Mayo Foundation for Medical Education and Research et al. v. United States

Oral argument transcript · No. 09-837 · October Term 2010 · argued November 8, 2010 · the respondent won

Decision: votes, opinion and citations · Official transcript (PDF) · Argument audio at the Supreme Court

Advocates

Transcript

From the Court's official transcript; speaker labels as in the transcript, with advocates' full names from its list of appearances.

Chief Justice Roberts: We'll hear argument next in Case 09-837, Mayo Foundation for Medical Education and Research v. The United States. Mr. Olson. ORAL ARGUMENT OF THEODORE B. OLSON ON BEHALF OF THE PETITIONERS

Theodore B. Olson: Mr. Chief Justice, and may it please the Court: Congress expressly exempted from Social Security taxes wages paid to a student who is enrolled and regularly attending classes. The medical residents at Petitioners' schools are enrolled and pursuing a formal accredited curriculum that has a rigorous core curriculum, as I said; hundreds of classes, conferences, lectures; laboratory research; written exams; grades; and intensive, hands-on clinical patient training under the supervision of faculty members.

Justice Ginsburg: Mr. Olson, are -- are all institutions that employ residents schools?

Theodore B. Olson: I don't know -- I don't know whether all -- as I understand, the resident program, which is accredited by the Accreditation Council for Graduate Medical Education, does involve an Alderson Reporting Company Official accreditation program which would probably fit -- where it's taking place, would probably fit the definition of schools. That is certainly not an issue in this case. There are -- these -- the institutions that we represent -­

Justice Ginsburg: But it might -- it might be relevant, because it would be unseemly, perhaps, to have residents who are not working at, quote, "schools," subject to the FICA tax, and other residents whose training is approximately the same escape the tax.

Theodore B. Olson: Well, that was a judgment that Congress made. Congress made the exemption with respect to students, and it tied specifically in to someone who is enrolled and regularly attending classes -­

Justice Ginsburg: But you can't give me the reality there. Are all resident programs conducted in schools, or are there resident programs that would not qualify because they take place in institutions that are not schools?

Theodore B. Olson: The only reason I'm hesitating, Justice Ginsburg, is I don't know the entire universe out there. Every program, residents' program, that has been involved in the various cases that have discussed this have been at schools or universities or colleges. I'm aware of no program that involves residency and Alderson Reporting Company Official resident programs accredited by the ACGME that is not involve in and does not take place in a school or a university or college. So it could be something out there that I am not aware of, but I'm not aware of anything of that nature. It is undisputed that these individuals in these residents' programs are enrolled and that they are regularly attending classes by various definitions of the word "class." The clinical experience that they are receiving in hospital rooms, in lecture halls, in all circumstances that they're involved in, are educational. They are classes, and it is undisputed -- undisputed -­ that the purpose of these programs is to educate doctors so that they can achieve board certification and hospital privileges.

Justice Sotomayor: Mr. Olson, are residents supervised their entire 40 to 80 hours? Is there an attending physician standing over their shoulder and looking at what they're doing?

Theodore B. Olson: Well, there's two parts to that question. The answer to the second part is: Of course not. There is not a supervising attending physician standing over their shoulder at every moment, but they are being supervised at all of the time during their residency program; that is to say that the work that Alderson Reporting Company Official they do is under the supervision, in that broad sense, of an attending physician who looks over what they do, comments on what they do, and so forth.

Justice Sotomayor: What I -- how I look at this case is: How do you draw the line between a student who is working and a worker who is studying? So the issue for me is: Is the Treasury Department's identification of how to draw that line unreasonable? Do we owe them deference?

Theodore B. Olson: Well -­

Justice Sotomayor: Let's use the example that's been floated around the briefs: the general counsel of the university who takes classes to increase his knowledge. Is he a student who is working, or is he a worker who's studying?

Theodore B. Olson: There is -- well, the various courts that have considered this have found the statutory provision -- that Congress has spoken to the subject. It has provided an exemption for students, and it has provided its own limitations. You have to be enrolled and regularly attending classes -­

Justice Sotomayor: Why isn't the general counsel who's going to, let's assume, either three classes a week or 6 -- 6 hours of classes, is working 40 hours as general counsel, and he's regularly enrolled Alderson Reporting Company Official in classes.

Theodore B. Olson: Well -­

Justice Sotomayor: Why isn't he part of the exemption?

Theodore B. Olson: The -- the Internal Revenue Service imposes a predominance requirement with respect to this. The courts that have considered it have said: This is not a question of law; it is a question of fact. Is someone really a student or not? Common sense and common understanding of the word "students" would lead one to the conclusion of that. I -­

Justice Sotomayor: So why wouldn't common sense lead you to the conclusion that if someone is working 40 unsupervised hours without an attending physician at their side, taking care of patients, that that's really not a student? That's what the Treasury Department is saying.

Theodore B. Olson: Well, that is what the Treasury Department is saying. But, first of all, you have to be an employee for this provision to apply at all. This provision -­

Justice Sotomayor: You don't think receiving $50,000 or $60,000 a year is enough to make you an employee of someone?

Theodore B. Olson: No. No. In fact, the Alderson Reporting Company Official government will say that the amount of remuneration is immaterial. The government says that in its regulations. The IRS says that, and it has said it for many, many, many years. And right from the beginning, the amount of the remuneration has no significance at all. The fact is, as every court that has considered the question has concluded, is that these residents are under supervision. It -- you may be supervised if someone's not standing over your shoulder. If they review at the end of the day or at the beginning of the -- of the course what you've done, what you -­ what you -- what situations you've encountered, the standards that are being applied -­

Justice Sotomayor: But why doesn't that -­ assume it's not the general counsel of the university but a lawyer working in the general counsel's office.

Theodore B. Olson: Well -­

Justice Sotomayor: He's being supervised by the general counsel, his work's being reviewed, and he's attending classes at night.

Theodore B. Olson: Well, in the first place, that is a different case. This is a refund action based upon the situation -- the facts are on the ground with respect to these residents. That is not the case here. Alderson Reporting Company Official However, that and the other parade of horribles that the Government mentions in its briefs -- what about the professor -- I mean, what about the university president, what about the general counsel? -- all would be excluded by the predominant requirement -­ predominancy requirement, which we're not challenging, which is not involved in this case, and the Government hasn't challenged here. These individuals cannot achieve what they need to achieve for board certification and hospital privileges except by having clinical experience. That is -­

Justice Sotomayor: Well, what they want to achieve is a higher long-term pay, but they can go out and work as doctors.

Theodore B. Olson: They could -- well, very little. The -- the record is very, very clear that almost in no cases, in -- in a very, very narrow circumstance can they work as doctors. They won't have hospital privileges. They won't -­

Justice Sotomayor: I understood that 15 percent of the physicians were not board certified.

Theodore B. Olson: And -- and many of them may be in the military or in circumstances -- but the -- but the record, as examined by the various courts that have Alderson Reporting Company Official considered it, said, for all intents and purposes in the modern world, that physicians that are going to be treating you and me in the vast majority of cases will be board certified. It's an enormous impediment, and -­

Justice Sotomayor: So how about the architect residents who are working in universities? Are they medical -- like medical residents as well?

Theodore B. Olson: Well, they may be. I haven't studied whether an architect, if they are in a school -- Congress decided what this exemption would cover. It says: If you are a student enrolled in a school, university, or college, and you are regularly attending classes, then you would be covered. Now, that -­

Justice Ginsburg: Mr. Olson, why not read that provision -- now we are going to the statute -- if such service is performed by a student, et cetera, as saying, look, there's a student status, and the service is distinct from the student's status? Take the typical work/study program in a college. That would seem to fit this language to a tee. There's a student, and the student is working part time, but you are -- there -- there is no independent significance to the term "student" as you read the text; that is, the student and the services are all together. Alderson Reporting Company Official It's not, "I am a student here and I perform services there." It's -- the student is -- the education is the service.

Theodore B. Olson: Well, the services are performed for the purpose of receiving an education. As -- as the Internal Revenue Service construed this provision, up until the fact that they lost several cases, was that if your purpose was to achieve or pursue a course of studies -- that's the old regulation. If your -­

Justice Ginsburg: But wouldn't -- wouldn't this fit the work/study student who is studying philosophy and then he's working in the, say, speech department?

Theodore B. Olson: I didn't hear that last word.

