Amicus Brief for O’BRIEN INDUSTRIAL HOLDINGS, LLC v.U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES; KATHLEEN SEBELIUS and others

7/30/2019 Amicus Brief for OBRIEN INDUSTRIAL HOLDINGS, LLC v.U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES; KATHLEEN SEBELIUS and others

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CARVARMPJ @ESCDASZRJ SPMPJIJOP

Eo mccar`mocj xepn Rzdj 27/= ag pnj Gj`jrmd Rzdjs ag Mvvjddmpj Vracj`zrj

mo` @/C/ Cerczep Rzdj 27/=Miece imlj pnj gaddaxeoh `escdaszrjs;

Xaijo Svjml gar Pnjisjdwjs es m vrahrmi ag pnj Cnemrasczra Eospepzpj

m j`zcmpeaomd oaovragep arhmoe{mpeao rjcahoe{j` ms pm~)j~jivp zo`jr sjcpeao

:6=.c%.3% ag pnj Eopjromd Rjwjozj Ca`j/ Pnj Cnemrasczra Gazo`mpeao m vrewmpj

gazo`mpeao rjcahoe{j` ms pm~)j~jivp zo`jr sjcpeao :6=.c%.3% ag pnj Eopjromd

Rjwjozj Ca`j es eps vmrjop carvarmpeao/ Pnjrj es oa vzbdecdu njd` carvarmpeao xepn

m =6 vjrcjop ar hrjmpjr axojrsnev eopjrjsp eo pnj Cnemrasczra Eospepzpj/

Beajpnecs @jgjosj Gzo` mo` Degj Djhmd @jgjosj Gazo`mpeao mrj oaovragep

djhmd mo` j`zcmpeaomd arhmoe{mpeaos/ Pnju nmwj oa vmrjop carvarmpeaos mo` oa

vzbdecdu njd` carvarmpeaos nad` =6 vjrcjop ar iarj ag pnjer spacl/

Mvvjddmpj Cmsj; =2)33:8 Vmhj; 2 @mpj Gedj`; ==!26!26=2 Jopru E@; 358755= RJSPRECPJ@


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PMBDJ AG CAOPJOPS

CARVARMPJ @ESCDASZRJ SPMPJIJOP ///////////////////////////////////////////////////////// e

PMBDJ AG CAOPJOPS ////////////////////////////////////////////////////////////////////////////////////////// eePMBDJ AG MZPNAREPEJS /////////////////////////////////////////////////////////////////////////////////// ew

EOPJRJSP AG MIECE CZREMJ ///////////////////////////////////////////////////////////////////////////// =

SZIIMRU AG PNJ MRHZIJOP /////////////////////////////////////////////////////////////////////// 3

MRHZIJOP //////////////////////////////////////////////////////////////////////////////////////////////////////////// :

E/ Pnj Imo`mpj es Mrbeprmru mo` Cmvreceazs zo`jr pnj MVM bjcmzsj pnjHawjroijop Joperjdu Gmedj` pa Caose`jr Nehndu Rjdjwmop Jwe`jocj Snaxeohpnmp Nariaomd Caoprmcjvpewjs Sehoegecmopdu Eocrjmsj Xaijos Njmdpn Resls

Eocdzèoh Cmocjrs Cmrèawmsczdmr @esjmsj mo` pnj Mc}zesepeao mo`Prmosiesseao ag NEW/ /////////////////////////////////////////////////////////////////////////////////////// :

M/ Sjreazs Njmdpn Resls ag Armd Caoprmcjvpewj Vedds /////////////////////////////////////// 8

=/ Nehnjr resl ag njmrp mppmcl spralj ' cmrèawmsczdmr caivdecmpeaos //// 8

2/ Nehnjr resl ag brjmsp cmocjr ////////////////////////////////////////////////////////////////// >

3/ Nehnjr resl ag cjrwecmd cmocjr /////////////////////////////////////////////////////////////// 5

0/ Nehnjr resl ag dewjr pziars!cmocjr ////////////////////////////////////////////////////// =6

:/ Hrjmpjr szscjvpebedepu pa sj~zmddu prmosieppj` eogjcpeaos //////////////////// =6

B/ Sjreazs Njmdpn Resls ag Daoh)Mcpeoh Caoprmcjvpewjs /////////////////////////////// ==

EE/ Bjcmzsj pnj Imo`mpj eocdz`js @rzhs pnmp Sehoegecmopdu Eocrjmsj SjreazsNjmdpn Resls pnj Hawjroijop Cmooap Ijjp eps Bzr`jo Zo`jr RGRM ag@jiaosprmpeoh pnmp pnj Imo`mpj Gzrpnjrs Eps Mssjrpj` Eopjrjsp Eo VraiapeohPnj Njmdpn Mo` Xjdd)Bjeoh Ag Xaijo/ ////////////////////////////////////////////////////// =7

M/ Pnj EAI Rjvarp @ajs Oap Szvvarp pnj Hawjroijops Mssjrpeao pnmpEocrjmsj` Zsj ag Caoprmcjvpewjs xedd Vraiapj Xaijo(s Njmdpn/ //////////// =8

B/ Pnj Hawjroijop Nms Gmedj` Pa Snax Pnmp Pnj Imo`mpj Gzrpnjrs EpsMssjrpj` Eopjrjsp Ag Vraiapeoh Hjo`jr J}zepu/ /////////////////////////////////////// 2=

CAOCDZSEAO /////////////////////////////////////////////////////////////////////////////////////////////////////// 27

CJRPEGECMPJ AG CAIVDEMOCJ ////////////////////////////////////////////////////////////////////// 28



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WERZS CNJCL CJRPEGECMPEAO /////////////////////////////////////////////////////////////////////// 2>

CJRPEGECMPJ AG SJRWECJ /////////////////////////////////////////////////////////////////////////////// 25



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PMBDJ AG MZPNAREPEJS

CMSJSBraxo w/ Jopip Ijrcns/ Msso/$ :70 Z/S/ QQQQQ =3= S/ Cp/ 2825 2835 .26==% // =>Hao{mdjs w/ A Cjopra Jsverepm Bjojgecejopj Zoema à Wjhjpmd :07 Z/S/ 0=> 03>.2667% ////////////////////////////////////////////////////////////////////////////////////////////////////////////////////// 2=

Iapar Wjnecdj Igrs/ Mss!o ag Z/S/$ Eoc/ w/ Spmpj Gmri Izp/ Mzpa Eos/ Ca/$ 073 Z/S/

25 03 .=5>3% ///////////////////////////////////////////////////////////////////////////////////////////////////////////// 8

Vappjr w/ @esprecp ag Cadzibem ::> G/3` :02 :07 .@/C/ Cer/ 2665% ////////////////////// =7

SPMPZPJSRjdeheazs Grjjài Rjsparmpeao Mcp .RGRM% 02 Z/S/C/ 2666bb=.m% //////////////// =7

Rjdeheazs Grjjài Rjsparmpeao Mcp .RGRM% 02 Z/S/C/ 2666bb=.b% //////////////// =7

Pnj Vmpejop Vrapjcpeao mo` Mggar`mbdj Cmrj Mcp Vzb/ D/ Oa/ ===)=0> =20 Spmp/==5 .26=6% ///////////////////////////////////////////////////////////////////////////////////////////////////////////////// :

APNJR MZPNAREPEJSBjromcjrrmg B/R/ jp md/ Pnrjj)èijoseaomd zdprmsazo` `jpjcpeao ag mboarimddudacmpj` eoprmzpjreoj caoprmcjvpewj `jwecjs xnecn mrj m sazrcj ag vjdwec vmeo mo`mboarimd bdjjèoh/ Zdprmsazo` Abspjp Huojcad2665< 30.=%;==6)==: ///////////////// =2

Bjrpmles L/ @/ R/ M{mre D/ K/ Njdis J/ K/ Cmddmnmo mo` K/ M/ Rabbeos/ 2666/Hjo`jr èggjrjocjs eo pnj zpede{mpeao ag njmdpn cmrj sjrwecjs/Kazromd ag Gmiedu

Vrmcpecj 05.2%;=08=:2 ////////////////////////////////////////////////////////////////////////////////////////// 23

Brmmpjo L/V/ jp md/ Imdvasepeaoj` EZ@s; Xnjo uaz snazd` eopjrwjoj .mo` xnjouaz snazd` oap%/ ABH Imomhjijop26=2< 20.>%;35)07 /////////////////////////////////////// =2

Cmocjr Spmpespecs bu Cmocjr Puvj Cjopjrs gar @esjmsj Caoprad /////////////////////////////// 5

Cnjo jp md/ Rjcjop armd caoprmcjvpewj zsj mo` m`wjrsj berpn azpcaijs =00Jzravjmo Kazromd ag Abspjprecs ' Huojcadahu mo` Rjvra`zcpewj Beadahu 0603

.Imu 2665% ////////////////////////////////////////////////////////////////////////////////////////////////////////////// 26@addj K jp md/ Resl gmcpars gar prevdj ojhmpewj brjmsp cmocjr eo xaijo zo`jr pnj mhjag 0:/ Cmocjr Jve`jiead Beaimrljrs Vrjw 2665.0%;==:8)7: ////////////////////////////// 5

