Steven A. Conner DPM P.C. v. Fox Rehabilitation Services PC
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Opinion
NOT PRECEDENTIAL
UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT
________________
Nos. 23-1550 & 23-1684 ________________
STEVEN A. CONNER, DPM, P.C., Individually and on behalf of all others Similarly situated, Appellant in No. 23-1550
v.
FOX REHABILITATION SERVICES, P.C., Appellant in No. 23-1684
UNITED STATES OF AMERICA, Intervenor
On Appeal from the United States District Court for the Eastern District of Pennsylvania (D.C. No. 2:21-cv-01580) District Judge: Honorable Michael M. Baylson ________________
Submitted under Third Circuit L.A.R. 34.1(a) on May 9, 2024
Before: MATEY, MONTGOMERY-REEVES and ROTH, Circuit Judges
(Opinion filed: January 24, 2025) ________________
OPINION* ________________
ROTH, Circuit Judge
This case comes to us on cross-appeals by the plaintiff, Steven A. Conner, DPM,
P.C.,1 and the defendant, Fox Rehabilitation Services, P.C., in an action brought under §
227(b)(1)(C) of the Telephone Consumer Protection Act (TCPA).2 Conner, who initially
filed a class-action lawsuit, appeals the denial of class certification. Fox appeals the final
post-trial judgment entered against it on Conner’s individual TCPA claims, arguing that
its faxes were not “unsolicited advertisements” and raising facial and as-applied
constitutional challenges to § 227(b)(1)(C) on First Amendment grounds. The United
States, after untimely notice, has intervened on appeal to defend the statute’s
constitutionality.3 For the reasons explained below, we will affirm the District Court’s
orders denying class certification and entering judgment against Fox.
I.
Fox is a private healthcare provider that offers various physical, occupational, and
* This disposition is not an opinion of the full Court and pursuant to I.O.P. 5.7 does not constitute binding precedent. 1 For ease of reference, the Court will use “Conner” to refer to both the medical practice and the doctor who runs that practice. 2 47 U.S.C. § 227(b)(1)(C). 3 The United States received notice only after Fox filed its reply brief on its cross-appeal, even though federal law required Fox to “give written notice to the circuit clerk immediately upon filing of the record or as soon as the [constitutional] question is raised in the court of appeals.” Fed. R. App. P. 44(a). Fox did not file the required Rule 44(a) notice because, in its view, we did not need to reach the First Amendment issue. 2 speech therapy services to patients in their homes. It primarily receives patients through
referrals from other medical providers, and it commonly uses faxes to communicate with
referral sources. Shortly after the COVID-19 pandemic reached the United States, some
of these referral sources contacted Fox and “ask[ed] for information related to Fox’s
position given the pandemic.”4 In response, Fox devised its first ever “‘blast fax’
campaign,” in consultation with an internal “COVID task force,” to create faxes for Fox’s
referral sources.5 The purpose behind these faxes was “[t]o reassure [Fox’s] partners and
providers that Fox was open for business [during the pandemic] and [that] its services
could be counted on.”6 Fox also wanted its referral sources to know it “was adhering to
the COVID guidelines for healthcare that were being promulgated at the time.”7 It relied
on a third party (OpenFax) to send the faxes to more than 20,000 fax numbers, which had
been extracted from Fox’s electronic records database (Raintree).
One of these fax numbers belonged to Conner, a private podiatrist who used his
fax machine primarily to receive incoming lab results for his patients. Upon receiving a
fax, Conner’s machine would automatically print it unless the machine was out of paper.
Over the span of nearly three months, Fox sent eight separate blast faxes to Conner (and a
total 144,868 faxes to 20,609 fax numbers).8 Before receiving Fox’s faxes, Conner never
had “any contact whatsoever with anyone from Fox Rehab and had never referred a
4 Steven A. Conner DPM, P.C. v. Fox Rehab. Servs., P.C. (Conner II), No. 2:21-cv-1580, 2023 WL 2226781, at *2 (E.D. Pa. Feb. 24, 2023). 5 Id. 6 Id. 7 Id. 8 The District Court appended copies of all eight faxes to its opinion. Id. at *9 (App. A). 3 patient to Fox.”9 The unsolicited faxes created a problem for Conner “because reviewing
and sorting them took time away from reviewing pertinent, patient-related faxes.”10
II.
Conner filed a class-action lawsuit against Fox for violating § 227(b)(1)(C). After
nearly one year of precertification discovery, Conner moved to certify the following class
under Federal Rule of Civil Procedure 23(b)(3):
All persons and business entities sent one or more facsimiles on (1) March 27, 2020, (2) April 2, 2020, (3) April 16, 2020, (4) April 21, 2020, (5) May 14, 2020, (6) May 19, 2020, (7) June 3, 2020, or (8) June 16, 2020, identified as “successful” transmissions on the fax transmission detail reports from OpenFax, and stating [Fox] was “HELPING FLATTEN THE CURVE WITH HOUSE CALLS” through its trademarked “Geriatric House Calls” therapy model.11
Fox opposed class certification and presented declarations from thirty-two putative class
members who claimed they had voluntarily provided their fax numbers to Fox at some
unspecified point during their business relationship. All but one of them expressly stated
that they did not consider the faxes to be advertisements, but that if the faxes were
advertisements, Fox had their permission to send them advertisements. The District
Court denied Conner’s motion to certify the class because he had failed to satisfy Rule
23(b)(3)’s ascertainability and predominance requirements.12 We denied Conner’s
9 Id. at *1. 10 Id. 11 Steven A. Conner DPM, P.C. v. Fox Rehab. Servs., P.C. (Conner I), No. 2:21-cv-1580, 2022 WL 4080761, at *1 (E.D. Pa. Sept. 6, 2023) (quoting Mot. for Class Certification at 2–3). 12 Id. at *4–6. 4 request for an interlocutory appeal.13
Shortly after Conner filed his class certification motion, Fox filed a summary
judgment motion. Fox invoked our “reasonable recipient” standard and the
constitutional-avoidance canon and argued that its faxes were not “advertisements.” Fox
also argued that if the statutory definition of “unsolicited advertisement” covered Fox’s
faxes, then § 227(b)(1)(C) would be facially overbroad, in violation of the First
Amendment. Fox further claimed that § 227(b)(1)(C) imposed an unconstitutional
content-based restriction on speech that failed to pass strict scrutiny (or, alternatively,
intermediate scrutiny). The District Court denied Fox’s motion because of genuine
disputes of material fact as to whether the faxes were “advertisements.”14 The court also
deferred ruling on Fox’s First Amendment defense and explicitly told Fox that “[i]f this
case goes to trial, you’re going to have to present some evidence about it at trial.”15
The District Court subsequently presided over a three-day bench trial and allowed
the two parties to submit post-trial briefs. In its brief, Fox again invoked the
constitutional-avoidance canon and our reasonable-recipient standard and argued that its
faxes were not advertisements. Fox also renewed its overbreadth argument but referred
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NOT PRECEDENTIAL
UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT
________________
Nos. 23-1550 & 23-1684 ________________
STEVEN A. CONNER, DPM, P.C., Individually and on behalf of all others Similarly situated, Appellant in No. 23-1550
v.
FOX REHABILITATION SERVICES, P.C., Appellant in No. 23-1684
UNITED STATES OF AMERICA, Intervenor
On Appeal from the United States District Court for the Eastern District of Pennsylvania (D.C. No. 2:21-cv-01580) District Judge: Honorable Michael M. Baylson ________________
Submitted under Third Circuit L.A.R. 34.1(a) on May 9, 2024
Before: MATEY, MONTGOMERY-REEVES and ROTH, Circuit Judges
(Opinion filed: January 24, 2025) ________________
OPINION* ________________
ROTH, Circuit Judge
This case comes to us on cross-appeals by the plaintiff, Steven A. Conner, DPM,
P.C.,1 and the defendant, Fox Rehabilitation Services, P.C., in an action brought under §
227(b)(1)(C) of the Telephone Consumer Protection Act (TCPA).2 Conner, who initially
filed a class-action lawsuit, appeals the denial of class certification. Fox appeals the final
post-trial judgment entered against it on Conner’s individual TCPA claims, arguing that
its faxes were not “unsolicited advertisements” and raising facial and as-applied
constitutional challenges to § 227(b)(1)(C) on First Amendment grounds. The United
States, after untimely notice, has intervened on appeal to defend the statute’s
constitutionality.3 For the reasons explained below, we will affirm the District Court’s
orders denying class certification and entering judgment against Fox.
I.