Justice Ginsburg: The -- it seems to me that -- what came into my mind when I read these words was a work/study program where the student is studying and that's the status of student. The work is separate from that. It's not necessarily to advance the person's education. It's to give the student some money. So that's what I thought -- I thought that this was -- this was describing student status, okay; and the student is also working for some money. But you seem to say that the service -­ that -- that it's -- the student status is not Alderson Reporting Company Official independent from the service.

Theodore B. Olson: Well, this -- absolutely, that's true in this case. The students -- the service that the students are performing in hospital rooms, looking at patients, listening to lectures, working in laboratories, is a part of what they're getting paid for. So they have to be an employee to begin with, in order for this exemption to apply. They have -- it might be -- it's -- I don't know whether you have in mind someone being paid for -- by someone outside the school, but this -­

Justice Ginsburg: No, I have in mind the typical work/study program. The -- the student signs up for work/study and may be assigned to work in the administration, helping out with clerical things there. But the student status is one thing; the services are another. Now, that, I assume, would be covered, that the earnings of the student in the work/study program would not be subject to FICA?

Theodore B. Olson: Well, the government's got various categories of examples. The situation that you've just described sort of falls close to one of those examples, but this is -- that is not this case. Alderson Reporting Company Official The government would say, I would think, that if you are a student, even though your service is unrelated to your education, you would fall within the exemption. I think that's one of the examples that the government gives. I might have guessed that it would come out differently. But in this case, the purpose for the service is education. The goal of the service is education. It's not to earn a living. And -- and it's -- and the goal of the universities is not to make money. It is to provide -­

Chief Justice Roberts: Well, you keep focusing, Mr. Olson, on -- on this case. And one of the things that I think is important in the tax code is that you not have litigation of each different case, so the different courts are coming out with different rules. And, at the end of the day, you put one next to the other, and it looks pretty hard to tell the difference. So why doesn't it make sense simply to refer to -- defer to the Service's interpretation?

Theodore B. Olson: Well -­

Chief Justice Roberts: You go back and -­ both of you go back and forth with hypotheticals, each of which sort of supports, but this basically a very familiar situation of an apprentice who is both an Alderson Reporting Company Official employee and both a student, and to try to draw the line in some categorical way doesn't make sense. The only way you can draw the line is to have somebody say: This is going to be the line. And if anybody is going to say it, it ought to be the IRS.

Theodore B. Olson: Well, I know we're in the Supreme Court, but five courts of appeals that considered this said that the language is clear. It does not admit to a categorical exclusion of residents in programs like this. It -­

Justice Sotomayor: Well, those five courts did it before -- most of those opinions were rendered before the new regulation.

Theodore B. Olson: That's right. And what the government having -­

Justice Sotomayor: Only one of them -­

Theodore B. Olson: The government having lost based upon the words of the statute and the regulations that they had promulgated that had to do with the goals, the purpose, the objective, and the nature of the activity -- lost every one of those cases and said: We're going to adopt a regulation that does have the virtue that the Chief Justice mentioned of -- of being categorical. It's the same as saying, if you're Alderson Reporting Company Official left-handed, you're not going to be covered by this student exemption, or if you're only doing it during the daytime -­

Justice Breyer: Is it -- is it -- the -­ the answer to Justice Ginsburg's question -- I was uncertain. Suppose a student is working 45 hours a week in the grounds department cutting lawns, and he does -­ cutting the school lawn, and he earns enough money to help with his way through college. Now, I thought, under this, that he is not within this statute because it's 45 hours and not 40?

Theodore B. Olson: Oh, yes. The -- the United States -­

Justice Breyer: All right.

Theodore B. Olson: -- would take the position that it's not 45 hours.

Justice Breyer: That it's not -- okay. So -- so, what they're doing is -- it started out with the word "student" and the word "service performed" in the statute. Then, for many, many years, they have talked about the employment, how it has to be an incident to the study. And "incident" is the key word. And so now what they've done is interpret their own word "incident" as saying if it bulks too large in comparison with the -- with the studying, it's Alderson Reporting Company Official not incident to the study; it's a separate thing. And that's true whether it happens to be medical school or it happens to be lawn mowing. They can't -- they don't want it as so big in comparison to the study that it's not really part of trying to get the study. It's just too big. And they use the 40 for that.

Theodore B. Olson: Yes, they have.

Justice Breyer: All right. Now, if you're going to admit the word "incident to," if you're saying they have the right to put the word "incident to," why don't they have the right to define "incident to" in part in terms of 40 hours a week?

Theodore B. Olson: Well, because it's both arbitrary and it's irrational. If what the student is doing, what the individual is doing, what the resident is doing, is learning the craft that he needs to perform a doctor -­

Justice Sotomayor: Mr. Olson -­

Theodore B. Olson: The government is saying -- and the government is saying -­

Justice Sotomayor: -- everyone learns. Aren't you learning today -- sitting here and watching this -- maybe you're not -- your own argument, but the arguments before? Aren't we learning in every case that we're hearing? I -- I -­ Alderson Reporting Company Official

Theodore B. Olson: Oh, by the way -­

Justice Sotomayor: It's -- it's, in my mind, difficult to separate out what makes a person or stops a person from learning on a job.

Theodore B. Olson: Well, the fact is -­

Justice Sotomayor: At any job, actually.

Theodore B. Olson: -- the Justices of this Court are exempt from Social Security taxes, so -­ (Laughter.)

Chief Justice Roberts: You're not challenging that, are you, Mr. Olson? (Laughter.)

Theodore B. Olson: No, you're okay.

Justice Sotomayor: I opted in, Mr. Olson -­

Theodore B. Olson: But -- but the -­

Justice Sotomayor: -- for the very reason the residents might want to.

Theodore B. Olson: Congress -- Congress decided to provide an exemption for students. And I want to address what Justice -­

Justice Breyer: No, no, it didn't as interpreted. You see, it's not -- it's that -- I concede everything you say: It's a total learning experience, and it's a special learning experience. The problem I was having that I wanted your answer to is Alderson Reporting Company Official that they have for many, many years said: Just because it's a pure learning experience and nothing but a pure learning experience, you still can't get this exemption unless the work is incident to that experience. And by "incident" we mean it can't bulk too large -­

Theodore B. Olson: Well -­

Justice Breyer: -- in respect to the whole. So the problem for you is not that it's not education.

Theodore B. Olson: That -- that -­

Justice Breyer: It's that the work is the education.

Theodore B. Olson: That last step that you made is just like Humpty Dumpty in Lewis Carroll's "Through the Looking Glass": A word is what I say it is. It -- the work that the -- the residents do, the services they perform are all incident to the educational process. There's no dispute that the goal is the education, both from the standpoint of the university and from the standpoint of the student, that that is what is accomplished. And what -­ Justice Breyer, what they've said is because you are doing that, the -- the service is incident to the education until you do it for 40 hours. Then it's no longer incident. So someone who may be a student under the -­ Alderson Reporting Company Official under the government's interpretation is a student until they work that 40th hour a week on a regular basis; then somehow they're no longer a student.

Justice Ginsburg: Mr. Olson, there has been a concern expressed that if we accept your position that residents are students, it will have ramifications for other areas of the law, notably, the National Labor Relations Act. Suppose the residents wanted to organize and collectively bargain. If they're students, they can't do that. And let's take the Title VII and the other antidiscrimination in employment statutes. If they're not employed, if they're students rather than employees, then they wouldn't be covered by that legislation.

Theodore B. Olson: That is the fallacy that the government is making, that you have to either be a student or an employee. That argument is not correct, because in all other respects, these residents are employees. The exemption provided in 3121(b)(10) does not come into play unless you are an employee. So for all those purposes, Title VII, the Fair Labor Standards Act, and so forth -- those are other statutes that define the term in a certain way. What the -- what the code says in 3121(b)(10) -- that you are an employee, but if you are an employee of a Alderson Reporting Company Official college or a university and you are a student, which means you are enrolled in classes and regularly taking a program for the purpose of education, then you don't pay FICA taxes. It doesn't have any other implication. And the Government's position in that respect, and the argument that's made in the other briefs, is -- are classic red herrings. They distract from the real issue. You don't have to be either an employee or a student. In fact, you have to be both for this exemption to apply, and that is what is happening here. Now, again, this is -- there may be circumstances where there might be something that's close to the line and the government might say, well, you're not really a student. And the government really tried that in the Second Circuit, in the Sixth Circuit, and the Eleventh Circuit, and -- and the Seventh Circuit. And in each one of those cases, the court -­ and uniformly, all five circuits, including the Eighth Circuit -- until the government decided to change the regulation to say, essentially, residents are out -­ that's basically what they said.

