Summit Medical Center of Alabama, Inc. v. RileySummit Medical Center of Alabama, Inc. v. Riley
MEMORANDUM OPINION AND ORDER
I. INTRODUCTION
This cause is before the court on a Motion to Alter or Amend Order on Summary Judgment filed by the Defendants on August 8, 2003 (Doc. # 100).
On July 23, 2003, the court issued a Memorandum Opinion and Order (Doc. # 99) in which,
inter alia,
the court granted partial summary judgment in favor of the Plaintiffs, concluding that the last sentence of Alabama Code section 26-23A-5(c) violates the First Amendment to the United States Constitution to the extent that it may be applied to providers of abortions.
See Summit Medical Center of Alabama, Inc. v. Riley,
II.MOTION TO RECONSIDER STANDARD
District courts are necessarily afforded substantial discretion in ruling on motions for reconsideration.
Mincey v. Head,
III. FACTS AND PROCEDURAL HISTORY
The State of Alabama adopted The Woman’s Right to Know Act (“Act”) on April 17, 2002. See Ala.Code §§ 26-23A-1 to 13. Its purpose is “to ensure that every woman considering an abortion receives complete information on the procedure, risks, and her alternatives.” Id. at § 26-23A-2(b). Among other things, the Act requires the Alabama Department of Public Health (“ADPH”) to create an informational brochure containing the following information:
(1)Geographically indexed printed materials designed to inform the woman of public and private agencies and services available to provide medical and financial assistance to a woman through pregnancy, prenatal care, upon childbirth, and while her child is dependent. The materials shall include a comprehensive list of the agencies, a description of the services offered, and the telephone numbers and addresses of the agencies.
(2) The printed materials shall include a list of adoption agencies geographically indexed and that the law permits adoptive parents to pay the cost of prenatal care, childbirth and neonatal care.
(3) Printed materials that inform the pregnant woman of the probable anatomical and physiological characteristics of the unborn child at two-week gestational increments from fertilization to full term. It shall include color photographs of the developing child at each of the two-week gestational increments, a clear description of the unborn child’s development, any relevant information on the possibility of the unborn child’s survival, and dimensions of the unborn child. The materials shall be realistic, clear, objective, non-judgmental, and designed to convey only accurate scientific information about the unborn child at the various gestational ages.
(4) The materials shall contain objective information describing the methods of abortion procedures commonly employed and the medical risks of each, and the medical risks associated with carrying a child to term.
(5) The printed materials shall list the support obligations of the father of a child who is born alive.
(6) The printed materials shall state that it is unlawful for any individual to coerce a woman to undergo an abortion, that any physician who performs an abortion upon a woman without her informed consent may be liable to her for damages in a civil action at law.
(7) The material shall include the following statement: “There are many public and private agencies willing and able to help you to carry your child to term, and to assist you and your child after your child is born, whether you choose tokeep your child or place him or her for adoption. The State of Alabama strongly urges you to contact those agencies before making a final decision about abortion. The law requires that your physician or his or her agent give you the opportunity to call agencies like these before you undergo an abortion.”
Id. at § 26-23A-5(a). These materials “shall be in a bound booklet, shall contain large clear photographs, and shall be printed in a typeface large enough to be clearly legible.” Id. at § 26-28A-5(b). Under the Act, a physician or qualified person 1 must provide a copy of the information booklet to a woman seeking an abortion at least 24 hours prior to the abortion procedure. Id. at § 26-23A-4(a).
In addition to the information booklet, the Act requires ADPH to create a video tape detailing much of the information in the printed materials as well as a consent form in order for the patient to verify that she gives informed consent pursuant to the Act. Id. at §§ 26-23A-(6)(a), (c). Unlike the mandatory printed materials, however, the Act does not require patients to view the video tape if they do not want to do so. See id. §§ 26-23A-4(b)(5), 4(d) (stating that a woman gives informed consent if she acknowledges on the consent form that she had the opportunity to view the video tape).
The Act states that ADPH “may charge a reasonable fee based on the cost of producing the materials and video tape.” Id. at § 26-23A-(5)(c). According to a letter dated September 18, 2002, ADPH informed the Plaintiffs that the printed information packages may be purchased at a cost of $4.00 each, plus $6.00 shipping and handling. See Memorandum in Support of Plaintiffs’ Motion for Summary Judgment (Doc. # 70), Exhibit B. As a service to large volume consumers, however, ADPH stated that it will waive the shipping and handling fees on orders that are received between certain specified dates each year. Id. ADPH also expressed its intent to charge the Plaintiffs $50 for each copy of the video tape. Id.
