Lead Opinion
Opinion for the Court filed by Circuit Judge GINSBURG.
Dissenting opinion filed by Circuit Judge HENDERSON.
Two scientists brought this suit to enjoin the National Institutes of Health from funding research using human embryonic stem cells (ESCs) pursuant to the NIH’s 2009 Guidelines. The district court granted their motion for a preliminary injunction, concluding they were likely to succeed in showing the Guidelines violated the Dickey-Wicker Amendment, an appropriations rider that bars federal funding for
I. Background
As we explained at an earlier stage of this case, stem cells have the potential of yielding treatments for a wide range of afflictions because scientists can cause them to function as any one of a number of specific types of cell.
Adult stem cells can be found in the various tissues and organs of the human body. ESCs, by contrast, can be found only in a human embryo; isolating an ESC requires removing the “inner cell mass” of the embryo, a process that destroys the embryo. The stem cells among the 30 or so cells in the inner cell mass are then placed in a culture, where they will divide continuously without differentiating, thus forming a “stem cell line” of identical cells. An individual ESC may be removed from the line without disrupting either the multiplication process or the durability of the line. The removed cell may then be used in a research project — either by the investigator who extracted it or by another — in which the ESC will be caused to develop into the type of cell pertinent to that research. Most stem cell lines are maintained by one or another of several research universities, which make them available for scientific use, usually for a small fee.
The plaintiffs in this case, Drs. James Sherley and Theresa Deisher, are scientists who use only adult stem cells in their research. They contend the NIH has, by funding research projects using ESCs, violated the Dickey-Wicker Amendment, which the Congress has included in the annual appropriation for the Department of Health and Human Services each year since 1996. Dickey-Wicker prohibits the NIH from funding:
(1) the creation of a human embryo or embryos for research purposes; or (2) research in which a human embryo or embryos are destroyed, discarded, or knowingly subjected to risk of injury or death greater than that allowed for research on fetuses in útero under 45 C.F.R. 46.204(b) and section 498(b) of the Public Health Service Act (42 U.S.C. 289g(b)).
Pub.L. No. 111-117, § 509(a)(2), 123 Stat. 3034, 3280-81.
In 1996, when the Congress first passed Dickey-Wicker, scientists had taken steps to isolate ESCs but had not yet been able to stabilize them for research in the laboratory. The historical record suggests the Congress passed the Amendment chiefly to preclude President Clinton from acting upon an NIH report recommending federal funding for research using embryos that had been created for the purpose of in vitro fertilization. See O. Carter Snead, Science, Public Bioethics, and the Problem
For that reason, on January 15, 1999, the General Counsel of the Department of Health and Human Services issued a memorandum addressing whether Dickey-Wicker permits federal funding of research using ESCs that had been derived before the funded project began; she concluded such funding is permissible because ESCs are not “embryos.” After notice and comment, the NIH issued funding guidelines consistent with this opinion, see 65 Fed.Reg. 51,976 (2000), but the NIH did not fund any ESC research project while President Clinton was in office.
Early in 2001, President Bush directed the NIH not to fund any project pursuant to President Clinton’s policy; later that year he decided funding for ESC research would be limited to projects using the approximately 60 then-extant cell lines derived from “embryos that ha[d] already been destroyed.” See 37 Weekly Comp. Pres. Doc. 1149, 1151 (Aug. 9, 2001); see also Exec. Order No. 13,435, 72 Fed.Reg. 34,591 (2007); Doe v. Obama,
Upon assuming office in 2009, President Obama lifted the temporal restriction imposed by President Bush and permitted the NIH to “support and conduct responsible, scientifically worthy human stem cell research, including human embryonic stem cell research, to the extent permitted by law.” Exec. Order 13,505, 74 Fed.Reg. 10,667, 10,667 (2009). The NIH, after notice-and-comment rulemaking, then issued the 2009 Guidelines, 74 Fed.Reg. 32,170-32,175 (July 7, 2009), which are currently in effect. In the Guidelines, the NIH noted “funding of the derivation of stem cells from human embryos is prohibited by ... the Dickey-Wicker Amendment.” Id. at 32,175/2. The Guidelines further addressed Dickey-Wicker as follows:
Since 1999, the Department of Health and Human Services (HHS) has consistently interpreted [Dickey-Wicker] as not applicable to research using [ESCs], because [ESCs] are not embryos as defined by Section 509. This longstanding interpretation has been left unchanged by Congress, which has annually reenacted the Dickey [sic] Amendment with full knowledge that HHS has been funding [ESC] research since 2001. These guidelines therefore recognize the distinction, accepted by Congress, between the derivation of stem cells from an embryo that results in the embryo’s destruction, for which Federal funding is prohibited, and research involving [ESCs] that does not involve an embryo nor result in an embryo’s destruction, for which Federal funding is permitted.
