Planned Parenthood of Southern Arizona v. Lawall

OPINION

TALLMAN, Circuit Judge:

Planned Parenthood of Southern Arizona and its corporate chapter, Planned Parenthood of Central and Northern Arizona, Inc., and David L. Child, M.D., (collectively “Planned Parenthood”) challenge the facial validity of Arizona’s parental consent abortion statute. We must decide whether the current incarnation of the statute’s judicial bypass provision satisfies two constitutionally recognized rights of privacy — the right to make fundamental life decisions and the right to avoid disclosure of personal information. We hold that it does.

The district court denied Planned Parenthood’s request for a declaratory judgment and for a permanent injunction enjoining enforcement of the statute, holding *785that the judicial bypass provision satisfies the Supreme Court’s requirement of anonymity, does not place an undue burden on a young woman’s freedom to terminate her pregnancy, and does not compromise her right to informational privacy. We have jurisdiction under 28 U.S.C. § 1291, and we affirm.

I

The State of Arizona repeatedly has attempted to enact a parental consent abortion statute. Arizona’s 1989 version of the statute was first held unconstitutional by the- United States District Court for the District of Arizona in 1992. The court enjoined enforcement of the statute on the grounds that the medical procedure provision was unconstitutionally vague, the definition of medical emergency was unconstitutionally narrow, and the judicial bypass procedure did not provide a minor with a constitutionally sufficient opportunity to obtain an expedited review. Planned Parenthood v. Neely, 804 F.Supp. 1210 (D.Ariz.1992).

The Arizona legislature amended and reenacted the parental consent abortion law in 1996, but the district court held that it failed to pass constitutional muster. Specifically, the court held that two provisions were unconstitutionally vague: the requirement that a request for judicial authorization for abortion without parental consent be determined “promptly” and the standard regarding the minor’s “best interest.” Planned Parenthood v. Neely, 942 F.Supp. 1578 (D.Ariz.1996).

On appeal, we vacated the district court’s decision without reaching the merits, holding that it was error for the district court to have allowed Planned Parenthood and Neely to supplement their complaint in the 1989 action in order to challenge the constitutionality of the 1996 statute. Planned Parenthood v. Neely, 130 F.3d 400 (9th Cir.1997). A new suit was subsequently commenced. The district court again found the statute unconstitutional and permanently enjoined its enforcement. We affirmed on appeal. Planned Parenthood v. Lawall, 180 F.3d 1022 (9th Cir.1999), amended on denial of reh’g, 193 F.3d 1042 (9th Cir.1999).

In an attempt to harmonize the statute with our ruling, the Arizona legislature drafted yet another version of the statute. The most recent incarnation of section 36-2152 was scheduled to go into effect on July 14, 2000. On June 21, 2000, Planned Parenthood moved for a preliminary injunction, a permanent injunction, and a declaratory judgment holding the statute unconstitutional on the grounds that (1) it did not adequately protect the confidentiality of pregnant minors who seek judicial bypass, (2) its standards for proving maturity and “best interest” were contrary to governing law, and (3) it failed to provide physicians with clear notice of what conduct was prohibited.

Prior to a hearing on the merits, the district court entered a preliminary injunction enjoining the State of Arizona from enforcing the statute. On September 15, 2000, the district court heard Planned Parenthood’s motions. While the court took the matter under advisement, it granted defendants’ Motion in Limine to preclude the testimony of Dr. David Child regarding a particular breach of confidentiality pertaining to one of his former patients and ordered the preliminary injunction to remain in effect until the district court issued an order. On August 9, 2001, the district court denied Planned Parenthood’s request for relief and dissolved the preliminary injunction. Enforcement of the statute was subsequently stayed pending appeal.

