Frederick W. Hopkins, M.D., M.P.H. v. Larry Jegley, Prosecuting Attorney for Pulaski County; Steven L. Cathey, M.D., Chair of the Arkansas State Medical Board; Robert Breving, Jr., M.D. officer and member of the Arkansas State Medical Board, and successors in office, in his official capacity; Bob Cogburn, M.D., officer and member of the Arkansas State Medical Board, and successors in office, in his official capacity; William F. Dudding, M.D., officer and member of the Arkansas State Medical Board, and successors in office, in his official capacity; Omar Atiq, M.D.,officer and member of the Arkansas State Medical Board, and successors in office, in his official capacity; Veryl D. Hodges, D.O., officer and member of the Arkansas State Medical Board, and successors in office, in his official capacity; Marie Holder, officer and member of the Arkansas State Medical Board, and successors in office, in her official capacity; Larry D. Lovell, officer and member of the Arkansas State Medical Board, and successors in office, in his official capacity; William L. Rutledge, M.D., officer and member of the Arkansas State Medical Board, and successors in office, in his official capacity; John H. Scribner, M.D., officer and member of the Arkansas State Medical Board, and successors in office, in his official capacity; Sylvia D. Simon, M.D., officer and member of the Arkansas State Medical Board, and successors in office, in her official capacity; David L. Staggs, M.D., officer and member of the Arkansas State Medical Board, and successors in office, in his official capacity; John B. Weiss, M.D., officer and member of the Arkansas State Medical Board, and successors in office, in his official capacity
No. 17-2879
United States Court of Appeals For the Eighth Circuit
August 7, 2020
Submitted: December 13, 2018; Resubmitted: July 9, 2020; [Published]
Eagle Forum Education & Legal Defense Fund
Amicus on Behalf of Appellant(s)
National Association of Social Workers; Arkansas Abortion Support Network; Pennsylvania Coalition Against Rape; Margaret Drew; State of New York; State of California; State of Connecticut; State of Delaware; State of Hawaii; State of Illinois; State of Iowa; State of Maine; State of Maryland; State of Massachusetts; State of Oregon; State of Pennsylvania; State of Vermont; State of Virginia; State of Washington; District of Columbia; American College of Obstetricians and Gynecologists; Biomedical Ethicists; Constitutional Law Scholars
Amici on Behalf of Appellee(s)
Appeal from United States District Court for the Eastern District of Arkansas - Little Rock
Before SMITH, Chief Judge, WOLLMAN and GRASZ, Circuit Judges.
The Pulaski County Prosecuting Attorney and officers and members of the Arkansas
On June 29, 2020, the Supreme Court issued its opinion in June Medical Services L. L. C. v. Russo, 140 S. Ct. 2103 (2020). In that case, the Court held unconstitutional a Louisiana law requiring doctors who perform abortions to have admitting privileges at a nearby hospital. Justice Breyer, writing for a plurality of the justices, concluded that “the extensive record [in the case] . . . support[ed] the District Court’s findings of fact,” which “mirror[ed] those made in Whole Woman’s Health1 in every relevant respect.” Id. at 2113. As a result, the plurality held unconstitutional the Louisiana admitting-privileges law.
Chief Justice Roberts provided the critical fifth vote in favor of striking down the Louisiana admitting-privileges law. But he concurred in the judgment, not the plurality’s reasoning. Id. at 2133 (Roberts, C.J., concurring in judgment). Chief Justice Roberts acknowledged that he had “joined the dissent in Whole Woman’s Health” and expressed his continued belief “that the case was wrongly decided.” Id. Nonetheless, Chief Justice Roberts agreed with the plurality that “Louisiana’s law cannot stand under [the Court’s] precedents.” Id. at 2134. Under “[t]he legal doctrine of stare decisis,” Chief Justice Roberts explained, “absent special circumstances, [the Court must] . . . treat like cases alike.” Id. He concluded that because the Louisiana admitting-privileges law “impose[d] a burden on access to abortion just as severe as that imposed by the Texas law, for the same reasons,” it is unconstitutional. Id.
Relevant to the present case, Chief Justice Roberts discussed at length the undue burden standard articulated in Planned Parenthood of Southeastern Pa. v. Casey, 505 U.S. 833 (1992) (plurality opinion), in which the Court held that a state cannot “impose an undue burden on the woman’s ability to obtain an abortion.” Id. at 2135. Chief Justice Roberts rejected the “observation” made in Whole Woman’s Health and again by the plurality “that the undue burden standard requires courts to weigh the law’s asserted benefits against the burdens it imposes on abortion access.” Id. (internal quotation omitted). According to Chief Justice Roberts, “[r]ead in isolation from Casey, such an inquiry could invite a grand ‘balancing test in which unweighted factors mysteriously are weighed’” and lead to arbitrary results. Id. (quoting Marrs v. Motorola, Inc., 577 F.3d 783, 788 (7th Cir. 2009)). In the context of abortion,
courts applying a balancing test would be asked in essence to weigh the State’s interests in “protecting the potentiality of human life” and the health of the woman, on the one hand, against the woman’s liberty interest in defining her “own concept of existence, of meaning, of the universe, and of the mystery of human life” on the other.
