1 No. 83
Consumers Union of U.S., Inc.,
et al.,
Appellants-Respondents, v. The State of New York, Empire
Healthchoice, Inc., &c., et al.,
Respondents-Appellants,
The Charitable Asset Fund,
Appellant,
et al.,
Respondents.
2005 NY Int. 106
June 20, 2005
This opinion is uncorrected and subject to revision before
publication in the New York Reports.
Mark Scherzer, for appellants-respondents. Steven Alan Reiss, for respondent-appellant Empire
HealthChoice, Inc. Robert Easton, for State respondents-appellants. Steven E. Obus, for appellant Charitable Asset Fund.
READ, J.:
The issue in these appeals is whether plaintiffs have
stated a viable cause of action to challenge the legislation
authorizing the conversion of defendant Empire HealthChoice,
Inc., d/b/a Empire Blue Cross and Blue Shield (Empire) from a
not-for-profit to a for-profit corporation, and directing that
certain of Empire's assets be used for various public health and
charitable purposes. For the reasons that follow, we conclude
that plaintiffs' allegations are legally insufficient to support
any cognizable cause of action. I. Empire's Origins and EvolutionEmpire began as the Associated Hospital Services (AHS),
a membership corporation[1]
formed in 1934 to provide workers with
affordable hospital care. AHS was an outgrowth of "the
Depression and one especially disturbing consequence of it:
voluntary hospitals stood on the edge of bankruptcy because they
lacked revenues to stay in business while (the cause of their
problems) millions of citizens went without hospital and other
needed care because they lacked the money to pay for it" (Brown,
"Capture and Culture: Organizational Identity in New York Blue
Cross," 16 J Health Pol, Pol'y & Law 651, 653 [Winter 1991]).[2]AHS's "key organizational task" when founded was to
"build[] a financing linkage between people who needed care and
hospitals that needed revenue" ( id. at 655). AHS did this by
offering pre-paid "hospital service plans," which channeled
revenue to the hospitals and made affordable hospital care
available to workers. For a monthly fee, AHS contracted with
subscribers for up to 21 days of hospital care a year. AHS
"work[ed] closely with the hospitals, paying them directly
instead of indemnifying patients whom the hospitals then billed.
[AHS] was, and was intended to be, the hospitals' exchequer,
their financial alter ego" ( id.). Hospital service plans were not unique to New York. As
they spread throughout the nation, "[a] number of state
departments of insurance ruled that hospital service contracts,
even if issued by one hospital, were a form of insurance and that
hospital service policies could be issued only by stock and
mutual insurance companies which met the established requirements
as to capital stock, reserves, and assessments" (Rorem, "Enabling
Legislation for Non-Profit Hospital Service Plans," 6 Law &
Contemp Probs 528, 529 [1939]). This issue "came to a head" in
New York in 1933, when the Superintendent of Insurance "advised
that such a function, although desirable, could be performed only
by a stock or mutual company. New York civic leaders, hospital
administrators and trustees, and physicians cooperated in
drafting and sponsoring an enabling act" ( id. at 529-530; see L
1934, ch 595; see also Note, "Group Health Plans: Some Legal and
Economic Aspects," 53 Yale L J 162, 173-174 [1943] [discussing
legislation adopting statutory controls adapted to group health
plans]). The result was article 14 of the Insurance Law. In
1939, the Legislature recodified the Insurance Law and replaced
article 14 with article IX-C, which addressed non-profit medical
indemnity corporations as well as hospital service corporations
(L 1939, ch 882). These corporations were exempt from state and
local taxes and were subject to tailored requirements. Article
43 of the present-day Insurance Law, which governs non-profit
health plans, derives from articles 14 and IX-C. At the urging of its member hospitals, AHS became the
intermediary for Medicare Part A in New York in 1965. In taking
on this role, Empire became even more thoroughly enmeshed in the
operation of its member hospitals by specifying accounting
practices, cost definitions and cost allocations for Medicare. In 1944, United Medical Service of New York (UMS), also
a membership corporation, was formed to provide coverage for
physician services. AHS and UMS merged in 1974 to form Blue
Cross and Blue Shield of Greater New York, a Type B corporation
under the Not-For-Profit Corporation Law. This entity merged
with Blue Cross of Northeastern New York, Inc. in 1985 and became
Empire Blue Cross and Blue Shield. Empire initially offered only group plans, but later
added individual coverage. It fixed premiums according to
"community rating," in which all subscribers in a given locality
are charged the same rate regardless of health risk, and allowed
"open enrollment," accepting all applicants. For many years,
commercial insurers did not routinely offer health coverage,
which was not viewed as profitable, and so Empire had no
competition. Further, the federal government encouraged plans
like Empire by granting them tax-exempt status under section 501
(c) (4) of the Internal Revenue Code (IRC) as social welfare
organizations.[3]Empire experienced financial difficulties almost from
its very beginnings because of the high costs of open-enrollment
and community rating. Further, commercial insurers slowly began
entering the health insurance market. By using experience
rating, with premiums based on claims experience, and avoiding
open enrollment, commercial insurers were able to offer lower
premiums to healthier groups and individuals. While Empire also
used experience rating for some products, it continued its open-
enrollment and community rating policies as the "insurer of last
resort."
Because of Empire's critical role in New York's health
care delivery system and its high costs and continuing financial
troubles, the Legislature favored it over its commercial
counterparts. For example, Empire was allowed to reimburse
hospitals on the basis of actual costs, while commercial insurers
were required to reimburse hospital charges. When the
Legislature in 1983 enacted the New York Prospective Hospital
Reimbursement Methodology (NYPHRM), a system for cost controls
and rate-setting at hospitals, Empire was afforded an advantage
over commercial insurers, which were required to pay a surcharge
over and above the rate paid by Empire. Empire was exempt from
"every state, county, municipal and school tax" ( see Insurance
Law § 4310 [j]). In the mid-1980's, Empire suffered a severe blow when
the United States General Accounting Office issued a report
concluding that the underwriting practices of Empire and other
Blue Cross plans were similar to those of commercial insurers.
Congress responded by revoking the Blues' tax exemption.[4]In the early 1990's, Empire was beset with management
problems, high administrative expenses and fraud, all causing
significant financial losses. The growth of health maintenance
organizations (HMOs) in the 1990's further eroded Empire's
subscriber base as healthier groups and individuals switched to
more economical managed care plans. By 1992, Empire's future looked bleak. Upon applying
to the Superintendent for significant rate increases, Empire
suggested that without them its cash reserves would be exhausted
in a matter of months. In January 1993, the Legislature averted
this crisis with a $100 million cash infusion (L 1993, c 1).[5]
These funds were supposed to shore up Empire until a series of
laws took effect, which were crafted to make Empire more
competitive by eliminating the major distinctions between it and
commercial insurers. For example, the Legislature required
health maintenance organizations and commercial insurers in the
small group market to use community rating (L 1992, c 501); a
"risk adjustment" process was enacted, which essentially required
insurers and HMOs to compensate other providers who offered
coverage to higher-risk populations ( id.); and the Legislature
mandated that HMOs offer policies to individuals on an open-
enrollment/community rated basis (L 1995, c 504). These statutes
relieved Empire of its unique role as New York's "insurer of last
resort." Accordingly, the Legislature soon removed the favorable
rate differential that Empire had enjoyed under NYPHRM (L 1996, c
639).
Empire's Original Restructuring Plan
Notwithstanding State subsidies and other favorable
legislative action, Empire lost roughly $800 million and half its
subscriber base in the ten-year period from 1986 to 1995. In
light of its deteriorating prospects, Empire decided to
restructure. Under Empire's original restructuring plan,
substantially all its assets, liabilities and businesses were to
be transferred to wholly owned for-profit subsidiaries in
exchange for 100% of the subsidiaries' outstanding and newly
issued common stock. This transfer was to be followed by an
initial public offering in which a portion of the stock would be
sold to the public. Proceeds from the offering and all
outstanding stock, approximating 100% of the value of the not-
for-profit's assets, would then be transferred from "old" Empire
to a newly formed tax-exempt charitable foundation "dedicated to
promoting the availability and accessibility of high quality
health care and related services to the people of the State of
New York." "Old" Empire would dissolve and "new" Empire would
continue to offer health insurance, but as a for-profit
corporation with greater potential for becoming and remaining
competitive. Empire's Board of Directors looked at other
options, including dissolving or merging with another entity, but
determined that restructuring along these lines was more
desirable.[6]This proposed restructuring was subject to the Not-For-
Profit Corporation Law's provisions governing the disposition of
a corporation's assets. For example, under N-PCL 510 and 511,
Type B not-for-profit corporations may sell all their assets with
Supreme Court approval and on notice to the Attorney General.
After dissolution, "[a]ssets received and held by the corporation
. . . shall be distributed to one or more domestic or foreign
corporations or other organizations engaged in activities
substantially similar to those of the dissolved corporation . . .
as ordered by the court to which such plan is submitted for
approval under section 1002 (Authorization of plan)" (N-PCL 1005
[a] [3] [A] [emphasis added]). Although its financial picture had brightened somewhat
by the end of 1998, Empire concluded that its not-for-profit form
crippled its chances to attract sufficient capital to compete
effectively in New York's health care market. Without
restructuring, Empire predicted serious future financial losses,
and so actively pursued its restructuring plan with the
Department of Insurance. Public hearings were held in 1999, and Empire formally
submitted its proposed plan to the Superintendent later that
year. In the fall of 1999, the Attorney General opined that
Empire's restructuring would require a change in Insurance Law §
4301 (j) as well as Supreme Court and regulatory approval ( see
"Spitzer Airs Concerns on Blue Cross/Blue Shield Conversion"
<
www.oag.state.ny.us/press/1999/sep/sep01a_99.html
> [last updated
Jan 24, 2003]; see also Mem to the Attorney General, "Proposed
Conversion to Not-for-Profit Status by Empire Blue Cross and Blue
Shield" 1216 PLI/Corp 581 [May 1999]).[7]
On December 29, 1999,
the Superintendent issued an opinion and decision nonetheless
approving Empire's reorganization plan. Disagreeing with the Attorney General about the need
for legislative action, the Superintendent opined that section
4301 (j) "which prohibits the conversion of a not-for-profit
health services corporation into a for-profit corporation, [was]
not applicable to Empire's restructuring." According to the
Superintendent, Empire's restructuring was governed under
articles 71 and 74 of the Insurance Law, and was not a
"conversion" as "Empire will exchange its assets for different
assets having equal value and transfer those assets to an
independent entity formed to carry out not-for-profit purposes,"
and would then dissolve. While Empire secured the Superintendent's approval of
its restructuring plan, the Attorney General's endorsement proved
more elusive. In a Press Release dated January 5, 2000, the
Attorney General stated that he did "not oppose in principle
Empire's wish to convert," but was "legally bound to protect the
public interest when an organization that has enjoyed millions in
state subsidies seeks to change its mission to earning profits
for private owners" ( see "Statement by Attorney General Eliot
Spitzer Regarding the Proposed Empire Blue Cross/Blue Shield
Conversion" <
www.oag.state.ny.us/press/2000/jan/jan05b_00.html
>
[last updated Jan 24, 2003] [emphasis added]). He then
identified several objections to the restructuring plan approved
by the Superintendent, first and foremost the legal bar of
Insurance Law § 4301 (j).
In the end, Empire elected not to
pursue reorganization under the 1999 restructuring plan approved
by the Superintendent.Health Care Workforce Recruitment and Retention Act On January 25, 2002, the Legislature enacted Chapter 1
of the Laws of 2002, the "Health Care Workforce Recruitment and
Retention Act" (Chapter 1). Chapter 1's purposes include
"allow[ing] [Empire] to convert to a for-profit corporation,
giving Empire the ability to raise the capital needed to compete
effectively in the current health care market"; providing revenue
from the conversion "to help health care providers recruit and
retain the staff they need"; and "increas[ing] and improv[ing]
health care access for children, women and the working disabled"
(Sponsor's Memo in Support, L 2002, c 1, McKinney's Session Laws,
p 1640). Chapter 1 amends Insurance Law § 4301 (j) by adding
five new subdivisions, including a subdivision (2) specifically
addressing the Attorney General's contention that this provision
would otherwise preclude Empire's conversion.[9]
Chapter 1 also
creates a new section 7317 of the Insurance Law, which directs
Empire to submit a proposed plan of conversion (Insurance Law §
7317 [a] [1]) and prohibits the Superintendent from approving
this plan until after he has convened public hearings and
determined that it
"[would] not adversely affect the applicant's
contractholders or members, [would] protect
the interests of and [would] not negatively
impact on the delivery of health care
benefits and services to the people of the
state of New York and results in the fair,
equitable and convenient winding down of the
business and affairs of the applicant"
(Insurance Law § 7317 [b]).
Section 7317 (f) (i) vests Supreme Court with sole jurisdiction
to consider any challenge to the Superintendent's final
determination to approve the conversion, sets a 30-day
limitations period, and limits judicial review to the question of
whether the Superintendent acted in an arbitrary or capricious
manner with respect to reaching his determination. Section 7317 (f) (ii) specifies that "[t]his section
[7317] shall be deemed to supercede all otherwise applicable laws
and legal requirements" and grants Empire's Board immunity for
participation in the conversion.
Section 7317 (f) (ii)
additionally provides that
"a transaction approved by the superintendent shall be
deemed for all purposes to be a transaction that is
fair and reasonable to an applicant and to promote the
purposes of that applicant, and the use of proceeds as
described herein shall be deemed for all purposes to be
a use for a purpose that is consistent with and as near
as may be to the purposes for which the applicant was
originally organized and subsequently operated."
The plan of conversion submitted by Empire pursuant to
Chapter 1 was similar in many ways to the plan approved by the
Superintendent in 1999. This plan accomplishes Empire's
conversion through a transfer of assets, the creation of new for-
profit corporations and a holding company, and a stock sale.
