*4 KING, Before JOLLY, Judge, Chief HIGGINBOTHAM, DAVIS, JONES, SMITH, WIENER, BARKSDALE, GARZA, DeMOSS, EMILIO M. BENAVIDES, STEWART, PARKER and DENNIS, Circuit Judges.* * judges Fourteen participated judges this en banc join Judge (Par- Four Parker’s dissent proceeding. judges join Judge Seven Jolly’s ker, Wiener, Stewart, Dennis). Judge full, opinion in regard both with standing King joins Judge Higginbotham’s opinion. and the Eleventh analysis (Jolly, However, fully scope understand the Davis, Jones, Smith, Barksdale, Garza, Emilio partial Judge Jolly’s opinion, concurrences DeMoss). judges join Three Judge Jolly’s the reader opinions referred to the opinion regard standing only (King, Judges Higginbotham and Benavides. and, Higginbotham, Benavides). part, JOLLY, E. Judge: GRADY Circuit I Sitting court, an en as banc we consider Ifeanyi Dr. Charles Anthony Okpalobi whether properly en- district (“Okpalobi”), joined through intervention joined “operation and effect” of the by five health care climes physi- and other issue, Louisiana state tort statute at cians, individuals, and per- businesses who provides a private cause of action against form abortions in the Louisiana,1 State of medical doctors performing abortions. Al- challenge the constitutionality of La. R.S. though, in this facial attack on the consti- Ann., (West § tit. 2800.12 Supp.1999), statute, tutionality of the consideration of or, more commonly, “Act 825.”2 The de- the merits may strong appeal Foster, fendants are Mike Governor of some, we are powerless to act except to Louisiana, and Ieyoub, Richard Attorney say that we cannot act: these General of Louisiana.3 patients No have no controversy case or with these plaintiffs appear parties in this suit. defendants, the Governor and Attorney Act Louisiana, provides General of to women who consequently undergo we lack a private Article III abortion remedy tort decide this case. perform Seven doctors who members of this en banc abortion. It exposes court conclude those panel doctors to was in seri- unlimited tort *5 error, dissent, liability ous any as indeed is the for damage by caused finding that presents this ease an abortion parte procedure Ex to both mother and Young exception to the Eleventh “unborn Amend- child.” Damages may be re- duced, ment immunity court, from suit in (and federal but not eliminated altogether defendants, which these perhaps the Governor and not at all with respect any Attorney Louisiana, General of Ac- enjoy. damages fetus), asserted on behalf of the if cordingly, reverse, vacate, we and remand pregnant signs woman a consent form entry for of a judgment of prior dismissal. procedure. the abortion 1. significant Because we no damages find distinction or occasioned the unborn child positions between the Okpalobi of Dr. and the or mother. intervening physicians appeal, clinics and (3)"Unborn on child” means the unborn off- "plaintiffs” opinion we use in this to include spring of beings human moment all Okpalobi. intervenors well as Dr. conception through of pregnancy and until termination of the pregnancy. 2. Act 825 states: C.(l) signing The of a form the consent prior mother to the abortion does not ne- Liability Section for 2800.12 termination action, gate this cause of but rather reduces of a pregnancy recovery damages of to the extent that Any person performs A. who an abortion of content the consent form informed is liable to the mother of the unborn child type mother of risk of injuries of any damage precipitated occasioned or loss seeking or (2) for which she is to recover. abortion, by the which aсtion survives for a governing laws malprac- The medical period years of three from the of the date preemptive tice liability or provid- limitations of thereof discovery damage of the with a ed in Title 40 of the Louisiana Revised period years of ten from the date of the Statutes of applicable 1950 are not to this abortion. Section. purposes B. For of this Section: (1) "Abortion” means the termi- deliberate 3.Although the record Attorney shows that the nation of an pregnancy intrauterine human General of ovum, party Louisiana was named as after fertilization of a female citation, and was person, self, although served with and he including pregnant woman her- party is named as a all with an of defendants' pro- intention other than to orders, pleadings, injunction duce a in the live or to and on the birth remove a un- dead appeal, born notice appear child. he does not as a (2) "Damage” party special on the gen- includes all docket sheet in this court. He damages eral which are appellate juris- in an nevertheless has invoked recoverable tort, survival, negligence, intentional party diction this court and is to this wrongful injuries appeal. death action for suffered ques- act in “connection” consti- sufficient Act 825 argue plaintiffs The Eleventh tion to overcome a woman’s on burden” “undue tutes an court.6 in federal states of suits bar thus abortion to obtain
right
Planned,
Governor
that “the
panel determined
The
Parent-
under
unconstitutional
powers
Attorney General
and the
833, 112 S.Ct.
Casey, 505
hood v.
meet
law sufficient
under
duties
plain-
The
L.Ed.2d
under
requirements
minimum
Act will force
claim
further
tiffs
Okpalobi,
Amendment.”
Eleventh
providing
cease
in Louisiana
physicians
concluded
further
panel
The
at 346.
F.3d
to women
services
abortion
assert
standing
plaintiffs had
damage claims
to civil
exposure
potential
pa-
their
rights of
and the
rights
their
Finally,
plain-
Act.4
by the
authorized
then
The panel
at 350-353.
Id.
tients.
to dis-
that,
are
they
if
forced
assert
tiffs
controversy ex-
that a case
services,
concluded
the State
their
providing
continue
and defen-
between these
isted
terms what
practical
achieved
may have
court’s
the district
and affirmed
dants
otherwise—
constitutionally do
it could
unconstitutional
Act
holding that
Louisiana.
abortions
eliminate
entirety.
its
II
this en
issues before
addressing the
note that
court,
take
we first
banc
temporary
granted
district court
rest-
holding
jurisdictional
opinion’s
panel
enjoining implementation
restraining order
Young excep-
parte
on the Ex
primarily
ed
Act
August
on
of the Act
is,
It
Amendment.
Eleventh
tion to the
court, “has the
to the district
according
taking a
course,
purposes of
one
chill
infringing and
and effect
purpose
when
clarify the^ law
banc to
case en
constitutionally protect
the exercise
ing
with a decision
decision conflicts
“panel
granted
therefore
rights.”
ed
*6
or the
Supreme Court”
States
the United
preliminary
request
plaintiffs’
the
questions of
more
one or
case “involves
Okpa
7,
January
1998. See
injunction on
Fed.RApp.P.
importance.”
exceptional
Foster,
986
F.Supp.
lobi v.
981
35(b)(1).
erro-
panel opinion
Because the
month, find
(E.D.La.1998).
following
Eleventh
established
neously applied
unconstitutional
places
the Act
ing that
it
and because
jurisprudence,
Amendment
to abor
right
woman’s
on a
undue burden
holdings,
jurisdictional
of its
the focus
was
temporary
tion,
court converted
panel errors bеfore
those
we first address
injunction.5
permanent
into
injunction
question
basic
to the more
turning
timely appealed.
The State
III
an Article
presents
this case
whether
upheld
this
panel of
appeal, a
On
controversy.
or
case
Foster, 190
Okpalobi v.
injunction.
Cir.1999).
specifi-
The panel
F.3d 337
Ill
Eleventh
cally
addressed
Eleventh Amendment
crux of the
Young,
whether,
parte
Ex
under
issue—
the named
whether
in this case is
issue
L.Ed. 714
52
28 S.Ct.
209 U.S.
At-
defendants,
Governor
Louisiana’s
had
defendants
(1908),
state official
any
law or
suit in
to extend
eighty
of the
construed
percent
provide over
4. Plaintiffs
against one
prosecuted
equity, commenced or
in Louisiana.
services rendered
abortion
another
by
Citizens
United States
State,
subjects of
For-
or
Citizens
or
nor
party,
neither
district court
XI. The
amend.
eign
U.S.
court,
State.”