Justice Breyer: I looked it up in the dictionary, and the meaning number 1 b of "incident" is: an accompanying minor occurrence or -- occurrence or Alderson Reporting Company Official condition. Minor. In other words, there's the big thing, and then there's the incident. Now, if that's the meaning, well, this says 40 is trying to get at whether it's minor or the whole -­

Theodore B. Olson: That's the same dichotomy that doesn't exist. The -- the person is a student. They're just doing it long and arduously, and they're doing it for several years so that they can be board certified as good doctors in their specialty. The idea that somehow you are a student if you do it for 39 hours, and if you do it for 41 hours -­ the programs are rigorous. They -- they have been designed by the accreditation programs to be rigorous, so that the -- a doctor will see lots of patients, do lots of clinical work, because that, according to all of the record in all of the cases, is where the education takes place. You need the classes. You need the laboratory. But you need to work with patients doing the things that we want doctors to be doing with respect to us when they are certified as a specialist in neurology or whatever it might be. So Justice Breyer, the idea that -- this is a classic definition of not only an arbitrary but a Alderson Reporting Company Official capricious and irrational regulation. It says that if -- even if you are a student, you're -- you're doing the things where you would have to be a student, and you're doing the types of things that you would make -­ make you a student, and you're doing it for the purpose that would make you for a student, but if you do it a little bit too much, you're too much of a student, and, therefore, you're not a student.

Justice Breyer: Well, that's because -­

Theodore B. Olson: It doesn't make sense.

Justice Breyer: -- of the second meaning here. It's very surprising, I found, first reading the statute in the last case, and now I'm reading the dictionary. (Laughter.)

Justice Breyer: And here what it says is -­

Justice Scalia: We don't know whether that's a step forward or backward.

Justice Breyer: It says: something arising or resulting from something else of greater or principal import. So they're trying to work out, with that word "incident," is the studying of greater or principal import? And what they're saying is, when it's 40 hours a week, this other thing, the studying, is not of Alderson Reporting Company Official greater import.

Theodore B. Olson: But that -­

Justice Breyer: Rather, it's, let's say, of equal import.

Theodore B. Olson: I submit that that makes no sense at all, because if you're -- if you're studying, and you're doing it for 39 and a half hours, you're a student, and if you do it for 40 and a half hours, all of a sudden you're not doing the same thing? You are not a student? The incident -­

Justice Breyer: If you have to draw the line -­

Theodore B. Olson: I accept the word "incident" -­

Justice Alito: Why do you accept the word "incident"? Incident is not in the statute.

Theodore B. Olson: No, it isn't. I'm saying, for purposes -­

Justice Alito: Well, why isn't the answer that the -- that the noneducational aspect of the service has to be incidental to what they're doing?

Theodore B. Olson: Well, that might be also. What we're -- what we're saying -- I don't -- I'm accepting the word "incident" for the purposes of this case, that there is no question that the work that's being done, the services that are being performed, Justice Alito, Alderson Reporting Company Official are incident to the education. They are a part of the educational process. They are subservient to the educational process. In fact, they make the educational process. If I may, Chief -- Mr. Chief Justice, may I reserve the balance of my time?

Chief Justice Roberts: Thank you, Mr. Olson. Mr. Roberts. ORAL ARGUMENT OF MATTHEW D. ROBERTS ON BEHALF OF THE RESPONDENT

Matthew D. Roberts: Mr. Chief Justice, and may it please the Court: FICA student exemption covers individuals who are predominantly students but perform incidental employment for their schools. It does not cover Petitioners' medical residents. They are full-time employees, and the Treasury Department has reasonably concluded that an employee's paid work does not make him an exempt student, even if he also learns from his job. And that's true for three reasons. First, the text of the student exemption makes clear that it's not a broad exclusion for apprenticeships and other learning jobs. Instead, it's a narrow exemption that applies only to students performing services for a Alderson Reporting Company Official school, college, or university where they're enrolled and regularly attending classes. And, second, when employees are working long hours and being paid substantial amounts, they and their employers should be helping to fund the Social Security system, and they should be earning credit towards benefits so that they and their families will have something to fall back on if they become disabled or die.

Justice Alito: If the question is whether someone is predominantly a student or an employee, why shouldn't we ask: Why are they enrolled in this program, and why is the institution enrolling them in the program? Why are residents enrolled in the program? Are they enrolled in the program to make money, or are they enrolled in the program either because it's a licensing hurdle they have to clear or they want additional education, and why is the institution hiring them? Is the institution hiring them to get the value of their services or is it hiring them for educational purposes?

Matthew D. Roberts: It's probably both, Your Honor, but it's not workable to determine student status by looking in a particular case whether the predominant Alderson Reporting Company Official motive or the motive of the employee or the employer is education. People who -­

Justice Alito: Well, in general, though. In general, why are residents -- why do medical school graduates become residents? Do they do -- are they doing that because they want to earn the 40 to $50,000 a year that they're paid, or are they doing it for some other reason?

Matthew D. Roberts: I think they're doing it for both -- for both reasons, Your Honor. But many, many individuals pursue their jobs for the primary purpose of learning, like judicial law clerks, like other apprentices. But they're not excluded -- they're not covered by this exemption.

Justice Ginsburg: Because they don't work at schools.

Matthew D. Roberts: Because they don't work at schools, colleges, and universities, and they, you know, may not be enrolled and regularly attending classes. And so the Treasury reasonably concluded that because this isn't a general exemption for apprenticeships, that they shouldn't construe it as providing a special exemption for apprentices who happen to be employed by schools, colleges, and universities. And -­

Justice Alito: What if they -- on average Alderson Reporting Company Official they were paid $10,000 a year? Would it be the same?

Matthew D. Roberts: Yes. If they would -- if their work -- I mean, here, basically, they have work, and the argument is that that work qualifies them as students. And what the -- what the Treasury Department has concluded is that it's going to treat work and study as distinct categories in deciding whether somebody is predominantly a student, and that it's not going to count the work as study even if there's some educational component to it. And that's reasonable for several reasons, as I said. First, because the statute just isn't a general provision that's designed to cover apprenticeships. And, second, because when people are primarily workers and they're working for long hours, they should be covered and participating in the FICA system. And, finally, it -- it would be very difficult to determine on a case-by-case basis what's their purpose, what the employer's purpose. You know, is this job more like study? Is this job more like work? And on that basis -- and to, on that basis, decide whether that should make them a student. So considering all of those things, the Treasury has decided to draw a bright line and say: Alderson Reporting Company Official Study is study; work is work; and if you're not a student independently of that, then your work doesn't make you a student. And the Treasury has also decided that if you're working full-time, that then you're predominantly an employee rather than predominantly a student, and you're not covered by the exemption. In addition, FICA's historical development indicates that the student exemption doesn't cover medical residents, because at the same time that Congress enacted the student exemption, it also enacted a separate exemption for medical interns, and it decided not to include residents in that exemption. And those actions would have made little sense if the student exemption had the scope asserted by Petitioners. And then, in 1965, Congress repealed the intern exemption in order to give young doctors an earlier start in building up Social Security coverage. And that repeal also wouldn't have achieved its purpose if many and most residents were covered -- were excluded from FICA under the student exemption. These -- these residents are people. They're working between 50 and 80 hours a week. They're working over a long period of time, and they're providing critical patient care with minimal supervision. Alderson Reporting Company Official

Chief Justice Roberts: What if -- what if the school said: You have to get all this clinical experience, but we're going to pay you for the first two hours of the day that you're doing that. Does that change the analysis at all? You seem to be focusing on how many hours they're working. But what if the school says: Well, look, we recognize some of this is going to school and some of this is working; so, just like the IRS, we're going to have an arbitrary rule and we're going to say you're being paid for the first two hours.

Matthew D. Roberts: Well, the rule is that the paid work doesn't count towards student status, and it wouldn't -- it doesn't count whether you're doing it for 4 hours, for 10 hours, or for 40 hours. So, in a circumstance where they're only being paid -- they're only working for paid time for a certain amount, that then that work -- you would have to look there, I -­

Chief Justice Roberts: It looks more -- if you accept their classification, it looks more like the work is incidental to their status as a student. The other way around.

Matthew D. Roberts: If you accept the classification in your hypothetical of two hours -­

Chief Justice Roberts: Yes. Alderson Reporting Company Official

Matthew D. Roberts: -- and the other eight hours? But those -- that other work wouldn't necessarily qualify as a course of study, either, Your Honor. I mean, if what they're doing is providing services but providing -­

Chief Justice Roberts: It would if they -­ and presumably, you would say it does if they don't pay them anything.