Chapter 1 modifies Empire's original plan in one key respect,
however. Rather than dedicating 100% of the assets freed upon
conversion to a charitable foundation, Chapter 1 calls for 95% of
the fair market value of the for-profit entity to be transferred
to a "public asset fund" (Insurance Law § 4301 [j] [4]). The
remaining 5% is to be transferred to a "charitable organization"
(Insurance Law §§ 4301 [j] [5], 7317 [k] [1]) that shall operate
as a tax-exempt organization pursuant to IRC § 501 (c) (3) and
whose mission is expansion of access to health care generally.[11]The public asset fund is to be managed by a board of
directors consisting of five members, three appointed by the
Governor and one each appointed by the Temporary President of the
Senate and the Speaker of the Assembly (Insurance Law § 4301 [j]
[4] [B]). The net proceeds in the fund are to be transferred to
the pre-existing Tobacco Control and Insurance Initiatives Pool
(Insurance Law § 4301 [j] [4] [O]; see alsoPublic Health Law §
2807-v). Chapter 1 directs that the funds be used for recruiting
and retaining non-supervisory health care workers with direct
patient care responsibilities (L 2002, c 1, Part A, §§ 1, 1-b, 2,
7-b); the Elderly Pharmaceutical Insurance Coverage (EPIC)
program, a State-sponsored prescription plan for needy senior
citizens ( id. § 29); treatment for breast and cervical cancer
( id. § 60); Medicaid for disabled persons ( id. § 69); quality
improvement programs for nursing homes ( id. §§5, 26); and
assistance for other public health programs.
Any residual
funds would go to the previously created Health Care Initiatives
Pool (Public Health Law § 2807-l) and be distributed
proportionally among its purposes (L 2002, c 1, § 23). These
purposes include programs benefitting uninsured and underinsured
children (Child Health Plus), and expanded and catastrophic
health care programs, as well as rural health care delivery and
access programs ( see Public Health Law § 2807-l[1]). II. On August 20, 2002, plaintiffs filed a complaint in
Supreme Court challenging Chapter 1. Plaintiffs include Empire
subscribers whose premiums and benefits will allegedly be
adversely affected by the conversion, and organizations that work
with chronically ill individuals whose work will allegedly be
made more difficult when Empire's assets are no longer dedicated
to not-for-profit purposes. The defendants include the State and
various of its entities, and Empire, including the members of its
Board. The complaint consists of eight[13]
causes of action.
Plaintiffs allege that Chapter 1 violates the contract clause of
article I, § 6 of the State Constitution and § 10 of the Federal
Constitution; Chapter 1 deprives plaintiffs and Empire of
property rights without due process of law; Chapter 1 effects an
unauthorized taking of Empire's and plaintiffs' private property
interests in violation of article I, § 7 of the State
Constitution and the Fifth and Fourteenth Amendments of the
Federal Constitution; the conversion is invalid because the
members of Empire's Board failed to follow the procedures in the
Not-For-Profit Corporation Law; and the members of Empire's Board
breached their fiduciary duties by agreeing to the conversion
authorized by Chapter 1.[14]
The supposition common to these
causes of action -- the heart of plaintiffs' grievance -- is that
assets from the restructuring are not going to be used to further
Empire's historic charitable purposes. Plaintiffs sought judgment declaring that Chapter 1
violates the State and Federal Constitutions and enjoining
defendants "from taking any action to carry out the
unconstitutional directives of the Legislation"; declaring that
the members of Empire's Board breached their fiduciary duty; and
enjoining the Board from proceeding with any conversion or other
disposition of assets without complying with the Not-for-Profit
Corporation Law. Plaintiffs summarized the relief sought as "a
permanent injunction prohibiting the conversion or, in the
alternative, requiring all conversion proceeds to be paid to a
foundation that will carry on Empire's charitable mission."
This lawsuit and Empire's conversion progressed along
parallel paths. Empire submitted the new required plan to the
Superintendent in September 2002; in this litigation, Empire and
the State filed pre-answer motions to dismiss. In October 2002,
the Superintendent approved the plan, and plaintiffs filed their
opposition to the motions. In November 2002, plaintiffs
requested provisional relief directing that any proceeds from the
stock sale be held by the Comptroller in a separate account
during the litigation's pendency;
they did not seek to block
the stock sale, which took place on November 8, 2002.[16]
Supreme
Court granted plaintiffs the provisional relief that they
requested. On March 7, 2003, Supreme Court granted defendants'
motions to dismiss the complaint in its entirety. Preliminarily,
the Court determined that plaintiffs, who were subscribers to
Empire health plans,[17]
had demonstrated a threatened injury-in-
fact (anticipated premium increases) and therefore had standing.
Conversely, the Court concluded that organizational plaintiffs
did not have standing either because their supposed injury-in-
fact was too speculative, or because the interests that they
sought to assert were not germane to their organizational
purposes. Supreme Court dismissed plaintiffs' claim against the
State for impairment of contract "for the self-evident reason
that there can be no impairment of a contract absent a
contractual relationship" ( citing Ballentine v Koch, , 89 NY2d 51
[1996] [benefit program authorized by statute does not involve
contract rights]). The Court dismissed plaintiffs' due process
claim against the State on the ground that statutes "are always
vulnerable to subsequent statutory amendment or repeal," and that
the alterations here did not amount to a deprivation of due
process; and dismissed the takings claims because, "[e]ven if it
is assumed, without deciding, that plaintiffs have a property
interest in Empire's assets (a highly dubious assumption), the
claims . . . must fail because the statute does not require
Empire to convert" ( citing Meriden Trust & Safe Deposit Co. v
FDIC, 62 F3d 449, 455 [2d Cir 1995] [where a company "voluntarily
subject[s] itself to a known obligation . . . no unconstitutional
taking occur[s]"). In addition, the Court dismissed plaintiffs'
claims against Empire alleging violation of the Not-For-Profit
Corporation Law and breach of fiduciary duty, noting that Chapter
1 "supersedes all inconsistent common-law and statutory duties"
( see Insurance Law § 7317 [f] [ii]). Supreme Court, however, also concluded that the facts
alleged "clearly suffice to support a cause of action for
violation of Article III, § 17 (unnumbered subsection 12) of the
State Constitution," the Exclusive Privileges Clause.
Accordingly, the Court granted plaintiffs permission to serve an
amended complaint and left the restraining order in effect. The amended complaint, filed on March 31, 2003, alleges
only that the Legislature violated article III, § 17 of the State
Constitution "by specifically applying to and granting the
privilege of conversion to only . . . Empire."[18]
This time
around, plaintiffs sought judgment declaring that Chapter 1 was
unconstitutional; declaring that the conversion already
undertaken was illegal and requesting rescission of the stock
sale; enjoining defendants from "taking any further action to
carry out the unconstitutional directives of the Legislation";
enjoining the Board from proceeding with any conversion or other
disposition of assets without complying with the Not-for-Profit
Corporation Law; and directing the Comptroller to "return all
proceeds received from Empire as a result of its conversion . . .
to the owners of shares of Empire, proportional to the number of
shares owned."
In April 2003, defendants moved to dismiss the amended
complaint. On October 2, 2003, Supreme Court granted Empire's
unopposed motion to dismiss with respect to the individual
members of its Board, but denied the motions with respect to the
State and Empire, and denied the motion to vacate the temporary
restraining order. The Court held that Chapter 1 violates
article III, § 17 of the State Constitution by giving Empire a
right otherwise denied to other not-for-profit insurers; that is,
the right to convert under Insurance Law § 4301 (j) (1). The
parties cross-appealed and the Appellate Division unanimously
affirmed both orders. Upon the parties' application, the
Appellate Division granted leave to appeal and certified to us
the question of whether its decision and order affirming Supreme
Court's orders was properly made. III. Plantiffs' StandingPlaintiffs' claims fall into two distinct categories
for purposes of analyzing standing: that Empire's Board violated
fiduciary duties and the Not-For-Profit Corporation Law; and that
Chapter 1 violates individual constitutional rights (property,
contract and due process rights).[19]
Plaintiffs have standing to
assert these claims only if they have "a sufficiently cognizable
stake in the outcome so as to cast the dispute in a form
traditionally capable of judicial resolution" ( Community Bd. 7 of
Borough of Manhattan v Schaffer, , 84 NY2d 148, 155 1994]
[citations omitted]). Plaintiffs are not within any of the classes of parties
authorized by the Not-For-Profit Corporation Law to challenge the
Board's conduct ( see N-PCL 720 [b]).[20]
Consequently, they rely
on Alco Gravure, Inc. v Knapp Found. (64 2 458 [1985]) for
standing to press their claims against Empire. There, a
foundation was established as a New York not-for-profit
corporation with the purpose of aiding employees of businesses
associated with Joseph P. Knapp. The foundation's trustees
sought to amend the certificate of incorporation to promote a
broader range of charitable purposes so that they could transfer
the foundation's assets to a North Carolina foundation, which did
not assist individuals and was tax-exempt. The Attorney General
did not object to this amendment; Supreme Court approved it. Alco Gravure's New York employees sued the foundation
seeking to enjoin the transfer. We found standing by applying
principles of trust law, noting that while a "possible
beneficiary of a charitable trust" does not normally have
standing to sue for enforcement of the trust (only the Attorney
General does), this general rule may yield where "a particular
group of people has a special interest in funds held for a
charitable purpose, as when they are entitled to a preference in
the distribution of such funds and the class of potential
beneficiaries is sharply defined and limited in number" ( id. at
465). The Alco Gravure plaintiffs had standing because, as
employees of a Knapp company, they remained the primary
beneficiaries of the foundation's charitable purposes and so
could seek to stop the foundation from adding new beneficiaries. Here, the mission ascribed to Empire by plaintiffs --
"high quality, affordable care for as much of the population as
possible" -- inures to the public as a whole, not to a
"particular group of people" with a "special interest in the
funds held for a charitable purpose." As subscribers to Empire's
health plans, plaintiffs cannot and do not claim that they have
any greater right to Empire's assets than the public as a whole.
Plaintiffs are not comparable to Alco Gravure's New York
employees, who were beneficiaries of a private trust as potential
recipients of loans from the foundation. Plaintiffs are merely
purchasers of health insurance, parties to a commercial
transaction with Empire. Next, plaintiffs' standing to enforce alleged
violations of their individual constitutional rights cannot be
taxpayer-based as they do not complain that public funds have
been misused. Standing under Alco Gravure is unavailable to them
because their constitutional claims are directed not at the not-
for-profit corporation, but at Chapter 1 and the government's
alleged violation of their constitutional rights. Standing to
assert these claims is completely intertwined with the nature of
the rights supposedly violated. The only property right that plaintiffs assert is
"dedication of Empire's assets to its charitable mission."
Plaintiffs, either as subscribers to Empire's health plans or as
members of the public as a whole, however, do not have an
enforceable "property interest" in the value of Empire's assets
or in the dedication of those assets to Empire's mission ( see Soon Duck Kim v City of New York, , 90 NY2d 1, 6 [1997] ["Because
the State defines the rights and obligations that constitute
property in the absence of any superseding Federal law, the
threshold step in a takings inquiry is to determine whether, in
light of the existing rules or understandings of State law,
plaintiffs ever possessed the property interest they now claim
has been taken by the challenged governmental action"] [citations
omitted]; see also Board of Regents v Roth, 408 US 564, 577
[1972] ["To have a property interest in a benefit, a person
clearly must have more than an abstract need or desire for it.
He must have more than a unilateral expectation of it. He must,
instead, have a legitimate claim of entitlement to it"]).
Without a property interest to enforce, there can be no standing
( see Society of Plastics Indus. v County of Suffolk, , 77 NY2d 761,
772-773 [1991] [standing requires injury in fact, "an actual
legal stake in the matter being adjudicated," as well as an
injury within the zone of interests, "tying the in-fact injury
asserted to the governmental act challenged"]). Further, plaintiffs have not established injury in fact
on account of an anticipated increase in their premiums or
reduction in benefits. This supposed injury is flatly
contradicted in the Superintendent's final determination, and
plaintiffs chose not to challenge this aspect of his
determination in their CPLR article 78 proceeding. Even assuming
injury in fact, plaintiffs have not linked this purported injury
(i.e., increased premiums and/or reduced benefits) to the wrong
that they seek to redress -- the Legislature's neglect to
"dedicat[e] . . . Empire's assets to its charitable mission" --
or the "principal remedy" that they seek to right this supposed
wrong -- implementation of Empire's original restructuring plan
(i.e., directing 100% of Empire's value to a tax-exempt, section
501 [c] [3] charitable foundation). If anything, this alleged
injury could only arguably (that is, again ignoring the
Superintendent's final determination) be connected to the
Legislature's authorization of Empire's changeover from a not-
for-profit to a for-profit insurer, not the disposition of the
conversion's proceeds. Plaintiffs, however, do not contest
Empire's change in corporate form. In fact, what plaintiffs actually seek here is quasi-
derivative standing to vindicate Empire's interests. They argue
that Chapter 1 has disabled both the Attorney General, the
traditional guardian of the public interest and trust
beneficiaries, and the Board, which has a duty of obedience to
honor Empire's not-for-profit mission, from fulfilling their
customary roles. The Attorney General, they assert, has been
"defrocked" by virtue of his statutory obligation to defend the
Legislature's enactments. Because the statute immunized its
actions, the Board has no incentive to jeopardize conversion by
questioning whether Chapter 1 diverts Empire's property from its
traditional not-for-profit purposes. As a consequence, only the
subscribers remain to champion Empire. This argument is winning. Alco Gravure in its
particulars does not support plaintiffs' standing, as already
discussed. Still, we recognized in Alco Gravure that there may
be "special interest" factors causing us to relax the usual rules
of standing in a specific case where a charitable interest is
involved (64 2 at 465).[21]
The Attorney General's and the
Board's disability are special interest factors here. Further,
while plaintiffs are not true beneficiaries, as subscribers they
benefit from whatever vestiges may remain from Empire's
traditional role as the "insurer of last resort" for those New
Yorkers otherwise unable to obtain needed health care. Nor can
we ignore the billions of dollars at stake. Accordingly, because
of the Attorney General's and the Board's unique position after
the adoption of Chapter 1, we hold that plaintiff subscribers
have standing to prosecute this action solely for purposes of
protecting Empire's not-for-profit assets. TakingsPlaintiffs invoke both article I, § 7 of the State
Constitution, ("[p]rivate property shall not be taken for public
use without just compensation") and the Fifth Amendment to the
Federal Constitution ("nor shall private property be taken for
public use, without just compensation") to support their claims
that Chapter 1 constitutes an illegal taking of Empire's private
property. They allege that Chapter 1 effected an exaction, a
regulatory taking and a per se taking.
