Leal v. Azar

CourtDistrict Court, N.D. Texas
DecidedDecember 23, 2020
Docket2:20-cv-00185
StatusUnknown

This text of Leal v. Azar (Leal v. Azar) is published on Counsel Stack Legal Research, covering District Court, N.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Leal v. Azar, (N.D. Tex. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF TEXAS AMARILLO DIVISION VICTOR LEAL, § § Plaintiff, § § § 2:20-CV-185-Z § ALEX M. AZAR II, et al., § § Defendants. § § MEMORANDUM OPINION AND ORDER Before the Court are the respective motions to dismiss filed by the federal defendants’ and the state defendants.2 ECF Nos. 7, 15. Having reviewed the motions, related pleadings, and applicable law, the Court finds the federal defendants’ Motion (ECF No. 15) should be and is hereby GRANTED as to Plaintiffs Leal and Von Dohlen and DENIED IN PART as to Plaintiff Armstrong. Plaintiffs Leal and Von Dohlen’s claims against the federal defendants are DISMISSED WITH PREJUDICE under Rule 12(b)(6) because the claims are barred by res judicata. Plaintiff Armstrong’s nondelegation challenge is DISMISSED WITH PREJUDICE under Rule 12(b)(6) for failing to state a claim. The Court also finds the state defendants’ Motion (ECF No. 7) should be and is hereby GRANTED, Plaintiffs’ state-law claims against the state defendants are DISMISSED WITHOUT PREJUDICE under Rule 12(b)(1) because Texas’ sovereign immunity deprives this Court of jurisdiction.

The federal defendants are the United States, Alex M. Azar II in his official capacity as Secretary of Health and Human Services, Steven T. Mnuchin in his official capacity as Secretary of the Treasury, and Eugene Scalia in his official capacity as Secretary of Labor. ?The state defendants are the Texas Department of Insurance and Kent Sullivan in his official capacity of Texas Commissioner of Insurance.

FEDERAL DEFENDANTS’ MOTION TO DISMISS The Affordable Care Act requires group health plans and health-insurance issuers to cover “preventive care and screenings . . . as provided for in comprehensive guidelines supported by the Health Resources and Services Administration for purposes of this paragraph.” See 42 U.S.C. § 300gg-13(a)(4). Preventive care and screenings must be provided without any cost- sharing requirements such as deductibles or co-pays. In 2011, the Health Resources and Services Administration issued guidelines requiring that all FDA-approved contraceptive methods be covered as “preventive care” under 42 U.S.C. § 300gg-13(a)(4). Consequently, the Secretary of Health and Human Services, the Secretary of the Treasury, and the Secretary of Labor issued notice-and-comment regulations to implement HRSA’s decision to require private insurers to cover contraception. See 45 C.F.R. § 147.130(a)(1)(iv); 29 C.F.R. § 2590.715—.2713(a)(1)(iv); 26 C.F.R. § 54.9815—.2713(a)(1)(iv). These rules are commonly known as the federal “Contraceptive Mandate.” In 2018, the Departments issued a final rule giving individual religious objectors the option of purchasing health insurance that excludes contraception from any willing health insurance issuer. 45 C.F.R. § 147.133(b). But enforcement of the 2018 final rule was enjoined by a nationwide injunction on the day it was to take effect. See Pennsylvania y. Trump, 351 F. Supp. 3d 791 (E.D. Pa. 2019), rev’d sub nom, Little Sisters of the Poor Saints Peter and Paul Home v. Pennsylvania, 140 8. Ct. 2367 (2020). As a result of that injunction, litigation was filed in this District contending that the 2018 final rule’s exemption for religious objectors was required by the Religious Freedom Restoration Act (“RFRA”). DeOtte v. Azar, 393 F. Supp. 3d 490 (N.D. Tex. 2019). The court in DeOfte certified a class of individuals who “(1) object to coverage or payments for some or all

contraceptive services based on sincerely held religious beliefs; and (2) would be willing to purchase or obtain health insurance that excludes coverage or payments for some or all contraceptive services,” and “permanently enjoined federal officials from enforcing the Contraceptive Mandate against any religious objector protected by the [2018] final rule.” Jd. at 513-14, Plaintiffs Victor Leal and Patrick Von Dohlen are devout Roman Catholics who oppose all forms of birth control. They want to purchase health insurance that excludes coverage of contraception to avoid subsidizing other people’s contraception and becoming complicit in its use.* These Plaintiffs contend the federal Contraceptive Mandate continues to inflict injury in fact on them and other religious objectors even though the DeOfte injunction permits issuers of health insurance to issue group or individual health-insurance coverage that excludes contraception to religious objectors. Plaintiffs aver that this remedy is not enough: [F]ew if any insurance companies are offering health insurance [which excludes contraception] because only a small number of individuals hold sincere religious objections to all forms of contraception. And even if a health insurer were willing to create and offer a policy that excludes contraceptive coverage solely for religious objectors, the Contraceptive Mandate drastically restricts the available options on the market to consumers who hold religious objections to contraceptive coverage. The Mandate requires any policy that covers anyone who lacks a sincere religious objection to contraception to cover all forms of FDA-approved contraceptive methods, without any deductibles or co-pays. Without the federal Contraceptive Mandate, insurers will have the freedom to offer policies that exclude contraceptive coverage to the general public, just as they did before the Contraceptive Mandate, which will expand the health-insurance options available to consumers who oppose contraceptive coverage for sincere religious reasons. ECF No. | at 9. 3 For years, the Federal Program Branch tasked with defending earlier versions of the Contraceptive Mandate argued that religious plaintiffs were “fighting an invisible dragon” when religious plaintiffs argued they were morally complicit in the use of contraception. This is merely a factual impossibility argument masquerading as a legal impossibility argument under the “substantial burden” prong of RFRA. See, e.g. Defendants’ Reply in Support of Their Motion to Dismiss at 1, Little Sisters of the Poor Home for the Aged v. Sebelius, 6 F. Supp. 3d 1225 (D. Colo. 2013); Brief of Former Justice Department Officials as Amici Curiae Supporting Petitioners, Zubik vy, Burwell, 136 S. Ct. 1557 (2016) (No. 14-1418), 2016 WL 155631. The federal defendants do not invoke the Dragon Argument in this case and should never chase the Dragon Argument in this Court.

Plaintiff Kim Armstrong also alleges she is injured by the Contraceptive Mandate. Although she is not a religious objector to the mandate, she alleges she is forced to pay higher premiums for health insurance that covers contraceptive services that she does not want. Plaintiff Armstrong is fifty years old and has had a hysterectomy and therefore is incapable of becoming pregnant. Armstrong would prefer to acquire less expensive health insurance which excludes contraceptive coverage but is unable because she is outside of the protections of the DeOjite injunction and the Trump Administration’s rules that exempt religious and moral objectors from the Contraceptive Mandate. Plaintiffs filed suit in this Court on August 1, 2020 challenging the federal Contraceptive Mandate on various grounds.

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Bluebook (online)
Leal v. Azar, Counsel Stack Legal Research, https://law.counselstack.com/opinion/leal-v-azar-txnd-2020.