In their Amended Class Action Complaint, the Plaintiffs’ Tenth Claim alleged that the Act’s compelled distribution and payment provisions violate the First Amendment because they force abortion providers “to pay money for mandatory speech they do not wish to endorse let alone purchase.” Amended Class Action Complaint, ¶ 99. Both the Plaintiffs and Defendants filed cross motions for summary judgment on this claim (Docs. # 69 & 71). After considering the arguments presented, the court granted each party’s motion in part. With respect to the compelled distribution provision of the Act, § 26-23A-4(a), the court granted summary judgment in favor of the Defendants, concluding that this section does not run afoul of the First Amendment.
See Riley,
IV. DISCUSSION
The Defendants’ Motion to Alter or Amend Order on Summary Judgment is directed toward the court’s conclusion that the Act’s compelled payment provision violates the First Amendment. In support of their motion, the Defendants assert two arguments. First, the Defendants contend that the court failed to view the Act’s compelled payment provision within the context of the State’s broader regulatory
Even if the court were to consider the merits of the Defendants’ arguments, the court would not alter or amend its decision. As to the Defendants’ contention that the court failed to place the act within the context of the State’s comprehensive abortion regulation scheme, this argument is unpersuasive given the Supreme Court’s language in
United Foods.
In
United Foods,
the Court explained that “a threshold inquiry must be whether there is some state imposed obligation which makes group membership less than voluntary; for it is only the overriding associational purpose which allows any compelled subsidy for speech in the first place.”
United Foods,
Unlike the cases cited above,
United Foods
involved a situation in which the government required compelled association of mushroom handlers not for a broader regulatory purpose, but only to compel them to fund speech, specifically advertising that promoted mushroom sales.
See id.
at 415,
Like the mushroom producers in
United Foods,
the Plaintiffs in this case are not forced to associate as a group in order to further a broader regulatory end. Even if the court viewed the Act and its compelled payment provision within the context of the State’s comprehensive scheme of abortion regulation, the fact remains that the State’s other abortion regulations do not require any collective association whatsoever.
See Ala.Code
§§ 26-21-1 to 8 (requiring parental or judicial consent in order for unemancipated minor to obtain an abortion); §§ 26-22-1 to 5 (criminalizing abortion of viable unborn child);
Ala. Admin. Code
§§ 420-5-1-.01 to .04 (regulations concerning the administration and physical environment of abortion facilities). In short, the “cooperative ... structure” present in
Abood, Keller,
and
Glichman
“finds no corollary here” due to the lack of a “state imposed obligation which makes group membership less than voluntary.”
United Foods,
With regard to the Defendants’ “government speech” argument, the court notes that the Defendants never raised this argument in any of their briefs or during oral argument. Now, the Defendants have presented the court with a recent case from the Eastern District of California,
R.J. Reynolds Tobacco Co. v. Bonta,
The government speech doctrine has been described by one federal court as follows:
A government agency may use revenue, whether derived from taxes, dues, fees, tolls, tuition, donations, or other sources for any purposes within its authority. To effectively govern, it must take substantive positions and decide disputed issues. So long as it bases its actions on legitimate goals, the government may speak despite citizen disagreement with the content of the message. Keller v. State Bar of Cal.,496 U.S. 1 , 10,110 S.Ct. 2228 ,110 L.Ed.2d 1 (1990).
The government is not required to be content-neutral. Id. “When the government speaks, for instance to promote its own policies or to advance a particular idea, it is, in the end, accountable to the electorate and the political process for its advocacy. If the citizenry objects, newly elected officials later could espouse some different or contrary position.” Board of Regents of the University of Wisconsin System v. Southworth, 529 U.S. 217 , 235,120 S.Ct. 1346 ,146 L.Ed.2d 193 (2000). The government may fund viewpoint-based speech when the government itself is the speaker. Legal Servs. Corp. v. Velazquez,531 U.S. 533 , 541,121 S.Ct. 1043 ,149 L.Ed.2d 63 (2001). It also may use private speakers to disseminate specific messages pertaining to government programs. Id.; Rosenberger v. Rector and Visitors of the Univ. of Vir.,515 U.S. 819 , 833,115 S.Ct. 2510 ,132 L.Ed.2d 700 (1995).
Charter v. United States Dep’t of Agric.,
In
Keller,
the State Bar of California argued that its speech was “government speech,” and “therefore entitled to the treatment accorded to a governor, mayor, or a state tax commission.”
Keller,
Government officials are expected as a part of the democratic process to represent and to espouse the views of a majority of their constituents. With countless advocates outside of the government seeking to influence its policy, it would be ironic if those charged with making governmental decisions were not free to speak for themselves in the process. If every citizen were to have a right to insist that no one paid by public funds express a view with which he disagreed, debate over issues of great concern tothe public would be limited to those in the private sector, and the process of government as we know it radically transformed. Cf. United States v. Lee, 455 U.S. 252 , 260,102 S.Ct. 1051 , 1056,71 L.Ed.2d 127 (1982) (“The tax system could not function if denominations were allowed to challenge the tax system because tax payments were spent in a manner that violates their religious belief’).