Id. at 32,173/2.
In place of President Bush’s temporal limitation, the 2009 Guidelines instituted specific ethical restrictions upon ESC research funded by the NIH: Such research may be conducted only upon stem cell lines derived from embryos that “were created using in vitro fertilization for reproductive purposes and were no longer needed for this purpose,” and that “were donated by individuals who sought reproductive treatment ... who gave voluntary written consent for the human embryos to be used for research purposes,” and who were not paid therefor. Id. at 32,174/2-3. Moreover, the research may use stem cell lines derived from an embryo donated after the effective date of the Guidelines only if the
After the 2009 Guidelines were issued, the Congress once again reenacted Dickey-Wicker as part of the appropriations bill for fiscal year 2010. The Congress has not enacted an appropriations bill for FY 2011, adopting instead a series of continuing resolutions that have carried Dickey-Wicker forward to the present. Neither party to this case has suggested the Congress might modify Dickey-Wicker for the remainder of FY 2011.
Drs. Sherley and Deisher and a number of others filed this suit in August 2009 and moved the district court for a preliminary injunction. Instead, the district court granted the Government’s motion to dismiss the suit for want of standing. The plaintiffs appealed and we reversed in part, holding the doctors alone had standing because they competed with ESC researchers for NIH funding. Sherley I,
On remand, the district court granted the doctors’ motion and issued a preliminary injunction providing “that defendants and their officers, employees, and agents are enjoined from implementing, applying, or taking any action whatsoever pursuant to the [2009 Guidelines], or otherwise funding research involving human embryonic stem cells as contemplated in the Guidelines.” Upon the Government’s motion, this court stayed the preliminary injunction pending appeal thereof. In the meantime, proceedings have continued in. the district court, where the parties have cross-moved for summary judgment. The only question before us now, therefore, is the propriety of the preliminary injunction.
II. Analysis
A preliminary injunction is “an extraordinary remedy that may only be awarded upon a clear showing that the plaintiff is entitled to such relief.” Winter v. Natural Res. Def. Council, Inc.,
We pause to consider how we are to treat these four factors. Before Winter, this court and others had allowed that a strong showing on one factor could make up for a weaker showing on another. See Davenport v. Int’l Bhd. of Teamsters,
In their concurring opinion in Davis, two judges expressed the view that “under the Supreme Court’s precedents, a movant cannot obtain a preliminary injunction without showing both a likelihood of success and a likelihood of irreparable harm, among other things.” Id. at 1296. They
Like our colleagues, we read Winter at least to suggest if not to hold “that a likelihood of success is an independent, free-standing requirement for a preliminary injunction,” Davis,
We review the district court’s balancing of the four factors for abuse of discretion. Davis,
A. Likelihood of Success on the Merits
In entering the preliminary injunction, the district court concluded the plaintiff doctors are likely to succeed in demonstrating the 2009 Guidelines are inconsistent with the limits upon funding in the Dickey-Wicker Amendment.