Grmocjscne S jp md/ Hjoepmd xmrps mo` cjrwecmd ojavdmsem; mo jve`jieadahecmd spzù/Br K Cmocjr=5>3;72=)2> ////////////////////////////////////////////////////////////////////////////////// ==

Mvvjddmpj Cmsj; =2)33:8 Vmhj; : @mpj Gedj`; ==!26!26=2 Jopru E@; 358755= RJSPRECPJ@


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Rjbjccm Vjcl I/@/ C/C/@/ mo` Cnmrdjs X/ Oarres I/@/ Sehoegecmop Resls agArmd Caoprmcjvpewjs .ACVs% 85.=% Pnj Deomcrj ]zmrpjrdu 0= 02 .Gjbrzmru 26=2%///////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////// =8

Snmn B/ R/ R/ Rjpomlmrmo mo` H/ D/ Baapn/ 266>/ Eocrjmsj` resl ag

cmrèawmsczdmr èsjmsj eo uazoh xaijo gaddaxeoh hjspmpeaomd èmbjpjs ijddepzs/@embjpjs Cmrj 3=.>%;=77>=775 ///////////////////////////////////////////////////////////////////////////// 26

Pmoes BC jp md/ Armd caoprmcjvpewjs mo` pnj resl ag iuacmrèmd eogmrcpeao/Ojx

Johdmo` Kazromd ag Ijèceoj 266=8)53 ///////////////////////////////////////////////////// >

Zpjreoj Vjrgarmpeao Resl grai Ierjom mwmedmbdj mpnppv;!!xxx/xaijos)njmdpn/ca/zl!zpjreoj)vjrgarmpeao)resl)grai)ierjom/npid //////////////////////////////////////// =3

wmo Nudclmim Wdejh M jp md/ Wjoazs pnraibapec resl ag armd caoprmcjvpewjsjggjcps ag ajsprahjo àjs mo` vrahjspahjo puvj; rjszdps ag pnj IJHM cmsj)caopradspzù/BIK2665

Xmoh CC jp md/ Resl ag NEW eogjcpeao eo armd caoprmcjvpewj vedd zsjrs; m ijpm)momdusesKME@S=555 //////////////////////////////////////////////////////////////// ==

[ejimo O Nmpcnjr R/M/ jp md/M Vacljp Hze`j pa Imomheoh Caoprmcjvpeao/ PehjrHM; Bre`heoh pnj Hmv Gazo`mpeao 26=6 mp 38 ////////////////////////////////////////////////////// =2

RJHZDMPEAOSCjrpmeo Vrjwjopewj Sjrwecjs zo`jr pnj Mggar`mbdj Cmrj Mcp .pnj Imo`mpj%geomde{j` mp 88 Gj`/ Rjh/ >82: .Gjb/ =: 26=2% /////////////////////////////////////////////////// 3 20



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EOPJRJSP AG MIECE CZREMJ=

Xaijo Svjml gar Pnjisjdwjs m vrahrmi ag pnj oao)vragep Cnemrasczra

Eospepzpj mrasj azp ag mo avjo djppjr sehoj` ms ag pnes xrepeoh bu iarj pnmo 37$666

xaijo/ Ca)`rmgpj` bu mpparojus Njdjo Mdwmr mo` Lei @moejds2 pnj avjo djppjr

vrawe`js eo vmrp;

Pnasj czrrjopdu eowaleoh xaijo(s njmdpn / / / nmwj ojwjrrjsvao`j` pa pnj dmrhj baù ag scnadmrdu rjsjmrcn eoècmpeoh pnmp

imou garis ag caoprmcjvpeao nmwj sjreazs se`j jggjcps ar pnmp saij

garis mcp mp saij peijs pa `jsprau jibruas ar pnmp hawjroijop

caoprmcjvpewj vrahrmis eojwepmbdu cnmohj pnj sj~ `mpeoh moìmrremhj imrljps eo xmus pnmp djm` pa iarj jivpu sj~ iarj oao)imrepmd berpns mo` iarj mbarpeaos/ Ep es xaijo xna szggjrèsvravarpeaompjdu xnjo pnjsj pneohs nmvvjo/ Oa aoj svjmls gar mddxaijo ao pnjsj esszjs/ Pnasj xna vzrvarp pa à sa mrj seivdumppjivpeoh pa `jgdjcp mppjopeao grai pnj sjreazs rjdeheazs debjrpu esszjsczrrjopdu mp spmlj / / / /3

Beajpnecs @jgjosj Gzo` .B@G% mo` Degj Djhmd @jgjosj Gazo`mpeao

.DD@G% mrj pxa oao)vragep vzbdec)eopjrjsp djhmd mo` j`zcmpeaomd arhmoe{mpeaos

xnasj djhmd j~vjrps mo` ijècmd m`wesars m``rjss esszjs mp pnj eopjrsjcpeao ag dmx

= Vzrszmop pa Cer/ Rzdj 25 cazosjd cjrpegejs pnmp pnj vmrpejs nmwj caosjopj` pa pnjgedeoh ag pnes brejg mo` gzrpnjr cjrpegejs pnmp oa vmrpu ar vmrpus cazosjd mzpnarj`pnes brejg eo xnadj ar eo vmrp ar caoprebzpj` iaoju pnmp xms eopjo`j` pa gzo` pnj

brejg/2

Njdjo I/ Mdwmr vrjse`jop ag pnj Cnemrasczra Eospepzpj es m dmx vragjssar mpHjarhj Imsao Zoewjrsepu svjcemde{eoh eo pnj mrjms ag gmiedu dmx mo` dmx mo`rjdeheao/ Pnes brejg es ao bjnmdg ag Xaijo Svjml gar Pnjisjdwjs< ep eo oa xmurjvrjsjops pnj wejxs ar aveoeaos ag Hjarhj Imsao Zoewjrsepu ar eps jivdaujjs/Pnj avjo djppjr xms ca)`rmgpj` bu Lei @moejds @erjcpar ag Cmpnadec Waecjs ZSM/3 Pnj gzdd pj~p ag pnj Xaijo Svjml gar Pnjisjdwjs avjo djppjr es mwmedmbdj mpnppv;!!xxx/xaijosvjmlgarpnjisjdwjs/cai/

Mvvjddmpj Cmsj; =2)33:8 Vmhj; > @mpj Gedj`; ==!26!26=2 Jopru E@; 358755= RJSPRECPJ@


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mo` ijècmd jpnecs szcn ms pnj ojhmpewj njmdpn eivmcp ao xaijo ag mbarpeao mo`

nzimo jhh àompeao gar jibruaoec spji cjdd rjsjmrcn ar eo wepra gjrpede{mpeao

vrapjcpeao ag wzdojrmbdj nzimo bjeohs mp pnj bjheooeoh mo` jo` ag degj njmdpncmrj

rehnps ag caoscejocj jo` ag degj ijècmd jpnecs mo` pnj rehnp ag eoèwe`zmds pa dewj

azp pnjer vra)degj mo` rjdeheazs caowecpeaos eo pnj xarlvdmcj/Miece nmwj mo eopjrjsp eo breoheoh pnes Cazrps mppjopeao pa pnj gmcp pnmp eo

vraizdhmpeoh pnj NNS Imo`mpj pnj Hawjroijop joperjdu èsrjhmr`j` eo`jj`

ojwjr jwjo caose`jrj` pnj dmrhj baù ag rjdjwmop xe`jdu mwmedmbdj scejopegecmddu

sazo` scnadmrdu rjsjmrcn àczijopeoh sjreazs njmdpn resls pa xaijo mreseoh grai

pnj zsj ag nariaomd caoprmcjvpewjs0 eocdzèoh pnj cdmssegecmpeao ag caibeoj` armd

caoprmcjvpewjs bu pnj Xard` Njmdpn Arhmoe{mpeao ms Hrazv =; Cmrceoahjoec pa

Nzimos/

0 Pnj pjri caoprmcjvpewj ms zsj` eo pnes brejg rjgdjcps pjrieoadahu zsj` bu pnjHawjroijop eo pnj NNS Imo`mpj/ Miece naxjwjr mcloaxdj`hj pnj Vdmeopeggsrjdeheazs abkjcpeao pa pnj cmvmcepu ag saij ag pnj sa)cmddj` caoprmcjvpewj `rzhs

mo` `jwecjs pa pjrieompj pnj degj ag m nzimo bjeoh mp pnj jibruaoec spmhj ag`jwjdavijop/ Gar m brejg momduses ag pnj zo`jrdueoh jibruadahu mo`

vnmrimcadahu sjj NNS Caiijop gedj` ao bjnmdg ag @r/ Imzrjjo D/ CaoècPnaims Bjrh mo` Kmijs Cmvrjppm mwmedmbdj mpnppv;!!xxx/screb`/cai!àc!580:6268!Beajpnecs)@jgjosj)Gzo`)Degj)Djhmd)@jgjosj)Gazo`mpeao)Djppjr)pa)NNS)Rjhmrèoh)Mggar`mbdj)Cmrj)Mcp .dmsp cnjclj`