1. Exaction
In Matter of Smith v Town of Mendon (4 3 1, 10
[2004]), we held that "[e]xactions are defined as land-use
decisions conditioning approval of development on the dedication
of property to public use" [citations omitted]. A condition
placed on land use is an exaction, and therefore an
unconstitutional taking, if the condition lacks an "essential
nexus" with the state interest for which it is imposed ( see Nollan v California Coastal Com., 483 US 825, 837 [1987]), and is
not "roughly proportional" to the impact of the proposed
development ( see Dolan v City of Tigard, 512 US 374, 391 [1994]). In Town of Mendon, we rejected the petitioners' claim
that the Planning Board's conditioning of site plan approval upon
acceptance of a conservation easement was an exaction. We did
not reach the "essential nexus" and "rough proportionality"
tests, deciding that exaction analysis does not apply "where
there is no dedication of property to public use and the
restriction merely places conditions on development" ( id. at 12).
We have confined our exaction analysis to those cases where the
condition affects a property owner's "right to exclude others,"
and where a fee is imposed "in lieu of the physical dedication of
property to public use" ( id., citing Twin Lakes Dev. Corp. v Town
of Monroe, 1 NY3d 98 [2004]). Plaintiffs ask us to find that Chapter 1 imposes an
exaction on Empire because conversion is conditioned upon
Empire's dedication of its not-for-profit assets to legislatively
articulated public and charitable purposes. We decline to accept
plaintiffs' invitation to expand our exaction analysis beyond the
realm of land-use regulation.[22]
Even if we were to do so,
however, Chapter 1 passes both the "essential nexus" and "rough
proportionality" tests. The challenged condition placed on Empire's property is
the dedication of not-for-profit assets to the recruitment and
retention of health care workers and public health programs. But
Empire began as a captive of hospitals, and has always inhabited
a borderland between a government-sponsored entitlement program,
such as Medicaid, and a commercial insurer. Empire has
traditionally functioned as both a financing device for hospitals
and a means to make economical health care available to as many
New Yorkers as possible. The dedication of conversion assets to
support public health programs and to recruit and retain health
care workers is wholly consistent with these activities. In
short, there is not only a nexus but a direct correlation between
the State's interest in enacting Chapter 1 -- allowing Empire to
continue to carry out its dual historic mission -- and the
condition imposed -- that Empire's not-for-profit assets be used
for the public health purposes specified in Chapter 1.[23]The "essential nexus" test does not mirror N-PCL 1005
(a) (3) (A), which calls for distribution of a Type B not-for-
profit's assets upon dissolution to "one or more domestic or
foreign corporations or other organizations engaged in activities
substantially similar to those of the dissolved corporation"
(emphasis added) ( see also Matter of Multiple Sclerosis Serv.
Org. of N.Y., , 68 NY2d 32 [1986]).
This appeal is not here
pursuant to N-PCL 511 and so section 1005's quasi-cy pres test
does not apply to Empire's conversion. In any event, it does not
follow, as plaintiffs seem to assume, that under N-PCL 1005
Empire's not-for-profit assets would have to be distributed
entirely to a tax-exempt, section 501 (c) (3) charitable
foundation. Indeed, another not-for-profit insurer arguably more
nearly qualifies as an entity engaged in substantially similar
activities. Although plaintiffs liken Empire to a "private
charity" and refer to "donors," history does not bear out the
analogy. Empire has never relied on philanthropy or carried out
an explicitly charitable agenda. As already noted, Empire's
former federal tax-exempt status was based on IRC § 501 (c) (4)
as a social welfare organization. Empire was never a section 501
(c) (3) charity; Empire did not enroll subscribers for free.[25]Finally, the condition is "roughly proportional" to the
impact of Empire's conversion because if Empire were to convert
through any other mechanism -- i.e., the Not-For-Profit
Corporation Law -- it would be required to dedicate its not-for-
profit assets to purposes similar to those for which it was
formed -- i.e., promoting hospitals and access to health care.
Thus, Chapter 1 places conditions on Empire's property similar to
those that could have been imposed in the sale of its assets and
dissolution under the Not-For-Profit Corporation Law.
2. Regulatory Taking
Governmental regulation of private property effects a
taking if it is "so onerous that its effect is tantamount to a
direct appropriation or ouster" ( see Lingle, __ US at __). To
determine whether a regulation is proper or goes "too far," a
court must consider the factors identified in Penn Central
Transp. Co. v New York City (438 US 104 [1978]) ( see Lingle, __
US at __ [holding, for the first time, that the "substantially
advances a legitimate state interest" test identified in Agins v
Tiburon (447 US 255, 260 [1980]) "is not a valid method of
identifying regulatory takings"]). The primary, but not
exclusive Penn Central inquiry turns on "the extent to which the
regulation has interfered with distinct investment-backed
expectations" ( id. at ___ [quoting Penn Central, 438 US at 124]). First, we note that the compulsion normally present in
a takings claims is not present in Chapter 1. Chapter 1 does not
compel Empire to convert. Rather, Chapter 1 authorizes Empire to
convert; conversion only takes place if Empire so chooses ( see Meriden Trust, 62 F3d at 455 [voluntary action by bank under
statute cannot be a regulatory taking]; Garelick v Sullivan, 987
F2d 913, 916 [2d Cir 1993] ["where a service provider voluntarily
participates in a price-regulated program or activity, there is
no legal compulsion to provide service and thus there can be no
[regulatory] taking"]).[26]Plaintiffs contend that Empire had no true choice in
the matter, that conversion under Chapter 1 was compelled because
it was Empire's only realistic option for survival. But any
duress stemmed from Empire's inability to prosper as a not-for-
profit organization, not from pressure exerted by the State.
From at least as early as 1997, Empire planned to convert, merge
or dissolve. In any event, Chapter 1 does not unduly interfere with
Empire's legitimate property interests. As we noted in our
exaction discussion, the dedication of conversion assets to
support public health programs and to recruit and retain health
care workers is wholly consistent with Empire's historic mission.
Chapter 1 allows Empire to continue as a for-profit corporation,
placing it in a better competitive position than otherwise would
have been its lot. Since Empire's Board has determined that the
most feasible way of continuing as a provider of health insurance
in New York is through restructuring, it cannot be said that
Chapter 1's dedication of Empire's not-for-profit assets to
public health purposes unduly interferes with Empire's legitimate
property interests or "investment-backed expectations."
3. Per Se Taking
Plaintiffs allege that the transfer of the stock sale's
proceeds to the public asset fund constitutes a per se taking
because it is a "direct physical invasion" of Empire's property
( see Loretto v Teleprompter Manhattan Catv Corp., 458 US 419, 426
[1982]). This claim is without merit. There can be no direct
physical invasion where a corporation voluntarily elects to
proceed under a statute allowing it to convert from a financially
distressed not-for-profit to a new for-profit entity. Due ProcessPlaintiffs allege that Chapter 1 deprives Empire of its
property interests without due process of law. This claim is
based on article I, § 6 of the State Constitution and the Fifth
Amendment of the Federal Constitution, made applicable to the
states by the Fourteenth Amendment, which provide that no person
shall "be deprived of life, liberty, or property, without due
process of law."
Plaintiffs contend that process is lacking because
Chapter 1's procedural safeguards do not encompass any input from
the public, the Attorney General or Supreme Court into how
Empire's not-for-profit assets are to be deployed. To the
contrary, however, Chapter 1 provides Empire with process and
plaintiffs with a remedy to grieve many of the Superintendent's
determinations. First, Empire had to choose to proceed with the
conversion. Second, public hearings were required. Third, the
Superintendent could only approve the conversion if he first
determined that it would not adversely affect Empire's
subscribers or "the delivery of health care benefits and services
to the people of the state of New York" (Insurance Law § 7317
[b]). Finally, if plaintiffs took issue with the
Superintendent's approval of the plan, they had the right to
challenge it in a CPLR article 78 proceeding. Contract ClausePlaintiffs contend that Chapter 1 violates article I, §
10 of the Federal Constitution, which provides that "[n]o State
shall . . . pass any . . . Law impairing the Obligation of
Contracts." This provision "bars the States from enacting
legislation impairing the obligation of contracts" ( Patterson v
Carey, , 41 NY2d 714, 721 [1977]). Plaintiffs also bring this
claim under article I, § 6 of the New York Constitution, which
provides that "[n]o person shall be deprived of life, liberty or
property without due process of law." Under this provision "the
State may not deprive a party to a contract of an essential
contractual attribute without due process of law" ( id. at 720). Plaintiffs assert that Empire's Certificate of
Incorporation (COI) is a contract between Empire and the public,
and that this contract was substantially impaired by Chapter 1.
The COI is not a contract ( see Cook v City of Binghamton, , 48 NY2d 323 [1979] [while legislation (i.e. N-PCL 403, providing that
corporate existence begins with filing of COI) may create
contractual rights, presumption is that it does not]). There is
no indication that the Legislature, in enacting the Not-For-
Profit Corporation Law, intended to make the COI a binding
contract between not-for-profit corporations and the public.
"[W]here there is no existing contractual agreement regarding the
terms changed by the legislation, there is no need to consider
whether there was in fact an impairment and whether it was
substantial" ( Ballentine, 89 NY2d at 60). Chapter 1 does not impair the COI. A COI may be
changed in any number of ways ( see N-PCL 801 [b] [2] [allowing
corporation to change its corporate purposes]; NY Const, art X, §
1 [giving Legislature authority to change laws under which
corporations are formed]). Chapter 1 did not change the COI;
actions by Empire and the Superintendent changed the COI.
Moreover, plaintiffs do not challenge the only "impairment" that
results from Chapter 1; namely, Empire's conversion from not-for-
profit to for-profit status. As a not-for-profit corporation,
Empire was bound to carry out its not-for-profit purposes, but
these purposes do not constitute a contract that Chapter 1
impairs. Fiduciary Duty/N-PCLPlaintiffs broadly allege that notwithstanding Chapter
1, the conversion was required to follow the procedures in N-PCL
510 and 511. They also contend that Empire's Board breached its
fiduciary duty by deciding to convert. Indeed, plaintiffs allege
that even before Chapter 1 was enacted, the Board breached its
fiduciary duty by "invit[ing] the politician-legislators" to
decide how its assets should be used after the conversion rather
than making its own determination. The short response to this claim is that Chapter 1
supersedes all inconsistent common-law and statutory duties
(Insurance Law § 7317 [f] [ii]). Even were the Court to somehow
overcome this obstacle, the business judgment rule, which we
discussed most recently in 40 W 67th St v Pullman (, 100 NY2d 147
[2003]), bars plaintiffs' claims. To the extent that plaintiffs
complain about action occurring before Chapter 1 was enacted
(i.e., "inviting" the Legislature to decide how to allocate
Empire's not-for-profit assets), this claim is without merit
because the plan of conversion -- whether the one presented to
the Superintendent in 1999 or the one presented to him after
Chapter 1's enactment -- was, in the Board's judgment, necessary
to safeguard Empire's continued viability ( see Auerbach v
Bennett, , 47 NY2d 619, 629 [1979] [the business judgment rule
"bars judicial inquiry into actions of corporate directors taken
in good faith and in the exercise of honest judgment in the
lawful and legitimate furtherance of corporate purposes"]). Exclusive Privileges ClausePlaintiffs argue that Chapter 1 violates article III, §
17 of the State Constitution by authorizing Empire alone to
convert to a for-profit corporation. Article III, § 17 prohibits
the Legislature from adopting a "private or local bill" falling
into one of fourteen specified categories. The twelfth category
encompasses bills "[g]ranting to any corporation . . . any
exclusive privilege, immunity or franchise whatsoever." Thus,
two elements are required in order for a bill to offend article
III, § 17. First, the bill must be directed at a single entity
( see Matter of Henneberger, 155 NY 420 [1898] ["the fact that an
act operates only upon a limited area, or upon persons within a
specified locality and not generally throughout the state, is, in
most cases, a reasonably accurate test by which to determine
whether the act is general or local" (citations omitted)]).
Second, the bill must confer a privilege upon the single entity
to the exclusion of all others. Both elements -- singleness and
exclusivity -- must be present. Otherwise, all legislation
directed at a single entity would be invalid. Chapter 1 is a "private or local bill" because it
applies only to Empire. But Chapter 1 does not confer an
exclusive privilege because it does not authorize Empire to
prevent others from seeking to convert under similar parameters,
or promise Empire that other not-for-profits will not be granted
similar rights ( see Trustees of Exempt Firemen's Benevolent Fund
of N.Y. v Roome, 93 NY 313 [1883] ["exclusive" means that the
privilege the beneficiary receives from the local or private law
would be "disturbed or invaded if the State should give to
another corporation" the same rights]; Matter of the Application
of The Union Ferry Company of Brooklyn (98 NY 139, 150 [1885]
["The constitutional prohibition was evidently aimed at
monopolies. At granting to corporations or individuals not
merely privileges and franchises not possessed by others, but the
right to exclude others from the exercise or enjoyment of like
privileges or franchises"]).[27]
Indeed, Chapter 1 only grants
Empire the right to operate as a for-profit insurer, a right that
numerous other insurers currently enjoy in New York, and which
others may receive upon application to the Superintendent.
