Buchwald v. University of New Mexico School of Medicine

F I L E D
United States Court of Appeals
Tenth Circuit
PUBLISH
OCT 20 1998
UNITED STATES COURT OF APPEALS
PATRICK FISHER
Clerk
TENTH CIRCUIT

PAULA M. BUCHWALD,

Plaintiff - Appellee,
v.

UNIVERSITY OF NEW MEXICO
SCHOOL OF MEDICINE,
UNIVERSITY OF NEW MEXICO
BOARD OF REGENTS,
UNIVERSITY OF NEW MEXICO Nos. 96-2121 & 96-2129
SCHOOL OF MEDICINE
COMMITTEE ON ADMISSIONS;
DIANE KLEPPER, M.D., individually
and as Co-Chairperson, Committee on
Admissions; ALONZO C. ATENCIO,
Ph.D., individually and as Co-
Chairperson, Committee on
Admissions,

Defendants - Appellants.

Appeal from the United States District Court
for the District of New Mexico
(D.C. No. CIV-95-753-LH)

Paul R. Ritzma (Paul M. Schneider with him on the briefs), New Mexico Legal
Bureau/RMD, Santa Fe, New Mexico, for Defendants - Appellants.

Christina J. Bruff, Law & Resource Planning Associates, Inc., Albuquerque, New
Mexico, for Plaintiff - Appellee.
Before BRISCOE , McKAY and LUCERO , Circuit Judges.

LUCERO , Circuit Judge.

The University of New Mexico School of Medicine (“UNMSM”) has a

stated policy that, all other things being equal, it will favor long-term residents

over short-term residents in its admissions process. The district court first found

this preference to violate “clearly established” law concerning the fundamental

right to travel and therefore ruled that the individual defendants, Doctors Klepper

and Atencio, were not entitled to qualified immunity. A week later, the district

court issued an injunction prohibiting UNMSM from considering length of

residency in future admission decisions. This interlocutory appeal followed. The

questions before us on appeal are: (1) does Ms. Buchwald have standing to seek

the injunction entered by the district court in its second order; (2) did the district

court err in finding that no defendants are entitled to Eleventh Amendment

immunity; and (3) did the district court err in finding that Klepper and Atencio

are not entitled to qualified immunity in their individual capacities? We reverse

in part and affirm in part.

I

The facts relevant to this appeal are undisputed. Paula Buchwald moved to

New Mexico in 1991. She submitted an application to UNMSM seeking

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admission to the 1993-94 entering class. Unsuccessful, Buchwald re-applied the

following year for the 1994-95 class. When that application was denied, she re-

applied for admission to the 1995-96 class. Once again, she was rejected. After

each denial, Buchwald interviewed with UNMSM to ascertain how she might

strengthen a future application. At each interview, Buchwald’s relatively short

residency in the state of New Mexico was cited as an obstacle to her admission.

Defendants do not dispute that UNMSM uses duration of residency as a

“plus factor” in evaluating applicants. In fact, according to UNMSM’s

“Admissions Policy Statement”:

An important non-performance factor in considering students for admission
. . . is the residency status of the student. As a state-supported institution
in a state where health care needs are great, the medical school feels
strongly that most of the accepted applicants should be residents of New
Mexico. Further, the Committee on Admissions tends to give preference to
long-term residents of the state and graduates of New Mexico high schools,
other qualifications being equal.

Appellants’ App. at 91. The Policy Statement justifies favoring long-term

residents in part by pointing to the “unique problems in the delivery of health

care” present in the state of New Mexico. See id. at 92.

After her third rejection, Buchwald filed the instant action against

UNMSM, its Regents, the Committee on Admissions, and the two chairpersons of

the admissions committee seeking compensatory damages as well as declaratory

and injunctive relief. She claims that defendants’ admissions policy violates the

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Commerce Clause of the United States Constitution, as well as her equal

protection and due process rights. The focal point of Buchwald’s claims is the

alleged violation of her “fundamental right to interstate migration.” Defendants

filed for summary judgment, arguing that the official defendants are entitled to

Eleventh Amendment immunity and the individual defendants, Klepper and

Atencio, to qualified immunity. The plaintiff counterfiled for summary judgment

as to her claim for declaratory relief.