Fox is a private healthcare provider that offers various physical, occupational, and
* This disposition is not an opinion of the full Court and pursuant to I.O.P. 5.7 does not constitute binding precedent. 1 For ease of reference, the Court will use “Conner” to refer to both the medical practice and the doctor who runs that practice. 2 47 U.S.C. § 227(b)(1)(C). 3 The United States received notice only after Fox filed its reply brief on its cross-appeal, even though federal law required Fox to “give written notice to the circuit clerk immediately upon filing of the record or as soon as the [constitutional] question is raised in the court of appeals.” Fed. R. App. P. 44(a). Fox did not file the required Rule 44(a) notice because, in its view, we did not need to reach the First Amendment issue. 2 speech therapy services to patients in their homes. It primarily receives patients through
referrals from other medical providers, and it commonly uses faxes to communicate with
referral sources. Shortly after the COVID-19 pandemic reached the United States, some
of these referral sources contacted Fox and “ask[ed] for information related to Fox’s
position given the pandemic.”4 In response, Fox devised its first ever “‘blast fax’
campaign,” in consultation with an internal “COVID task force,” to create faxes for Fox’s
referral sources.5 The purpose behind these faxes was “[t]o reassure [Fox’s] partners and
providers that Fox was open for business [during the pandemic] and [that] its services
could be counted on.”6 Fox also wanted its referral sources to know it “was adhering to
the COVID guidelines for healthcare that were being promulgated at the time.”7 It relied
on a third party (OpenFax) to send the faxes to more than 20,000 fax numbers, which had
been extracted from Fox’s electronic records database (Raintree).
One of these fax numbers belonged to Conner, a private podiatrist who used his
fax machine primarily to receive incoming lab results for his patients. Upon receiving a
fax, Conner’s machine would automatically print it unless the machine was out of paper.
Over the span of nearly three months, Fox sent eight separate blast faxes to Conner (and a
total 144,868 faxes to 20,609 fax numbers).8 Before receiving Fox’s faxes, Conner never
had “any contact whatsoever with anyone from Fox Rehab and had never referred a
4 Steven A. Conner DPM, P.C. v. Fox Rehab. Servs., P.C. (Conner II), No. 2:21-cv-1580, 2023 WL 2226781, at *2 (E.D. Pa. Feb. 24, 2023). 5 Id. 6 Id. 7 Id. 8 The District Court appended copies of all eight faxes to its opinion. Id. at *9 (App. A). 3 patient to Fox.”9 The unsolicited faxes created a problem for Conner “because reviewing
and sorting them took time away from reviewing pertinent, patient-related faxes.”10
II.
Conner filed a class-action lawsuit against Fox for violating § 227(b)(1)(C). After
nearly one year of precertification discovery, Conner moved to certify the following class
under Federal Rule of Civil Procedure 23(b)(3):
All persons and business entities sent one or more facsimiles on (1) March 27, 2020, (2) April 2, 2020, (3) April 16, 2020, (4) April 21, 2020, (5) May 14, 2020, (6) May 19, 2020, (7) June 3, 2020, or (8) June 16, 2020, identified as “successful” transmissions on the fax transmission detail reports from OpenFax, and stating [Fox] was “HELPING FLATTEN THE CURVE WITH HOUSE CALLS” through its trademarked “Geriatric House Calls” therapy model.11
Fox opposed class certification and presented declarations from thirty-two putative class
members who claimed they had voluntarily provided their fax numbers to Fox at some
unspecified point during their business relationship. All but one of them expressly stated
that they did not consider the faxes to be advertisements, but that if the faxes were
advertisements, Fox had their permission to send them advertisements. The District
Court denied Conner’s motion to certify the class because he had failed to satisfy Rule
23(b)(3)’s ascertainability and predominance requirements.12 We denied Conner’s
9 Id. at *1. 10 Id. 11 Steven A. Conner DPM, P.C. v. Fox Rehab. Servs., P.C. (Conner I), No. 2:21-cv-1580, 2022 WL 4080761, at *1 (E.D. Pa. Sept. 6, 2023) (quoting Mot. for Class Certification at 2–3). 12 Id. at *4–6. 4 request for an interlocutory appeal.13
Shortly after Conner filed his class certification motion, Fox filed a summary
judgment motion. Fox invoked our “reasonable recipient” standard and the
constitutional-avoidance canon and argued that its faxes were not “advertisements.” Fox
also argued that if the statutory definition of “unsolicited advertisement” covered Fox’s
faxes, then § 227(b)(1)(C) would be facially overbroad, in violation of the First
Amendment. Fox further claimed that § 227(b)(1)(C) imposed an unconstitutional
content-based restriction on speech that failed to pass strict scrutiny (or, alternatively,
intermediate scrutiny). The District Court denied Fox’s motion because of genuine
disputes of material fact as to whether the faxes were “advertisements.”14 The court also
deferred ruling on Fox’s First Amendment defense and explicitly told Fox that “[i]f this
case goes to trial, you’re going to have to present some evidence about it at trial.”15
The District Court subsequently presided over a three-day bench trial and allowed
the two parties to submit post-trial briefs. In its brief, Fox again invoked the
constitutional-avoidance canon and our reasonable-recipient standard and argued that its
faxes were not advertisements. Fox also renewed its overbreadth argument but referred
to strict scrutiny and intermediate scrutiny only in passing. Fox never argued that the
United States had failed to meet its burden of proving that § 227(b)(1)(C) passed First
Amendment scrutiny. Fox could not have done so, considering that it had failed to timely
13 See Order (Doc. 15), Steven A. Conner DPM, P.C. v. Fox Rehab. Servs., P.C., No. 22- 8048 (3d Cir. Dec. 5, 2022). 14 Conner I, 2022 WL 4080761, at *8. 15 APP00064 (Status Conference Hr’g Tr. at 34:8–11 (Aug. 22, 2022)). 5 notify the U.S. Attorney General about its constitutional challenge,16 depriving the United
States of an opportunity to present evidence and arguments defending the statute’s
constitutionality before the District Court.17
The District Court found that the eight faxes Fox sent Conner were “unsolicited
advertisements.”18 The court also concluded that § 227(b)(1)(C) is not overbroad and
rejected Fox’s constitutional defense.19 The court later entered final judgment against
Fox on Conner’s TCPA claims.
16 Federal law requires that a party who raises a constitutional challenge to a federal statute in a private civil action “must promptly” provide notice to the U.S. Attorney General before the district court. Fed. R. Civ. P. 5.1(a). Fox never did. Federal law also requires that a court “certify such fact to the Attorney General, and shall permit the United States to intervene for the presentation of evidence, if [the] evidence is otherwise admissible in the case, and for argument on the question of constitutionality.” 28 U.S.C. § 2403(a). This was never done either, at least not until we did so on Fox’s cross-appeal. Although this does not mean Fox forfeited its opportunity to raise its constitutional defense, see Fed. R. Civ. P. 5.1(d), it does mean Fox has failed to preserve any arguments not raised before the District Court, including those raised for the first time on appeal in response to the United States’ intervenor brief, see Brown v. Philip Morris Inc., 250 F.3d 789, 799 (3d Cir. 2001). 17 We have discretion over how to address the failure to provide proper notice to the Attorney General of a constitutional challenge to a federal statute, which failure had prevented the United States from presenting evidence and arguing before the District Court. See Oklahoma ex rel. Edmonson v. Pope, 516 F.3d 1214, 1216 (10th Cir. 2008). Given that Fox knowingly declined to provide the Attorney General timely notice in the District Court because Fox did not believe it was necessary, we find that Fox has failed to preserve any argument about the adequacy of the record vis-à-vis its First Amendment defense, as this argument was raised for the first time on appeal and not in its opening brief. See Brown, 250 F.3d at 799. We conclude that the record is sufficient to uphold § 227(b)(1)(C) as constitutional, as Fox has not identified any record evidence creating a genuine issue of material fact that would require us to remand, and prevent us from reaching the merits of the First Amendment issue. Therefore, in the interest of judicial economy, we decline to remand the matter to the District Court. 18 Conner II, 2023 WL 2226781, at *6–8. 19 Id. at *8 (citing Robert W. Mauthe, M.D., P.C. v. MCMC LLC, 387 F. Supp. 3d 551 (E.D. Pa. 2019)). 6 III.20
We first address Fox’s cross-appeal, starting with its claim that the District Court
misapplied the standard for determining if a fax qualifies as an “advertisement” under the
TCPA.21 We then consider Fox’s facial and as-applied constitutional challenges.22
On appeal from a civil bench trial, we review factual findings for clear error and
legal questions de novo.23 We review constitutional and statutory issues de novo.24 Our
review is based on the “full record developed in court” at trial.25
A.