1. Chevron step one
We begin our review, of course, by looking to the text of Dickey-Wicker, which bars federal funding specifically for “research in which a human embryo or embryos are destroyed, discarded, or knowingly subjected to risk of injury or death greater than that allowed for research on fetuses in útero” under the Public Health Service Act and a particular regulation of the Department of Health and Human Services. The district court held, and the plaintiffs argue on appeal, this provision unambiguously bars funding for any project using an ESC. They reason
The use of the present tense in a statute strongly suggests it does not extend to past actions. The Dictionary Act provides “unless the context indicates otherwise ... words used in the present tense include the future as well as the present.” 1 U.S.C. § 1. As the Supreme Court has observed, that provision implies “the present tense generally does not include the past.” Carr v. United States, — U.S. —,
The plaintiffs respond by reiterating their primary argument: Because “research” using an ESC includes derivation of the ESC, the derivation does not predate but is an integral part of the “research.” The conclusion does not follow from the premise; at best it shows Dickey-Wicker is open to more than one possible reading.
2. Chevron step two
We turn, therefore, to Chevron step two, under which we must uphold the NIH’s interpretation of Dickey-Wicker if it is but “reasonable.” See Chevron,
The plaintiffs argue instead the NIH is not entitled to deference because it never offered an interpretation of the term “research.” Their premise is not entirely correct: In the 2009 Guidelines the NIH expressly distinguished between the derivation of ESCs and “research involving [ESCs] that does not involve an embryo nor result in an embryo’s destruction.” 74 Fed.Reg. 32,173/2. Thus, although the Guidelines do not define the term “research,” they do make clear the agency’s understanding that “research involving [ESCs]” does not necessarily include the antecedent process of deriving the cells.
The plaintiffs, invoking our opinion in Public Citizen, Inc. v. HHS,
To this point the plaintiffs apparently respond that the NIH has, by treating derivation as part of “research,” shown its understanding of Dickey-Wicker is unreasonable. Their argument is that, because the standard definition of “research” requires some kind of scientific inquiry, and deriving ESCs, standing alone, involves no such inquiry, the act of derivation can be deemed “research” only if it is part of a larger project. The plaintiffs refer us to 45 C.F.R. § 46.102(d), supra at 394 n. *; see also, e.g., Merriam-Webster Dictionary Online, http://merriam-webster.com/ dictionary/research (last visited Mar. 20, 2011) (“careful or diligent search”; “studious inquiry or examination; especially: investigation or experimentation aimed at the discovery and interpretation of facts, revision of accepted theories or laws in the light of new facts, or practical application of such new or revised theories or laws”); Oxford English Dictionary Online, http:// www.oed.com/viewdictionaryentry/Entry/ 163432 (last visited Mar. 22, 2011) (“Systematic investigation or inquiry aimed at contributing to knowledge of a theory, topic, etc., by careful consideration, observation, or study of a subject”). The plaintiffs’ premise is valid in part: Because the Guidelines state Dickey-Wicker bans funding for the derivation of ESCs and Dickey-Wicker bans only “research,” it is clear the NIH treats the act of derivation as
Rather than rely upon that account of derivation qualifying as research, let us assume for the sake of the plaintiffs’ argument derivation involves no scientific inquiry; it does not follow that the NIH may define derivation as “research” only if or insofar as the derivation is tethered to some later project using the derived cells. Although an understanding of “research” that includes the derivation of stem cells is not the ordinary reading of that term, it is surely as sensible as the plaintiffs’ alternative, in which the derivation of a cell line is deemed part of every one of the scores if not hundreds of subsequent research projects — although pursued by different scientists, perhaps many years later — to use one of the derived cells. To define derivation as “research,” in other words, makes at least as much sense as to treat the one-off act of derivation as though it had been performed anew each time a researcher, however remote in time or place, uses a stem cell from the resulting line.
Broadening our focus slightly, however, we can see the words surrounding “research” in the statute support the NIH’s reading. Because the Congress wrote with particularity and in the present tense — the statute says “in which” and “are” rather than “for which” and “were” — it is entirely reasonable for the NIH to understand Dickey-Wicker as permitting funding for research using cell lines derived without federal funding, even as it bars funding for the derivation of additional lines.