On May 23, 1996, the district court ruled that UNMSM, its Regents, the

Committee on Admissions, and the two individual defendants sued in their

official capacity were immune from plaintiff’s damages claim. However, the

district court refused to extend qualified immunity to Klepper and Atencio in their

individual capacities because it found, first, that UNMSM’s consideration of

length of residency in its admissions policy violated clearly established law and,

second, that plaintiff raised a genuine issue of fact as to whether Klepper and

Atencio violated that right. One week later, the district court found UNMSM’s

durational residency criterion constitutionally infirm and enjoined the school from

any further use of that admissions factor. Defendants appeal.

II

Plaintiff challenges our jurisdiction to hear this case due to the absence of a

final judgment. Appeal is not generally permissible until after the district court

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has issued a final decision, see 28 U.S.C. § 1291, but there are limited exceptions

to that rule. A defendant may immediately appeal “[i]nterlocutory orders of the

district courts of the United States . . . granting . . . injunctions.” 28 U.S.C. §

1292(a)(1). Although the plaintiff’s concerns about the potential for delay are

understandable, we have jurisdiction to review the injunction issued on May 30,

1996.

We may also review the district court’s denial of qualified immunity to

Klepper and Atencio. When a plaintiff brings an action against a government

official in his or her individual capacity, “that official is generally provided with

a qualified immunity against civil damages liability.” Anderson v. Creighton , 483

U.S. 635, 638 (1987). In order to avoid summary judgment based on a

defendant’s assertion of qualified immunity, a plaintiff must show not only that

the defendant violated her rights, but also that the rights violated were “clearly

established” at the time of the violation. Id. at 639.

A denial of qualified immunity may be immediately appealed because

immunity protects defendants not only from liability but also from having to

endure the “burdens of litigation.” See Behrens v. Pelletier , 516 U.S. 299, 306

(1996). The rule is not absolute; we have no jurisdiction to review a denial of

qualified immunity when the interlocutory appeal focuses in whole or in part on

the resolution of factual issues. See Johnson v. Jones , 515 U.S. 304, 313 (1995);

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see also Mitchell v. Forsyth , 472 U.S. 511, 530 (1985) (holding denial of a claim

of immunity “immediately appealable” to the extent that it turns on an issue of

law). In this case, the district court denied qualified immunity because it found

that the contours of the right to travel were “clearly established” and that plaintiff

raised a genuine issue of material fact as to whether UNMSM had violated that

right. Under Johnson , therefore, we may review the district court’s finding that

plaintiff has such a right or that such right was “clearly established.” See

Behrens , 516 U.S. at 313.

III

UNMSM argues on appeal that plaintiff lacks standing to seek her

requested relief. “Standing is a jurisdictional issue that may be raised by the

court at any time.” Wilson v. Glenwood Intermountain Properties, Inc. , 98 F.3d

590, 592-93 (10th Cir. 1996). In order to satisfy Article III standing, plaintiff

must establish three elements: (1) “injury in fact”—meaning “the invasion of a

legally protected interest that is (a) concrete and particularized, and (b) actual or

imminent, not conjectural or hypothetical”; (2) “a causal relationship between the

injury and the challenged conduct”—meaning that the “injury fairly can be traced

to the challenged action of the defendant”; and (3) “a likelihood that the injury

will be redressed by a favorable decision”—meaning that the “prospect of

obtaining relief from . . . a favorable ruling is not too speculative.” Northeastern

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Fla. Chapter of the Associated Gen. Contractors of Am. v. City of Jacksonville ,

508 U.S. 656, 663-64 (1993) (internal citations and quotations omitted). We do

not address the merits of plaintiff’s claims in our determination of standing

because “[t]he fundamental aspect of standing is that it focuses on the party

seeking to get his complaint before a federal court and not on the issues he wishes

to have adjudicated.” Flast v. Cohen , 392 U.S. 83, 99 (1968).