Const,
an Article
question of
raised
district
interpreted
amend-
Supreme Court has
controversy
the Eleventh
or
III case
brought
a bar on a suit
also constitute
ment to
.
Amendment.
in federal
own
against
State
its
citizens
Louisiana,
U.S.
v.
court. See Hans
“The
states:
Judi-
6. The Eleventh Amendment
(1890).
504,
4H General, torney requisite have the against “con- It is background this of the over- statutory nection” to the scheme to remove riding importance of the Eleventh Amend- the Eleventh Amendment barrier to suits ment in limiting of the federal brought in against federal court the State. courts over the sovereignty of the several say very We first brief word about the states, that we now consider whether the historical constitutional that un- forces facts of appeal can fit into the excep- derlie Eleventh Amendment. tion carved from the Eleventh Amendment parte in Ex Young, so as to allow the The Eleventh Amendment was federal enjoin courts to Act 825. adopted in response direct Supreme Court’s decision Chisholm (2 Dali.)
Georgia,
IV
L.Ed. 440
(1793),
holding
the State
Georgia
A
could
be called to
properly
defend itself in
federal court against a citizen’s suit. The
The Eleventh Amendment bars
with which
alacrity
Congress and the
suits
private
citizens
a state in
states approved the Eleventh Amendment
court,
federal
irrespective of the nature of
nullify
Chisholm evinces the absolutely the relief requested.
Finney,
See Hutto v.
certain and fundamental respect
early
678, 700,
U.S.
fathers demanded the federal
pay
courts
L.Ed.2d 522
A plaintiff may not
sovereignty
of the several
Al
states.7
avoid
simply by
this bar
naming an individ
though
given
the attention
Eleventh
ual
party
state officer as a
in lieu of the
Amendment has waxed and
waned
Yet,
State.
few rules are without excep
years
two hundred
since its adoption, the
tions,
exception
and the
to this rule allows
importance of it as a structural definition suits against state officials for the purpose
system
our constitutional
has never
enjoining
the enforcement of an uncon
Thus,
been doubted.
stitutional state statute. This exception
reemphasized
recently
that this structural
rests on the
parte
fiction of Ex
Young—
principle
Maine,
remains intact in
Alden
sovereign
because a
state cannot com
706, 713,
act,
mit an unconstitutional
a state official
(1999). There,
L.Ed.2d 636
the Court
enforcing an unconstitutional act is not
stated that “as the Constitution’s struc
acting for
sovereign
state and there
ture,
history,
and its
and the authoritative
*7
fore is not protected by the Eleventh
interpretations by
clear,
this Court make
Indeed,
Amendment.
the Eleventh
the
immunity
States’
from suit
a funda
inquiry today
turns on a prop
aspect
mental
sovereignty
of the
which the
interpretation
er
application
and
of the
enjoyed
States
before the
ratifications
Supreme
holding in Young.
Court’s
Constitution,
the
they
and which
retain
Young,
part,
relevant
reads:
today.”8 Indeed, it is “a settled doctrinal
understanding,
If,
consistent with
leading
the
they
were law officers of the
ratification,
state,
advocates
Constitution’s
a case could
made for
...
be
that sovereign immunity derives not from
testing the constitutionality of the stat-
the Eleventh
ute,
Amendment but from
injunction
the
an
suit brought
original
structure
the
against them,
Constitution it
then the constitutionality
728, 119
self.”
at
Id.
every
S.Ct. 2240.
passed by
act
legislature
the
Supreme
7. The
Court decided
residuary
Chisholm on
8. “The
thus
'a
States
retain
and
14,
later,
February
sovereignty.’ They
relegat-
inviolable
1794. Three weeks
are
Con-
not
provinces
ed
corporations,
gress
Amendment,
political
of mere
approved
role
the
had
Eleventh
dignity
but retain the
... of
year
requisite
and within one
the
number of
715,
sovereignty.”
Id. at
positions state, prevent them, under state officers to be sued in lieu the State under the sanction of an unconstitutional absent “special some connection” would statute, from committing by posi- some permit exception the narrow to swallow tive wrong act a or trespass, suit fundamental, constitutionally-based merely officers a state to test rule. It upon was foundation statute, the constitutionality of a state in Young doctrine was constructed. of which enforcement those officers C only will act judicial formal proceed- ings in the courts the state. In the In Young, challenged a case, present said, we neither of statute that Minnesota created railroad the state any special officers named held commission, which executed an order fix- relation to particular alleged statute ing the rates various railroad companies to be They unconstitutional. were could charge for the carriage of merchan- expressly to see to its directed enforce- dise. U.S. at S.Ct. 441. The ment. legislature delineated specific penalties 529-30, Id. at S.Ct. 269 (emphasis add- for violations of regulations, such railroad ed). The court rationalized this relation- including possible fines and imprison- ship requirement by reference to the core ment.11 attorney general, Edward T. constitutional principle embodied the Young, was named as a defendant Eleventh Amendment: suit, challenged the constitutionali- If, they were law ty officers series of state regulating acts state, a case could be made for the companies.12 railroad Specifically, *9 provided dollars, "It was 'any in the act by imprisonment that rail- or Id. at 11. officer, company, any agent, road 28 S.Ct. repre- or 441. or thereof, sentative any provi- who shall violate "For complainants allege this reason the 12. act, guilty sion of this felony, shall be of a that the above-mentioned orders and acts ... and, thereof, upon pun- conviction shall be railway company denied to the ... and its by ished exceeding a fine not five thousand equal protection ... stockholders the of the who, as officers that individuals relief sertion “[appropriate requested duty state, de- action of the some the are clothed with against the injunction of 441. 28 S.Ct. Id. at laws Young.” of the fendant enforcement regard to in the had court that the federal Young asserted and are state, who threaten of the and attorney gen- as him over jurisdiction no either proceedings, to commence about effect, was, in the suit eral nature, to enforce civil or criminal aof and barred Minnesota the state against an unconsti- [by] affected parties against Neverthe- Amendment. Eleventh by the act, Federal Con- violating the tutional temporary a less, court issued the federal by a Federal stitution, enjoined may be him enjoining Young, injunction against action. such equity from court instituting action taking or “from and penalties the enforce proceeding add- 155-56, (emphasis S.Ct. Id. at at act.” Id. in the specified remedies ed). such Young possessed Finding that court the Young ignored 441. 28 S.Ct. the acts authority over enforcement a mandamus immediately filed order and threat clear recognizing his and question, rail- compel the court to in state action alleged authority under said to exercise law. the state with compliance road’s law,13 court con- the state unconstitutional by the feder- contempt held Young was was Amendment that the Eleventh cluded then custody. He taken court into al and authorizing the In the suit.14 no barrier Unit- corpus the for habeas petitioned distinguished court Young, the against suit Court, asserting Supreme ed States no finding of the earlier the violated injunction court the federal case, that, pen- in that the noting Fitts The Amendment. Eleventh to be the act were disobeying for to determine alties required was thus Court officer, could were over- a state who Young, as the individuals whether collected despite Elev- court federal had be sued in of the state officer charged “[n]o bar. enth Amendment recovery of with any official connection 441. Id. at penalties.” that the Eleventh such The determined court court a federal did bar Thus, the doctrine Young solidified against the enforcement injunction in federаl be sued officers could state attor- Young, It held as state statute. Amendment, while the Eleventh despite enjoined could ney general, properly require- simultaneously emphasizing enforcing unconstitu- court from federal connec- have the officers “some ments that the railroad. penalties tional state act” in tion with enforcement stated: holding, In the court so with “specially charged question or be we referred authorities The various threat- and be the statute” duty as- to enforce justification ample to furnish 441. at laws, prop- Id. deprived it them their ..."Id., at process of law erty due without full, the said: 14. In S.Ct. party the state a making officer of also observed:
13. The Court
enjoin
enforce-
suit
defendant
alleged to be
of an act
unconstitution-
attorney
ment
question
whether
remains
al,
state,
must have
plain
such officer
had,
it is
so far
general
by the
law
acts,
with
any duty with
connection
some
as
these rate
concerns
enforcement of
act,
party
merely making him
it
By
or else
regard
of the same.