Oawjibjr =5 26=2%/



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SZIIMRU AG PNJ MRHZIJOP

Eo caoszdpmpeao xepn ijècmd mo` scejocj m`wesars:Miecebreoh pnes Cazrps

mppjopeao pa pnj gmcp pnmp eo vraizdhmpeoh pnj NNS Imo`mpj7

pnj Hawjroijop

joperjdu gmedj` pa caose`jr pnj rabzsp baù ag ijècmd jwe`jocj eoècmpeoh pnmp

nariaomd caoprmcjvpewjs nmwj beadahecmd vravjrpejs pnmp sehoegecmopdu eocrjmsj

xaijos resls ag brjmsp cjrwecmd mo` dewjr cmocjr spralj mo` m nasp ag apnjr

èsjmsjs eocdzèoh pnj mc}zesepeao mo` prmosiesseao ag nzimo eiizoa`jgecejocu

werzs .NEW%/ Pnjsj resls nmwj bjjo rjcahoe{j` oap aodu bu apnjr mhjocejs ag pnj

Hawjroijop epsjdg bzp mdsa bu rjvzpmbdj ompeaomd mo` eopjrompeaomd ijècmd

mzpnarepejs eocdzèoh pnj Xard` Njmdpn Arhmoe{mpeao/

Ujp pnj Hawjroijop mo` pnj eom`j}zmpj mo` `jgjcpewj Eospepzpj ag Ijèceoj

rjvarp ao xnecn ep rjdej` caivdjpjdu ehoarj` pnes xe`jdu mwmedmbdj vjjr)rjwejxj`

ijècmd rjsjmrcn snaxeoh sehoegecmopdu eocrjmsj` cmocjr mo` apnjr njmdpn resls

: Ijècmd mo` scejocj m`wesars xna mssespj` eo pnj caivedmpeao ag spzèjs vrjsjopjèo pnes brejg eocdz`j Kano I/ Pnarv$ Kr/$ I/@/ vragjssar xaijos njmdpnrjsjmrcnjr mo` AbHuo èrjcpar ag pnj Zoewjrsepu ag Oarpn Cmradeom mp CnmvjdNedds Xaijos Vreimru Njmdpncmrj< Imru @mwjovarp$ I/@/$abspjprecemo!huojcadahesp mo` vrjse`jop ag MMVDAH< Mohjdm Dmogrmocne$ I/@/$G/M/C/S/ brjmsp szrhecmd aocadahesp mo` ca)gazo`jr ag pnj Brjmsp Cmocjr

Vrjwjopeao Eospepzpj< Imzrjjo D/ Caoèc$ Vn@$ rjsjmrcn scejopesp mo`jibruadahesp mp pnj Zoewjrsepu ag Zpmn< mo` Kajd Breo`$ Vn@ scejopesp mo`vragjssar mp Bmrzcn Caddjhj eo pnj Cepu Zoewjrsepu ag Ojx Uarl suspji/ Mddzoewjrsepejs mrj despj` gar vzrvasjs ag e`jopegecmpeao aodu< pnes brejg eo oa xmurjvrjsjops pnj wejxs ag pnj omij` zoewjrsepejs oar ag mou ag eps jivdaujjs/7 Cjrpmeo Vrjwjopewj Sjrwecjs zo`jr pnj Mggar`mbdj Cmrj Mcp .pnj Imo`mpj%geomde{j` mp 88 Gj`/ Rjh/ >82: .Gjb/ =: 26=2%/

Mvvjddmpj Cmsj; =2)33:8 Vmhj; =6 @mpj Gedj`; ==!26!26=2 Jopru E@; 358755= RJSPRECPJ@


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mssacempj` xepn nariaomd caoprmcjvpewjs ijècmd jwe`jocj pnmp pnj Hawjroijop

snazd` nmwj caose`jrj` pa bj m nehndu rjdjwmop msvjcp eo `jpjrieoeoh pnj `rzhs mo`

sjrwecjs pa bj imo`mpj` ms m oa)casp bjojgep pa vraiapj xaijos njmdpn/

Eo gmedeoh pa jwjo mcloaxdj`hj ar bmdmocj pnj nehndu rjdjwmop ijècmd

jwe`jocj vrjsjopj` eo pnes brejg pnj Imo`mpj es mrbeprmru mo` cmvreceazs zo`jr

pnj Mìeoesprmpewj Vracj`zrjs Mcp bjcmzsj pnj Hawjroijop joperjdu gmedj` pa

caose`jr mo eivarpmop msvjcp ag pnj vrabdji/ .Sjcpeao E%

Pnj èsrjhmr` ag pnes eivarpmop ijècmd jwe`jocj mdsa snaxs pnmp pnj

Hawjroijop cmooap ijjp eps bzr`jo zo`jr RGRM ag `jiaosprmpeoh pnmp mvvdecmpeao

ag pnj NNS Imo`mpj pa m rjdeheazsdu abkjcpeoh jivdaujr es eo gzrpnjrmocj ag m

caivjddeoh hawjroijopmd eopjrjsp vmrpeczdmrdu eps mssjrpj` eopjrjsps ag vraiapeoh

xaijos njmdpn/ .Sjcpeao EE%/

Pnj brejg caocdz`js bu m``rjsseoh nax pnj Eospepzpj ag Ijèceoj rjvarp àjs

oap szvvarp pnj Hawjroijops mssjrpeao pnmp eocrjmsj` zsj ag caoprmcjvpewjs xedd

vraiapj pnj njmdpn ag xaijo .Sjcpeao EE/M% oar pnmp ep xedd gzrpnjr pnj mssjrpj`

eopjrjsp eo vraiapeoh hjo`jr j}zepu/ .Sjcpeao EE/B%/

Mvvjddmpj Cmsj; =2)33:8 Vmhj; == @mpj Gedj`; ==!26!26=2 Jopru E@; 358755= RJSPRECPJ@


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MRHZIJOP

E/ Pnj Imo`mpj es Mrbeprmru mo` Cmvreceazs zo`jr pnj MVM bjcmzsjpnj Hawjroijop Joperjdu Gmedj` pa Caose`jr Nehndu Rjdjwmop

Jwe`jocj Snaxeoh pnmp Nariaomd Caoprmcjvpewjs Sehoegecmopdu

Eocrjmsj Xaijos Njmdpn Resls$ Eocdzèoh Cmocjrs$ Cmrèawmsczdmr

@esjmsj$ mo` pnj Mc}zesepeao mo` Prmosiesseao ag NEW/

Ao Mzhzsp = 26== vzrszmop pa pnj Mggar`mbdj Cmrj Mcp8 pnj Hawjroijop

mhjocu loaxo ms NRSM .Njmdpn Rjsazrcjs mo` Sjrwecjs Mìeoesprmpeao% màvpj`

eo gzdd pnj hze`jdeojs> rjcaiijo`j` bu m rjvarp ag pnj Eospepzpj ag Ijèceoj .EAI%/

Pnmp 26== EAI rjvarp rjcaiijo`j` pnmp vrjwjopewj sjrwecjs gar xaijo eocdz`j

mdd G@M)mvvrawj` caoprmcjvpewj ijpna`s spjrede{mpeao vracj`zrjs mo` vmpejop

j`zcmpeao mo` cazosjdeoh/ G@M)mvvrawj` caoprmcjvpewj ijpna`s eocdz`j

èmvnrmhis armd caoprmcjvpewj vedds eokjcpeaos mo` eivdmops jijrhjocu

caoprmcjvpewj `rzhs mo` eoprmzpjreoj `jwecjs/

5

8 Pnj Vmpejop Vrapjcpeao mo` Mggar`mbdj Cmrj Mcp Vzb/ D/ Oa/ ===)=0> =20 Spmp/==5 .26=6% rj}zerjs mdd hrazv njmdpn vdmos pa vrawe`j cawjrmhj gar cjrpmeo

vrjwjopewj sjrwecjs xepnazp casp)snmreoh eocdzèoh gar xaijo szcn m`èpeaomdvrjwjopewj cmrj mo` scrjjoeohs / / / ms vrawe`j` eo caivrjnjosewj hze`jdeojsszvvarpj` bu \pnj Njmdpn Rjsazrcjs mo` Sjrwecjs Mìeoesprmpeao .NRSM%Y/ 02Z/S/C/ 366hh)=3/> Njmdpn Rjsazrcjs mo` Sjrwecjs Mìeoesprmpeao .NRSM% Xaijos VrjwjopewjSjrwecjs; Rj}zerj` Njmdpn Vdmo Cawjrmhj Hze`jdeojs mwmedmbdj mpnppv;!!xxx/nrsm/haw!xaijoshze`jdeojs!/5 Eospepzpj ag Ijèceoj Cdeoecmd Vrjwjopewj Sjrwecjs Gar Xaijo; Cdaseoh pnj Hmvs.26==% .26== EAI% mwmedmbdj mpnppv;!!baals/omv/j`z!avjobaal/vnv1rjcar`Qe`9=3=>= .jivnmses m``j`%/



