On this expedited interlocutory appeal, we review an order of the United States District Court for the Southern District of New York (George B. Daniels, Judge) de
We hold, inter alia, (1) that a district court’s decision to grant or deny a preliminary injunction is generally reviewed for abuse of discretion, and there is no exception to this rule for a case in which the district court has heard no live testimony; and (2) that the District Court, which heard no live testimony, did not abuse its discretion in denying Zervos’s motion for preliminary injunctive relief because Zer-vos had not shown — at least on the record as it currently stands — that there was either a likelihood that he would succeed on the merits of any of his claims, or that there were sufficiently serious questions as to the merits of his claims to be fair grounds for litigation.
Accordingly, we affirm the order of the District Court denying Zervos’s motion for a preliminary injunction.
I. BaCkground
Zervos is an employee of Verizon, and at all relevant times he has been entitled to health insurance under a plan (the “plan” or “Plan”) sponsored by Verizon, carried by Empire, and administered by United. In March 2000, Zervos was diagnosed with metastatic breast cancer, for which he underwent a radical mastectomy and was treated with conventional chemotherapy. This chemotherapy regimen concluded in October 2000, at which point Zervos’s treating physicians recommended that he undergo a different treatment — namely, a single cycle of high-dose chemotherapy, administered in conjunction with a transplant of bone marrow stem cells.
Zervos requested that Empire “pre-cer-tify” that it would pay for HDCT, but Empire refused to do so by letter dated
Empire then sent Zervos’s relevant records to an “external reviewer” — in this case, Dr. Thomas R. Spitzer, Director of the Bone Marrow Transplant Program and Deputy Chief of the Hematology-Oncology Unit at Massachusetts General Hospital. Dr. Spitzer filed a report that concluded that “there are no convincing data to show that [HDCT] is a superior approach to conventional chemotherapy alone for male patients with metastatic breast cancer.”
Empire abides by the decisions of its external reviewers regarding whether coverage should be provided in a particular case. Accordingly, by letter dated October 24, 2000, Empire denied Zervos’s appeal, explaining: “We are unable to authorize [HDCT] for the following reason: ‘There are no convincing data to show that [HDCT] is superior to conventional chemotherapy alone for males with metastatic breast cancer.’ [HDCT] remains denied as experimental and investigational.”
On January 29, 2001, Zervos initiated this action in the District Court. His complaint alleged violations of New York law, New York City law, and three federal statutes — the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. §§ 1001 et seq.; Title VII of the Civil Rights Act of 1964 (“Title VII”), as amended, 42 U.S.C. §§ 2000e et seq.; and the Americans with Disabilities Act (“ADA”), 42 U.S.C. §§ 12112 et seq. After filing his complaint, Zervos moved by Order to Show Cause for an order “preliminarily enjoining Verizon, Empire, and/or United from denying and/or refusing to pre-certify and provide coverage [for HDCT to Zer-vos] ... on the grounds that it is ‘investi-gational’ or ‘experimental,’ or that ‘there are no convincing data to show that [HDCT] is superior to conventional chemotherapy alone for males with [metastatic breast cancer],’ or for any other reason it is otherwise excluded under his health and medical insurance plan, and compelling Empire to allow and promptly pay for [Zervos’s] claims for [HDCT] and associated procedures.”
Following a flurry of recusals, the cause was assigned to Judge Daniels. For the reasons set forth in a thorough Memorandum Opinion and Order, see Zervos v. Verizon N.Y., Inc., No. 01 Civ. 685,
II. Discussion
A. Standard op Review
We have often stated — without qualification — that we review a district court’s decision on a motion for preliminary injunction for abuse of discretion. See, e.g., SG Cowen Sec. Corp. v. Messih,
Before considering Zervos’s argument, we pause briefly to clarify the meaning of three important terms — de novo review, clear-error review, and abuse-of-discretion review.
De novo review is review without deference.
“Clear error” is the standard under which appellate courts review a district court’s factual findings. See Ornelas v. United States,
Finally, there is abuse-of-discretion review.
