346PPthey put8347VVDput in8348INin not8349RBnot just8350RBjust rules8351NNSrule but8352CCbut statements8353NNSstatement of8354INof policy8355NNpolicy ,8356,, et8357NPet cetera8358NPcetera .8359SENT. Once8360RBonce you8361PPyou do8362VVPdo ,8363,, you8364PPyou open8365VVPopen the8366DTthe door8367NNdoor to8368TOto agency8369NNagency after8370INafter agency8371NNagency ,8372,, and8373CCand at8374INat least8375JJSleast here8376RBhere with8377INwith this8378DTthis statute8379NNstatute ,8380,, saying8381VVGsay what8382WPwhat in8383INin heaven8384NNheaven 's8385POS's name8386NNname is8387VBZbe that8388RBthat ?8389SENT? You8390PPyou get8391VVPget into8392INinto arguments8393NNSargument about8394INabout everything8395NNeverything ,8396,, every8397DTevery word8398NNword of8399INof a8400DTa manual8401NNmanual .8402SENT. And8403CCand if8404INif they8405PPthey avoid8406VVPavoid that8407IN/thatthat by8408INby applying8409VVGapply this8410DTthis statute8411NNstatute ,8412,, to8413TOto everything8414NNeverything arguably8415RBarguably important8416JJimportant in8417INin every8418DTevery manual8419JJmanual ,8420,, they8421PPthey will8422MDwill be8423VBbe here8424RBhere '8425POS' til8426NNtil Christmas8427NPChristmas come8428VVNcome .8429SENT. And8430CCand ...8431:... and8432CCand ,8433,, moreover8434RBmoreover ,8435,, they8436PPthey will8437MDwill have8438VHhave to8439TOto make8440VVmake decisions8441NNSdecision in8442INin advance8443NNadvance that8444IN/thatthat they8445PPthey really8446RBreally do8447VVPdo n't8448RBn't understand8449VVunderstand until8450INuntil later8451RBRlater .8452SENT. And8453CCand your8454PP$your client8455NNclient ,8456,, so8457RBso they8458PPthey might8459MDmight be8460VBbe happy8461JJhappy with8462INwith this8463DTthis case8464NNcase ,8465,, may8466MDmay not8467RBnot be8468VBbe so8469RBso happy8470JJhappy with8471INwith a8472DTa few8473JJfew of8474INof the8475DTthe others8476NNSother that8477WDTthat take8478VVPtake 198479CD@card@ years8480NNSyear to8481TOto go8482VVgo through8483INthrough ...8484:... I8485PPI 'm8486VBPbe exaggerating8487VVGexaggerate ...8488:... [MR. SHAH]8489LOC[MR. SHAH] Right8490RBright .8491SENT. [JUSTICE BREYER]8492LOC[JUSTICE BREYER] ...8493:... but8494CCbut you8495PPyou see8496VVPsee the8497DTthe practical8498JJpractical problem8499NNproblem .8500SENT. [MR. SHAH]8501LOC[MR. SHAH] No8502NPNo .8503SENT. Yes8504UHyes .8505SENT. [JUSTICE BREYER]8506LOC[JUSTICE BREYER] You8507PPyou do8508VVPdo n't8509RBn't see8510VVsee it8511PPit or8512CCor you8513PPyou ...8514:... [MR. SHAH]8515LOC[MR. SHAH] I8516PPI do8517VVPdo see8518VVsee your8519PP$your ...8520:... [JUSTICE BREYER]8521LOC[JUSTICE BREYER] That8522DTthat 's8523VBZbe why8524WRBwhy I8525PPI want8526VVPwant to8527TOto know8528VVknow the8529DTthe answer8530NNanswer .8531SENT. [MR. SHAH]8532LOC[MR. SHAH] I8533PPI see8534VVPsee your8535PP$your concern8536NNconcern .8537SENT. [JUSTICE BREYER]8538LOC[JUSTICE BREYER] Yeah8539NPYeah .8540SENT. [MR. SHAH]8541LOC[MR. SHAH] But8542CCbut here8543RBhere is8544VBZbe why8545WRBwhy your8546PP$your concern8547NNconcern is8548VBZbe misplaced8549VVNmisplace here8550RBhere .8551SENT. And8552CCand let8553VVlet me8554PPme give8555VVgive you8556PPyou three8557CDthree clear8558JJclear reasons8559NNSreason why8560WRBwhy ,8561,, and8562CCand these8563DTthese ...8564:... these8565DTthese are8566VBPbe important8567JJimportant .8568SENT. First8569RBfirst ,8570,, we8571PPwe 've8572VHPhave already8573RBalready talked8574VVNtalk about8575INabout the8576DTthe Clarian8577NPClarian decision8578NNdecision .8579SENT. There8580EXthere 's8581VBZbe one8582CDone D8583NND .8584SENT. C8585LSc .8586SENT. Circuit8587NNcircuit decision8588NNdecision that8589WDTthat actually8590RBactually applies8591VVZapply the8592DTthe decision8593NNdecision here8594RBhere that8595IN/thatthat they8596PPthey say8597VVPsay is8598VBZbe going8599VVGgo to8600TOto cause8601VVcause serious8602JJserious problems8603NNSproblem for8604INfor the8605DTthe administration8606NNadministration of8607INof Medicare8608NPMedicare Act8609NPAct .8610SENT. The8611DTthe D8612NPD .8613SENT. C8614LSc .8615SENT. Circuit8616NPCircuit made8617VVDmake clear8618JJclear they8619PPthey are8620VBPbe laying8621VVGlay down8622RPdown a8623DTa line8624NNline ,8625,, and8626CCand that8627IN/thatthat line8628NNline is8629VBZbe we8630PPwe 're8631VBPbe going8632VVGgo to8633TOto take8634VVtake everything8635NNeverything that8636WDTthat has8637VHZhave any8638DTany anything8639NNanything to8640TOto do8641VVdo with8642INwith enforcement8643NNenforcement priorities8644NNSpriority ,8645,, auditing8646NNauditing ,8647,, anything8648NNanything like8649INlike that8650WDTthat ,8651,, so8652INso a8653DTa large8654JJlarge swath8655NNswath of8656INof manual-type8657NNmanual-type instructions8658NNSinstruction ,8659,, that8660WDTthat was8661VBDbe a8662DTa manual8663JJmanual instruction8664NNinstruction in8665INin Clarian8666NPClarian ,8667,, off8668INoff the8669DTthe table8670NNtable .8671SENT. The8672DTthe second8673JJsecond point8674NNpoint ,8675,, in8676INin its8677PP$its brief8678NNbrief ,8679,, the8680DTthe government8681NNgovernment focuses8682VVZfocus on8683INon the8684DTthe provider8685NNprovider reimbursement8686NNreimbursement manual8687NNmanual .8688SENT. They8689PPthey say8690VVPsay :8691:: Oh8692UHoh ,8693,, virtually8694RBvirtually all8695RBall of8696INof this8697DTthis is8698VBZbe going8699VVGgo to8700TOto require8701VVrequire notice8702NNnotice and8703CCand comment8704NNcomment and8705CCand ...8706:... and8707CCand ...8708:... and8709CCand raised8710VVDraise some8711DTsome of8712INof the8713DTthe concerns8714NNSconcern .8715SENT. Well8716UHwell ,8717,, the8718DTthe government8719NNgovernment still8720RBstill has8721VHZhave not8722RBnot provided8723VVNprovide a8724DTa single8725JJsingle example8726NNexample from8727INfrom that8728DTthat provider8729NNprovider reimbursement8730NNreimbursement manual8731NNmanual ,8732,, so8733RBso we8734PPwe took8735VVDtake a8736DTa look8737NNlook at8738INat that8739DTthat provider8740NNprovider reimbursement8741NNreimbursement manual8742NNmanual .8743SENT. It8744PPit 's8745VBZbe about8746RBabout 6,0008747CD@card@ pages8748NNSpage long8749RBlong .8750SENT. The8751DTthe last8752JJlast 5,0008753CD@card@ pages8754NNSpage of8755INof it8756PPit are8757VBPbe procedural8758JJprocedural instructions8759NNSinstruction on8760INon how8761WRBhow to8762TOto fill8763VVfill out8764RPout the8765DTthe cost8766NNcost reimbursement8767NNreimbursement form8768NNform .8769SENT. It8770PPit 's8771VBZbe instructions8772NNSinstruction to8773TOto providers8774NNSprovider .8775SENT. That8776DTthat 's8777VBZbe kind8778NNkind of8779INof like8780INlike an8781DTan exceedingly8782RBexceedingly complicated8783JJcomplicated tax8784NNtax return8785NNreturn .8786SENT. And8787CCand so8788RBso the8789DTthe last8790JJlast 5,0008791CD@card@ ...8792:... and8793CCand ,8794,, by8795INby the8796DTthe way8797NNway ,8798,, of8799INof those8800DTthose last8801JJlast 5,0008802CD@card@ pages8803NNSpage ,8804,, a8805DTa lot8806NNlot of8807INof those8808DTthose are8809VBPbe obsolete8810JJobsolete because8811INbecause they8812PPthey do8813VVPdo n't8814RBn't pull8815VVpull out8816RPout the8817DTthe old8818JJold instructions8819NNSinstruction .8820SENT. It8821PPit tells8822VVZtell you8823PPyou to8824TOto add8825VVadd line8826NNline 208827CD@card@ to8828TOto 218829CD@card@ to8830TOto get8831VVget to8832TOto line8833VVline 228834CD@card@ .8835SENT. That8836DTthat means8837NNSmean ...8838:... [JUSTICE BREYER]8839LOC[JUSTICE BREYER] But8840CCbut does8841VVZdo the8842DTthe statute8843NNstatute apply8844VVapply only8845RBonly to8846TOto provider8847NNprovider manuals8848NNSmanual or8849CCor does8850VVZdo it8851PPit provide8852VVPprovide ,8853,, say8854VVPsay ,8855,, let8856VVPlet 's8857POS's say8858NNsay ,8859,, to8860TOto 3208861CD@card@ or8862CCor 2408863CD@card@ million8864CDmillion Americans8865NPSAmericans or8866CCor 1208867CD@card@ million8868CDmillion Americans8869NPSAmericans who8870WPwho get8871VVPget all8872DTall kinds8873NNSkind of8874INof things8875NNSthing from8876INfrom Medicare8877NPMedicare ?8878SENT? [MR. SHAH]8879LOC[MR. SHAH] Well8880UHWell ,8881,, Your8882PP$your Honor8883NPHonor ...8884:... [JUSTICE BREYER]8885LOC[JUSTICE BREYER] And8886CCand perhaps8887RBperhaps thousands8888NNSthousand of8889INof hospitals8890NNShospital and8891CCand thousands8892NNSthousand of8893INof services8894NNSservice .8895SENT. How8896WRBHow does8897VVZdo ...8898:... if8899INif the8900DTthe statute8901NNstatute 's8902VBZbe on8903INon just8904RBjust provider8905NNprovider ,8906,, you8907PPyou have8908VHPhave a8909DTa good8910JJgood point8911NNpoint ,8912,, but8913CCbut is8914VBZbe it8915PPit ?8916SENT? [MR. SHAH]8917LOC[MR. SHAH] Well8918UHWell ,8919,, the8920DTthe problem8921NNproblem that8922IN/thatthat the8923DTthe government8924NNgovernment points8925VVZpoint to8926TOto are8927VBPbe these8928DTthese manuals8929NNSmanual .8930SENT. And8931CCand what8932WPwhat I8933PPI 'm8934VBPbe telling8935VVGtell you8936PPyou is8937VBZbe the8938DTthe manuals8939NNSmanual ...8940:... [JUSTICE BREYER]8941LOC[JUSTICE BREYER] No8942NPNo ,8943,, and8944CCand I8945PPI 'm8946VBPbe pointing8947VVGpoint to8948TOto a8949DTa different8950JJdifferent problem8951NNproblem .8952SENT. [MR. SHAH]8953LOC[MR. SHAH] Okay8954NPOkay .8955SENT. [JUSTICE BREYER]8956LOC[JUSTICE BREYER] I8957PPI 'm8958VBPbe pointing8959VVGpoint to8960TOto a8961DTa question8962NNquestion ...8963:... [MR. SHAH]8964LOC[MR. SHAH] So8965RBso here8966RBhere ...8967:... [JUSTICE BREYER]8968LOC[JUSTICE BREYER] ...8969:... of8970INof whether8971INwhether this8972DTthis is8973VBZbe limited8974VVNlimit to8975TOto provider8976NNprovider manuals8977NNSmanual .8978SENT. [MR. SHAH]8979LOC[MR. SHAH] So8980INso here's8981NNShere's ...8982:... here's8983NNShere's ...8984:... well8985RBwell ,8986,, it8987PPit 's8988VBZbe limited8989VVNlimit to8990TOto the8991DTthe terms8992NNSterm of8993INof the8994DTthe statute8995NNstatute .8996SENT. It8997PPit has8998VHZhave to8999TOto be9000VBbe a9001DTa rule9002NNrule ,9003,, requirement9004NNrequirement ,9005,, or9006CCor statement9007NNstatement of9008INof policy9009NNpolicy that9010WDTthat changes9011VVZchange or9012CCor alters9013VVZalter a9014DTa substantive9015JJsubstantive legal9016JJlegal standard9017NNstandard affecting9018VVGaffect one9019CDone of9020INof the9021DTthe three9022CDthree categories9023NNScategory of9024INof things9025NNSthing .9026SENT. Right9027RBright ?9028SENT? [JUSTICE ALITO]9029LOC[JUSTICE ALITO] Well9030UHwell ,9031,, you9032PPyou explained9033VVDexplain away9034RPaway the9035DTthe ...9036:... [MR. SHAH]9037LOC[MR. SHAH] A9038DTa right9039NNright to9040TOto payment9041NNpayment ...9042:... [JUSTICE ALITO]9043LOC[JUSTICE ALITO] You9044PPyou ...9045:... you9046PPyou explained9047VVDexplain away9048RPaway the9049DTthe last9050JJlast 5,0009051CD@card@ pages9052NNSpage of9053INof the9054DTthe manual9055NNmanual .9056SENT. [MR. SHAH]9057LOC[MR. SHAH] Yes9058NPYes .9059SENT. [JUSTICE ALITO]9060LOC[JUSTICE ALITO] But9061CCbut what9062WPwhat about9063INabout the9064DTthe first9065JJfirst thousand9066CDthousand ?9067SENT? [9068SYM[ LAUGHTER9069NNlaughter ]9070SYM] [MR. SHAH]9071LOC[MR. SHAH] Okay9072NPOkay .9073SENT. So9074INso the9075DTthe first9076JJfirst ...9077:... the9078DTthe first9079JJfirst ...9080:... the9081DTthe remaining9082VVGremain 9809083CD@card@ pages9084NNSpage ,9085,, of9086INof that9087DTthat ,9088,, percent9089NNSpercent are9090VBPbe from9091INfrom before9092INbefore 19879093CD@card@ .9094SENT. (9095(( a9096DTa )9097)) (9098(( 29099LS2 )9100)) 's9101VBZbe effective9102JJeffective date9103NNdate applies9104VVZapply to9105TOto any9106DTany manual9107JJmanual ...9108:... anything9109NNanything promulgated9110VVNpromulgate after9111INafter 19879112CD@card@ .9113SENT. So9114INso that9115DTthat ...9116:... that9117WDTthat 's9118VBZbe off9119RBoff the9120DTthe table9121NNtable .9122SENT. That9123DTthat leaves9124VVZleave you9125PPyou your9126PP$your roughly9127RBroughly 4009128CD@card@ pages9129NNSpage ,9130,, Justice9131NPJustice Alito9132NPAlito .9133SENT. Of9134INof those9135DTthose ,9136,, we9137PPwe went9138VVDgo page9139NNpage by9140INby page9141NNpage through9142INthrough those9143DTthose 4009144CD@card@ pages9145NNSpage .9146SENT. All9147RBall of9148INof about9149RBabout 309150CD@card@ ...9151:... except9152INexcept for9153INfor about9154RBabout 359155CD@card@ of9156INof those9157DTthose pages9158NNSpage ,9159,, apply9160VVapply to9161TOto the9162DTthe prior9163JJprior cost9164NNcost reimbursement9165NNreimbursement regime9166NNregime .9167SENT. That9168DTthat was9169VBDbe the9170DTthe regime9171NNregime of9172INof how9173WRBhow Medicare9174NPMedicare used9175VVDuse to9176TOto do9177VVdo those9178DTthose things9179NNSthing .9180SENT. And9181CCand those9182DTthose required9183VVNrequire detailed9184JJdetailed instructions9185NNSinstruction .9186SENT. Now9187RBnow ,9188,, however9189RBhowever ,9190,, the9191DTthe