Matthew D. Roberts: No, not necessarily, Your Honor. What -- the Treasury regulations define what a class is and what a course of study is, and the -- the individuals have to be engaging in that to qualify as students and performing -- giving somebody something of value.

Justice Alito: But I thought clinical work could qualify as a course. Is that wrong?

Matthew D. Roberts: Clinical work can qualify as a course under certain circumstances. But the clinical work that medical students are doing, if you're referring to that, is of an entirely different order than the work -­

Justice Ginsburg: But it certainly can if they're a -- if they can be a student in the last year of medical school, and they -- they're doing subintern-level work. That's a clinical program where Alderson Reporting Company Official they would be categorized as students.

Matthew D. Roberts: Yes, it's clinical work, but it's -- but it's very different than the work that the residents are doing. First, there's the distinction that the residents are getting paid and that the medical students are paying tuition. But, secondly, from that the residents are providing valuable patient care. Medical students are primarily participating in the clinical activities solely in an educational capacity. And I can -- if I can describe the different things that they're doing.

Justice Alito: We now have a lot of briefs -- we now have a lot of briefs filed in this Court by -- in which a lot of the work is done by students in law school. I assume they're getting credit for that. Is that -- is that not a course?

Matthew D. Roberts: They're not getting paid for it.

Justice Alito: But is it a course? Is it not a course?

Matthew D. Roberts: It -- it might be a course, Your Honor, but they're also engaged in other classes and other activities that make them regularly enrolled, and it's part of a degree program. So it's one small -­ Alderson Reporting Company Official the clinical course is one small part of that.

Justice Alito: I understand that. I'm -­ I'm questioning why you're resisting the proposition that clinical work can constitute a course.

Matthew D. Roberts: I'm not resisting the proposition that clinical work can constitute a course. What I'm saying is that when you're -- when you're being paid to provide services, that doesn't count as a course, because the IRS has decided to treat work and study as distinct categories in -- in applying this exemption, and that that's a perfectly reasonable distinction. Nothing in the statute precludes them from doing that, and Petitioners concede that -- that it's reasonable to interpret the statute as limited to individuals that are predominantly students.

Justice Ginsburg: Mr. Roberts, do you know the answer to the question I asked Mr. Olson; that is: Are all hospitals with resident programs schools?

Matthew D. Roberts: No, Your Honor, they're not. First of all, under the IRS's regulations, the IRS defines schools, colleges, and universities to include only institutions whose primary function is the provision of formal instruction. And, second of all, if -- on J.A. 27a, in Alderson Reporting Company Official the record in this case, there's an example of residency programs that are not students. The -- one of the hospitals that -- the Hennepin County Hospital that has University of Minnesota residents also has its own residents. And just looking on page 27a, if you have the J.A., there's a question: Do the Hennepin County residents -- are they enrolled in any academic institution that you are aware? Not at the present time. So, that is an example of one, Your Honor. And that does point out an anomaly about Petitioners' interpretation of the exemption. Medical residents who work for hospitals that are operated by schools, colleges, and universities would be exempt from FICA tax, but residents who work for other hospitals wouldn't be exempt, even though their work is equally educational. That's just an illustration of the broader principle that this isn't an apprenticeship exemption, and that's why, because of that, the Treasury has taken this approach to the situation where people are learning on the job.

Justice Ginsburg: Mr. Roberts, the Petitioners' brief says twice that there's some question. Assuming that we hold that the -- the residents are subject to the FICA tax, there's some Alderson Reporting Company Official question whether, even if they had to pay the tax, whether they would be eligible to receive Social Security benefits or, I take it, credit for four quarters in full.

Matthew D. Roberts: There's no -- there's no question, Your Honor. It's always been the Social Security Administration's position that medical residents are not students exempt from the Social Security Act. The Social Security Administration stated that in a Social Security ruling as far as back as 1978, and they continue to adhere to that position. In addition, as a practical matter, the way the Social Security Administration determines whether people get coverage for a particular period under the Social Security Act is they look at the W-2's that come in, and if FICA tax has been paid, then they put them down as being covered under the Social Security Act. So as a practical matter, it works that way as well. As I said before, these workers who are working between 50 and 80 hours a week over many years for substantial salaries are precisely the kind of workers whose employers should be supporting the Social Security system and who should be earning credit towards disability and survivor benefits. And we would ask that the judgment of the court of appeals be affirmed. Alderson Reporting Company Official Thank you.

Chief Justice Roberts: Thank you, counsel. Mr. Olson, 5 minutes remaining. REBUTTAL ARGUMENT OF THEODORE B. OLSON ON BEHALF OF THE PETITIONERS

Theodore B. Olson: Thank you, Mr. Chief Justice. With respect to the question that Mr. Roberts was addressing with you, Justice Ginsburg, the record is very unclear. In the Eighth Circuit, residents may not be eligible for Social Security benefits. It's quite unclear in the other circuits. And I invite your attention -- and this is cited in the briefs -- to 20 C.F.R. 404.1028, which is a Social Security regulation. It says: "If your main purpose is pursuing a course of study rather than earning a livelihood" -- and it's unquestioned that that is what is happening here -- "we consider you to be a student, and your work is not considered employment."

Justice Ginsburg: Mr. Olson, you're not taking issue with what Mr. Roberts just said? That is, in practice the -- Social Security looks to see -- they look at the W-2, see if the FICA tax was paid, and if it was, then -- then they get credit for Social Security.

Theodore B. Olson: Well, that may be what they do, and that may be dependent upon what happens with the Alderson Reporting Company Official FICA taxes, which is going to be determined -- which has been determined in four circuits as not being payable with respect to the residents' programs. The fact is that the government has taken a position for many, many years. Talk about deference for a moment, the National Muffler factors, which we understand still to be appropriate to evaluate deference given to an IRS regulation. This is not a contemporaneous regulation. It is something that came along just a couple of years ago. It's a result-oriented regulation. It's basically saying, we lost all these cases on the facts in the court of appeals, and now we will pronounce that we will win these cases, because we know all these residents programs involve more than -­

Justice Sotomayor: We have said that agencies can clarify situations that have been litigated and positions that they've lost on.

Theodore B. Olson: Yes.

Justice Sotomayor: So, why is this any different?

Theodore B. Olson: This is very different, because it -- there's -- not because of any change in circumstances or facts. It isn't a clarification. It is a reversal. Because for all those years, the Alderson Reporting Company Official government said that we had this predominance test. If your goal is to pursue a course of study, you are a student. Now the government is saying, if your goal is to produce a course of study, but you do it for 41 hours a week, you are not a student. It is a -­

Chief Justice Roberts: Why are we talking about National Muffler? I thought the whole point of Chevron was to get away from that kind of multifactor ad hoc balancing?

Theodore B. Olson: Well, I -- this is up to the Court. The Court has never set aside National Muffler. The Court cited the National Muffler case in the Cottage Savings case, which is subsequent to Chevron. It cited Cottage Savings case in the Boeing case just a couple of years ago. You may tell me that the factors in National Muffler are no longer something that you would apply, but they're all sensible factors with respect to whether you would give deference to a regulation that pops up 65 years after the enactment of the statute, after the government has lost five cases on the facts which are directly relevant to the facts here, and it's a new regulation, and there has been no reliance.

Chief Justice Roberts: If Chevron applies, those considerations are irrelevant, right? Alderson Reporting Company Official

Theodore B. Olson: You don't need to get to the part 2, because we submit Chevron would apply and would stop you at step 1. Government -- the Congress addressed the factor at issue in this case. It said what students are: People who are regularly -- are enrolled and taking classes. To the extent that you get to the second phase, those factors seem to be appropriate to consider. If this is important, and if there is some anomaly out there, what the government should have done is turn to Congress, which enacted the regulation that described student and described what the limitations were. It had said nothing to do about a categorical limitation that if you're too much of a student, you're not a student. It is backwards. If there is some anomaly, and if the government wants to collect the funds from these programs that it has really never collected them from before, then it should turn to Congress. There has been no reliance and -- well, the intern -- the intern anomaly, one of the court of appeals that -- the court of appeals that considered that said it relies completely on non sequiturs. It relies for the interpretation of one statute with the repeal of another statute 45 years ago and draws Alderson Reporting Company Official inference from the legislative history with respect to that which -- the repeal took place 1 year after the St. Luke's case. The St. Luke's case, the Sixth Circuit decided that interns were not residents, residents were not interns.

