Lead Opinion
Our previous decision in this case affirmed the district court’s March 22, 2005 denial of the plaintiffs’ motion for a temporary restraining order as to the claims raised in the five counts of the initial complaint filed in this case. Schiavo ex rel. Schindler v. Schiavo ex rel. Schiavo,
On the basis of the claims contained in those new counts, plaintiffs also filed a second motion for a temporary restraining order. Like their first motion for a temporary restraining order, this one sought an injunction to require the defendants to transport Theresa Marie Schindler Schiavo to a hospital for restoration of nutrition and hydration and for medical treatment. On the evening of March 24, 2005, the district court held a hearing on the motion and, after working through the night, issued an order earlier today denying the motion. A copy of that order is attached as an Appendix to this opinion. We now have before us the plaintiffs’ appeal from the order denying that second motion for a temporary restraining order.
Our prior decision in this case brings into play the law of the case doctrine insofar as issues, we addressed in our March 23, 2005 opinion are concerned. “Under the law-of-the-case doctrine, [the resolution of] an issue decided at one stage of a case is binding at later stages of the same case.” Toole v. Baxter Healthcare Corp.,
Law of the case binds not only the trial court but this court as well. See, e.g., Burger King Corp.,
There are a few discrete exceptions to the law of the case doctrine. It “does not limit the court’s power to revisit previously decided issues when (1) new and substantially different evidence emerges at a subsequent trial; (2) controlling authority has been rendered that is contrary to the previous decision; or (3) the earlier ruling was clearly erroneous and would work a manifest injustice if implemented.” Klay v. All Defendants,
Because our previous decision was published, the prior panel precedent rule also applies to any holdings reached in the earlier appeal. “Under the well-established prior panel precedent rule of this Circuit, the holding of the first panel to address an issue is the law of this Circuit, thereby binding all subsequent panels unless and until the first panel’s holding is overruled by the Court sitting en banc or by the Supreme Court.” Smith v. GTE Corp.,
When read against the law of the case doctrine and the prior panel precedent rule, our March 23, 2005 decision establishes the following propositions that we take as given in this appeal: Pub.L. No. 109-3 does not supplant the law applicable to temporary restraining orders or preliminary injunctions, Schiavo I,
We turn now to the claims that were not decided in our prior opinion. Count Six of the amended complaint claims that the defendants’ actions violate the Americans with Disabilities Act (ADA), 42 U.S.C. § 12101 et seq. We agree with the district court that Defendant Michael Schiavo, as court appointed guardian for Theresa Schiavo, is neither a public entity, pursuant to 42 U.S.C. § 12131(1), nor a public accommodation, pursuant to 42 U.S.C. 12181(7).
The district court is also correct that Defendant Hospice of Florida Sun-coast, Inc. is not a “public entity” within the meaning of the ADA. See 42 U.S.C. §§ 12131(1)(A)-(C). Assuming it is a place of “public accommodation,” the plaintiffs
Count Seven asserts a claim against the Defendant Hospice under § 504 of the Rehabilitation Act of 1973, as amended, 29 U.S. § 794. As the district court explained, Theresa Schiavo is not “otherwise qualified” within the meaning of this Act “because she would not have had any need for a feeding tube to deliver nutrition and hydration but for her medical condition.” Schiavo ex rel. Schindler v. Schiavo,
Count Eight is a procedural due process claim asserting that under Cruzan v. Mo. Dep’t of Health,
First, Cruzan did not establish that the Constitution requires application of a clear and convincing evidence standard before termination of care. The Supreme Court held in Cruzan only that a state could, if it wished, require that evidence of the incompetent’s wishes be proven by clear and convincing evidence. Id. at 280,