to the enforcement
state,
thereby
representative of the
regard-
aas
that he
conduct
seems
his
it
official
party....
attempting to
state
make
his
duty
with
office
ed it
connected
officer, by virtue of
fact that the
obey the
compel
company to
commodi-
office,
has some connection
act,
proceedings to
his
ty
for he commenced
act,
important and
immediately after
such
enforce
obedience
enforcement
material
issued,
fact ...
being
at the risk of
injunction
added).
(emphasis
contempt by
doing.
Id.
guilty
so
found
*10
157,
ening
duty.
to exercise that
Id. at
meneement of enforcement proceedings by
158,
More
other circuit courts have
applied
Young
guidelines
adjudi
when
D
cating the Eleventh
question
Amendment
Young was decided
years
almost 100
raised in this appeal.
In Children’s
ago.
years
From its earliest
until
Deters,
(6th
Healthcare v.
were
commence proceedings for vens,
F.Supp.
(S.D.N.Y.1976),
purpose.
Judge Friendly rejected the notion that a
Union,
Id.
therefore,
Western
governor’s
reinforced
general duty to “take care that
interpretation
Young requires
the laws
faithfully
are
executed” is suffi-
both close connection
between
official cient
Young
connection under
and Fitts to
and the act and the threatening or com- dissolve the Eleventh Amendment bar.
15. We note the
reliance
Pfister,
dissent's
on Justice
16. See also
Dombrowski
479, 483,
(1965)
Young
attempt
Harlan's
dissent
Id. at therefore public officials against the Relief parte Ex extend would view our civil-liability even if the pointless be the would Su- anything beyond Young at 875. Id. problematic.” were subsequently provisions has or intended preme Court Id. at 1152. held.” E Fourth, Ninth, Elev 2001, the As as late in Supreme Court’s decision rearticulated Circuits Seventh enth and prede of its light in Young, the appraised Griffith, Lytle v. Young. criteria of
the progeny, and its and Fitts Smyth cessors (4th Cir.2001), the 404, 412 240 F.3d a to create understood properly thus is the case to Circuit, remanding in Fourth bar general to the exception precise the defendant Gover whether determine This fora. in federal suing states against to the connection requisite the nor had named when the only applies exception Young law, that “[t]he noted challenged connec have some state officials defendant limited, however, by re its exception and act the with the tion enforcement officials bear that named quirement pro are and about “threaten commence challenged statute.” to the special relation the to enforce unconstitutional ceedings” (9th Brussa, F.3d 984 In Snoeck 155-56, 28 S.Ct. Young, 209 U.S. act. the that Cir.1998), Circuit found the Ninth a claim barred Eleventh application consider the We now on Judi Commission Nevada in the case facts to the Young principle compli that emphasizing Discipline, cial us. before requirements with the ance law de under state “must determined V cir and under what whether on
pending has a defendant particular cumstances and how to read inquiry is present challenged state law.” with the connection that the defendants requirement apply that, concluded The court at 986. Id. with have connection some enforce- law, has the Commission Nevada “[u]nder question Specifically, Act. ment therefore, it power, no enforcement whether court is this en banc raised before enforcement has no connection that the defen- Young fiction requires Ex under required as challenged law some enforcement official have dant state at 987. Young.” Id. Parte stat- particular respect -powers need issue, the official ute at whether Moreover, Associ- in Medical Summit only powers no enforcement have such ates, 180 F.3d Pryor, P.C. v. authori- general charged with need be note Cir.1999), Circuit took the Eleventh that all of the to see responsibility ty provision civil enforcement of the private faithfully executed. state be laws and stated question of the statute Young cannot paHe of Ex “the doctrine A sov- Alabama’s operate exception out, pointed we As has immunity where no defendant ereign it Young principle teaches enforcement any connection duty to see merely general Finally, the at 1341. law.” challenged Id. implemented state are laws of the Ryan, Hope Clinic Circuit Seventh “connection,” (7th Cir.1999), required on substantiates vacated F.3d the stat duty to enforce particular but the grounds other will and a demonstrated (2000), question ute in also ob- 147 L.Ed.2d duty duty. For ingness exercise was to question served that statute to constitute general laws found private litigation: “[T]he be enforced “include!] connection, it must sufficient prose- Attorneys local states’ General and the right to enforce the Eleventh Amendment.” Id. at 347.19 The state, course, including, statutes of the basis for this conclusion was the assertion *12 Id. question the in ...” act that a mere duty uphold the laws of the added). Thus, (emphasis any 441 probe sufficient Young under to autho Young exception into the existence of a rize an Eleventh Amendment waiver. The (1) gauge ability should the of the official panel stated that its conclusion is discerni the statute at enforce issue under his ble from proper reading of Young and (2) statutory or powers, constitutional and Smyth, noting that, while the Fitts Court the willingness demonstrated of the official required a “close” connection or a “special to enforce the statute.17 charge” between the statute and the state Although the panel opinion addressed Young officer’s duty, the adopted the connection of the defendants the the more requirements relaxed connection question, law it pursued in nevertheless a outlined in Smyth.20 different, believe, and we seriously errone essence, In panel the suggests panel ous course. The applied a two-part Fitts, there is some conflict between on the formula to assess whether sufficient “con hand, one Smyth Young, and and noting exists nection” to warrant waiver of the that “[t]o the extent that there is tension (1) Eleventh protection: between Fitts’s focus on the state officials’ analysis powers of “what the defendants express power enforcement and the later wield to enforce law in question,” the and Young, articulation in (2) we are by controlled consideration of “the nature of the law Smyth the doctrine and unequivocal the and its place on the continuum between holding Young that a public state officer’s regulation private and con- action.” Ok palobi, nection with address, 190 the enforcement of F.3d at 346.18 We in the chal- turn, lenged act the in out part panel’s general ‘[arise] flaws each can of the the ” analysis. law ... long so Id. at 344 as it exists.’ Young, (citing 209 U.S. at 441). not, however, We do find this ten- sion in the Smyth-Fitts-Young triad. noting
After
at the
outset that “Act
in
face,
resolution
each of
on its
these three
does not
cases
direct the
or its
was
State
dictated,
anything,”
application
officers to do
of a
panel
differ-
never
rule,
legal
concluded “that
ent
particular
theless
but
Governor and
stat-
Attorney
General
powers
have
utes and the
and
connection to those statutes
duties under state law sufficient to meet
of the defendant state officials. The chal-
requirements
minimum
under
in Young and Smyth
lenged statutes
review
Lefkowitz,
(S.D.N.Y.1974),
Our
F.Supp.
