State of N.Y. v. Sullivan, s. 575

• Decision Date: 01 November 1989
• Docket Number: Nos. 575,D,633,s. 575
• Parties: The STATE OF NEW YORK, the City of New York, the New York City Health & Hospitals Corp., Dr. Irving Rust, on behalf of himself, his patients and all others similarly situated, Dr. Melvin Padawer, on behalf of himself, his patients, and all others similarly situated, Medical and Health Research Association of New York City, Inc., Planned Parenthood of New York City, Inc., Planned Parenthood of Westchester/Rockland, and Health Services of Hudson County, New Jersey, Plaintiffs-Appellants, v. Dr. Louis SULLIVAN, or his successor, Secretary of the United States Department of Health and Human Services, Defendant-Appellee. ockets. 88-6204, 88-6206.
• Court: U.S. Court of Appeals — Second Circuit

Page 401

889 F.2d 401

58 USLW 2293

The STATE OF NEW YORK, the City of New York, the New York

City Health & Hospitals Corp., Dr. Irving Rust, on behalf of

himself, his patients and all others similarly situated, Dr.

Melvin Padawer, on behalf of himself, his patients, and all

others similarly situated, Medical and Health Research

Association of New York City, Inc., Planned Parenthood of

New York City, Inc., Planned Parenthood of

Westchester/Rockland, and Health Services of Hudson County, New Jersey, Plaintiffs-Appellants, v. Dr. Louis SULLIVAN, or his successor, Secretary of the

United States Department of Health and Human

Services, Defendant-Appellee.

Nos. 575, 633, Dockets. 88-6204, 88-6206.

United States Court of Appeals, Second Circuit.

Argued Jan. 4, 1989.

Decided Nov. 1, 1989.

Suzanne Lynn, Asst. Atty. Gen., Chief, Civ. Rights Bureau, New York State Dept. of Law, New York City (Robert Abrams, Atty. Gen. of the State of N.Y., Marla Tepper, Asst. Atty. Gen., New York City, of counsel), for plaintiff-appellant, The State of N.Y.

Rachel N. Pine, New York City (Janet Benshoof, Lynn Paltrow, Catherine Weiss, American Civ. Liberties Union, New York City, Norman Siegel, Art Eisenberg, New York Civ. Liberties Union, New York City, Laurie R. Rockett, Hollyer, Jones, Brady, Smith Troxwell, Barrett & Chira, New York City, of counsel), for plaintiffs-appellants Dr. Irving Rust, Dr. Melvin Padawer, Medical and Health Research Ass'n of New York City, Inc., Planned Parenthood of New York City, Inc., Planned Parenthood of Westchester/Rockland, and Health Services of Hudson County, New Jersey.

Peter Zimroth, Corp. Counsel, City of New York, New York City (Lorna Bade Goodman, Asst. Corp. Counsel, Chief, Affirmative Litigation Div., Hillary Weisman, Asst. Corp. Counsel, City of New York, New York City, of counsel), for plaintiffs-appellants City of New York and City of New York Health and Hospitals, Corp.

Alfred Mollin, Atty., Appellate Staff, Civ. Div., Dept. of Justice, Washington, D.C. (John R. Bolton, Asst. Atty. Gen., John F. Cordes, Appellate Staff, Civ. Div., Dept. of Justice, Washington, D.C., Rudolph W. Giuliani, U.S. Atty. for S.D.N.Y., New York City, Joel Mangel, Deputy Chief Counsel, Public Health Service, Carol Conrad, Office of the Gen. Counsel, Dept. of Health and Human Services, Washington, D.C., of counsel), for defendant-appellee.

