Mayo Foundation for Medical Education & Research v. United States

Docket: No. 09-837

Court: Supreme Court of the United States; January 10, 2011; Federal Supreme Court; Federal Appellate Court

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Nearly all wage-earning Americans pay taxes under the Federal Insurance Contributions Act (FICA), which funds Social Security. The central issue in this case is whether medical residents are classified as 'students' exempt from FICA taxes under 26 U.S.C. 3121(b)(10). The petitioners, Mayo Foundation for Medical Education and Research, Mayo Clinic, and the Regents of the University of Minnesota, provide residency programs that train doctors through hands-on experience, typically lasting three to five years. Residents work 50 to 80 hours weekly, engaging in patient care under supervision. In 2005, Mayo compensated residents with stipends between $41,000 and $56,000, alongside health and malpractice insurance and paid vacation.

Residents participate in a structured educational program, including reading assignments and lectures, and are assessed through written exams and evaluations. However, it is undisputed that most of their time is dedicated to patient care. The Social Security Act establishes a national insurance system funded by FICA taxes on wages, which are broadly defined. Congress has exempted specific services from taxation, including those performed by enrolled students at educational institutions (26 U.S.C. 3121(b)(10)). The Treasury Department has historically applied this student exemption to students working for their schools as part of their studies, with a case-by-case assessment until 2005.

Key considerations in determining student status under the Social Security Act include the number of hours worked and course load. According to Rev. Rul. 78-17, individuals employed full-time with a part-time course load are not considered to be pursuing a course of study. The Social Security Administration (SSA) applies a case-by-case approach to student exceptions but historically classifies resident physicians as non-students (SSR 78-3). However, the Eighth Circuit Court of Appeals ruled in Minnesota v. Apfel that the SSA could not exclude residents from student status categorically, prompting over 7,000 claims for FICA tax refunds based on medical residents qualifying as students under Internal Revenue Code 3121(b)(10). In response, the Treasury Department clarified the term 'student' in 2004, establishing an amended rule stating that services are considered 'incident' to studies when the educational aspect predominates over the service aspect. The rule specifies that full-time employees, defined as those working 40 hours or more weekly, are not pursuing a course of study, regardless of any educational aspects of their work. An example provided indicates that a medical resident (Employee E) working such hours does not qualify as an exempt student. Following this, Mayo Clinic filed a lawsuit for a refund of withheld taxes, arguing that its residents were exempt under 3121(b)(10) and that the Treasury's rule was invalid. The District Court sided with Mayo, declaring the full-time employee rule inconsistent with the clear text of 3121, which suggests that an employee is classified as a student if the educational component of their service predominates.

The court found that the full-time employee exception is invalid based on the factors outlined in National Muffler Dealers Assn. Inc. v. United States. The Government's appeal was reversed by the Court of Appeals, which applied Chevron U.S.A. Inc. v. Natural Resources Defense Council, Inc. to determine that the statute is ambiguous regarding whether a medical resident qualifies as a 'student' for FICA purposes. The Court of Appeals deemed the Department's amended regulation a permissible interpretation due to this ambiguity. The analysis commenced with the Chevron framework, confirming that Congress did not specifically define 'student' or clarify the status of medical residents under 26 U.S.C. 3121(b)(10). Mayo argued for a broad interpretation of 'student,' citing a dictionary definition that includes residents; however, this reading did not resolve the statute's ambiguity concerning working professionals. The District Court's interpretation, which favored a predominant educational role for exemption, was not supported by the limited statutory text. Additionally, Congress has explicitly excluded medical residents from certain exemptions, suggesting an intention to include them under FICA. Therefore, the statute lacks the clarity needed to definitively apply to medical residents.