Because the privilege granted to Empire is not exclusive, Chapter
1 does not violate article III, § 17. IV. Plaintiffs do not challenge Empire's actual conversion
from a not-for-profit to a for-profit corporation. Instead, they
decry the uses to which the conversion's proceeds -- Empire's
not-for-profit assets -- will be put. They particularly object
to funding the recruitment and retention of health care workers.
They warn that unless we rule in their favor, Chapter 1 will mark
"but the first step in a progressive cannibalization of New
York's non-profit sector" by the Legislature.
These strong
words are justified, plaintiffs insist, because the Legislature,
after neutralizing the Attorney General's and the Board's
capacity or appetite to resist, ignored Empire's not-for-profit
purposes when designating uses for Empire's not-for-profit
assets. We cannot agree. Even plaintiffs define Empire's
mission as "promoting affordable and accessible health care
coverage," a broad expression of purpose. Fidelity to this
purpose does not mandate creation of a charitable foundation
devoted to health care funded by the entirety of Empire's not-
for-profit assets, plaintiffs' preferred policy choice. Fidelity
to this purpose surely does not compel neglecting the needs of
New York's hospitals. The hospitals and Empire have always
played mutually supportive roles in our State's interrelated and
complex health care delivery system. Specific programs to be
funded with conversion proceeds -- such as EPIC and Child Health
Plus -- benefit the uninsured or the underinsured. In short,
Chapter 1 designates a range of public health-related uses that
fall comfortably within a reasonable interpretation of Empire's
historic not-for-profit mission. Accordingly, the order of the Appellate Division should
be modified, with costs to defendants, by granting defendants'
motions to dismiss the amended complaint and, as so modified,
affirmed. The certified question should be answered in the
negative.
Consumers Union of U.S., Inc., et al. v State of New York, et al.
No. 83
G.B. SMITH, J. dissenting in part:
I join in the dissent of Judge Robert Smith. In
addition, because plaintiffs have stated a viable cause of action
for breach of a fiduciary duty against the board of directors of
Empire Health Choice, Inc. d/b/a Empire Blue Cross and Blue
Shield (Empire), I dissent from the dismissal of that claim.
Because not-for-profit directors that serve charitable entities
and administer charitable assets (e.g., Empire's directors) are
fiduciaries, and the fiduciary duties of care, loyalty and
obedience govern the conduct of such not-for-profit directors,
their fiduciary obligations are far too important to be
superceded by statute without an adequate justification or
explanation. I would therefore permit the plaintiffs to proceed
on this claim.
FACTS
Background[29]
Empire was incorporated as a Type B corporation under
the Not-For-Profit Corporation Law (N-PCL) and chartered under
Article 43 of the Insurance Law to provide affordable, pre-paid
hospital and medical services/insurance coverage to lower and
middle income persons statewide. Empire endeavored to accomplish
this mission through a combination of initial charitable funding,
donations, subscription receipts, tax exemptions, reduced
hospital rates, and private and governmental administrative
contracts.
In the 1980's and 1990's, a number of events (i.e., the
removal of Empire's favorable hospital reimbursement
differential; revocation of Empire's tax exempt status [based on
the United States General Accounting Office finding that Empire's
underwriting practices were similar to those of commercial
insurers]; and the fact that hospital and medical costs rose
faster than approved subscription rates), and Empire's employment
of community rating (a single premium applicable to all
subscribers without regard for past medical history or projected
use of medical resources) and open enrollment (guaranteed access
to coverage) allowed commercial insurers, who could offer lower
rates than Empire, to compete for and ultimately siphon off
Empire's larger and healthier groups.[30]
This increased
competition from commercial insurers, coupled with the rapid
growth of health management organizations (HMOs), caused Empire
to suffer a high rate of subscriber attrition.[31]
Between 1993 and 1997, the Legislature eliminated major
distinctions between Empire and the commercial insurers with
which it competed, requiring that insurers employ community
rating and open enrollment and, as previously mentioned,
eliminating the hospital reimbursement differential between not-
for-profit insurers, like Empire, and commercial insurers.
Although Empire started to recover, Empire's directors eventually
concluded that it had to restructure as a for-profit corporation
in order to remain viable.
In the late 1990's, Empire drafted a restructuring
proposal to transform Empire into a newly-organized charitable
foundation, funded by the sale of 100% of the stock of a new,
for-profit Empire. Under this proposed plan, Empire would
transfer its insurance, HMO, and other businesses and assets to
two for-profit subsidiaries of Empire Health Care, Inc., a for-
profit stock corporation that would be wholly owned by Empire.
Empire would then sell a portion of its Empire Health Care, Inc.
shares to the public, and Empire Health Care, Inc. would issue
and sell new shares of its common stock. The proceeds of these
sales, and any unsold shares of Empire Health Care, Inc.'s stock,
would be transferred to the new charitable foundation and Empire
would dissolve within two years of the plan's implementation.[32]
On December 29, 1999, after the proposed plan went
through various revisions and was the subject of a number of
Attorney General-sponsored public information sessions, the
Superintendent of Insurance issued a final opinion and decision
approving the plan for the conversion of Empire into a for-profit
corporation. The Superintendent approved the plan in spite of
Insurance Law § 4301(j) which, at that time, barred such
conversions. The Superintendent argued that section 4301(j) was
not applicable to Empire's proposed conversion. However, the
State Attorney General's Office, which from 1997 to 2001
considered and modified Empire's restructuring plan with a view
towards preserving and protecting Empire's value as a charitable
asset, disagreed with the Superintendent regarding whether the
plan as approved was legal given the existing Insurance Law and
N-PCL.
After the Attorney General raised questions as to the
validity of the proposed restructuring plan under the existing
law, Empire did not restructure under this plan. Instead, Empire
sought the legislative changes necessary to effect the plan.
This proposed legislation, however, met with strong opposition
from two powerful organizations, the Greater New York Hospital
Association ("GNYHA") and the Health and Human Service Union
("Local 1199"), and initially was not passed.
Faced with what
they termed "political stasis," Empire's Board of Directors, in
August 2001, sent a letter to Governor Pataki, Senate Majority
Leader Bruno and Speaker of the Assembly Silver 1) to seek the
Legislature's assistance in getting the legislation passed; and
2) to ask the Legislature to substitute its judgment for that of
Empire's Board of Directors in determining the disposition of
Empire's assets.[34]
Plaintiffs suggest that Empire received the
assistance they wanted through some political maneuvering, i.e.,
they allege, upon information and belief, that representatives
from Local 1199 and Governor Pataki, in or about November 2001,
engaged in secret negotiations/discussions regarding how to use
the majority of Empire's assets to fund a labor contract between
the union and members of the GNYHA. Shortly thereafter, on or
about January 24, 2002, the Governor proposed Chapter 1. Within
a day of the Governor's proposal, the Legislature enacted Chapter
1 of the Laws of 2002.
Chapter 1 added five new subdivisions to Insurance Law § 4301(j),[35]
and created Insurance Law § 7317.[36]
While Chapter 1
does not generally amend the law with respect to conversion of
not-for-profit insurers, according to the bill sponsor's
"Memorandum in Support," one of the purposes of the bill was to
"authorize the conversion of Empire Blue Cross to for-profit
status."
Contrary to Empire's original restructuring plan, which
called for the distribution of 100% of the value of Empire's
assets towards charitable purposes, Chapter 1 would require that
95% of the value of Empire's stock be deemed a "Public Asset" and
5% a "Charitable Asset" ( see Insurance Law § 4301[j][3] and
[5]).[38]
Chapter 1 directs that the Public Asset be turned over
to a Public Asset Fund ( see Insurance Law §§ 4301[j][4] and
7317[e]) managed by a five-person board appointed by the
Governor, Senate Majority Leader and the Speaker of the Assembly.
The net proceeds of the Public Asset Fund are transferred to the
Director of the Budget for deposit into the Tobacco Control and
Insurance Initiatives Pool.[39]
On the other hand, Chapter 1
directs that the Charitable Asset (5% of Empire's total
anticipated value) be turned over to a charitable
organization/foundation ( see Insurance Law §§ 4301[j][5] and
7317[k][1]) governed by various political appointees.
On or about June 18, 2002, pursuant to Chapter 1,
Empire filed an Amended Plan of Conversion with the New York
Department of Insurance. Empire filed this Amended Plan knowing
that the requirements pertaining to the allocation of its value
under the amended plan (95% for public uses determined by the
State and 5% for a charitable foundation) were drastically
different than the allocation provided for in its original
restructuring plan (100% for charitable uses). Procedural History and Parties
On August 20, 2002, plaintiffs commenced the instant
action in Supreme Court, New York County, against Empire and
various New York State defendants (State defendants).[40]
Plaintiffs asserted nine claims, including one for breach of
fiduciary duty.[41]
Regarding the cause of action for breach of
fiduciary duty, plaintiffs alleged that, "Empire's Directors
abdicated and breached their fiduciary duties of care, loyalty
and obedience by []: (i) abandoning the [original 1997]
Restructuring Plan; (ii) asking the Legislature to substitute its
judgment in determining the disposition of Empire's assets; and
(iii) ignoring requests to exercise its fiduciary duty and
instead simply acquiescing in the Legislature's taking of
Empire's value for purposes other than carrying out Empire's
mission."
On September 20, 2002, both Empire and the State
defendants moved to dismiss plaintiffs' complaint in its
entirety. By decision and order dated February 28, 2003 (and
filed March 7, 2003), Supreme Court found that a number of the
plaintiffs lacked standing. As to the remaining plaintiffs,
Supreme Court granted defendants' motions and found that each
cause of action in the complaint failed to state a cause of
action upon which relief could be granted.
Although it dismissed all claims asserted by plaintiffs
against both Empire and State defendants, Supreme Court, on its
own initiative, expressed the view that the "factual allegations
in the complaint clearly suffice to support a cause of action for
violation of article III, § 17 (unnumbered paragraph 12) of the
New York State Constitution [i.e., the "Exclusive Privileges
Clause"]." With leave of the court, plaintiffs filed an amended
complaint, dated March 31, 2003, that alleged one violation of
the Exclusive Privileges Clause. Empire and State defendants
again moved to dismiss. By decision and order dated October 1,
2003 (and filed October 2, 2003), Supreme Court denied these
motions. On May 20, 2004, the Appellate Division, First
Department affirmed: 1) the dismissal of plaintiffs' August 20,
2002 complaint; and 2) Supreme Court's decision to sustain
plaintiff's claim alleging a violation of the Exclusive
Privileges Clause. The Appellate Division granted the plaintiffs
and defendants leave to appeal.
DISCUSSION
Given the fact that not-for-profit organizations
generate and spend billions of dollars, many not-for-profit
boards and individual directors rival their for-profit
counterparts in terms of influence exerted and power wielded.
However, the checks on the power of not-for-profit and for-profit
directors are quite different.[42]
In New York, the State Attorney
General's Office normally oversees the conduct of not-for-profit
directors ( see New York State Attorney General's Office,
Charities Bureau, "The Regulatory Role of the Attorney General's
Charities Bureau" at
http://www.oag.state.ny.us/charities/role.pdf). However, in this
case, regarding the instant transaction, the Attorney General's
Office, which is also charged with defending the Legislature's
enactments, has a conflict that prevents it from performing its
oversight role.[43]
Because of this unique situation, it is of
paramount importance not only that standing be given to the
plaintiffs (a conclusion reached by the Majority), but also that
not-for-profit directors adhere to their fiduciary duties and
that fiduciary requirements, in general, be strictly enforced.
The fiduciary duties of care, loyalty and obedience are
the legal standards that govern the conduct of not-for-profit
boards and individual directors in their day-to-day relationship
to the organizations they serve.[44]
Specifically,
N-PCL 717 states in part, "Directors and officers shall discharge
the duties of their respective positions in good faith and with
that degree of diligence, care and skill which ordinarily prudent
men would exercise under similar circumstances in like
positions." Proper discharge of these duties ensures that a not-
for-profit board's financial decisions are made soundly and
legally, that an individual director, when faced with an
opportunity that could benefit both the organization and
him/herself, acts in the organization's interest first, and that
the board prudently manages its assets in furtherance of its
organization's stated charitable purpose, among other things.
Put another way, these fiduciary duties are the high standards by
which not-for-profit boards and individual directors are held
accountable for the decisions they make and transactions they
engage in. Being held to such a high standard of accountability
would seem especially important when not-for-profit directors
initiate and follow through with a plan that drastically changes
the fundamental character of the corporation, like the instant
Amended Plan of Conversion.
Turning to Chapter 1, Insurance Law § 7317[f][ii])
provides that it "supercedes all inconsistent common-law and
statutory duties," including fiduciary requirements. Chapter 1
does not set forth an adequate justification or explanation as to
why it is appropriate to: 1) eliminate a not-for-profit
director's fiduciary responsibilities; and 2) immunize that
director from breach of fiduciary duty claims. As discussed
above, fiduciary duties govern how a director performs his or her
daily functions. Accordingly, the importance of these duties
necessitates a rule that would prevent legislation of this kind
in the absence of an adequate justification or explanation.
Assessing the facts here, are the duties of care, loyalty and
obedience, duties that a not-for-profit director must generally
adhere to, so repugnant to Chapter 1 that their survival would
deprive it of its efficacy and render its provisions nugatory
( see, Woollcott v Schubert, 217 NY 212, 220 [1916])? If the
answer to this question is yes, that might be a proper
justification or explanation for eliminating a not-for-profit
director's fiduciary responsibility for a particular transaction.
