FRANCISCAN ALLIANCE, INC., et al. v. ALEX M. AZAR II, Secretary of the United States Department of Health and Human Services; and UNITED
Civil Action No. 7:16-cv-00108-O
IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF TEXAS WICHITA FALLS DIVISION
October
MEMORANDUM OPINION AND ORDER
Before the Court are Putative Intervenors American Civil Liberties Union of Texas’s and River City Gender Alliance’s (collectively, “Putative Intervenors”) Renewed Motion to Intervene, Brief in Support, and Appendix in Support (ECF Nos. 129–31), filed February 1, 2019; Plaintiffs’ Response (ECF No. 140), filed February 25, 2019; Defendants’ Response (ECF No. 141), filed February 25, 2019; and Putative Intervenors’ Reply (ECF No. 144), filed March 11, 2019. Also before the Court are Plaintiff States’ Renewed Motion for Summary Judgment, Brief in Support, and Appendix in Support (ECF Nos. 132–34), filed February 4, 2019; Private Plaintiffs’ Renewed Motion for Partial Summary Judgment, Brief in Support, and Appendix in Support (ECF Nos. 135–37), filed February 4, 2019; Defendants’ Response (ECF No. 154), filed April 5, 2019; Putative Intervenors’ Response (ECF No. 155), filed April 5, 2019; Plaintiff States’ Reply (ECF No. 157), filed May 3, 2019; and Private Plaintiffs’ Reply (ECF No. 158), filed May 3, 2019.
I. BACKGROUND
In its December 31, 2016 Order granting Plaintiffs’ motions for a preliminary injunction and applying the injunctiоn throughout the country, the Court set forth the extensive statutory, regulatory, and procedural background to this case. See Order 1–12, ECF No. 62. Since that time, there have been several important procedural developments. On January 24, 2017, the Court deferred ruling on Putative Intervenors’ original motion to intervene because it was not yet clear whether Defendants would adequately represent Putative Intervenors’ interest. Order 7, ECF No. 69. On March 15, 2017, Plaintiffs filed a motion for summary judgment. Pls.’ Mot. Summ. J., ECF No. 82. On March 27, 2017, Putative Intervenors filed a motion to stay proceedings pending appeal of the Court’s denial of their motion to intervene. Putative Intervenors’ Mot. Stay, ECF No. 85. On May 2, 2017, Defendants filed a motion to remand and stay litigation pending the United States Department of Health and Human Services’ (“HHS”) reconsideration of the regulation at issue, entitled Nondiscrimination in Health Programs & Activities (“the Rule”), 81 Fed. Reg. 31376 (May 18, 2016), codified at
Joint Mot. Lift Stay, ECF No.
II. LEGAL STANDARD
A. Intervention as of Right
[o]n timely motion, the court must permit anyone to intervene who . . . claims an interest relating to the property or transaction that is the subject of the action, and is so situated that disposing of the action may as a practical matter impair or impede the movant’s ability to protect its interest, unless existing parties adequately represent that interest.
A proposed intervenor is entitled to intervene if аll the following elements are satisfied:
(1) the application for intervention must be timely; (2) the applicant must have an interest relating to the property or transaction which is the subject of the action; (3) the applicant must be so situated that the disposition of the action may, as a practical matter, impair or impede his ability to protect that interest; and (4) the applicant‘s interest must be inadequately represented by the existing parties to the suit.
Texas v. United States, 805 F.3d 653, 657 (5th Cir. 2015) (quoting New Orleans Pub. Serv., Inc. v. United Gas Pipe Line Co. (NOPSI), 732 F.2d 452, 463 (5th Cir. 1984) (en banc)). “Failure to satisfy one requirement precludes intervention of right.” Haspel & Davis Milling & Planting Co. Ltd. v. Bd. of Levee Comm’rs of the Orleans Levee Dist., 493 F.3d 570, 578 (5th Cir. 2007); see also Espy, 18 F.3d at 1205.
B. Permissive Intervention
C. Summary Judgment
Summary judgment is proper when the pleadings and evidence show “there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.”