Of course, holding that states may permissibly impose a requirement says nothing about whether states must impose it. One need look no further than the Cruzan opinion itself for that truism. Referring to a previous decision upholding a state’s favored treatment of family relationships in termination of care situations, the Court explained, “such a holding may not be turned around into a constitutional requirement that a state must recognize the primacy of those relationships in a situation like this.” Id. at 286,
Second, even if constitutional law did work the way the plaintiffs want, contrary to the explicit teaching of the Supreme Court in the Cruzan opinion itself, they would still not have a substantial case on this claim. Plaintiffs would not, because Florida has adopted the very requirement that they say the Constitution mandates, a clear and convincing evidence standard, In re Guardianship of Browning,
The claim in Count Nine, that the defendants’ actions violate the Eighth Amendment’s prohibition against cruel and unusual punishment, is plainly without merit. That constitutional provision applies only to punishments inflicted after conviction for crimes, not to life support or medical treatment decisions. See Browning-Ferris Indus. of Vt., Inc. v. Kelco Disposal, Inc.,
Count Ten claims that the Fourteenth Amendment Due Process Clause is violated when any person is deprived of nutrition and hydration against her wishes. To support this proposition, plaintiffs again rely on Cruzan, the narrow holding of which we have already discussed at length. To the extent they claim a right to procedural due process — and the supplemental motion in support of this count that they filed in the district court indicates that is their specific claim — it has been afforded in abundance. As Florida’s Second District Court of Appeal observed, “Not only has Mrs. Schiavo’s case been given due process, but few, if any, similar cases have ever been afforded this heightened level of process.” In re Guardianship of Schiavo, — So.2d -, -,
To the extent plaintiffs claim a substantive due process right, there is no authority to support their position. We are mindful that the Supreme Court has described itself as having “always been reluctant to expand the concept of substantive due process because guideposts for responsible decisionmaking in this unchartered area are scarce and open-ended.” Collins v. City of Harker Heights, Texas,
The district court’s denial of the temporary restraining order is
AFFIRMED.
APPENDIX
THERESA MARIE SCHINDLER SCHIAVO, incapacitated ex rel., ROBERT SCHINDLER and MARY SCHINDLER, her Parents and Next Friends, Plaintiffs,
vs. MICHAEL SCHIAVO, as Guardian of the Person of Theresa Marie Schindler Schiavo, Incapacitated, JUDGE GEORGE W. GREER and THE HOSPICE OF THE FLORIDA SUN-COAST, INC., Defendants.
Case No. 8:05-CV-530-T-27TBM
UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF FLORIDA, TAMPA DIVISION
2005 U.S. Disí. LEXIS 4.609
March 25, 2005, Decided
COUNSEL: [*1] For Theresa Marie Schindler Schiavo, incapacitated ex rel., Robert Schindler and Mary Schindler, her parents and next friends, Plaintiff: David G. Gibbs, III, Gibbs Law Firm, Seminole, FL; George R. Tragos, Law Office of
For Michael Schiavo, as guardian of the person of Theresa Marie Schindler Schia-vo, incapacitated, Defendant: George J. Felos, Felos & Felos, P.A., Dunedin, FL; Iris Bennett, Jenner & Block LLC, Washington, DC; Randall C. Marshall, American Civil Liberties Union Foundation of Florida, Inc., Miami, FL; Rebecca H. Steele, ACLU Foundation of Florida, Inc., West Central Florida Office, Tampa, FL; Robert M. Portman, Jenner & Block LLC, Washington, DC; Thomas J. Perrelli, Jenner & Block, Washington, DC.
For Judge George W. Greer, Defendant: Barry A. Cohen, Cohen, Jayson & Foster, P.A., Tampa, FL.
For The Hospice of the Florida Suncoast, Inc., Defendant: Gail Golman Holtzman, Constangy, Brooks & Smith, LLC, Tampa, FL; John W. Campbell, Constangy, Brooks & Smith, LLC, Tampa, FL; Robin G. Midulla, Robin Greiwe Midulla, P.A., Tampa, FL.
For Liberty Counsel, Inc., Amicus: [*2] Erik W. Stanley, Liberty Counsel, Long-wood, FL.
For United States, Interested Party: Paul I. Perez, U.S. Attorney’s Office, Middle District of Florida, Orlando, FL; Warren A. Zimmerman, U.S. Attorney’s Office, Middle District of Florida, Tampa, FL.
