Rapides Regional Medical Center v. Secretary, Department of Veterans' Affairs , 974 F.2d 565 ( 1992 )


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  •                   UNITED STATES COURT OF APPEALS
    FOR THE FIFTH CIRCUIT
    _______________________
    No. 91-5097
    _______________________
    RAPIDES REGIONAL MEDICAL CENTER,
    Plaintiff, Intervenor-Defendant-Appellee,
    versus
    SECRETARY, DEPARTMENT OF VETERANS' AFFAIRS,
    Defendant, Intervenor-Defendant-Appellant,
    and
    ST. FRANCES CABRINI HOSPITAL,
    Movant, Intervenor-Plaintiff-Appellant.
    _________________________________________________________________
    Appeals from the United States District Court
    for the Western District of Louisiana
    _________________________________________________________________
    (September 24, 1992)
    Before GOLDBERG, JONES, and DeMOSS, Circuit Judges.
    EDITH H. JONES, Circuit Judge:
    The centerpiece of this dispute is a dual energy linear
    accelerator, a sophisticated radiation therapy device used on
    cancer patients. Two hospitals in Rapides Parish, Louisiana -- one
    private, the other operated by the Department of Veterans Affairs
    (VA) -- entered into a "sharing agreement" for the acquisition and
    joint use of such an accelerator.       Under the agreement, the
    Alexandria Veterans Affairs Medical Center (VAMC) would procure the
    accelerator, with nearby St. Francis Cabrini Hospital (Cabrini)
    donating one-half the cost of the machine to the VAMC.1            The VAMC-
    owned accelerator would then be housed at Cabrini and available for
    use by both institutions.        Shortly before negotiations over the
    sharing agreements had been completed, neighboring Rapides Regional
    Medical Center (Rapides) got wind of the deal and sought to block
    it.   Rapides, which operates two linear accelerators of its own,
    and which currently provides accelerator and related services to
    the   VAMC,2   charged   that   the    sharing   agreement    violated    the
    Competition in Contracting Act of 1984 (CICA), 41 U.S.C. § 251 et.
    seq., because it was never subjected to public bidding.             After an
    administrative appeal dismissed as untimely by the Comptroller
    General,3 Rapides won a permanent injunction against the sharing
    agreement in district court.          Rapides Regional Medical Center v.
    Derwinski, 
    783 F. Supp. 1006
    (W.D. La. 1991).              Both the VA and
    1
    The VAMC-Cabrini agreement consisted of: (1) a Letter of Intent
    between the VAMC and Cabrini; (2) a Memorandum of Understanding between the
    two facilities ("MOU"), requiring Cabrini to donate one-half the cost of the
    accelerator -- approximately $750,000 -- to the VAMC in exchange for housing
    and operating it at Cabrini; (3) a proposed sharing agreement, governing the
    joint use of the accelerator and providing for Cabrini to render certain
    related services to VAMC and its patients; and (4) a cost analysis for the
    accelerator.
    2
    From March 1985 to the period relevant to this lawsuit, the VAMC
    contracted with Rapides for radiation therapy using Rapides' accelerator. In
    late 1989, VA officials, apparently concerned that Rapides was charging too
    much for the use of its accelerator and related services, began exploring
    possible alternatives. When the VA learned that Cabrini was planning to
    acquire its own accelerator, it entered into negotiations for a possible
    sharing agreement, culminating in the signing of the MOU in August 1990.
    Rapides estimates that its contract with the VA accounts for twenty percent
    (20%) of its total revenue from radiation therapy services.
    3
    Rapides Regional Medical Center, No. B-242601, 91-1 C.P.D. ¶ 159
    (Feb. 12, 1991), reconsideration denied, Rapides Regional Medical Center --
    Reconsideration, No. B-242601.2, 91-1 C.P.D. ¶ 614 (June 28, 1991).
    2
    Cabrini, which had intervened in those proceedings, appealed the
    district court's decision, and we granted expedited review.
    I.
    STATUTORY BACKGROUND
    Before discussing the merits of this case, it may be
    helpful to trace its statutory contours.        Rapides asserts that the
    Competition in Contracting Act governs this action.                Appellee
    alleges, and the district court agreed, that the VAMC-Cabrini
    sharing agreement violates CICA's general requirement that federal
    procurement contracts be awarded competitively.4 CICA responded to
    Congressional findings that many federal procurement contracts were
    4
    CICA provides in relevant part:
    (1)   Except as provided in subsection (b), (c), and (g) of
    this section and except in the case of procurement procedures
    otherwise expressly authorized by statute, an executive agency in
    conducting a procurement for property or services --
    (A)   shall obtain full and open competition through
    the use of competitive procedures. . . and
    (B)   shall use the competitive procedure or
    combination of competitive procedures that is best suited
    under the circumstances of the procurement.