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Oapmbdu pnj EAI rjvarp caivdjpjdu gmedj` pa caose`jr ar m``rjss pnj

rjdjwmop xe`jdu mwmedmbdj scejopegec rjsjmrcn jspmbdesneoh sehoegecmop eocrjmsj`

njmdpn resls ag nariaomd caoprmcjvpewjs ms sjp garpn bjdax/ Eo ehoareoh pnes nehndu

rjdjwmop ijècmd jwe`jocj ep è` oap jwjo pru pa jspmbdesn pnmp ao bmdmocj pnj

vzpmpewj njmdpn bjojgeps ag nariaomd caoprmcjvpewjs azpxjehnj` pnj sehoegecmopdu

eocrjmsj` njmdpn resls/ Eo`jj` pnj EAI rjvarp è` oap jwjo ijopeao pnmp pnj Xard`

Njmdpn Arhmoe{mpeao cdmssegejs caibeoj` armd caoprmcjvpewjs ms Hrazv =;

cmrceoahjoec pa nzimos=6 ar pnmp m szbspmopemd baù ag jwe`jocj eoècmpjs pnmp

nariaomd caoprmcjvpewjs sehoegecmopdu eocrjmsj m xaimos resl ag njmrp mppmcl

bdaa` cdaps spralj brjmsp cmocjr cjrwecmd cmocjr dewjr pziars sj~zmddu

prmosieppj` eogjcpeaos mo` pnj caoprmcpeoh mo` prmosiesseao ag NEW ms sjp garpn

bjdax eo m brejg szrwju ag ijècmd depjrmpzrj/

Pnj xe`jdu mwmedmbdj spzèjs vrjsjopj` bjdax snazd` nmwj bjjo caose`jrj`

mo` bmdmocj` bu pnj Hawjroijop mhmeosp mou vzpmpewj bjojgeps ag caoprmcjvpewjs

jsvjcemddu eo `jpjrieoeoh pnj caopjop ag imo`mpj` vrjwjopewj njmdpn cawjrmhj/

Ujp pnj Hawjroijop mo` pnj EAI rjvarp ao xnecn ep rjdej` caivdjpjdu ehoarj` pa

=6 Caibeoj` armd caoprmcjvpewjs mrj cdmssegej` ms m hrazv = cmrceoahjo gar brjmspcjrwecmd mo` dewjr cmocjrs mccarèoh pa pnj Xard` Njmdpn Arhmoe{mpeaosEopjrompeaomd Mhjocu ao Rjsjmrcn ag Cmocjr .EMRC%/ EMRC Iaoahrmvns ao pnj

Jwmdzmpeao ag Cmrceoahjoec Resls pa Nzimos 2668< 5=;=80>0 mwmedmbdj mpnppv;!!iaoahrmvns/emrc/gr!JOH!Iaoahrmvns!wad5=!iaoa5=/v`g/ .èsczssj` buLmpndjjo P/ Rz`ù I/@/ mp nppv;!!brjmspcmocjrbu`rrz`ù/cai!1vmhjQe`92%/



14/36

pnj `jpreijop ag xaijos njmdpn pnj iazopmeo ag ijècmd jwe`jocj pnmp es vmrpemddu

szrwjuj` bjdax/

Pnjrjgarjpnj Imo`mpj es mrbeprmru mo` cmvreceazs zo`jr pnj Mìeoesprmpewj

Vracj`zrjs Mcp .MVM%/ Pnj kzècemd spmo`mr` gar rjwejx zo`jr pnj MVM mrbeprmru

mo` cmvreceazs spmo`mr` vrawe`js;

Mo mhjocu rzdj xazd` bj mrbeprmru mo` cmvreceazs eg pnj mhjocu nmsrjdej` ao gmcpars xnecn Caohrjss nms oap eopjo`j` ep pa caose`jrjoperjdu gmedj` pa caose`jr mo eivarpmop msvjcp ag pnj vrabdji aggjrj` mo j~vdmompeao gar eps `jceseao pnmp rzos cazopjr pa pnj

jwe`jocj bjgarj pnj mhjocu ar es sa eivdmzsebdj pnmp ep cazd` oap bjmscrebj` pa m èggjrjocj eo wejx ar pnj vra`zcp ag mhjocu j~vjrpesj/

Iapar Wjnecdj Igrs/ Mss!o ag Z/S/$ Eoc/ w/ Spmpj Gmri Izp/ Mzpa Eos/ Ca/$ 073 Z/S/25 03 .=5>3%.jivnmses m``j`%/

Njrj pnj NNS Imo`mpj es cdjmrdu mrbeprmru mo` cmvreceazs bu werpzj ag pnj

gmcp pnmp pnj Hawjroijop è` eo`jj` joperjdu gmed\Y pa caose`jr mo eivarpmop msvjcp

ag pnj vrabdji omijdu pnmp pnj imo`mpj` `rzhs eocrjmsj resl ag èsjmsj rmpnjr

pnmo vrjwjopeoh èsjmsj/

M oao)j~nmzspewj szrwju ag pnj caivdjpjdu ehoarj` bzp nehndu rjdjwmop mo`

xe`jdu mwmedmbdj vjjr)rjwejxj` ijècmd spzèjs àczijops pnj gaddaxeoh sjreazs

njmdpn resls;

M/ Sjreazs Njmdpn Resls ag Armd Caoprmcjvpewj Vedds

=/ Nehnjr resl ag njmrp mppmcl$ spralj ' cmrèawmsczdmrcaivdecmpeaos/ Miaoh xaijo xepn oa caowjopeaomd resl gmcpars gar



15/36

njmrp èsjmsj pnasj xna pmlj armd caoprmcjvpewjs nmwj pxecj pnj resl

ag njmrp mppmcl/== Pnasj xepn nuvjrpjoseao nm` gewj peijs pnj resl/=0wmo Nudclmim Wdejh M jp md/ Wjoazs pnraibapec resl ag armd caoprmcjvpewjsjggjcps ag ajsprahjo àjs mo` vrahjspahjo puvj; rjszdps ag pnj IJHM cmsj)caopradspzù/BIK2665


16/36

caoprmcjvpewjs bjgarj nmweoh m cned`/=7 Eo 2668 pnj Xard` Njmdpn

Arhmoe{mpeaos Eopjrompeaomd Mhjocu ao Rjsjmrcn ag Cmocjr .EMRC%

rjvarpj` pnmp jsprahjo)vrahjspeo caibeompeao `rzhs .pnj Vedd% xjrj m

Hrazv = cmrceoahjo gar brjmsp cjrwecmd mo` dewjr cmocjrs/=8 M 2665

spzù snaxj` m 326* eocrjmsj resl ag prevdj ojhmpewj brjmsp cmocjr

pnj iasp èggeczdp mo` `jm`du gari ag brjmsp cmocjr pa prjmp eo xaijo

pmleoh armd caoprmcjvpewjs/=> Mdpnazhn pnj resl ag zpjreoj mo` awmremo

cmocjrs mvvjmrs daxjr gar xaijo pmleoh caoprmcjvpewjs pnjrj es gazr

peijs iarj brjmsp cmocjr eo xaijo pnmo zpjreoj mo` awmremo cmocjrs

caibeoj`/=5

3/ Nehnjr resl ag cjrwecmd cmocjr/ Pnj Hawjroijops axo OmpeaomdCmocjr Eospepzpj .OCE% rjcahoe{j` spzèjs snaxeoh m pnrjjgad` pa

gazrgad` eocrjmsj resl ag cjrwecmd cmocjr;

Eo m 2662 rjvarp bu pnj Eopjrompeaomd Mhjocu gar Rjsjmrcnao Cmocjr `mpm grai jehnp spzèjs xjrj caibeoj` pa

=7 Lmndjobaro C jp md/ Armd caoprmcjvpewj zsj ms m resl gmcpar gar vrjijoavmzsmdbrjmsp cmocjr; M ijpm)momduses/ 2667Imua Cdeoec Vrac 2667=.=6%;=256)=362=8 EMRC 2668 Iaoahrmvn 5=/ Caibeoj` jsprahjo)vrahjspahjo caoprmcjvpewjs mo`

caibeoj` jsprahjo)vrahjspahjo ijoavmzsmd pnjrmvu/ Mwmedmbdj mp;nppv;!!iaoahrmvns/emrc/gr!JOH!Iaoahrmvns!wad5=!iaoa5=/v`g=> @addj K jp md/ Resl gmcpars gar prevdj ojhmpewj brjmsp cmocjr eo xaijo zo`jr pnjmhj ag 0:/ Cmocjr Jve`jiead Beaimrljrs Vrjw 2665.0%;==:8)7:/=5Sjj Cmocjr Spmpespecs bu Cmocjr Puvj Cjopjrs gar @esjmsj Caoprad/ Mwmedmbdj mp;nppv;!!xxx/c`c/haw!cmocjr!`cvc!`mpm!puvjs/npi .dmsp wesepj` Sjvpjibjr 26 26=2%/