For Morton Plant Hospital Association, Inc., Victor E. Gambone, M.D., Morton Plant Mease Primary Care, Inc., Stanton P. Tripodis, M.D., Interested Parties: James Addison Martin, Jr., MacFarlane Ferguson & McMullen, Clearwater, FL; Jeffrey W. Gibson, MacFarlane Ferguson & McMullen, Clearwater, FL.
For Gordon Wayne Watts, Interested Party: Gordon Wayne Watts, Lakeland, FL. For State of Florida, Department of Children and Families, Interested Party: Jennifer Stacie Lima-Smith, Florida Department of Children & Families, Tampa, FL.
JUDGES: JAMES D. WHITTEMORE, United States District Judge.
OPINION BY: JAMES D. WHITTE-MORE
OPINION:
ORDER
BEFORE THE COURT is Plaintiffs’ (First Amended) Motion for Temporary Restraining Order (Dkt. 34) nl. and Memorandum in Support (Dkt. 39). n2. After notice to the parties, the Court conducted a hearing on March 24, 2005. Upon careful consideration, Plaintiffs’ motion (Dkt. 34) is DENIED.
nl. As to Defendant Judge George W. Greer, Plaintiffs’ counsel confirmed at oral argument that Plaintiffs were not seeking injunctive relief as to Judge Greer in his official capacity. [*3]
n2. Plaintiffs acknowledge that this Court’s decision on the Emergency Motion Temporary Restraining Order which was affirmed by the Eleventh Circuit, resolved all issues with respect to Counts One through Five. Accordingly, the only issue before the Court is the propriety of the injunctive relief requested in Counts Six through Ten.
Applicable Standards
A temporary restraining order protects against irreparable harm and preserves the status quo until a meaningful decision on the merits can be made. Canal Auth. of State of Florida v. Callaway,
Once again the critical issue is whether Plaintiffs have established a substantial likelihood of success on the merits on any one of Counts Six through Ten. n3. A substantial [*4] likelihood of success on the merits requires a showing of only likely or probable, rather than certain success. Home Oil Company, Inc. v. Sam’s East, Inc.,
n3. The Act does not address the traditional requirements for temporary injunctive relief. Accordingly, these standards control whether temporary in-junctive relief is warranted, notwithstanding Congress’s intent that the federal courts determine de novo the merits of Theresa Schiavo’s claimed constitutional deprivations. Schiavo v. Schiavo, No. 05-11556,403 F.3d 1223 , 1232 (11th Cir. March 23, 2005).
Discussion [*5]
Pursuant to Pub.L. No. 109-3 this court has jurisdiction “to hear, determine and render judgment” on the claims brought by Plaintiffs on behalf of Theresa Schiavo “for the alleged violation of any right of Theresa Marie Schiavo under the Constitution or laws of the United States related to the withholding or withdrawal of food, fluids or medical treatment necessary to sustain her life.” This Court is to determine de novo Plaintiffs’ asserted claims as set forth in Counts Six through Ten.
The court , must determine whether Plaintiffs have shown a substantial case on the merits of any claim for purposes of temporary injunctive relief. Absent a showing of a deprivation of a constitutional right or violation of a federal law, the sine qua non of this Court’s jurisdiction under Pub.L. No. 109-3, Plaintiffs cannot establish a substantial likelihood of success on the merits or even a substantial case on the merits.
-Count Six-
The Americans with Disabilities Act
In Count Six, Plaintiffs allege that the failure and refusal of Defendant Michael Schiavo to furnish Theresa Schiavo with necessary and appropriate therapy, rehabilitation services and essential [*6] medical services and his demand that she be deprived of food and water violate her rights under the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12101 et. seq. (Dkt. 36, P83).