vast9192JJvast ,9193,, vast9194JJvast majority9195NNmajority of9196INof providers9197NNSprovider are9198VBPbe governed9199VVNgovern by9200INby the9201DTthe prospective9202JJprospective payment9203NNpayment system9204NNsystem .9205SENT. Only9206RBonly about9207RBabout 359208CD@card@ pages9209NNSpage apply9210VVPapply to9211TOto those9212DTthose .9213SENT. Now9214RBnow ,9215,, even9216RBeven if9217INif 359218CD@card@ pages9219NNSpage worth9220JJworth of9221INof stuff9222NNstuff needed9223VVNneed to9224TOto be9225VBbe done9226VVNdo through9227INthrough notice-and-comment9228NNnotice-and-comment ,9229,, although9230INalthough I9231PPI 'm9232VBPbe quite9233RBquite sure9234JJsure the9235DTthe government9236NNgovernment can9237MDcan come9238VVcome up9239RPup with9240INwith all9241DTall sorts9242NNSsort of9243INof arguments9244NNSargument why9245WRBwhy those9246DTthose 359247CD@card@ pages9248NNSpage do9249VVPdo n't9250RBn't fall9251VVfall under9252INunder (9253(( a9254DTa )9255)) (9256(( 29257LS2 )9258)) ,9259,, but9260CCbut even9261RBeven if9262INif you9263PPyou did9264VVDdo ...9265:... and9266CCand here9267RBhere ,9268,, Justice9269NPJustice Breyer9270NPBreyer ,9271,, this9272DTthis should9273MDshould address9274VVaddress your9275PP$your concern9276NNconcern better9277RBRwell than9278INthan anything9279NNanything I9280PPI 've9281VHPhave said9282VVNsay so9283RBso far9284RBfar .9285SENT. There9286EXthere is9287VBZbe an9288DTan annual9289JJannual prospective9290JJprospective payment9291NNpayment system9292NNsystem rulemaking9293VVGrulemak that9294IN/thatthat the9295DTthe statute9296NNstatute requires9297VVZrequire when9298WRBwhen it9299PPit made9300VVDmake this9301DTthis change9302NNchange from9303INfrom reasonable9304JJreasonable cost9305NNcost reimbursement9306NNreimbursement to9307TOto this9308DTthis new9309JJnew regime9310NNregime ,9311,, to9312TOto which9313WDTwhich there9314EXthere are9315VBPbe only9316RBonly 359317CD@card@ pages9318NNSpage applicable9319JJapplicable .9320SENT. That9321DTthat annual9322JJannual prospective9323JJprospective payment9324NNpayment rulemaking9325VVGrulemak is9326VBZbe hundreds9327NNShundred of9328INof pages9329NNSpage long9330RBlong .9331SENT. And9332CCand the9333DTthe agency9334NNagency already9335RBalready puts9336VVZput everything9337NNeverything governing9338NNgoverning prospective9339JJprospective payment9340NNpayment systems9341NNSsystem that9342WDTthat has9343VHZhave a9344DTa substantive9345JJsubstantive effect9346NNeffect into9347INinto that9348DTthat rulemaking9349VVGrulemak .9350SENT. In9351INin fact9352NNfact ,9353,, 169354CD@card@ times9355NNStime before9356INbefore this9357DTthis case9358NNcase ,9359,, it9360PPit adjusted9361VVDadjust the9362DTthe treatment9363NNtreatment of9364INof certain9365JJcertain categories9366NNScategory of9367INof days9368NNSday through9369INthrough the9370DTthe prospective9371JJprospective payment9372NNpayment system9373NNsystem rulemaking9374VVGrulemak .9375SENT. [JUSTICE BREYER]9376LOC[JUSTICE BREYER] That9377DTthat 's9378VBZbe a9379DTa prospective9380JJprospective payment9381NNpayment manual9382NNmanual ,9383,, but9384CCbut read9385VVread this9386DTthis .9387SENT. [MR. SHAH]9388LOC[MR. SHAH] This9389DTthis is9390VBZbe not9391RBnot a9392DTa manual9393NNmanual .9394SENT. [JUSTICE BREYER]9395LOC[JUSTICE BREYER] It9396PPit says9397VVZsay it9398PPit governs9399VVZgovern the9400DTthe scope9401NNscope of9402INof benefits9403NNSbenefit .9404SENT. [MR. SHAH]9405LOC[MR. SHAH] Yes9406NPYes .9407SENT. And9408CCand so9409RBso ...9410:... [JUSTICE BREYER]9411LOC[JUSTICE BREYER] Not9412RBnot just9413RBjust ...9414:... and9415CCand the9416DTthe eligibility9417NNeligibility ...9418:... [MR. SHAH]9419LOC[MR. SHAH] Right9420NPRight .9421SENT. [JUSTICE BREYER]9422LOC[JUSTICE BREYER] ...9423:... of9424INof individuals9425NNSindividual to9426TOto furnish9427VVfurnish or9428CCor receive9429VVreceive services9430NNSservice or9431CCor benefits9432NNSbenefit .9433SENT. [MR. SHAH]9434LOC[MR. SHAH] Right9435NPRight .9436SENT. [JUSTICE BREYER]9437LOC[JUSTICE BREYER] So9438RBso suddenly9439RBsuddenly reading9440VVGread that9441IN/thatthat ,9442,, I9443PPI think9444VVPthink it9445PPit governs9446VVZgovern medicine9447NNmedicine and9448CCand healthcare9449NNhealthcare provided9450VVDprovide 809451CD@card@ million9452CDmillion people9453NNSpeople or9454CCor 1009455CD@card@ million9456CDmillion people9457NNSpeople .9458SENT. [MR. SHAH]9459LOC[MR. SHAH] Sure9460NPSure .9461SENT. Well9462UHwell ,9463,, Your9464PP$your Honor9465NPHonor ,9466,, a9467DTa couple9468NNcouple responses9469NNSresponse .9470SENT. [JUSTICE BREYER]9471LOC[JUSTICE BREYER] Am9472VBPbe I9473PPI right9474JJright or9475CCor wrong9476JJwrong ?9477SENT? [MR. SHAH]9478LOC[MR. SHAH] First9479NPFirst of9480INof all9481DTall ...9482:... first9483RBfirst ,9484,, it9485PPit would9486MDwould cover9487VVcover it9488PPit if9489INif it9490PPit falls9491VVZfall under9492INunder the9493DTthe terms9494NNSterm of9495INof the9496DTthe statute9497NNstatute ,9498,, but9499CCbut here9500RBhere is9501VBZbe why9502WRBwhy that9503DTthat does9504VVZdo n't9505RBn't create9506VVcreate a9507DTa workability9508NNworkability problem9509NNproblem .9510SENT. And9511CCand not9512RBnot even9513RBeven the9514DTthe government9515NNgovernment has9516VHZhave argued9517VVNargue that9518DTthat .9519SENT. And9520CCand here9521RBhere 's9522VBZbe why9523WRBwhy .9524SENT. First9525JJfirst of9526INof all9527DTall ,9528,, all9529RBall ...9530:... a9531DTa lot9532NNlot of9533INof that9534DTthat stuff9535NNstuff is9536VBZbe already9537RBalready done9538VVNdo through9539INthrough rulemaking9540VVGrulemak ,9541,, just9542RBjust like9543INlike the9544DTthe prospective9545JJprospective payment9546NNpayment system9547NNsystem rulemaking9548VVGrulemak .9549SENT. That9550DTthat 's9551VBZbe one9552CDone of9553INof many9554JJmany ,9555,, many9556JJmany annual9557JJannual rulemakings9558NNSrulemakings that9559IN/thatthat the9560DTthe agency9561NNagency does9562VVZdo ,9563,, hundreds9564NNShundred of9565INof pages9566NNSpage long9567RBlong ,9568,, includes9569VVZinclude all9570DTall of9571INof the9572DTthe stuff9573NNstuff that9574IN/thatthat we9575PPwe have9576VHPhave in9577RBin here9578RBhere .9579SENT. There9580EXthere 's9581VBZbe no9582DTno burden9583NNburden to9584TOto that9585DTthat .9586SENT. And9587CCand ,9588,, by9589INby the9590DTthe way9591NNway ,9592,, those9593DTthose rulemakings9594NNSrulemakings do9595VVPdo n't9596RBn't take9597VVtake 199598CD@card@ years9599NNSyear ,9600,, Justice9601NPJustice Breyer9602NPBreyer .9603SENT. We9604PPwe went9605VVDgo through9606RPthrough and9607CCand averaged9608VVDaverage them9609PPthem .9610SENT. It9611PPit 's9612VBZbe in9613INin the9614DTthe appendix9615NNappendix to9616TOto our9617PP$our cert9618NNcert opposition9619NNopposition brief9620NNbrief .9621SENT. They9622PPthey take9623VVPtake on9624INon average9625JJaverage 1029626CD@card@ days9627NNSday to9628TOto put9629VVput through9630INthrough an9631DTan agency9632NNagency rulemaking9633VVGrulemak on9634INon all9635DTall of9636INof this9637DTthis stuff9638NNstuff .9639SENT. Now9640RBnow ,9641,, to9642TOto ...9643:... to9644TOto address9645VVaddress your9646PP$your other9647JJother question9648NNquestion ,9649,, a9650DTa lot9651NNlot of9652INof that9653DTthat stuff9654NNstuff is9655VBZbe done9656VVNdo through9657INthrough regulation9658NNregulation .9659SENT. A9660DTa lot9661NNlot of9662INof that9663DTthat stuff9664NNstuff ,9665,, the9666DTthe stuff9667NNstuff that9668IN/thatthat you9669PPyou 're9670VBPbe talking9671VVGtalk about9672RBabout ,9673,, is9674VBZbe this9675DTthis ...9676:... is9677VBZbe this9678DTthis drug9679NNdrug or9680CCor treatment9681NNtreatment covered9682VVNcover to9683TOto the9684DTthe thousands9685NNSthousand of9686INof people9687NNSpeople who9688WPwho might9689MDmight submit9690VVsubmit a9691DTa Medicare9692NPMedicare claim9693NNclaim ,9694,, that9695WDTthat 's9696VBZbe all9697RBall done9698VVNdo through9699INthrough national9700JJnational coverage9701NNcoverage determinations9702NNSdetermination ,9703,, local9704JJlocal determinations9705NNSdetermination .9706SENT. And9707CCand then9708RBthen those9709DTthose are9710VBPbe all9711DTall adjudications9712NNSadjudication .9713SENT. There9714EXthere are9715VBPbe thousands9716NNSthousand of9717INof those9718DTthose that9719WDTthat are9720VBPbe done9721VVNdo every9722DTevery day9723NNday where9724WRBwhere the9725DTthe agency9726NNagency ,9727,, a9728DTa contractor9729NNcontractor gets9730VVZget a9731DTa Medicare9732NPMedicare claim9733NNclaim .9734SENT. And9735CCand that9736DTthat is9737VBZbe just9738RBjust a9739DTa mine-run9740NNmine-run ...9741:... there9742EXthere is9743VBZbe a9744DTa reg9745NNreg ...9746:... there9747EXthere is9748VBZbe a9749DTa rule9750NNrule on9751INon it9752PPit .9753SENT. I9754PPI apply9755VVPapply the9756DTthe rule9757NNrule .9758SENT. Is9759VBZbe this9760DTthis drug9761NNdrug covered9762VVDcover ?9763SENT? Yes9764UHyes or9765CCor no9766RBno .9767SENT. [JUSTICE SOTOMAYOR]9768LOC[JUSTICE SOTOMAYOR] Do9769VVPdo you9770PPyou have9771VHPhave any9772DTany idea9773NNidea ...9774:... [MR. SHAH]9775LOC[MR. SHAH] That9776DTthat does9777VVZdo n't9778RBn't implicate9779VVimplicate (9780(( a9781DTa )9782)) (9783(( 29784LS2 )9785)) .9786SENT. [JUSTICE SOTOMAYOR]9787LOC[JUSTICE SOTOMAYOR] Do9788VVPdo you9789PPyou have9790VHPhave any9791DTany idea9792NNidea why9793WRBwhy this9794DTthis change9795NNchange was9796VBDbe n't9797RBn't put9798VVNput through9799INthrough the9800DTthe ordinary9801JJordinary rulemaking9802VVGrulemak notice9803NNnotice and9804CCand ...9805:... [MR. SHAH]9806LOC[MR. SHAH] Yes9807NPYes ,9808,, Your9809PP$your Honor9810NPHonor ,9811,, because9812INbecause they9813PPthey tried9814VVDtry .9815SENT. They9816PPthey did9817VVDdo .9818SENT. In9819INin 20049820CD@card@ ,9821,, they9822PPthey did9823VVDdo this9824DTthis through9825JJthrough notice-and-comment9826NNnotice-and-comment rulemaking9827VVGrulemak or9828CCor tried9829VVDtry to9830TOto do9831VVdo it9832PPit through9833INthrough notice9834NNnotice ...9835:... [JUSTICE SOTOMAYOR]9836LOC[JUSTICE SOTOMAYOR] I9837PPI 've9838VHPhave now9839RBnow forgotten9840VVNforget .9841SENT. Why9842WRBwhy was9843VBDbe that9844RBthat rebuffed9845VVNrebuff ?9846SENT? [MR. SHAH]9847LOC[MR. SHAH] Right9848RBright .9849SENT. So9850RBso ...9851:... [JUSTICE SOTOMAYOR]9852LOC[JUSTICE SOTOMAYOR] I9853PPI remember9854VVPremember the9855DTthe 149856CD@card@ 20139857CD@card@ .9858SENT. [MR. SHAH]9859LOC[MR. SHAH] Yes9860NPYes .9861SENT. [JUSTICE SOTOMAYOR]9862LOC[JUSTICE SOTOMAYOR] But9863CCbut I9864PPI do9865VVPdo n't9866RBn't remember9867VVremember the9868DTthe ...9869:... [MR. SHAH]9870LOC[MR. SHAH] Yes9871NPYes .9872SENT. So9873RBso what9874WPwhat happened9875VVNhappen is9876VBZbe they9877PPthey did9878VVDdo the9879DTthe proposed9880VVNpropose rulemaking9881VVGrulemak in9882INin 20039883CD@card@ ,9884,, which9885WDTwhich said9886VVDsay ,9887,, look9888VVPlook ,9889,, we9890PPwe want9891VVPwant to9892TOto codify9893VVcodify our9894PP$our long-standing9895JJlong-standing policy9896NNpolicy and9897CCand practice9898NNpractice of9899INof excluding9900VVGexclude Part9901NPPart C9902NPC days9903NNSday from9904INfrom the9905DTthe Medicare9906NPMedicare fraction9907NNfraction .9908SENT. That9909DTthat 's9910VBZbe our9911PP$our position9912NNposition as9913INas to9914TOto how9915WRBhow you9916PPyou should9917MDshould do9918VVdo this9919DTthis .9920SENT. Then9921RBthen ,9922,, in9923INin 20049924CD@card@ ,9925,, they9926PPthey did9927VVDdo a9928DTa 180-degree9929JJ180-degree turn9930NNturn but9931CCbut did9932VVDdo not9933RBnot do9934VVdo any9935DTany further9936JJRfurther notice-and-comment9937NNnotice-and-comment ,9938,, and9939CCand they9940PPthey issued9941VVDissue it9942PPit as9943INas a9944DTa final9945JJfinal rule9946NNrule to9947TOto include9948VVinclude the9949DTthe Part9950NPPart C9951NPC days9952NNSday .9953SENT. The9954DTthe D9955NPD .9956SENT. C9957LSc .9958SENT. Circuit9959NNcircuit in9960INin the9961DTthe precursor9962NNprecursor to9963TOto this9964DTthis case9965NNcase ,9966,, what9967WPwhat we9968PPwe call9969VVPcall Allina9970NPAllina I9971NPI in9972INin the9973DTthe briefs9974NNSbrief ,9975,, said9976VVDsay that9977DTthat 's9978VBZbe a9979DTa logical9980JJlogical outgrowth9981NNoutgrowth failure9982NNfailure because9983INbecause you9984PPyou 've9985VHPhave now9986RBnow flipped9987VVNflip your9988PP$your long-standing9989JJlong-standing policy9990NNpolicy without9991INwithout any9992DTany notice9993NNnotice and9994CCand comment9995NNcomment .9996SENT. So9997RBso they9998PPthey tried9999VVDtry to10000TOto do10001VVdo it10002PPit through10003INthrough notice-and-comment10004NNnotice-and-comment ,10005,, but10006CCbut because10007INbecause they10008PPthey got10009VVDget rejected10010VVNreject because10011INbecause of10012INof their10013PP$their defect10014NNdefect in10015INin that10016DTthat process10017NNprocess ,10018,, they10019PPthey