    (2)   In determining the competitive procedures appropriate
    under the circumstance, an executive agency--
    (A)   shall solicit sealed bids if--
    (i)   time permits the solicitation, submission,
    and evaluation of sealed bids;
    (ii) the award will be made on the basis of
    price and other price-related factors;
    (iii)   it is not necessary to conduct discussions
    with the responding sources about their bids; and
    (iv) there is a reasonable expectation of
    receiving more than one sealed bid; and
    (B)   shall request competitive proposals if sealed
    bids are not appropriate under clause (A).
    41 U.S.C. § 253(a).
    3
    awarded    on    a     sole-source     basis,    resulting     in   widespread
    inefficiencies and wasteful government spending.              According to its
    drafters, the Act's objectives were "to establish a statutory
    preference for the use of competitive procedures in awarding
    federal contracts for property or services, to impose restrictions
    on the awarding of noncompetitive contracts, and to permit federal
    agencies to use the competitive method most conducive to the
    conditions of the contract."         S. Rep. No. 50, 98th Cong., 2d Sess.,
    reprinted in 1984 U.S. Code Cong. & Admin. News 2174, 2180.
    The VA does not contend that its sharing agreement with
    Cabrini falls within any of the seven enumerated exceptions to CICA
    that permit sole-source procurement.5             However, both Cabrini and
    the VA would find refuge in the savings clause to § 253(a)(1),
    which exempts from CICA "procurement procedures otherwise expressly
    authorized by statute."            As asserted proof of this authority,
    appellants cite 38 U.S.C. § 8153, empowering the VA to enter into
    5
    On appeal, Cabrini attempts to avail itself of the exception
    provided by § 253(b)(1)(A), which provides:
    (b)       exclusion of particular source; restriction of solicitation
    to small business concerns
    (1)   An executive agency may provide for the procurement of property or
    services covered by this section using competitive procedures but
    excluding a particular source in order to establish or maintain any
    alternative source or sources of supply for that property or service if
    the agency head determines that to do so--
    (A)   would increase or maintain competition and would
    likely result in reduced overall costs for such procurement, or
    for any anticipated procurement, of such property or services[.]
    By its own terms, however, subsection (b)(1)(A) applies only to agencies that
    are already "using competitive procedures." The VA stipulated before the
    district court that it did not use competitive procedures when it entered into
    the sharing agreement with Cabrini. In any event, Cabrini raises this
    argument for the first time on appeal, and we will not consider it here.
    4
    sharing agreements for the acquisition and joint use of advanced
    medical technology.6
    Congress initially authorized the sharing program set
    forth in § 8153 "for the exchange of use (or under certain
    conditions   the    mutual   use)   of       specialized   medical   facilities
    between Veterans' Administration hospitals and other public and
    private hospitals or medical schools in a medical community."                S.
    Rep. No. 1727, 89th Cong., 2d Sess., reprinted in 1966 U.S. Code
    6
    Section 8153 provides:
    (a)   To secure certain specialized medical resources which
    otherwise might not be feasibly available or to effectively
    utilize certain other medical resources, the Secretary may, when
    the Secretary determines it to be in the best interest of the
    prevailing standards of the Department medical care program, make
    arrangements, by contract or other form of agreement, as set forth
    in clauses (1) and (2) below between Department health-care
    facilities and other health-care facilities (including organ
    banks, blood banks, or similar institutions), research centers, or
    medical schools:
    (1)   for the mutual use, or exchange of use, of
    specialized medical resources when such an agreement will
    obviate the need for a similar resource to be provided in a
    Department health care facility; or
    (2)   for the mutual use, of specialized medical
    resources in a Department health care facility, which have
    been justified on the basis of veterans' care, but which are
    not utilized to their maximum effective capacity.
    (b)   Arrangements entered into under this section shall
    provide for reciprocal reimbursement based on a methodology that
    provides appropriate flexibility to the heads of the facilities
    concerned to establish an appropriate reimbursement rate after
    taking into account local conditions and needs and the actual
    costs of the providing facility of the resource involved. Any
    proceeds to the Government received therefrom shall be credited to
    the applicable Department medical appropriation and to funds that
    have been allotted to the facility that furnished the resource
    involved.
    . . .
    (e)   The Secretary shall submit to the Congress not more
    than 60 days after the end of each fiscal year a report on the
    activities carried out under this section.
    5
    Cong.     &   Admin.   News   4210,   4219-20.    In   1985,   after   CICA's
    enactment, Congress expanded the sharing program to other medical
    facilities, appropriating up to $10 million for a pilot program in
    which VA facilities would purchase advanced medical equipment so
    long as non-federal sources agreed to finance at least fifty
    percent (50%) of the acquisition costs.          Conf. Rep. No. 363, 99th
    Cong., 1st Sess. 22 (Nov. 8, 1985).              According to the Senate
    Appropriations Committee:
    The purpose of this funding is to help the VA to acquire
    costly, advanced state-of-the-art medical equipment more
    easily and to provide a means of using that equipment to
    maximum effectiveness by encouraging long-term sharing
    with community institutions. . . . The Committee
    recognizes that there are limits to what medical
    communities and the Federal Government can individually
    accomplish, but believes that this proposed arrangement
    will provide VA beneficiaries and the VA medical centers
    and community medical institutions with access to
    prohibitively expensive major medical equipment which
    would otherwise not be available to either.