Further, adding the temporal dimension to our perspective, we see, as the NIH noted in promulgating the 2009 Guidelines, the Congress has reenacted Dickey-Wicker unchanged year after year “with full knowledge that HHS has been funding [ESC] research since 2001,” 74 Fed.Reg. 32,173/2, when President Bush first permitted federal funding for ESC projects, provided they used previously derived ESC lines. As the plaintiffs conceded at oral argument, because this policy permitted the NIH to fund projects using ESCs, it would have been prohibited under then-proposed reading of Dickey-Wicker. So, too, with the policy the Clinton Administration announced in 1999 and, of course, with the 2009 Guidelines promulgated by the Obama Administration. The plaintiffs have no snappy response to the agency’s point that the Congress’s having reenacted Dickey-Wicker each and every year provides “further evidence ... [it] intended the Agency’s interpretation, or at least understood the interpretation as statutorily permissible.” Barnhart v. Walton,
3. Subsidiary Arguments
A few matters remain. First, we note, because the plaintiffs bring solely a facial challenge to the Guidelines, we have no occasion to consider their suggestion that the NIH might grant the researcher who derived an ESC line federal funds for research using it, which would link the act of derivation more closely to subsequent research and test the distinction between them drawn by the NIH. However that case — were it ever to materialize — might play out is irrelevant here.
The plaintiffs also argue the Guidelines transgress the prohibition in Dickey-Wicker against “research in which a human embryo or embryos are ... knowingly subjected to risk of injury or death.” To the extent this argument is distinct from the plaintiffs’ principal argument that all ESC research is research in which an embryo is destroyed, it relies upon the proposition that ESC research “creat[es] demand for[ ] human embryonic stem cells,” which “necessitate[s] the destruction of embryos.” The district court did not address this theory in entering the preliminary injunction. Although ordinarily we “may affirm the judgment of the district court on the basis of a different legal theory,” Harbor Ins. Co. v. Stokes, 45
Because those of the plaintiffs’ legal arguments that are properly before us do not stand up well to analysis, it follows they have not shown they are more likely than not to succeed on the merits of their case. Indeed, were we to adopt the strict reading given Winter by our concurring colleagues in Davis, our inquiry would end here. Under the sliding-scale approach, however, we must go on to determine whether the other three factors so much favor the plaintiffs that they need only have raised a “serious legal question” on the merits. See Wash. Metropolitan Area Transit Comm’n v. Holiday Tours, Inc.,
B. Balance of the Equities
The district court reasoned the “balance of hardships weighs in favor of an injunction” because, for ESC researchers, “the injunction would simply preserve the status quo and would not interfere with their ability to obtain private funding.”
As we see it, however, a preliminary injunction would in fact upend the status quo. True, the plaintiffs compete with ESC researchers for funding — indeed, that is why they have standing to bring this case, see Sherley I,
The hardship a preliminary injunction would impose upon ESC researchers, by contrast, would be certain and substantial. The injunction entered by the district court would preclude the NIH from funding new ESC projects it has or would have deemed meritorious, thereby inevitably denying other scientists funds they would
All this is to say the balance of equities tilts against granting a preliminary injunction. That, combined with our conclusion the plaintiffs have not shown they are likely to succeed on the merits, leads us to hold the district court abused its discretion in awarding preliminary injunctive relief.
III. Conclusion
Because the plaintiffs have not shown they are likely to succeed on the merits, we conclude they are not entitled to preliminary injunctive relief. We reach this conclusion under the sliding scale approach to the preliminary injunction factors; a fortiori we would reach the same conclusion if likelihood of success on the merits is an independent requirement. Therefore, the preliminary injunction entered by the district court must be and is
Vacated.
Notes
The plaintiffs urge us to adopt the district court’s view that Dickey-Wicker incorporates the definition of "research” in the Human Subject Protection regulations: "a systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalizable knowledge.” 45 C.F.R. § 46.102(d). The Government argues otherwise, but we need not resolve this debate because, as the Government also argues, that a project involves "research development” or is " systematic’ does not mean that it includes acts or processes,” such as deriving ESCs, "that predated the federally funded research.”
The plaintiffs rely upon Merck KGaA v. Integra Lifesciences I, Ltd.,
Our dissenting colleague takes us to task for “read[ing] ‘research’ as if it were synonymous with 'research project,’ ” but we give it no such fixed meaning. Rather, our point is that “research,” although susceptible to a broad definition, is also reasonably understood as a more discrete endeavor.