Court's abor-
that,
notes,
tion cases shows
as the
Rhodes,
dissent
Corp.
and Allied Artists Pictures
v.
apparently
Court has
standing
relaxed certain
(S.D.Ohio 1979),
F.Supp. 560
679 F.2d
aff'd
requirements in the abortion
au-
context and
1982).
Cir.
pre-enforcement
thorized
challenges to crimi-
However,
nal abortion statutes.
none of
panel
governor's
19. The
relied on the
consti-
intimates,
suggest,
these cases
that the
as the dissent
duty
"faithfully support
tutional
the consti-
requirements
parte Young
of Ex
state,”
tution and
laws
La. Const art.
any way
in
been relaxed or vitiated in the
IV,
5(A),
§
attorney general’s
Indeed,
abortion context.
none of the Su-
institute,
right
prosecute,
"to
or intervene
preme
expressly
Court abortion cases
address
Id.,
in
proceeding^]”
civil
or
action
art.
requirements
Young
of Ex Parte
in the
IV,
Okpalobi,
§ 8. See
requiring that it be explicitly stated in the sum, Young does not minimize Thus, challenged statute. the correct in the need to find an actual enforcement terpretation concludes that no connection—some enforcement power or special charge such need be found directly enjoined act that can be the de —between challenged in the statute req to meet the fendant official and challenged statute. uisite long “some connection” so as there is Instead, it provides that this connection sufficient indicia of the defendant’s en can be found implicitly elsewhere powers forcement found elsewhere in the state, laws of the apart from the chal laws of the state.25 This interpretation statute, lenged so long as those duties support finds following language have the same effect “special as a charge” Young: in the statute. not, however, It has been held that it necessary duty was that such should be
declared in the same act which is to be
*14
cases,
true,
enforced.
some
it is
the We turn now to the
prong
second
duty of enforcement
im-
has been so
panel’s
place
test —the
of Act 825 on a
posed ...
may
but that
possibly make
public-to-private “continuum.”
panel
The
clear;
duty
more
if it otherwise ex-
concluded that Act 825 implicates “public”
equally
istís] it is
efficacious.
action because
purpose
“the
and effect of
B review, oversee, regulate, to partially sum, In panel generated malpractice fund medical claims. See 22C new two-pronged spun test hardly § out of La.Rev.Stat. Ann. 40:1299. It quickly (a more than a wisp clear, of authority single however, becomes that Title 40 anis district court’s ruling), ignoring while criti- ally even less than reliable was Allied Art- plaintiff-appellees 27. appear None of the malpractice will- that the medical scheme does not Indeed, ing rely to theory. on the dissent's apply to cause of action under Act 825. appellees expressly observe their briefs no case have this have been sued who these defendants that position for the ists with Title connection regard to with powers enforcement have enforcement 825). (Act at issue the statute much less Act 825. in the fatal' —flaw The most obvious—and argu- dissent’s of the essence is the This to Title Act 825 to connect effоrt dissent’s Title 40 it: understand we as best ment premised is argument 40 is claims;28 malpractice medical to all applies assumption: false plainly dependent upon Over- Fund Compensation the Patients agencies operating assumption (“PCFOB”) review all must sight Board authority, jurisdiction, have Title 40 under they if to determine claims malpractice or consider ever to review or discretion other caps and damage for the qualify Act under Act 825. brought any claims 40; this over- by Title provided benefits action; Act cause of specific creates PCFOB authority means sight brought under that claims provides malpractice medical all would review 40; conse- Title subject to are not statute abortion to or related on claims based bodies any governmental quently, discre- claims; would have PCFOB au- have no acting under Title agents Title deny authority benefits tionary is, enforce- thority or —that de- procedures defendant doctors 40 to brought under claims powers ment —over covered to be by the Board termined short, foundation In Act 825. ap- and, the Governor 825; Act “[ujnder wit, that argument, dissent’s PCFOB, and be- points members of system, all malpractice Title 40’s medical Attorney General appointees cause "private claims malpractice ultimately payments certain approve must be re- providers must care public health from the Self- payable determined panel,” a medical review viewed the aforementioned Fund —all Insurance Title 40 being that actual fact false—the Title 40—each acts authorized malpractice claims to all medical applies powers has enforcement defendants to Act brought pursuant except those makes Act 825. dissent respect no connection between There therefore express notwithstanding argument this how- concluding, Act 825. Title 40 and gov- laws “[t]he of Act 825 provision that, notwithstanding ever, emphasize we limitations malpractice or medical erning theory attempts newest the dissent’s Title 40 of provided in liability thereof 40, we not should relate 825 Title Act of 1950 are Statutes Revised the Louisiana determi- crucial be diverted See to this Section.” applicable parte Ex under native consideration added).29 2800.12(C)(2) Fur- (emphasis § defendants progeny: These and its thermore, argu- makes the dissent purely to enforce Act ability no *17 connected though no official ment even statute, invoked can be private tort a defen- named as 40 has with Title been litigants. only by private case. dant in this pat- this need be said about Very little B need not argument. ently untenable We various on the to comment We turn now that, under fact even draw attention We by the dissent. addressed defendants authorities argument) the dissent’s protections.” malpractice “[ujnder umbrella of medical 40’s Title that 28. dissent asserts The exempt doctors malpractice abortion system, all does malpractice Act 825 medical Rather, public health care all against private and 40. provisions Title claims from the of by re- reviewed a medical providers must be ex- pursuant Act are brought 825 claims file suit in panel claimant can view before the upon initial It is this empt Title 40. from added). (emphasis court.” entirety of dis- flawed foundation argument sent’s constructed. incorrectly that Act observes dissent 29. The doctors "remov[es] 825 abortion
423
would
that
first note
the dissent fails to
bundled as
package
one
with the struck
any
cite
case
which a federal сourt
provisions.
criminal
In
by
no case cited
enjoined enforcement of a statute even
the dissent did the court address the civil
is,
remotely like Act 825—that
one with
provisions separately under an Ex parte
civil,
private
penalties.
but no criminal
In Young analysis, as we are
upon
called
every case
support
cited
the dissent to
Indeed,
today.
do
in assessing the value
injunction
its claim that an
proper
was
of those cases to the issues before us to-
case,
simply
there were
no Eleventh
day, we must conclude that it is determina-
problems
Amendment or Article III
that
tive that
these cases fail to even mention
juris-
would bar the court from asserting
parte
Ex
Young.
complaint
diction over the
for this reason:
sum,
nothing argued or cited
federal
plainly existed over the
by the dissent suggests any
there is
injunctive
claims for
relief to strike the
enforcement connection
criminal
provisions
between these de
of the statutes at issue
in those cases.30
fendants —the
When there were also
Governor and the Attorney
civil provisions contained in these statutes General —and Act
825
satisfies either
were,
they
analysis, swept
without
up and
of the requirements of
parte Young.31
Ex
See,
Foster,
e.g.,
Lowentritt,
Causeway
1198,
Med. Suite v.
See Earnest v.
690 F.2d
1203
(5th Cir.2000),
221
aff’g, Causeway
(5th
F.3d 811
1982).
Cir.
law
Neither case
or the Con
Foster,
604,
Med. Suite
F.Supp.2d
v.
43
609
stitution allows
analysis.
for this creative
(E.D.La.1999); Planned Parenthood
South
opinion
cryptic
makes the novel and
833,
Pennsylvania Casey,
eastern
v.