    S. Rep. No. 99-129, 99th Cong., 1st Sess. 82, 88-89 (Aug. 28,
    1985).7
    Shortly after Congress began funding the sharing program,
    the Veterans Administration (predecessor to the Department of
    Veterans Affairs) promulgated interim rules to implement CICA. See
    51 Fed. Reg. 23065-73 (June 25, 1986).             Significantly, the VA
    stipulated that "[s]haring contracts negotiated under 38 U.S.C.
    § 5053 are approved for other than full and open competition."            
    Id. 7 Congress
    authorized the expanded sharing program, which is
    officially known as the Advanced Technology Medical Equipment Acquisition and
    Sharing Program, in 1990. See Pub. L. 101-366, Title II, § 202 (b), Aug. 15,
    1990, 104 Stat. 438. However, the above-cited Conference Report, see Conf.
    Rep. No. 363, 
    id., indicates that
    Congress began funding the sharing program
    as early as 1985 -- nearly five years before it was formally authorized.
    6
    at 23066.8      The VA explained that its "[j]ustification and approval
    procedures for proposed noncompetitive acquisitions . . . are
    critical in effectively implementing the CICA and will provide the
    basis for compiling the VA annual report to Congress."                       
    Id. at 23065.
        The VA's interim rules were finalized and implemented in
    1987.    See 52 Fed. Reg. 28559, 28560 (July 31, 1987).9
    To summarize:        Congress first adopted the VA sharing
    program    in    1966.     The     program    as   enacted     did    not    address
    competitive procurement procedures. Congress enacted CICA in 1984,
    creating a statutory presumption in favor of competition "except in
    the case of procurement procedures . . . expressly authorized by
    statute."        The following year, Congress expanded the sharing
    program by appropriating funds to finance the acquisition and joint
    use of advanced medical equipment along the lines of the VAMC-
    Cabrini agreement.          In    response,    the   VA   in   1987   implemented
    regulations providing that despite CICA's enactment, the sharing
    program did not require full and open competition.                          Finally,
    Congress amended the sharing program in 1990 at what is now § 8153,
    expanding the existing program substantially but making no mention
    of CICA.
    Against     this    statutory    backdrop,    the   district      court
    permanently enjoined the VAMC-Cabrini agreement after holding that
    8
    38 U.S.C. § 5053 was later recodified as § 8153. See Pub. L. 102-
    40, Title IV, § 402(b)(1), May 7, 1991, 105 Stat. 238. As earlier noted, the
    1990 program set forth in what is now § 8153 is an expansion of the original
    VA sharing program, first enacted in 1966 as § 5053.
    9
    See also 48 C.F.R. 806.302-5(b) (1991).
    7
    Congress did not explicitly exempt the sharing program from CICA
    when it amended § 8153 in 1990.           While acknowledging the VA
    regulation set forth at 48 C.F.R. 806.302-5(b), which exempts the
    sharing program from CICA, the court noted:
    48 C.F.R. 806.302-5(b) . . . antedates [sic]
    the rather precise statutory language of
    "otherwise expressly authorized by statute" as
    founded in 41 U.S.C. § 253(a). Congress said
    that the public bid law can be circumvented by
    express language contained in a statute. The
    regulation from the Veterans Administration is
    not a statute. Congress created the measuring
    stick and retained the power to delete public
    bid law requirements from contracts for goods
    and services. The VA is powerless to change
    the clear procedure set by 
    Congress. 783 F. Supp. at 1008
    .    The district court did not address the pre-
    CICA legislative history of § 8153, nor did it review the 1985
    appropriations legislation expanding the existing sharing program
    to private hospitals.
    Cabrini and the VA argue that Congress never intended the
    Competition in Contracting Act to apply to a sharing program that
    has been on the books since 1966.       The program is either exempted
    from the Act by § 8153, they contend, or falls outside CICA because
    sharing agreements do not involve the "procurement" of equipment.
    Appellants also challenge Rapides' standing to sue.        We address
    these arguments in reverse order.
    II.
    STANDING
    Cabrini and the VA first contend that the district court
    erred in failing to enter a specific finding that Rapides has
    standing to bring this lawsuit.    They insist on a remand or, in the
    8
    alternative, a ruling that as a matter of law Rapides lacks
    standing to sue.    Appellants acknowledge that disappointed bidders
    have prudential standing under the Administrative Procedure Act to
    challenge agency violations of federal procurement requirements.
    See Scanwell Laboratories, Inc. v. Shaffer, 
    424 F.2d 859
    , 873 (D.C.