The TCPA makes it “unlawful for any person within the United States, or any
person outside the United States if the recipient is within the United States . . . to use any
telephone facsimile machine, computer, or other device to send, to a telephone facsimile
20 The District Court had jurisdiction under 28 U.S.C. § 1331, and we have jurisdiction under 28 U.S.C. § 1291. 21 Fox does not argue the District Court erred in finding that the faxes Conner received were “unsolicited” (i.e., that Conner had never provided prior express consent to receive faxes from Fox). Instead, Fox contends the error lies in the determination that the faxes were “advertisements.” 22 Fox does not specify whether it is raising a facial or as-applied challenge under the First Amendment, and therefore “we will address both.” See United States v. Mitchell, 652 F.3d 387, 405 (3d Cir. 2011). 23 McCutcheon v. Am.’s Servicing Co., 560 F.3d 143, 147 (3d Cir. 2009). 24 United States v. Norwood, 49 F.4th 189, 200 (3d Cir. 2022). 25 See Ortiz v. Jordan, 562 U.S. 180, 184 (2011). We need not consider Fox’s appeal from the denial of its summary judgment motion, because “an order denying summary judgment on sufficiency-of-the-evidence grounds is not appealable after trial.” Dupree v. Younger, 598 U.S. 729, 731 (2023). To the extent Fox claims we must address its First Amendment challenge based on the record presented at summary judgment, we disagree—the District Court did not resolve the First Amendment issue at summary judgment and instead deferred ruling on the issue pending development of a sufficient factual record at trial. 7 machine, an unsolicited advertisement.”26 The TCPA defines “unsolicited
advertisement” as “any material advertising the commercial availability or quality of any
property, goods, or services which is transmitted to any person without that person’s prior
express invitation or permission, in writing or otherwise.”27 A fax is an advertisement if
it reveals “a nexus between the sending of the fax and the sender’s product or services
and the buyer’s decision to purchase the product or services.”28
We apply an objective test to determine whether a fax is an “unsolicited
advertisement.”29 The factfinder must decide whether, based on the content of “[t]he fax
itself,” a “reasonable recipient could construe [the] fax as an unsolicited advertisement
for goods, services, or property.”30 The answer “does not depend on the subjective
viewpoints of either the fax sender or recipient,” which are legally irrelevant.31
In finding that Fox’s faxes were advertisements, the District Court correctly
“consider[ed] only that material contained within the four-corners of the fax.”32 The
court reviewed all eight faxes individually and concluded that “it is clear that all eight
faxes are promoting Fox’s services in a way that suggests . . . Fox is trying to secure
26 47 U.S.C. § 227(b)(1)(C). 27 Id. § 227(a)(5). 28 See Robert W. Mauthe, M.D., P.C. v. Optum Inc., 925 F.3d 129, 134 (3d Cir. 2019). 29 Robert W. Mauthe MD PC v. Millennium Health LLC, 58 F.4th 93, 96 (3d Cir. 2023) (per curiam). 30 Id. at 94; id. at 103 (Phipps, J., concurring) (noting that our precedents “ha[ve] tethered the meaning of ‘unsolicited advertisement’ to the text of the fax itself” (first citing Fischbein v. Olson Rsch. Grp., Inc., 959 F.3d 559, 562–63 (3d Cir. 2020); then citing Optum, 925 F.3d at 132–33)). 31 Id. at 96 (majority opinion); id. at 96 n.2. 32 Conner II, 2023 WL 2226781, at *5–8 (citing Millennium, 58 F.4th 93). 8 referrals from providers.”33 The faxes, on their face, “tout a specific ‘model’ of care used
by Fox which Fox describes as high quality and unique.”34 The detailed descriptions of
Fox’s trademarked therapy model were promotional because they focused on Fox’s
“model, as opposed to any non-specific category of treatment services that can be offered
by any variety of clinical providers like Fox.”35 The faxes also contained “an embedded
profit motive to gain referrals from past providers, because the more referrals Fox
receives the more revenue they are hoping to receive from the patients’ insurance.”36 The
District Court also properly rejected Fox’s argument that its faxes were merely
informational notices and not commercial advertisements.37 We find no clear error in the
court’s factual findings.38
Citing our use of the term “reasonable recipient” in Robert W. Mauthe MD PC v.
Millennium Health LLC,39 Fox argues the District Court should have looked beyond the
four corners of the faxes. We disagree. Millennium reiterated that “an objective standard
governs whether a fax constitutes an unsolicited advertisement.”40 Although we framed
the objective standard in terms of whether a “reasonable recipient could construe the . . .
33 Id. at *6. 34 Id. 35 Id. 36 Id. 37 Id. at *6–7. 38 See Anderson v. City of Bessemer City, 470 U.S. 564, 574 (1985) (“Where there are two permissible views of the evidence, the factfinder’s choice between them cannot be clearly erroneous.”). 39 58 F.4th 93 (3d Cir. 2023). 40 Millennium, 58 F.4th at 96. 9 fax as an unsolicited advertisement for goods, services, or property,”41 we considered
only “[t]he fax itself,” without any outside context,42 in concluding that the free
educational seminar faxes were not unsolicited advertisements.43 Millenium supports, not
counters, the District Court’s conclusions. Therefore, having determined that the faxes
were advertisements, we will turn to the question of whether Fox’s First Amendment
defense is a valid one.
B.
Fox’s constitutional challenges raise the threshold question whether strict scrutiny
or intermediate scrutiny applies to § 227(b)(1)(C). The United States and Conner argue
that intermediate scrutiny applies. Fox maintains that strict scrutiny applies.
In Central Hudson Gas & Electric Corp. v. Public Service Commission of New
York,44 the Supreme Court made clear that “[t]he First Amendment, as applied to the
States through the Fourteenth Amendment, protects commercial speech from
41 Id. at 94. 42 In Millennium, we looked beyond the four corners of the fax and considered “the contents of the free seminar” only to address the “pretext theory” espoused by the Federal Communications Commission (FCC). See id. at 96–97. However, unlike in Millennium, the pretext theory is not at issue here. 43 Id. at 96. Fox argues the Millennium Court could not have deduced that the seminar was free without looking beyond the four corners of the fax. We disagree: We were able to ascertain that the seminar was free based on the content of “[t]he fax itself,” which contained no indicia that the seminar was anything other than free. Millennium, 58 F.4th at 96. “The fax itself ma[de] no mention whatsoever of goods, services, or property,” lacked any “discussion of anything that can be bought or sold,” included no “testimonials, product images, or coupons,” and provided no “email, phone number, or direct internet link to purchase a Millennium Health product or service.” Id. The same cannot be said of Fox’s unsolicited faxes. See Conner II, 2023 WL 2226781, at *6–8. 44 447 U.S. 557 (1980). 10 unwarranted governmental regulation,”45 with the caveat that commercial speech is not
entitled to the same level of constitutional protection as noncommercial speech.46 Since
then, the Central Hudson test—a form of intermediate scrutiny—has applied to content-
based restrictions on commercial speech.47 The Supreme Court and our Court have
consistently and repeatedly reaffirmed the commercial-speech doctrine.48
This is not to say that strict scrutiny may never apply when commercial speech is
implicated. While Central Hudson applies to circumstances where commercial speech is
restricted more heavily than noncommercial speech, or where a regulation distinguishes
between different types of commercial speech49 (despite being a content-based
distinction),50 strict scrutiny applies when commercial speech is favored over
45 Cent. Hudson, 447 U.S. at 561 (citing Va. Pharm. Bd. v. Va. Citizens Consumer Council, Inc., 425 U.S. 748, 761–62 (1976)). 46 Id. at 562 (“The Constitution . . . accords a lesser protection to commercial speech than to other constitutionally guaranteed expression.” (citing Ohralik v. Ohio State Bar Ass’n, 436 U.S. 447, 456–57 (1978))). 47 See Greater Phila. Chamber of Com. v. City of Phila., 949 F.3d 116, 137–38 (3d Cir. 2020). 48 See, e.g., id. (holding “that intermediate scrutiny under Central Hudson is the appropriate level of review” because the ordinance “regulates commercial speech,” and rejecting claim that strict scrutiny applied); see also Sorrell v. IMS Health Inc., 564 U.S. 552, 579 (2011) (acknowledging that “the government’s legitimate interest in protecting consumers from ‘commercial harms’ explains ‘why commercial speech can be subject to greater governmental regulation than noncommercial speech’” (quoting Cincinnati v. Discovery Network, Inc., 507 U.S. 410, 426 (1993))). Most recently, the Supreme Court stated (in dictum) that a regulation on “only commercial speech” is “subject to intermediate scrutiny,” regardless of whether the regulation is “content based.” City of Austin v. Reagan Nat’l Advert. of Austin, LLC, 596 U.S. 61, 73 (2022) (citing Metromedia, Inc. v. San Diego, 453 U.S. 490, 507–12 (1981) (plurality opinion)). 49 See Cent. Hudson, 447 U.S. at 564–65 & n.6; Greater Phila., 949 F.3d at 137–40. 50 See Discovery Network, 507 U.S. at 429; see also Camp Hill Borough Republican Ass’n v. Borough of Camp Hill, 101 F.4th 266, 269–70 (3d Cir. 2024) (recognizing that an ordinance imposes a content-based restriction if “[i]t distinguishes commercial from 11 noncommercial speech,51 or where the distinction implicates viewpoint discrimination.52