505 U.S.
Supreme
contention that "the
Court’s modern
909,
(1992);
112 S.Ct.
preme path Court has followed this in a court, In the district the defendants did case, today’s case that has similarities to it not question raise the plain- whether the examine, and, inappropriate is not for us to tiffs had an Article III case or controversy warranted, thereby if to decide this case them, the Governor and the Attorney impos- based on the limitations Article III General, and the district court did not es on federal courts. jurisdictional consider this question. The argued only defendants plaintiff III
Under Article
of the Constitu
doctors
tion,
and clinics lacked standing
pur-
jurisdiction
the federal courts have
patients’ rights.
sue their
In rejecting
plaintiff
over a claim between a
and a
contention,
if
district court held that
only
presents
defendant
it
a “case or
“[g]iven the relationship between
controversy.”
the inter-
require
This is a “bedrock
patients,
venors and their
811, 818,
given
ment.”
Byrd,
Raines
521 U.S.
(1997).
2312,
prevent pregnant
obstacles which
117 S.Ct.
138 L.Ed.2d
women
statute,
way,
challenging
this
power granted
including
to federal
desire
privacy
courts under Article III
and the imminent
“is
an uncon
moot-
claims,
ness of
authority
may
ditioned
to determine the
their
intervenors
consti
as-
tutionality of legislative
party standing
or executive acts.”
sert
third
and raise the
Valley Forge
College
right
patients.”
Christian
v. Ameri
of their
Okpalobi v. Fos-
ter,
(E.D.La.1998).
977,
cans
Separation
United For
Church
981 F.Supp.
State, Inc.,
464, 471,
panel
determination,
454 U.S.
upheld
find-
752,
lacked Article Judge, concurring: Circuit claim. judgment reversing I concur in the
remanding
entry
of an order оf dis-
I
standing.
missal for lack of
do not con-
VIII
parte Young.
cur in the treatment of Ex
sum,
we hold
majority opinion1
reexamines the un-
controversy
with these
have no case
parte Young2
of Ex
derpinnings
support
judg
and the district court’s
*23
defendants
injunctive
that
relief is not
its conclusion
dismissed for lack of federal
ment must be
claim
available here and hence the
is
jurisdiction under Article III of the
by
barred
the Eleventh Amendment. De-
Furthermore,
have made
we
Constitution.
work,
spite
majority’s
the
careful
I am
the de
opinion
in this en banc
that
clear
that
should not have
persuaded
this effort
enjoy
in this case
Eleventh
fendants
been undertaken.
immunity from this suit and
appeal
This
can and should be resolved
Young exception to the
parte
the Ex
by
simple proposition:
a direct and
there
applied
Amendment cannot be
Eleventh
controversy. Enjoining
is no case or
the
hold,
alternatively
under these facts. We
enforcing
named
from
the stat-
defendants
therefore,
by the
this suit is barred
wrongs.
ute will not redress
the claimed
Eleventh Amendment.40
controversy
There is then no case or
under
Article III
the
judgment of the district court is
of
Constitution.3
The
agree.
by plaintiff,
registered
voter in
Attorney General. We
menl action
reach of the
state,
private
against
party
are
defen-
This is not a case in which
suits
the State as
enforcing
challenged
only
justiciable
means
dant was
because the
of
statutory
Attorney
duty
uphold
standard. The
General
and "the State's
interests
through
pursue
adverse).
Aetna
an action under
can
sufficiently
act” were
We note
Deceptive Trade Practices Act
the Texas
Eleventh Amendment is no bar to the
regulatory
and the Insurance Code. This
United Stales
Court's consideration
oversight
right
Attorney
General
[the
against
brought
by
a case
officers
to it
directly]
to sue
is sufficient to create the
way
Bell
of state courts. See South Cent.
Tel.
standing.
requisite
injury'
imminent
for
166,
Alabama,
160,
v.
526 U.S.
119 S.Ct.
Co.
added).
(emphasis
Id. at 532
(1999).
I
sequence
a rule of
expressing
court was
con-
standing
or
question of
—case
explaining
practical
across cases or
ques-
anterior to
troversy
logically
—is
in the case before it is not
compulsion
is a defense to the
there
tion of whether
least,
con-
wholly certain. At the
similar
claim;
court’s
goes
it
my
inform hesitation here.9
cerns
parties
waived
and cannot be
standing
this case
question
The Eleventh
by agreement.
conferred
ask whether
easily framed. We should
it is
jurisdictional, but
Amendment is also
enforcing
enjoining defendants
form.
It is a
jurisdiction in an anomalous
applica-
of will bar its
complained
statute
may be invoked
defense that
The answer is no.
plaintiffs.
tion to these
not be.
state —but need
the sued defendants
persuaded
I am
the case-
pushing
alone
Logic is not
responsibility
enforcing
have no such
the forefront.4
or-controversy inquiry to
ought to
Whether that is so
statute.
redressability
standing and
Questions of
beginning
ap-
and the end of this
plaintiff
of a
are familiar. The burden
majority acknowledges this re-
peal. The
standing
stage
at each
plead
prove
ality
only
long
after a
visit with the
but
Stepping over
proceeding
is settled.5
parte Young.
doctrine Ex
to address at the
inquiry
this threshold
powerful argument
There is another
the defense of Eleventh
outset of the suit
*24
immunity ought
that Eleventh Amendment
immunity risks confusion.6
Amendment
majority
in
not be treated
this case. The
Ashmus,7
Supreme
In Calderon v.
injunction exception
reasons
risk, insisting that
recognized this
Court
offered
Ex
the Eleventh Amendment
considering a
standing be found before
parte Young is not available because the
under
the Eleventh
immunity
state’s
no en-
injunction
against
is
officials with
explained
It
that before ad-
Amendment.
wrong
that with the
offi-
power;
forcement
claim,
Amendment
dressing an Eleventh
against
sued the action is
the State.
cials
first
whether this action
“we must
address
“official-capacity
prospec-
But
actions for
is the
of
declaratory judgment
for a
sort
tive relief are not
treated as actions
against the
The Governor and
controversy’
III’ ‘case or
to which
State.”10
‘Article
See,
standing.
e.g.,
Supreme
recently
review
Summit Medical
4. The
Court
reaffirmed
1326,
(11th
usually
subject
Pryor,
a federal court should
address
Assoc. v.
180 F.3d
1334-36
Cir.1999)
personal jurisdic-
during
(finding
standing
matter
before
review of
cases,
personal juris-
interlocutory
tion
removal
unless
appeal
in
of denial of Eleventh
determining
easily
immunity
diction is
resolved
to be unavailable un
subject-matter jurisdiction
pendent ap
is difficult. See
der
doctrine or
collateral order
Co.,
doctrine).