    Cir. 1970); Hayes International Corp. v. McLucas, 
    509 F.2d 247
    , 257
    (5th Cir.), cert. denied, 
    423 U.S. 864
    , 
    96 S. Ct. 123
    , 
    46 L. Ed. 2d 92
    (1975) (adopting Scanwell).              They maintain, however, that
    Rapides lacks standing because it is neither an actual nor a
    prospective     bidder    on   the   VA's    plan   to   acquire   a   linear
    accelerator.10     Establishing prudential standing to challenge a
    government contracting decision requires:            (1) an allegation of
    injury in fact; (2) a claim that CICA was "arguably" intended to
    prevent the agency's action; and (3) the absence of Congressional
    intent    to   withhold   judicial    review.       Contractors    Engineers
    International, Inc. v. Dept. of Veterans Affairs, 
    947 F.2d 1298
    ,
    1300 n.9 (5th Cir. 1991); Gull Airborne Instruments, Inc. v.
    10
    The disappointed bidder requirement stems from the familiar "zone
    of interests" test mandated by the Administrative Procedure Act. The APA
    waives the sovereign immunity to which government agencies would otherwise be
    entitled for all persons "adversely affected or aggrieved by agency action
    within the meaning of a relevant statute. . . ." 5 U.S.C. § 702. In its
    complaint, Rapides premised jurisdiction on 28 U.S.C. § 1331 (federal question
    jurisdiction) and 31 U.S.C. § 3556 (permitting "any interested party" to
    challenge alleged violations of federal procurement law). The VA suggests
    that Rapides erred by failing to tie jurisdiction in this case directly to the
    APA. But as the VA candidly admits elsewhere in its brief, "it does not
    matter whether the suit is thought of as an APA action or an action brought
    directly under CICA, so long as it is clear that the plaintiff must be an
    actual or prospective bidder in order to have standing." See, e.g., Waste
    Management of North America v. Weinberger, 
    862 F.2d 1393
    , 1397-98 (9th Cir.
    1988); and MCI Telecommunications Corp. v. United States, 
    878 F.2d 362
    , 365
    (Fed. Cir. 1989).   Neither the VA nor Cabrini challenges Rapides'
    constitutional standing to bring this action. See generally Scanwell
    
    Laboratories, 424 F.2d at 871-73
    .
    9
    Weinberger, 
    694 F.2d 838
    (D.C. Cir. 1982) (citing Control Data
    Corp. v. Baldridge,11 
    655 F.2d 283
    , 288-89 (D.C. Cir.), cert.
    denied, 
    454 U.S. 881
    , 
    102 S. Ct. 363
    , 
    70 L. Ed. 2d 190
    (1981)).               We
    are convinced that "[s]atisfaction of the first factor is clear
    from the preceding discussion, and there is no clear and convincing
    Congressional     intent    to    withhold   judicial     review."         Abel
    Converting, Inc. v. United States, 
    679 F. Supp. 1133
    , 1137 (D.D.C.
    1988).    As for the second requirement, assuming that the sharing
    agreement was covered by CICA, that statute supplies its own
    answer:
    'Interested party', with respect to a contract
    or proposed contract . . . means an actual or
    prospective bidder or offeror whose direct
    economic interest would be affected by the
    award of the contract or by failure to award
    the contract[.]
    31 U.S.C. § 3551(2) (emphasis added).
    Thus, to object to the award of a contract allegedly
    covered by CICA, Rapides must demonstrate that it was an actual or
    prospective bidder or offeror on the sharing agreement.               Because
    Rapides was not an actual bidder, the prudential standing issue
    turns on its claimed status as a prospective bidder.             Appellants
    insist    that   the   district   court   never   addressed    this    issue,
    asserting that Rapides would not have bid on the sharing agreement
    had it been given the opportunity to do so.         This is unpersuasive.
    Implicit in the district court's holding that Rapides was denied
    11
    Baldridge has since been questioned by Clarke v. Securities
    Industry Ass'n., 
    479 U.S. 388
    , 
    107 S. Ct. 750
    , 
    93 L. Ed. 2d 757
    (1987), on
    grounds that are not relevant here.
    10
    the opportunity to participate in the sharing agreement is the
    recognition that Rapides would have done so if given the chance.
    There is sufficient evidence in the record that Rapides stood ready
    and willing to participate in the sharing program had it been
    offered the    opportunity     to   do   so.     In   suggesting   otherwise,
    appellants ignore not only the specific allegations in Rapides'
    verified complaint, but the affidavit of its president, James T.