Kent Masterson Brown, Lexington, Ky., Michael Vaccari, New York City, and Clarke D. Forsythe, Americans United for Life Legal Defense Fund, Chicago, Ill., of counsel, submitted a brief in support of appellee for amici curiae American Academy of Medical Ethics, Ass'n of American Physicians & Surgeons, American Ass'n of Pro Life Obstetricians and Gynecologists, American Ass'n of Pro-life Pediatricians, Nat. Doctors for Life, Christian Medical Soc., Christian Medical Foundation, Alabama Physicians for Life, Physicians for Moral Responsibility, Nat. Ass'n of Pro-life Nurses, California Pro-life Nurses Ass'n, Georgia Nurses for Life, Indiana Nurses Concerned for Life, Missouri Nurses for Life, New York State Nurses for Life, Inc., Pennsylvania Nurses for Life, Rhode Island Nurses for Life, Washington Pro-life Nurses Ass'n, Southern Center for Law and Ethics, and Certain Fellows and Members of the American College of Obstetricians and Gynecologists and of the American Medical Ass'n.

Kirk B. Johnson, Edward B. Hirshfeld, American Medical Ass'n, Chicago, Ill., Ann E. Allen, American College of Obstetricians and Gynecologists, Washington, D.C., Jack R. Bierig, David F. Graham, Lynn D. Fleisher, and Richard D. Raskin, Sidley & Austin, Chicago, Ill., of counsel, submitted a brief in support of appellants for amici curiae the American Medical Ass'n, American College of Obstetricians and Gynecologists, and American Soc. of Human Genetics.

Bruce S. Wolff, Charles S. Sims, Suzette Brooks and William S. Koenig, Proskauer Rose Goetz & Mendelsohn, New York City, of counsel, submitted a brief in support of appellants for amici curiae the American Public Health Ass'n, the Ass'n of State and Territorial Health Officers, the Ass'n of Schools for Public Health, the American Jonathan Lang, Ann Barcher, Barry Ensminger, Janice Goodman, Mary Sue Henifin, Kent Hirozawa, Susan Waltman and Sheldon Oliensis, President, the Ass'n of the Bar of the City of New York, New York City, of counsel, submitted a brief in support of appellants for amicus curiae the Committees on Civ. Rights, Medicine and Law, and Sex and Law of the Ass'n of the Bar of the City of New York.

College of Physicians, the American Medical Student Ass'n, the Ass'n of Reproductive Health Professionals, the California Coalition of Nurse Practitioners, the Maryland Dept. of Health and Mental Hygiene, the Nat. Ass'n of Nurse Practitioners in Family Planning, the Nat. Urban League, the Nurses Ass'n of the American College of Obstetricians and Gynecologists, the Ohio Dept. of Health, the Wisconsin Nurse Practitioners in Reproductive Health, and Dr. Allan Rosenfield, Dean of the Columbia University School of Public Health.

Julius L. Chambers, Charles S. Ralston, John C. Dubin, Sherrilyn A. Ifill and Charlotte B. Rutherford, NAACP Legal Defense and Educational Fund, Inc., New York City of counsel, submitted a brief in support of appellants for amicus curiae NAACP Legal Defense and Educational Fund, Inc.).

Nadine Taub, Rutgers University School of Law, Newark, N.J., Sarah E. Burns, Legal Director, NOW Legal Defense and Educ. Fund, New York City, John H. Hall, Walter J. Walsh and Joel Kosman, Debevoise & Plimpton, New York City of counsel, submitted a brief in support of appellants for amici curiae NOW Legal Defense and Educ. Fund, Nat. Abortion Rights Action League, American Ass'n of University Women, American Humanist Ass'n, American Jewish Congress, Americans for Religious Liberty, Catholics for a Free Choice, Center for Population Options, Committee to Defend Reproductive Rights, Episcopal Women's Caucus, Equal Rights Advocates, Inc., Nat. Abortion Federation, Nat. Council of Jewish Women, Nat. Emergency Civ. Liberties Committee, Nat. Organization for Women, Nat. Women's Health Network, Nat. Women's Political Caucus, Organization of Pan-Asian American Women, Public Citizen Health Research Group, United Church of Christ, Women's Equity Action League, Women's Law Project; Women's Legal Defense Fund, Young Women's Christian Ass'n of U.S.A.).