17/36

mssjss pnj mssacempeao bjpxjjo armd caoprmcjvpewj zsj mo`cjrwecmd cmocjr resl miaoh xaijo eogjcpj` xepn pnjnzimo vmveddaimwerzs .NVW%/ Rjsjmrcnjrs gazo` m ojmrdupnrjjgad` eocrjmsj eo resl miaoh xaijo xna nm` zsj` armdcaoprmcjvpewjs gar : pa 5 ujmrs caivmrj` xepn xaijo xnanm` ojwjr zsj` armd caoprmcjvpewjs/ Miaoh xaijo xnanm` zsj` armd caoprmcjvpewjs gar =6 ujmrs ar daohjr pnj resl

ag cjrwecmd cmocjr xms gazr peijs nehnjr/26

0/ Nehnjr resl ag dewjr pziars!cmocjr/ Ms spmpj` eo pnj Hawjroijopsaxo OCE Gmcpsnjjp Armd caoprmcjvpewj zsj es mssacempj` xepn mo

eocrjmsj eo pnj resl ag bjoeho dewjr pziars \pnmpY nmwj m nehn resl ag

bdjjèoh ar rzvpzreoh/ Iarjawjr \sYaij spzèjs nmwj gazo` pnmp

xaijo xna pmlj armd caoprmcjvpewjs gar iarj pnmo : ujmrs nmwj mo

eocrjmsj` resl ag \imdehomop dewjr pziars loaxo msY njvmpacjddzdmr

cmrceoaim bzp apnjrs nmwj oap/ 2=

:/

Hrjmpjr szscjvpebedepu pa sj~zmddu prmosieppj` eogjcpeaos/ Xaijo

pmleoh armd caoprmcjvpewjs mrj pxecj ms deljdu pa bj eogjcpj` xepn pnj

hjoepmd nzimo vmveddaimwerzs .NVW% werzs djmèoh pa cjrwecmd cmocjr

26 Ompeaomd Cmocjr Eospepzpj; Armd Caoprmcjvpewjs mo` Cmocjr Resl .Imrcn 2= 26=2%cepeohIarjoa W Bascn G^ Izoa{ O jp md/ Jggjcp ag armd caoprmcjvpewjs ao reslag cjrwecmd cmocjr eo xaijo xepn nzimo vmveddaimwerzs eogjcpeao; pnj EMRCizdpecjoprec cmsj)caoprad spzù/Dmocjp2662< 3:5.53=2%;=6>:=652/2=E`/ cepeohDm Wjccnem C Pmwmoe M/ Gjimdj nariaojs mo` bjoeho dewjr pziazrs/@ehjspewj mo` Dewjr @esjmsj 2667< 3>.>%;:3::37/



18/36

ms xaijo oap pmleoh armd caoprmcjvpewjs/22 Xnedj pnj spzèjs ao NEW

resl mo` armd caoprmcjvpewjs snax ie~j` rjszdps aoj xjdd)loaxo

spzù geo`s pnmp xaijo pmleoh pnj vedd mrj 76* iarj deljdu pa bj

eogjcpj` xepn pnj NEW werzs pnmo pnasj xna mrj oap/23 Eo m`èpeao pa

vnuseadahecmd cnmohjs cmzsj` bu nariaomd caoprmcjvpewjs djmèoh pa

eocrjmsj` szscjvpebedepu pa sj~zmddu prmosieppj` eogjcpeaos .SPEs%

rjcjop spzèjs eoècmpj pnmp eocrjmsj` mccjss pa jijrhjocu

caoprmcjvpewjs djm`s pa bjnmwearmd cnmohjs e/j/ eocrjmsj` resl)pmleoh

eo sj~zmd bjnmwear pnmp oap aodu cmocjds azp mou `jcrjmsj eo pnj rmpj

ag zovdmooj` vrjhomocu miaoh màdjscjops bzp mdsa `rewjs zv pnj

rmpj ag SPEs/20

B/ Sjreazs Njmdpn Resls ag Daoh)Mcpeoh Caoprmcjvpewjs

Ms iehnp bj vrjècpj` bu spmo`mr` iecrajcaoaiec pnjaru pnj oa)casp

jdjijop ag pnj NNS Imo`mpj xedd oap aodu eocrjmsj zsj ag dax)casp vedds mo`

jijrhjocu caoprmcjvpewjs ep xedd mdsa eocrjmsj eocjopewjs gar xaijo mo`

màdjscjops pa cnaasj pnj vrjweazsdu casp)vranebepewj daoh)mcpeoh ijpna`s szcn

22 Grmocjscne S jp md/ Hjoepmd xmrps mo` cjrwecmd ojavdmsem; mo jve`jieadahecmdspzù/Br K Cmocjr=5>3;72=)2>/23 Xmoh CC jp md/ Resl ag NEW eogjcpeao eo armd caoprmcjvpewj vedd zsjrs; m ijpm)momdusesKME@S=55520 Sjj Herim s/ jp md/ Pnj eivmcp ag jijrhjocu berpn caoprad ao pjjo vrjhomocumo` SPEs/Kazromd ag Njmdpn Jcaoaiecs 36 .26==% 3833>6/

Mvvjddmpj Cmsj; =2)33:8 Vmhj; => @mpj Gedj`; ==!26!26=2 Jopru E@; 358755= RJSPRECPJ@


19/36

ms eokjcpmbdj caoprmcjvpewjs eivdmops mo` eoprmzpjreoj `jwecjs .EZ@s%/ Pnes

`jcrjmsj eo casp rjszdps eo mo eocrjmsj eo j~vaszrj ag xaijo mo` pjjomhjrs pa jwjo

iarj `mohjrazs njmdpn caosj}zjocjs ms snaxo bjdax eocdzèoh mo mdmrieoh

àzbdj` resl ag NEW gar zsjrs ag eokjcpmbdj caoprmcjvpewjs/

Mccarèoh paM Vacljp Hze`j paImomheoh Caoprmcjvpeao .IC%2: ijpna`s

ag daoh)mcpeoh caoprmcjvpeao eocdz`j;

.=%VmrmHmr` Eoprmzpjreoj Cavvjr EZ@; Xepn m nehn zvgraop casp ag $08:gar pnj `jwecj mdaoj j~cdzsewj ag pnj ijècmd casps ag scrjjoeoh mo`

eosjrpeao pnj cavvjr EZ@ cmo rjszdp eo zpjreoj vjrgarmpeao mo` apnjr

imdvasepeaoeoh pnmp cmo rjszdp eo eocrjmsj` bdjjèoh ar vmeo mo` eokzru ar

`mimhj pa pnj szrrazoèoh arhmos/27

.2%Ierjom djwaoarhjsprjd)rjdjmseoh EZ@; Zodelj VmrmHmr` xnecncaopmeos oa spjrae`md nariaojs pnj Ierjom EZ@ rjdjmsjs djwaoarhjsprjd

.DOH% eopa pnj zpjreoj joweraoijop/ Eo m`èpeao pa resls ag zpjreoj

vjrgarmpeao xnecn xjrj pnj szbkjcp ag m xmroeoh djppjr sjop bu G@M pa pnj

imozgmcpzrjr Bmujr Ierjom nms bjjo deolj` pa awmremo cusps m nehnjrvragedj garvjdwec eogdmiimparu èsjmsj .VE@% mo` errjhzdmr bdjjèoh/ Mdsa

eo pnj rmrj cmsj eo xnecn m xaimo caocjewjs xnedj zseoh pnj Ierjom m

2: [ejimo O Nmpcnjr R/M/ jp md/ M Vacljp Hze`j pa Imomheoh Caoprmcjvpeao/Pehjr HM; Bre`heoh pnj Hmv Gazo`mpeao 26=6 mp 38/ Imomheoh CaoprmcjvpeaoarICes m cao`josj` wjrseao ag pnj vreimru ijècmd pj~pbaal ao caoprmcjvpeao

Nmpcnjr R/M/ jp md/ Caoprmcjvpewj Pjcnoadahu .26

pn

rjw/ j`/%/ Mpdmopm HM; Mr`jopIjèm Eoc/ 26==/27 Brmmpjo L/V/ jp md/ Imdvasepeaoj` EZ@s; Xnjo uaz snazd` eopjrwjoj .mo`xnjo uaz snazd` oap%/ ABH Imomhjijop26=2< 20.>%;35)07 cepeoh BjromcjrrmgB/R/ jp md/ Pnrjj)èijoseaomd zdprmsazo` `jpjcpeao ag mboarimddu dacmpjèoprmzpjreoj caoprmcjvpewj `jwecjs xnecn mrj m sazrcj ag vjdwec vmeo mo` mboarimd

bdjjèoh/ Zdprmsazo` Abspjp Huojcad2665< 30.=%;==6)==:/



20/36

rjszdpmop dass ag vrjhomocu mo` m vassebdj vjrimojop dass ag gjrpedepu imu

rjszdp/28

.3%Eivdmoao; Pnes `jwecj es m vdmspec eivdmop ra` caopmeoeoh vrahjspahjojpaoahjsprjd xnecn es szrhecmddu eosjrpj` zo`jr pnj sleo ag pnj zvvjr mri< Eprjvdmcj` Oarvdmop xnecn es oa daohjr imrljpj` eo pnj Z/S/ mgpjr awjr