Fox concedes that § 227(b)(1)(C) does not apply to noncommercial speech, and
we agree. Commercial speech is “speech that proposes a commercial transaction,”53 or
an “expression related solely to the economic interests of the speaker and its audience.”54
We ask three questions when classifying speech as commercial: “(1) is the speech an
advertisement; (2) does the speech refer to a specific product or service; and (3) does the
speaker have an economic motivation for the speech[?]”55 If the answer to each question
is yes, this “provides ‘strong support’ for the conclusion that the speech is commercial.”56
The TCPA’s definition of “unsolicited advertisement” is limited to “advertising”
noncommercial speech”). 51 See Barr v. Am. Ass’n of Pol. Consultants, Inc. (AAPC), 591 U.S. 610, 619 (2020) (plurality opinion) (“Because the law favors speech made for collecting government debt over political and other speech, the law is a content-based restriction on speech.”); id. at 621 (“Under the Court’s precedents, a ‘law that is content based’ is “subject to strict scrutiny.” (quoting Reed v. Town of Gilbert, 576 U.S. 155, 165 (2015))); id. at 650 (Gorsuch, J., concurring in judgment in part and dissenting in part) (“The statute is content-based because it allows speech on a subject the government favors (collecting its debts) while banning speech on other disfavored subjects (including political matters). The statute fails strict scrutiny because the government offers no compelling justification for its prohibition against the plaintiffs’ political speech.” (citation omitted)); see also Camp Hill, 101 F.4th at 269–70 (“Historically, the government has had more leeway to regulate commercial speech than other kinds of speech. Yet this ordinance disfavors noncommercial speech, which has never enjoyed less protection. So the Borough cannot rely on the commercial-speech doctrine, and the [ordinance’s noncommercial speech] category faces strict scrutiny.” (emphasis in original)). 52 See Greater Phila., 949 F.3d at 139. 53 Bd. of Tr. of State Univ. of N.Y. v. Fox, 492 U.S. 469, 482 (1989) (emphasis in original) (citing Va. Pharm. Bd., 425 U.S. at 761). 54 See Greater Phila., 949 F.3d at 137 (quoting Cent. Hudson, 447 U.S. at 561). 55 Id. (alteration in original) (quoting U.S. Healthcare, Inc. v. Blue Cross of Greater Phila., 898 F.2d 914, 933 (3d Cir. 1990)). 56 Id. (quoting U.S. Healthcare, 898 F.2d at 933). 12 that is “commercial” in nature.57 “Advertising is the action of drawing the public’s
attention to something to promote its sale. So to be an ad, the fax must promote goods or
services to be bought or sold, and it should have profit as an aim.”58 Thus, by its plain
terms, the definition comprises all three characteristics of commercial speech.59 We
therefore hold that Central Hudson controls because § 227(b)(1)(C) is expressly limited
to commercial speech.60
We reject Fox’s argument that the Supreme Court has essentially abandoned the
commercial-speech doctrine and replaced it with a blanket rule that strict scrutiny applies
to all content-based restrictions on speech. Fox’s citations to Sorrell v. IMS Health Inc.,61
Reed v. Town of Gilbert,62 and Barr v. American Association of Political Consultants,
Inc. (AAPC),63 do not persuade us otherwise. Sorrell is inapposite because it concerned a
viewpoint-based restriction that merited “heightened scrutiny,” and even so, its reference
57 47 U.S.C. § 227(a)(5). 58 Optum, 925 F.3d at 133 (alteration omitted) (other omissions in original) (quoting Mauthe v. Nat’l Imaging Assocs., Inc., 767 F. App’x. 246, 248–49 (3d Cir. 2019)). 59 See Greater Phila., 949 F.3d at 137. 60 Fox argues that the constitutional-avoidance canon requires that we construe the term “unsolicited advertisement” to exclude its faxes. This argument is misplaced, especially considering Fox does not claim the statutory definition is ambiguous. See United States v. Oakland Cannabis Buyers’ Coop., 532 U.S. 483, 494 (2001) (“[T]he canon of constitutional avoidance has no application in the absence of statutory ambiguity.”). Because our textual analysis concludes that the TCPA’s unambiguous definition of “unsolicited advertisement” comports with First Amendment principles, we “have no occasion to consider application of the constitutional-avoidance canon.” See Carlton & Harris Chiropractic, Inc. v. PDR Network, LLC, 80 F.4th 466, 475 n.4 (4th Cir. 2023) (declining to apply the constitutional-avoidance canon to the TCPA’s definition of “unsolicited advertisement”). 61 564 U.S. 552 (2011). 62 576 U.S. 155 (2015). 63 591 U.S. 610 (2020) (plurality opinion). 13 to “heightened scrutiny” likely referred to the Central Hudson test that the Sorrell Court
applied—not necessarily to strict scrutiny.64 The plurality decision in AAPC did not alter
this conclusion, as it concerned regulations that disfavored non-commercial speech.65
Reed similarly has little relevance, as the statute at issue there regulated exclusively
noncommercial speech and therefore did not implicate the commercial-speech doctrine.66
Because none of those decisions abrogated Central Hudson, we are bound to apply the
commercial-speech doctrine.67
C.
Now that we have resolved the threshold question and concluded that intermediate
scrutiny governs § 227(b)(1)(C), we must determine whether the statute is invalid on its
face or as applied to Fox’s faxes. We begin with Fox’s facial challenge. We need not
64 See Greater Phila., 949 F.3d at 139 (stating that “Sorrell merely stands for the proposition that some level of scrutiny above rational basis review applied”); see also Sorrell, 564 U.S. at 571–72 (applying Central Hudson test); Vugo, Inc. v. City of New York, 931 F.3d 42, 49 (2d Cir. 2019) (“We hold that [after Sorrell] the Central Hudson test still applies to commercial speech restrictions.”). 65 See Recht v. Morrisey, 32 F.4th 398, 409–10 (4th Cir. 2022). Fox’s citation to International Outdoor, Inc. v. City of Troy, 974 F.3d 690 (6th Cir. 2020), is unpersuasive, because, unlike § 227(b)(1)(C), the speech restriction in that case “regulate[d] both commercial and non-commercial speech.” 974 F.3d at 705 (emphasis added). 66 See Recht, 32 F.4th at 409 (“Rather than overruling long-settled precedent, Reed simply concerned a totally different context; it cannot be distorted to so unsettle the Central Hudson regime.”); Contest Promotions, LLC v. City & Cnty. of San Francisco, 874 F.3d 597, 601 (9th Cir. 2017) (“reject[ing] the notion that Reed altered Central Hudson’s longstanding intermediate scrutiny framework,” and concluding that “[r]estrictions on commercial speech are subject to intermediate scrutiny under Central Hudson”). 67 See Hohn v. United States, 524 U.S. 236, 252–53 (1998) (“Our decisions remain binding precedent until we see fit to reconsider them, regardless of whether subsequent cases have raised doubts about their continuing vitality.”). 14 address Fox’s overbreadth challenge.68
1.
A commercial-speech regulation survives intermediate scrutiny if it satisfies all
four Central Hudson prongs:
First, speech that is misleading or concerns illegal activity is unprotected. But if the speech is lawful and not misleading, the restriction must satisfy three more prongs to survive. Second, the government must have a substantial interest in regulating the speech. Third, the restriction must directly advance that interest. Fourth, the restriction must be no broader than necessary.69
The government bears the burden of showing that the commercial-speech regulation
meets all four prongs.70 Accordingly, we must ask whether the government has shown
that § 227(b)(1)(C) “directly advance[s]” a “substantial interest” without being “more
than necessary to serve” that interest.71
It is notable that Fox has not identified a single case holding that § 227(b)(1)(C)
violates the First Amendment. To our knowledge, except for one later-overturned
decision,72 every court that has addressed this question, including the Courts of Appeals
68 We reject Fox’s overbreadth challenge as incognizable because “the overbreadth doctrine does not apply to commercial speech.” Rad v. Att’y Gen. U.S., 983 F.3d 651, 662 (3d Cir. 2020) (quoting Vill. of Hoffman Ests. v. Flipside, Hoffman Ests., Inc., 455 U.S. 489, 497 (1982)). 69 Bank of Hope v. Miye Chon, 938 F.3d 389, 395 (3d Cir. 2019) (citing Cent. Hudson, 447 U.S. at 566). 70 Zaunder v. Off. of Disciplinary Coun. of Sup. Ct. of Ohio, 471 U.S. 626, 647 (1985). 71 Greater Phila., 949 F.3d at 140 (citing Cent. Hudson, 447 U.S. at 566); see also Destination Ventures, Ltd. v. F.C.C., 46 F.3d 54, 55 (9th Cir. 1995) (applying Central Hudson test to § 227(b)(1)(C) and asking whether it “directly advance[s] a substantial government interest in a manner that forms a ‘reasonable fit’ with the interest” (quoting Fox, 492 U.S. at 480)). 72 See Missouri ex rel. Nixon v. Am. Blast Fax, Inc., 196 F. Supp. 2d 920 (E.D. Mo. 15 for the Eighth and Ninth Circuits, have upheld § 227(b)(1)(C) as constitutional.73 In
doing so, they rejected arguments nearly identical to the ones Fox raises here. We agree
and join them in holding that § 227(b)(1)(C) is constitutional.