The parties' disagreement over whether the NIH’s interpretation should be deemed "longstanding” is beside the point; this is not a situation in which we are asked to infer the Congress's assent from its inaction over a long period. Regardless how much time has passed, reenactment is evidence the Congress approves the agency’s application of the statute. Creekstone Farms Premium Beef L.L.C. v. USDA,
The same is true of the plaintiffs' suggestion that a researcher might use federal funds to purchase ESCs; it is nothing more than another argument that the Guidelines could be applied unlawfully.
As the dissent notes, a panel of this court once held this standard inapplicable to a facial statutory (as opposed to a facial constitutional) challenge to a regulation. See Nat’l Mining Ass’n v. U.S. Army Corps of Eng'rs,
Dissenting Opinion
dissenting:
The majority opinion has taken a straightforward case of statutory construction and produced a result that would make Rube Goldberg tip his hat. Breaking the simple noun “research” into “temporal” bits, Maj. Op. at 391, 391, 396, narrowing the verb phrase “are destroyed” to an unintended scope, id. at 394, dismissing the definition section of implementing regulations promulgated by the Department of Health and Human Services (HHS) (in case the plain meaning of “research” were not plain enough), id. at 394 n. *, my colleagues perform linguistic jujitsu. I must therefore respectfully dissent.
The Government appeals from the district court’s entry of a preliminary injunction prohibiting it “from implementing, applying, or taking any action whatsoever pursuant to” the NIH Guidelines for Human Stem Cell Research (Guidelines), 32 Fed.Reg. 32,170 (July 7, 2009), “or otherwise funding research involving human embryonic stem cells as contemplated in the Guidelines.” Order, Sherley v. Sebelius,
I. Likelihood of Success on the Merits
The majority opinion sets out the background information describing the “derivation” of human embryonic stem cells (hESCs) from a human embryo — which action destroys the embryo — and the subsequent use of the hESCs in the hope of remedying many serious, and often fatal, diseases and debilitating physical conditions. I take no exception to that portion of the majority opinion except to the extent that it recites the “historical record suggests the Congress passed the [Dickey-Wicker] Amendment chiefly” to address matters other than hESC research. Maj. Op. at 390. The Government’s brief suggests otherwise. After explaining that the Congress enacted the Amendment “in reaction to a 1994 NIH panel report,” Appellants’ Br. 21, it recites that the 1994 report advocated federal funding of research “designed to improve the process of in vitro fertilization, to determine whether embryos carried genetic abnormalities, and to isolate embryonic stem cells.” Id. (second emphasis added). There is no reason to assume, therefore, the Congress did not consider hESC research when it first enacted the Dickey-Wicker Amendment (Amendment) in 1996.
The Amendment, reenacted annually as a rider to appropriations legislation, prohibits the expenditure of federal funds both for “the creation of a human embryo or embryos for research purposes” and for “research in which a human embryo or embryos are destroyed.” Consolidated Appropriations Act of 2010, Pub.L. No. 111-117, § 509(a), 123 Stat. 3034, 3280-31 (Dec. 16, 2009). It is the latter ban that the plaintiffs claim is violated by the 2009 Guidelines. Determining whether hESC research is “research in which a human embryo or embryos are destroyed” requires determining the meaning of “research.” The plaintiffs contend that all hESC research constitutes research in which human embryos are destroyed and that the Amendment accordingly prohibits federal funding thereof. The Government counters that the derivation of hESCs and the subsequent use of those cells, although both research, are not part of the same— and prohibited — research. We construe the Amendment under the familiar two-step approach set forth in Chevron U.S.A. Inc. v. Natural Res. Def. Council, Inc.,
The district court correctly looked to the dictionary definition of “research” as “diligent and systematic inquiry or investigation into a subject in order to discover or revise facts, theories, applications, etc.” Sherley v. Sebelius,
That the intent of the 1996 Congress, in enacting the Amendment, is to prohibit all hESC research — not just research attendant on the derivation of the cells — is clear by comparing the language used to ban federal funding for the creation of an embryo with the language the plaintiffs rely on. See Erlenbaugh v. United States,
If there were any uncertainty about the extent of the Amendment’s ban, it would be erased by reading the Amendment’s language in full, as the district court— again, correctly — did. The ban on federal funding of hESC research provides that federal funds may not be used for:
[RJesearch in which a human embryo or embryos are destroyed, discarded, or knowingly subjected to risk of injury or death greater than that allowed for research on fetuses in útero under 45 C.F.R. 46.204(b) and section 498(b) of the Public Health Service Act (42 U.S.C. 289g(b)).