However, such a conclusion is not within the realm of
contemplation.[46]
As noted above, plaintiffs argue that Empire's Board
breached its fiduciary duty to preserve Empire's assets and
pursue the corporation's charitable mission when it asked the
Legislature to substitute its judgment in determining the
disposition of Empire's assets ( August 2001 letter) and
acquiesced in the Legislature's taking substantially all of
Empire's value for purposes other than carrying out Empire's
mission (June 2002 Amended Plan of Conversion). According to the
Majority, "the heart of plaintiffs' grievance - - is that assets
from the restructuring are not going to be used to further
Empire's historic charitable purposes" (Majority op at 17).
The Majority counters plaintiffs' contention by making
two arguments. First, the Majority argues that Chapter 1
"supercedes all inconsistent common-law and statutory duties"
( see Insurance Law § 7317[f][ii]).[47]
Second, the Majority argues
that, "Even were the Court to somehow overcome this obstacle, the
business judgment rule, ***, bars plaintiffs' claim" (Majority op
at 36).[48]
As to the Majority's first argument, Chapter 1 not only
improperly eliminates the fiduciary responsibility of directors
but also seeks to prevent any judicial review of its actions.
Chapter 1 is improper not only in eliminating the long-standing
fiduciary responsibility imposed upon directors of not-for-profit
corporations by N-PCL 717, but also by effecting a taking in
violation of both the Federal and State Constitutions ( see
dissenting opinion of Judge Robert Smith). In addition, there are two reasons why the Majority's
second argument fails. First, the business judgment rule
generally applies in commercial contexts; as such, the rule does
not apply to Empire or other entities organized under the N-PCL .
In Levandusky v One Fifth Avenue Apartment Corp. (75 2 530
[1990]), this Court considered whether the business judgment rule
should be applied to a building policy decision made by directors
of a residential cooperative corporation governing board. This
Court held that a standard of review analogous to the business
judgment rule should be applied ( see Levandusky, 75 NY2d at 537).
In so concluding, this Court recognized that cooperative housing
corporations function like for-profit entities and that they are
formed under the Business Corporation Law.[49]
Also, this Court
limited this standard of review to the decisions of cooperative
and condominium boards ( see Levandusky, 75 NY2d at 537). The
Court did not make a statement as to whether a similar rule would
be applied to review the decisions of other types of not-for-
profit corporations or organizations.
Second, even if the business judgment rule, or an
analogous rule were applicable here, a significant tension
between the rule and the not-for-profit directors' fiduciary
duties is evident. Under the business judgment rule, courts
cannot inquire into actions of corporate directors taken in good
faith and in the exercise of honest judgment in the lawful and
legitimate furtherance of corporate purposes. However, it is
well settled that the business judgment rule does not apply to
boards or individual directors who fail to act in good faith or
within the scope of their authority ( see Levandusky; Board of
Managers of the 229 Condominium v J.P.S. Realty Co., 308 AD2d 314
[1st Dep't 2003]; aff'd , 75 NY2d 530, 538). Thus, in order for a
not-for-profit director to act in good faith, etc., he or she
must necessarily exercise his/her fiduciary responsibilities
(e.g., the duties of care, loyalty and obedience).
Relying on the business judgment rule, the Majority
argues that, "To the extent that plaintiffs complain about action
occurring before Chapter 1 was enacted (i.e., 'inviting' the
Legislature to decide how to allocate Empire's not-for-profit
assets), this claim is without merit because the plan of
conversion -- whether the one presented to the Superintendent in
1999 or the one presented to him after Chapter 1's enactment --
was, in the Board's judgment, necessary to safeguard Empire's
continued viability" (citation omitted). However, the Empire
director's August 2001 letter 'inviting' the Legislature to
decide how to allocate Empire's not-for-profit assets, as well as
the June 2002 conversion plan, activities that are clearly in
derogation of Empire's mission and corporate purpose, arguably
amount to abdications of responsibility[50]
and/or breaches of the
fiduciary duties of care, loyalty and obedience. In other words,
since there is a question as to whether the Empire directors
breached their fiduciary duty, it cannot be presently argued that
Empire's directors engaged in the type of actions that would
shield them from judicial inquiry under the business judgment, or
analogous, rule. Accordingly, it is premature to assert that: 1)
the business judgment rule bars plaintiffs' claims; and 2) that a
court is not able to inquire into the actions of Empire's
directors.
In sum, Empire's directors, by seeking to convert from
a not-for-profit to a for-profit entity, by seeking the
legislation necessary to facilitate such conversion, and by
seeking the assistance of the Governor and the Legislature to
pass such legislation, essentially sought to be bailed out by the
State. In exchange for the bailout, the directors agreed that
95% of the value of Empire's assets would be used for public uses
to be determined by the State and 5% for charitable purposes. In
addition to agreeing to the asset allocation set forth above,
Empire's directors also acceded to the elimination of their
fiduciary obligations. Although not specifically stated in the
record, apparently Empire's directors wanted to be immunized from
challenges that they breached their fiduciary duties.[51]
This
immunity was provided for in Chapter 1.[52]
Conclusion
By upholding the portion of Chapter 1 that provides for
the elimination of the fiduciary obligations of not-for-profit
directors, this Court sets a dangerous precedent. Instead of
striking down a measure that weakens the accountability of
corporate directors, the Majority has upheld it. New York State,
like most states, seeks to promote strong corporate governance
(accountability) rules. In view of recent scandals involving
both for-profit and not-for-profit entities, the Majority's
holding is a step backwards.
The stated charitable mission and purpose of the
organization are of primary importance when the not-for-profit
board discharges its fiduciary obligations. The board must not
act in contravention of that mission. Adherence to the legal
standards that guide the conduct of not-for-profit boards, i.e.,
the fiduciary duties of care, loyalty and obedience, ensures that
the day-to-day functions performed by the board are consistent
with the organization's mission and purpose. Here, Chapter 1
annuls the fiduciary obligations of not-for-profit directors for
no good reason.[53]
Taking this into account, as well as the fact
that, here, the Attorney General cannot exercise his normal
oversight role over the conduct of Empire's board,[54]
there is no
way to hold the Empire board accountable for its actions related
to the proposed conversion from a not-for-profit to a for-profit
entity, a transaction that will change the character of Empire in
a significant and fundamental way. Because they are not
accountable for their actions, no Empire director has any
incentive to mount a challenge to the proposed conversion under
Chapter 1. Put another way, there is no one to ensure that the
organization's mission and purpose are protected. Based on the
foregoing, the portion of Chapter 1 that provides for the
elimination of the fiduciary obligations of Empire's board should
not stand.
In sum, the plaintiffs have asserted a valid cause of
action for breach of a fiduciary duty, a cause of action that
should be allowed to proceed in court. Therefore, in addition to
joining Judge Robert Smith in his dissent, I dissent from the
dismissal of the claim for breach of a fiduciary duty.
Consumers Union of U.S., Inc. v State of New York, et al.
No. 83
R. S. Smith, J. (dissenting in part):
Suppose an ordinary private charity -- say an art
museum -- found itself in the position of Empire here: unable to
continue operating, but able to realize a large sum by selling
its franchise or "going concern" value to private investors.
Suppose the charity asked the State to allow the sale so that the
charity could dissolve and turn the sales proceeds over to a new
charitable entity that would continue to advance the old
charity's purposes. Suppose the State answered by saying: "You
can do it, but only 5% of the money can go to charity. The rest
must be used for public purposes." And suppose further that the
public purposes on which the State chose to spend the charity's
money were worthy objects quite different from the charity's
goals -- the construction of a new prison, for example, or the
retirement of State debt. Can anyone doubt that, on these
hypothetical facts, there would be a taking of private property
for public use without just compensation?
This case differs from my hypothetical in two ways:
first, Empire is not an ordinary private charity; and secondly,
the purposes chosen by the State for the use of Empire's property
are not completely remote from the purposes of Empire. I
conclude, for reasons I explain below, that these two
distinctions do not justify dismissal of plaintiffs' complaint as
insufficient on its face, and I therefore dissent from the result
the majority reaches. What troubles me more than the result in this
admittedly close case, however, is that the majority, in
upholding Chapter 1 of the Laws of 2002, does not rely wholly on
the two factors I have mentioned -- the peculiar nature of Empire
and the uses to which the State is putting Empire's money. Some
parts of the majority's reasoning sweep more broadly, and would
seem to justify upholding the hypothetical State action I have
described. In other words, under the majority's reasoning, the
State might, in circumstances like these, compel the use of 95%
of an art museum's money for prison construction. I think these
parts of the majority opinion are unnecessary to its result, and
may cause trouble in future cases.
* * *
To decide the validity of Chapter 1 of the Laws of 2002
under the takings clauses of the federal and state constitutions,
I find it necessary to address three questions: (1) Is the
property of Empire private property? (2) If so, is the State
free, under the takings clauses, to demand as much of that
property as it wants in exchange for allowing Empire to sell its
assets to a profit-making entity? (3) If the State is not free
to demand all it wants, does Chapter 1 demand more than the
takings clauses permit? I answer yes to the first question and
no to the second. I conclude that the third question cannot be
answered definitively on the face of the statute.
I. Is Empire's property private?
As the majority opinion points out, Empire differs in
many ways from a typical private charity. One difference is that
Empire has had a more intimate relationship with, and has derived
more benefit from, the State government than most private, non-
profit entities. The State, recognizing the important purposes
that Empire has served, has repeatedly intervened to keep it
afloat, allowing it to collect from hospitals at favorable rates,
giving it a large outright subsidy, and imposing limits on
Empire's competitors ( see majority op at 5-7). The majority does
not assert, however, that these facts make Empire into a public
or quasi-public entity, or that they lessen the protection
afforded to Empire's property under the takings clauses. Thus,
for the majority, it seems that Empire's previous relationship
with the State is simply background that, while it may make the
taking of Empire's property by the State seem less offensive, is
not directly relevant to the constitutional issue. I agree that prior acts of government favoritism to
Empire are constitutionally irrelevant; they do not make Empire's
property any less private. I know of no authority holding that
the private nature of property is destroyed or diluted because of
previous government benefits its owner has received, and I think
it would be unwise to create, for takings clause purposes, a
special category of government dependents whose property is not
really their own. The State did not have to help Empire in the
ways it did, and it could have attached more conditions to the
help it gave; it could, for example, have required that the
hundred million dollar cash subsidy given in 1993 be paid back if
Empire were to dissolve. But the Legislature imposed no such
requirement, and it is not free to say to Empire, in effect, "I
am taking your property now because I saved your life back then."
There may be farmers in this country who have been able to remain
in business for years or decades because of government subsidies
-- but their farms are still their farms, and the government
cannot take them without paying just compensation. The majority mentions some other factors that
distinguish Empire from an ordinary private charity, but these
seem to me more clearly irrelevant. Surely Empire is not less a
private entity because it was, for federal tax purposes, a
"social welfare" organization under Internal Revenue Code § 501
(c) (4), rather than a "charitable" organization under § 501 (c)
(3) (majority op at 4-5, 30). And the fact that Congress
stripped Empire of its tax exemption because it found its
activities too "commercial" (majority op at 6) weighs, if
anything, on the side of making Empire that much more private. In short, I conclude that Empire's property is private,
and entitled to the same constitutional protection from
uncompensated taking as any other private property.
II. Can the State demand as much of Empire's property as it
wants, in exchange for allowing conversion?
The majority opinion implies that Chapter 1 is not
problematic because it gives Empire a choice. Empire, the
majority notes, was not legally required to "convert" to profit-
making status (more precisely, to transfer its assets to a
profit-making entity in exchange for stock, and then sell the
stock to the public and dissolve). "Chapter 1 does not compel
Empire to convert . . . . conversion only takes place if Empire
so chooses" (majority op at 31-32). The majority acknowledges
that Empire may have had no choice as a practical matter, but
adds that "any duress stemmed from Empire's inability to prosper
as a not-for-profit organization, not from pressure exerted by
the State" ( id. at 32). The United States Supreme Court has made clear,
however, that the takings clause limits a State's power to
acquire private property by inducing the owner to surrender it in
exchange for a needed government authorization. Nollan v
California Coastal Commn. (483 US 825 [1987]) involved homeowners
who needed a permit from the California Coastal Commission to
rebuild their home. The Commission granted permission, but only
on condition that the Nollans allow the public an easement to
pass across their property. The Supreme Court held that this was
a taking, relying on the lack of an "essential nexus" between the
condition attached to the government permit and the purpose that
could have been served by refusing permission (483 US at 836-
837). In the absence of such a nexus, the Supreme Court said,
the State's restriction on the Nollans' right to rebuild their
home amounted to "'an out-and-out plan of extortion'" ( id. at
837, quoting J.E.D. Assoc., Inc. v Atkinson, 121 N.H. 581, 584,
432 A2d 12 14-15 [1981]). In Dolan v City of Tigard (512 US 374
[1994]), the Supreme Court added a "rough proportionality"
requirement to the "essential nexus" test. Even where a nexus
existed, the Court held, the surrender of property that the State
demands as a condition to permitting the development of land must
be roughly proportional to the adverse impact that can be
expected from the development. These "exactions" cases refute the idea that, since the
State was free to refuse to allow Empire's conversion, it was
also free to allow it on condition that Empire give the State a
95% share of the proceeds. Defendants do not argue here, and the
majority does not hold, that such a blatant holdup (more blatant
than what actually happened in this case) could pass muster under
the exactions cases -- but the State does argue, and the majority
seems to agree, that exactions analysis has no place outside the
land-use context. (Majority op at 28: "We decline . . . to
expand our exaction analysis beyond the realm of land-use
regulation.") The implication, presumably, is that no "plan of
extortion" by the State, no matter how gross, is invalid under
the takings clause unless it is an interest in real property that
is being extorted. This suggestion seems to me both unacceptable
in principle and inconsistent with the Supreme Court's exactions
decisions. It is true that the Nollan and Dolan cases involve land
use; indeed, many, probably most, takings cases involve real
property. But the relevant clauses of the State and Federal
Constitutions apply to real and personal property alike ( see e.g. Phillips v Washington Legal Found., 524 US 156 [1998]). I know of
no precedent suggesting that the cash in a private bank account
is subject to less protection under the takings clauses than a
private house or tract of land. Different kinds of property
sometimes call for different rules, of course, and it may well be
that in cases not involving land use the details of the Nollan
and Dolan nexus and proportionality tests will be modified, but
it is unthinkable that the Constitution provides no protection at
all against exactions of personal property. Nothing in the Supreme Court's exactions decisions
suggest that their rationale is limited to real property.