In pertinent part, the ADA provides that “no qualified individual with a disability shall, by reason of such disability, be excluded from participation in or be denied the benefits of the services, programs, or activities of a public entity, or be subject to discrimination by any such entity.” 42 U.S.C. § 12132.. To state a claim under Title II of the ADA, a plaintiff must allege: (1) that she is a “qualified individual with a disability;” (2) that she was “excluded from participation in or ... denied the benefits of the services, programs, or activities of a public entity” or otherwise “discriminated [against] by such entity;” (3) “by reason of such disability.” Shotz v. Cates,
Contrary to Plaintiffs’ argument, Michael Sehiavo, as court appointed guardian for Theresa Sehiavo, was not acting under color of state law. See Harvey v. Harvey,
As to Defendant Hospice, Plaintiffs contend that it is a “public entity” under the ADA because it accepts federal funding. Plaintiffs offer no authority, however, for their contention. Again, the term “public entity” means “... any state or local government.” Simply put, Plaintiffs have not shown that the Hospice is a “public entity” under the ADA, an essential element of a Title II claim. [*8]
Plaintiffs contend in the alternative that Hospice is a “public accommodation” under the ADA. However, the definition “public accommodation” in the statute, 42 U.S.C. § 12181 (7), does not include a facility such as Hospice. Moreover, even if it is assumed arguendo that Hospice falls within the definition of “public accommodation,” Plaintiffs cannot show a substantial case on the merits against Hospice under the ADA because they have not shown that any alleged discrimination against Theresa Sehiavo was by reason of a disability. In order to prevail under Title III of the ADA, a plaintiff generally has the burden of proving: (1) that she is an individual with a disability; (2) that defendant is a place of public accommodation; and (3) that defendant denied her full and equal enjoyment of the goods, services, facilities or privileges offered by defendant (4) on the basis of her disability. Larsen v. Carnival Corp., Inc.,
Plaintiffs have not shown that Hospice’s compliance with the state judge’s order to withhold nutrition and hydration constituted discrimination “on the basis of a disability.” [*[*9] For example, it is undisputed that Hospice, when directed by the state court, cooperated in not only the removal of Theresa Schiavo’s feeding tube but also its reinsertion. n4. Hospice’s conduct therefore, must necessarily have been motivated by the Court’s order, not any discriminatory animus toward Theresa Schia-vo. For all of these reasons, Plaintiffs cannot establish a substantial likelihood of success on the merits or even a substantial case on the merits.
n4. Plaintiffs reliance on the regulation at 28 C.F.R. § 35.130 is misplaced. That provision merely “clarifies that neither the ADA nor the regulation alters current Federal law ensuring the rights of incompetent individuals with disabilities to receive food, water, and medical treatment.” Dept. Of Justice, Section-by-Section Analysis, 56 FR 35694 (July 26, 1991). .
-Count Seven-
The Rehabilitation Act of 1973
In Count Seven, Plaintiffs allege that Hospice of Florida Sun Coast, Inc. violated Theresa Schiavo’s right to [*10] rehabilitation under the Rehabilitation Act of 1973,
The Rehabilitation Act of 1973 provides that “no otherwise qualified individual with a disability ... shall, solely by reason of his or her disability ... be subjected to discrimination under any program or activity receiving Federal financial assistance ....” 29 U.S.C. § 794 (a) (emphasis added). The elements of a claim under the Rehabilitation Act are: “(1) that [she] is a ‘handicapped individual’ under the Act, (2) that [she] is ‘otherwise qualified’ for the [benefit] sought, (3) that [she] was [discriminated against] solely by reason of [her] handicap, and (4) that the program or activity in question receives federal financial assistance.” Grzan v. Charter Hosp. of Northwest Indiana,
The second element requires that Theresa Schiavo be “otherwise qualified,” which means that absent her disability, she would qualify for [*11] the treatment she is being denied. Id. at 120. The Rehabilitation Act is intended to ensure that handicapped individuals are not denied access to programs provided . to non-handicapped persons. Id. at 121. Because of this intended statutory purpose, courts hold that “ ‘the otherwise qualified criteria ... cannot be meaningfully applied to a medical treatment decision.’ ” Id. (quoting United States v. Univ. Hosp. of State Univ. of New York at Stony Brook,
Plaintiffs also cannot establish the third element. Hospice is not withholding nutrition and hydration “solely by reason of’ Theresa Schiavo’s medical condition, but rather because it is complying with a court order and the instructions of her guardian.