No one claims § 227(b)(1)(C) targets only unlawful activity or misleading
communications. We begin, therefore, with the second Central Hudson prong
(substantial government interest). The government may satisfy this prong by “showing
the significance of the harm it seeks to remedy” and “demonstrat[ing] the substantiality
of the interests with anecdotes, history, consensus, and simple common sense.”74
The United States has identified substantial interests and has established them by
relying on the TCPA’s legislative history, anecdotal evidence, common sense, and
unanimity among the courts that have addressed the issue. First, the government has “a
2002), rev’d, 323 F.3d 649 (8th Cir. 2003). 73 Missouri ex rel. Nixon v. Am. Blast Fax, Inc., 323 F.3d 649, 652–60 (8th Cir. 2003); Destination Ventures, 46 F.3d at 55–56; MCMC, 387 F. Supp. 3d at 568–70; McCall Law Firm, PLLC v. Crystal Queen, Inc., 335 F. Supp. 3d 1124, 1134–35 (E.D. Ark. 2018); Physicians Healthsource, Inc. v. Stryker Sales Corp., 65 F. Supp. 3d 482, 497 (W.D. Mich. 2014); Pasco v. Protus IP Sols., Inc., 826 F. Supp. 2d 825, 836–38 (D. Md. 2011); Centerline Equip. Corp. v. Banner Pers. Serv., Inc., 545 F. Supp. 2d 768, 772–73 (N.D. Ill. 2008); Acct. Outsourcing, LLC v. Verizon Wireless Pers. Commc’ns, L.P., 329 F. Supp. 2d 789, 813–17 (M.D. La. 2004); Minnesota ex rel. Hatch v. Sunbelt Commc’ns & Mktg., 282 F. Supp. 2d 976, 981–84 (D. Minn. 2002); Texas v. Am. Blastfax, Inc., 121 F. Supp. 2d 1085, 1091–92 (W.D. Tex. 2000); Kenro Inc. v. Fax Daily, Inc., 962 F. Supp. 1162, 1167–69 (S.D. Ind. 1997); Harjoe v. Herz Fin., 108 S.W.3d 653, 654–55 (Mo. 2003) (en banc) (per curiam); Rudgayzer & Gratt v. Enine, Inc., 779 N.Y.S. 2d 882 (N.Y. App. Term 2004); Chair King, Inc. v. GTE Mobilnet of Hous., Inc., 135 S.W.3d 365, 386–88 (Tex. App. 2004), rev’d on other grounds, 184 S.W.3d 707 (Tex. 2006); Kaufman v. ACS Sys., Inc., 2 Cal. Rptr. 3d 296, 312–323 (Cal. Ct. App. 2003). 74 Nixon, 323 F.3d at 654. “[E]mpircal studies” are not required. Id. 16 substantial interest in restricting unsolicited fax advertisements in order to prevent the
cost shifting and interference such unwanted advertising places on the recipient.”75
Unlike mailed or emailed advertisements, fax advertisements are largely funded by the
recipients, “who are forced to contribute ink, paper, wear on their fax machines as well as
personnel time.”76 Such “costs are borne by the recipient of the fax advertisement
regardless of . . . their interest in the product or service being advertised.”77 Additionally,
“unsolicited fax advertising interferes with company switchboard operations and burdens
the computer networks of those recipients who route incoming faxes into their electronic
mail systems.”78 Congress focused on commercial fax advertisements specifically
because they “constitute the bulk of all . . . unsolicited faxes,” and “[t]here is no reason to
doubt that Congress . . . believed . . . that noncommercial faxes did not present the same
problem as commercial faxes and therefore distinguished between them.”79
Second, as the Supreme Court has already recognized, the government has a
substantial interest in protecting consumers’ privacy interests against unsolicited
advertising.80 In enacting § 227(b)(1)(C), “Congress took aim at the intrusive nature of
unsolicited faxes. Much the same way a telemarketing call invades one’s right to be left
alone, an unsolicited fax intrudes upon the right to be free from nuisance.”81
75 Nixon, 323 F.3d at 655. 76 Id. at 652. 77 H.R. Rep. No. 102-317, at 25 (1991). 78 Nixon, 323 F.3d at 655. 79 See id.at 655–58. For detailed discussions of this substantial government interest, see id. at 654–55; Kaufman, 110 Cal. App. 4th at 890–94, 906–14. 80 See Edenfield v. Fane, 507 U.S. 761, 769 (1993). 81 MCMC, 387 F. Supp. 3d at 569 (emphasis in original) (quoting Melrose Hotel Co. v. 17 For these reasons, we join the judicial consensus in concluding that the
government’s interests are substantial.
The third Central Hudson prong requires the government to “demonstrate that the
challenged regulation ‘advances the Government’s interest in a direct and material
way.’”82 Fox argues § 227(b)(1)(C) does not “materially advance” the government’s
interest because it “bans only faxes that promote goods or services for sale, excepting all
other forms of unsolicited faxes to consume paper, ink, phone line capacity and so on.”83
For instance, Fox points out that the TCPA does not restrict the sending of unsolicited
noncommercial faxes containing “repulsive but non-advertising content.”84
Courts have rejected such arguments because Congress reasonably distinguished
between commercial and noncommercial faxes when it chose to restrict only the most
obtrusive faxes—commercial advertisements.85 Congress determined that commercial
advertisements comprised a significant tranche of all unsolicited faxes and believed “that
noncommercial faxes did not present the same problem as commercial faxes.”86 Its
decision to forgo restricting noncommercial faxes does not mean § 227(b)(1)(C) is
St. Paul Fire & Marine Ins. Co., 432 F. Supp. 2d 488, 500–01 (E.D. Pa. 2006)); see also id. at 561–62 (“More broadly, the TCPA aims to mitigate ‘the nuisance and invasion of privacy’ that unsolicited telecommunications cause.” (quoting Leyse v. Bank of Am. Nat’l Ass’n, 804 F.3d 316, 326 (3d Cir. 2015))). 82 Fla. Bar v. Went For It, Inc., 515 U.S. 618, 625–26 (1995) (quoting Rubin v. Coors Brewing Co., 514 U.S. 476, 487 (1995)). 83 Appellee/Cross-Appellant’s Principal & Resp. Br. at 65. 84 Appellee/Cross-Appellant’s Reply Br. at 25. 85 See, e.g., Nixon, 323 F.3d at 655–58. 86 See id. at 656. 18 invalid: “The First Amendment does not require Congress to forgo addressing the
problem at all unless it completely eliminates cost shifting.”87 We conclude that, in the
unsolicited fax context, the TCPA directly and materially advances the government’s
substantial interests “[b]y placing restrictions on those responsible for a large portion of
the problem.”88
The final Central Hudson prong asks whether the commercial-speech “restriction
is not more extensive than necessary to serve the interests that support it.”89 A narrowly
tailored restriction “focuses on the source of the evils the [government] seeks to eliminate
. . . and eliminates them without at the same time banning or significantly restricting a
87 Destination Ventures, 46 F.3d at 56; Nixon, 323 F.3d at 658 (“Congress is not required to ‘make progress on every front before it can make progress on any front.’” (quoting United States v. Edge Broad. Co., 509 U.S. 418, 432–34 (1993))). 88 Nixon, 323 F.3d at 658; see also Destination Ventures, 46 F.3d at 56 (“Because Congress’s goal was to prevent the shifting of advertising costs, limiting its regulation to faxes containing advertising was justified.”). To the extent Fox suggests it is entitled to win by default on its First Amendment defense due to perceived inadequacies in the factual record as to the third Central Hudson prong, we disagree. Although this prong requires that the government “demonstrate that the harms it recites are real and that its restriction will in fact alleviate them to a material degree,” Edenfield, 507 U.S. at 771, our “inquiry under this prong ‘is not a license to reweigh the evidence de novo, or to replace [legislators’] factual predictions with our own,” Greater Phila., 949 F.3d at 142 (alteration in original) (quoting Turner Broad. Sys., Inc. v. F.C.C., 512 U.S. 622, 666 (1994)). Instead, our “task is merely to determine whether the legislature has ‘drawn reasonable inferences based on substantial evidence.’” Id. (omissions in original) (quoting Turner Broad. Sys., Inc. v. F.C.C., 520 U.S. 180, 195 (1997)). Moreover, Fox has failed to adequately preserve this argument for our review because it was not raised in Fox’s opening brief or before the District Court. See Brown, 250 F.3d at 799. 89 Lorillard Tobacco Co. v. Reilly, 533 U.S. 525, 556 (2001) (quoting Greater New Orleans Broad. Ass’n, Inc. v. United States, 527 U.S. 173, 188 (1999)). 19 substantial quantity of speech that does not create the same evils.”90 The Supreme Court
has “made clear that ‘the least restrictive means’ is not the standard; instead, the case law
requires a reasonable ‘fit between the legislature’s ends and the means chosen to
accomplish those ends, . . . a means narrowly tailored to achieve the desired objective.’”91
Fox argues that § 227(b)(1)(C) cannot satisfy the fourth Central Hudson prong and
identifies alternative, less restrictive solutions, including a “‘do not fax registry,’ time of
day restrictions, and/or limitations on the number of faxes someone can send,”92 that Fox
claims would achieve the government’s interest in “reducing the costs of unsolicited
faxes to fax recipients.”93 However, several courts have already considered—and
rejected—similar arguments invoking the same alternatives.94 Indeed, a restriction may
still be narrowly tailored and pass intermediate scrutiny even if “there is some imaginable
alternative that might be less burdensome on speech.”95 We therefore agree that these
potential alternatives fail to establish that § 227(b)(1)(C) is an unreasonable fit for the
government’s substantial interests.