When reviewing the evidence on a motion for summary judgment, the court must resolve all reasonable doubts and inferences in the light most favorable to the non-movant. See Walker v. Sears, Roebuck & Co., 853 F.2d 355, 358 (5th Cir. 1988). The court cannot make a credibility determination in light of conflicting evidence or competing inferences. Anderson, 477 U.S. at 255. And if there appears to be some support for the disputed allegations, such that “reasonable minds could differ as to the import of the evidence,” the court must deny the motion for summary judgment. Id. at 250.
D. Vacatur
When reviewing an agency action, “the reviewing court shall decide all relevant questions of law, interpret constitutional and statutory provisions, and determine the meaning or applicability of the terms of an agency action.”
III. ANALYSIS
A. Intervention
In its Order staying proceedings and remanding to HHS for reconsideration of the Rule, the Court stated that it would “rule on the motion for permissive intervention, as necessary, after the stay is lifted and before consideration of Plaintiffs’ motion for summary judgment.” Order 9 n.9, ECF No. 105. The Court also stated that, upon lifting the stay, it would “allow
1. Intervention as of Right
Unlike in their original motion to intervene, Putative Intervenors no longer ask to intervene permissively. Compare Putative Intervenors’ Br. Supp. Mot. Int. 23–24, ECF No. 8, with Putative Intervenors’ Br. Supp. Mot. Int. 7–11, ECF No. 130. Instead, they ask the Court to “reconsider its earlier denial of intervention as of right and grant [Putative] Intervenors’ renewed request to intervene in light of the government’s subsequent actions.” Putative Intervenors’ Br. Supp. Mot. Int. 8, ECF No. 130. Thus, the Court first addresses whether Putаtive Intervenors are entitled to intervene as of right under
a. Inadequate Representation
The Court previously denied Putative Intervenors’ request based on the fourth prong. See Order 7, ECF No. 69. Though the Court found that (1) the intervention application was timely, (2) Putative Intervenors had a legally protectable interest in the proceedings, and (3) the disposition of this action would impair thеir ability to protect members’ interests if not allowed to intervene, there was no indication that Defendants would (4) inadequately represent Putative Intervenors’ interest. Id. at 5–7. Indeed, the Court noted that “Putative Intervenors share[d] the same ultimate objective as Defendants—namely, a finding that the Rule is lawful.” Id. at 7. Defendants had “demonstrated no adversity of interest, collusion, or nonfeasance.” Id. And “[u]p to th[at] point, Defendants ha[d] taken no action out of step with their original position . . . that the Rule is lawful.” Id. Thus, the Court denied the motion, stating, “Putative Intervenors may not presently intervene as of right.” Id.
Two years later, Defendants have taken actions out of step with their original position, demonstrating they will not adequately represent Putative Intervenors’ interests. Defendants now “agree with Plaintiffs and the Court that the Rule’s prohibitions on discrimination on the basis of gender identity and termination of pregnancy conflict with
b. Legally Protectable Interest
Inadequate representation aside, Plaintiffs still contend that Putative Intervenors are not entitled to intervene as of right. Specifically, Plaintiffs argue that Putative Intervenors do not have the “legally protectable interest” needed to satisfy the second and third prongs. Pls.’ Resp. 5, ECF No. 140.2 What the Court stated in its January 2017 order, it now reiterates in response: “Putative Intervenors have a legally protectable interest in the proceedings and . . . disposition in this action will impair their ability to protect members’ interests if not allowed to intervene, as several of their members wish to avail themselves of rights provided under the Rule.” Order 5–6, ECF No. 69.
Plaintiffs provide two reasons why the Court should reconsider this conclusion. First, they claim that the evidence included in Putative Intervenors’ motion to intervene “lacks a proper evidentiary foundation, is speculative, and is based on inadmissible hearsay.” Pls.’ Resp. 6, ECF No. 140. Second, Plaintiffs argue that “even if the Court considers the evidence, it shows that intervenors lack a legally protectable interest in the legality and constitutionality of the Rule and are attempting to assert the rights of others.” Id. Rather than asserting a “direct, substantial, legally protectable interest,” id. at 5 (quoting Edwards v. City of Houston, 78 F.3d 983, 1004 (5th Cir. 1996)),
Plaintiffs allege that Putative Intervenors “assert only ‘ideological, economic, or precedential’ interests that are insufficient for interventiоn.” Id. at 9 (quoting Texas, 805 F.3d at 657–58). The Court addresses each contention in turn.