*786On this appeal, Planned Parenthood challenges the facial validity of a discrete portion of Arizona’s judicial bypass proceeding — the confidentiality provision in Arizona’s parental consent abortion law — • on the ground that it does not comport with Supreme Court anonymity requirements. Planned Parenthood also contends the confidentiality provision violates young women’s informational privacy rights because it is not narrowly tailored to meet the state’s interest. Appellees, a class of all prosecuting attorneys in the -State of Arizona, assert that Planned Parenthood misconstrues the breadth of the exception and that the confidentiality provision satisfies Supreme Court precedent. Appellees’ argument is persuasive.

II

We review de novo the legal question of whether a statutory provision is constitutional. See Taylor v. Delatoore, 281 F.3d 844, 847 (9th Cir.2002). In analyzing a facial challenge to an abortion statute, we apply the undue burden standard set forth in Planned Parenthood v. Casey, 505 U.S. 833, 895, 112 S.Ct. 2791, 120 L.Ed.2d 674 (1992).1 See Lawall, 180 F.3d at 1027.

III

The United States Supreme Court held in Roe v. Wade that the “right of privacy ... founded in the Fourteenth Amendment’s concept of personal liberty and restrictions upon state action ... is broad enough to encompass a woman’s decision whether or not to terminate her pregnancy.” 410 U.S. 113, 153, 93 S.Ct. 705, 35 L.Ed.2d 147 (1973). Although Roe has been repeatedly challenged over the last three decades, the Supreme Court continues to respect and reaffirm the basic premise that a woman’s right to choose includes the right to determine whether or not to terminate her pregnancy.

A female minor also possesses a constitutionally protected right to choose. See Planned Parenthood v. Danforth, 428 U.S. 52, 72-75, 96 S.Ct. 2831, 49 L.Ed.2d 788 (1976). States may limit the rights of minors, however, by requiring parental involvement in the decision-making process. See Bellotti v. Baird, 443 U.S. 622, 640-42, 99 S.Ct. 3035, 61 L.Ed.2d 797 (1979) (“Bellotti II”) (plurality opinion). If a state chooses to encourage parental involvement, such as requiring the parental consent of one or both parents, the Supreme Court has held that the state must provide an alternative or bypass procedure. See Danforth, 428 U.S. at 75, 96 S.Ct. 2831 (holding that a blanket provision giving parents “absolute power to overrule a determination ... to terminate the [minor’s ] pregnancy” is unconstitutional).

When a state chooses as its alternative procedure to provide for a judicial bypass proceeding in which minors may obtain authorization for an abortion by court order, as Arizona has done, the Supreme Court has held that a pregnant minor must show that: (1) “she possesses the maturity *787and information to make her abortion decision, in consultation with her physician, without regard to her parents’ wishes”; (2) “even if she cannot make the abortion decision by herself’ the abortion she desires is in her best interest; (3) “the procedure must insure the minor’s anonymity”; and (4) “courts must conduct a bypass procedure with expedition to allow the minor an effective opportunity to obtain the abortion.” Ohio v. Akron Ctr. for Reproductive Health, 497 U.S. 502, 511-13, 110 S.Ct. 2972, 111 L.Ed.2d 405 (1990) (“Akron II”) (citing Bellotti II, 443 U.S. at 643-44, 99 S.Ct. 3035).

Planned Parenthood asserts that the district court erred in upholding Arizona’s parental consent abortion law. It argues that the broad exception to the confidentiality requirement increases the likelihood that young women seeking judicial authorization for an abortion will have their confidentiality breached in violation of their Fourteenth Amendment right to decide whether to continue a pregnancy.

Planned Parenthood’s challenge to the confidentiality provision contained in Arizona’s parental consent abortion law implicates the third Bellotti II requirement — that the judicial proceeding, and any appeals that follow, be completed with anonymity.2 See Lambert v. Wicklund, 520 U.S. 292, 295, 117 S.Ct. 1169, 137 L.Ed.2d 464 (1997); Thornburgh v. Am. College of Obstetricians & Gynecologists, 476 U.S. 747, 766, 106 S.Ct. 2169, 90 L.Ed.2d 779 (1986), overr’d in part on other grounds by Casey, 505 U.S. at 882, 112 S.Ct. 2791; Bellotti II, 443 U.S. at 644, 99 S.Ct. 3035. We hold that the Arizona confidentiality provision satisfies this standard.