then10020RBthen came10021VVDcome to10022TOto these10023DTthese ...10024:... they10025PPthey then10026RBthen ...10027:... then10028RBthen they10029PPthey did10030VVDdo the10031DTthe 201310032CD@card@ rulemaking10033VVGrulemak ,10034,, Justice10035NPJustice Sotomayor10036NPSotomayor ,10037,, that10038WDTthat you10039PPyou 're10040VBPbe talking10041VVGtalk about10042RBabout ,10043,, but10044CCbut ,10045,, of10046INof course10047NNcourse ,10048,, that10049WDTthat 's10050VBZbe only10051RBonly going10052VVGgo to10053TOto apply10054VVapply prospectively10055RBprospectively .10056SENT. So10057RBso then10058RBthen they10059PPthey were10060VBDbe stuck10061VVNstick while10062INwhile that10063DTthat Allina10064NPAllina I10065PPI litigation10066NNlitigation was10067VBDbe going10068VVGgo on10069INon .10070SENT. Between10071INbetween 200510072CD@card@ to10073TOto 201310074CD@card@ ,10075,, they10076PPthey had10077VHDhave those10078DTthose years10079NNSyear that10080WDTthat were10081VBDbe not10082RBnot covered10083VVNcover by10084INby their10085PP$their new10086JJnew rule10087NNrule ,10088,, because10089INbecause that10090WDTthat had10091VHDhave been10092VBNbe invalidated10093VVNinvalidate for10094INfor the10095DTthe logical10096JJlogical outgrowth10097NNoutgrowth failure10098NNfailure ,10099,, and10100CCand was10101VBDbe not10102RBnot covered10103VVNcover by10104INby the10105DTthe 201310106CD@card@ rule10107NNrule ,10108,, which10109WDTwhich only10110RBonly operated10111VVDoperate prospectively10112RBprospectively .10113SENT. So10114RBso ,10115,, rather10116RBrather than10117INthan doing10118VVGdo a10119DTa proper10120JJproper rulemaking10121VVGrulemak ,10122,, they10123PPthey simply10124RBsimply announced10125VVDannounce these10126DTthese on10127INon a10128DTa website10129NNwebsite .10130SENT. They10131PPthey posted10132VVDpost them10133PPthem on10134INon their10135PP$their website10136NNwebsite and10137CCand said10138VVDsay :10139:: Now10140RBnow we10141PPwe are10142VBPbe doing10143VVGdo exactly10144RBexactly the10145DTthe same10146JJsame thing10147NNthing we10148PPwe were10149VBDbe told10150VVNtell that10151IN/thatthat we10152PPwe tried10153VVDtry to10154TOto do10155VVdo in10156INin the10157DTthe 200410158CD@card@ final10159JJfinal rule10160NNrule but10161CCbut was10162VBDbe vacated10163VVNvacate by10164INby the10165DTthe D10166NPD .10167SENT. C10168LSc .10169SENT. Circuit10170NNcircuit .10171SENT. So10172RBso that10173DTthat 's10174VBZbe the10175DTthe answer10176NNanswer .10177SENT. [CHIEF JUSTICE ROBERTS]10178LOC[CHIEF JUSTICE ROBERTS] Well10179UHwell ,10180,, I10181PPI guess10182VVPguess the10183DTthe way10184NNway the10185DTthe government10186NNgovernment puts10187VVZput it10188PPit is10189VBZbe they10190PPthey decided10191VVDdecide not10192RBnot to10193TOto proceed10194VVproceed through10195INthrough rulemaking10196VVGrulemak but10197RBbut to10198TOto proceed10199VVproceed through10200INthrough adjudication10201NNadjudication .10202SENT. [MR. SHAH]10203LOC[MR. SHAH] Well10204UHWell ,10205,, Your10206PP$your Honor10207NPHonor ,10208,, as10209INas the10210DTthe D10211NPD .10212SENT. C10213LSc .10214SENT. Circuit10215NPCircuit said10216VVDsay ,10217,, this10218DTthis looks10219VVZlook nothing10220NNnothing like10221INlike an10222DTan adjudication10223NNadjudication .10224SENT. This10225DTthis policy10226NNpolicy that10227IN/thatthat they10228PPthey introduced10229VVDintroduce on10230INon their10231PP$their website10232NNwebsite of10233INof including10234VVGinclude Part10235NPPart C10236NPC days10237NNSday in10238INin the10239DTthe Medicare10240NPMedicare fraction10241NNfraction ,10242,, that10243WDTthat applies10244VVZapply to10245TOto every10246DTevery hospital10247NNhospital nationwide10248RBnationwide without10249INwithout exception10250NNexception .10251SENT. It10252PPit has10253VHZhave prospective10254JJprospective effect10255NNeffect ...10256:... [CHIEF JUSTICE ROBERTS]10257LOC[CHIEF JUSTICE ROBERTS] It10258PPit 's10259VBZbe a10260DTa big10261JJbig adjudication10262NNadjudication .10263SENT. [MR. SHAH]10264LOC[MR. SHAH] Well10265UHwell ...10266:... well10267UHwell ,10268,, I10269PPI think10270VVPthink what10271WPwhat distinguishes10272VVZdistinguish the10273DTthe adjudication10274NNadjudication from10275INfrom the10276DTthe rulemaking10277VVGrulemak is10278VBZbe ,10279,, does10280VVZdo it10281PPit have10282VHhave general10283JJgeneral applicability10284NNapplicability ?10285SENT? That10286DTthat 's10287VBZbe the10288DTthe definition10289NNdefinition in10290INin the10291DTthe APA10292NPAPA .10293SENT. And10294CCand this10295DTthis ,10296,, as10297INas the10298DTthe D10299NPD .10300SENT. C10301LSc .10302SENT. Circuit10303NPCircuit said10304VVDsay in10305INin its10306PP$its opinion10307NNopinion ,10308,, and10309CCand the10310DTthe fact10311NNfact is10312VBZbe the10313DTthe government10314NNgovernment 's10315POS's counsel10316NNcounsel in10317INin the10318DTthe D10319NPD .10320SENT. C10321LSc .10322SENT. Circuit10323NPCircuit oral10324JJoral argument10325NNargument conceded10326VVDconcede ,10327,, when10328WRBwhen asked10329VVNask at10330INat oral10331JJoral argument10332NNargument ,10333,, does10334VVZdo n't10335RBn't this10336DTthis policy10337NNpolicy have10338VHPhave effect10339NNeffect to10340TOto every10341DTevery single10342JJsingle hospital10343NNhospital in10344INin the10345DTthe nation10346NNnation ...10347:... nationwide10348JJnationwide ,10349,, and10350CCand the10351DTthe answer10352NNanswer is10353VBZbe yes10354UHyes ,10355,, it10356PPit does10357VVZdo .10358SENT. And10359CCand not10360RBnot only10361RBonly that10362IN/thatthat ,10363,, it10364PPit 's10365VBZbe prospective10366JJprospective because10367INbecause these10368DTthese fractions10369NNSfraction are10370VBPbe used10371VVNuse ,10372,, again10373RBagain ,10374,, for10375INfor every10376DTevery hospital10377NNhospital nationwide10378JJnationwide to10379TOto calculate10380VVcalculate their10381PP$their interim10382JJinterim payments10383NNSpayment for10384INfor the10385DTthe intervening10386VVGintervene year10387NNyear until10388INuntil the10389DTthe new10390JJnew fractions10391NNSfraction come10392VVPcome out10393RPout .10394SENT. [CHIEF JUSTICE ROBERTS]10395LOC[CHIEF JUSTICE ROBERTS] Well10396UHWell ,10397,, but10398CCbut ...10399:... [MR. SHAH]10400LOC[MR. SHAH] So10401INso this10402DTthis looks10403NNSlook nothing10404NNnothing like10405INlike an10406DTan adjudication10407NNadjudication .10408SENT. [CHIEF JUSTICE ROBERTS]10409LOC[CHIEF JUSTICE