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353 F. Supp. 3d 235
S.D. Ill.
2018
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Background

  • New York enacted the Opioid Stewardship Act (OSA) (effective July 1, 2018), establishing a six-year, $600 million Opioid Stewardship Fund funded by annual assessments on opioid manufacturers and wholesale distributors licensed to sell or distribute opioids in New York.
  • Assessments are based on each licensee's percentage share of Morphine Milligram Equivalents (MMEs) sold or distributed the prior year; DOH calculates and collects payments to a segregated Fund earmarked for opioid treatment, prevention, and related programs.
  • The OSA contains an express prohibition on licensees "passing the cost" of their ratable share to purchasers (including ultimate users) and authorizes penalties up to $1,000,000 per incident for any pass-through.
  • Plaintiffs: Healthcare Distribution Alliance (HDA; distributors), Association for Accessible Medicines (AAM; generic manufacturers/distributors), and SpecGx (generic opioid manufacturer) sued, challenging the OSA as unconstitutional (including under the Dormant Commerce Clause); AAM and SpecGx sought preliminary injunctions targeting the pass-through prohibition.
  • State issued 2018 assessments based on 2017 sales (due Jan 1, 2019); record evidence showed economic strain on manufacturers (assessments exceeding margins on some generics) and market responses (distributors threatening to shift costs upstream or stop accepting shipments), creating imminent injury.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether the OSA assessments are a "tax" barring federal review under the Tax Injunction Act (TIA) Assessments are regulatory penalties/fees tied to regulation, not general-revenue taxes; TIA does not bar suit OSA raises revenue for public programs and thus is a tax invoking TIA; court should abstain or dismiss Court: OSA is not a tax but a regulatory penalty/fee; TIA does not bar federal adjudication
Whether tax-comity or Pullman abstention preclude federal review of OSA (esp. pass-through prohibition) Plaintiffs: doctrines inapplicable because OSA is not a tax and statutory text is not ambiguous; federal adjudication appropriate New York: comity and Pullman counsel abstention to avoid disrupting state tax administration and allow state courts to construe statute Court: comity and Pullman abstention not warranted; statute not fairly susceptible to interpretation that avoids federal constitutional issues
Whether the pass-through prohibition violates the Dormant Commerce Clause by regulating extraterritorially or discriminating against out-of-state commerce Plaintiffs: prohibition either reaches wholly out-of-state transactions (extraterritorial) or, if limited in-state, discriminates against out-of-state purchasers (impermissible protectionism) New York: will interpret/enforce narrowly (in-state only) or limit enforcement to avoid constitutional problems; prohibition serves Medicaid/state interests Court: Under plain text application it would be extraterritorial; even if limited to in-state it discriminates in effect; prohibition violates Dormant Commerce Clause
Whether the pass-through prohibition is severable from the remainder of the OSA Plaintiffs (HDA): prohibition is integral; legislative intent shows the surcharge was to be borne by industry not consumers, so OSA cannot stand without prohibition State: contains severability clause and could keep remainder in force or replace funding later Court: provision not severable; invalidating it would frustrate legislature's primary design; entire OSA unconstitutional

Key Cases Cited

  • Entergy Nuclear Vermont Yankee, LLC v. Shumlin, 737 F.3d 228 (2d Cir.) (distinguishes taxes from regulatory fees by examining ultimate use of revenue)
  • San Juan Cellular Tel. Co. v. Pub. Serv. Comm'n of Puerto Rico, 967 F.2d 683 (1st Cir.) (spectrum test for tax vs. fee; focus on revenue use and regulatory purpose)
  • Mobil Oil Corp. v. Tully, 639 F.2d 912 (2d Cir.) (pass-through prohibition characterized as police power pricing regulation, not a tax, and implicated Commerce Clause concerns)
  • Healy v. Beer Inst., Inc., 491 U.S. 324 (U.S.) (state law cannot control prices or commerce beyond its borders; extraterritoriality doctrine)
  • C & A Carbone, Inc. v. Town of Clarkstown, 511 U.S. 383 (U.S.) (facially neutral statutes may regulate interstate commerce by practical effect)
  • Pike v. Bruce Church, Inc., 397 U.S. 137 (U.S.) (balancing test for nondiscriminatory burdens on interstate commerce)
  • Nat'l Fed'n of Indep. Bus. v. Sebelius, 567 U.S. 519 (U.S.) (statutory labeling and context inform whether an exaction is treated as a tax for procedural doctrines)
  • Brown & Williamson Tobacco Corp. v. Pataki, 320 F.3d 200 (2d Cir.) (examines discrimination and protectionism under Dormant Commerce Clause)
  • Freedom Holdings, Inc. v. Spitzer, 357 F.3d 205 (2d Cir.) (upholding contraband statutes where no in-state commercial interest was advantaged)
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Case Details

Case Name: Healthcare Distribution Alliance v. Zucker
Court Name: District Court, S.D. Illinois
Date Published: Dec 19, 2018
Citations: 353 F. Supp. 3d 235; 18 Civ. 6168 (KPF), 18 Civ. 8180 (KPF), 18 Civ. 9830 (KPF)
Docket Number: 18 Civ. 6168 (KPF), 18 Civ. 8180 (KPF), 18 Civ. 9830 (KPF)
Court Abbreviation: S.D. Ill.
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