Indeed, the Nollan case shows that it is not so limited in its
discussion of Ruckelshaus v Monsanto Co (467 US 986 [1984]), a
case involving not real property but trade secrets. The dissent
in Nollan argued that Nollan was similar to Monsanto ( Nollan, 483
US at 859), while the majority distinguished Monsanto ( Nollan,
483 US at 833 n 2) -- but neither suggested that Monsanto was
inapplicable because it was not a land-use case. Thus, both the
majority and the dissent in Nollan assumed that like reasoning
was applicable to real and personal property. And in Dolan, the
Court made clear that the rules governing exactions are derived
not from any peculiar characteristics of land-use cases but from
"the well-settled doctrine of 'unconstitutional conditions,'"
which limits the government's power to require surrender of a
constitutional right "in exchange for a discretionary benefit
conferred by the government" ( Dolan, 512 US at 384). Nor does our decision in Matter of Smith v Town of
Mendon (4 3 1 [2004]) imply that exactions analysis is
inapplicable where no real property is involved. Town of Mendon
did involve real property, and our discussion in that case
focused on whether the Town's invasion of the Smiths' interest in
real property was sufficient to trigger exactions analysis. We
concluded that it was not because the Town had not required "the
physical dedication of property to public use" but only "more
modest conditions on development permits" ( id. at 7). I thus conclude that exactions analysis applies here;
it would be unconstitutional for the State to require, as a
condition to allowing Empire's conversion, that Empire pay 95% of
its assets to the State or to whatever recipients the State found
worthy. I cannot believe that the majority, despite some of the
language in its opinion, would reach a different conclusion.
Requiring the turning over of most of a private entity's wealth
is not what we called in Town of Mendon a "modest" condition to a
needed governmental permission. The critical question, to which
I now turn, is whether what actually happened here is
fundamentally different from such a blatant, unconstitutional
exaction.
III. Has the State taken Empire's property?
In addressing the question of whether Chapter 1
provides for an unconstitutional exaction, I proceed by
successively refining the question. First, I conclude that
Chapter 1 is unconstitutional under the takings clauses if, but
only if, a similar statute that unconditionally compelled the
same uses of Empire's property would be unconstitutional.
Secondly, I conclude that that question in turn depends on
whether the compelled uses destroyed Empire's "investment-backed
expectations." Finally, I conclude that the answer to that
question turns on whether the uses provided for by the statute
are reasonably consistent with the purposes of Empire. To this
last restatement of the question, I find no clear answer on the
face of Chapter 1, and I would therefore hold that further
development of the facts is necessary.
Where a purportedly voluntary transaction is challenged
under the takings clauses as an unconstitutional exaction, a
preliminary step in the analysis is to consider whether the
transaction, if involuntary, would be a taking of the property.
Thus, in Nollan the Supreme Court began by saying that if the
State had "simply required the Nollans to make an easement across
their beachfront available to the public . . . we have no doubt
there would have been a taking" ( Nollan, 483 US at 831); the
Court then inquired whether the transaction was a taking in view
of its imposition as an exaction in response to a permit request.
Here, then, the preliminary step is to consider whether there
would have been a taking if the State had simply required Empire
to distribute its assets as Chapter 1 provides, without offering
Empire even the theoretical possibility of forgoing the
conversion and continuing the status quo. In this case, I believe, this preliminary step turns
out to be decisive for the exactions analysis: if an involuntary
transaction would have been a taking, the purportedly "voluntary"
nature of this transaction, i.e., its imposition as an exaction,
does not save it. Plaintiffs claim, in essence, that the uses of
Empire's assets that Chapter 1 requires are the equivalent of
transferring 95% of Empire's assets to the State treasury. If
plaintiffs are right in this -- or even if the correct percentage
is as low as 60% -- plaintiffs should win the case. If it is
correct that Chapter 1 outside the exactions context would effect
so enormous a taking, then the exactions analysis is collapsed.
It seems impossible to argue, and no one does argue, that an
exaction on such a scale could pass either the "nexus" and "rough
proportionality" tests of Nollan and Dolan, or whatever
counterpart to those tests might be applied to an exaction not
involving real property. (The majority does offer an exactions
analysis, which I discuss below, but that analysis does not
accept the premise that the State is effectively acquiring most
of Empire's assets.)
Thus, the dispositive issue is whether it would be a
taking of property for the State to compel Empire, quite apart
from any conversion plan, to distribute its assets in the way
provided for by Chapter 1. The Supreme Court's recent summary of
takings jurisprudence in Lingle v Chevron U.S.A., Inc. (___ US
___, 125 S Ct 2074 [2005]) provides a framework for approaching
that question. Lingle identifies three categories of taking: a
per se taking, i.e., a "direct government appropriation or
physical invasion of private property" ( id. at 2081), exemplified
by Loretto v Teleprompter Manhattan CATV Corp., (458 US 419
[1982]); and two kinds of "regulatory taking" -- one exemplified
by Lucas v South Carolina Coastal Council (505 US 1013 1992]),
in which a regulation "completely deprive[s] an owner of 'all
economically beneficial us[e]' of her property" ( Lingle, 125 S Ct
at 2081, quoting Lucas, 505 US at 1019 [emphasis in Lucas
opinion]); and another involving a regulation that, though not
destroying the property's value to the owner completely, is "so
onerous that its effect is tantamount to a direct appropriation
or ouster" ( Lingle, 125 S Ct at 2081). Regulatory takings
challenges in this last category are governed by the standards
set forth in Penn Cent. Transp. Co. v City of N.Y. (438 US 104
[1978]) ( Lingle, 125 S Ct at 2081-2082). Penn Central lists a
number of factors to be used in evaluating claimed regulatory
takings; primary among these, the Court noted in Lingle, are
"'[t]he economic impact of the regulation on the claimant and,
particularly, the extent to which the regulation has interfered
with distinct investment-backed expectations'" ( Lingle, 125 S Ct
at 2081-2082, quoting Penn Central, 438 US at 124). In Nollan and Dolan, the Court found that the
dedications of landowners' property, if they had been imposed
outside the exactions context, would have been per se takings.
In this case, the requirements of Chapter 1, if imposed outside
the exactions context, would arguably be a regulatory taking and
the issue of what Penn Central called "investment-backed
expectations" should be decisive. The word "investment" may seem
awkward in discussing the expectations of a not-for-profit
entity, but I think the meaning of "investment-backed
expectations" in this context is simply Empire's reasonable
expectations as to the future use of its property. It seems
clear that if Chapter 1 does not interfere with Empire's
reasonable expectations there has been no taking. On the other
hand, if these expectations are contradicted as to a large enough
portion of Empire's property, a Penn-Central-type taking has
occurred, even assuming that there is no per se ( Loretto) or
"total" regulatory ( Lucas) taking. The question thus boils down to whether Chapter 1 is
consistent with Empire's reasonable expectations for the use of
its property. It is true that, in the situation it faced when
Chapter 1 was passed, Empire could not have expected to keep its
money in its own bank account -- or, indeed, to have continued in
existence as a going concern. Empire was no longer viable as a
non-profit health insurance provider. Empire could expect,
however, that its assets would be protected by some limitation
similar to the "quasi cy pres" requirement embodied in Not-For-
Profit Corporation Law § 1005 (a) (3) (A). That statute says
that assets of a "Type B" not-for-profit corporation like Empire
shall be distributed after dissolution to "organizations engaged
in activities substantially similar to those of the dissolved
corporation." ( See also Matter of Multiple Sclerosis Serv. Org.
of N.Y., Inc., , 68 NY2d 32 [1986].) While defendants point out,
correctly, that the Legislature was not constitutionally
prohibited from altering the N-PCL 1005 standard, it was not free
to destroy Empire's expectations entirely. Empire had a right to
expect that any assets remaining after its debts were paid would
be used in a way reasonably consistent with the purposes for
which Empire existed. This is the sense in which the property of
a charity or other not-for-profit entity is "private" property;
although the owner of the property may not use it for personal
gain, it has a right to the continuing dedication of the property
to certain purposes ( see Illinois Clean Energy Community Found. v
Filan, 392 F3d 934, 937 [7th Cir 2004]) [observing, in a
discussion of the taking of a charitable foundation's property,
that "claims of unconstitutional taking are matters of
expectation"]). Empire's purposes are specified in article 43 of the
Insurance Law. Under § 4301 (a), Empire existed "for the purpose
of furnishing medical expense indemnity . . . to persons . . .
covered under contracts with" Empire. Under Insurance Law S 4301
(j), Empire was "maintained and operated for the benefit of its
members and subscribers." In short, Empire's general purpose was
to help meet the public need for affordable health care coverage,
and it could reasonably expect that, after its dissolution, its
remaining assets would be devoted to that purpose or something
reasonably close to it. In accordance with those expectations, Empire's
original restructuring plan called for its existing value,
including the proceeds of the public offering, to be transferred
to a charitable foundation "dedicated to promoting the
availability and accessibility of high quality health care and
related services to the people of the State of New York." This
plan was approved by the Superintendent of Insurance, but never
took effect, at least in part because, in the view of the
Attorney General, it could not be accomplished without new
legislation ( see majority op at 7-11). That new legislation, Chapter 1, alters the proposal to
give Empire's existing value to a charitable foundation. The
statute divides Empire's assets into a "Public Asset", consisting
of "assets representing ninety-five percent of the fair market
value of the corporation" and a "Charitable Asset," consisting of
the remaining 5% (Insurance Law § 4301 [j] [3], [5]). The
Charitable Asset is to be turned over to a foundation not
dissimilar to the one that, under the original plan, was to
receive all the money. The Public Asset, however, is destined,
after expenses, for the Tobacco Control and Insurance Initiatives
Pool, from which it is to be distributed by the Commissioner of
Health as Chapter 1 directs. From this brief summary, Chapter 1
appears to take 95% of Empire's assets for public use, leaving
only 5% to continue Empire's charitable purposes. Defendants argue, however, that this superficial
appearance of a 95% - 5% public-to-charitable division is
misleading. They argue that, when the specific purposes for
which the Public Asset is to be spent are examined, they bear
enough relationship to Empire's charitable mission so that
Empire's reasonable expectations as to the use of its property
have not been frustrated. The case turns, in my view, on whether
defendants can sustain this argument, and I do not rule out the
possibility that they can. I do not think, however, that it can
be said on the face of Chapter 1 alone that defendants are right.
Most of the Public Asset -- some 65%, by the majority's
estimate (majority op at 15 n 12) -- will be devoted to what
Chapter 1 calls "general hospital recruitment and retention of
health care workers" (Chapter 1, §1), i.e., to compensation and
benefits for hospital employees. Plaintiffs assert that this
aspect of the statute is "special interest legislation" designed
to accomplish "political goals" -- specifically, the funding of a
labor contract. But in reviewing the constitutionality of the
legislation we are required to assume that the Legislature
believed supplementing the income of health care workers to be an
important public goal, and the validity of that legislative
judgment may not be questioned here ( see Paterson v Univ. of
State of N.Y., , 14 NY2d 432, 438 [1964]; McKinney's Cons Laws of
NY, Book 1, Statutes §§ 150, 151). To assume that this
expenditure of funds is wise public policy, however, does not
establish that Empire's property has not been taken for public
use. The property has been taken unless the "recruitment and
retention" expenditures are a reasonable way of advancing
Empire's purposes. Giving due weight to the presumption of validity
attaching to legislation, I cannot conclude on this record that
the portion of Chapter 1 that devotes Empire's assets to "the
recruitment and retention of healthcare workers" should be
upheld. There is no indication that the Legislature found that
this use of Empire's funds was consistent with Empire's purposes,
or that it ever considered the question. Nor has there been any
presentation of facts or analysis that would support such a
finding. I would insist that, at a minimum, defendants present
some analysis supporting the conclusion that this use of funds
will advance Empire's aim of making health care coverage more
generally available to the citizens of New York. If a reasonable
case can be made, I would find the legislation valid, and if not
I would find it invalid. On the record we have, I would deny
defendants' motion to dismiss the takings claim, and would leave
the issue to be determined by summary judgment motions or at a
trial if necessary. I would also leave open the validity of the
other uses of the Public Asset directed by the Legislature,
though I acknowledge that those uses (listed at page 15 of the
majority opinion) seem on their face more consistent with
Empire's purposes. The majority's analysis of Empire's "investment-backed
expectations" is limited to the conclusory assertion that the
distributions directed by Chapter 1 are "wholly consistent" with
Empire's mission (majority op at 32-33). The majority assumes,
without discussion, that the State is free to spend Empire's
money for any "public health purposes" it chooses ( id. at 33),
including the supplementing of hospital workers' income. I
reject the idea that the constitutional limitations on the taking
of private property are of so little force. They must require at
least some reasoned demonstration that the expenditures chosen by
the State will indeed advance Empire's purposes. That
demonstration has yet to be made. The assumption that Empire's purposes will be advanced
by Chapter 1's use of Empire's property is also the basis for the
majority's exactions analysis. Though the majority implies, as I
mentioned above, that it thinks exactions analysis inappropriate,
it concludes, in the alternative, that upon such an analysis this
legislation would survive, because the "essential nexus" and
"rough proportionality" called for by the Nollan and Dolan cases
exist. Specifically, the majority finds "not only a nexus but a
direct connection between the State's interest in enacting
Chapter 1 -- allowing Empire to continue to carry out its dual
historic mission -- and the condition imposed -- that Empire's
not-for-profit assets be used for the public health purposes
specified in Chapter 1" (majority op at 29). It also finds that
"the condition is 'roughly proportional' to the impact of
Empire's conversion because if Empire were to convert through any
other mechanism . . . it would be required to dedicate its not-
for-profit assets to purposes similar to those for which it was
formed . . . ." (majority op at 31). Thus, the majority finds
the tests for exactions to be satisfied because, according to the
majority, Empire's assets are not being diverted from Empire's
"mission."