Id. at 2136 (quoting Casey, 505 U.S. at 851, 871). “Pretending that we could pull that off,” Chief Justice Roberts observed, “would require us to act as legislators, not judges.” Id.
Chief Justice Roberts also addressed the discretion courts must afford to legislatures. He pointed out that “[n]othing about Casey suggested that a weighing of costs and benefits of an abortion regulation was a job for the courts.” Id. (emphasis added). Instead, he emphasized that, in the abortion context, “state and federal legislatures [have] wide discretion to pass legislation in areas where there is medical and scientific uncertainty.” Id. (alteration in original) (emphases added) (quoting Gonzales v. Carhart, 550 U.S. 124, 163 (2007)).
According to Chief Justice Roberts, the appropriate inquiry under Casey is whether the law poses “a substantial obstacle” or “substantial burden, not whether benefits outweighed burdens.” Id. at 2137. To the extent that Casey “discussed the benefits of the regulations,” it did so “in considering the threshold requirement that the State have a ‘legitimate purpose’ and that the law be ‘reasonably related to that goal.’” Id. at 2138 (quoting Casey, 505 U.S. at 878, 882). “So long as that showing is made,” Chief Justice Roberts concluded, “the only question for a court is whether a law has the ‘effect of placing a substantial obstacle in the path of a woman seeking an abortion of a nonviable fetus.’” Id. (quoting Casey, 505 U.S. at 877). Chief Justice Roberts “adhere[d] to the holding of Casey, requiring a substantial obstacle before striking down an abortion regulation.” Id. at 2139. As a result, Chief Justice Roberts concluded that “[i]n this case, Casey’s requirement of finding a substantial obstacle before invalidating an abortion regulation is therefore a sufficient basis for [striking down the Louisiana admitting-privileges law], [just] as it was in Whole Woman’s Health.” Id. Nothing in Casey required “consideration of a regulation’s benefits.” Id.
Chief Justice Robert’s vote was necessary in holding unconstitutional Louisiana’s admitting-privileges law, so his separate opinion is controlling. See Marks v. United States, 430 U.S. 188, 193 (1977) (explaining that when “no single rationale explaining the result [of a case] enjoys the assent of five Justices, ‘the holding of the Court may be viewed as that position taken by those Members who concurred in the judgments on the narrowest grounds’” (quoting Gregg v. Georgia, 428 U.S. 153, 169 n.15 (1976) (opinion of Stewart, Powell, and Stevens, JJ.))). In light of Chief Justice Roberts’s separate opinion, “five Members of the Court reject[ed] the Whole Woman’s Health cost-benefit standard.” June Med. Servs., 140 S. Ct. at 2182 (Kavanaugh, J., dissenting).
Here, the district court—without the benefit of Chief Justice Roberts’s separate opinion in June Medical—applied the Whole Woman’s Health cost-benefit standard to the challenged laws. See Hopkins v. Jegley, 267 F. Supp. 3d 1024, 1055 (E.D. Ark. 2017), amended, No. 4:17-CV-00404-KGB, 2017 WL 6946638 (E.D. Ark. Aug. 2, 2017) (“The undue burden analysis requires this Court to ‘consider the burdens a law imposes on abortion access together with the benefits those laws confer.’” (quoting Whole Woman’s Health, 136 S. Ct. at 2309)).2 In addition, the district
Whole Woman’s Health’s “holding that the ‘statement that legislatures, and not courts, must resolve questions of medical uncertainty is . . . inconsistent with this Court’s case law.’” Id. at 1058 (alteration in original) (quoting Whole Woman’s Health, 136 S. Ct. at 2310). Chief Justice Roberts, however, emphasized the “wide discretion” that courts must afford to legislatures in areas of medical uncertainty. June Med. Servs., 140 S. Ct. at 2136 (Roberts, C.J., concurring in judgment) (quoting Gonzales, 550 U.S. at 163).
As a result, we vacate the district court’s preliminary injunction and remand for reconsideration in light of Chief Justice Roberts’s separate opinion in June Medical, which is controlling, as well as the Supreme Court’s decision in Box v. Planned Parenthood of Ind. & Ky., Inc., 139 S. Ct. 1780 (2019) (per curiam).