    Montgomery, who stated that "[h]ad Rapides Regional been given the
    opportunity, Rapides Regional would have submitted a proposal to
    VAMC in connection with consideration of submissions under the 1990
    Advanced Medical Equipment Share Acquisition Program. . . ."12
    While appellants point to some evidence that might be interpreted
    as   disproving   Rapides'    intent     to    participate   in   the   sharing
    agreement with the VAMC if offered the chance, the district court's
    implied factfinding is not clearly erroneous. Anderson v. Bessemer
    City, 
    470 U.S. 564
    , 573, 
    105 S. Ct. 1504
    , 1511, 
    84 L. Ed. 2d 518
    (1985).   Had the district court been convinced that Rapides' real
    motive was to block the VA-Cabrini deal rather than to make a
    competing offer, it would have had to deny standing, because
    Rapides would not then be an actual or prospective bidder.                This
    12
    Admittedly, Rapides sought to block the VAMC-Cabrini agreement
    after it had been executed, writing letters to Members of Congress and others
    asserting that the new linear accelerator was duplicative and unnecessary.
    But this last-ditch lobbying effort does not controvert Rapides' contention
    that it would have bid on the sharing agreement at the outset, before the
    negotiations were a fait accompli.
    11
    conclusion was not compelled by the evidence, and we decline to
    overturn the court's finding.13
    III.
    PROCUREMENT
    Appellants next confront CICA directly by arguing that
    the shared acquisition of specialized medical resources14 for mutual
    use under § 8153 is not a "procurement" within the meaning of
    CICA,15 but more closely resembles a lease or sale of government
    property.     The VA cites several decisions of the Comptroller
    General to this effect.16         In particular, the VA directs this
    13
    We need not and do not here decide that any prospective or actual
    bidder necessarily has standing to challenge a government procurement decision
    arguably governed by CICA. Compare Waste Management of N. America v.
    Weinberger, 
    862 F.2d 1393
    , 1397-98 (9th Cir. 1988). Affirmance of the
    district court is based on Rapides' evidence that it could and would
    participate in the program if offered the opportunity and that its self-
    interest dictated such a decision because of its previous arrangement to
    supply other radiation therapy services to the VA. Cabrini also argues that
    Rapides waived its claim by failing to file a timely protest with the
    Comptroller General, the federal official charged with hearing bid protests at
    the administrative level. This argument wrongly assumes that the Comptroller
    General has exclusive jurisdiction to hear CICA protests. In fact, the
    statute expressly provides otherwise. See 31 U.S.C. § 3556 (stating that
    administrative remedies under CICA are non-exclusive).
    14
    As defined by 38 U.S.C. § 8152(2):
    The term "specialized medical resources" means medical
    resources (whether equipment, space, or personnel)
    which, because of cost, limited availability, or
    unusual nature, are either unique in the medical
    community or are subject to maximum utilization only
    through mutual use.
    15
    CICA applies only to an executive agency conducting a "procurement
    for property or services." 41 U.S.C. § 253(a)(1).
    16
    See Jefferson Bank & Trust, No. B-228563, 87-2 C.P.D. ¶ 390 (Oct.
    23, 1987) (government agency's leasing of government-owned office space is not
    a procurement and therefore subject to CICA); Crystal Cruises, Inc., No. B-
    238347, 90-1 C.P.D. ¶ 141 (Feb. 1, 1990) (government award of a concession
    permit allowing a shipping company to operate within a national park is a
    license to enter government property, not a procurement of property or
    services under CICA); and Columbia Communications Corp., No. B-236904, 89-2
    12
    court's attention to Surface Alloys Corp., B-222703, 86-2 C.P.D.
    ¶ 7 (June 25, 1986).      That case involved a controversy not unlike
    this one. The U.S. Navy purchased a complicated piece of equipment
    known as an ion implanter and leased it to a private company that
    was performing research and development under a Navy contract.
    Another company protested this action, arguing that it gave the
    Navy's contractor an unfair competitive advantage. The Comptroller
    C.P.D. ¶ 242 (Sept. 18, 1989) (NASA did not procure property or services
    within the meaning of CICA by permitting private contractor to use government
    satellite).
    The degree of deference to be paid to decisions of the Comptroller
    General is a matter of some dispute. According to one treatise:
    There is an increasing tendency on the part of United
    States district courts and United States Circuit
    Courts of Appeal to refer bid protest cases to the
    General Accounting Office because of that agency's
    "special competence and experience." This tendency is
    not followed in the United States Claims Court, which
    is the most prestigious court in the area of
    government contracting. It would seem that the United
    States Court of Appeals for the District of Columbia
    Circuit is of the view that a decision of the General
    Accounting Office may not be reversed unless it is
    "arbitrary and capricious," Steinthal & Co., Inc. v.
    Seamans, 
    455 F.2d 1289
    (D.C. Cir. 1971). However, the
    majority of district courts are of the opinion that
    the decisions of the Comptroller General are advisory
    only and are not binding upon the court.
    McBride & Touhey, 1A GOVERNMENT CONTRACTS at § 7.10. Appellants urge us to
    afford Chevron deference to Comptroller General decisions interpreting
    statutes entrusted to the GAO by Congress. See Chevron U.S.A., Inc. v.