First, the facts asserted in Putative Intervenors’ declarations are admissible at the intervention stage. As Putative Intervenors correctly note, “the Federal Rules of Evidence do not apply to motions to intervene.” Putative Intervenors’ Reply 1, ECF No. 144. Rather, motions to intervene are judged under the liberal pleading standard, and all “allegations are accepted as true.” Mendenhall v. M/V Toyota Maru No. 11, 551 F.2d 55, 56 n.2 (5th Cir. 1977); see also 7C Charles Alan Wright, et al., Federal Practice & Procedure § 1914 (3d ed. 2007) (“The general rules on testing a pleading are applicable here. The pleading is construed liberally in favor of the pleaderintervenor and the court will accept as true the well-pleaded allegations in the pleading.”). Though the case itself has progressed well beyond the pleading stage, Putative Intervenors have been stuck in a three-year limbo—participating in real time as amici, but all the while awaiting resolution of their motions to intervene. Accordingly, the Court must analytically return to the pleading stage, considering the facts alleged in Putative Intervenors’ renewed motion to intervene as if they were included in the original parties’ pleadings.
Putative Intervenors’ motion to intervene includes declarations from leaders of each organization. See App. Supp. Putative Intervenors’ Mot. Int., ECF No. 131. The deputy director of the ACLU of Texas claims to have members seeking transition
When taking these declarations as true, the Court finds that Putative Intervenors’ have shown a “direct, substantial, legally protectable interest” in the outcome of the case, as they have alleged specific harm to particular members. Edwards, 78 F.3d at 1004. Plaintiffs argue that this cannot be true because “[t]he Rule does not regulate the conduct of the ACLU of Texas or the River City Gender Alliance.” Pls.’ Resp. 8, ECF No. 140. Plaintiffs point the Court to NOPSI, 732 F.2d 452, and Northland Family Planning Clinic, Inc. v. Cox, 487 F.3d 323 (6th Cir. 2007), both of which the Court finds distinguishable.
In NOPSI, the Fifth Circuit held that “an economic interest alone is insufficient, as a legally protectable interest is required for intervention under
Factually, Northland Family Planning Clinic is more similar. There, STOPP, a public-interest group “created and continu[ing] to exist only for the purposes of advocating the passage and continued viability” of Michigan’s Legal Birth Definition Act, sought to intervene to defend the Act. Northland Family Planning Clinic, 487 F.3d at 344. The Sixth Circuit upheld the district court’s denial of intervention because “the organization had ‘only an ideological interest in the litigation, and the lawsuit d[id] not involve the regulation of [the organization’s] conduct in any respect.’” Texas, 805 F.3d at 658 (quoting Northland Family Planning Clinic, 487 F.3d at 343). Appearing on behalf of their organizational entities, Putative Intervenors would also have only an idеological interest. But unlike STOPP, they “do not seek to intervene in their capacity as advocacy groups.” Putative Intervenors’ Br. Supp. Mot. Int. 11, ECF No. 130 (internal citation omitted). Instead, “they seek to intervene based on their associational standing to assert the ‘concrete, particularized, and legally protectable’ interests of their individual members.” Id. (citing Texas, 805 F.3d at 657–58). Since the Court must take the facts alleged in Putative Intervenors’ declarations as true, it finds that Putative Intervenors have pleaded sufficient facts to demonstrate a “legally protectable interest” such that they are entitled to intervene as of right.
However, this is not to say that Putative Intervenors have pleaded sufficient facts to prove standing to assert claims on behalf of their members. Indeed,
2. Permissive Intervention
Even if Putative Intervenors could not establish that they are entitled to intervene as of right, the Court would allow them to intervene permissively under
Here, Putative Intervenors have a “defense that shares with the main action a common question of law or fact.”