With these definitions in mind, we turn to Zervos’s argument that there is an exception here to our customary abuse-of-discretion review. In Orvis v. Higgins,
The rationale for the Orvis rule is that when a district judge’s factual determinations are based entirely on documentary evidence, “we can evaluate the written record as well as he can.” Citizens Comm. for Faraday Wood v. Lindsay,
It is thus apparent that the rationale for the Orvis rule suggested the live testimony exception. But the logic by which the live testimony exception was derived from the Orvis rule is a bit obscure, never (so far as we know) having been articulated. Indeed, it is not obvious how the Orvis rule (under which a district court’s factual determinations are reviewed de novo) might have compelled elaboration of the live testimony exception (under which a district court’s decision to grant or deny a preliminary injunction is reviewed de novo). The decision to grant or deny a preliminary injunction involves more than factual determinations (which under the Orvis rule are reviewed de novo) and legal conclusions (which are always reviewed de novo). It involves an exercise of discretion. See post at 174. This exercise of discretion is vested in the district court and reviewed for abuse, and nothing in the Orvis rule seems to suggest otherwise.
We need not attempt to illuminate this darkness. The question of how our Court extrapolated the live testimony exception from the Orvis rule is not currently relevant. Rather, what matters here is only this: As explained below, because the live testimony exception was based entirely on the Orvis rule, the demise of that rule means that the live testimony exception is no longer viable.
The Orvis rule was unambiguously repudiated by the 1985 amendments to Rule 52 of the Federal Rules of Civil Procedure (“the 1985 amendments”). See Fed. R.Crv.P. 52(a) (“Findings of fact, whether based on oral or documentary evidence, shall not be set aside unless clearly erroneous[.]”) (emphasis added); see also id., Advisory Committee Notes, 1985 Amendment (explaining that the 1985 amendments aimed to displace decisions — including our own — that held that no deference had to be accorded to district court factual determinations in cases in which live testimony was not heard because “the appellate court is in as good a position as the trial court to review a purely documentary record”). As the Supreme Court has noted, Orvis itself was one of the authorities that was swept aside in the wake of the 1985 amendments:
[Vjarious Courts of Appeals have on occasion asserted the theory that an appellate court may exercise de novo review over findings not based on credibility determinations. See, e.g., Orvis v. Higgins,180 F.2d 537 (2d Cir.1950).... This theory has an impressive genealogy, having first been articulated in an opinion written by Judge Frank and subscribed to by Judge Augustus Hand, see Orvis v. Higgins, supra, but it is impossible to trace the theory’s lineage back to the text of Rule 52(a), which*171 states straightforwardly that ‘findings of fact shall not be set aside unless clearly erroneous.’ That the Rule goes on to emphasize the special deference to be paid credibility determinations does not alter its clear command: Rule 52(a) does not make exceptions or purport to exclude certain categories of factual findings from the obligation of a court of appeals to accept a district court’s findings unless clearly erroneous.
City of Bessemer City,
Indeed, in the years since the 1985 amendments became law, panels of this court have emphasized that the current Rule 52 is controlling—notwithstanding pre-1985 Circuit precedents that invoke the Orvis rule. See, e.g., Weissmann v. Freeman,
Because the now-displaced Orvis rule was the only prop that supported the live testimony exception, that exception has been irredeemably undermined. We therefore hold that a district court’s decision to grant or deny a preliminary injunction is not generally reviewed de novo; rather, such decisions are generally reviewed for abuse of discretion, and there is no exception to this rule for cases in which the district court heard no live testimony.
In reaching this conclusion, we are aware that decisions applying the live testimony exception have occupied something of a prominent place in our jurisprudence. See, e.g., Bridgeport Coalition for Fair Representation v. City of Bridgeport,
However, the principle of fidelity to prior panel decisions does not apply when the sole basis of those decisions—here, the Orvis rule—has been overruled by a change in the Federal Rules of Civil Procedure. See, e.g., Weissmann,
Moreover, we have often noted that one panel of this court is not bound by a prior panel decision whose “rationale is overruled, implicitly or expressly, by the Supreme Court.” United States v. Ianniello,
In sum, because the live testimony exception is no longer viable, we may displace the District Court’s decision to deny Zervos’s motion for a preliminary injunction only if we conclude that that decision amounted to an abuse of discretion.