Ruhrgas
526 U.S.
pellate jurisdiction
AG v. Marathon Oil
1563,
574, 587-88, 119 S.Ct.
then to convert injunction permanent injunction. into a At II best, that, any “declaratory only relief’ is majority argu- and the dissent trade implicit grant injunc- conclusion in the ments over “the nexus between defendants Perhaps tive relief. this would be a suffi- at issue.” If this is the statute declaration, larger cient there are diffi- but standing, appears as as it inquiry same culties. be, applying the doctrine of we should be nexus as de- standing. Specifically, unless Second, although Declaratory Judg- majority something has ployed Act “brings present litigable ment standing say inqui- to cases that meet the only controversy, might which otherwise ry, independent utility. Treating it has no future,”12 jetti- tried in the it does not requisites standing requirements standing requirements.13 son traditional confusing, internal to Ex parte requirements of causation and re- necessarily it simul- part, because does Lack dressability are not met here. taneously standing question. answer the standing disposes regardless of this case all, plaintiff may requested After sought injunctive relief declarato- — injunctive relief from defendants with re- ry. The not threaten defendants could *25 they a law chal- sponsibility enforcing law; targeted enforcement of the lenge, plead prove but is unable to If they authority plain- lack the to do so. injury. individuated attempted tiffs to sue defendants their acting assumption on an capacity,
official III although lacking enforcement they obligated to defend the statute in are Standing developed long parte after Ex abstract, requisite concreteness of Young, responding expanding to the stress if, absent. This is so even engagement is public litigation brought respec- law to the view, contrary my declaratory relief is courts, Article III the Con- tive roles of redressability meeting as here seen Executive, and It is gress, the the states. Article III. requirement of of vindicat- adequate more than to its task ing principles sep- of federalism and these Third, proceed case not even could powers. aration of controversy if case or difficulties were met—-if the Governor and Attor- somehow
Judge opinion Benavides’ would find ney proper seen as defen- Declaratory General were standing Judgment under the relief, seeking declaratory a claim problems, Act.11 has three dants to approach This Callahan, 111 F.3d 167 n. 13.See Lawson U.S. L.Ed.2d 114 (1985); J.) parte Young, (5th 1997) (Wisdom, see also Ex (noting that the Cir. 123, 159-60, 28 S.Ct. 52 L.Ed. 209 U.S. 714 controversy” required under 28 "actual 2201(a) meaning § “is identical to the U.S.C. controversy' purposes for the of 'case or 2201(a). § 11. See 28 U.S.C. IIF’). Article de Conditionnement En Aluminium Societe Co., Eng’g v. Hunter 655 F.2d Cir.1981). parte Young of Ex principles them whether the relief though even coercive unduly expanded. Since such have been This is because granted. not be could granted absent a case relief can never be not have creat- not and could Congress did destination of the ma- controversy, exception to the Eleventh generic ed today inevitably narrow- jority’s trek is declaratory relief. Amendment for parte Young, of Ex ing of the doctrine always it rendering it either less than has IV replication standing been or an exact Young as -parte Ex have viewed Some voy- passage doctrine. I decline on that changes in cause of these culprit, persuaded I age. I decline because am to the of cases. More public law model principles standing familiar are bet- see the doctrine point, apparently some questions with ter suited to answer these to the sov- therein as a threat articulated parte vital role of Ex less risk to the that must be tamed. role of states ereign Young. views and fear that I do not share these duty upon Ex imposing this additional VI forward, it to the parte Young by bringing through drive a The desire to stake controversy inquiry, front of the case or majority’s views of Ex panel heart of amorphous, doctrine toward pushes the pan- is understandable. The parte availability case-by-case inquiry into its —a analysis tempting el’s flawed offered a tar- rejected by seven affirmatively destination get, enough majority’s the en banc members of the United States lengthy memory effort to erase its here majori- I suggest do not Court.14 justification. pur- without some But it not Rather, my ty here. concern does so panel opinion longer no ghost. sues a can lead. path where the it has selected grant- exists. It was vacated the order granting review. The order ing en banc V en banc left no remains to be buried and majori Implicit my resistance so, do itself doing implies so the need to ty’s my parte view that Ex approach is course, my eyes. best Young poses no threat to the Eleventh tenets BENAVIDES, Amendment or to the fundamental Judge, Circuit contrary, it is a of federalism. To the concurring part dissenting part: powerful implementation of federalism majority, focusing injunc- on the *26 Clause, a stel necessary Supremacy to the sought by plaintiffs, paid relief has tive and Martin v. companion Marburg15 lar to plaintiffs’ request too little attention to the Hunter’s Lessee.16 for a declaration that Louisiana’s strict liability regulating provi- for the case in which scheme for
We should wait
unconstitutionally
there is a
bur-
plaintiffs
standing,
where
sion of abortions
right
In
controversy,
examining
before
dens a woman’s
to
abortion.
case
Tribe,
principle
equitable
v.
521 U.S.
to a
discretion as much
14.See Idaho Coeur d’Alene
261, 288, 291,
2028, 138 L.Ed.2d
117 S.Ct
Young's
result as with the foun-
odds
J.,
("[T]he
(1997) (O'Connor,
concurring)
rests.”).
438
Young
on which
dational doctrine
principal opinion reasons that federal courts
attempt
principal opinion
in the
to frame
determining
jurisdiction
whether to exercise
case-by-case analysis,
Young in terms of
id. at
any
over
officer must
suit
a state
270-80,
J.),
(Kennedy,
was
S.Ct.
engage
case-specific analysis
a number
in a
joined only by the Chief Justice.
approach unnecessarily
of concerns....
This
recharacterizes and narrows much of our
Madison,
(1 Cranch)
Marbury
5 U.S.
15.
v.
Young jurisprudence.”);
id. at
60(1803).
2 L.Ed.
(Souter, J.,
("The principal
dissenting)
2028
opinion
doctrine,
[Young
redefine the
]
would
(1 Wheat.)
(1816).
4 L.Ed.
16.
recognizing
jurisdiction
from a rule
federal
enjoin
violating
state officers from
federal law
view,
ing
injunctive
a “contro-
to seek
relief. Article III
present
my
plaintiffs
Declaratory Judgment Act
versy” that the
standing requires
litigant
to have suf
this Court to re-
require
Article III
injury-in-fact, fairly
fered an
traceable
Moreover,
Supreme
Court’s
solve.
conduct,
allegedly
the defendant’s
unlawful
immunity jurisprudence does
sovereign
likely
request
to be redressed
ability
vindicate constitu-
our
foreclose
Lujan
Wildlife,
relief.
ed
Defenders of
existence of a state’s
rights
tional
when the
555, 560-61,
statutory liability scheme
self-executing
analyzing
L.Ed.2d 351
When
Indeed,
I
rights
jeopardy.
those
places
plaintiffs’
injunctive
claim for
relief under
falls “on the Ex
am confident this case
case,
of this
I am con
the unusual facts
side” of the
Court’s
parte
by Supreme
precedent
strained
jurisprudence
sovereign immunity
—that
redressability
find the causation and
re
is,
Young,
duty
I believe the
However,
quirements lacking.
unlike the
rights and
protect constitutional
Court to
Court, I
not believe the
majority of the
do
of the Con-
thereby
supremacy
ensure the
In
inquiry
seeking
ends here.
addition to
outweighs the sov-
stitution over state laws
relief,
injunctive
plaintiffs
in this case
immunity from
right of states to
ereign
Declaratory Judg
brought suit under
reason, I
For that
suit in federal court.
Act,
pro
§
ment
28 U.S.C.
I
separately
dissent. write
respectfully
pre-enforcement
a mechanism for
vides
that the connection re-
explain my belief
review of
statute.1
See Steffel
majority
which both the
quirement on
452, 478,
Supreme Court
defendants,
Attorney
and
considerations enter into
General
“that different
Louisiana,
of
I
we have
declaratory
as to
Governor
believe
federal court’s decision
relief,
hand,
jurisdiction under
III to
injunctive
re
Article
consider
on the one
Wade,
lief,
declaratory
for
relief.
request
v.