Chief Justice Roberts: Thank you, counsel.

Theodore B. Olson: Thank you, Your Honor.

Chief Justice Roberts: The case is submitted. (Whereupon, at 11:46 a.m., the case in the above-entitled matter was submitted.) 13 15 17 19 21 23 25 Alderson Reporting Company OOffffiicciiaall Page 40 A Alito 23:14,18,25 arising 22:19 10:4 21:9 9:10 above-entitled1:12 25:10 26:3,25 aside 37:12 Boeing 37:15 certified9:22 10:4 39:11 30:15 31:13,20 asked32:18 Breyer15:4,14,17 21:9,22 absolutely 12:2 32:2 aspect 23:19 16:8 17:21 18:7,10 cetera 10:17 academic 33:7 amount 8:1,5 29:17 asserted28:14 18:21 20:23 21:24 challenged9:8 accept 19:5 23:13 amounts 25:4 assigned12:15 22:9,11,16,19 23:3 challenging 9:6 23:14 29:20,23 analysis 29:5 Assistant 1:18 23:11 17:11 accepting 23:22 anomaly 33:11 assume 6:23 8:16 brief 33:23 change 20:20 29:5 accompanying 38:10,16,21 12:19 31:16 briefs 6:12 9:2 20:7 36:23 20:25 answer5:21 15:5 Assuming 33:24 31:14,14 35:13 Chevron 37:9,14,24 accomplished18:20 17:25 23:18 32:18 attending 3:13 4:14 bright 27:25 38:2 accreditation 3:24 antidiscrimination 5:8,18,22 6:2,21 broad6:1 24:23 Chief 3:3,9 13:12,22 4:1 21:14 19:12 7:14 8:21 10:12 broader33:17 14:23 17:10 24:5,5 accredited3:15,24 anybody 14:4 25:2 26:19 building 28:17 24:7,12 29:1,19,25 5:1 appeals 14:7 34:25 attention 35:12 bulk 18:5 30:6 35:2,6 37:7 ACGME5:1 36:13 38:22,22 average 26:25 bulks 15:24 37:24 39:6,8 APPEARANCES aware 4:25 5:4,4 Circuit 20:16,16,17 achieve 5:14 9:9,10 C 1:15 33:8 20:18,20 35:9 39:3 9:14 11:8 applied8:14 a.m 1:14 3:2 39:10 C 2:1 3:1 circuits 20:19 35:11 achieved28:18 applies 24:25 37:24 capacity 31:10 36:2 Act 19:8,22 34:9,15 apply 7:20 12:9 B capricious 22:1 circumstance 9:18 34:17 20:11 37:17 38:2 b 1:16 2:3,9 3:7 care 7:15 28:24 31:8 29:16 action 8:23 applying 32:10 20:24 35:4 Carroll's 18:13 circumstances 5:11 actions 28:13 apprentice 13:25 back 13:22,23 25:8 case 3:4 4:3 6:5 8:23 9:24 20:13 30:18 activities 31:10,24 apprentices 26:13 34:10 8:25 9:7 12:3,25 36:24 activity 14:21 26:23 backward 22:18 13:7,13,15 16:24 cited35:12 37:13,14 ad 37:9 apprenticeship backwards 38:15 22:13 23:23 25:25 clarification 36:24 addition 28:7 34:12 33:18 balance 24:6 33:1 37:13,14,15 clarify 36:17 additional 25:19 apprenticeships balancing 37:10 37:15 38:4 39:3,3 class 5:9 30:11 address 17:20 24:23 26:21 27:14 bargain 19:9 39:8,10 classes 3:13,16 4:14 addressed38:4 approach33:20 based8:23 14:17 cases 4:23 9:18 10:3 5:8,12 6:13,21,24 addressing 35:8 appropriate 36:7 basically 13:24 11:7 14:21 20:18 6:24 7:1 8:21 adhere 34:11 38:8 20:22 27:3 36:11 21:17 36:12,14 10:13 20:2 21:19 administration approximately 4:10 basis 19:2 27:19,22 37:21 25:2 26:19 31:23 12:16 34:9,13 arbitrary 16:14 27:22 case-by-case 27:19 38:6 Administration's 21:25 29:10 beginning 8:4,11 categorical 14:2,9 classic 20:7 21:25 34:7 architect 10:6,9 behalf 1:16,20 2:4,7 14:24 38:13 classification 29:20 admit 14:9 16:9 arduously 21:8 2:10 3:8 24:11 categories 12:23 29:24 adopt 14:22 areas 19:7 35:5 27:7 32:10 clear 9:17 14:8 advance 11:19 argument 1:13 2:2,5 benefits 25:7 34:3 categorized31:1 24:22 25:18 affirmed34:25 2:8 3:3,7 16:23 34:24 35:11 certain 19:23 29:17 clerical 12:16 agencies 36:17 19:17 20:6 24:10 big 16:4,6 21:1 30:18 clerks 26:12 ago 36:10 37:16 27:4 35:4 bit 22:7 certainly 4:3 30:22 clinical 3:18 5:9 9:11 38:25 arguments 16:24 board 5:14 9:10,22 certification 5:14 21:16 29:2 30:15 AL 1:4 AAllddeerrssoonn RReeppoorrttiinngg CCoommppaannyy Official Page 41 30:17,18,25 31:2,9 36:9 D 1:18 2:6 3:1 24:10 disability 34:24 Eighth20:19 35:9 32:1,4,6 continue 34:11 day 8:11 13:17 29:4 disabled25:8 either6:23 19:16 close 12:24 20:14 core 3:15 daytime 15:3 discussed4:23 20:9 25:17 30:3 code 13:14 19:24 correct 19:17 decide 27:23 dispute 18:17 Eleventh 20:17 collect 38:16 Cottage 37:13,15 decided10:10 17:18 distinct 10:19 27:7 eligible 34:2 35:10 collected38:18 Council 3:24 20:20 27:25 28:3 32:10 employ 3:21 collectively 19:9 counsel 6:13,23,25 28:11 32:9 39:4 distinction 31:5 employed19:13 college 5:3 10:12,21 8:16,20 9:4 35:2 deciding 27:7 32:12 26:23 15:9 20:1 25:1 39:6 defer13:20 distract 20:7 employee 7:20,24 colleges 4:24 26:18 counsel's 8:17 deference 6:9 36:5 doctor 16:17 21:15 12:8 14:1 19:17,20 26:24 32:22 33:14 count 27:9 29:13,14 36:7 37:19 doctors 5:13 9:15,19 19:25,25 20:9 come 13:6 19:20 32:8 define 16:11 19:23 21:10,21 28:16 25:11 26:1 28:5 34:15 County 33:3,6 30:10 doing 5:19 15:2,18 employees 19:13,19 coming 13:16 couple 36:10 37:15 defines 32:22 16:15,15,16 18:22 24:18 25:3 comments 6:3 course 5:21 8:12 definition4:2 21:25 21:8,8,20,21 22:2 employee's 24:19 common7:9,10,12 11:8 30:3,11,16,18 definitions 5:8 22:4,5 23:7,9,20 employer26:1 comparison15:25 31:17,20,21,22 degree 31:25 26:6,7,9 29:4,14 employers 25:5 16:4 32:1,4,6,9 35:15 department 1:19 30:4,19,24 31:4,12 34:22 completely 38:23 37:2,5 7:17,19 11:13 15:7 32:14 employer's 27:20 component 27:10 court 1:1,13 3:10 8:7 24:18 27:5 draw6:5,8 14:1,3 employment 15:21 concede 17:23 14:7 17:7 20:18 Department's 6:7 23:11 27:25 19:12 24:16 35:18 32:14 24:13 31:15 34:25 dependent 35:25 draws 38:25 enacted28:10,10 concern 19:5 36:12 37:12,12,13 describe 31:11 Dumpty 18:13 38:11 concluded8:8 24:19 38:21,22 described12:24 D.C 1:9,16,19 enactment 37:20 26:20 27:6 courts 6:17 7:7 9:25 38:12,12 encountered8:13 E conclusion 7:11,13 13:16 14:7,11 describing 11:22 engaged31:23 condition21:1 cover10:10 