Section 36-2152(D) of the parental consent abortion statute provides:

Proceedings in the court under this section are confidential and have precedence over other pending matters. Members of the public shall not inspect, obtain copies of or otherwise have access to records of court proceedings under this section unless authorized by law. A judge who conducts proceedings under this section shall make in writing specific factual findings and legal conclusions supporting the decision and shall order a confidential record of the evidence to be maintained including the judge’s own findings and conclusions. The minor may file the petition using a fictitious name. For purposes of this subsection, public does not include judges, clerks, administrators, professionals or other persons employed by or working under the supervision of the court or employees of other public agencies who are authorized by state or federal rule or law to inspect and copy closed court records.

A.R.S. § 36-2152(D) (2000) (emphasis added). Similarly, section 36-2152(F) provides that a pregnant minor is entitled to an expedited confidential appeal. A young woman’s confidentiality is also protected by A.R.S. § 38-504(B), which criminalizes an employee’s disclosure of confidential documents. See Akron II, 497 U.S. at 512, 110 S.Ct. 2972 (upholding the constitutionality of an Ohio consent statute’s anonymity provision and listing the state provision making it a criminal offense to disclose confidential documents as part of the state’s effort to ensure a minor’s anonymity).

*788In order to satisfy the Bellotti II anonymity requirement the Supreme Court has held that a statute must “take[ ] reasonable steps to prevent the public from learning of the minor’s identity.” Id. at 513, 110 S.Ct. 2972. Thus, complete anonymity is not critical to pass constitutional muster. See id. Indeed, we have held that “[n]either complete anonymity nor any specific procedure for ensuring confidentiality is required.” Glick v. McKay, 937 F.2d 434, 439 (9th Cir.1991), overruled on other grounds by Lambert, 520 U.S. at 297, 117 S.Ct. 1169.

As required by Akron II, a plain reading of the confidentiality provision in section 36-2152(D) reveals that the statute takes reasonable steps to protect a young woman’s anonymity. The statute begins with a blanket statement that all judicial bypass proceedings are confidential and “shall” not be made public. The next sentence ensures that members of the general public may not access such information. The presiding judicial officer is also instructed to order that all records of evidence be confidentially maintained. To further protect a young woman’s rights, the pregnant minor is permitted to use a fictitious name.3 Finally, the statute limits by category state personnel who may access such confidential information.

Despite the above safeguards, Planned Parenthood contends that the exception to the term “public” fails to assure young women that the judicial bypass procedures will remain anonymous. The exception to the term “public” appears for the first time in the 2000 statute.4 Planned Parenthood argues that this newly created exception swallows the rule. We disagree.

The exception does not provide all court employees and other public agencies with the right to demand access to confidential documents. In fact, by the statute’s very terms, the court retains discretion to allow access to those employees or personnel who need access to such information in order to perform their official duties. While we concede, as we must, that the exception is broader than other states’ judicial-bypass procedures, this fact cannot serve as a basis for striking it down.5 The *789Supreme Court has explicitly held that the possibility of disclosure of information by state employees may not serve as the basis for a decision regarding the facial validity of a statute. See Akron II, 497 U.S. at 513, 110 S.Ct. 2972. See also Planned Parenthood Ass’n v. Miller, 934 F.2d 1462, 1479 (11th Cir.1991) (“The fact that some public officials have access to the minor’s court record does not compromise the record’s confidentiality, nor does it mean that they will make unauthorized disclosures of it.”).

Thus, while appellants would prefer a statute guaranteeing to every young woman complete confidentiality under all circumstances, such assurance is not required by law. Planned Parenthood’s repeated reference to the fact that an employee, or someone under court supervision, may have disclosed confidential information regarding a pregnant minor, while disturbing, does not render the provision facially unconstitutional. We are addressing a facial challenge to the statute. As such we must consider whether the confidentiality exception on its face reasonably preserves a pregnant minor’s confidential information. We hold that it does. The language of Arizona’s parental consent abortion statute and the availability of criminal proceedings to punish unauthorized disclosures satisfies the third Bellotti II requirement and thus is consistent with Supreme Court case law.6 Accordingly, the statute does .not unduly burden a young woman’s right to choose. See Manning v. Hunt, 119 F.3d, 254, 263 (4th Cir.1997).