ROBERTS] ...10410:... if10411INif it10412PPit is10413VBZbe ...10414:... well10415UHwell ,10416,, I10417PPI guess10418VVPguess ,10419,, again10420RBagain ,10421,, I10422PPI mean10423VVPmean ,10424,, we10425PPwe can10426MDcan hear10427VVhear on10428INon rebuttal10429NNrebuttal ,10430,, but10431CCbut ,10432,, I10433PPI mean10434VVPmean ,10435,, it10436PPit 's10437VBZbe an10438DTan adjudication10439NNadjudication where10440WRBwhere they10441PPthey 're10442VBPbe doing10443VVGdo what10444WPwhat you10445PPyou 'd10446MDwould like10447VVlike to10448TOto see10449VVsee people10450NNSpeople do10451VVPdo in10452INin adjudication10453NNadjudication ,10454,, which10455WDTwhich is10456VBZbe apply10457VVapply the10458DTthe same10459JJsame rules10460NNSrule to10461TOto similarly10462RBsimilarly situated10463VVNsituate parties10464NNSparty .10465SENT. [MR. SHAH]10466LOC[MR. SHAH] Well10467UHWell ...10468:... [CHIEF JUSTICE ROBERTS]10469LOC[CHIEF JUSTICE ROBERTS] There10470EXthere just10471RBjust happens10472VVZhappen to10473TOto be10474VBbe a10475DTa lot10476NNlot of10477INof them10478PPthem .10479SENT. [MR. SHAH]10480LOC[MR. SHAH] Right10481RBright .10482SENT. Well10483UHwell ...10484:... well10485UHwell ,10486,, that10487WDTthat ...10488:... that10489WDTthat would10490MDwould be10491VBbe fine10492JJfine .10493SENT. But10494CCbut you10495PPyou can10496MDcan 't10497RB't issue10498NNissue a10499DTa ...10500:... a10501DTa ...10502:... a10503DTa policy10504NNpolicy that10505WDTthat changes10506VVZchange how10507WRBhow you10508PPyou were10509VBDbe treating10510VVGtreat it10511PPit and10512CCand ...10513:... and10514CCand have10515VHPhave it10516PPit have10517VHPhave prospective10518JJprospective effect10519NNeffect for10520INfor every10521DTevery hospital10522NNhospital nationwide10523JJnationwide without10524INwithout complying10525VVGcomply with10526INwith the10527DTthe terms10528NNSterm of10529INof (10530(( a10531DTa )10532)) (10533(( 210534LS2 )10535)) ,10536,, which10537WDTwhich says10538VVZsay ,10539,, if10540INif you10541PPyou do10542VVPdo any10543DTany rule10544NNrule ,10545,, requirement10546NNrequirement ,10547,, or10548CCor statement10549NNstatement of10550INof policy10551NNpolicy ,10552,, you10553PPyou can10554MDcan 't10555RB't just10556RBjust give10557VVgive it10558PPit a10559DTa label10560NNlabel that10561WDTthat says10562VVZsay we10563PPwe 're10564VBPbe doing10565VVGdo adjudication10566NNadjudication .10567SENT. This10568DTthis has10569VHZhave every10570DTevery effect10571NNeffect of10572INof a10573DTa rule10574NNrule ,10575,, requirement10576NNrequirement ,10577,, or10578CCor statement10579NNstatement of10580INof policy10581NNpolicy in10582INin that10583WDTthat that10584DTthat treatment10585NNtreatment of10586INof Part10587NPPart C10588NPC days10589NNSday ,10590,, that10591WDTthat is10592VBZbe going10593VVGgo to10594TOto decide10595VVdecide the10596DTthe Medicare10597NPMedicare reimbursement10598NNreimbursement amount10599NNamount ,10600,, their10601PP$their legal10602JJlegal entitlement10603NNentitlement to10604TOto reimbursement10605NNreimbursement ,10606,, for10607INfor every10608DTevery hospital10609NNhospital nationwide10610RBnationwide .10611SENT. [CHIEF JUSTICE ROBERTS]10612LOC[CHIEF JUSTICE ROBERTS] So10613RBso are10614VBPbe ...10615:... you10616PPyou 're10617VBPbe saying10618VVGsay this10619DTthis is10620VBZbe not10621RBnot something10622NNsomething that10623WDTthat could10624MDcould have10625VHhave been10626VBNbe done10627VVNdo through10628INthrough adjudication10629NNadjudication ?10630SENT? [MR. SHAH]10631LOC[MR. SHAH] Well10632UHWell ,10633,, Your10634PP$your Honor10635NPHonor ,10636,, not10637RBnot in10638INin the10639DTthe way10640NNway ...10641:... [CHIEF JUSTICE ROBERTS]10642LOC[CHIEF JUSTICE ROBERTS] The10643NPThe ...10644:... the10645DTthe agency10646NNagency could10647MDcould not10648RBnot choose10649VVchoose adjudication10650NNadjudication as10651INas a10652DTa means10653NNmeans of10654INof establishing10655VVGestablish this10656DTthis policy10657NNpolicy ?10658SENT? [MR. SHAH]10659LOC[MR. SHAH] Not10660RBnot as10661INas a10662DTa means10663NNmeans of10664INof establishing10665VVGestablish it10666PPit nationwide10667JJnationwide for10668INfor every10669DTevery hospital10670NNhospital nationwide10671RBnationwide .10672SENT. And10673CCand the10674DTthe government10675NNgovernment has10676VHZhave said10677VVNsay that10678IN/thatthat when10679WRBwhen they10680PPthey would10681MDwould do10682VVdo these10683DTthese things10684NNSthing ,10685,, they10686PPthey apply10687VVPapply the10688DTthe same10689JJsame rule10690NNrule to10691TOto each10692DTeach hospital10693NNhospital .10694SENT. So10695RBso ,10696,, no10697UHno ,10698,, if10699INif you10700PPyou 're10701VBPbe going10702VVGgo to10703TOto do10704VVdo something10705NNsomething like10706INlike this10707DTthis ,10708,, then10709RBthen ...10710:... you10711PPyou could10712MDcould call10713VVcall it10714PPit an10715DTan adjudication10716NNadjudication .10717SENT. That10718DTthat 's10719VBZbe fine10720JJfine .10721SENT. But10722CCbut you10723PPyou have10724VHPhave to10725TOto go10726VVgo through10727INthrough notice10728NNnotice and10729CCand comment10730VVcomment when10731WRBwhen you10732PPyou 're10733VBPbe going10734VVGgo to10735TOto be10736VBbe changing10737VVGchange a10738DTa substantive10739JJsubstantive legal10740JJlegal standard10741NNstandard that10742WDTthat applies10743VVZapply to10744TOto them10745PPthem .10746SENT. And10747CCand so10748RBso they10749PPthey can10750MDcan 't10751RB't ...10752:... they10753PPthey can10754MDcan 't10755RB't now10756RBnow label10757VVlabel this10758DTthis as10759INas adjudication10760NNadjudication .10761SENT. Now10762RBnow ,10763,, again10764RBagain ,10765,, this10766DTthis is10767VBZbe somewhat10768RBsomewhat of10769INof a10770DTa ...10771:... a10772DTa ...10773:... a10774DTa ...10775:... of10776INof a10777DTa theoretical10778JJtheoretical question10779NNquestion in10780INin this10781DTthis case10782NNcase ,10783,, because10784INbecause as10785INas the10786DTthe D10787NPD .10788SENT. C10789LSc .10790SENT. Circuit10791NNcircuit ...10792:... even10793RBeven the10794DTthe district10795NNdistrict court10796NNcourt ,10797,, which10798WDTwhich ruled10799VVDrule in10800INin front10801NNfront of10802INof the10803DTthe government10804NNgovernment ...10805:... in10806INin favor10807NNfavor of10808INof the10809DTthe government10810NNgovernment ,10811,, rejected10812VVDreject their10813PP$their claim10814NNclaim that10815IN/thatthat this10816DTthis was10817VBDbe an10818DTan adjudication10819NNadjudication and10820CCand said10821VVDsay this10822DTthis bears10823NNSbear all10824PDTall the10825DTthe hallmarks10826NNShallmark of10827INof a10828DTa rule10829NNrule .10830SENT. If10831INif there10832EXthere are10833VBPbe no10834RBno further10835JJRfurther questions10836NNSquestion ,10837,, I10838PPI 'm10839VBPbe happy10840JJhappy to10841TOto sit10842VVsit down10843RPdown .10844SENT. [CHIEF JUSTICE ROBERTS]10845LOC[CHIEF JUSTICE ROBERTS] Thank10846VVthank you10847PPyou ,10848,, counsel10849NNcounsel .10850SENT. Four10851CDFour minutes10852NNSminute ,10853,, Mr10854NPMr .10855SENT. Kneedler10856NPKneedler .10857SENT.