Finally, Plaintiffs’ attempt to bring an action on Theresa Schiavo’s behalf under the Rehabilitation Act for withholding nutrition and hydration fails as the Rehabilitation Act does not mandate the provision of services. See Olmstead v. L.C. ex rel. Zimring,
Plaintiffs accordingly have not established a substantial likelihood of success on the merits or a substantial case on the merits under the Rehabilitation Act of 1973.
-Count Eight-
Violation of Fourteenth Amendment Due Process Right to Substituted Judgment Decision Based on a Clear and Convincing Evidence Standard
Count Eight alleges that Theresa Schia-vo’s Fourteenth Amendment due process rights were violated in that the state court’s order of February 11, 2000, authorizing the discontinuation of hydration and nutrition, “was not supported by clear and convincing evidence that Terri would have made the same decision.” (Dkt. 36, P 90). Plaintiffs contend that the state trial judge made a number of evidentiary errors in concluding that Theresa’s intentions were established by clear and convincing evidence. Plaintiffs’ counsel acknowledged during oral argument that Count Eight presents a procedural due process claim under the [*133 Fourteenth Amendment.
Given the holding in Cruzan, Plaintiffs cannot complain of a deprivation of Theresa Schiavo’s Fourteenth Amendment procedural due process rights. The state court judge applied the heightened clear and convincing evidence standard in determining her intentions, as permitted by Cntzan and in accordance with Fla. Stat. § 765.401(3). n5. To [*14] the extent Plaintiffs complain that the quantum of evidence did not rise to the level of clear and convincing, these claimed evidentiary errors are a matter of state law, not federal constitutional law.
n5. Fla. Stat. § 765.401(3) provides, in pertinent part:
Before exercising the incapacitated patient’s rights to select or decline healthcare, ... a proxy’s decision to withhold or withdraw life-prolonging procedures must be supported by clear and convincing evidence that the decision would have been the one the patient would have chosen had the patient been competent.
-Count Nine-
Violation of Eighth Amendment Prohibition Against Cruel and Unusual Punishment
Count Nine of the Plaintiffs’ Second Amended Complaint alleges that Defendants violated the Eighth Amendment’s prohibition against cruel and unusual punishment. Plaintiffs’ assert that “Judge Greer and Michael Schiavo, as state actors, have vioated [sic] Terri Schiavo’s Eighth Amendment rights by demonstrating a [*15] deliberate indifference to a know [sic], substantial risk of serious harm .... ” (Dkt. 36, P 101).
The Eighth Amendment, as applied to the states through the Fourteenth Amendment, prohibits the infliction of cruel and unusual punishment. Hamm v. DeKalb Cty.,
The Eighth Amendment is inapplicable to Theresa Schiavo because the state has not “obtained a formal adjudication of guilt.” Id. at 1572 (quoting Ingraham v. Wright,
Violation of Fourteenth Amendment Right to Life
In Count Ten, Plaintiffs allege that “depriving Plaintiff of nutrition and hydration contrary to her wish to live is a violation of her Fourteenth Amendment right to life.” (Dkt. 36, P 104). As in Count Eight, Plaintiffs rely on the Fourteenth Amendment to the United States Constitution which provides that no state shall “deprive any person of life, liberty or property, without'due process of law.” During oral argument, Plaintiffs’ counsel confirmed that Plaintiffs assert a substantive due process claim in Count Ten. The issue presented in Count Ten for purposes of temporary injunctive relief, is whether, consistent with the jurisdictional grant in Pub.L. No. 109-3, Plaintiffs have established a substantial likelihood of success on the merits of their contention.
“A finding that a right merits substantive due process protection means that the right is protected against certain government actions regardless of the fairness of the procedures used to implement them.” McKinney v. Pate,
As an initial matter, a substantive due process violation requires state action. DeShaney v. Winnebago Cty. DSS,
Substantive due process rights are those rights “created by the Constitution,” of which “no amount of process can justify [their] infringement.” Vinyard v. Wilson,
Accordingly, Plaintiffs cannot establish a substantial likelihood of success on the merits or a substantial case on the merits on their Fourteenth Amendment substantive due process claim.