410 U.S.
their
on the other.” Roe
113,
706, 733,
166,
Given the inquiry turns injury, designed oper- the to the statute at issue was appreciable Attorney them, whether or General directly despite the Governor fact ate the adverse to that of the legal has a interest prosecuted that none of them had been Attorney I General has plaintiffs. find the even threatened with 410 prosecution. in the legal a sufficient interest constitu- 179, 188, 739, 745, U.S. 35 L.Ed.2d tionality the statute. This inter- state’s (1973). Likewise, physicians 201 the recognized est is in both federal Loui- in are the targets clinics this case direct statutes, require siana notification of inju- plaintiffs’ Louisiana’s statute. These case, in civil or Attorney the General ry alleged by concrete as that criminal, constitutionality of where the a plaintiffs respect Doe. With to redressa- state statute is at issue. La.Code Civ. I that it makes bility, agree little sense 1880; § Proc. Ann. art. 28 2403. In U.S.C. enjoin Attorney General or Governor Attorney such General is enti- cases* doing they that which have no question present argument tled to on the self-executing liability a to do within stat- constitutionality. Finding Id. the Attor- Yet, ute—enforce the statute. as noted ney legal has a General sufficient interest above, enforcement of the statute is not underpinnings is also consistent with the injury plaintiffs. cause of sole regard, standing requirement. The mere existence of statute causes Supreme inquired has whether Court injury. The requested concrete declara- parties ... such a personal “[h]ave sufficiently injury by tion redresses that controversy stake in the outcome of the as granting a substantial basis to assure that concrete adverseness which constitutionality for confidence sharpens presentation upon of issues Roe, their conduct. 410 See U.S. 93 largely depends which the court so (refusing pro- S.Ct. at 733 to address the ques- illumination of difficult constitutional injunctive priety of relief on the basis that Carr, 186, 204, tions?” Baker v. 369 U.S. declaratory sufficiently relief redressed 691, 703, 7 I S.Ct. L.Ed.2d 663 plaintiffs’ injury). plain- Because the Attorney have no doubt that the General’s tiffs in- appreciable have demonstrated an constitutionality interest of the jury that this through Court can redress a guaranteed strong state’s laws a advocate conclusive declaration of the statute’s con- identify develop and served to for this stitutionality, they presented an actu- Court, court, and the district the relevant controversy obliges al and Article III us to arguments. act. engagement The concreteness of the sufficiency remedy this case II. by Supreme are jurispru- confirmed Having determined that the plaintiffs ... visibly dence that “has relaxed tradi- present justiciable controversy, I turn standing principles deciding tional abor- Edwards, Judge Margaret Jolly’s tion conclusion that the Eleventh cases.” See S. v. (5th Cir.1986) 794 F.2d Amendment “powerless renders this Court J.). Bolton, (Higginbotham, constitutionality In Doe v. to act” on the of private physicians pre- Judge Jolly Court found that reaeh- enforcement scheme.6 (1977) ("When ry "chilling” of a woman’s constitutional L.Ed.2d —the right fragmented choose an abortion. Court decides case ... holding may Court by be viewed as that Judge Jolly’s position 6. As Eleventh Amendment сon taken those who con- Members judgments clusion has not received the votes of a ma curred in the on the narrowest court, jority sitting grounds.”), en banc it is not cited in Doe v. Beaumont Ind. Dist., controlling authority for future Eleventh School 240 F.3d n. 3 Cir.2001); questions Ferguson, in this Circuit. See see also States, 188, 193, (5th Cir.2000) (noting Marks v. United F.3d
437
misconstruing Ex
standing
challenge
to
the existence of
has
this conclusion
es
to the
Young as a narrow
exception
self-executing, private liability
parte
a state’s
directive
general
Amendment’s
currently infringes
Eleventh
that
constitu-
scheme
in federal
immune from suit
are
that states
jurisdic-
rights,
tional
federal courts
opinion neglects
regard,
In this
his
court.
violations.
tion to redress constitutional
expressed
responsibility,
constitutional
our
requires
lawsuit
that we
plaintiffs’
of
Yoimg,
ongoing violations
in
to redress
parte
role of Ex
fundamental
respect
supremacy
law and thus insure
federal
Young In
federal structure.
recon-
our
course, “the need
Of
of the Constitution.7
com-
competing
constitutional
ciling
law
of federal
promote
supremacy
to
in the Eleventh and Four-
mandments
to the constitution-
accommodated
must be
Amendments,8
Young
teenth
Pennhurst,
immunity of the States.”
al
courts, in
to
that federal
order
concluded
105-06,104
Accord-
at
S.Ct. 900.
465 U.S.
rights guaranteed
an individual’s
preserve
Young exception
of the
ingly, “[ajpplication
Constitution,
must have
understanding of its
proper
reflect a
must
of unconstitu-
prevent
the enforcement
system
respect
for
in our federal
role
Young, 209
at
legislation.
tional state
U.S.
v. Coeur d’Alene
Idaho
courts.”
159-60,
Halderman,
89, 105-06,
powerful implementation
465 U.S.
"is a
of federalism
(1984) ("CT]he
Clause,
necessary
Supremacy
II. person performing the abortion cannot liability by obtaining avoid informed con- A. patient. sent Informed consent yet attempt by Act 825 is another action, negate “does not cause of [the] but State to federal constitutional violate recovery rather reduces the of damages.” rights as construed federal courts. As 9:2800.120(1). § This is in stark contrast Higginbotham Judge observed: existing liability civil provision of appeal episode This is the latest law, the State’s informed-consent long effort Louisiana to exercise its provides complete malpractice defense to police power practice over a to which the if physician complies claims with the given protec- courts considerable requirements. law’s extensive 22C La. Indeed, tion. “regu- the state seeks to (West § 40:1299.35.6H Rev.Stat. Ann. permitted by late abortion to the extent 2000). Further, provides Act 825 no de- the decisions of the States United Su- malprаctice fense to suits for abortions preme Court.” La.Rev.Stat. Ann. performed in necessity case of medical (West 1986). § 40:1299.35.0 Al- Supp protect patient. the health of the Final- though one would not think that there is ly, Act 825’s mischief is not limited to anything inherently suspect about a providers. abortion It covers a broad regulate state’s undertaking to range providers, of women’s health care area, repeatedly abortion Louisiana has including physicians treating serious medi- objections encountered constitutional *35 trauma, cal conditions such as infection or portions regulatory of its schemes. for may treatment include medi- Edwards, 994, Margaret v.S. 794 F.2d 996 cally necessary It abortion. also includes (5th Cir.1986) (footnote omitted); see 22C contraceptives manufacturers of and the (West 40:1299.35.0 La. Rev. Ann. Stat. physicians pharmacists and prescribe who 1992) (expressing “legislative intent” to Thus, them. imposes Act 825 strict liabili- defy Supreme authority Court on abor- ty anyone performing an abortion. tion). long history1 restricting After a confirm abortion, provisions Such right that Act 825 woman’s to choose State, 825, by enacting Act constitutes an undue has now burden on woman’s changed attempting right tactics and is ban choose an abortion because it has altogether by creating private abortion purpose and placing effect of a sub- Wade, years bility, 1. Five after opinions regarding Roe v. the State necessity second statute, regulation enacted an abortion but preserve of an abortion to a mother’s provi- a district court struck down several health, parental consent without ade- Margaret sions as unconstitutional. S. v. quate judicial bypass provisions. A district Edwards, (E.D.La.1980). F.Supp. 488 181 provisions court declared most of these constitutional, un- promptly passed The State that another statute Treen, Margaret S. v. 597 alia, required, costly inter and unneces- (E.D.La.1984), F.Supp. 636 and we affirmed abortion, sary testing prior ultrasound S., Margaret that declaration. See 794 F.2d hospitalization tions, post-first-trimester for abor- at 999. presumptions untenable of fetus via-
443 statutes to be un- tently declared similar exercise of hindering the obstacle stantial constitutional. Planned Parenthood See right. 833, Casey, 505 U.S. Pa. v. Southeastern B. (1992) 2791,120 877, L.Ed.2d 674 112 S.Ct. By exposing person opinion). (joint Wade, 113, 410 93 Roe v. U.S. Since liability to strict an abortion
performing
705,
(1973),
147
35 L.Ed.2d
Doe
S.Ct.
compliance with
person’s
regardless of
Bolton,
179,
739,
410 U.S.
93 S.Ct.
35
v.
law,
designed to
Act 825 is not
existing
(1973),
women,
individual
L.Ed.2d 201
n
choice,
eliminate
but to
a woman’s
help
and clinics have in
providers,
abortion
shutting down
effectively
that choice
judicial power to chal
voked the federal
id.; Hope Clinic
providers. See
abortion
by bringing ac
lenge
regulations
abortion
876,
(Posner,
857,
195 F.3d
Ryan,
v.