:6666 xaijo gedj` dmxszepseocdzèoh 86 cdmss mcpeaosawjr sjwjrepu ag

se`j jggjcps/2> Eo m`èpeao pa jcpavec vrjhomocu resls pnj imozgmcpzrjr

xmroeoh rjvarps sjreazs pnraibajibadec jwjops eocdzèoh cmsjs ag

vzdiaomru jibade .saij gmpmd% mo` spraljs eo vmpejops zseoh

EIVDMOAO/25

.0%@jva)Vrawjrm; Pnes es m vavzdmr eokjcpmbdj vrahjspahjo eopjo`j` pa dmspzv pa pnrjj iaopns/ Eo m`èpeao pa pnes eokjcpeaos bdmcl ba~ xmroeoh aodass ag baoj ieojrmd `josepu @jva)Vrawjrm zsj nms bjjo snaxo pa rjszdp eo

m àzbdj` resl ag mc}zereoh mo` prmosieppeoh NEW ms èsczssj` bjdax/

Eo Acpabjr 26== pnj Ojx Uarl Peijs hmwj graop)vmhj cawjrmhj pa pnj

reharazs Njggrao spzù36 rjvarpeoh pnmp ep nm` bjjo vzbdesnj` eo m wjru vrjspeheazs

vjjr)rjwejxj` kazromd mgpjr eps vrjsjopmpeao nm` rmesj` mdmri iaopns jmrdejr mp mo

eopjrompeaomd ME@S caogjrjocj/ Pnj Njggrao spzù rjszdpj` eo caoweoceoh geoèohs

pnmp eokjcpmbdj caoprmcjvpewjs nmwj beadahecmd vravjrpejs pnmp mvvjmr pa àzbdj

28 Ierjom Dmbjd Xmroeohs mo` Vrjcmzpeaos< Sjj mdsa Zpjreoj Vjrgarmpeao Reslgrai Ierjom mwmedmbdj mp nppv;!!xxx/xaijos)njmdpn/ca/zl!zpjreoj)vjrgarmpeao)

resl)grai)ierjom/npid/2> CPszvrm o/ 3>/25 Eivdmoao Xmroeohs mwmedmbdj mpnppv;!!xxx/eivdmoao)zsm/cai!jo!NCV!djmro)mbazp)ep!hjp)pnj)gmcps!xmroeohs!eo`j~/msv/36 Njggrao R/ jp md/ Zsj ag nariaomd caoprmcjvpewjs mo` resl ag NEW)=prmosiesseao; m vrasvjcpewj canarp spzù/Dmocjp Eogjcp @es 26=2< =2;=5)27/



21/36


22/36

j~prjijs jwjo pnazhn pnj Hawjroijop epsjdg mcloaxdj`hjs pnjsj resls ao pnj

Ompeaomd Cmocjr Eospepzpj xjbsepjs mo` eo`jj` gzo`s imou ag pnj spzèjs èsczssj`

mbawj pnrazhn pnj Ompeaomd Eospepzpjs ag Njmdpn/3:

Pnj EAI rjvarp zvao xnecn pnj Hawjroijop j~cdzsewjdu rjdej` mdsa mvvjmrs

abdeweazs pa pnj gmcp pnmp pnj wjru caoèpeaos ep zsjs pa eddzsprmpj xnu saij xaijo

ojj` pa vaspvaoj vrjhomocu .j/h/ èmbjpjs abjsepu vzdiaomru nuvjrpjoseao% mo`

pnjrjgarj pa kzspegu eps rjcaiijo`mpeao pa gmcedepmpj mccjss pa caoprmcjvpeao mrj pnj

smij caoèpeaos pnmp vzp xaijo mp hrjmpdu eocrjmsj` resl gar cmrèawmsczdmr

vrabdjis grai caoprmcjvpewj zsj/

Bjcmzsj ep ehoarj` pnj imou sjreazs njmdpn resls gar xaijo vasj` bu

nariaomd caoprmcjvpewjs pnj 26== EAI rjvarp è` oap jwjo pru pa vrawj pnmp ao

bmdmocj pnj vzpmpewj njmdpn bjojgeps ag caoprmcjvpewjs azpxjehnj` pnj sehoegecmopdu

eocrjmsj` njmdpn resls/ Bu rjdueoh j~cdzsewjdu ao pnj `jgjcpewj EAI rjvarp pnj

Hawjroijop nms joperjdu gmedj` pa caose`jr mo eivarpmop msvjcp ag pnj vrabdji

zo`jrdueoh pnj Imo`mpj e/j/ vraiapeoh xaijos njmdpn/ Gar pnes rjmsao pnj

@jgjo`mops mcpeao eo vraizdhmpeoh pnj Imo`mpj xms mrbeprmru mo` cmvreceazs eo

weadmpeao ag pnj MVM/

3: Sjj j/h/ Njggrao szvrm xnecn spmpjs; Gzoèoh; ZS Ompeaomd Eospepzpjs agNjmdpn mo` pnj Bedd ' Ijdeo`m Hmpjs Gazo`mpeao/



23/36


24/36

xjdd)bjeoh bu eocjopewe{eoh .xepn imo`mpj` mwmedmbedepu ag oa)casp cawjrmhj% pnj

zsj ag nariaomd caoprmcjvpewjs pnmp mrj cdmssegej` ms cmrceoahjoec mo` m sazrcj ag

sehoegecmopdu eocrjmsj` resls ag sjreazs èsjmsjs/38

Bjcmzsj ag pnj dmrhj baù ag jwe`jocj snaxeoh sehoegecmopdu eocrjmsj`

njmdpn resls ag nariaomd caoprmcjvpewjs mdaoh xepn pnj gmcp pnmp gjrpedepu mo`

vrjhomocu mrj oap èsjmsj spmpjs pnj imo`mpj ag nariaomd caoprmcjvpewjs gmed\sY

pnj iasp eivarpmop pjsp ag vrjwjopewj ijèceoj; pnju eocrjmsj resl ag èsjmsj

eospjm` ag `jcrjmseoh ep/3> Pnzs pnj Hawjroijops bzr`jo ag snaxeoh pnmp pnj

Imo`mpj gzrpnjrs eps caivjddeoh eopjrjsp eo vzbdec njmdpn es jwjo njmwejr; ep izsp

snax oap kzsp pnmp caoprmcjvpewjs vraiapj xaijos njmdpn bzp pnmp pnju à sa pa m

`jhrjj pnmp azpxjehns pnjer àczijopj` m`wjrsj jggjcps ao xaijos njmdpn/

M/ Pnj EAI Rjvarp @ajs Oap Szvvarp pnj Hawjroijops Mssjrpeao pnmp

Eocrjmsj` Zsj ag Caoprmcjvpewjs xedd Vraiapj Xaijo(s Njmdpn/

Zogarpzompjdu gar pnj Hawjroijop eps sadj jwe`jocj ag mou njmdpn bjojgeps

grai caoprmcjvpewjs es pnj 26== Eospepzpj ag Ijèceoj Rjvarp/ Cepeoh pnes rjvarp35

pnj Hawjroijop mssjrps pnmp bu eocrjmseoh mccjss pa caoprmcjvpewjs pnj Imo`mpj

xedd vraiapj vzbdec njmdpn bu `jcrjmseoh zoeopjo`j` vrjhomocejs vraiapeoh pnj

38Sjj Sjcpeao Eszvrm/3> Rjbjccm Vjcl I/@/ C/C/@/ mo` Cnmrdjs X/ Oarres I/@/ Sehoegecmop Resls agArmd Caoprmcjvpewjs .ACVs% 85.=% Pnj Deomcrj ]zmrpjrdu 0= 02 .Gjbrzmru 26=2%/35 Eospepzpj ag Ijèceoj Cdeoecmd Vrjwjopewj Sjrwecjs Gar Xaijo; Cdaseoh pnjHmvs .26==% .26== EAI% mwmedmbdj mpnppv;!!baals/omv/j`z!avjobaal/vnv1rjcar`Qe`9=3=>= /



25/36

svmceoh ag berpns mo` vrjwjopeoh vrjhomocu eo xaijo xepn caoèpeaos gar xnecn

vrjhomocu es caoprmeoècmpj`/ Eo m`èpeao pa ehoareoh pnj dmrhj baù ag ijècmd

jwe`jocj sjp garpn eo pnj sjcpeao mbawj snaxeoh pnj sehoegecmopdu eocrjmsj` resls ag

cmocjrs mo` apnjr sjreazs èsjmsjs06 pnj Hawjroijop nms mdsa gmedj` pa snax pnmp

pnj Imo`mpj xazd` vrjwjop pnj ojhmpewj njmdpn caosj}zjocjs mddjhj`du mssacempj`

xepn zovdmooj` vrjhomocu pnmp ep sjjls pa vrjwjop/ Ojmrdu mdd ag pnj rjsjmrcn es

bmsj` ao carrjdmpeao oap jwe`jocj ag cmzsmpeao mo` iasp ag pnj spzèjs szggjr grai

sehoegecmop mìeppj` gdmxs eo ijpnaàdahu/Braxo w/ Jopip Ijrcns/ Msso/$ :70

Z/S/ QQQQ =3= S/ Cp/ 2825 2835 .26==% .}zapmpeao imrls aieppj`%/

Pnj EAI mìeps pnmp gar imou ojhmpewj azpcaijs grai zoeopjo`j`

vrjhomocu rjsjmrcn es deiepj`/0= Pnj EAI cepjs eps =55: rjvarp xnecn seiedmrdu

jivnmse{js pnj gzo`mijopmd èggeczdpu eo `jgeoeoh xnecn vrjhomocejs mrj

zoeopjo`j` mo` eo èspeohzesneoh bjpxjjo mssacempeao mo` cmzsmpeao eo mssjsseoh

pnj resls ag zoeopjo`j` vrjhomocejs/02

Pnj =55: EAI rjvarp caocj`js pnmp oa cmzsmd deol nms bjjo jspmbdesnj` gar

06 Pnj ijècmd jwe`jocj ag pnj cmrceoahjoec eivmcp ag nariaomd caoprmcjvpewjs sjpgarpn eo Sjcpeao E szvrm es eo èrjcp caoprmècpeao pa pnj EAI rjvarps bram`

