Ralph de la Torre v. Bill Cassidy

Court of Appeals for the D.C. Circuit·Decided July 31, 2026·No. 25-5353·Published

Opinion

United States Court of Appeals FOR THE DISTRICT OF COLUMBIA CIRCUIT

Argued April 7, 2026 Decided July 31, 2026

No. 25-5353

RALPH DE LA TORRE, M.D., APPELLANT

v.

BILL CASSIDY, M.D., IN HIS CAPACITY AS CHAIRMAN OF THE COMMITTEE ON HEALTH, EDUCATION, LABOR, AND PENSIONS OF THE UNITED STATES SENATE, ET AL., APPELLEES

Appeal from the United States District Court for the District of Columbia (No. 1:24-cv-02776)

Derek L. Shaffer argued the cause for appellant. With him on the briefs were Christopher G. Michel, William A. Burck, Alexander Merton, Rachel G. Frank, and Kaylee A. Otterbacher.

Vivian M. Rivera, Assistant Legal Senate Counsel, Office of Senate Legal Counsel, argued the cause for appellees. With her on the brief were Morgan J. Frankel, Senate Legal Counsel, Patricia M. Bryan, Deputy Senate Legal Counsel, and Thomas E. Caballero, Assistant Senate Legal Counsel. 2 Before: HENDERSON, MILLETT, and GARCIA, Circuit Judges.

Opinion for the Court filed by Circuit Judge MILLETT.

MILLETT, Circuit Judge: In 2024, Steward Health Care System, LLC, a nationwide healthcare system, filed for bankruptcy. The U.S. Senate Committee on Health, Education, Labor, and Pensions launched an investigation into why that happened. As part of its investigation, the Committee subpoenaed Steward Health’s then-CEO, Dr. Ralph de la Torre, to testify at a hearing.

Dr. de la Torre objected to the subpoena on constitutional grounds and refused to appear. The Committee voted out criminal and civil contempt resolutions, and the Senate passed the criminal contempt resolution unanimously.

Dr. de la Torre sued the Committee and twenty of its members, alleging that their actions, including attempting to enforce the subpoena and voting on the contempt resolutions, violated his Fifth Amendment rights. The district court dismissed the case as barred by the Constitution’s Speech or Debate Clause. We affirm. Dr. de la Torre’s arguments are wholly meritless under longstanding precedent.

I

A

The U.S. Senate Committee on Health, Education, Labor, and Pensions has legislative authority to, among other things, “study and review, on a comprehensive basis, matters relating to health, education, and training, and public welfare, and report thereon from time to time.” STANDING RULES OF THE 3 SENATE, S. DOC. NO. 113-18, Rule XXV § 1(l)(2) (2013). To that end, the Senate has vested the Committee with full subpoena power. Id. Rule XXVI § 1.

B

We draw the following facts from Dr. de la Torre’s amended complaint, supplemented by matters of which we may take judicial notice. 10F

After a career treating patients, Dr. de la Torre founded Steward Health Care System, LLC, in 2010 by acquiring six Massachusetts hospitals. Over the next decade, Steward Health expanded nationwide, “serv[ing] millions of patients and employ[ing] thousands of physicians, nurses, and staff.” J.A. 56 (Am. Compl.). Dr. de la Torre oversaw Steward Health’s operations as the chairman and chief executive officer.

In May 2024, Steward Health filed for Chapter 11 bankruptcy. Dr. de la Torre’s complaint attributes the bankruptcy to the COVID-19 pandemic’s “debilitating effect on Steward’s revenue[,]” along with “a nationwide health care labor shortage and associated rising labor costs, rising fixed costs for equipment and supplies, [and] severe inflationary pressures.” J.A. 56.

