Virginia M. Kendall, United States District Judge.
Plaintiff Kevin Fry
The Court accepts the Complaint's well-pleaded facts as true and draws all reasonable inferences in the Liquidator's favor. Hecker v. Deere & Co., 556 F.3d 575, 580 (7th Cir. 2009). A brief recitation of the factual and procedural background is documented below as the Court is familiar with the relevant facts through the related case, Dowling v. United States Dep't of Health & Human Servs. 325 F.Supp.3d 884, 888 (N.D. Ill. 2018).
Land of Lincoln is a former Illinois health care insurer that became insolvent in 2016. (Dkt. 1, ¶ 1). Prior to its insolvency, Land of Lincoln offered health insurance plans on the Illinois Insurance Exchange for three years pursuant to the Patient Protection and Affordable Care Act ("ACA"). (Id. at ¶ 6). As part of the ACA statutory structure, Land of Lincoln participated in three risk mitigation programs—the Risk Adjustment Program, the Reinsurance Program, and the Risk Corridor Program. (Id. at ¶ 7). Funds related to these programs flowed between the government and health insurers, including Land of Lincoln. (Id.). CMS has engaged in a practice of offsetting payments to Land of Lincoln against debts owed by Land of Lincoln to CMS since at least July 2016. (Id. at ¶ 36). At the time of the filing of this Complaint, CMS had offset $27 million. (Id. at ¶ 39).
Land of Lincoln failed financially and entered state rehabilitation proceedings on July 14, 2016 (Id. at ¶ 37), liquidation proceedings on September 29, 2016 (Id. at ¶ 42), and ceased operations completely on October 1, 2016 (Id.). In December of 2016, the Liquidator filed a motion in the state court liquidation proceedings seeking an order that CMS's practice of offsetting of payments was unlawful. (Id. at ¶ 43). CMS removed the matter to this Court. (Id.). The case was ultimately remanded, and the Court denied CMS's motion for reconsideration. (Id. at ¶¶ 44-45). On appeal, the Seventh Circuit found that this Court construed its removal jurisdiction too narrowly and remanded for further proceedings. Hammer v. United States Dep't of Health & Human Servs., 905 F.3d 517, 536 (7th Cir. 2018). As a result, the Liquidator filed the instant action on February 22, 2019. (Dkt. 1).
In reviewing a Motion to Dismiss pursuant to Rule 12(b)(1) for lack of subject-matter jurisdiction, the plaintiff must carry his burden of establishing that jurisdiction is proper. Ctr. for Dermatology & Skin Cancer, Ltd. v. Burwell, 770 F.3d 586, 588-89 (7th Cir. 2014). "Federal courts are courts of limited jurisdiction. They possess only that power authorized by Constitution and statute, ... which is not to be expanded by judicial decree." Kokkonen v. Guardian Life Ins. Co., 511 U.S. 375, 377, 114 S.Ct. 1673, 128 L.Ed.2d 391
As a general matter, the United States is immune from suit except in cases where it has explicitly waived that immunity. Hercules, Inc., v. United States, 516 U.S. 417, 422, 116 S.Ct. 981, 134 L.Ed.2d 497 (1996). Any alleged waiver of sovereign immunity must be explicit and cannot be implied or based upon a strained parsing of statutory text. F.A.A. v. Cooper, 566 U.S. 284, 290, 132 S.Ct. 1441, 182 L.Ed.2d 497 (2012) ("We have said on many occasions that a waiver of sovereign immunity must be `unequivocally expressed' in statutory text."). In line with this, waivers are to be strictly construed "so that the Government's consent to be sued is never enlarged beyond what a fair reading of the text requires." Id. By its very nature, sovereign immunity operates to set the bounds of the court's jurisdiction to hear matters against the United States. See United States v. Mitchell, 463 U.S. 206, 212, 103 S.Ct. 2961, 77 L.Ed.2d 580 (1983); In re Price, 42 F.3d 1068, 1071 (7th Cir. 1994).
The Liquidator proceeds under a theory that the United States has waived its sovereign immunity under the Administrative Procedure Act. (Dkt. 21, pg. 4). Two provisions of the APA are at play when considering sovereign immunity. § 702 provides:
5 U.S.C. § 702 (emphasis in original). Essentially, "§ 702 waives sovereign immunity only with respect to relief `other than money damages'." Builders NAB LLC v. Fed. Deposit Ins. Corp., 922 F.3d 775, 777 (7th Cir. 2019). Further narrowing jurisdiction, waiver pursuant to the APA is limited to scenarios where there is no other adequate remedy. 5 U.S.C. § 704 ("Agency action made reviewable by statute and final agency action for which there is no other adequate remedy in a court are subject to judicial review."). Importantly, the limitations on waiver "function in the disjunctive; the application of any one is
Before delving deeper into the question of subject-matter jurisdiction and the Government's sovereign immunity, it is worth noting, and dispensing with, the Liquidator's position that the Seventh Circuit has already directly addressed and resolved the sovereign immunity issue. The liquidator repeatedly suggests, both in his Complaint and in response to the Government's Motion to Dismiss "that the Seventh Circuit already addressed federal district court jurisdiction in Hammer v. HHS." (Dkt. 21, pg. 7); see also (Dkt. 1, ¶¶ 46-49). This is a strained characterization of the court's actual holding. The court's ruling was limited to the fact that "the district court construed its removal jurisdiction too narrowly and erred in abstaining." Hammer v. United States Dep't of Health & Human Servs., 905 F.3d 517, 536 (7th Cir. 2018),
Determining whether an alternative adequate remedy exists for the Liquidator is the preferred starting point in analyzing the subject-matter jurisdiction inquiry. One frequent example of alternate adequate relief is seen in the form of the Tucker Act. Bowen v. Massachusetts, 487 U.S. 879, 900 n.31, 108 S.Ct. 2722, 101 L.Ed.2d 749 (1988) ("[S]uits under the Tucker Act in the Claims Court offer precisely the sort of `special and adequate review procedures' that § 704 requires to direct litigation away from the district courts."). The Government has expressly waived its sovereign immunity for matters arising under the Tucker Act when certain factors are met. 28 U.S.C. § 1491. "Under the Tucker Act ... jurisdiction over constitutional claims against the government for monetary relief in excess of $10,000 lies only in the Court of Federal Claims." Sutton v. United States, 597 Fed.Appx. 890, 891 (7th Cir. 2015) (emphasis added); see also Mitchell, 463 U.S. at 212, 103 S.Ct. 2961. "The availability of an action for money damages under the Tucker Act or Little Tucker Act is presumptively an `adequate remedy' for § 704 purposes." Telecare Corp. v. Leavitt, 409 F.3d 1345, 1349 (Fed. Cir. 2005).