I think the majority's exactions analysis is both
unnecessary and wrong. It is unnecessary because, as I explained
above, if Empire's assets are being used in a way consistent with
Empire's reasonable expectations, the legislation would be valid
even if the legislatively-prescribed uses were unconditionally
compelled. If that is the case, there is no exaction and no need
to do an exactions analysis. The majority's exactions analysis is also wrong,
because what the exactions cases require is not, as the majority
assumes, a nexus between the condition imposed by the State and
its purpose in enacting the legislation. They hold that there
must be a nexus between the conditions attached to a permission
given by the State and the grounds on which the State could have
withheld that permission. ( See Nollan, 483 US at 837: The issue
is whether "the condition substituted for the prohibition . . .
further[s] the end advanced as a justification for the
prohibition"). The majority may be implicitly reasoning that the
State could have refused Empire permission to convert, and that
its grounds for doing so would have been to cause Empire "to
continue to carry out its dual historic mission" (majority op at
29). If that is the majority's reasoning, I find it
unconvincing. Everyone in this case agrees that, if Empire had
not been permitted to convert, it would have promptly gone out of
existence, not fulfilling its "dual historic mission" or any
other. To me, the majority's exactions analysis is one of many
aspects of its opinion that tend to obscure the basic question:
whether Empire's reasonable expectations as to the use of its
property have been respected. Because, to my mind, that question
remains in doubt, I dissent from the decision dismissing
plaintiffs' takings claims.
Footnotes
1 The Membership Corporations Law was a predecessor of the Not-
For-Profit Corporation Law ( see N-PCL 103).
2 Plaintiffs incorporated this article into their complaint.
3 A social welfare organization has as its exempt function the
social welfare of the public (IRC § 501 [c] [4] [provides tax
exemption for "civic leagues or organizations not organized for profit
but operated exclusively for the promotion of social welfare"]).
"Social Welfare" is equated by regulation with the "common good and
general welfare" and with "civic betterments and social improvements"
(Treas Reg 1.501 [c] [4]-1 [a] [2] [i]). Many organizations with
federal tax-exempt status are not charities, including labor
organizations (IRC § 501 [c] [5]), trade associations (IRC § 501 [c]
[6]), fraternal societies (IRC §501 [c] [10]) and social clubs (IRC §
501 [c] [7]).
4 See Tax Reform Act of 1986, Pub L No 99-514, § 1012, 100 Stat.
2085, 2394 (1986), codified at IRC § 501 (m) [providing that section
501 [c] [4] organizations are exempt from taxation "only if no
substantial part of [their] activities consist[] of providing
commercial-type insurance," unless they subsidize premiums for many
low-income enrollees or their activities fall within certain other
narrow exceptions; under IRC § 833, the Blues retain certain tax
advantages by calculating taxable income in a manner different from
that used by commercial insurers]; see also Singer, "The Conversion
Conundrum: The State and Federal Response to Hospitals' Changes in
Charitable Status," 23 Am J L and Med 221 n 24 ["As a result of the
Tax Reform Act of 1986, Blue Cross plans were stripped of their
federal tax exemption, on the basis that the selling of insurance was
not a charitable activity under the Internal Revenue Code 501 (m) . .
. . This left Blue Cross plans without the ability to secure
tax-exempt financing and yet unable to sell stock because of their
nonprofit structure when first established under enabling
legislation"]).
5 This bailout was contingent upon Empire's discontinuing a
lawsuit challenging the State's financing and use of a malpractice
insurance fund.
6 For example, dissolution would have provided "no mechanism to
unlock the going-concern value of Empire's profitable business lines
[and] could entail significant waste of valuable assets" (Testimony of
Ira M. Millstein, outside counsel to Empire, before the New York State
Assembly Standing Committees on Insurance and Health, April 11, 1997,
at 15). It would also remove Empire as an insurer in New York State,
lessening competition to the detriment of consumers.
7 In 1999, Article 43 of the Insurance Law, the article under
which Empire operated, provided at section 4301 (j) that
"[n]o medical expense indemnity corporation,
dental expense indemnity corporation, health
service corporation, or hospital service
corporation shall be converted into a corporation
organized for pecuniary profit. Every such
corporation shall be maintained and operated for
the benefit of its members and subscribers as a
co-operative corporation."
Section 7301 of the Insurance Law specifies that "[n]o insurer
organized or licensed under this chapter shall convert to a different
type of insurer except as provided in this article."
The Attorney General's other principal objections were "old"
Empire's continued control over the charitable foundation receiving
the not-for-profit assets; whether the foundation would receive fair
value under such control; and whether "old" Empire's continued control
over "new" Empire would compromise an arm's length valuation of the
conversion.
9 Insurance Law § 4301 (j) (2) now provides that
"[a]n article forty-three corporation which was
the subject of an initial opinion and decision
issued by the superintendent on or before
December thirty-first, nineteen hundred
ninety-nine, as the same may be amended, may be
converted into a corporation or other entity
organized for pecuniary profit, or into a
for-profit organization, in any such case, in
accordance with the provisions of section [7317]
of this chapter."
Specifically, section 7317 (f) (ii) states that
"compliance with this section and subsection (j) of section four
thousand three hundred one of this chapter and the use of such
funds as provided in such section, and in subsection (k) of this
section, shall be deemed to constitute compliance with and shall
supercede all such other legal requirements, including, but not
limited to, statutory, common law and any other requirements
relating to not-for-profit corporations and fiduciary
requirements applicable to the board of directors of any company
filing a plan pursuant to this section."
11 The Charitable Asset Foundation's mission is stated to be the
"(A) expansion of access to health care by
extending health insurance coverage to state
residents who cannot afford to purchase their own
coverage or who have coverage that is inadequate
to meet their needs;
"(B) expansion and enhancement of access to
health care by augmenting and creating health
care programs that deliver services to
populations that are unable to access health care
or that improve public health; and
"(C) augmentation of its other program
priorities by supporting programs that inform and
educate New Yorkers about public health issues
and empower communities to address these issues
by becoming more effective at identifying and
articulating health care needs and implementing
solutions.
"Programs or initiatives instituted by the
charitable organization shall not neglect the
residents or institutions served by the applicant
prior to the conversion" (Insurance Law § 7317
[k] [3]).
By our estimation, roughly 65% of the funds from Empire's
conversion were directed over three years to employee recruitment and
retention.
13 Plaintiffs subsequently withdrew a ninth cause of action, which
alleged that Empire does not qualify to convert under the terms of
Chapter 1. The relief sought by plaintiffs on this cause of action
was a declaration that Chapter 1 does not permit Empire's conversion.
14 Plaintiffs also alleged a violation of 42 USC § 1983, and
requested a constructive trust (purportedly a cause of action).
Section 1983 is a vehicle for enforcing constitutional rights, which
presupposes state action ( see Tancredi v Metro. Life Ins. Co., 316 F3d
308 [2nd Cir 2003] [no state action where a State-chartered mutual
life insurance company reorganizes into a domestic stock life insurer
under provisions of the Insurance Law]). Even if there were state
action, plaintiffs' section 1983 claim rises or falls with its
constitutional claims. Further, a constructive trust is only imposed
upon a finding of "(1) a confidential or fiduciary relation, (2) a
promise, express or implied, (3) a transfer made in reliance on that
promise, and (4) unjust enrichment" ( Bankers Security Life Ins. Soc. v
Shakerdge, , 49 NY2d 939, 940 [1980]). Plaintiffs did not allege any of
this in the original complaint, and did not renew their request for a
constructive trust in their amended complaint.
In November 2002, plaintiffs also commenced a CPLR article 78
proceeding to contest the Superintendent's final determination
approving Empire's plan. Plaintiffs disputed only the distribution to
the public asset fund of 100% of the proceeds from a judgment that
Empire obtained against seven tobacco companies, arguing that 5% of
these proceeds should have been distributed to the charitable
organization. They did not contest any other aspect of the
Superintendent's final determination, including his conclusion that
conversion would not adversely affect subscribers' premiums or
benefits.
16 WellChoice, the holding company for Empire, raised $417.5
million in the stock market on the IPO's first day. About 16.7
millions shares, or 20.3% of the company's stock, were sold at an
initial price of $25, valuing the company at about $2 billion
(Freudenheim, "Judge Freezes Proceeds Raised from Health Insurer's
Stock Sale," New York Times, Nov 9, 2002).
17 These subscriber plaintiffs include Consumers Union of U.S.,
Inc., which held a group subscriber contract, and five individuals.
18 The amended complaint also added the New York Charitable Asset
Foundation, the charitable organization authorized by Chapter 1
(Insurance Law § 7317 [k]), as a defendant.
19 None of the defendants challenged plaintiffs' standing to bring
the amended complaint, which alleges only violation of article III, §
17.
20 Under N-PCL 720 (b), an action concerning transfer of the
corporation's assets may be brought by the Attorney General, by the
corporation or, in the right of the corporation, by a director or
officer; receiver, trustee in bankruptcy, or judgment creditor;
member; or holder of a subvention certificate or any other contributor
to the corporation of cash or property of the value of $ 1,000 or
more.
21 Compare Goldschmid, "The Fiduciary Duties of Nonprofit Directors
and Officers: Paradoxes, Problems, and Proposed Reforms," 23 J Corp L
631 (1998) (suggesting cautiously opening the door for donor, member
and beneficiary derivative actions, especially to challenge
conversions, which are likely to be one-shot, decisive transactions in
the life of a nonprofit entity) with Atkins, "Unsettled Standing: Who
(Else) Should Enforce the Duties of Charitable Fiduciaries?," 23 J
Corp L 655 (1998) (pointing out conceptual flaws and practical
problems with theories for broadening standing to enforce the duties
of charitable fiduciaries); see also Blasco, "Standing to Sue in the
Charitable Sector," 28 USF L Rev 37 (1993).
22 Judge R. S. Smith in his dissent observes that "[n]othing in the
Supreme Court's exactions decisions suggests that their rationale is
limited to real property" (dissenting opn at 7). The Supreme Court,
however, has never applied exactions analysis outside the context of
land-use regulation. In its recent decision in Lingle v Chevron USA,
__ US __, __ [2005]), the Court placed Nollan and Dolan in "the
special context of land-use exactions," and referred to a "land-use
exaction violating the standards set forth in Nollan and Dolan" as one
of four distinct theories that might be pursued by a plaintiff seeking
to challenge a government regulation as an uncompensated taking.
23 It is important to note that a far different property interest
is at stake here than was the case in Nollan and Dolan. In those
cases, the landowners were required to surrender their right to
exclude others from their property -- "one of the most essential
sticks in the bundle of rights that are commonly characterized as
property" -- in exchange for land-use permits ( Nollan, 483 US at 831
[internal quotation marks and citation omitted]). Here, Empire would
be required to distribute its not-for-profit assets under any
restructuring process, including the one outlined in N-PCL 1005 (a)
(3) (A). Thus, this case entails Empire's more limited interest in
ensuring that, upon conversion, its assets will be used in accordance
with its historic mission.
In Multiple Sclerosis, we interpreted this statutory standard as
follows:
"Under the quasi cy pres standard of the Not-For-Profit
Corporation Law, a Supreme Court Justice in determining whether
to approve the plan of distribution proposed by the corporation's
board, and if not to what other charitable organizations
distribution should be made, should consider (1) the source of
the funds to be distributed, whether received through public
subscription or under the trust provision of a will or other
instrument; (2) the purposes and powers of the corporation as
enumerated in its certificate of incorporation; (3) the
activities in fact carried out and services actually provided by
the corporation; (4) the relationship of the activities and
purposes of the proposed distributee(s) to those of the
dissolving corporation, and (5) the bases for the distribution
recommended by the board" (68 2 at 35).
25 For the same reason that the Blues lost federal tax exemption --
their activities do not differ fundamentally from those of commercial
insurance companies -- their conversions fit but awkwardly within the
framework of charitable trust law ( see e.g. ABC for Health, Inc. v
Comm'r of Ins., 250 Wis2d 56, 640 NW2d 510 [2001], rev denied 252
Wis2d 149, 644 NW2d 686 [2002]) [Wisconsin Blue Cross Blue Shield
organization not a charity to whose conversion cy pres doctrine
applies because not operated exclusively for charitable purposes but
for benefit of individuals who paid premiums to become policyholders];
see also Abbott v Blue Cross & Blue Shield of Tex., Inc., 113 SW3d 753
[Tex App Austin 2003], rev denied 2004 Tex LEXIS 1158 [2004] [Blue
Cross/Texas not a public charity that must preserve its assets for
charitable purposes because corporation provided for group hospital
plans for benefit of its members who purchased services, not for
general charitable purposes]).
26 Plaintiffs' reliance on Ill. Clean Energy Cmty. Found. v Filan,
392 F3d 934 [7th Cir 2004] [ ICECF] is misplaced. There, Illinois
authorized a $4.8 billion sale of Commonwealth Edison's power plants
so long as the utility agreed to fund a new energy conservation
foundation with $225 million from the sale's proceeds. Later, after
the foundation had been established, the state legislature amended the
authorizing statute to require that the foundation give $125 million
of its assets to the state. The Seventh Circuit found this a taking
of the foundation's property. In ICECF, the foundation sued over
legislation which was retroactively amended to require it to turn
assets over to the state. Here, on the other hand, Empire was given
the choice to convert, knowing that if it did, Chapter 1 directs that
its not-for-profit assets will be used for public health purposes.