B. Likelihood of Sucoess on the Merits/Sufficiently Serious Questions Going to the Merits
A party seeking a preliminary injunction ordinarily must show: (a) that it will suffer irreparable harm in the absence of an injunction and (b) either (i) a likelihood of success on the merits or (ii) sufficiently serious questions going to the merits to make them a fair ground for litigation and a balance of hardships tipping decidedly in the movant’s favor.
We begin by considering the second set of factors — “likelihood of success on the merits” and “sufficiently serious questions going to the merits.”
Second, we are convinced that Zervos has not shown a likelihood of success on his Title VII claim — the crux of which is that Empire has discriminated on the basis of sex in its provision of coverage for HDCT. The District Court found that Empire has covered (or not covered) HDCT without regard to the sex of those that apply for it. See id. at *11. We perceive no clear error in this factual finding, and therefore we agree with the District Court that Zervos has not established that there is any chance that his Title VII claim may be meritorious. See id.
Finally, we agree with the District Court that Zervos has not demonstrated—at least on the administrative record, see Miller v. United Welfare Fund,
In so ruling, the District Court did not abuse its discretion in concluding that Zervos’s ERISA claim is insufficiently substantial to support preliminary injunctive relief. The parties agree that Empire’s decision not to cover HDCT can be displaced only if it was arbitrary and capricious, and there is simply no basis in the record for concluding that such may have been the case here. Indeed, Empire’s decision to stop covering HDCT appears to have been both procedurally sound (in that it was based on the advice of TAC experts who consulted relevant scientific data) and substantively sound (in that “none of the evidence” supports the conclusion that HDCT is anything but “Experimental/ Investigational”). See generally Pagan v. NYNEX Pension Plan,
In sum, we hold that the District Court did not abuse its discretion in deciding that Zervos was not entitled to a preliminary injunction. That decision was not based on an error of law or on a clearly erroneous finding of fact. And because Zervos has not shown that there is a likelihood that he will succeed on the merits of any of his claims, or that there are “sufficiently serious questions going to the merits” of his claims so as to make them a “fair ground” for litigation, Polymer Tech. Corp.,
Before concluding, we pause here to commend Judge Daniels for ruling expeditiously on Zervos’s motion for a preliminary injunction. In this case — whatever it may ultimately require — justice can tolerate no substantial delays. Accordingly, we trust that if Zervos opts to proceed further, Judge Daniels will continue to treat this matter as an urgent one, and will impress upon the parties the need for prompt action.
Our decision today does not necessarily mean that Zervos may not be able to develop a successful federal claim. For example, Zervos suggested at oral argument that he hopes to determine in discovery whether Empire’s decision to deny his coverage request was tinged by a conflict of interest. If Empire was in fact operating under such a conflict, Zervos’s ERISA claim would necessarily stand on relatively more solid ground. See generally Firestone Tire. & Rubber Co. v. Bruch,
Similarly, Zervos may be able to establish that, under the plan, the focus of an “arbitrary and capricious” inquiry should not be on Empire’s initial decision to deny coverage for HDCT — that is, the decision that Empire made after the TAC meeting. Rather, Zervos may be able to show (1) that judicial review here should focus on the final, definitive decision to deny coverage (which was all but made by an external reviewer); (2) that in this case that decision was the one communicated to Zer-vos by letter dated October 24, 2000; and (3) that that decision was “arbitrary and capricious” because it was based on a material misunderstanding of what is meant under the plan by the term “Experimental/Investigational.”
III. Conclusion
For the reasons stated above, the District Court’s order denying Zervos’s motion for a preliminary injunction is AFFIRMED. If another appeal is taken the Clerk of Court shall set an expedited briefing schedule, and the cause will then be heard promptly by this panel on letter briefs.