A. Relief Sought in Complaint

Injury in fact in an equal protection case like this may simply be the

existence of a government-erected “barrier that makes it more difficult for

members of one group to obtain a benefit than it is for members of another

group.” City of Jacksonville , 508 U.S. at 666. It is not necessary for plaintiff to

show that she would have received the benefit but for the operation of the policy,

because the injury is the imposition of the barrier itself. See id. Here, defendants

admit favoring long-term over short-term residents, all other qualifications being

equal, which by itself is therefore a sufficient demonstration of injury in fact.

Because it is clear that defendant’s stated policy “caused” the plaintiff to compete

at a disadvantage vis-a-vis long-term residents, we have little doubt that, were the

district court to award damages, plaintiff’s injury would likely be redressed. 1
In

1
This does not resolve the issue of whether defendants are immune from
civil damages liability. See infra Section IV.

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addition, given that the district court found a genuine issue of material fact as to

whether the disputed preference was the dispositive factor for plaintiff’s

rejection, plaintiff also has standing to seek a prospective injunction ordering her

admission to the school. Cf. Wilson , 98 F.3d at 593 (“[A] person who fails to

satisfy lawful, nondiscriminatory requirements or qualifications for the benefit

lacks standing to raise claims of discrimination in the denial of the benefit.”).

Accordingly, plaintiff has standing to pursue these forms of relief.

B. Relief Granted by District Court

Although the district court had not yet determined whether Buchwald was

entitled to an injunction ordering her admission to the school, it did grant her a

different form of prospective relief—namely, a permanent injunction prohibiting

UNMSM from considering duration of residency in future admissions decisions

and a declaration that the present admissions policy is unconstitutional. We are

not persuaded, however, that plaintiff has standing to seek that specific form of

prospective relief.

Though seemingly paradoxical, plaintiff’s standing to seek an injunction

ordering her admission to the school based solely on her allegations of past

misconduct does not entail standing to seek an injunction prohibiting future use of

the disputed preference. To receive forward-looking injunctive or declaratory

relief of this latter type, it is insufficient for Buchwald to claim that she was

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harmed by the policy in the past. See Adarand Constructors, Inc. v. Pena , 515

U.S. 200, 210-11 (1995); Phelps v. Hamilton , 122 F.3d 1309, 1315 (10th Cir.

1997) (citing Facio v. Jones , 929 F.2d 541, 544 (10th Cir. 1991)). Critically, she

is additionally required to demonstrate the “imminence” of her injury by making

“an adequate showing” that she will re-apply to UNMSM and will thus be

evaluated under the disputed policy again “in the relatively near future.”

Adarand , 515 U.S. at 211. In her complaint, plaintiff seeks a declaratory

judgment that defendants’ policy violates her constitutional right to interstate

travel, an injunction placing her in the 1995-96 entering class at UNMSM, and

compensatory damages. Yet, the substance of her complaint deals only with her

three past rejections. There is no evidence in the record on appeal that plaintiff

will continue to apply to UNMSM in the near future or otherwise. Accordingly,

we must conclude that Buchwald fails to demonstrate a “real and immediate threat

that [she] would again suffer similar injury in the future.” See id. (internal

quotation omitted). We must therefore vacate the district court’s order inasmuch

as it enters an injunction against UNMSM prohibiting any further consideration of

duration of residency and forward-looking declaratory relief that defendants’

current policy violates the constitution. 2

2
We leave to the district court’s discretion whether plaintiff may amend
her complaint on remand to include a prayer for a future prohibitory injunction
(continued...)