90 Ward v. Rock Against Racism, 491 U.S. 781, 799 n.7 (1989). 91 Lorillard, 533 U.S. at 556 (omission in original) (quoting Fla. Bar, 515 U.S. at 632). 92 Appellee/Cross-Appellant’s Reply Br. at 25. 93 Appellee/Cross-Appellant’s Principal & Resp. Br. at 66. 94 See, e.g., Nixon, 323 F.3d at 659; see also Kenro, 962 F. Supp. at 1168–69 (rejecting plaintiff’s proposed alternatives, which included “creating and maintain a ‘do not fax’ list; regulating the hours of fax advertising; [and] limiting the number or frequency of transmissions,” had “fail[ed] to establish that the legislation Congress did choose is improperly tailored for its targeted goal” (quoting Destination Ventures, Ltd. v. F.C.C., 844 F. Supp. 632, 639 (D. Ore. 1994))); McCall, 335 F. Supp. 3d at 1135; Pasco, 826 F. Supp. 2d at 838; Hatch, 282 F. Supp. 2d at 983–84; Am. Blast Fax, 121 F. Supp. 2d at 1092 (“[T]hese possible alternatives do not show that the TCPA’s ban on unsolicited fax advertisements is an unreasonable ‘fit’ for the interests directly advanced by the ban.”). 95 See Ward, 491 U.S. at 797; Nixon, 323 F.3d at 659. 20 We also conclude that § 227(b)(1)(C) is narrowly tailored on its face. Commercial
advertisers like Fox are not completely prohibited from sending unsolicited faxes; rather,
advertisers may send unsolicited faxes to recipients with whom they have a preexisting
business relationship.96 In addition, § 227(b)(1)(C) does not ban commercial advertisers
from messaging consumers through other means, such as direct mail, telephone calls, or
in-person solicitation: “Advertisers remain free to publicize their products through any
legal means; they simply cannot do so through an unsolicited fax.”97 Nor does the TCPA
prohibit commercial advertisers from sending fax advertisements with the recipient’s
“prior express invitation or permission.”98 Unlike the commercial-speech restrictions
invalidated by the Supreme Court, § 227(b)(1)(C) does not operate as a “complete ban on
the communication of truthful information [about a commercial product].”99 The statute
is “neither intended to protect the public from the content of the speech nor to implement
policy unrelated to the delivery of the message itself.”100 Because § 227(b)(1)(C) is so
narrowly drawn, we cannot say that it is “substantially excessive” so that it fails the final
Central Hudson prong.101
For these reasons, we conclude that § 227(b)(1)(C) is narrowly tailored to achieve
96 See 47 U.S.C. § 227(b)(1)(C)(i)–(iii). 97 Nixon, 323 F.3d at 659. 98 47 U.S.C. § 227(a)(5); see also Nixon, 323 F.3d at 660 (“If an advertiser wishes to promote its business by fax, there are many ways for it to secure the consent of willing potential customers, just as in Florida Bar where there were ‘many other ways for injured Floridians to learn about the availability of legal representation.’” (quoting 515 U.S. at 633)). 99 Nixon, 323 F.3d at 660 (alteration in original) (quoting Lorillard, 533 U.S. at 562). 100 Id. at 659–60. 101 See Fox, 492 U.S. at 479. 21 the government’s substantial interests in protecting consumers against unfair shifting of
advertising costs and from unwanted interference with their fax machines, and in
protecting them against invasions of privacy. Therefore, § 227(b)(1)(C) satisfies all four
prongs of the Central Hudson test; Fox’s facial challenge fails.
2.
We now address Fox’s as-applied challenge. Fox must show that the application
of § 227(b)(1)(C) to its faxes violates its First Amendment rights.102 It argues strict
scrutiny should apply because its faxes contained enough informational content to trigger
“the constitutional protection afforded noncommercial speech.”103 We disagree.
The three characteristics of commercial speech are present in all eight of Fox’s
faxes. First, we agree with the District Court that Fox’s faxes are “advertisements.”104
Second, the faxes refer to specific services offered by Fox and emphasizes its
trademarked business model (i.e., “FOX’s Geriatric House Calls™”); we agree with the
District Court that “it is clear all eight faxes are promoting Fox’s services in a way that
suggests . . . Fox is trying to secure referrals from providers,” considering “[t]he faxes
tout a specific ‘model’ of care used by Fox and which Fox describes as high quality and
unique.”105 Third, we agree with the District Court that Fox’s faxes contained “an
102 Mazo v. N.J. Sec’y of State, 54 F.4th 124, 134 n.8 (3d Cir. 2022). 103 Bolger v. Youngs Drug Prods. Corp., 463 U.S. 463 U.S. 60, 68 (1983) (quoting Cent. Hudson, 447 U.S. at 563 & n.5). 104 See Conner II, 2023 WL 2226781, at *6–7. 105 Id. at *6. We also note that Fox promoted the availability of its services by conspicuously emphasizing—in capital letters and in bold lettering—that certain conditions were not required to obtain Fox’s services (e.g., “NO HOMEBOUND STATUS REQUIRED,” “NO FACE-TO-FACE-REQUIRED,” “NO 22 embedded profit motive to gain referrals from past providers.”106
Fox nonetheless maintains that strict scrutiny should apply because its faxes
included information relating to the COVID-19 pandemic. However, the Supreme Court
has specifically cautioned “that advertising which ‘links a product to a current public
debate’ is not thereby entitled to the constitutional protection afforded noncommercial
speech.”107 This includes informational materials that “contain discussions of important
public issues,” even public health issues.108 Indeed, because “[a] company has the full
panoply of protections available to its direct comments on public issues . . . there is no
reason for providing similar constitutional protection when such statements are made in
the context of commercial transactions.”109
Fox included pandemic-related information into its faxes to promote its own
rehabilitative services and soliciting referrals. Fox (a seller) used this information to
promote its services, which, by definition, “proposes a commercial transaction” and thus
constitutes commercial speech.110 We conclude that Fox’s faxes are not entitled to the
HOSPITALIZATION REQUIRED”). See id. at *9 (App. A). The same can be said of the bolded, capitalized message that Fox is a “MEDICARE PART B PROVIDER,” as this notified recipients that they could refer their Medicare Part B-enrolled patients to Fox for treatment. See id. Indeed, as one Fox representative testified at trial, this language was “essentially telling the story of the type of care and the location setting where we provide it.” APP01674 (Vol. 2 Trial Tr. at 144:6–12). 106 Conner II, 2023 WL 2226781, at *6. 107 Bolger, 463 U.S. at 68 (quoting Cen. Hudson, 447 U.S. at 563 & n.5). 108 Id. at 67–68. 109 Id. at 68. 110 See Facenda v. N.F.L. Films, Inc., 542 F.3d 1007, 1017 & n.6 (3d Cir. 2008); id. at 1017 (recognizing an “infomercial,” which “focuses on one product, explaining both how it works and the source of its innovations, all in a positive tone,” as commercial speech) 23 same level of constitutional protection as noncommercial speech. Thus, Fox’s as-applied
First Amendment challenge fails.