Notes
. HDCT has been described as follows:
[The treatment] is a procedure by which stem cells are harvested from the bone marrow of the patient’s body and purified of cancer cells. The patient is placed under general anesthesia while the bone marrow is extracted by needle. The bone marrow is then frozen and stored while the patient receives high, and potentially toxic, doses of chemotherapy. In some cases, the chemotherapy is administered in doses which exceed one thousand times the standard dosage for conventional chemotherapy treatment. This high dose chemotherapy kills not only the cancer, but also the patient's remaining bone marrow which produces white blood cells to protect the body from infection. The bone marrow, which is the most sensitive of all the body tissue, is also the most damaged by chemotherapy. After the chemotherapy is completed, the patient’s stored bone marrow is reinfused intravenously so that it may re-engraft. The bone marrow then multiplies rapidly to replace the marrow destroyed during the high-dose chemotherapy. Given that the bone marrow is the patient's own tissue, there is little danger of rejection. There are, however, significant dangers associated with administering high-dose chemotherapy without some additional treatment to regenerate the bone marrow. Because the toll on a patient's white blood cells is significant, the secondary treatment is essential to the patient's chances for survival. Thus, the bone marrow must be quickly reintroduced after high-dose chemotherapy treatment to "rescue” the patient from otherwise almost certain death.
Sharona Hoffman, A Proposal for Federal Legislation to Address Health Insurance Coverage for Experimental and Investigational Treatments, 78 Or L.Rev. 203, 211-12 (1999); see also, e.g., Edward A. Stadtmauer et al., Conventional Dose Chemotherapy Compared with High Dose Chemotherapy Plus Autologous Hematopoietic Stem Cell Transplantation for Metastatic Breast Cancer, 342 New Eng. J. Med. 1069, 1070 (2000) (describing HDCT in more technical terms).
. The referenced terms — “Experimental and Investigational” — are drawn from the plan, which provides in pertinent part that "[b]ene-fits are payable ... only where the ... treatment [sought] ... [is] required for the necessary treatment of ... Illness ... as distinct from those which are ... Experimental/Inves-tigational.” The plan defines “Experimental/Investigational” as "services ... which are not of proven benefit for the ... treatment of the Covered Person’s condition, or are not generally recognized by the medical community as effective or appropriate for that condition, as determined by the Claims Administrator.”
. Such review is ''traditionally” associated with appellate assessments of a district court’s legal conclusions. Pierce v. Underwood,
. In explicating this term, we are mindful of the need to tread lightly. "Abuse of discretion” is famously slippery — its meaning can vary between contexts, see Gasperini v. Center for Humanities, Inc.,
. See Cooter & Gell v. Hartmarx Corp.,
. We have noted:
Discretion is said to be “abused” ("exceeded” would be both a more felicitous and correct term) when the decision reached is not within the range of decision-making authority a reviewing court determines is acceptable for a given set of facts. This determination that the range of acceptable decision-making has been exceeded in a particular case is assuredly one of law, but it is analytically distinct from a determination that a legal standard applicable to a generality of fact situations has been ignored, incorrectly applied, or inadequately applied in a particular case.
Stormy Clime Ltd. v. ProGroup, Inc.,
. Implicit references to the Orvis rule occasionally seep into our cases. In Brewer v. West Irondequoit Cent. Sch. Dist.,
. There may be some circumstances in which we do not review a district court's preliminary injunction decision for abuse of discretion. See, e.g., Hsu v. Roslyn Union Free Sch. Dist. No. 3,
. In certain circumstances, the movant must satisfy higher standards. See generally Tom Doherty Assocs., Inc. v. Saban Entertainment, Inc.,
. To be sure, in most cases "the moving party must first demonstrate that [irreparable] injury is likely before the other requirements for the issuance of an injunction will be considered.” Rodriguez v. DeBuono,
. We mention this argument not because we mean to intimate any views as to its merits, but rather because it is strongly suggested by Zervos’s brief, and because if it is pressed further by Zervos it will need to be addressed in the first instance — and relatively quickly— by the District Court.