All Writs Act, 28 U.S.C. § 1651
The Eleventh Circuit stated that “our decisions make clear that where the relief sought is in essence a preliminary injunction, the All Writs Act is not available because other, adequate remedies at law exist.” Schiavo v. Schiavo, No. CV-05-00530-T,
Finally, the court would be remiss if it did not once again convey its appreciation for the difficulties and heartbreak the parties have endured throughout this lengthy process. The civility with which this delicate matter has been presented by counsel is a credit to their professionalism and dedication to their respective clients, and Terri.
DONE AND ORDERED in chambers this 25th day of March, 2005.
JAMES D. WHITTEMORE
United States District Judge
Notes
. Section 12131(1) defines "public entity" as:
(A) any State or local government;
(B) any department, agency, special purpose district, or other instrumentality of a State or States or local government; and
(C)the National Railroad Passenger Corporation, and any commuter authority (as defined in section 24102(4) of Title 49).
42 U.S.C. § 12131(1).
Section 12181(7) provides that:
The following private entities are considered public accommodations for purposes*1293 of this subchapter, if the operations of such entities affect commerce—
(A) an inn, hotel, motel, or other place of lodging, except for an establishment located within a building that contains not more than five rooms for rent or hire and that is actually occupied by the proprietor of such establishment as the residence of such proprietor;
(B) a restaurant, bar, or other establishment serving food or drink;
(C) a motion picture house, theater, concert hall, stadium, or other place of exhibition or entertainment;
(D) an auditorium, convention center, lecture hall, or other place of public gathering;
(E) a bakery, grocery store, clothing store, hardware store, shopping center, or other sales or rental establishment;
(F) a laundromat, dry-cleaner, bank, barber shop, beauty shop, travel service, shoe repair service, funeral parlor, gas station, office of am accountant or lawyer, pharmacy, insurance office, professional office of a health care provider, hospital, or other service establishment;
(G) a terminal, depot, or other station used for specified public transportation;
(H) a museum, library, gallery, or other place of public display or collection;
(I) a park, zoo, amusement park, or other place of recreation;
(J) a nursery, elementary, secondary, undergraduate, or postgraduate private school, or other place of education;
(K) a day care center, senior citizen center, homeless shelter, food bank, adoption agency, or other social service center establishment; and
(L) a gymnasium, health spa, bowling alley, golf course, or other place of exercise or recreation.
42 U.S.C. § 12181(7).
. Nonetheless, we take this opportunity to expound on the reasoning behind our first decision's conclusion that the three defendants against whom injunctive relief is sought are not state actors.
Plaintiffs' argument that Michael Schiavo is a state actor is that he is one because he used the state courts to deprive his wife of her rights. To the contrary, "one who has obtained a state court order or judgment is not engaged in state action merely because [he] used the state court legal process.” Cobb v. Ga. Power Co.,
Plaintiffs argue that Judge Greer is a state actor simply because he is a state judge. That does not follow. See Paisey v. Vitale,
Finally, plaintiffs contend that the Hospice is a state actor because it receives Medicare and Medicaid money. The Supreme Court has repeatedly held, however, that federal money does not transform private persons or entities into state actors. See, e.g., S.F. Arts & Athletics, Inc. v. U.S. Olympic Comm.,
. Making decisions and drafting and revising opinions to explain those decisions under the time pressures that these type of emergency matters impose is a difficult process and one in which error can occur. In the process of researching the new issues and writing this opinion, we discovered that the final version of the majority opinion we issued in the prior appeal three nights ago inadvertently failed to attribute two sentences that we used from a prior Florida state appellate , court opinion. Compare Schiavo I,
. As we said three nights ago: A petition for rehearing or suggestion for rehearing en banc is not, of course, required before a petition for certiorari may be filed in the United States Supreme Court. If, however, a petition for rehearing or rehearing en banc is to be filed, it must be filed by 8:00 a.m. ET, March 26, 2005. See Fed.R.App.P. 35(c) & Fed.R.App.P. 40(a)(1).
Concurrence Opinion
concurring:
I concur in the result for the reason that the plaintiffs have been unable to come forward in their second amended complaint with any new claims palpably alleging the denial of a right secured by the Constitution or laws of the United States.