Medical Imaging & Technology Alliance v. Library of Congress

Court of Appeals for the D.C. Circuit·Decided September 1, 2026·No. 25-5328·Published

Opinion

United States Court of Appeals FOR THE DISTRICT OF COLUMBIA CIRCUIT

Argued May 15, 2026 Decided September 1, 2026

No. 25-5328

MEDICAL IMAGING & TECHNOLOGY ALLIANCE AND ADVANCED MEDICAL TECHNOLOGY ASSOCIATION, APPELLANTS

v.

LIBRARY OF CONGRESS AND TODD BLANCHE, IN HIS OFFICIAL CAPACITY AS ACTING LIBRARIAN OF CONGRESS, APPELLEES

Appeal from the United States District Court for the District of Columbia (No. 1:22-cv-00499)

Michael B. Kimberly argued the cause and filed the briefs for appellants.

Laura E. Myron, Attorney, U.S. Department of Justice, argued the cause for appellees. With her on the brief were Brett A. Shumate, Assistant Attorney General, and Daniel Tenny, Attorney.

Before: MILLETT, CHILDS and PAN, Circuit Judges.

Opinion for the Court filed by Circuit Judge CHILDS.

CHILDS, Circuit Judge: In accordance with authority granted by Congress in the Digital Millennium Copyright Act (DMCA or the Act), the Librarian of Congress (Librarian) conducts a rulemaking every three years (triennial rulemaking) to consider requests for limited exemptions to the Act’s copyright anticircumvention provision. See 17 U.S.C. § 1201(a)(1)(C). Appellants Advanced Medical Technology Association and Medical Imaging & Technology Alliance (together, Appellants) sued the Librarian and the Library of Congress (together, Appellees) challenging the Librarian’s initial adoption and subsequent renewal of a medical device repair exemption. This exemption permits circumvention of technological protection measures (TPMs), allowing access to copyrighted “medical equipment computer programs and data files . . . that are used to support operation, mechanical, and electronic processes of the medical systems,” JA628 (citation modified), for the sole purpose of the “diagnosis, maintenance, or repair” of a medical device, 37 C.F.R. § 201.40(b)(17). The district court denied Appellants’ motion for summary judgment and granted summary judgment to Appellees, concluding that the medical device repair exemption was lawful under the DMCA. For the reasons explained below, we affirm the district court’s decision.

I.

Both this court and the district court have fully recounted the background events giving rise to this litigation in several opinions. See Med. Imaging & Tech. All. v. Libr. of Cong. (MITA I), No. 22-499, 2023 WL 2387760 (D.D.C. Mar. 7, 2023); Med. Imaging & Tech. All. v. Libr. of Cong. (MITA II), 103 F.4th 830 (D.C. Cir. 2024); Advanced Med. Tech. Ass’n v. Libr. of Cong. (MITA III), No. 22-499, 2025 WL 2029804 (D.D.C. July 21, 2025). We restate here only the information relevant to this appeal.

A.

1.

The Constitution grants Congress the power to provide copyright protection. See U.S. Const. art. I, § 8, cl. 8 (granting Congress the power “[t]o promote the Progress of Science and useful Arts, by securing for limited Times to Authors and Inventors the exclusive Right to their respective Writings and Discoveries”). In accordance with this authority, Congress passed the Copyright Act of 1976, 17 U.S.C. § 101 et seq. The Copyright Act’s purpose, in broad terms, is “to increase and not to impede” creative and innovative activity while also ensuring creators “a fair return” for their contributions. Harper & Row, Publishers, Inc. v. Nation Enters., 471 U.S. 539, 545– 46 (1985) (explaining that (1) “copyright is intended to increase and not to impede the harvest of knowledge” and (2) “[t]he rights conferred by copyright are designed to assure contributors to the store of knowledge a fair return for their labors”). Through a bundle of exclusive rights, the Copyright Act protects “original works of authorship fixed in any tangible medium of expression, now known or later developed, from which they can be perceived, reproduced, or otherwise communicated, either directly or with the aid of a machine or device.” 17 U.S.C. § 102(a); see also id. §§ 101, 106; Google LLC v. Oracle Am., Inc., 593 U.S. 1, 23 (2021) (“By defining computer programs in § 101, Congress chose to place this subject matter within the copyright regime.”). The Copyright Act remains the primary source of copyright law in the United States. E.g., DeCarlo v. Archie Comic Publ’ns, Inc., 127 F. Supp. 2d 497, 505 (S.D.N.Y.), aff’d, 11 F. App’x 26 (2d Cir. 2001) (“Since the effective date of the Copyright Act of 1976, the exclusive source of rights arising from authorship of a work fixed in tangible form is that statute.”).

One limitation on copyright liability is fair use. 17 U.S.C.

§ 107 (providing that “fair use . . . is not an infringement of copyright”). Conceptually, the fair use doctrine permits certain types of otherwise infringing uses. It “permits and requires courts to avoid rigid application of the copyright statute when, on occasion, it would stifle the very creativity which that law is designed to foster.” Campbell v. Acuff-Rose Music, Inc., 510 U.S. 569, 577 (1994) (citation modified) (quoting Stewart v. Abend, 495 U.S. 207, 236 (1990)). The statute identifies illustrative fair use purposes such as “criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research.” 17 U.S.C. § 107. Fair use operates as an affirmative defense to a claim of copyright infringement. See Andy Warhol Found. for the Visual Arts, Inc. v. Goldsmith, 598 U.S. 508, 526–27 (2023).

A fair use determination requires a case-by-case inquiry.

Harper & Row, 471 U.S. at 549. Courts traditionally consider four non-exhaustive statutory factors in evaluating fair use:

(1) the purpose and character of the use, including whether [the] use is of a commercial nature or is for nonprofit educational purposes; (2) the nature of the copyrighted work; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole; and (4) the effect of the use upon the potential market for or value of the copyrighted work.

17 U.S.C. § 107.

2.

In response to “the ease with which pirates could copy and distribute a copyrightable work in digital form,” Congress again utilized its copyright powers and passed the DMCA in 1998, which “backed with legal sanctions the efforts of copyright owners to protect their works from piracy behind digital walls such as encryption codes or password protections.” Microsoft Corp. v. AT&T Corp., 550 U.S. 437, 458 (2007) (citation modified). “Those walls, also called [TPMs], limit access to and use of copyrighted work.” Green v. U.S. Dep’t of Just., 111 F.4th 81, 89 (D.C. Cir. 2024). To protect TPMs, the DMCA contains an anticircumvention provision prohibiting a “person” from circumventing or overcoming a TPM which “effectively controls access to a” copyright-protected work. 17 U.S.C. § 1201(a)(1)(A).

However, “[t]he anticircumvention provision is subject to statutory and regulatory exemptions.” Green, 111 F.4th at 89. Critically, the DMCA authorizes the Librarian to issue limited three-year exemptions from the Act’s anticircumvention provision for persons “who are or are likely to be ‘adversely affected’ . . . in their ability to make noninfringing uses of copyrighted materials.” Id. at 90; see also 17 U.S.C. § 1201(a)(1)(C)–(D). The Librarian decides whether to grant an exemption by looking at an entire “class of copyrighted works,” not a single work. 17 U.S.C. § 1201(a)(1)(C). Additionally, the Librarian’s determination is prospective, looking ahead to the “succeeding 3-year period,” rather than focusing on assertedly infringing acts that have already occurred or will imminently occur. Id.

The Librarian grants exemptions by conducting triennial rulemakings and acting “upon the recommendation of the Register of Copyrights,” after the Register has “consult[ed]

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