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 IV

UNMSM, its Regents, the Committee on Admissions, and the two

individual defendants sued in their official capacity argue on appeal that the

district court erred in failing to provide them with Eleventh Amendment immunity

against all plaintiff’s claims. Because the district court granted all the official

defendants Eleventh Amendment immunity against the damages claims in its May

23 order, which determination is not challenged by plaintiff, 3
the only remaining

2
(...continued)
and supplement the record to demonstrate that she intends to continue applying to
UNMSM.
3
Specifically, plaintiff concedes that the institutional defendants are
“arms of the state” for Eleventh Amendment purposes and that, although the
Eleventh Amendment does not apply to her claims for forward-looking injunctive
and declaratory relief against Klepper and Atencio in their official capacities,
those officials are entitled to immunity from her damages claims. Though that
concession is not binding on this court, see In re American Ready Mix, Inc. , 14
F.3d 1497, 1499 (10th Cir. 1994), it is well taken in the circumstances of this
case. To determine whether an entity is eligible for Eleventh Amendment
immunity, we engage in a two-part inquiry: (1) what “degree of autonomy [is]
given to the agency, as determined by the characterization of the agency by state
law and the extent of guidance and control exercised by the state”; and (2) to what
extent does the agency rely on funding from the state treasury as opposed to
independent funding. V-1 Oil Co. v. Utah State Dep’t of Pub. Safety , 131 F.3d
1415, 1420 n.1 (10th Cir. 1997) (quoting Haldeman v. Wyoming Farm Loan Bd. ,
32 F.3d 469, 473 (10th Cir. 1994)). Although the applicability of the Eleventh
Amendment is a question of federal law, that determination may only be made
after “considering the provisions of state law that define the agency’s character.”
Regents of the Univ. of Cal. v. Doe , 117 S. Ct. 900, 904 n.5 (1997).
The University of New Mexico is defined as a “state educational
institution” under the New Mexico Constitution, N.M. Const. art. XII, § 11, which
further provides that “[t]he . . . universities . . . provided for by this constitution
(continued...)

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immunity issue is whether the district court erred in refusing to hold that the

Eleventh Amendment bars plaintiff’s request for declaratory relief and an

injunction ordering her admission to UNMSM. 4

3
(...continued)
shall forever remain under the exclusive control of the state,” id. § 3. In addition,
New Mexico law defines “state agency” as “any department, institution, board,
bureau, commission, district or committee of government of the state of New
Mexico and means every office or officer of any of the above.” N.M. Stat. Ann. §
6-3-1. Moreover, UNMSM relies extensively on appropriations from the state in
order to fund its educational and extracurricular programs. See, e.g. , General
Appropriation Act of 1998, 1998 Adv. Legis. Serv. ch. 116, § 4 (setting forth
appropriations for the 1999 fiscal year). Consequently, we have no doubt that
UNMSM, its Regents, and the Committee on Admissions are “arms of the state,”
entitled to Eleventh Amendment immunity. See Korgich v. Regents of the N.M.
Sch. of Mines , 582 F.2d 549, 551 (10th Cir. 1978) (analyzing New Mexico state
law and concluding that Board of Regents of New Mexico School of Mines, as
institution of higher learning, is entitled to Eleventh Amendment immunity); see
also Watson v. University of Utah Med. Ctr. , 75 F.3d 569, 575 (10th Cir. 1996)
(“Our cases have consistently found state universities are arms of the state.”).
Moreover, we agree with plaintiff that Klepper and Atencio in their official
capacities are immune from her damages claims. See Kentucky v. Graham , 473
U.S. 159, 169 (1985); V-1 Oil , 131 F.3d at 1421; see also California v. Deep Sea
Research, Inc. , 118 S. Ct. 1464, 1470 (1998) (“According to this Court’s
precedents, . . . a state official is immune from suit in federal court for actions
taken in an official capacity.”) (citing Smith v. Reeves , 178 U.S. 436 (1900)).
4
Defendants argue on appeal that the district court reversed its grant of
summary judgment with respect to damages one week after it had so ordered when
it refused to grant summary judgment as to all claims and granted plaintiff
“declaratory and injunctive relief against all defendants.” Appellants’ Br. at 31.
We disagree. The May 30 order, which entered the prohibitory injunction against
defendants, did nothing to alter the court’s previous ruling. The institutional
defendants and the individual defendants sued in their official capacity remain
immune against all claims for damages. Any appeal of that ruling is not properly
before this court. See Clemens v. Kansas , 951 F.2d 287, 288 (10th Cir. 1991) (no
interlocutory appeal from a grant of Eleventh Amendment immunity).

