[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.