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  • 4/2/2025
Justice Samuel Alito questions attorneys during oral arguments in Medina v. Planned Parenthood South Atlantic.

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Transcript
00:00We could say, say it again, what we said in Gonzaga and Tlafsky, or we say or we could say we meant it when we said it.
00:12Yes, although I don't think it's right to think that the courts of appeals aren't getting the message.
00:17I think they're getting the message. And let me just give you a few examples.
00:20First of all, you have Judge Wilkinson's opinion for the Fourth Circuit here.
00:23And he says many times, I understand that Gonzaga provides the test.
00:27I understand that it has to be unambiguous language.
00:29I understand that we cannot find individual rights in these statutes willy-nilly.
00:34We need to be absolutely sure about it.
00:35But all three of the judges on this panel, including the concurring Judge Richardson,
00:39found that this statute unambiguously confers individual rights,
00:42that it is guaranteeing an individual the right to their provider of choice.
00:46And then if you look at other cases, as I said, there haven't been a lot of cases where people have litigated provisions,
00:53other state plan requirements.
00:56But the courts of appeals have routinely said, no, these things are not individually enforceable.
01:01We gave one of them in our brief an example in Section 832, which is about paying only the provider and not third parties.
01:09There are many other provisions.
01:11But if you're looking for some kind of issue here in the courts of appeals,
01:14like the courts of appeals aren't getting the message, frankly, that's just not true.
01:18It's just that this is a situation where we're talking about an intensely personal right that Congress wanted to protect.
01:24I mean, there aren't that many things that are more important than being able to choose your doctor,
01:29the person that you see when you're at your most vulnerable,
01:32facing some of the most significant challenges to your life and your health.
01:36And Congress said a long time ago, this is something we want to protect.
01:40We want people on Medicaid, who are insured through Medicaid,
01:42to have the same right that people who have private insurance enjoy,
01:45because it's so foundational to individual dignity and individual autonomy.
01:50And it makes sense for Congress to have said that.
01:53I guess a couple other things that have been discussed that I just wanted to make sure that we address.
01:58You know, we understand that there needs to be clear notice provided to the states here about their end of the bargain.
02:03But, you know, as I said, I don't think that there's a disagreement about what this provision does.
02:07I think everyone agrees that it's, you know, you have the right to any qualified and willing provider.
02:12Now, the state has an argument that they think they have an unfettered right to define qualified
02:19as being something other than professional qualifications and medical qualifications.
02:23That is an argument that was made and rejected below in a long discussion by the Fourth Circuit.
02:28The court denied cert on that.
02:30But just to maybe give the court some confidence in the Fourth Circuit's decision,
02:36you know, if this were a case in which there were real question about medical competence,
02:40like is this provider qualified to be a medical provider in the state,
02:44the Fourth Circuit said, of course the state would get a healthy dose of deference in those circumstances.
02:49The Fourth Circuit said that multiple times in its opinion.
02:52But the Fourth Circuit also said, you know, this is an easy case.
02:55There has never been an argument through the long history of this litigation
02:59that Planned Parenthood is unqualified medically, professionally unqualified.
03:03It is only that there is something that Planned Parenthood is doing outside of Medicaid
03:07that the state wants to disqualify it from the program.
03:10And so if it were a real case about qualifications, you know, it's something where the state would get deference.
03:14But it's absolutely wrong under the scheme here to say that the state can just deem any requirement it wants,
03:20you know, that a provider is unqualified.
03:21Too many people who work at the provider have blue eyes or they support green energy or whatever else.

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