IV

We next consider whether the statute violates a young woman’s privacy interest in avoiding disclosure of sensitive personal information. See Whalen v. Roe, 429 U.S. 589, 599 600, 97 S.Ct. 869, 51 L.Ed.2d 64 (1977). This interest, often referred to as the right to “informational privacy,” Ferm v. United States Trustee (In re Crawford), 194 F.3d 954, 958 (9th Cir.1999), applies both when an individual chooses not to disclose highly sensitive information to the government and when an individual seeks assurance that such *790information will not be made public. See Whalen, 429 U.S. at 599 n. 24, 97 S.Ct. 869; Norman-Bloodsaw v. Lawrence Berkeley Lab., 135 F.3d 1260, 1269 (9th Cir.1998).

Like the right to decide whether to terminate a pregnancy, the right to informational privacy " 'is not absolute; rather, it is a conditional right which may be infringed upon a showing of proper governmental interest.’ ” In re Crawford, 194 F.3d at 959 (quoting Doe v. Attorney Gen. of United States, 941 F.2d 780, 796 (9th Cir.1991)). Thus, in evaluating an informational privacy claim, the Court “engage[s] in the delicate task of weighing competing interests to determine whether” the state may properly disclose confidential information. Id. The following factors assist us in making such a determination:

the type of [information] requested, ... the potential for harm in any subsequent nonconsensual disclosure, ... the adequacy of safeguards to prevent unauthorized disclosure, the degree of need of access, and whether there is an express statutory mandate, articulated public policy, or other recognizable public interest militating toward access.

Id. (quoting United States v. Westinghouse Elec. Corp., 638 F.2d 570, 578 (3d Cir.1980)). It is the state’s burden to demonstrate that “its use of the information would advance a legitimate state interest and that its actions are narrowly tailored to meet the legitimate interest.” Id.

It is undisputed that a court receives sensitive private information in a judicial bypass proceeding that is worthy of constitutional protection. See Eisenstadt v. Baird, 405 U.S. 438, 453, 92 S.Ct. 1029, 31 L.Ed.2d 349 (1972) (“If the right of privacy means anything, it is the right of the individual, married or single, to be free from unwarranted governmental intrusion into matters so fundamentally affecting a person as the decision whether to bear or beget a child.”) It is also undisputed that the disclosure of such information would cause significant harm. As we hold here, however, the statute provides young women with adequate protection to prevent unauthorized disclosure of personal information. See Whalen, 429 U.S. at 601-602, 97 S.Ct. 869 (“[T]he remote possibility that judicial supervision of the evidentiary use of particular items of stored information will provide inadequate protection against unwarranted disclosures is surely not a sufficient reason for invalidating the entire patient-identification program.”). Moreover, public interest militates in favor of pennitting authorized personnel to handle closed court records.

After weighing these competing interests, we hold that section 36-2152 is sufficiently tailored and does not amount to an impermissible invasion of a young woman’s right to informational privacy.

V

We hold that the confidentiality provision of Arizona’s parental consent abortion statute is constitutional because it does not invade a young woman’s right of privacy on either of the grounds alleged by Planned Parenthood.

AFFIRMED.

. To the extent that the district court relied upon the standard of review in United. States v. Salerno, 481 U.S. 739, 745, 107 S.Ct. 2095, 95 L.Ed.2d 697 (1987), it was incorrect. We have held that Salerno is no longer the proper standard of review in light of Casey. See Lawall, 180 F.3d at 1025-27. Compare Casey, 505 U.S. at 877, 112 S.Ct. 2791 ("[a] finding of an undue burden is a shorthand for the conclusion that a state regulation has the purpose or effect of placing a substantial obstacle in the path of a woman seeking an abortion of a nonviable fetus”) (plurality opinion), with Salerno, 481 U.S. at 745, 107 S.Ct. 2095 (holding that in order to mount a successful facial challenge to a legislative act “the challenger must establish that no set of circumstances exists under which the Act would be valid”).