Ambiguity in the Internal Revenue Code typically triggers Chevron step two, which allows court intervention only if an agency rule is arbitrary, capricious, or contrary to statutory intent. In this case, Mayo advocates for a multifactor analysis from National Muffler, which considers factors like contemporaneous construction, regulatory evolution, duration of the regulation, reliance, consistency of interpretation, and Congressional scrutiny. In contrast, the Government asserts that National Muffler has been superseded by Chevron, which focuses solely on whether the agency's interpretation is a permissible construction of the statute. Although both analyses have been cited in reviewing Treasury Department regulations, they differ significantly; National Muffler may apply greater skepticism to inconsistent interpretations or those issued long after the statute's enactment, while Chevron does not consider these factors relevant for determining regulatory validity. The District Court referenced these distinctions in rejecting the Treasury Department's regulation, highlighting its late promulgation following an adverse court ruling. Chevron, however, maintains that inconsistency and the timing of a regulation's issuance do not disqualify its validity. The Supreme Court has noted that neither the age of a regulation nor the fact that it stems from litigation affects its validity. The Court also encouraged the Treasury Department to amend its regulations if necessary, reflecting its stance on regulatory adaptability.

Mayo has not provided a valid reason for applying a less deferential standard of review to Treasury Department regulations compared to other agencies. Without such justification, there is no basis for a distinct approach to administrative review in tax law. The importance of a uniform judicial review standard for administrative actions is emphasized, referencing Dickinson v. Zurko and Skinner v. Mid-America Pipeline Co., which rejected a stricter nondelegation doctrine for tax-related cases. The principles established in Chevron apply equally to tax regulations, recognizing the necessity for agencies to fill gaps left by Congress. The Treasury Department’s role in interpreting the Internal Revenue Code involves complex policy formulation, akin to other agencies. Previous rulings indicated that interpretations under the Treasury’s general authority received less deference, but the legal landscape has evolved. Chevron deference is now appropriate if Congress has granted the agency general rule-making authority, regardless of whether that authority is considered general or specific. The Federal Communications Commission's authority to create binding rules under the Communications Act serves as an example of this principle.

Chevron deference applies to regulations issued under explicit congressional authority, as established in Sullivan v. Everhart and further affirmed in Mead. The Department of the Treasury's full-time employee rule is a valid exercise of its authority under 26 U.S.C. 7805(a) and was created following notice-and-comment procedures, which strengthens its position for Chevron treatment. The determination of whether a regulation falls within the agency's gap-filling authority is based on whether Congress intended the regulation to be included in its delegation. The full-time employee rule meets Chevron's second step, deemed a reasonable interpretation of the tax code.

Mayo accepts that the educational component must outweigh the service aspect for exemption qualification but challenges the blanket exclusion of residents working over 40 hours per week from meeting this requirement. Mayo argues that such residents should be evaluated individually based on their roles and that the distinction between hands-on training and classroom instruction is arbitrary. However, the Department maintains that distinguishing between study and work hours is a sensible approach, asserting that when individuals work sufficient hours to be classified as full-time, their time is predominantly spent on work rather than study, which aligns with IRS guidance.

The Department differentiated between education and service rather than between classroom education and clinical training. It concluded that the full-time employee rule would enhance administrability and avoid litigation associated with a case-by-case approach, as advocated by Mayo. The Treasury Department noted that this rule not only improves administrative efficiency but also aligns with the Social Security Act's objectives, which aim for broad coverage. The Court has interpreted the Act's terms to support a wide scope and has emphasized that tax exemptions should be narrowly construed. Mayo's argument that medical residents have not started their 'working lives' because they are not fully trained was deemed irrational by the Department, which recognized that residents, working long hours and performing skilled tasks, fit the profile of workers intended to contribute to the Social Security system. The Department's rule reflects concerns that exempting residents from FICA could deny them and their families essential disability and survivorship benefits. While Mayo questioned the potential for residents to be taxed under FICA without SSA coverage, the government clarified that the SSA maintains its view that medical residents are not students and thus qualify for coverage. The distinction between being engaged in educational pursuits and being considered 'students' under the tax code is significant; Congress has not explicitly addressed this, and the Treasury Department's interpretation is seen as reasonable. The judgment of the Court of Appeals is affirmed, with Justice Kagan not participating in the decision.