Gay Men's Health Crisis v. Sullivan

733 F. Supp. 619, 1989 U.S. Dist. LEXIS 15010, 1989 WL 169095
CourtDistrict Court, S.D. New York
DecidedDecember 14, 1989
Docket88 Civ. 7482 (SWK)
StatusPublished
Cited by8 cases

This text of 733 F. Supp. 619 (Gay Men's Health Crisis v. Sullivan) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gay Men's Health Crisis v. Sullivan, 733 F. Supp. 619, 1989 U.S. Dist. LEXIS 15010, 1989 WL 169095 (S.D.N.Y. 1989).

Opinion

MEMORANDUM OPINION AND ORDER

KRAM, District Judge.

This action was brought by several organizational and governmental plaintiffs involved in the education of homosexual men and other persons about Acquired Immunodeficiency Syndrome (“AIDS”). Plaintiffs, seeking declaratory and injunctive relief, challenge the constitutionality of statutory and agency restrictions on federally-funded AIDS education materials and activities. Defendants have moved for dismissal of the complaint pursuant to Fed.R.Civ.P. 12(b)(6), or, in the alternative, for summary judgment pursuant to Fed.R.Civ.P. 56, and for stay of discovery. Plaintiffs have cross-moved for partial summary judgment.

BACKGROUND

These facts are adopted in part from defendants’ and plaintiffs’ statements of facts provided pursuant to local rule 3(g). 1

AIDS is the final stage of infection with the human immunodeficiency virus (“HIV”), the virus which causes AIDS. Plaintiff’s 3(g) statement, ¶ 1. The virus is transmitted by introduction into the bloodstream which may occur during sexual activity or intravenous drug use. Id. Persons who have AIDS are vulnerable to opportunistic diseases including pneumo-cystic carinii pneumonia, a rare form of pneumonia, and Kaposi’s sarcoma, a form of cancer. Fauci, NIH Conference — The Acquired Immunodeficiency Syndrome: An Update, 102 Annals of Internal Med. 800, 802 (1985) (cited in Weiss, AIDS: Balancing the Physicians’ Duty to Warn and Confidentiality Concerns, 38 Emory L.J. 279 n. 12 (1989)). Other symptoms include fever, fatigue, loss of weight and appetite, swollen glands, night sweats, and diarrhea. Surgeon General’s Report on AIDS, 102 Public Health Reports 11 (Supp.1987) (cited in Weiss, supra, n. 13.)

AIDS was first reported as a new disease by the Centers for Disease Control in the summer of 1981. Weiss, supra, at 284; see also, Defendant’s First Memorandum of Law in Support of Motion to Dismiss, or, in the Alternative, for Summary Judgment, and for Stay of Discovery (“Def.Mem. I”) at 2. As of mid-January, 1989, more than 84,000 cases of AIDS had been reported in the United States, more than 20,000 of which were in the State of New York. Public health officials estimate that be *623 tween one and two million Americans are infected with HIV. Plaintiffs 3(g) statement, ¶ 2. Currently, 61.7% of American adults with AIDS are homosexual or bisexual men. CDC, AIDS Weekly Surveillance Report (January 16, 1989) at 3 (cited in Plaintiffs First Amended Complaint, 1116). The disease is regarded as “invariably fatal.” Weiss, supra, 38 Emory L.J. at 280 (cite omitted).

The Parties

Organizational plaintiffs Gay Men’s Health Crisis (“GMHC”), Hetrick Martin Institute for the Protection of Gay and Lesbian Youth (“Hetrick Martin”), Horizons Community Services (“Horizons”), San Antonio Tavern Guild AIDS Foundation (“Tavern Guild”), and the Fund for Human Dignity (“FHD”) are non-profit organizations which conduct AIDS education programs with a particular focus on the gay male population. These organizations have sought or allegedly would seek funding from defendant Centers for Disease Control (“CDC”), an agency of the United States government, for their AIDS education activities. Plaintiffs’ First Amended Complaint, ¶¶ 5-9. State plaintiff New York State is suing parens patriae. New York State and its agency, the New York State Department of Health (“DOH”), receive funding from CDC for AIDS education and prevention services. New York’s DOH is a direct grant recipient of CDC funding and in turn serves as a sub-grantor of funds to various community groups providing AIDS education and prevention services. Id. at ¶¶ 11-12.

Defendant Dr. Louis W. Sullivan is the U.S. Secretary of Health and Human Services. Defendant James 0. Mason is the Director of the Centers for Disease Control. The persons in these two capacities are responsible for “mak[ing] grants to public and nonprofit private entities for information and education programs on and for the ... prevention and control of, acquired immune deficiency syndrome.” 42 U.S.C. § 247c(d) (1988 Supp.).

The Regulations and Statutory Amendments

By July of 1985, CDC had become a significant source of funding for community-based AIDS prevention programs. Def. Mem. I at 2. Up to and including that time, CDC imposed no restrictions upon the sexual explicitness of AIDS educational materials funded by it. See, e.g., 50 Fed. Reg. 30298 (July 25, 1985) (notice of availability of funds) (cited in Def.Mem. I at 2). However, in January of 1986, responding to “concerns over the explicit content of some of the proposed written and audiovisual materials,” the CDC developed guidelines for the content of AIDS educational materials to be funded through the CDC. Letter from Donald A. Berreth, Director, Office of Public Affairs, CDC, dated May 28, 1987, attached as Exhibit K to Declaration of Michael Quadland in support of Plaintiff’s motion for partial summary judgment. Those guidelines, or “grant terms,” were published in a document called “Basic Principles,” and provided that:

(a) [ljanguage used in written materials ... should use terms or descriptors necessary for the target audience to understand the messages.
(b) Such terms or descriptors used should be those which a reasonable person would conclude should be understood by a broad cross-section of educated adults in society, or which when used to communicate with a specific group, such as gay men, about high risk sexual practices, would be judged by a reasonable person to be [ijnoffensive to most educated adults beyond that group.
(c) The language of items in questionnaires or survey instruments which will be administered in any fashion to any persons should use terms to communicate the information needed which would be understood by a broad cross-section of educated adults in society but which a reasonable person would not judge to be offensive to such people.
(d) Audiovisual materials and pictorials in addition should communicate risk reduction messages by inference rather than through any display of the anogeni-tal area of the body or overt depiction of the performance of “safer sex” or “unsafe sex” practices.
*624 (e) Educational group sessions of any size should avoid activities in which attendees participate in sexually suggestive physical contact or actual sexual practices.

51 Fed.Reg. 3427, 3431 (Jan. 27, 1986). The “bounds of explicitness” were to be considered on a project-by-project basis by local Project Review Panels (PRPs), which would review and approve all materials. Id. 2

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Bluebook (online)
733 F. Supp. 619, 1989 U.S. Dist. LEXIS 15010, 1989 WL 169095, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gay-mens-health-crisis-v-sullivan-nysd-1989.