Moreover, the parties agree to Putative Intervenors’ permissive intervention. Defendants “do not oppose [Putative] Intervenors’ renewed Motion to Intervene.” Defs.’ Resp. 1, ECF No. 141. And though Plaintiffs do not “conced[e] their satisfaction of the requirements for permissive intervention,” they are “willing . . . to consent to permissive intervention provided that the Court prevents [P]utative [I]ntervenors from conducting discovery, moving to stay the litigation or the preliminary injunction, and disrupting the dispositive motion schedule.” Pls.’ Resp. 1, 5, ECF No. 140. Essentially, no party objects to Putative Intervenors’ involvement; Plaintiffs just ask that the intervention not bring the case back to square one. This request aligns with Rule 24’s guidelines. When determining whether to permit a prospective party to intervene, the Court is required to “consider whether the intervention will unduly delay or prejudice the adjudication of the original parties’ rights.”
3. Limitations on Intervention
Though the Court finds that Putative Intervenors are entitled to intervene as of
B. Summary Judgment
Plaintiffs ask the Court to vacate the Rule and convert its previously entеred preliminary injunction to a permanent injunction. State Pls.’ Br. Supp. Mot. Summ. J. 37, ECF No. 133; Private Pls.’ Br. Supp. Mot. Summ. J. 50, ECF No. 136. Given how little the parties’ legal claims have changed, the Court is inclined to do so. But Plaintiffs must show they are entitled to judgment as a matter of law, and the Court must assess whether Putative Intervenors’ arguments compel reconsideration of its original analysis and determine the appropriate remedy for this stage of the litigation.
1. Merits
Individual Plaintiffs argue they are entitled to judgment as a matter of law on their (1) APA claim; (2) RFRA claim; and (3) Free Exercise claim. See Private Pls.’ Br. Supp. Mot. Summ. J., ECF No. 136. State Plaintiffs argue they are entitled to judgment as a matter of law on their APA claim or, alternatively, their stand-alone constitutional claims. See State Pls.’ Br. Supp. Mot. Summ. J., ECF No. 133. Defendants concede these points but ask the Court to go no further than ruling on Plaintiffs’ APA claim.4 See Defs.’ Resp., ECF No. 154. Putative Intervenors—now defending the Rule as parties to the cаse—argue that Plaintiffs have not proved an injury in fact and therefore cannot succeed on their claims.5 Putative Intervenors’ Br. Opp’n Mots. Summ. J. 1–3, ECF No. 155.
Congress—noting that “the framers of the Constitution, recognizing free exercise of religion as an unalienable right, secured its protection in the First Amendment to the Constitution” and that “laws ‘neutral’ toward religion may burden religious exerсise as surely as laws intended to interfere with religious exercise,”
being seriously impaired furthers the compelling governmental interest.” Tagore, 735 F.3d at 330–31 (citing Gonzales, 546 U.S. at 430–31).
In its December 31, 2016 Order, the Court concluded that “the Rule imposes a substantial burden on Private Plaintiffs’ religious exercise.” Order 40, ECF No. 62. After explaining that “the Court is careful not to weigh or evaluate the relevant doctrines of faith,” the Court concluded that “Private Plaintiffs’ refusal to perform, refer for, or cover transitions or abortions is a sincere religious exercise.” Id. at 39. Because the Rule “[1] places substantial pressure on Plaintiffs to perform and cover transition and abortion procedures . . . [2] forces Plaintiffs to provide the federal government a nondiscriminatory and ‘exсeedingly persuasive justification’ for their refusal to perform or cover such procedures [and] . . . [3] requires them to remove the categorical exclusion of transitions and abortions,” the Rule substantially burdens Private Plaintiffs’ religious exercise by making the practice of religion more expensive in the business context. Id. at 39–40 (citing Hobby Lobby, 573 U.S. at 710).