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 To the extent that plaintiff seeks a declaration that defendants violated her

rights by not admitting her to UNMSM, her claims are barred by the Eleventh

Amendment. See Johns v. Stewart , 57 F.3d 1544, 1553 (10th Cir. 1995) (holding

that Eleventh Amendment bars federal court from ordering notice or declaratory

relief in a suit against the state “unless it is ancillary to a judgment awarding

prospective injunctive relief”) (citing Green v. Mansour , 474 U.S. 64, 70-74

(1985)). Plaintiff has requested more than declaratory relief, however; she also

seeks a prospective injunction ordering her immediate placement into UNMSM. 5

In that regard, plaintiff argues that the exception enunciated in Ex Parte Young ,

209 U.S. 123 (1908), allows her to pursue prospective equitable relief when there

is an ongoing constitutional violation.

Ex Parte Young recognizes an exception to Eleventh Amendment immunity

under which a state officer may be enjoined from “taking any steps towards the

5
Defendants argue that because Buchwald seeks only to remedy past
wrongs—i.e., UNMSM’s refusal to admit her—the relief requested is exclusively
non-prospective. We disagree. The existence of a past harm does not convert a
prospective injunction into retrospective relief barred under the Eleventh
Amendment. See Russell v. Dunston , 896 F.2d 664, 668 (2d Cir. 1990). Just as
claims for reinstatement are treated as prospective relief when the plaintiff alleges
that he or she was terminated for unconstitutional reasons, see id. ; Warnock v.
Pecos County , 88 F.3d 341, 343 (5th Cir. 1996), so is the claim for an injunction
seeking admission to a school that has allegedly denied admission on
unconstitutional grounds, cf. Regents of the Univ. of Cal. v. Bakke , 438 U.S. 265,
320 (1978) (affirming order directing plaintiff’s admission to the medical school
because school could not establish that plaintiff would have been denied
admission but for the unlawful special admissions program).

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enforcement of an unconstitutional enactment, to the injury of complainant.” 209

U.S. at 159. The exception enables federal courts “to vindicate federal rights and

hold state officials responsible to ‘the supreme authority of the United States.’”

Pennhurst State Sch. & Hosp. v. Halderman , 465 U.S. 89, 105 (1984) (quoting Ex

Parte Young , 209 U.S. at 160). The Ex Parte Young exception, however, is a

narrow one. First, there must be an “ongoing violation of federal law.” Johns , 57

F.3d at 1552. Second, “[i]t applies only to prospective relief” and may not be

used to obtain a declaration that a state officer has violated a plaintiff’s federal

rights in the past. Puerto Rico Aqueduct , 506 U.S. at 146. Finally, it “has no

application in suits against the States and their agencies, which are barred

regardless of the relief sought.” Id. 6 In this case, plaintiff has alleged an ongoing

6
Another, more recent, limit to the Ex Parte Young doctrine prohibits us
from granting prospective equitable relief when that relief “‘implicates special
sovereignty interests’” of the state. ANR Pipeline Co. v. LaFaver , Nos. 96-3250
& 96-3345, slip op. at 27 (10th Cir. July 21, 1998) (quoting Idaho v. Coeur
d’Alene Tribe , 117 S. Ct. 2028 (1997)). This is an exception to the rule that a
plaintiff who seeks prospective relief against individual state officers in a federal
forum based on a federal right is not barred by the Eleventh Amendment. See
Coeur d’Alene , 117 S. Ct. at 2038 (principal opinion of Kennedy, J. (joined by
Rehnquist, C.J.)); id. at 2045 (O’Connor, J., concurring in part and concurring in
the judgment (joined by Scalia and Thomas, JJ.)); id. at 2048 (Souter, J.,
dissenting (joined by Stevens, Ginsburg, and Breyer, JJ.)). In those unique
circumstances where a plaintiff’s action affects the sovereign interests of a state
that the Eleventh Amendment was meant to protect, see id. at 2041 (majority
holding that plaintiff’s action would in effect divest state of sovereign control
over its submerged lands); ANR Pipeline , slip op. at 36 (“[I]t is impossible to
imagine that a state government could continue to exist without the power to
(continued...)

