NOT FOR PUBLICATION FILED
UNITED STATES COURT OF APPEALS AUG 27 2018
MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS
FOR THE NINTH CIRCUIT
AMERICARE MEDSERVICES, INC., No. 17-55565
Plaintiff-Appellant, D.C. No.
8:16-cv-01703-JLS-AFM
v.
CITY OF ANAHEIM; et al., MEMORANDUM*
Defendants-Appellees.
Appeal from the United States District Court
for the Central District of California
Josephine L. Staton, District Judge, Presiding
Argued and Submitted August 7, 2018
Pasadena, California
Before: HAWKINS and CHRISTEN, Circuit Judges, and HOYT,** District Judge.
AmeriCare MedServices, Inc. appeals the dismissal of its antitrust and
declaratory-relief claims. We have jurisdiction under 28 U.S.C. § 1291. Reviewing
de novo, Close v. Sotheby’s, Inc., 894 F.3d 1061, 1068 n.5 (9th Cir. 2018) (citing
*
This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
**
The Honorable Kenneth M. Hoyt, United States District Judge for the
Southern District of Texas, sitting by designation.
City of Los Angeles v. AECOM Servs., Inc., 854 F.3d 1149, 1153 (9th Cir. 2017)),
we affirm.
Dismissal was appropriate because appellees are immune from antitrust
liability.1 See Parker v. Brown, 317 U.S. 341, 350–51 (1943). Municipalities enjoy
state-action antitrust immunity when acting “pursuant to a ‘clearly articulated and
affirmatively expressed’ state policy to displace competition.’” FTC v. Phoebe
Putney Health Sys., Inc., 568 U.S. 216, 226 (2013) (quoting Community Commc’ns
Co. v. Boulder, 455 U.S. 40, 52 (1982)). The city appellees did just that; California
law specifically authorizes cities “to maintain control of the [emergency medical]
services they operated or contracted for in June, 1980” and “make decisions as to
the appropriate manner of providing those services.”2 County of San Bernardino v.
1
We decline to adopt either an active-state-supervision requirement or a
market-participant exception. See Town of Hallie v. City of Eau Claire, 471 U.S.
34, 47 (1985) (“[A]ctive state supervision is not a prerequisite to exemption from
the antitrust laws where the actor is a municipality rather than a private party.”);
Shell Oil Co. v. City of Santa Monica, 830 F.2d 1052, 1058 n.5 (9th Cir. 1987)
(suggesting that a government entity is not a market participant when performing
“integral operations in areas of traditional governmental functions” (quoting Reeves,
Inc. v. Stake, 447 U.S. 429, 438 n.10 (1980))).
2
Whether § 1797.201 properly applies to each city appellee is a question for
California courts—not us. See City of Columbia v. Omni Outdoor Advertising, Inc.,
499 U.S. 365, 372 (1991) (applying “a concept of authority broader than what is
applied to determine the legality of the municipality’s action under state law”); Kern-
Tulare Water Dist. v. City of Bakersfield, 828 F.2d 514, 522 (9th Cir. 1987) (“Where
ordinary errors or abuses in exercise of state law . . . serve[] to strip the city of state
authorization, aggrieved parties should not forego customary state corrective
processes . . . in favor of federal antitrust remedies.” (citations omitted)).
2
City of San Bernardino, 938 P.2d 876, 890 (Cal. 1997); see Cal. Health & Safety
Code § 1797.201 (preserving the pre-1980 status quo by allowing cities to continue
“providing [emergency medical] services” until reaching an agreement with the
county). Further, since many cities had entered into exclusive agreements prior to
1980, an “anticompetitive effect was the ‘foreseeable result[.]’”3 Phoebe Putney,
568 U.S. at 227 (quoting Eau Claire, 471 U.S. at 42). And because the city appellees
are immune from antitrust liability, CARE Ambulance Service, Inc. (“CARE”) is as
well. See Charley’s Taxi Radio Dispatch Corp. v. SIDA of Hawaii, Inc., 810 F.2d
869, 878 (9th Cir. 1987) (immunizing “state action, not merely state actors”).
CARE is also immune under the Noerr–Pennington4 doctrine, which shields
private actors “from antitrust liability for petitioning the government, even when the
private actors’ motives are anticompetitive.” Sanders v. Brown, 504 F.3d 903, 912
(9th Cir. 2007). CARE’s efforts to obtain or maintain exclusive contracts with the
city appellees falls squarely within the scope of Noerr–Pennington. See id. (“Noerr–
3
See also Cal. Health & Safety Code § 1797.6 (providing “for state action
immunity under federal antitrust laws for activities undertaken by local
governmental entities in carrying out their prescribed functions”); Mercy-Peninsula
Ambulance, Inc. v. County of San Mateo, 791 F.2d 755, 758 (9th Cir. 1986)
(concluding pre-Phoebe Putney that California’s Emergency Medical Services Act
“has a foreseeably anti-competitive effect”).
4
See United Mine Workers of Am. v. Pennington, 381 U.S. 657 (1965); E.
R.R. Presidents Conf. v. Noerr Motor Freight, Inc., 365 U.S. 127 (1961).
3
Pennington immunity protects private actors when they . . . enter contracts with the
government.” (citations omitted)).5
AFFIRMED.
5
California Emergency Medical Services Authority’s (Doc. 53) and
Emergency Medical Services Administrators Association of California’s (Doc. 54)
motions to become amicus curiae are GRANTED. CARE’s motion to take judicial
notice (Doc. 77) is DENIED.
4