If a lawsuit is ultimately a claim for money damages and relief can be obtained in the Court of Federal Claims, § 704 serves as a bar to federal district court jurisdiction. See Suburban, 480 F.3d at 1125. The Court need not take the plaintiff's stated relief at face value and rely solely on the remedy proposed in the Complaint. Rather, in an effort to prevent forum shopping and protect its own limited jurisdiction, the court must consider the actual relief sought. See Veluchamy v. F.D.I.C., 706 F.3d 810, 815-16 (7th Cir. 2013) ("[E]ven if a plaintiff does not specifically ask for a direct cash payment, the plaintiff may still be seeking `money damages' if the relief sought is `merely a means to the end of satisfying a claim for the recovery of money.'") (quoting Dep't of Army v. Blue Fox, Inc., 525 U.S. 255, 262, 119 S.Ct. 687, 142 L.Ed.2d 718 (1999)); see also Consol. Edison Co. of New York v.
Recently, three district courts faced nearly identical circumstances in the context of payment offsets under the ACA and whether the Government had waived its sovereign immunity. All three failed to reach the merits. Instead they held that the relief plaintiffs sought could be obtained in the Court of Federal Claims and jurisdiction was not proper in the district court. See e.g., Farmer v. United States, 2018 WL 1365797 (D.S.C. Mar. 16, 2018); Richardson v. United States Dep't of Health & Human Servs., 2018 WL 1569772 (D. Nev. Mar. 30, 2018); Gerhart v. United States Dep't of Health & Human Servs., 242 F.Supp.3d 806 (S.D. Iowa 2017),
Much like the plaintiffs in Farmer, Richardson, and Gerhart, the Liquidator here purports to seek equitable relief from the allegedly unlawful offsets. "Director Fry prays for declaratory and injunctive relief including the following: (a) A declaration that CMS's unilateral set-offs of the payments owed to Land of Lincoln under the ACA were unlawful. (b) An order enjoining Defendants from engaging in unlawful set-offs." (Dkt. 1, ¶ 59). However, the Liquidator's own characterization of his Complaint does not end the inquiry. Veluchamy, 706 F.3d at 815-16. Though the Complaint does not explicitly seek cash payment from the Government, "the relief sought is `merely a means to the end of satisfying a claim for the recovery of money.'" Id. at 816 (quoting Blue Fox, 525 U.S. at 262, 119 S.Ct. 687). For example, in Blue Fox the plaintiff sought relief in the form of an equitable lien. "Though the equitable lien was not itself cash, the Supreme Court unanimously found this to be a request for money damages because the lien's `goal [was] to seize or attach money in the hands of the Government as compensation for the loss resulting from the default of the prime contractor.'" Veluchamy, 706 F.3d at 816 (quoting Blue Fox, 525 U.S. at 263, 119 S.Ct. 687).
The Liquidator would have this Court's analysis begin and end with the Supreme Court's decision in Bowen. There, "[t]he principal question presented ... [was] whether a federal district court has jurisdiction to review a final order of the Secretary of Health and Human Services refusing to reimburse a State for a category of expenditures under its Medicaid program." Bowen, 487 U.S. at 882, 108 S.Ct. 2722. The Court answered that question in the affirmative. However, two key factors distinguish the instant case from Bowen—a lack of a complex, ongoing relationship between the Liquidator And CMS and that the Bowen plaintiff sought relief from wrongful future conduct. The Bowen Court, along with those courts interpreting its decision, focused on the "rather complex" and "ongoing relationship between the parties." Id. at 905, 108 S.Ct. 2722 (emphasis added); Suburban, 480 F.3d at 1127 ("[A]s we have noted elsewhere, Bowen turned on the complexity of the continuous relationship between the federal and state governments administering the Medicaid program.") (internal quotations omitted). Bowen presented facts where the parties were engaged in a long term relationship that involved past and future obligations. Here, the Liquidator contests improper offsets over a span of just three years. There is no threat of this universe of improper offsets expanding due to the fact that Land of Lincoln is no longer in business. See e.g., Builders Bank v. Fed. Deposit Ins. Corp., 2018 WL 1561722, at *3 (N.D. Ill. Mar. 30, 2018),
For the reasons stated above, the United States has not waived its sovereign immunity and consequently this Court does not have subject-matter jurisdiction over the instant matter. The Government's Motion to Dismiss is granted and the Liquidator's Complaint is dismissed with prejudice. (Dkt. 17). Unable to reach the underlying merits, the Court dismisses the Liquidator's Motion for Summary Judgment as moot. (Dkt. 13). Accordingly, the matter is closed, along with the related case, Dowling v. United States Dep't of Health and Human Services (17-cv-00494).