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constitutional violation in the form of her continued exclusion from UNMSM.

Thus, although the Ex Parte Young exception does not permit plaintiff to subject

UNMSM, its Regents, or the Committee on Admissions to suit because they are

state agencies, plaintiff may maintain an action against the individual defendants

in their official capacities to the extent she seeks a prospective injunction

ordering her admission into UNMSM. 7
We therefore conclude that Klepper and

Atencio are not immune from plaintiff’s claims insofar as she is seeking a future

injunction ordering her admission to UNMSM. 8

6
(...continued)
tax.”), the Ex Parte Young exception does not apply. Here, there is no suggestion
that plaintiff’s requested relief will affect the core aspects of New Mexico’s
sovereignty. There is certainly no threat that the New Mexico government would
cease to exist without UNMSM’s disputed policy. See ANR Pipeline , slip op. at
36. Moreover, most government policies do not affect core aspects of a state’s
sovereignty. See Coeur d’Alene , 117 S. Ct. at 2040 (majority holding that Tribe’s
suit “unusual” because it “implicates special sovereignty interests”). We
therefore see no reason to extend the Coeur d’Alene exception to the situation at
hand.
7
Because the district court did not reach this issue below, we express no
view on the merits of plaintiff’s claim for an injunction. The only issue before us
is whether—or which—defendants are entitled to Eleventh Amendment immunity.
8
Were plaintiff to receive declaratory relief that is “ancillary” to the
injunction she seeks, that declaration would be subject to the same Ex Parte
Young analysis as the injunction. See Johns , 57 F.3d at 1553.

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 V

State officials performing discretionary functions are generally immune to

civil damages liability when sued in their individual capacities. See Anderson ,

483 U.S. at 638. This doctrine of qualified immunity protects “government

officials performing discretionary functions . . . from ‘liability for civil damages

insofar as their conduct [did] not violate clearly established statutory or

constitutional rights of which a reasonable person would have known.’” Wyatt v.

Cole , 504 U.S. 158, 166 (1992) (quoting Harlow v. Fitzgerald , 457 U.S. 800, 818

(1982)). The doctrine is meant to “provide[] ample protection to all but the

plainly incompetent or those who knowingly violate the law.” Malley v. Briggs ,

475 U.S. 335, 341 (1986).

To survive summary judgment “[w]hen a defendant raises the defense of

qualified immunity, plaintiff must show the law was clearly established when the

alleged violation occurred and must come forward with facts or allegations

sufficient to show the official violated the clearly established law.” V-1 Oil Co.

v. Means , 94 F.3d 1420, 1422 (10th Cir. 1996). The district court rejected the

defendants claim to qualified immunity because it found that the law concerning

the right to travel was “clearly established in 1982” and there were genuine issues

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of material fact concerning whether defendants had violated that right. 9
See

Appellants’ App. at 209-10. We review that decision de novo. See Liebson v.

New Mexico Corrections Dep’t , 73 F.3d 274, 275 (10th Cir. 1996).

To demonstrate that a right is clearly established, plaintiff must show that

“[t]he contours of the right [are] sufficiently clear that a reasonable official would

understand that what he is doing violates that right.” Anderson , 483 U.S. at 640