`jgeoepeao ag \vYrjwjopewj sjrwecjs gar xaijo ms pnasj pnmp vrjwjop caoèpeaosnmrigzd pa xaijos njmdpn mo` xjdd)bjeoh/ 26== EAI mp 26/0= 26== EAI mp =63/02 Eospepzpj ag Ijèceoj Pnj Bjsp Eopjopeaos .=55:% .=55: EAI% mwmedmbdj mpnppv;!!baals/omv/j`z!avjobaal/vnv1rjcar`Qe`90563'vmhj970 .dmsp wesepj`Sjvpjibjr 26 26=2%/

Mvvjddmpj Cmsj; =2)33:8 Vmhj; 2: @mpj Gedj`; ==!26!26=2 Jopru E@; 358755= RJSPRECPJ@


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iasp ag eps mddjhj` gmcpars/ Pnes imljs sjosj seocj pnj eopjo`jòjss ar

zoeopjo`jòjss ag m vrjhomocu cmooap epsjdg vnuseadahecmddu cnmohj eps njmdpn

jggjcp/ Pnzs m `jdmu eo sjjleoh vrjompmd cmrj gar mo zoeopjo`j` vrjhomocu imu bj

oa daohjr spmpespecmddu sehoegecmop gar xaijo xna mrj oap mdrjmù èsvasj` pa

`jdmu ar xna nmwj m szvvarp ojpxarl03 )) ms à pnj Vdmeopeggs eoszrj`

jivdaujjs ms xjdd ms pnj jivdaujjs svazsjs mo` `jvjo`jops/

Pnj EAI rjvarp cepjs pa apnjr bjnmwearmd resl gmcpars deolj` xepn zoeopjo`j`

vrjhomocu eocdzèoh sialeoh `reoleoh `jvrjsseao mo` àijspec weadjocj/00

Naxjwjr ep es eivassebdj pa smu mo` pnj EAI rjvarp àjs oap mppjivp pa vrawj

pnmp zoeopjo`j` vrjhomocu djm`s pa pnjsj ojhmpewj bjnmwears mo` zonjmdpnu

sepzmpeaos/ Rmpnjr pnj deolmhj bjpxjjo pnji mo` zoeopjo`j` vrjhomocu es eo imou

cmsjs deljdu pa bj aoj ag mssacempeao oap cmzsmpeao/

Pnj EAIs szhhjspeao pnmp eocrjmsj` mccjss pa caoprmcjvpewjs xedd rj`zcj

dax berpn xjehnp mo` vrjimpzrepu awjrdaals pnj gmcp pnmp delj apnjr cepj` gmcpars

pnjsj mrj ijrjdu mssacempj` xepn oap cmzsj` bu zoeopjo`j` vrjhomocu .26==

EAI mp =63< =55: EAI mp 86%< pnj EAI epsjdg cepjs spzèjs snaxeoh oa caoojcpeao

bjpxjjo dax berpn xjehnp mo` vrjhomocu)svmceoh eo pnj Z/S/0:

Oapmbdu pnj 26== EAI rjvarp cdmeis pa cepj m suspjimpec rjwejx ao dax

03E`/ mp 7>/00 26== EAI mp =63/0:=55: EAI mp 86)8=/



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berpn xjehnp bzp pnj cepmpeao es eocarrjcp/07 Pnj EAI pnjo cepjs pnrjj spzèjs

snaxeoh mo mssacempeao bjpxjjo dax berpn xjehnp!vrjpjri `jdewjru mo` snarpjr

vrjhomocu eopjrwmds/08 Pnj EAI rjvarp gmeds pa oapj pnmp mdd pnrjj spzèjs gazo`

pnjsj smij ojhmpewj azpcaijs gar djohpnu vrjhomocu eopjrwmds m caoèpeao deljdu pa

gaddax zvao eocrjmsj` caoprmcjvpewj zsj/

Pnj EAI mdsa gmedj` pa caose`jr pnj resls ag dax berpn xjehnp pnmp mresj grai

caoprmcjvpewj zsj epsjdg; m 2665 Cmomèmo spzù snaxs pnmp xaijo xna caocjewj

xepneo 36 `mus ag haeoh agg caoprmcjvpewj vedds sehoegecmopdu eocrjmsj pnj resl ag dax

berpn xjehnp mo` wjru dax berpn xjehnp/0>

Geomddu pnj hawjroijops rjdemocj ao pnj svjcemd ojj`s ag saij xaijo

szcn ms pnasj xepn èmbjpjs pa mwae` vrjhomocu ehoarjs pnj gmcp pnmp pnjsj xaijo

caivresj m gmr simddjr hrazv pnmo pnj Imo`mpj cawjrs mo` gar pnmp rjmsao pnj

Imo`mpj ms czrrjopdu sprzcpzrj` es oap omrraxdu pmedarj`/ Gaczsj` cmrj pa njdv

xaijo xepn pnjsj caoèpeaos cazd` mcnejwj pnj Imo`mpjs hamds xepn pnj

07 26== EAI mp =63 =77 .cepeoh Snmn jp md/ 266>%/ Pnj Snmn spzù àjs oapm``rjss dax berpn xjehnp< ep xms spzù ag cmrèawmsczdmr èsjmsj eo uazoh xaijoxepn hjspmpeaomd èmbjpjs/ Snmn B/ R/ R/ Rjpomlmrmo mo` H/ D/ Baapn/ 266>/Eocrjmsj` resl ag cmrèawmsczdmr èsjmsj eo uazoh xaijo gaddaxeoh hjspmpeaomd

èmbjpjs ijddepzs/@embjpjs Cmrj 3=.>%;=77>=775/08E`/ mp =63/0> Cnjo jp md/ Rjcjop armd caoprmcjvpewj zsj mo` m`wjrsj berpn azpcaijs =00

Jzravjmo Kazromd ag Abspjprecs ' Huojcadahu mo` Rjvra`zcpewj Beadahu 0603.Imu 2665% mbsprmcp mwmedmbdj mp nppv;!!xxx/jkah/arh!mrpecdj!S636=)2==:.65%66680)>!/



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hawjroijop epsjdg vraweèoh caoprmcjvpewj sjrwecjs eg szcn sjrwecjs xjrj ijècmddu

eoècmpj`/

Eo szi xnedj pnj Hawjroijops hjojrmd eopjrjsp eo vrjwjopewj sjrwecjs gar

xaijos njmdpn mo` xjdd)bjeoh imu bj wmde` eps mcp ag cajrceoh rjdeheazsdu

abkjcpeoh jivdaujrs pa cawjr `rzhs pnmp sehoegecmopdu eocrjmsj resls pa xaijos

njmdpn xnedj vraweèoh `zbeazs njmdpn bjojgeps cjrpmeodu gmeds pa gzrpnjr pnmp

eopjrjsp/ Ms j~vdmeoj` bu pnj Z/S/ Szvrjij Cazrp Xj à oap àzbp pnj wmdeèpu

ag pnjsj eopjrjsps mou iarj pnmo xj àzbp pnj hjojrmd eopjrjsp eo vraiapeoh vzbdec

njmdpn mo` smgjpu/ / /bzp zo`jr RGRM eowacmpeao ag szcn hjojrmd eopjrjsps$

spmoèoh mdaoj$ es oap joazhn/ Hao{mdjs w/ A Cjopra Jsverepm Bjojgecejopj Zoema

à Wjhjpmd :07 Z/S/ 0=> 03> .2667%.jivnmses m``j`%/

B/ Pnj Hawjroijop Nms Gmedj` Pa Snax Pnmp Pnj Imo`mpj Gzrpnjrs

Eps Mssjrpj` Eopjrjsp Ag Vraiapeoh Hjo`jr J}zepu/

Pnj Hawjroijop mssjrps moapnjr mddjhj`du caivjddeoh hawjroijopmd eopjrjsp

omijdu vraiapeoh hjo`jr j}zepu bu rjiaweoh pnj zoj}zmd geomocemd bmrrejrs pa

njmdpn cmrj svjcegecmddu vrjwjopewj cmrj pnmp mresj grai nehnjr azp)ag)vacljp casps

gar xaijos hjo`jr)svjcegec caoèpeaos/ Pnj Hawjroijop mssjrps pnmp rjdejweoh

xaijo ag pnes mddjhj` èsvravarpeaompj bzr`jo xedd djm` pa j}zmd mccjss pa njmdpn

cmrj bjppjr njmdpn mo` pnjrjgarj j}zmd avvarpzoepejs pa vmrpecevmpj eo pnj xarlvdmcj

xepn ijo/ Zo`jrdueoh pnes mrhzijop mrj m ozibjr ag vrjiesjs gar xnecn pnj

Hawjroijop nms vrawe`j` deppdj ar oa szvvarpeoh jwe`jocj/

Mvvjddmpj Cmsj; =2)33:8 Vmhj; 2> @mpj Gedj`; ==!26!26=2 Jopru E@; 358755= RJSPRECPJ@