    Natural Resources Defense Council, Inc., 
    467 U.S. 837
    , 
    104 S. Ct. 2778
    , 
    81 L. Ed. 2d 694
    (1984). Even our pre-Chevron decisions indicate that "[w]hen
    actions of procurement officials have been expressly validated by considered
    decision of the GAO or are in compliance with a reasonably consistent pattern
    of GAO determinations, the court should be extremely reluctant to overturn
    such decisions." Kinnett Dairies, Inc. v. J.C. Farrow, 
    580 F.2d 1260
    , 1272
    (5th Cir. 1978). See also J.H. Rutter Rex. Mfg. Co., Inc. v. United States,
    
    706 F.2d 702
    , 711 (5th Cir.), cert. denied, 
    464 U.S. 1008
    , 
    104 S. Ct. 526
    , 
    78 L. Ed. 2d 709
    (1983) ("[D]ecisions of the Comptroller General are entitled to
    special deference given the complexities and intricacies of government
    purchasing decisions.").
    13
    General dismissed the protest, holding that the lease was not a
    procurement under CICA.
    While the district court in this case did not define
    "procurement" for purposes of CICA, its holding rests on the tacit
    assumption that a procurement has taken place.             The question thus
    remains:    Did the VA "procure" goods or services from Cabrini and
    in so doing run afoul of CICA?
    For the answer, one must first examine the Memorandum of
    Understanding between Cabrini and the VAMC.           It outlines several
    stages     for   the   acquisition   and   mutual    use    of   the   linear
    accelerator:     (1) the actual purchase of the accelerator by the VA
    from the manufacturer; (2) a financing arrangement whereby Cabrini
    will donate one-half of the accelerator's cost to the VA;17 and
    (3) the joint use of the machine by the VA and Cabrini under the
    terms of the sharing agreement to be negotiated at a later date.18
    The VA emphasizes that the accelerator was purchased from the
    manufacturer using competitive procurement procedures, whereas the
    financing and shared use of the VA-owned accelerator is akin to a
    17
    Such donations are authorized at 38 U.S.C. § 8303. The amount of
    the donation at issue in this case (fifty percent of the purchase price of the
    accelerator) is consistent with the pilot program established by Congress.
    See Conf. Rep. No. 363, 99th Cong. 1st Sess. at 22.
    18
    VA's brief takes pains to observe that "there is as yet
    no agreement to procure such services [from Cabrini]. If the VA
    contracts for such services from Cabrini, that would be a
    procurement, and Rapides might well have standing to challenge
    it." VA contends, however, that under § 8153, such a transaction
    would still not be subject to CICA.
    14
    lease or sale of government property.19              For its part, Rapides
    argues that the transaction must be viewed as an integrated whole:
    the shared acquisition of property (the linear accelerator) as well
    as services (including Cabrini's facilities, personnel and other
    specialized medical services).         To bolster its argument, Rapides
    cites Motor Coach Industries, Inc. v. Dole, 
    725 F.2d 958
    (4th Cir.
    1984) and Yosemite Park v. United States, 
    582 F.2d 552
    (Ct. Cl.
    1978).
    In Motor Coach Industries, the Fourth Circuit held that
    a trust formed by the Federal Aviation Administration to fund
    ground transportation improvements at Dulles International Airport
    was   public   in   character,    so   that   CICA   applied   to   all    such
    improvements financed by that trust.          To fund the trust, the FAA
    agreed to waive air carrier fees at Dulles provided that the
    airlines deposited equivalent funds in the trust.           After analyzing
    the trust's purpose, the court declared it to be a disguised
    "purchasing    agent"   created   to    circumvent    normal   appropriation
    channels and the federal procurement process.           
    Id. at 968.
          While
    Rapides insists that the VA-Cabrini sharing agreement is also an
    "end-run" around the procurement requirements of CICA, 
    id., Motor Coach
    Industries is plainly distinguishable. Unlike the FAA trust,
    the circumstances surrounding the sharing program do not suggest
    any attempt to evade statutory purchase requirements. The question
    19
    Cabrini takes a slightly different position: that the VA's
    procurement of the linear accelerator "has not been challenged" so that CICA
    applies -- if at all -- solely to that portion of the MOU by which Cabrini is
    to provide accelerator-related services to VA clients.
    15
    here is whether the sharing agreement expressly permitted by § 8153
    was for that reason not required to comply with CICA.       Further, the
    VAMC-Cabrini agreement does not resemble the concession contract at
    issue in Yosemite Park.      The National Park Service contracted
    directly for transportation equipment and services under the guise
    of a "concession" agreement conferring federal tax breaks on the
    contractor.     In holding that the contractor was bound by federal
    procurement laws, the court rejected the NPS's efforts to evade
    those requirements by labeling what was in fact "the purchase of
    services" as a 
    "concession." 582 F.2d at 558-59
    .       The common
    thread in both cases, absent here, is an arrangement by the federal
    government to pay money or confer other benefits in exchange for
    goods and services.      Under the MOU, and under § 8153, the VA
    received a donation of money from Cabrini in exchange for the
    shared use of a linear accelerator purchased and owned by the VAMC.