David M. Becker and Virginia A.S. Kling, Wilmer, Cutler & Pickering, Washington, D.C., of counsel, submitted a brief in support of appellants for amici curiae Representative Bill Green, Senators Barbara A. Mikulski, Lowell P. Weicker, Jr., Brock Adams, John H. Chafee, Alan Cranston, Howard M. Metzenbaum, Paul Simon, Robert T. Stafford, William S. Cohen, Daniel J. Evans, Bob Packwood, and Timothy E. Wirth, and Representatives Daniel K. Akaka, Les AuCoin, Julian C. Dixon, Vic Fazio, William H. Gray III, Steny H. Hoyer, William Lehman, Robert J. Mrazek, John Edward Porter, Martin Olav Sabo, Henry A. Waxman, Jim Bates, Rick Boucher, Cardiss Collins, Mickey Leland, James H. Scheuer, Ron Wyden, Gary L. Ackerman, Chester G. Atkins, Anthony C. Beilenson, Howard L. Berman, Sherwood L. Boehlert, Don Bonker, Barbara Boxer, George E. Brown, Jr., Albert G. Bustamante, Benjamin L. Cardin, Thomas R. Carper, George W. Crockett, Jr., Peter A. DeFazio, Ronald V. Dellums, Mervyn M. Dymally, Don Edwards, Lane Evans, Dante B. Fascell, Walter E. Fauntroy, Barney Frank, Bill Frenzel, Robert Garcia, Sam Gejdenson, Benjamin A. Gilman, Charles A. Hayes, James M. Jeffords, Nancy L. Johnson, Robert W. Kastenmeier, Joseph P. Kennedy II, Peter H. Kostmayer, Richard H. Lehman, Sander M. Levin, Mel Levine, John Lewis, Mike Lowry, Matthew G. Martinez, Robert T. Matsui, George Miller, John R. Miller, Jim Moody, Constance A. Morella, Bruce A. Morrison, Stephen L. Neal, Nancy Pelosi, Claude Pepper, Charles B. Rangel, Marge Roukema, Claudine Schneider, Patricia Schroeder, Christopher Shays, David E. Skaggs, Louise M. Slaughter, Lawrence J. Smith, Olympia J. Snowe, Stephen J. Solarz, Pete Stark, Gerry E. Studds, Edlophus Towns, Morris K. Udall, Ted Weiss, Alan Wheat, and Howard Wolpe.

Mark E. Chopko, Gen. Counsel and Helen M. Alvare, U.S. Catholic Conference, Washington James Bopp, Jr., and Richard E. Coleson, Brames, McCormick, Bopp & Abel, Terre Haute, Ind., of counsel, submitted a brief in support of appellee for amici curiae U.S. Senator Gordon J. Humphrey and U.S. Congressmen Thomas J. Tauke, Thomas A. Luken, Thomas J. Bliley, Dan Coats, Christopher H. Smith, Henry J. Hyde, Alan B. Mollohan, and Vin Weber.

D.C., of counsel, submitted a brief in support of appellee for amicus curiae the U.S. Catholic Conference).

Before KEARSE, CARDAMONE and WINTER, Circuit Judges.

WINTER, Circuit Judge:

This appeal involves the validity of regulations promulgated by the Secretary of Health and Human Services (the "Secretary"). The statutory authority for these regulations is Section 1008, 42 U.S.C. Sec. 300a-6, of Title X of the Public Health Service Act, 42 U.S.C. Secs. 300 to 300a-41 (1982 & Supp. V 1987) ("Title X"). Section 1008 states: "None of the funds appropriated under this subchapter shall be used in programs where abortion is a method of family planning." 42 U.S.C. Sec. 300a-6. The regulations in question were promulgated in early 1988 and constitute a divergence from past agency policy. The new regulations limit the activities of Title X grantee projects with regard to counseling and referral for abortion, require physical and financial separation of Title X projects from prohibited activities, and restrict advocacy concerning abortions by Title X projects.

In challenging the new regulations, plaintiffs raise three principal issues: (i) whether the regulations are consistent with Section 1008; (ii) whether the prohibition on counseling concerning abortion within Title X projects violates the First and Fifth Amendment rights of...