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Gersp ms sjp garpn eo pnj vrjcjèoh sjcpeaos pnj Hawjroijop nms gmedj` pa

snax pnmp pnj Imo`mpj xedd eo gmcp eivrawj xaijos njmdpn/ Eo`jj` pnjrj es

szbspmopemd jwe`jocj pnmp xe`jsvrjm` mo` djohpnu zsj ag caoprmcjvpewjs bu xaijo

nms rjszdpj` mo` xedd rjszdp eo sehoegecmop nmri pa pnjer njmdpn/ Pnes caocdzseao eo

mo` ag epsjdg èsvasjs ag pnj Hawjroijops mddjhj` hjo`jr j}zepu eopjrjsp/ Pnj

Hawjroijop cmo oap mssjrp m caivjddeoh eopjrjsp eo eocrjmseoh mccjss pa mo`

zpede{mpeao ag caoprmcjvpewjs mvmrp grai eps eopjrjsp eo vraiapeoh xaijos njmdpn/

Pnjrj es oa jwe`jocj eo pnj djhesdmpewj rjcar` grai xnecn pnj Hawjroijop cazd`

mrhzj pnmp Caohrjss eopjo`j` pa eocrjmsj mccjss pa caoprmcjvpewjs gar pnj smlj ag

xaijo bjeoh mbdj pa mwae` vrjhomocu mo` cned`bjmreoh sadjdu ms m ijmos ag

mcnejweoh hjo`jr j}zepu/ Rmpnjr pnj djhesdmpewj nesparu snaxs pnmp Caohrjsss

eopjop xms pa rjdejwj xaijo ag pnj eoj}zepmbdj geomocemd bzr`jo pnju gmcj eo

imeopmeoeoh pnjer njmdpn/ Pnzs eg caoprmcjvpewjs à oap vraiapj xaijos njmdpn

pnju à oap vraiapj pnj hawjroijops mssjrpj` eopjrjsp eo hjo`jr j}zepu/ Ms sjp

garpn eo Sjcpeao E mo` EE szvrm pnj Hawjroijop nms gmedj` pa snax pnmp

caoprmcjvpewjs vraiapj xaijos njmdpn/

Jwjo msszieoh mrhzjoà pnmp caoprmcjvpewjs eo saij ijmszrj vraiapj

xaijos njmdpn pnj jwe`jocj vrjsjopj` bu pnj Hawjroijop pa szvvarp eps vrjiesj

pnmp xaijo mrj eoj}zepmbdu bzr`joj` bu pnjer casps es xajgzddu eom`j}zmpj/



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caose`jreoh eo vmrpeczdmr pnj azp)ag)vacljp j~vjosjs gar caoprmcjvpewjs pnj

jivdaujjs ojj` gar caoprmcjvpewjs eoècmpjs saij eopeimpj rjdmpeaosnev xepn m

imo }zepj vassebdu njr nzsbmo`/ Pnj Hawjroijop mvvmrjopdu msszijs xepnazp

vraag pnmp ijo )) xnjpnjr nzsbmo`s raaiimpjs ar saij apnjr radj )) eo eopeimpj

rjdmpeaosnevs xepn xaijo à oap caoprebzpj pa pnj casps ag xnmpjwjr caoprmcjvpewj

ijpna` es zsj` bu pnj cazvdj/ Bzp xepnazp szcn vraag pnjrj es oa rjmsao pa bjdejwj

pnmp xaijo mrj cmrrueoh mo eoj}zepmbdj bzr`jo xnjo ep caijs pa pnj casps ag

caoprmcjvpewjs/ Mo` xepnazp szcn vraag pnjrj es oa rjmsao pa bjdejwj pnmp pnj

Imo`mpj àjs moupneoh bzp snegp pnj geomocemd bzr`jo ag caoprmcjvpewjs oap grai

pnj xaimo bzp grai pnj cazvdj aopa pnj jivdaujr )) mhmeo àeoh oapneoh pa

gzrpnjr pnj mssjrpj` hawjroijopmd eopjrjsp eo vraiapeoh hjo`jr j}zepu/

Eo szi pnj Hawjroijop nms gmedj` pa cmrru eps bzr`jo ag vraweoh pnmp pnj

cajrcewj Imo`mpj eo gmcp oap eo pnjaru gzrpnjrs eps mssjrpj` eopjrjsp eo vraiapeoh

xaijos njmdpn ar hjo`jr j}zepu/



33/36

CAOCDZSEAO

Gar pnj garjhaeoh rjmsaos Miece Xaijo Svjml gar Pnjisjdwjs Beajpnecs

@jgjosj Gzo` mo` Degj Djhmd @jgjosj Gazo`mpeao rjsvjcpgzddu zrhj pnes Cazrp pa

hrmop mo ar`jr rjwjrseoh mo` rjimoèoh pnj kz`hijop bjdax èsiesseoh pnj

Vdmeopeggs cmsj mo` eosprzcpeoh pnj cazrp pa vraivpdu `jce`j pnj vjoèoh iapeao

gar vrjdeieomru eokzocpeao/

Rjsvjcpgzddu szbieppj`

!s! @areo`m C/ Bar`djjQQQQQQQQQ

Oeladms P/ Oelms M[ Bmr Oa/ 6==62:+@areo`m C/ Bar`djj DM Bmr Oa/ 26==:BEAJPNECS @JGJOSJ GZO@7>== J/ Wadpmerj Mwjozj

Scapps`mdj M[ >:2:0.0>6% 0>3)3:58

Cmpnjreoj X/ Snarp .CM Bmr Oa/ ==8002%DEGJ DJHMD @JGJOSJ GAZO@MPEAOV/A/ Ba~ =3=3Akme CM 53623.>6:% 706)=506DD@GAkmeFcs/cai

+CAZOSJD AG RJCAR@

Mpparojus gar Miece Czremj

@MPJ@; Oawjibjr 26 26=2



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CJRPEGECMPJ AG CAIVDEMOCJ

Vzrszmop pa Rzdj 32.m%.8.C% ag pnj Gj`jrmd Rzdjs ag Mvvjddmpj Vracj`zrj E

njrjbu cjrpegu pnmp pnes brejg caivdejs xepn pnj puvj)wadzij deiepmpeaos sjp garpn eo

pnmp rzdj/ Pnes brejg caopmeos 0$382 xar`s .j~cdzsewj ag pnj cawjr pmbdj ag caopjops

pmbdj ag mzpnarepejs mo` apnjr graop imppjr%/ E rjdej` ao iu xar` vracjssar

Iecrasagp Xar`;imc 26== pa abpmeo pnj cazop/

Eo m``epeao pnes brejg caivdejs xepn pnj puvjgmcj rj}zerjijops ag Gj`/ R/

Mvv/ V/ 3:.m%.:% mo` pnj puvj spudj rj}zerjijops ag Gj`/ R/ Mvv/ V/ 32.m%.7%

bjcmzsj pnes brejg nms bjjo vrjvmrj` eo m vravarpeaomddu svmcj` puvjgmcj zseoh

Iecrasagp Xar`;imc 26== eo Peijs Ojx Raimo =0 vp/

@MPJ@; Oawjibjr 26 26=2 !s!@areo`m C/ Bar`djj@areo`m C/ Bar`djj

Cazosjd garMiece Czremj



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WERZS CNJCL CJRPEGECMPEAO

Pnj jdjcpraoec wjrseao ag pnj brejg mo` m``jo`zi nmwj bjjo scmooj` gar werzsjs mo` mrj

werzs)grjj/

@MPJ@; Oawjibjr 26 26=2 !s!@areo`m C/ Bar`djj@areo`m C/ Bar`djjCazosjd garMiece Czremj

Mvvjddmpj Cmsj; =2)33:8 Vmhj; 3: @mpj Gedj`; ==!26!26=2 Jopru E@; 358755= RJSPRECPJ@


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CJRPEGECMPJ AG SJRWECJ

E cjrpegu pnmp ao Oawjibjr 26 26=2 E jdjcpraoecmddu gedj` pnj garjhaeoh xepn pnj

Cdjrl ag pnj Cazrp gar pnj Zoepj` Spmpjs Cazrp ag Mvvjmds gar pnj Jehnpn Cerczep bu

zseoh pnj CI!JCG suspji/ E cjrpegu pnmp mdd vmrpecevmops eo pnj cmsj mrj rjhespjrj`

CI!JCG zsjrs mo` pnmp sjrwecj xedd bj mccaivdesnj` bu pnj CI!JCG suspji/

@MPJ@; Oawjibjr 26 26=2 !s!@areo`m C/ Bar`djj@areo`m C/ Bar`djjCazosjd garMiece Czremj

Documents

Amicus Brief for O’BRIEN INDUSTRIAL HOLDINGS, LLC v.U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES; KATHLEEN SEBELIUS and others