27 The 1938 Constitutional Convention expressly endorsed Union
Ferry's reasoning that the Exclusive Privileges Clause was aimed at
monopolies ( see Report of the 1938 New York State Constitutional
Convention Committee, "Problems Relating to Legislative Organization
and Powers," at 84).
Although the language in Judge R. S. Smith's dissent is
decidedly more tempered, it likewise tends to focus on a "parade of
horribles" and hypothetical legislative abuses ( e.g., legislation
"compel[ling] the use of 95% of an art museum's money for prison
construction" [dissenting opn at 2]) far-removed from the facts of
this case. As Justice Samuel Miller instructed in United States v Lee
(106 US 196, 217 [1882]): "Hypothetical cases of great evils may be
suggested by a particularly fruitful imagination in regard to almost
every law upon which depend the rights of the individual or of the
government, and if the existence of laws is to depend upon their
capacity to withstand such criticism, the whole fabric of the law must
fail."
29 Because this controversy involves motions to dismiss for
failure to state a cause of action ( see CPLR 3211 [a][7]), the
court must assume the truth of the allegations in the pleading,
"resolve all inferences which reasonably flow therefrom in favor
of the pleader" ( Sanders v Winship, , 57 NY2d 391, 394 [1982]) and
"determine ... whether the facts alleged fit within any
cognizable legal theory" ( Morone v Morone, , 50 NY2d 481, 489
[1980]).
30 Empire retained most of the individual and small group
markets, which generally contained less healthy subscribers.
31 From 1986 to 1995, Empire's net operating losses exceeded
$800 million and its subscriber base dwindled from 10 million to
less than 5 million.
32 On April 11, 1997, Ira M. Millstein, Outside Counsel to
Empire, testified before the New York State Assembly Standing
Committees on Insurance and Health regarding Empire's proposed
restructuring plan in light of the responsibilities of Empire's
directors, given the economic circumstances of the company and
the changing competitive environment in which Empire operates.
Millstein discussed at length the duties owed by Empire's
directors (i.e., the duty of care, duty of loyalty and duty of
obedience). However, regarding the duty of obedience, Mr.
Millstein stated, "When the operating environment changes, such
that continuing status quo operation is uneconomic, not for
profit boards face a considerable challenge to protect assets and
perpetuate the organization, while meeting the 'duty of
obedience.' This is graphically demonstrated in the case of
Empire" (Millstein Testimony, at 10).
Millstein's testimony was given with the original restructuring
plan in mind (100% of Empire's value to a charitable foundation).
Plaintiffs alleged, upon information and belief, that GNYHA
and Local 1199, in or about June 2001, agreed to drop their
opposition to the plan in exchange for Empire's agreement that
half of the funds realized would go to the proposed foundation
(with the goal of increasing access to health care and coverage)
while the other half would go to a foundation "supporting
hospitals' purchases of 'new computer systems or information
technology *** [to] help eliminate medical errors.'"
34 The August 2001 letter, with emphasis added, provides, in
pertinent part:
"We write to call your attention to the fact that
failure to enact legislation this year, enabling the
corporation to become a for-profit enterprise, will put
the viability of Empire at risk - for no explicable
reason beyond a political stasis. Failure to act also
puts at risk the creation of a foundation worth $1
billion to be used for health care for New York
residents.
1.
Empire has been engaged in the process of
seeking to restructure as a for-profit
company for five years. Empire's continued
viability in a competitive market is
compromised without the passage of this
legislation. Similar legislation has been
enacted in a number of other states, most
recently New Jersey. Many other Blue Cross
Plans including Connecticut Blue Cross have
declared their intention to convert. ***
7.
There is $1 billion of current value (Empire's
worth) on the table ready to be placed in a
foundation dedicated to health care, once the
legislation is passed.
8.
The only significant reason we can see for a
delay at this point is an inability to agree
on how to divide the foundation's income.
This is not an issue Empire can resolve, only
you can resolve it. ***
10.
If you cannot agree on how to divide the $1
billion in foundation proceeds, then let the
legislation pass, create one or more foundations,
and let the foundation boards make the decision.
The opportunity to unlock $1 billion in value, to be
put to public health care use for the people of New
York, is something that should not be wasted."
35 For example, Insurance Law § 4301(j)(1), which sets forth
the general rule that medical expense indemnity corporations may
not convert to for-profit entities, provides that:
"[n]o medical expense indemnity corporation, dental
expense indemnity corporation, health service
corporation, or hospital service corporation shall be
converted into a corporation organized for pecuniary
profit. Every such corporation shall be maintained and
operated for the benefit of its members and subscribers
as a co-operative corporation."
However, an exception to the above rule is set forth in Insurance
Law § 4301(j)(2). Section 4301(j)(2) provides that:
"[a]n article [43] corporation which was the subject of
an initial opinion and decision issued by the
superintendent [of insurance] on or before [December
31, 1999], as the same may be amended, may be converted
into a corporation or other entity organized for
pecuniary profit, or into a for-profit organization, in
any such case, in accordance with the provisions of [§
7317] of this chapter."
36 For example, Insurance Law § 7317(a)(1), which sets forth
the requirements for the restructuring plan that must be
submitted under Chapter 1, provides that:
"[a]n article [43] corporation which was the subject of
an initial opinion and decision issued by the
superintendent on or before [December 31, 1999], as the
same may be amended, which seeks to convert into a
corporation or other entity organized for pecuniary
profit or into a for-profit organization of any kind
shall submit a proposed plan of conversion to the
superintendent for approval pursuant to this section."
Additionally, Chapter 1 supercedes statutory and common law
relating to not-for-profit corporations, and fiduciary
requirements applicable to the board of directors filing a plan
pursuant to section 7317(a)(1) ( see Insurance Law § 7317[f][ii]).
Although the statute is written as applying generally, it
has been acknowledged on a number of occasions, including in
Supreme Court's February 2003 order, that this legislation was
only meant to apply to Empire.
38 Chapter 1 provides for this value allocation even though
both the Superintendent of Insurance and the Attorney General had
previously recognized that Empire's entire value was a charitable
asset.
39 Under Chapter 1, over $700 million, which represents about
two-thirds of the total anticipated value of Empire (and nearly
75% of the Public Asset Fund), would be used to pay hospitals,
nursing homes and certain personal care agencies in order to
assist in the recruiting and retention of non-managerial health
professionals over a three year period, i.e., the monies would be
used to fund salaries and raises for these workers during that
time.
40 This action was commenced on behalf of: 1) Consumers Union
of U.S., Inc. (CU); 2) National Multiple Sclerosis Society, New
York City Chapter (NMSS); 3) Housing Works, Inc.; 4) Disabled in
Action of Metropolitan New York (DIA); 5) New York Statewide
Senior Action Council, Inc. (NYSSAC); 6) Jeffrey Friedwald; 7)
Betty Sicher and Charles Sicher; 8) Carla Meyer; and 9) Alain
Filiz. Of these plaintiffs, only CU and the individual
plaintiffs have standing to sue. Their interests in this action
follow. CU, which according to the complaint has a group
subscriber contract with Empire, alleges that "increased premiums
or reduced benefit payments" resulting from the Empire conversion
would increase CU's administrative costs. CU further alleges
that this would harm both it and its employees who have elected
Empire coverage. The individual plaintiffs (Friedwald, the
Sichers, Meyer and Filiz) allege in the complaint that they "will
be harmed when their premiums go up as a result of the conversion
and Empire's assets are diverted from promoting greater
accessibility and affordability of health coverage and care."
41 The causes of action consisted of 1) impairment of
contract; 2) impairment of vested interests or property rights
without due process of law; 3) unreasonable Taking of private
property for public use; 4) taking of property without just
compensation; 5) deprivation of civil rights in violation of 42 USC § 1983; 6) a demand for a declaration that conversion is
invalid for failure to comply with N-PCL §§ 510, 511, and/or 1001
et seq.; 7) breach of fiduciary duty and enforcement of trust; 8)
constructive trust; and 9) a demand for a declaration that
Chapter 1 does not permit the instant conversion of Empire.
42 For example, not-for-profit organizations and their
directors are not subject to the disclosure requirements of the
Securities and Exchange Commission.
43 In fact, the Attorney General has not commented one way or
the other on plaintiffs' breach of fiduciary duty claim.
44 The Attorney General enforces the duties of care, loyalty
and obedience ( see "The Regulatory Role of the Attorney General's
Charities Bureau"
at 3-4). Definitions of these duties are set
forth below.
"1. The duty of care: The common law duty of care
requires that the trustees, directors and officers of
charitable organizations be attentive to the
organization's activities and finances and actively
oversee the way in which its assets are managed. This
includes attending and participating in meetings,
reading and understanding financial documents, ensuring
that funds are properly managed, asking questions and
exercising sound judgment. New York has codified the
standard for the duty of care in N-PCL 717, which
provides that directors and officers of not-for-profit
corporations 'shall discharge the duties of their
respective positions in good faith and with the degree
of diligence, care and skill which ordinarily prudent
[persons] would exercise under similar circumstances in
like positions.' See also EPTL 11-1.7, 11-2.2 & 11-2.3.
2. The duty of loyalty: The common law duty of loyalty
requires trustees, directors and officers to pursue the
interests and mission of the charitable organization
with undivided allegiance. Private interests must not
be placed above the charity's interests. The N-PCL
addresses certain aspects of this duty. For example,
the N-PCL requires directors and officers to act in
'good faith' (N-PCL 717), contains an absolute
prohibition against loans to directors and officers
(N-PCL 716) and contains restrictions on self-dealing
transactions (N-PCL 406 & 715), as does EPTL 8-1.8.
3. The duty of obedience: The common law duty of
obedience includes the obligation of directors and
officers to act within the organization's purposes and
ensure that the corporation's mission is pursued.
There is no explicit reference to the duty of obedience
in the N-PCL. However, the duty may be inferred by the
limitations imposed upon corporate activities as set
forth in the purposes clause of the certificate of
incorporation (N-PCL 201, 202 & 402(a)(2)) and the
directors' and officers' obligations as the corporate
managers of the not-for-profit organization (N-PCL 701
& 713). EPTL 11-2.3(b)(3)(B) explicitly refers to the
needs of a trust's beneficiaries" ( id. at 4).
Further, the duty of loyalty "requires a director to
have undivided allegiance to the organization's mission
when using the power of his position or information he
possesses concerning the organization or its property"
( see Bjorkland et al., New York Non Profit Law and
Practice: with Tax Analysis § 11-3[a], at 393 [1997]).
Insurance Law § 7317(f)(ii) provides:
"This section shall be deemed to supercede all
otherwise applicable laws and legal requirements and
compliance with this section and subsection (j) of
section four thousand three hundred one of this chapter
and the use of such funds as provided in such section,
and in subsection (k) of this section, shall be deemed
to constitute compliance with and shall supercede all
such other legal requirements, including, but not
limited to, statutory, common law and any other
requirements relating to not-for-profit corporations
and fiduciary requirements applicable to the board of
directors of any company filing a plan pursuant to this
section. In addition, and not in limitation of the
foregoing, a transaction approved by the superintendent
shall be deemed for all purposes to be a transaction
that is fair and reasonable to an applicant and to
promote the purposes of that applicant, and the use of
proceeds as described herein shall be deemed for all
purposes to be a use for a purpose that is consistent
with and as near as may be to the purposes for which
the applicant was originally organized and subsequently
operated."
46 In fact, there appears to be no adequate justification or
explanation for elimination of the fiduciary obligations of not-
for-profit directors.
47 As noted above, I believe this provision should be struck
down.
48 See Auerbach v Bennett, , 47 NY2d 619, 629 (1979) ("[The
Business Judgment] doctrine bars judicial inquiry into actions of
corporate directors taken in good faith and in the exercise of
honest judgment in the lawful and legitimate furtherance of
corporate purposes. 'Questions of policy of management,
expediency of contracts or action, adequacy of consideration,
lawful appropriation of corporate funds to advance corporate
interests, are left solely to their honest and unselfish
decision, for their powers therein are without limitation and
free from restraint, and the exercise of them for the common and
general interests of the corporation may not be questioned,
although the results show that what they did was unwise or
inexpedient'" [citation omitted]. Note, Auerbach involved a for-
profit corporation formed under the Business Corporation Law.
49 While cooperative housing corporations are formed under
the Business Corporation Law., Empire was formed pursuant to the
N-PCL.
50 Under N-PCL 701, the "corporation shall be managed by its
board of directors," not the Legislature or other government
body. Clearly, the board of directors' management responsibility
extends to the management of the corporation's assets.
51 But recall, Empire's outside counsel alluded to challenges
regarding adhering to the duty of obedience ( see n 4).
52 While this dissent addresses only the fiduciary
responsibilities of the directors of Empire, plaintiffs may also
have a valid argument with respect to article III, § 17 which
forbids the Legislature from "[g]ranting to any private
corporation, association or individual any exclusive privilege,
immunity or franchise whatever." While the Majority concludes
that the section applies only to monopolies and no monopoly
exists here, the logical result of that conclusion is that the
legislature may, in any case involving a not-for-profit
corporation, take over the assets of that corporation for public
purposes and eliminate any fiduciary responsibility.
53 While Empire's outside counsel did allude to the
challenges Empire faced in adhering to the duty of obedience ( see
n 4), this is not an adequate justification or explanation for
the elimination of a not-for-profit director's fiduciary
obligations.
54 Under N-PCL 112(a)(7), the Attorney General normally can
institute an action or proceeding "to enforce any right given
under this chapter to members, a director or an officer of a Type
B or Type C corporation." For purposes of the action or
proceeding, the Attorney General has the same status as such
member, director or officer. Actions can also be brought on
behalf of the corporation pursuant to N-PCL 720).