Young, 209
pursuant
parte
tions
to Ex
C.J.,
compliance
The fact that
dissenting).
(1908),
441, L.Ed. 714
U.S.
regulations does
informed consent
injunctive
relief
declaratory
is not
liability proves that Act 825
negate
Notwithstanding
against state officials.
More
woman’s choice.
designed
help
plaintiffs pregnancy
Roe
the fact that the
over,
Act 825
undisputed that
because it is
prosecution
and that no
had terminated
provide
who
substan
Appellees,
force
will
her,
was threatened
within
services
tially all of the abortion
challenge Texas’s
permitted her to
Act 825
Louisiana,
operations,
to cease
by suing
law
a district
criminal abortion
right
obstacle on the
a substantial
places
Roe,
124-25,
attorney.
at
U.S.
Casey, 505
at
abortion.
U.S.
to choose an
extended
Similarly, the Court
S.Ct. 705.
2791;
Parenthood
Planned
S.Ct.
not
providers Doe
standing to abortion
Miller,
Cir.
63 F.3d
pros
withstanding the fact that none were
1995).
un
prosecution
threatened with
ecuted or
Doe, 410
abortion law.
U.S.
Georgia’s
der
addition,
has
it is clear that
State
While earlier abor
at
447
'
Young
to
chal-
pursuant
actions
strict
address
emphasizing
doctrine —a “triad” —
regulations.
lenging
have
abortion
the officers sued
that
requirements
with the enforcement
“some connection
addition,
statement
plurality’s
In
“specially
or be
in question
act”
that there be some
“requirement
that
the stat-
duty to enforce
with the
charged
enforcement action
or threatened
actual
“triad,”
However,
and
is no
there
ute.”
repeatedly
has been
Young applies
before
by any
recognized
fiction is not
Young
inaccu
courts” is
by the federal
applied
“Smyth-and-Young-as-mmi-
as the
cases
Numerous
rate.
”
the Eleventh
exception to
mized-by-Fitts
“threatened enforcement”
relaxed the
authority
There is no
Amendment bar.
in
con
Young
the abortion
requirement
and Fitts as
Smyth, Young,
supporting
at
112
Casey, 505 U.S.
E.g.,
text.
decisions,
that con-
line of
and
consistent
(reviewing pre-enforcement
2791
S.Ct.
inabil-
Harlan’s
is
Justice
tention
belied
law);
abortion
challenge
Pennsylvania’s
to
from
in Fitts
the statute
ity
distinguish
to
Doe,
186-88,
745
93
at
410
at
U.S.
S.Ct.
at
Young, 209 U.S.
Young.
in
the statute
challenge
(permitting pre-enforcement
J.) (“I
(Harlan,
am unable
193,
“some connection” test
is so amor-
IV.
cannot
phous
plurality
pre-
even the
Nonetheless, even
Ap-
under this “test”
cisely articulate what it measures. The
pellants have “some connection to the en-
initially stated as “whether the
test
is
forcement” of Act 825. A distinct nexus
requires that the
Young fiction
defendant
exists
Act
strips Appellees
pow-
state official have some enforcement
providers
and other abortion
statutory
of
respect
particular
to the
ers
statute
on
malpractice liability
limitations medical
issue,
at
the official
or whether
need have
9:2800.12(0(2).
they currently enjoy. §
powers
only
no such
and
need
enforcement
Attorney
The Governor and
General su-
charged
general authority
be
with the
and
pervise
control
implementation
and
of
that all of
responsibility to see
the laws of
statutory
liability,
limitations of
codi-
faithfully
executed.”
at
Supra
state be
fied in Title 40 of the State’s Revised
added). Then,
(emphasis
this “test” is
By
Statutes.
exempting
brought
all claims
“(1)
gauging
ability
redrafted as
pursuant
Act
825 from Title 40 cover-
official
at
un-
to enforce the statute
issue
age, Act
requires
the Governor and
statutory
powers,
der his
or constitutional
General,
Attorney
and the entities and ad-
(2)
willingness
the demonstrated
control,
they supervise
ministrators
the official to enforce the statute.” Id. at
exemption
enforce
by disallowing any
added). However,
(emphasis
provider’s
liability
abortion
claim to
cover-
undergoes
“test”
a further revision when
age
they
whenever
are sued under Act
the plurality modifies the “demonstrated
825.
willingness” prong
ability
to include “the
Under Louisiana’s
malpractice
medical
to act.” Id. at 421.
regime,
liability
total
capped
$500,000.
at
plurality
The
thus transforms' its rein
§
22C La.Rev.Stat.
40:1299.42.B.
ANN.
terpretation
to create an errone
However, any private
only
doctor is liable
Young’s
ous test that
princi
undermines
up
$100,000-any
liability up
additional
ple
permitting pre-enforcement
officer
$500,000
is to
paid
from a Patient’s
rights
suits to “vindicate federal
and hold
(“PCF”).
Compensation
Fund
responsible
state officials
supreme
‘the
40:1299.42.B;
§
Kelty
see
”
also
v. Brum
authority of the United States.’
Penn
(La.1994)
field,
necessary causal
power
potential
liability
lants’ failure to limit
Appellants wield coercive
because
uphold
injuries
the con
claims based on abortion-related
duty
their
to execute
by “acting”
825 constitutes
under Act 825 will cause the
stitutionality of Act
injury-in-fact.
im
power
Compl.
to effectuate the Act’s coercive
See
for Decl. Re-
lief
R. at
Corp.
Attorney
reprinted
Mobil
HV at
pact. See
Oil
(4th
General,
majority’s
reasoning
F.2d
76-77
Cir. The
flawed
creates a
1991)
controversy
Appellants,
a case or
double
(noting that
standard
perform
a who
challenge
unpopular
exists in a constitutional
but constitu-
tionally protected procedure,
statute becаuse the
effec-
private enforcement
are
tively
inter
bringing
pre-en-
state official has sufficient adverse
barred from
court,
by having
power
challenge
to intervene to
forcement
in federal
ests
statute);7
Papasan,
similarly
478 whereas
situated
are
defend
HMOs
cf.
U.S. at 283 n.
bility requirement when will relieve a discrete
favorable decision He need not show
injury to himself. Stevens, J., J., (Souter, Ginsburg, (1997) (O'Connor, joined joined L.Ed.2d 438 JJ., JJ., Scalia, Thomas, dissenting). Breyer, concurring); id.