    Rapides   nonetheless   insists   that   the   definition   of
    "procurement" under CICA is broad enough to encompass the VAMC-
    Cabrini sharing agreement. What is at stake here, Rapides insists,
    is no less than "a sole-source joint purchase and shared use
    agreement that falls squarely within the statutory definition of
    procurement."    And there lies the rub:     Rapides pins its hopes on
    a statutory definition of "procurement" that is inapplicable to
    CICA.   Specifically, Rapides cites 41 U.S.C. § 403, which provides
    in relevant part:
    As used in this chapter --
    16
    (2) the term "procurement" includes all
    stages of the process of acquiring property or
    services, beginning with the process of
    determining a need for property or services
    and ending with contract completion and
    closeout[.]
    (Emphasis added.)     The crucial phrase in this passage, "As used in
    this chapter," means that § 403(2) applies exclusively to Chapter
    7 of Title 41.    Chapter 7, The Office of Federal Procurement Policy
    Act, 41 U.S.C. § 401 et. seq., establishes the Office of Federal
    Procurement Policy within the Office of Management and Budget "to
    provide overall direction of procurement policies, regulations,
    procedures, and forms for executive agencies in accordance with
    applicable laws."     41 U.S.C. § 402(b).      In contrast, the full and
    open procurement requirements of CICA § 253(a) are set forth in
    Chapter 4.    It stands to reason that the definition of procurement
    for purposes of Chapter 7, which establishes an agency in the
    executive branch whose mission is to oversee federal procurement
    policy, is considerably broader than the definition of procurement
    subject to the particularized bidding and negotiation requirements
    specified by CICA.     Indeed, had Congress wanted the definition of
    procurement articulated in Chapter 7 to apply to Chapter 4, it
    could have done so in express terms.20
    20
    See, e.g., 41 U.S.C. § 253(g)(5) (Supp. 1992) (providing that
    "[i]n this subsection, the term 'small purchase threshold' has the meaning
    given such term in section 403(11) of this title"). Rapides' reliance on
    Hayes v. U.S. Postal Service, 
    859 F.2d 354
    (5th Cir. 1988), is similarly
    misplaced. Hayes interpreted the definition of "procurement of services"
    under the Contract Disputes Act, 41 U.S.C. § 601 et. seq., rather than CICA.
    
    Id. at 355-56.
    Hayes also deals with a "procurement" of suggestions by the
    government from its employees.
    17
    If anything, Congress' efforts to define "procurement"
    for purposes of the Office of Federal Procurement Policy Act
    suggest that the meaning of this term differs elsewhere in Title
    41.    CICA itself does not define procurement.             Nor, for that
    matter, does the Federal Acquisition Regulations System (FAR), of
    which 48 C.F.R. 806.302-5(b) -- the VA's rules exempting the
    sharing program from CICA -- is a part.21          However, there can be
    little doubt that the word procurement is widely understood, by
    lawyers and laymen alike, to denote the process by which the
    government pays money or confers other benefits in order to obtain
    goods and services from the private sector. Black's Law Dictionary
    defines "procurement contract" as "[a] government contract with a
    manufacturer or supplier of goods or machinery or services under
    the terms of which a sale or service is made to the government."
    BLACK'S LAW DICTIONARY 1208 (6th ed. 1991).             Rapides does not
    dispute that the VA procured the linear accelerator from a private
    manufacturer, in a procurement process that complied with CICA.
    What Rapides fails to explain is why an agreement over future
    access to government-owned property, albeit property purchased
    partly with a private donation from Cabrini, justifies expanding
    the definition of "procurement" beyond its generally understood
    meaning.   Rapides tries to sidestep the issue by asserting that it
    would have given a larger donation to the VAMC to purchase the
    accelerator, although the district court made no findings on this
    point.     But this does not change the fact that the VA never
    21
    See 48 C.F.R. 2.101 et. seq. (defining terms used by the FAR).
    18
    intended to procure the accelerator from either Cabrini or Rapides.
    To repeat, the classic procurement involves the government's paying
    money or conferring other benefits in return for the acquisition or
    use of private property or services.    This is decidedly unlike the
    agreement at issue here in which the VA has received money from a
    private hospital and used it to purchase a linear accelerator from
    the manufacturer, in exchange for letting that hospital share its
    use.
    IV.
    EXPRESS AUTHORIZATION
    Finally, even assuming that the VAMC-Cabrini sharing
    agreement is a "procurement" for purposes of CICA, we are persuaded
    that 38 U.S.C. § 8153, which authorizes the VA to enter into such
    arrangements, is a procurement procedure "expressly authorized by
    statute" within the meaning of CICA § 253(a)(1) and therefore is
    not subject to the Act's full and open competition requirements.