Accordingly, the Court applied strict scrutiny based on Defendants’ briefing. Id. at 40–42. First, the Court noted that “Defendants d[id] not provide a compelling interest in their briefing and Private Plaintiffs dispute[d] that one exists.” Id. at 40; see also id. at 38 (“Defendants did not address Plaintiffs’ RFRA claim in their briefing but asserted at the hearing that more factual development was necessary to evaluate the claim.”). Nevertheless, the Court stated that, even if Defendants had a compelling interest, they “failed to prove the Rule employs the least restrictive means.” Id. at 41. The Court provided examples of other less restrictive meаns the government could use to ensure access to transition procedures and abortions, including assisting individuals seeking such procedures by finding healthcare providers who offer those services and then assuming the cost. Id. at 41–42. Accordingly, the Court determined that Private Plaintiffs successfully demonstrated a substantial likelihood of success on their RFRA claim. Id.
Once again, Defendants have failed to address Private Plaintiffs’ RFRA claim. See generally Defs.’ Resp., ECF No. 154. However, Putative Intervenors urge the Court to find for Defendants a compelling interest in the preamble to the Rule, which states, “the government has a compelling interest in ensuring that individuals have nondiscriminatory access to health care and health coverage.” Putative Intervenors’ Resp. 33, ECF No. 155 (citing 81 Fed. Reg. at 31380). Putative Intervenors also reject Private Plaintiffs’ and the Court’s previously stated alternative means to achieve this interest. Id. at 34 n.7. However, RFRA’s text аnd this Court’s binding precedent make clear that Putative Intervenors cannot carry Defendants’ burden; the “[g]overnment may substantially burden a person’s exercise of religion only if it demonstrates that application of the burden to the person” satisfies strict scrutiny.
Regardless, the Court considered and rejected these arguments in its December 31, 2016 Order. See Order 40–41, ECF No. 62. And the Court’s analysis—like Private Plaintiffs’ claims and Defendants’ lack of response—has not changed. Though the preamble’s broadly stated purpose, implemented through universal application of the Rule, could arguably satisfy a categorical application of strict scrutiny, it cannot satisfy RFRA’s “more focused” inquiry. Gonzales, 546 U.S. at 430. Defendants, the only parties fit to carry the government’s burden, have twice failed to demonstrate that applying the Rule to Private Plaintiffs, “the particular claimant[s] whose sincere exercise of religion is being substantially burdened,” would achieve a compelling governmental interest through the least restrictive means. Id. at 430–31. Indeed, though the Rule states that any “explicit, categorical (or automatic) exclusion or limitation of coverage” for these procedures is “unlawful on its face,” 81 Fed. Reg. at 31429, Defendants have asserted no “harm [in] granting specific exemptions” to Private Plaintiffs. Hobby Lobby, 573 U.S. at 726–27 (emphasis added). Accordingly, the Court holds that the Rule, which expressly prohibits religious exemptions, substantially burdens Private Plaintiffs’ religious exercise in violation of RFRA.
Settling this dispute requires resolving questions of law. Plaintiffs have already presented their legal arguments to the Court and, notably, explained why they were entitled to not only a preliminary injunction but also judgment as a matter of law. See Private Pls.’ Reply, ECF No. 158. Now, they support those arguments with more evidencе. See App. Supp. State Pls.’ Mot. Summ. J., ECF No. 134; App. Supp. Private Pls.’ Mot. Summ. J., ECF No. 137. Defendants do not object to the relevant facts, arguments, or evidence. See Defs.’ Response, ECF No. 154. And though Putative Intervenors’ do object, their arguments are largely duplicative of those the Court has already addressed. Compare Order, ECF No. 62, with Putative Intervenors’ Opp’n Mots. Summ. J., ECF No. 155. Accordingly, the Court finds that Plaintiffs’ motions for partial summary judgment should be and are hereby GRANTED in part.
2. Relief
Plaintiffs request two forms of relief: (1) vacatur of the Rule and (2) a permanent injunction enjoining Defendants from applying the Rule nationwide. See State Pls.’ Br. Supp. Mot. Summ. J. 37, ECF No. 133; Private Pls.’ Br. Supp. Mot. Summ. J. 50, ECF No. 136. Though the Court maintains that Plaintiffs were entitled to the preliminary injunction granted in its December 31, 2016 Order, it now concludes that the proper remedy at this stage is vacatur of the Rule, not a permanent injunction.