[MR. KNEEDLER]10858LOC[MR. KNEEDLER] Several10859JJseveral things10860NNSthing ,10861,, Mr10862NPMr .10863SENT. Chief10864NPChief Justice10865NPJustice .10866SENT. Subsection10867NNsubsection (10868(( e10869NNe )10870)) ,10871,, by10872INby the10873DTthe way10874NNway ,10875,, was10876VBDbe enacted10877VVNenact at10878INat a10879DTa later10880JJRlate time10881NNtime ,10882,, and10883CCand so10884RBso its10885PP$its text10886NNtext does10887VVZdo n't10888RBn't necessarily10889RBnecessarily shed10890VVshed light10891JJlight on10892INon what10893WPwhat Congress10894NPCongress 210895CD2 did10896VVDdo in10897INin 198710898CD@card@ .10899SENT. The10900DTthe term10901NNterm "10902``" rule10903NNrule "10904''" in10905INin the10906DTthe lead-in10907NNlead-in to10908TOto subsection10909NNsubsection (10910(( a10911DTa )10912)) (10913(( 210914LS2 )10915)) includes10916VVZinclude statements10917NNSstatement of10918INof policy10919NNpolicy .10920SENT. So10921RBso there10922EXthere 's10923VBZbe some10924DTsome redundancy10925NNredundancy or10926CCor some10927DTsome ...10928:... it10929PPit 's10930VBZbe superfluous10931JJsuperfluous there10932RBthere anyway10933RBanyway ,10934,, no10935DTno matter10936NNmatter ...10937:... no10938DTno matter10939NNmatter how10940WRBhow you10941PPyou read10942VVPread it10943PPit .10944SENT. So10945RBso it10946PPit is10947VBZbe ...10948:... it10949PPit is10950VBZbe imprecise10951JJimprecise .10952SENT. The10953DTthe conference10954NNconference committee10955NNcommittee report10956NNreport in10957INin 198710958CD@card@ ,10959,, I10960PPI want10961VVPwant ...10962:... I10963PPI want10964VVPwant to10965TOto stress10966VVstress this10967DTthis ,10968,, again10969RBagain says10970VVZsay recent10971JJrecent court10972NNcourt rulings10973NNSruling .10974SENT. Those10975DTthose could10976MDcould only10977RBonly have10978VHhave been10979VBNbe APA10980NPAPA rulings10981NNSruling .10982SENT. And10983CCand ,10984,, in10985INin fact10986NNfact ,10987,, I10988PPI ...10989:... I10990PPI take10991VVPtake my10992PP$my friend10993NNfriend to10994TOto acknowledge10995VVacknowledge that10996IN/thatthat the10997DTthe American10998NPAmerican Hospital10999NPHospital Association11000NPAssociation case11001NNcase was11002VBDbe the11003DTthe leading11004VVGlead case11005NNcase ,11006,, and11007CCand that11008DTthat case11009NNcase discussed11010VVDdiscuss the11011DTthe distinction11012NNdistinction between11013INbetween substantive11014JJsubstantive rules11015NNSrule and11016CCand both11017DTboth interpretive11018JJinterpretive rules11019NNSrule and11020CCand procedural11021JJprocedural rules11022NNSrule ,11023,, not11024RBnot just11025RBjust the11026DTthe one11027CDone .11028SENT. And11029CCand as11030INas we11031PPwe point11032VVPpoint out11033RPout on11034INon page11035NNpage 1111036CD@card@ of11037INof our11038PP$our reply11039NNreply brief11040NNbrief ,11041,, it11042PPit did11043VVDdo it11044PPit in11045INin terms11046NNSterm that11047WDTthat are11048VBPbe echoed11049VVNecho in11050INin the11051DTthe text11052NNtext of11053INof ...11054:... of11055INof hh11056NNhh itself11057PPitself .11058SENT. It11059PPit says11060VVZsay the11061DTthe APA11062NPAPA 's11063POS's notice-and-comment11064NNnotice-and-comment requirement11065NNrequirement applies11066VVZapply only11067RBonly to11068TOto substantive11069JJsubstantive rules11070NNSrule that11071WDTthat create11072VVPcreate law11073NNlaw ...11074:... which11075WDTwhich goes11076VVZgo to11077TOto Justice11078NPJustice Sotomayor11079NPSotomayor 's11080POS's point11081NNpoint about11082INabout what11083WPwhat does11084VVZdo "11085``" legal11086JJlegal standard11087NNstandard "11088''" mean11089VVPmean ...11090:... creates11091VVZcreate law11092NNlaw and11093CCand a11094DTa ...11095:... "11096``" establish11097VVestablish a11098DTa standard11099NNstandard of11100INof conduct11101NNconduct "11102''" which11103WDTwhich has11104VHZhave the11105DTthe force11106NNforce of11107INof law11108NNlaw .11109SENT. Those11110DTthose ...11111:... that11112IN/thatthat language11113NNlanguage is11114VBZbe very11115RBvery close11116JJclose to11117TOto what11118WPwhat ...11119:... what11120WPwhat is11121VBZbe in11122INin the11123DTthe statute11124NNstatute as11125RBas enacted11126VVNenact .11127SENT. This11128DTthis is11129VBZbe really11130RBreally the11131DTthe last11132JJlast program11133NNprogram in11134INin which11135WDTwhich one11136CDone would11137MDwould expect11138VVexpect Congress11139NPCongress to11140TOto have11141VHhave created11142VVNcreate such11143PDTsuch a11144DTa transformation11145NNtransformation of11146INof administrative11147JJadministrative law11148NNlaw as11149INas Respondents11150NNSrespondent are11151VBPbe proposing11152VVGpropose here11153RBhere ,11154,, that11155IN/thatthat interpretive11156JJinterpretive rules11157NNSrule ,11158,, such11159JJsuch as11160INas manuals11161NNSmanual ...11162:... and11163CCand the11164DTthe provider11165NNprovider reimbursement11166NNreimbursement manual11167NNmanual is11168VBZbe not11169RBnot the11170DTthe only11171RBonly manual11172JJmanual .11173SENT. [JUSTICE GORSUCH]11174LOC[JUSTICE GORSUCH] But11175CCbut why11176NNwhy ...11177:... why11178WRBwhy is11179VBZbe that11180RBthat ?11181SENT? In11182INin Chenery11183NPChenery II11184NPII ,11185,, this11186DTthis Court11187NPCourt did11188VVDdo allow11189VVallow the11190DTthe government11191NNgovernment to11192TOto engage11193VVengage in11194INin retroactive11195JJretroactive adjudications11196NNSadjudication that11197WDTthat affect11198VVPaffect substantive11199JJsubstantive rights11200NNSright ,11201,, but11202CCbut expected11203VVDexpect that11204IN/thatthat it11205PPit would11206MDwould be11207VBbe a11208DTa rare11209JJrare thing11210NNthing that11211IN/thatthat that11212WDTthat would11213MDwould