24:16 designed21:14 E 2:1 3:1,1 engaging 30:12 conducted4:16 27:13 28:8 27:13 earlier28:17 enormous 10:4 conferences 3:16 coverage 28:17 determine 25:24 earn 13:9 26:6 enrolled3:12,14 Congress 3:11 4:12 34:14 27:19 earning 25:6 34:23 4:14 5:7 6:21,25 4:12 6:18 10:10 covered10:13 12:19 determined36:1,2 35:15 10:11 20:2 25:1,12 17:18,18 28:10,15 15:1 19:14 26:14 determines 34:13 earnings 12:20 25:15,16,17 26:19 38:3,11,19 27:16 28:6,19 development 28:7 earns 15:8 31:24 33:7 38:6 consider35:17 38:8 34:17 dichotomy 21:6 educate 5:13 enrolling 25:13 considerations covers 24:14 dictionary 20:24 education 1:4 3:5,25 entire 4:21 5:17 37:25 craft 16:16 22:14 11:2,5,20 13:3,8,9 entirely 30:20 considered6:17 7:7 credit 25:6 31:16 die 25:9 18:8,11,18,23 20:3 equal 23:4 8:8 10:1 14:8 34:3,23 35:23 difference 13:18 21:17 24:1 25:19 equally 33:16 35:18 38:22 critical 28:24 different 8:23 13:15 26:2 escape 4:10 considering 27:24 curriculum 3:15,16 13:16,16 30:20 educational 5:11 ESQ 1:16,18 2:3,6,9 constitute 32:4,6 cutting 15:7,8 31:3,11 36:21,22 18:17 24:2,3,3 essentially 20:21 construe 26:22 C.F.R 35:13 differently 13:7 25:21 27:9 31:10 et 1:4 10:17 construed11:6 difficult 17:3 27:19 33:17 evaluate 36:7 contemporaneous D directly 37:22 eight 30:1 examined9:25 Alderson Reporting Company Official Page 42 example 6:11 33:1 far 34:10 give 4:15 11:20 help 15:9 important 13:14 33:10 FICA 4:9 12:21 20:4 28:16 37:19 helping 12:16 25:5 38:9 examples 12:23,25 24:14 27:16 28:20 given36:8 Hennepin 33:3,6 imposes 7:6 13:4 33:14,25 34:16 gives 13:5 herrings 20:7 incident 15:22,22,24 exams 3:17 35:22 36:1 giving 30:13 hesitating 4:20 16:1,9,10,11 18:4 excluded9:5 26:13 FICA's 28:7 Glass 18:14 higher9:14 18:5,16,22,24 28:19 filed31:14 go 9:14 13:22,23 hiring 25:19,20,21 20:24 21:2 22:23 exclusion 14:9 finally 27:18 goal 13:8,10 18:17 historical 28:7 23:10,13,15,15,23 24:23 first 7:19 8:22 22:12 37:2,4 history 39:1 24:1 exempt 17:8 24:20 24:21 27:12 29:3 goals 14:19 hoc 37:10 incidental 23:20 33:14,16 34:8 29:11 31:5 32:21 going 6:23 10:2,16 hold 33:24 24:15 29:21 exempted3:11 fit 4:1,2 10:21 11:11 14:4,4,22 15:1 Honor25:24 26:10 include 28:12 32:22 exemption 4:12 6:19 five 14:7,11 20:19 16:9 27:6,8 29:3,8 30:3,10 31:23 including 20:19 7:4 10:10 12:9 37:21 29:10,10 36:1 32:20 33:10 34:6 increase 6:13 13:4 15:2 17:19 floated6:12 good 21:10 39:7 independent 10:23 18:3 19:19 20:11 focusing 13:13 29:6 government 8:1,2 horribles 9:1 12:1 24:14,22,24 26:14 formal 3:15 32:24 9:2,7 13:1,5 14:15 hospital 5:10,15 independently 28:2 26:21,23 28:6,8,10 forth6:3 13:23 14:17 16:19,20 9:10,19 12:4 33:3 indicates 28:8 28:11,12,14,16,20 19:22 19:16 20:14,15,20 hospitals 32:19 33:3 individual 16:15 32:11 33:12,18 forward 22:18 36:4 37:1,4,21 33:13,15 individuals 5:6 9:9 exist 21:7 found 6:17 22:12 38:3,10,16 hour 19:2 24:14 26:11 30:12 experience 5:9 9:11 Foundation1:3 3:4 government's 12:22 hours 5:17 6:24,25 32:16 17:24,24 18:2,3,4 four 34:3 36:2 19:1 20:5 7:14 15:6,11,16 inference 39:1 29:3 full 34:4 grades 3:17 16:12 18:23 21:12 institution 25:13,19 expressed19:5 full-time 24:17 28:4 Graduate 3:25 21:12 22:24 23:7,8 25:20 33:8 expressly 3:11 function32:23 graduates 26:5 25:4 27:15 28:22 institutions 3:21 4:4 extent 38:7 fund 25:5 greater22:20,23 29:4,6,11,15,15 4:18 32:23 funds 38:17 23:1 29:15,24 30:1 instruction 32:24 F ground 8:24 34:20 37:6 intensive 3:18 fact 7:8,25 8:7 11:7 G grounds 15:7 Humpty 18:13 intents 10:1 17:5 20:10 24:3 G 3:1 guessed13:6 hundreds 3:16 intern 28:16 38:21 36:4 general 1:19 6:12 hurdle 25:18 38:21 factor 38:4 6:22,25 8:16,17,20 H hypothetical 29:24 Internal 7:5 11:6 factors 36:6 37:16 9:4 26:3,4,21 half 23:7,8 hypotheticals 13:23 interns 28:11 39:4,5 37:18 38:8 27:13 halls 5:10 interpret 15:23 facts 8:24 36:12,24 getting 12:6 31:6,16 hands-on3:18 I 32:15 37:21,22 31:18 happen26:23 idea 21:11,24 interpretation13:20 faculty 3:19 Ginsburg 3:20 4:6 happening 20:11 identification6:8 19:1 33:12 38:24 Fair19:22 4:15,21 10:15 35:17 illustration33:17 interpreted17:22 fall 13:3 25:8 11:10,15 12:13 happens 16:2,3 immaterial 8:2 invite 35:12 fallacy 19:15 19:4 26:15 30:22 35:25 impediment 10:4 involve 3:25 5:2 falls 12:24 32:17 33:22 35:8 hard 13:18 implication 20:4 36:15 familiar13:25 35:19 hear 3:3 11:14 import 22:21,24 involved4:23 5:11 families 25:7 Ginsburg's 15:5 hearing 16:25 23:1,4 9:7 Alderson Reporting Company Official Page 43 involves 4:25 12:10 14:6 22:17 livelihood 35:16 17:3 Oh 15:12 17:1 irrational 16:14 22:1 26:18 27:20 32:17 living 13:9 minimal 28:24 okay 11:22 15:17 irrelevant 37:25 36:14 long 21:8 25:3 27:15 Minnesota 33:4 17:13 IRS 8:3 14:5 29:9 knowledge 6:14 28:23 minor20:25 21:1,4 old 11:9 32:9,21 36:8 longer18:24 19:3 minutes 35:3 Olson 1:16 2:3,9 3:6 L IRS's 32:21 37:17 modern 10:2 3:7,9,20,22 4:11 issue 4:3 6:7 20:8 Labor19:7,22 long-term 9:14 moment 5:23 36:6 4:20 5:16,20 6:10 35:20 38:4 laboratories 12:6 look 6:4 10:18 29:8 Monday 1:10 6:16 7:2,5,18,25 laboratory 3:17 29:18 34:15 35:22 money 11:20,23 8:18,22 9:16,23 J 21:20 looked20:23 13:11 15:8 25:16 10:8,15 11:4,14 job17:4,6 24:20 language 10:21 14:8 looking 5:19 12:4 motive 26:1,1 12:2,22 13:13,21 27:21,21 33:21 large 15:25 18:5 18:14 25:25 33:5 mowing 16:3 14:6,14,17 15:12 jobs 24:24 26:11 Laughter17:9,12 looks 6:2 13:18 Muffler36:6 37:8 15:15 16:7,13,18 judgment 4:11 34:25 22:15 29:19,20 35:21 37:12,13,17 16:19 17:1,5,7,11 judicial 26:12 law7:8 19:7 