    As has been already noted, Congress originally enacted
    what is now § 8153 in 1966, nearly two decades before the passage
    of the Competition in Contracting Act.       In 1985, the year after
    CICA's   enactment,   Congress   expanded   the   sharing   program   by
    appropriating up to $10 million for a pilot program to facilitate
    sharing agreements like the one later negotiated between Cabrini
    and the VAMC.   Congress evidently saw no reason to revisit § 8153
    19
    after CICA's enactment because the sharing program had historically
    been operated on a sole-source basis.22
    Moreover, the language of § 8153 is inconsistent with the
    district court's conclusion that the VA's sharing arrangements must
    be achieved competitively.       For instance, § 8153(b) provides that
    reimbursement for the shared use of equipment must be based "on a
    methodology that provides appropriate flexibility to the heads of
    the facilities concerned," taking into account "local conditions
    and needs and the actual cost to the providing facility of the
    resource involved."     This bears little resemblance to competitive
    bidding procedures in which the participating government agency
    attempts to ensure a steady supply and minimize its costs without
    taking    into   account   added    considerations     affecting    private
    contractors.     Further, § 8153(e) directs the Secretary of Veterans
    Affairs to notify Congress annually "on the activities carried out
    under this section."       The reporting requirement, which permits
    Congress to monitor sharing arrangements such as that between
    Rapides and the VAMC, would suggest that Congress sought to ensure
    fairness and efficiency in such unique arrangements by means other
    than competitive bidding.
    We also disagree with the district court as to the proper
    role of 48 C.F.R. 806.302-5(b), which provides that "[s]haring
    contracts negotiated under [§ 8153] are approved for other than
    22
    The sharing program as enacted by Congress was not subject to
    competitive procurement requirements. The Comptroller General later
    recognized the VA's authority under what was then § 5053 to approve such
    sharing arrangements on a non-competitive basis. See Veterans Admin. No., No.
    B-115559.2, 81-2 C.P.C. ¶ 369 (Nov. 2, 1981).
    20
    full and open competition." Admittedly, this regulation, which was
    implemented after CICA's enactment, "is not a 
    statute." 783 F. Supp. at 1008
    .       But while the district court correctly observed
    that this regulation was promulgated after the enactment of CICA,
    the    court   erred   by   implying    that   the    VA   was    attempting    to
    circumvent Congressional intent by exempting the sharing program
    from    §   253(a)(1).      On   the   contrary,     the   VA    regulation    was
    implementing Congress' post-CICA appropriations legislation that
    expanded funding for the sharing program so long as non-federal
    sources agreed to finance at least 50 percent of the cost of
    acquiring advanced medical equipment.23            We therefore can discern
    no valid reason why 806.302-5(b) should not be controlling.24
    Rapides is certainly correct that "[t]he VA cannot unilaterally
    exempt itself from the Congressional mandate of the CICA," but such
    is not the case here.        That Congress did not specifically exempt
    the sharing program from CICA in 1990, when it amended what was
    then § 5053, is not especially surprising given that Congress had
    created and maintained that program by means other than full and
    open procurement.        Congress retained for itself the "measuring
    stick," 
    783 F. Supp. 1008
    , by which to evaluate the success of the
    sharing program now recodified at § 8153:            annual reports from the
    23
    See Conf. Rep. No. 363, 99th Cong., 1st Sess. at 22; and S. Rep.
    No. 99-129, 99th Cong., 1st Sess. at 88-89.
    24
    Nor are we alone in reaching this conclusion. The Comptroller
    General determined in this dispute that § 8153 sharing arrangements are not
    subject to the full and open competition requirements of CICA. See Rapides
    Regional Medical Center -- Reconsideration, No. B-242601.2, 91-1 C.P.D. ¶ 614
    (June 28, 1991). The district court's opinion does not refer to this
    decision, and it is therefore unclear what, if any, deference it paid to the
    GAO's analysis and considered judgment.
    21
    VA tracking activities under the program.           Section 8153(e), which
    reflects Congress' willingness to exercise its oversight function,
    belies the district court's claim that the VA was attempting to
    circumvent Congressional priorities by promulgating 806.302-5(b).
    In view of the plain language of § 8153, its pre-CICA
    legislative   history,   and   the     1985   appropriations       legislation
    expanding   the   existing   sharing      program   (and   which    48   C.F.R.
    806.302-5(b) was intended to implement), it must be concluded that
    the VA's sharing program is expressly authorized by statute within
    the meaning of CICA § 253(a)(1) and therefore does not trigger the
    Act's full and open competition requirements.
    V.
    CONCLUSION
    For all the foregoing reasons, we REVERSE the district
    court's decision.      The permanent injunction barring the VAMC-
    Cabrini Memorandum of Understanding is VACATED.
    22