IV.
We now address Conner’s appeal, beginning with his argument that the District
Court erred in failing to compel the disclosure of the Salesforce and Raintree databases
before rendering its decision on class certification. As with all “orders regarding the scope
and conduct of discovery,”111 we review limits on precertification discovery for abuse of
discretion,112 which “occurs if the district court’s decision ‘rests upon a clearly erroneous
finding of fact, an errant conclusion of law or an improper application of law to fact.’”113
Although a district court should defer its certification decision until the record is
adequate,114 it must balance the need to make a decision that is “careful and well-informed”
with the requirement that its decision “must not be unjustifiably delayed.” 115 If the court
provided the plaintiff fair and ample opportunity to take discovery and present evidence
before denying class certification, we should defer to the court’s decision to deny additional
precertification discovery.116 This includes when, as here, the plaintiff had ten months to
take precertification discovery and never requested the discovery sought—even after filing
111 Petrucelli v. Bohringer & Ratzinger, GMBH, 46 F.3d 1298, 1310 (3d Cir. 1995). 112 In re Niaspan Antitrust Litig., 67 F.4th 118, 139 (3d Cir. 2023). 113 In re Hydrogen Peroxide Antitrust Litig., 552 F.3d 305, 312 (3d Cir. 2008) (quoting Newton v. Merrill Lynch, Pierce, Fenner & Smith, 259 F.3d 154, 165 (3d Cir. 2001)). 114 See Richardson v. Bledsoe, 829 F.3d 273, 288–89 (3d Cir. 2016). 115 See In re Citizens Bank, N.A., 15 F.4th 607, 618 n.9 (3d Cir. 2021) (citing Fed. R. Civ. P. 23(c)(1), advisory committee’s note to 2003 amendment). 116 See Hydrogen Peroxide, 552 F.3d at 310. 24 a motion to compel.117 We find no error in the District Court’s decision to close
precertification discovery without compelling the disclosure of the Salesforce database.118
We next consider Conner’s appeal of the denial of class certification under Rule
23(b)(3). Our “review of class certification determinations is normally limited to whether
the district court abused its discretion in denying the motion.”119 Our review is confined
to the evidence and arguments presented at the time of the class certification decision.120
Class certification is proper only when the “the four requirements of Rule 23(a)
and the requirements of either Rule 23(b)(1), (2), or (3)” are satisfied, as well as the
prerequisite that the class be ascertainable.121 “The district court has a good deal of
discretion in determining whether or not to certify a class.”122 “If a district court harbors
uncertainty about whether the plaintiff has satisfied the requirements of Rule 23, class
certification should be denied.”123
117 Conner never submitted a discovery request for the Salesforce database. A court cannot err by failing to compel the disclosure of unrequested discovery. See Petrucelli, 46 F.3d at 1311 (explaining that serving discovery is a “prerequisite” to compel it). 118 We agree with Fox that Conner failed to preserve the issue whether the District Court should have compelled the production of records from the Raintree database. Conner never mentioned Raintree to the District Court during the class certification stage, so we cannot fault the court for failing to consider it. Nor can we consider issues raised for the first time on appeal. See Brown, 250 F.3d at 799. 119 Lusardi v. Xerox Corp., 975 F.2d 964, 973 (3d Cir. 1992). 120 See id. at 306. 121 Marcus v. BMW of N. Am., LLC, 687 F.3d 583, 590, 592–94 (3d Cir. 2012). 122 Mazus v. Dep’t of Transp., 629 F.2d 870, 876 (3d Cir. 1980). 123 Niaspan, 67 F.4th at 130 (citing Mielo v. Steak ‘n Shake Operations, Inc., 897 F.3d 467, 483 (3d Cir. 2018)). 25 A.
To satisfy the ascertainability requirement, the plaintiff must “show that: (1) the
class is ‘defined with reference to objective criteria’; and (2) there is ‘a reliable and
administratively feasible mechanism for determining whether putative class members fall
within the class definition.’”124 We focus here only on the second prong—administrative
feasibility—because Conner appeals the District Court’s finding that his methodology for
ascertaining class membership was neither administratively feasible nor reliable.
“Administrative feasibility means that identifying class members is a manageable
process that does not require much, if any, individual factual inquiry.”125 It requires that
the plaintiff’s proposed class be “currently and readily ascertainable.”126 However, the
plaintiff need not “identify all class members at class certification” but rather “need only
show that ‘class members can be identified’” later in the litigation.127
Precedent constrains us to conclude that the District Court erred because it
misinterpreted Conner’s proposed class definition. The court correctly observed that
“[m]embership in [Conner’s] putative class inextricably relies on Openfax’s transmission
logs,” but it misread the definition as requiring proof that the faxes reflected in the logs
“were successfully transmitted.”128 The class definition, by its plain terms, requires no
124 Byrd v. Aaron’s Inc., 784 F.3d 154, 163 (3d Cir. 2015) (quoting Carrera v. Bayer Corp., 727 F.3d 300, 355 (3d Cir. 2013)). 125 Carrera, 727 F.3d at 307–08 (quoting William B. Rubenstein & Alba Conte, Newberg on Class Actions § 3:3 (5th ed. 2011)). 126 Id. at 306 (quoting Marcus, 687 F.3d at 593). 127 Byrd, 784 F.3d at 163 (emphasis in original) (quoting Carrera, 727 F.3d at 308 n.2). 128 Conner I, 2022 WL 4080761, at *5. 26 such proof. Rather, membership in the putative class turns on whether the individual’s
fax number was “sent one or more facsimiles . . . identified as ‘successful’ transmissions
on the fax transmission detail reports from OpenFax.”129 Whether the individual in fact
received the faxes is irrelevant, at least for purposes of ascertainability.
Because the class definition does not require proof that the faxes were in fact
transmitted successfully, the class is currently and readily ascertainable through a
reliable, administratively feasible mechanism—namely, by reviewing the Openfax
transmission logs and identifying which faxes were identified as successfully transmitted.
This method is reliable because Fox has failed to identify evidence suggesting that any
faxes were never sent. In addition, to the extent the class definition requires confirmation
that the fax numbers in fact belong to actual “persons” or “business entities,”130 Conner
has stated that they can be identified with “contact data [ ] Defendant produced, . . .
reverse lookup services with lists . . . [and] if necessary, subpoenas to phone
companies.”131 Given the circumstances, Conner’s showing is sufficient to meet the
administrative feasibility requirement.