26:12 lost 11:7 14:17,21 multifactor 37:9 17:13,14,15,18 Justice 1:19 3:3,9 31:16 36:12,18 37:21 18:6,9,12 19:4,15 3:20 4:6,15,21 lawn 15:8 16:3 lot 31:13,14,15 N 21:6 22:10 23:2,5 5:16 6:4,11,22 7:3 lawns 15:7 lots 21:15,16 N 2:1,1 3:1 23:13,16,21 24:8 7:12,22 8:15,19 lawyer8:17 Luke's 39:3,3 narrow9:18 24:24 32:18 35:3,4,6,19 9:13,21 10:5,15 lead 7:10,13 National 19:7 36:6 35:24 36:19,22 11:10,15 12:13 learning 16:16,22 M 37:8,12,13,16 37:11 38:1 39:7 13:12,22 14:11,16 16:24 17:4,23,24 main 35:14 nature 5:5 14:20 operated33:13 14:23 15:4,5,14,17 18:2,3 24:24 26:12 majority 10:3 necessarily 11:19 opinions 14:12 16:8,18,21 17:2,6 33:20 making 19:16 30:2,9 opted17:14 17:10,14,16,20,21 learns 16:21 24:20 matter1:12 34:12 need9:10 21:19,19 oral 1:12 2:2,5 3:7 18:7,10,21 19:4 lecture 5:10 34:18 39:11 21:20 38:1 24:10 20:23 21:24 22:9 lectures 3:17 12:5 MATTHEW 1:18 needs 16:16 order12:9 28:16 22:11,16,17,19 left-handed15:1 2:6 24:10 neurology 21:23 30:20 23:3,11,14,18,25 legislation 19:14 Mayo 1:3 3:4 never37:12 38:17 organize 19:8 24:5,7,12 25:10 legislative 39:1 mean 9:3 18:5 27:3 new14:13 37:22 ought 14:5 26:3,15,25 29:1,19 let's 6:11,23 19:11 30:4 night 8:21 outside 12:12 29:25 30:6,15,22 23:3 meaning 20:24 21:3 non 38:23 owe 6:9 31:13,20 32:2,17 Lewis 18:13 22:11 noneducational 33:22 35:2,6,8,19 licensing 25:18 means 20:2 23:19 P 36:16,20 37:7,24 limitation 38:14 medical 1:3 3:4,13 notably 19:7 P 3:1 39:6,8 limitations 6:20 3:25 10:7,7 16:2 November1:10 page 2:2 33:5 Justices 17:7 38:12 24:17 26:4 28:9,11 number20:24 paid 3:12 12:6,11 J.A 32:25 33:6 limited32:15 30:19,24 31:6,8 24:19 25:4 26:7 O line 6:5,8 14:1,3,4 33:12 34:7 27:1 29:11,13,16 K 20:14 23:12 27:25 members 3:19 O 2:1 3:1 29:17 31:6,18 32:8 keep 13:12 listening 12:5 mentioned14:23 objective 14:20 34:16 35:22 key 15:22 litigated36:17 mentions 9:2 occurrence 20:25 parade 9:1 kind 34:21 37:9 litigation 13:15 military 9:24 20:25 part 5:21 7:3 10:22 know3:22,22 4:21 little 9:16 22:7 28:13 mind 11:16 12:11,13 office 8:17 12:6 16:5,12 24:1 Alderson Reporting Company Official Page 44 31:25 32:1 38:2 20:5 34:7,11 36:5 provide 13:11 17:19 reason 4:20 17:16 9:6 participating 27:16 positions 36:18 32:8 26:8 research 1:4 3:5,17 31:9 practical 34:12,18 provided6:19,20 reasonable 27:11 reserve 24:6 particular25:25 practice 35:21 19:19 32:11,15 residency 4:25 5:25 34:14 precisely 34:21 providing 26:22 reasonably 24:18 33:1 parts 5:20 precludes 32:13 28:24 30:4,5 31:8 26:20 resident 3:23 4:16 patient 3:18 28:24 predominance 7:6 provision 6:18 7:20 reasons 24:21 26:10 4:17 5:1 16:15 31:8 37:1 7:21 10:16 11:6 27:11 32:19 patients 7:15 12:5 predominancy 9:6 27:13 32:24 REBUTTAL 2:8 residents 3:13,21 21:15,20 predominant 9:5 pure 18:2,2 35:4 4:8,9,22 5:7,16 8:9 pay 9:14 20:3 29:3 25:25 purpose 5:13 11:5,8 receive 34:2 8:25 10:6,7 14:9 30:7 34:1 predominantly 13:7 14:20 20:3 receiving 5:10 7:23 17:17 18:15 19:6,8 payable 36:2 24:15 25:11 27:8 22:5 26:11 27:20 11:5 19:18 20:21 24:17 paying 31:7 28:5,5 32:16 27:20 28:18 35:14 recognize 29:8 25:15 26:4,5 28:9 people 26:2 27:14 present 33:8 purposes 10:1 19:21 record 9:17,25 28:12,19,21 31:4,6 28:21 33:20 34:14 president 9:4 23:17,23 25:22 21:17 33:1 35:9 31:8 33:4,5,7,12 38:5 presumably 30:7 pursue 11:8 26:11 red20:7 33:15,25 34:8 percent 9:22 pretty 13:18 37:2 refer13:19 35:10 36:3,14 39:4 perfectly 32:11 primarily 27:15 31:9 pursuing 3:14 35:15 referring 30:20 39:4 perform 11:1 16:16 primary 26:11 32:23 put 13:17 16:10 refund 8:23 resisting 32:3,5 18:16 24:15 principal 22:20,23 34:16 regular 19:2 respect 4:12 7:6 performed10:17 principle 33:18 regularly 3:13 4:14 8:25 18:7 20:6 Q 11:4 15:19 23:25 privileges 5:15 9:11 5:8 6:21,25 10:12 21:21 35:7 36:3 performing 12:4 9:20 qualifies 27:4 20:2 25:2 26:19 37:18 39:1 24:25 30:13 probably 4:1,2 qualify 4:18 30:3,12 31:24 38:5 respects 19:18 period 28:23 34:14 25:23 30:16,17 regulation 11:9 Respondent 1:20 person 17:3,4 21:7 problem17:25 18:8 quarters 34:4 14:13,22 20:21 2:7 24:11 person's 11:19 process 18:17 24:2 question 5:21 7:8,8 22:1 35:14 36:8,9 resulting 22:20 Petitioners 1:5,17 24:3,4 8:8 15:5 23:24 36:11 37:19,23 result-oriented 2:4,10 3:8,14 produce 37:5 25:10 32:18 33:6 38:11 36:11 24:17 28:14 32:14 professor 9:3 33:24 34:1,6 35:7 regulations 8:3 Revenue 7:5 11:6 33:11,23 35:5 program3:23 4:1,22 questioning 32:3 14:18 30:10 32:21 reversal 36:25 phase 38:8 4:22,25 5:25 10:20 quite 35:11 Relations 19:8 review8:11 philosophy 11:12 11:17 12:14,20 quote 4:8 relevant 4:7 37:22 reviewed8:20 physician 5:18,22 20:3 25:13,14,15 reliance 37:23 38:20 right 8:4 14:14 R 6:2 7:15 25:16,17 30:25 relies 38:23,24 15:14 16:8,10,11 R 3:1 physicians 9:22 10:2 31:25 remaining 35:3 37:25 ramifications 19:6 place 4:2,18 5:2 programs 4:16,17 remuneration 8:1,5 rigorous 3:15 21:13 read 10:15,24 11:16 8:22 21:18 39:2 5:1,7,13 14:10 rendered14:12 21:14 reading 22:12,13 play 19:20 21:13,14 32:19 repeal 28:18 38:25 Roberts 1:18 2:6 3:3 real 20:8 please 3:10 24:13 33:2 36:3,15 38:17 39:2 13:12,22 17:10 reality 4:16 point 33:11 37:8 promulgated14:19 repealed28:15 24:7,9,10,12 25:23 really 7:9,16 16:5 pops 37:19 pronounce 36:13 represent 4:5 26:9,17 27:2 29:1 20:15,15 38:17 position 15:15 19:5 proposition 32:3,6 requirement 7:6 9:5 29:12,19,23,25 Alderson Reporting Company Official Page 45 30:1,6,9,17 31:2 sense 6:1 7:9,13 5:16 6:4,11,22 7:3 16:14 18:19,25 Suppose 15:6 19:8 31:18,22 32:5,17 