Under Section 706 of the APA,
a permanent injunction, and stating that “[g]enerally, when a court finds that a challenged action is arbitrary and capricious, the remedy is vacatur”); Am. Stewards of Liberty v. Dep’t of Interior, 370 F. Supp. 3d 711, 728 (W.D. Tex. 2019) (vacating a Department of the Interior conclusion that did not follow Congress’s set standard, and noting that “courts retain a role, and an important one, in ensuring that agencies have engaged in reasoned decisionmaking” (quoting Judulang v. Holder, 565 U.S. 42, 53 (2011))); AquAlliance v. U.S. Bureau of Reclamation, 312 F. Supp. 3d 878, 880 (E.D. Cal. 2018) (vacating an agency report that violated the National Environmental Policy Act, and stating that vacatur is the “presumptive remedy” for unlawful agency action).
Since the Court concludes that “the Rule’s conflict with its incorporated statute—Title IX—renders it contrary to law under the APA,” the appropriate remedy is vacatur. Order 38, ECF No. 62. Accоrdingly, the Court VACATES and REMANDS the unlawful portions of the Rule for Defendants’ further consideration in light of this opinion and the Court’s December 31, 2016 Order.
Finally, though “[i]t is not beyond the power of a court, in appropriate circumstances, to issue a nationwide injunction,” these circumstances do not justify such a remedy. Texas v. United States, 809 F.3d 134, 188 (5th Cir. 2015). Rather, vacatur redresses both the APA violation and the RFRA violation. The Third Circuit discussed the distinctions between nationwide injunctions and vacatur in Pennsylvania v. President United States, 930 F.3d 543. There, the circuit court affirmed a district court’s order granting a preliminary nationwide injunction against the enforcement of final rules the district court found likely violated the APA and likely were not authorized by nor required by the ACA or RFRA. Id. at 556. In upholding the remedy, however, the circuit emphasized
Indeed, “[w]hile vacatur [wa]s the ultimate remedy the States s[ought],” the preliminary injunction merely provided temрorary relief until the rules’ validity could be “finally adjudicated.” Id. at 575–76. But because “Congress . . . provided vacatur as a standard remedy for APA violations,” the circuit clarified that courts in similar situations ultimately “invalidate—without qualification—unlawful administrative rules as a matter of course, leaving their predecessors in place until the agencies can take further action.” Id. at 575.
The District Court for the District of Columbia encountered the issue this Court now faces: whether, after vacatur of an unlawful rule, “issuance of an injunction is also warranted.” O.A. v. Trump, No. 18-2838, 2019 WL 3536334, at *29 (D.D.C. Aug. 2, 2019). The D.C. district court determined it was not. Id. It first noted that “[t]he Supreme Court has cautioned that a district court vacating an agency action under the APA should not issue an injunction unless doing so would ‘have [a] meaningful practical effect independent of its vacatur.’ Monsanto Co. v. Geertson Seed Farms, 561 U.S. 139, 165 (2010).” O.A., 2019 WL 3536334, at *29. It also noted that the defendants had “represented that they w[ould] abide by th[e c]ourt’s order.” Id. Accordingly, the court denied the plaintiffs’ request for issuance of an injunction, but it also stated that the plaintiffs were “free, however, to return to the [c]ourt for further relief if warranted.” Id.
Because the Court finds the circumstances here similar and the D.C. district court’s analysis persuasive, the Court follows suit—vacating the Rule and inviting Plaintiffs to return if further relief independent of vacature is later warranted. There is currently no indication that, once the Rule is vacated, Defendants will defy the Court’s order and attempt to apply the Rule against Plaintiffs or similarly situated non-parties. Rather, Defendants now “agree with Plaintiffs and the Court that the Rule’s prohibitions on discrimination on the basis of gender identity and termination of pregnancy conflict with
IV. CONCLUSION
For the foregoing reasons, the Court finds that Putative Intervenors’ Motion to Intervene (ECF No. 129) should be and is hereby GRANTED. The Court also finds that Plaintiffs’ Motions for Summary Judgment and Permanent Injunction (ECF Nos. 132, 135) should be and are hereby GRANTED in part. The Court
SO ORDERED on this 15th day of October, 2019.
REED O’CONNOR
UNITED STATES DISTRICT JUDGE