. When, as here, the distinction between confidentiality and anonymity do not appear to bear constitutional significance, the terms are considered interchangeable. See Akron II, 497 U.S. at 513, 110 S.Ct. 2972 (holding that this distinction has not made a difference in other Supreme Court cases).

.We reject appellees' contention that this provision alone satisfies Bellotti ITs anonymity requirement. In Planned Parenthood Ass'n v. Ashcroft, the Supreme Court noted that a minor's confidentiality “is assured by the statutory requirement that allows the minor to use her initials on the petition.” 462 U.S. 476, 491 n. 16, 103 S.Ct. 2517, 76 L.Ed.2d 733 (1983). The Missouri statute is distinguishable, however, because it presumed that the proceedings are confidential unless one obtains a court order demonstrating a "legitimate interest.” Mo.Rev.Stat. § 211.321(1) (stating "[r]ecords of juvenile court proceedings as well as all information obtained and social records prepared in the discharge of official duty for the court shall not be open to inspection or their contents disclosed, except by order of the court to persons having a legitimate interest therein ....”). In addition, the Supreme Court held in Thornburgh that withholding a minor's name is not enough by itself to protect her anonymity where the publically available information could identify the minor. 476 U.S. at 766-68, 106 S.Ct. 2169. Because the potentially identifying information contained in the file is often so detailed that the absence of the minor’s name will not protect her interests, the use of a fictitious name without more does not appear adequate to protect a pregnant minor’s confidences.

. The terms of the exception are derived from Rule 123(b)(ll) of Rules of the Arizona Supreme Court, which governs public access to judicial records in the State of Arizona.

. The dissent is based on a concern that too many government employees and agencies will have access to the court records. But a woman’s anonymity is not compromised by authorizing government agencies limited access to court records. Access does not necessarily mean disclosure. A judicial bypass procedure passes constitutional muster if it adequately protects against public disclosure of the woman’s identity.

*789In Akron II, the Supreme Court considered the reasoning advanced by the dissent here. The plaintiffs in Akron II had "maintain[ed] that the Ohio laws requiring court employees not to disclose public documents are irrelevant because the right to anonymity is broader than the right not to have officials reveal one’s identity to the public at large." Akron II, 497 U.S. at 512, 110 S.Ct. 2972 (emphasis added). The Supreme Court rejected this argument and held that the statute in question satisfied the anonymity requirement because it “takes reasonable steps to prevent the public from learning of the minor’s identity.” Id. at 513, 110 S.Ct. 2972 (emphasis added). While we agree with the dissent that the right to privacy is critical and prevents government intrusion into a woman's right to choose, the Supreme Court has interpreted the anonymity requirement as mandating roadblocks to public knowledge of the minor's identity. Contrary to the conclusion of the dissent, we are confident that for purposes of constitutional analysis, the Arizona statute embraces the necessary protections by criminalizing the disclosure of confidential documents accessed in an employee's official capacity, labeling the proceedings "confidential,” and mandating that the public “shall not” have access to the judicial records.

. Our holding is not dependent upon the manner in which the Arizona superior courts choose to apply the confidentiality provision to judicial bypass proceedings. There is no evidence on this record that the state courts will do anything but observe the statutory restrictions regarding confidentiality and protect a pregnant minor's privacy rights. Moreover, we expect that the Arizona superior courts will follow the plain meaning of the statutory provision and apply the provision constitutionally. See City of Akron v. Akron Ctr. for Reproductive Health, 462 U.S. 416, 441, 103 S.Ct. 2481, 76 L.Ed.2d 687 (1983), overruled on other grounds by Casey, 505 U.S. at 883, 112 S.Ct. 2791.