13:19 14:2 22:10 7:12,22 8:15,19 19:1,3,17 20:1,10 Supreme 1:1,13 32:20 33:22 34:5 23:6 28:13 9:13,21 10:5 14:11 20:15 21:7,11 22:2 14:7 35:2,8,20 37:7,24 sensible 37:18 14:16 16:18,21 22:3,5,6,7,8 23:8 surprising 22:12 39:6,8 separate 11:18 16:1 17:2,6,14,16 36:16 23:10 24:14,20,22 survivor 34:24 rooms 5:10 12:4 17:3 28:11 36:20 25:11,24 27:8,23 system25:6 27:17 rule 29:10,12 sequiturs 38:23 special 17:24 26:22 28:2,3,6,8,10,13 34:23 rules 13:16 service 7:6 10:17,18 specialist 21:22 28:20 29:13,21 T ruling 34:10 11:3,6,24 12:1,3 specialty 21:10 30:23 35:17 37:3,6 13:2,8,8 15:19 specifically 4:13 38:12,14,15 T 2:1,1 S 18:22 23:20 speech 11:12 students 4:13 6:19 take 4:18 5:2 10:20 S 2:1 3:1 services 10:25 11:1 spoken6:18 7:10 12:3,4 17:19 15:15 19:11 34:3 salaries 34:21 11:4 12:17 18:16 St 39:3,3 19:6,9,13 24:15,25 taken33:19 36:4 Savings 37:14,15 23:25 24:25 25:21 standards 8:14 27:5 30:13,19 31:1 takes 6:13 21:18 saying 7:17,19 30:4 32:8 19:22 31:6,9,16 32:16 Talk 36:5 10:18 14:25 15:24 Service's 13:20 standing 5:18,23 33:2 34:8 38:5 talked15:21 16:9,19,20 22:24 set 37:12 8:10 student's 10:19 talking 37:7 23:16,22 32:7 Seventh 20:17 standpoint 18:18,19 studied10:9 tax 4:9,10 13:14 36:11 37:4 shoulder5:18,23 start 28:17 studies 11:9 33:15,25 34:1,16 says 8:2,3 10:11 8:10 started15:18 study 15:22 16:1,4,5 35:22 19:24 21:3 22:1,16 side 7:15 stated34:9 27:6,9,21 28:1,1 taxes 3:12 17:8 20:4 22:19 29:7 33:23 significance 8:5 States 1:1,7,13 3:5 30:3,11 32:10 36:1 35:14 10:24 15:13 35:15 37:2,5 tee 10:21 SCALIA 22:17 signs 12:14 status 10:18,19 studying 6:6,15 tell 13:18 37:16 school 5:2 10:9,11 simply 13:19 11:18,22,25 12:17 11:11,17 15:25 term 10:24 19:23 12:12 15:8 16:2 sitting 16:22 25:24 29:13,21 22:23,25 23:6 terms 16:12 25:1 26:4 29:2,7,8 situation 8:24 12:23 statute 10:16 14:18 subintern-level test 37:1 30:24 31:16 13:25 33:20 15:10,20 22:13 30:25 text 10:24 24:22 schools 3:14,21 4:3 situations 8:13 23:15 27:12 32:13 subject 4:9 6:19 Thank 24:7 35:1,2,6 4:8,17,19,24 24:16 36:17 32:15 37:20 38:24 12:21 33:25 39:6,7 26:16,18,24 32:19 Sixth 20:16 39:3 38:25 submit 23:5 38:2 THEODORE 1:16 32:22 33:13 small 31:25 32:1 statutes 19:12,23 submitted39:9,11 2:3,9 3:7 35:4 scope 28:14 Social 3:11 17:8 statutory 6:18 subsequent 37:14 thing 12:17 16:1 second 5:21 20:16 25:5 28:17 34:2,6 step18:12 22:18 subservient 24:2 21:2 22:25 23:9 22:11 25:3 27:14 34:8,9,10,13,15 38:3 substantial 25:4 things 12:16 13:14 32:25 38:7 34:17,22 35:10,13 stop 38:3 34:21 21:21 22:3,4 27:24 secondly 31:7 35:21,23 stops 17:4 sudden23:9 31:11 Security 3:12 17:8 solely 31:10 student 3:12 6:6,14 supervised5:17,24 think 7:22 13:1,4,14 25:5 28:17 34:3,7 Solicitor 1:18 7:9,16 10:11,17,18 8:10,19 26:9 34:9,9,10,13,15 somebody 14:3 27:7 10:22,22,24,25 supervising 5:22 thought 11:21,21 34:17,23 35:10,14 30:13 11:1,2,11,17,18 supervision 3:19 6:1 15:9 30:15 37:8 35:21,23 someone's 8:10 11:20,22,22,25 8:9 28:25 three 6:23 24:21 see 17:22 21:15 sort 12:24 13:24 12:14,17,20 13:2 supporting 34:22 tied4:13 35:21,22 SOTOMAYOR 14:1 15:2,6,19 supports 13:24 time 5:24 10:22 24:6 Alderson Reporting Company Official Page 46 28:9,23 29:17 33:9 unreasonable 6:8 11:18 12:15 18:4 young 28:16 5 35:3 Title 19:11,21 unrelated13:3 18:10,15 19:2 50 28:22 34:20 $ today 16:22 unseemly 4:7 21:16,20 22:22 total 17:23 unsupervised7:14 23:24 24:19 26:15 $10,000 27:1 6 training 3:18 4:10 use 6:11 16:6 26:17 27:3,3,4,6,9 $50,000 7:23 26:6 6 6:24,24 Treasury 6:7 7:16 27:22 28:1,1,2 $60,000 7:23 65 37:20 V 7:18 24:18 26:20 29:13,18,21 30:2 8 27:5,25 28:3 30:10 v 1:6 3:5 30:15,17,19,21,25 09-837 1:6 3:4 8 1:10 33:19 valuable 31:8 31:2,3,15 32:4,6,9 5:17 28:22 34:20 treat 27:6 32:9 value 25:20 30:14 33:13,15,16 35:18 treating 10:3 various 4:23 5:8 workable 25:24 20:24 38:3 39:2 tried20:16 6:16 9:25 12:23 worker6:6,15 29:15 true 12:3 16:2 24:21 vast 10:3 workers 27:15 11:02 1:14 3:2 try 14:1 VII 19:11,21 34:19,22 11:46 39:10 trying 16:5 21:4 virtue 14:23 working 4:8 6:6,14 9:21 22:22 6:24 7:14 8:17 W 1965 28:15 tuition31:7 10:6,22 11:12,23 1978 34:10 wages 3:12 turn 38:11,18 12:5 15:6 25:3 want 9:13 16:4 twice 33:23 27:15 28:4,22,23 2 17:17,19 21:21 two 5:20 29:3,11,24 29:7,9,17 34:20 2 38:2 25:18 26:6 types 22:4 works 34:18 20 35:13 wanted17:25 19:8 typical 10:20 12:14 work's 8:20 2010 1:10 wants 38:16 work/study 10:20 24 2:7 U Washington 1:9,16 11:11,17 12:14,15 27a 32:25 33:5 1:19 uncertain 15:6 12:20 watching 16:22 unclear 35:9,11 world 10:2 3 way 14:2,3 15:9 17:1 understand 3:23 wouldn't 7:12 11:10 3 2:4 19:23 29:22 34:12 32:2 36:7 11:10 19:14 28:18 3121(b)(10) 19:19 34:18 understanding 7:10 29:14 30:2 33:15 19:24 week 6:24 15:6 understood 9:21 written3:17 35 2:10 16:12 19:2 22:25 undisputed5:6,12 wrong 30:16 39 21:12 23:7 28:22 34:20 37:6 5:12 W-2 35:22 uniformly 20:19 We'll 3:3 W-2's 34:15 4 United1:1,7,13 3:5 we're 9:6 14:6,22 4 29:15 15:12 16:25 23:22,22 X 40 5:17 6:25 7:14 universe 4:21 29:3,9,10 x 1:2,8 15:11 16:6,12 universities 4:24 win 36:13 18:23 21:4 22:24 10:6 13:10 26:18 word 5:9 7:10 11:14 Y 23:8 26:6 29:15 26:24 32:22 33:14 15:19,19,22,24 year 7:23 26:7 27:1 40th 19:2 university 5:3 6:13 16:9,10 18:14 30:23 39:2 404.1028 35:13 8:16 9:3 10:12 22:23 23:13,14,23 years 8:4 15:20 18:1 41 21:12 37:6 18:19 20:1 25:1 words 11:16 14:18 21:9 34:20 36:5,10 45 15:6,11,16 38:25 33:4 21:1 36:25 37:16,20 unquestioned35:16 work 5:25 9:15,19 38:25 5 Alderson Reporting Company