The State Bar of California was created, not to participate in the general government of the State, but to provide specialized professional advice to those with the ultimate responsibility of governing the legal profession. Its members and officers are such not because they are citizens or voters, but because they are lawyers. We think that these differences between the State Bar, on the one hand, and traditional government agencies and officials, on the other hand, render unavailing respondent’s argument that it is not subject to the same constitutional rule with respect to the use of compulsory dues as are labor unions representing public and private employees.
Id.
at 12-13,
Several years later, in
Board of Regents of the University of Wisconsin v. Southworth,
When the government speaks, for instance to promote its own policies or to advance a particular idea, it is, in the end, accountable to the electorate and the political process for its advocacy. If the citizenry objects, newly elected officials later could espouse some different or contrary position. In the instant case, the speech is not that of the University or its agents.
Id.
Finally, in
United Foods,
the government argued that the council’s mushroom advertising was properly classified as “government speech,” thus the government concluded that it was immune from the First Amendment scrutiny that would otherwise apply.
See United Foods,
After reviewing the Supreme Court’s dicta on government speech, this court concludes that the State of Alabama is not required to be a content-neutral player in the marketplace of ideas.
See Nat’l Endowment for the Arts v. Finley,
The First Amendment states that “Congress shall make no law ... abridging the freedom of speech.” As evidenced from the text, the First Amendment acts as a prohibitive barrier to government infringement on the free speech rights of citizens. The First Amendment does not purport to bestow any superior free speech rights on the government. While the structural underpinnings of democracy certainly permit the government to engage in speech to advance its policies, the First Amendment does not provide the government with wholesale immunity from infringing on the rights of citizens when it chooses to speak. In fact, the First Amendment does just the opposite, it prevents the government from using its power to restrict the free speech rights of private citizens. Given this textual structure, the court believes that the government speech doctrine cannot serve as a shield against all First Amendment challenges.
See Livestock Mktg.,
In this case, the State has interfered with the Plaintiffs’ free speech rights by compelling them to contribute money that is subsequently used to fund government speech that the Plaintiffs find objectionable.
See Abood,
With regard to the degree of the State’s intrusion, the court believes it is relevant to consider the “coerced nexus between the individual and the specific expressive activity.”
United States v. Frame,
Bonta,
the case principally relied upon by the Defendants, does not account for the considerable intrusion on First Amendment rights that results from a direct fee assessment as opposed to a more generalized tax. The
Bonta
court took the position that the method of funding government speech is irrelevant to the constitutional inquiry “so long as those expenditures fall within legal limits.”
Bonta,
As to the State’s interest in requiring abortion providers to pay for the information materials, the State contends it is facing “serious funding shortfalls,” thus the expense of producing the materials is “not necessarily one which the state treasury could easily bear.”
See
Defendants’ Brief In Opposition to Plaintiffs’ Motion for Partial Summary Judgment, p. 9. Although the State’s interest in monetary savings is legitimate, it cannot overcome the First Amendment interests at stake in this case.
See Lassiter v. Dep’t of Social Servs.,
Merging the two components of the balancing inquiry, the court concludes that the State’s interest in requiring abortion providers to pay for its informational materials cannot justify the significant infringement on the Plaintiffs’ First Amendment rights. Accordingly, even if the Defendants had presented the court with its government speech argument at the appropriate stage of this litigation, the court would not have altered its conclusion that the Act’s compelled payment provision, section 26-23A-5(c), violates the First Amendment.
V. CONCLUSION AND ORDER
For the reasons stated above, it is hereby ORDERED that the Defendants’ Motion to Alter or Amend Order on Summary Judgment is DENIED.
Notes
. The Act defines a "qualified person” as "[a]n agent of the physician who is a psychologist, licensed social worker, licensed professional counselor, registered nurse, or physician." Id. at § 26-23A-3(9).
. Like
United Foods,
these case have generally arisen in the context of an agricultural or livestock “check off” program in which a state or federal statute authorizes the creation of a board that imposes fees on handlers of certain goods. The board then uses the money generated by these fees for promotion and advertising of the goods.
See, e.g., Jenkins,
. The Court also quoted Thomas Jefferson: "to compel a man to furnish contributions of money for the propagation of opinions which he disbelieves, is sinful and tyrannical."
Abood,
. The only substantial Eleventh Circuit discussion of the government speech doctrine occurs in
NAACP v. Hunt,