Moving onto predominance, Rule 23(b)(3) requires that “questions of law or fact
common to class members predominate over any questions affecting only individual
members.”132 The plaintiff bears the burden to establish, by a preponderance of the
129 Id. at *1 (emphasis added) (quoting Mot. for Class Certification at 2–3). 130 Id. (quoting Mot. for Class Certification at 2–3). 131 Id. at *5 (alterations and omissions in original). 132 Fed. R. Civ. P. 23(b)(3). 27 evidence, that “the common, aggregation-enabling, issues in the case are more prevalent
or important than the non-common, aggregation-defeating, individual issues”133 and that
its “claims are capable of common proof at trial.”134 We require “‘actual, not presumed,
conformance’ with the” predominance requirement.135 “A party’s assurance to the court
that it intends or plans to meet the requirement[ ] is insufficient.”136
A district court must consider “how specific issues will play out [at trial] in order
to determine whether common or individual issues predominate in a given case,”137 as
“the ‘nature of the evidence that will suffice to resolve a question determines whether the
question is common or individual.’”138 “If proof of the essential elements of the cause of
action requires individual treatment, then class certification is unsuitable.”139
Predominance requires a pragmatic, qualitative analysis.140 Thus, the District Court’s
decision commands our respect unless “the court exceeded the bounds of the rationally
available choices given the facts and the applicable law in the case at hand.”141
133 Tyson Foods, Inc. v. Bouaphakeo, 577 U.S. 442, 453 (2016) (quoting 2 William B. Rubenstein, Newberg on Class Actions § 4:49 (5th ed. 2012)). 134 In re Lamictal Direct Purchaser Antitrust Litig., 957 F.3d 184, 191 (3d Cir. 2020). 135 Hydrogen Peroxide, 552 F.3d at 322 (alteration omitted) (quoting Newton, 259 F.3d at 167). 136 Id. at 318 (citing Newton, 259 F.3d at 191). 137 Id. at 311 (quoting In re New Motor Vehicles Can. Exp. Antitrust Litig., 552 F.3d 6, 20 (1st Cir. 2008)). 138 Id. (quoting Blades v. Monsanto Co., 400 F.3d 562, 566 (8th Cir. 2005)). 139 Newton, 259 F.3d at 172. 140 See Carter v. City of Montgomery, 108 F.4th 1334, 1341 (11th Cir. 2024) (“[T]he predominance inquiry ‘requires a pragmatic assessment of the entire action and all the issues involved.’” (omissions in original) (quoting Cordoba v. DIRECTV, LLC, 942 F.3d 1259, 1274 (11th Cir. 2019))). 141 Shook v. Bd. of Cnty. Comm’rs, 543 F.3d 597, 603 (10th Cir. 2008) (quoting Big Sky Network Can., Ltd. v. Sichuan Provincial Gov’t, 533 F.3d 1183, 1186 (10th Cir. 2008)). 28 A core component of § 227(b)(1) is an “unsolicited advertisement,” which requires
proof of two facts: (1) the fax was “unsolicited,” meaning “without th[e] person’s prior
express invitation or permission, in writing or otherwise”; and (2) the fax was an
“advertisement.”142 For the purposes of this opinion, we treat “unsolicited” as an
essential element of a § 227(b)(1)(C) claim because Conner has not explained why we
should disregard the ordinary burden of proof.143
The District Court did not abuse its discretion in determining that individualized
questions about consent (i.e., the “unsolicited” element) precluded predominance.144 It
found that Conner’s putative class would require thousands of mini trials on the
142 See 47 U.S.C. § 227(a)(5), (b)(1)(C). 143 Ordinarily, the “plaintiff bears the burden of proving her claims.” Evankavitch v. Green Tree Servicing, LLC, 793 F.3d 355, 361 (3d Cir. 2015). Conner claims the defendant bears the burden of proving the fax recipient had provided prior express invitation or permission, but Conner does not address any of the factors relevant to determining whether a particular fact (or set of facts) constitutes an affirmative defense as opposed to a defense where the burden shifts to the defendant to negate an element of the plaintiff’s claim. See id. (discussing the five relevant factors). We have recognized that prior express permission or invitation is a complete defense to a TCPA unsolicited fax claim and that the defendant bears some burden in establishing that defense, but we have never clarified whether it is an affirmative defense. See Daubert v. NRA Grp., LLC, 861 F.3d 382, 390 (3d Cir. 2017) (acknowledging that the defendant is “required to prove [prior express consent] at trial,” but not clarifying whether prior express consent is an affirmative defense); Physicians Healthsource, Inc. v. Cephalon, Inc., 954 F.3d 615, 622–23 n.9 (3d Cir. 2020) (confirming that the defendant who “seek[s] to prove consent must carry the burden of proof,” but not clarifying whether consent is an affirmative defense). While we do not foreclose the possibility that prior express permission or invitation is an affirmative defense, we decline to resolve that issue today because Conner’s failure to address the relevant factors has failed to sufficiently preserve this issue for our review. See Barna v. Bd. of Sch. Dirs. of Panther Valley Sch. Dist., 877 F.3d 136, 148 (3d Cir. 2017). 144 Conner I, 2022 WL 4080761, at *6. 29 individualized issue of whether the faxes had been unsolicited.145 Citing the putative
class member declarations produced by Fox,146 the District Court found that “to
determine the type of consent each individual class member did or did not provide [Fox],
assuming any was given at all, would require individualized review” to resolve this
essential element of a § 227(b)(1)(C) claim.147 These factual questions would include:
(1) Whether Fox sought permission to send these faxes;
(2) What, if anything, Fox informed each class member about these faxes;
(3) How each class member provided their consent;
(4) Whether the specific fax or faxes each class member received fit within the contours of any consent that member may have provided; and
(5) Whether a class member invited the faxes in some other way than through a request from Fox to receive them.148
Though the declarations do not identify the exact instance of consent, the District Court
found that the declarations showed that Fox obtained prior express consent through
highly individualized methods of communication, rendering it impossible to resolve the
unsolicited element in the aggregate.149 We must defer to the District Court’s findings
145 Id. 146 Although Conner argues otherwise, Fox did not need to obtain consent from Conner’s counsel before engaging in precertification communications with putative class members. See David F. Herr, Annotated Manual for Complex Litigation § 21.12 (4th ed.) (“Defendants and their counsel generally may communicate with potential class members in the ordinary course of business”). 147 Conner I, 2022 WL 4080761, at *6. 148 Id. (cleaned up). 149 See id.; see also, e.g., Bais Yaakov of Spring Valley v. ACT, Inc., 12 F.4th 81, 89, 92 (1st Cir. 2021) (finding “no abuse of discretion in the district court’s finding that . . . to identify those [consenting] members the court would have to ‘parse through each unique 30 “even if we might have come to different factual conclusions based on th[e] record, . . .
unless we are convinced that the record cannot support those findings.”150 Conner has
failed to convince us that the record cannot support the District Court’s findings.151 Thus,
we will affirm the order denying class certification.
VI. Conclusion
For the foregoing reasons, we will affirm the District Court’s orders denying class
certification and entering judgment against Fox on Conner’s individual TCPA claims.
relationship’ between every class member and [the defendant]”). 150 Oberti by Oberti v. Bd. of Educ. of Borough of Clementon Sch. Dist., 995 F.2d 1204, 1220 (3d Cir. 1993). 151 Conner, as the appellant, has the burden of proving the District Court abused its discretion. See Titus v. Mercedes Benz of N. Am., 695 F.2d 746, 751 (3d Cir. 1982). 31 MATEY, Circuit Judge, dissenting.
Tradition endures, but technology does not. I disagree that the United States has
shown “a substantial interest in restricting unsolicited fax advertisements,” Missouri ex
rel. Nixon v. Am. Blast Fax, Inc., 323 F.3d 649, 655 (8th Cir. 2003), under the Telephone
Consumer Protection Act (TCPA), 47 U.S.C. § 227. The record on this point is simply
too scant to wade into, much less resolve, a constitutional question of first impression.1
The best the United States can muster is that “unsolicited advertisements sent to fax
machines can tie up phone lines, clog or empty paper trays, and otherwise interfere with a
recipient’s ability to send or receive other communications.” Intervenor Br. 10–11. Fox
responds that “[t]echnological changes have rendered unwanted faxes and their cost
practically obsolete” such that “the governmental interests when the TCPA was passed in
1991 can hardly justify the statute’s speech restrictions today.” Surreply Br. 23–24.
How are we to break this tie? The quaint concerns raised by the United States
seem unrecognizable to the modern reader who will struggle to understand why toner,
thermal paper, and telephone busy signals much matter in 2025. Concerns, moreover, that
1 In part, perhaps, because the District Court was reluctant to engage with Fox’s constitutional defense. The District Court directed Fox “not to brief [the constitutionality of the TCPA] any further” because it was not “going to decide an issue like that on summary judgment.” App. 64. Nor did the District Court delve into Fox’s constitutional defense in its bench trial decision, summarily rejecting the argument because it found “the well-reasoned opinion of” another district court judge to be “persuasive on this issue.” App. 134. Conner did little to help, failing to introduce any applicable evidence and simply restating the rulings of other courts. And Fox failed to notify the Attorney General of its defense “drawing into question the constitutionality of a federal . . . statute.” Fed. R. Civ. P. 5.1(a). 1 are unsupported by a scintilla of record evidence.2 Rather, “[b]ecause of the unresolved
factual questions, . . . [I] think it necessary to permit the parties to develop a more
thorough factual record, and to allow the District Court to resolve any factual disputes
remaining, before passing upon the constitutional validity of the challenged provisions.”
Turner Broad. Sys., Inc. v. Fed. Commc’ns Comm’n, 512 U.S. 622, 668 (1994).
It is hard to see how decades-old congressional statements about “tie[d] up fax
machines,” S. Rep. 102-177, at 20 (1991), and “the cost of the expensive paper used to
print out” faxes, H.R. Rep. No. 102-317, at 25 (1991), would qualify as substantial
interests today.3 But I would leave that for the District Court to consider in the first
instance on remand. For these reasons, I respectfully dissent.
2 True, the United States’s late defense of the TCPA and the resulting undeveloped record are partially attributable to Fox’s failure to notify the Attorney General of its constitutional defense. But since the majority agrees that Fox’s failure is not forfeiture, I see no reason to restrict Fox to arguments raised before the United States intervened. See Maj. Op. 6 nn.16–17. 3 Nor am I convinced that past congressional statements prologue the United States’s present interest. It has been more than two decades since the Supreme Court last looked to this sort of “legislative history” to discern a governmental interest in a First Amendment case. See Thompson v. W. States Med. Center, 535 U.S. 357, 373 (2002). Rather than rest on these few and far-away comments, I would remand to develop a robust contemporary record. 2
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Steven A. Conner DPM P.C. v. Fox Rehabilitation Services PC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/steven-a-conner-dpm-pc-v-fox-rehabilitation-services-pc-ca3-2025.