1 See Musgrave v. Warner, 104 F.4th 355, 358 (D.C. Cir. 2024) (analyzing motion to dismiss based on “allegations [that] are drawn from [the plaintiff’s] complaint and matters of which we may take judicial notice”); Langeman v. Garland, 88 F.4th 289, 291–292 (D.C. Cir. 2023) (“[R]elevant ‘[p]ublic records are subject to judicial notice on a motion to dismiss when referred to in the complaint and integral to the plaintiff’s claim.’”) (quoting Owens v. BNP Paribas, S.A., 897 F.3d 266, 273 (D.C. Cir. 2018)). 4 A few months later, the Committee launched an investigation into Steward Health’s bankruptcy. See 170 CONG. REC. D776 (daily ed. July 25, 2024). The Committee scheduled for September 12, 2024, a hearing entitled “Examining the Bankruptcy of Steward Health Care: How Management Decisions Have Impacted Patient Care[.]” J.A. 76, 78 (Senate Report). On July 25, 2024, with the Committee’s authorization, then-Chair Bernie Sanders subpoenaed Dr. de la Torre, as Steward Health’s top manager, to testify at that hearing about “[t]he bankruptcy of Steward Health Care[.]” J.A. 82 (Committee subpoena).

Ten days after accepting service of the subpoena, Dr. de la Torre’s counsel wrote to the Committee that “recent developments will necessitate that Dr. de la Torre’s testimony be postponed.” J.A. 87. Among other things, Dr. de la Torre asserted that “members of th[e] Committee continue to cast aspersions on Dr. de la Torre and appear determined to turn the hearing into a pseudo-criminal proceeding[.]” J.A. 88–89. It would be “wholly inappropriate” for Dr. de la Torre to testify, the letter insisted, because

[i]t is not within this Committee’s purview to make predeterminations of alleged criminal misconduct under the auspices of an examination into Steward’s bankruptcy proceedings, and the fact that its Members have already done so smacks of a veiled attempt to sidestep Dr. de la Torre’s constitutional rights by seeking sworn testimony on matters for which the Committee has pre-determined his guilt.

J.A. 89.

In response, the Committee reaffirmed that Dr. de la Torre was “expected to appear for testimony at the Committee’s 5 hearing on September 12, 2024[.]” J.A. 104. The Committee explained that it “seeks testimony from Dr. de la Torre because [it] believes that he can provide useful information relevant to the matter being reviewed * * *, and that directing appropriate questions to Dr. de la Torre may yield important information for the Committee’s legislative functions.” J.A. 103. The Committee reassured Dr. de la Torre that he could “appear and assert [his Fifth Amendment] privilege in response to specific questions.” J.A. 104. The Committee emphasized that “[t]he Fifth Amendment privilege against self-incrimination * * * does not permit witnesses to refuse to appear when summoned to testify before a congressional committee[.]” J.A. 103.

The Committee held the hearing as scheduled. Dr. de la Torre did not appear. Then-Ranking Member Bill Cassidy announced that he and then-Chair Bernie Sanders would “ask[] the committee to report a resolution to authorize civil enforcement and criminal contempt proceedings against Dr. de la Torre requiring compliance with the subpoena.” J.A. 70 (Am. Compl.).

On September 18, 2024, Dr. de la Torre’s counsel sent a second letter to the Committee that accused it of seeking “to frame Dr. de la Torre as a criminal scapegoat for the systemic failures in Massachusetts’ health care system.” 170 CONG. REC. S6406 (daily ed. Sept. 25, 2024). The letter “invoke[d] [Dr. de la Torre’s] procedural and substantive rights under the Fifth Amendment of the U.S. Constitution, including the privilege to refrain from testifying at the Committee’s Hearing.” J.A. 61.

The next day, the Committee passed resolutions holding Dr. de la Torre in civil and criminal contempt of Congress. J.A. 61. Within a week, Senator Sanders reported the criminal resolution, S. Res. 837, 118th Cong. (2024), to the full Senate 6 floor for a vote, and it passed unanimously. See 170 CONG. REC. S6407 (daily ed. Sept. 25, 2024); J.A. 63–64.

C

On September 30, 2024, Dr. de la Torre sued the Committee and all but one of its members in the U.S. District Court for the District of Columbia. Dr.

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