Pub.L. No. 111-117, § 509(a)(2),
In my view, the majority opinion strains mightily to find the ambiguity the Government presses.
But it is not only the majority opinion’s view of verb tenses that is wrong. My colleagues rest their Chevron step two analysis on the transformation of “research” into “research project” in the Amendment’s text. In other words, it reads “research” as if it were synonymous with “research project.” Maj. Op. at 389-91, 393-97, 398-99. But “research” is the overall “systematic investigation or inquiry” in a field — here, hESCs — of which each project is simply a part. Webster’s Third New International Dictionary 1813 (1993) (“project” means “a definitely formulated piece of research” (emphasis added)). Without the majority opinion’s misreading of “research” as “research project,” the entire notion of pieces of research evaporates — taking with it the “ambiguity” that sets Chevron step two in motion.
Finally, it is of little moment that the Congress has reenacted the Amendment unchanged every year since 1996. While congressional reenactment ordinarily means the Congress intended to adopt an existing agency interpretation of the statute, e.g., Commodity Futures Trading Comm’n v. Schor,
II. Remaining Factors
In addition to likelihood of success on the merits, the plaintiffs must also show “(2) irreparable harm to [them], (3) [no] substantial harm to the [Government], and (4) [the] public interest [is not harmed],” Davis,
To demonstrate irreparable harm in the absence of an injunction, the plaintiffs’ injury “[must be] of such imminence that there is a clear and present need for equitable relief to prevent irreparable harm.” Chaplaincy of Full Gospel Churches v. England,
For the foregoing reasons, I respectfully dissent.
. That the Amendment references section 46.204(b) in comparing the risk of injury or death to a human embryo does not affect the Amendment's incorporation of section 46.102(d)'s definition of research. Determining the level of risk permitted for “research on fetuses in útero under [section] 46.204(b)” necessarily requires construing “research” and section 46.102(d) defines "research.”
. The Government may not have always taken this view of the Amendment. See Letter from Kate Berg, Deputy Scientific Director, NCHGR, to Wendy Fibison, Researcher at Georgetown University Medical Center (Oct. 10, 1996) (Joint Appendix 283) ("NIH position on embryo research” is federally funded researchers "[can]not engage in embryo related research” including certain types of "analysis from DNA derived from a human embryo”). But see Appellants' Reply Br. 7-8 (claiming Georgetown research, like derivation, “require[d] the removal of a cell from an embryo”).
. The Government's suggested change in inflection can fairly be described as Clintonesque (“It depends upon what the meaning of
. Moreover, the Amendment combines the present tense "are” with the past participle “destroyed,” that is, with "[a] verb form indicating past or completed action or time that is used as a verbal adjective.” Fla. Dep’t of Revenue v. Piccadilly Cafeterias, Inc.,
. Likewise, the sequenced action inherent in “research," supra pp. 400-01, does not equate to individual research "projects."
. Moreover, the challenged Guidelines were not promulgated until 2009 so that congressional reenactment of the Amendment in the years predating 2009 signifies nothing in relation to the Guidelines.
. The majority opinion dismisses the plaintiffs' challenge that the Guidelines permit a researcher to use federal funds to purchase hESCs and even permit a federally-funded researcher to derive the cells himself. Maj. Op. at 397-98. It concludes those possibilities do not affect the facial validity of the Guidelines because they do not demonstrate that "no set of circumstances exists under which the [Guidelines] would be valid.” United States v. Salerno,