happen11214VVhappen and11215CCand that11216IN/thatthat most11217JJSmost of11218INof these11219DTthese kinds11220NNSkind of11221INof actions11222NNSaction would11223MDwould happen11224VVhappen through11225INthrough rulemaking11226VVGrulemak .11227SENT. This11228DTthis ,11229,, of11230INof course11231NNcourse ,11232,, is11233VBZbe the11234DTthe Court's11235NPCourt's ...11236:... the11237DTthe government11238NNgovernment 's11239VBZbe claiming11240VVGclaim the11241DTthe power11242NNpower to11243TOto affect11244VVaffect every11245DTevery Medicare11246NPMedicare provider11247NNprovider in11248INin the11249DTthe country11250NNcountry retroactively11251RBretroactively through11252INthrough these11253DTthese seriatim11254RBseriatim adjudications11255NNSadjudication .11256SENT. Why11257WRBwhy is11258VBZbe ...11259:... why11260WRBwhy is11261VBZbe this11262DTthis extraordinary11263JJextraordinary ?11264SENT? [MR. KNEEDLER]11265LOC[MR. KNEEDLER] The11266NPThe Court11267NPCourt addressed11268VVDaddress that11269IN/thatthat very11270JJvery situation11271NNsituation in11272INin Guernsey11273NPGuernsey Memorial11274NPMemorial Hospital11275NPHospital ,11276,, in11277INin which11278WDTwhich it11279PPit said11280VVDsay some11281DTsome things11282NNSthing can11283MDcan be11284VBbe done11285VVNdo by11286INby regulation11287NNregulation ,11288,, some11289DTsome things11290NNSthing can11291MDcan be11292VBbe done11293VVNdo by11294INby manuals11295NNSmanual ,11296,, and11297CCand some11298DTsome things11299NNSthing are11300VBPbe done11301VVNdo by11302INby adjudication11303NNadjudication .11304SENT. And11305CCand the11306DTthe agency11307NNagency ...11308:... and11309CCand this11310DTthis is11311VBZbe the11312DTthe teaching11313NNteaching of11314INof Vermont11315NPVermont Yankee11316NPYankee ,11317,, the11318DTthe agency11319NNagency has11320VHZhave to11321TOto have11322VHhave the11323DTthe flexibility11324NNflexibility to11325TOto choose11326VVchoose .11327SENT. And11328CCand this11329DTthis does11330VVZdo have11331VHhave the11332DTthe character11333NNcharacter of11334INof a11335DTa ...11336:... of11337INof an11338DTan adjudication11339NNadjudication ,11340,, going11341VVGgo to11342TOto the11343DTthe Chief11344NPChief Justice11345NPJustice 's11346POS's question11347NNquestion .11348SENT. Yes11349UHyes ,11350,, they11351PPthey sent11352VVDsend it11353PPit out11354RPout to11355TOto every11356DTevery contractor11357NNcontractor performing11358VVGperform on11359INon behalf11360NNbehalf of11361INof every11362DTevery individual11363JJindividual hospital11364NNhospital ,11365,, but11366CCbut that11367DTthat contractor11368NNcontractor 's11369POS's determination11370NNdetermination for11371INfor that11372DTthat ...11373:... for11374INfor each11375DTeach of11376INof those11377DTthose hospitals11378NNShospital is11379VBZbe an11380DTan individual11381JJindividual adjudication11382NNadjudication .11383SENT. And11384CCand the11385DTthe ...11386:... the11387DTthe application11388NNapplication of11389INof this11390DTthis fraction11391NNfraction in11392INin that11393DTthat individual11394JJindividual adjudication11395NNadjudication is11396VBZbe not11397RBnot binding11398JJbinding .11399SENT. It11400PPit ...11401:... it11402PPit can11403MDcan be11404VBbe reversed11405VVNreverse on11406INon appeal11407NNappeal to11408TOto the11409DTthe board11410NNboard or11411CCor in11412INin court11413NNcourt .11414SENT. [JUSTICE SOTOMAYOR]11415LOC[JUSTICE SOTOMAYOR] Can11416MDcan you11417PPyou point11418VVpoint to11419TOto anything11420NNanything in11421INin the11422DTthe history11423NNhistory of11424INof the11425NPthe '11426POS' 8611427CD@card@ bill11428NNbill or11429CCor '11430POS' 8711431CD@card@ bill11432NNbill that11433WDTthat leads11434VVZlead substance11435NNsubstance to11436TOto your11437PP$your claim11438NNclaim that11439IN/thatthat Congress11440NPCongress was11441VBDbe not11442RBnot ,11443,, in11444INin fact11445NNfact ,11446,, concerned11447VVNconcern about11448INabout substantive11449JJsubstantive changes11450NNSchange in11451INin formulas11452NNSformula like11453INlike this11454DTthis one11455CDone being11456VBGbe done11457VVNdo through11458INthrough rulemaking11459VVGrulemak as11460RBas opposed11461VVNoppose to11462TOto adjudication11463NNadjudication ?11464SENT? [MR. KNEEDLER]11465LOC[MR. KNEEDLER] Well11466UHWell ...11467:... [JUSTICE SOTOMAYOR]11468LOC[JUSTICE SOTOMAYOR] I11469PPI thought11470VVDthink in11471INin all11472PDTall the11473DTthe history11474NNhistory I11475PPI read11476VVPread that11477WDTthat was11478VBDbe motivating11479VVGmotivate them11480PPthem is11481VBZbe the11482DTthe agency11483NNagency 's11484POS's change11485NNchange of11486INof policy11487NNpolicy of11488INof doing11489VVGdo less11490JJRless than11491INthan a11492DTa rulemaking11493VVGrulemak .11494SENT. They11495PPthey wanted11496VVDwant more11497JJRmore or11498CCor the11499DTthe same11500JJsame but11501CCbut not11502RBnot less11503RBRless .11504SENT. [CHIEF JUSTICE ROBERTS]11505LOC[CHIEF JUSTICE ROBERTS] You11506PPyou may11507MDmay .11508SENT. [MR. KNEEDLER]11509LOC[MR. KNEEDLER] What11510WPWhat Congress11511NPCongress was11512VBDbe driving11513VVGdrive at11514INat ...11515:... and11516CCand this11517DTthis comes11518VVZcome from11519INfrom the11520DTthe word11521NNword "11522``" substantive11523JJsubstantive ,11524,, "11525''" which11526WDTwhich has11527VHZhave an11528DTan established11529JJestablished meaning11530NNmeaning in11531INin administrative11532JJadministrative law11533NNlaw and11534CCand the11535DTthe APA11536NPAPA ...11537:... was11538VBDbe things11539NNSthing that11540WDTthat have11541VHPhave the11542DTthe force11543NNforce and11544CCand effect11545NNeffect of11546INof law11547NNlaw ,11548,, not11549RBnot things11550NNSthing that11551WDTthat are11552VBPbe simply11553RBsimply interpretive11554JJinterpretive .11555SENT. That11556DTthat 's11557VBZbe the11558DTthe very11559JJvery distinction11560NNdistinction this11561DTthis Court11562NPCourt drew11563VVDdraw in11564INin Mortgage11565NPMortgage Bankers11566NPSBankers and11567CCand in11568INin Guernsey11569NPGuernsey Memorial11570NPMemorial Hospital11571NPHospital arising11572VVGarise under11573INunder this11574DTthis ...11575:... under11576INunder this11577DTthis same11578JJsame program11579NNprogram .11580SENT. [CHIEF JUSTICE ROBERTS]11581LOC[CHIEF JUSTICE ROBERTS] Thank11582VVthank you11583PPyou ,11584,, counsel11585NNcounsel .11586SENT. The11587DTthe case11588NNcase is11589VBZbe submitted11590VVNsubmit .11591SENT.