9
Plaintiff also argues defendants violated her due process rights and the
dormant Commerce Clause. It is unclear from the district court’s May 23 opinion
whether summary judgment on qualified immunity was granted or denied with
respect to these theories. However, Buchwald’s due process claim does not
allege a violation and thus cannot have validly served as a basis for denial of
qualified immunity. Plaintiff relies on Vlandis v. Kline , 412 U.S. 441 (1973), to
support her due process claim. In Vlandis , the Supreme Court held “a permanent
irrebuttable presumption of nonresidence . . . is violative of the Due Process
Clause.” Id. at 453. Although this circuit has not employed the “irrebuttable
presumption” doctrine, we have made it clear it is appropriately applied only in
cases where a controlling factual question is decided against the plaintiff by a
conclusive presumption. See Mogle v. Sevier County Sch. Dist. , 540 F.2d 478,
484-85 (10th Cir. 1976). Although defendants admit the duration of plaintiff’s
New Mexico residency was considered in determining the likelihood she would
stay and practice medicine in New Mexico upon graduation, plaintiff does not
contend, and the record does not support the assertion, that defendants
conclusively determined she would leave New Mexico upon graduation based on
her short-term residency.
Additionally, plaintiff argues that defendants’ actions violate the dormant
Commerce Clause. This claim fails to state a constitutional violation that could
abrogate qualified immunity. The University of New Mexico’s educational
activities constitute participation in the market for educational services, not
regulation of that market. Thus the policies in question fall under the “market
participant” exception to the dormant Commerce Clause. See Reeves, Inc. v.
Stake , 447 U.S. 429, 436-39 (1980).

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(emphasis added); see Hannula v. City of Lakewood , 907 F.2d 129, 131 (10th Cir.

1990) (“The plaintiff must demonstrate a substantial correspondence between the

conduct in question and prior law allegedly establishing that the defendant’s

actions were clearly prohibited.”); see also Malley , 475 U.S. at 341 (holding that

immunity should be recognized if officials of “reasonable competence could

disagree on this issue”).

Reviewing the relevant decisions of the Supreme Court and our Circuit, we

conclude that Buchwald fails to establish that defendants violated clearly

established law. We reach that conclusion for two reasons: (1) a competent

administrator could reasonably believe that UNMSM’s policy would be subject

only to rational basis review, and thereby be legally sustainable; and (2) under the

Supreme Court’s decision in Regents of the Univ. of Cal. v. Bakke , 438 U.S. 265

(1978), it was not unreasonable to believe that using duration of residency as a

plus factor in the admissions process is constitutionally permissible.

A

“When a state distributes benefits unequally, the distinctions it makes are

subject to scrutiny under the Equal Protection Clause of the Fourteenth

Amendment. Generally, a law will survive that scrutiny if the distinction

rationally furthers a legitimate state purpose.” Hooper v. Bernalillo County

Assessor , 472 U.S. 612, 618 (1985). However, “classifications affecting

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fundamental rights are given the most exacting scrutiny.” Clark v. Jeter , 486 U.S.

456, 461 (1988) (internal citation omitted). Here, plaintiff argues that UNMSM’s

policy violates her fundamental right to travel.

It is not a simple task to determine whether a state policy implicates the

right to travel. In general, “a state law implicates the right to travel when it

actually deters such travel, when impeding travel is its primary objective, or when

it uses any classification which serves to penalize the exercise of that right.”

Attorney Gen. of N.Y. v. Soto-Lopez , 476 U.S. 898, 903 (1986) (plurality

opinion) (internal quotations and citations omitted). Right to migrate cases, like

the one at bar, are typically reviewed under the latter, indirect approach because

they create distinctions that result in the unequal distribution of rights and

benefits to bona fide residents. See id.

However, decisions involving the fundamental right to travel have not

firmly established its origins or textual bases. See id. at 902. 10 This failure to

ground the right in a textual source has created uncertainty in its application. See

Zobel v. Williams , 457 U.S. 55, 73 (1982) (O’Connor, J., concurring); Gregory B.

Hartch, Wrong Turns: A Critique of the Supreme Court’s Right to Travel Cases ,

10
“It has been variously assigned to the Privileges and Immunities Clause
of Article IV, to the Commerce Clause, and to the Privileges and Immunities
Clause of the Fourteenth Amendment. The right has also been inferred from the
federal structure of government adopted by our Constitution.” Soto-Lopez , 476
U.S. at 902 (plurality opinion) (internal citations omitted).

- 18 -
21 Wm. Mitchell L. Rev. 457, 463 (1995); see generally William Cohen,

Discrimination Against New State Citizens: An Update , 11 Const. Commentary 73

(Winter 1994) (arguing that the “doctrinal confusion” surrounding the right to

travel cases would be eliminated by grounding the analysis of the right in the

Citizenship Clause of the Fourteenth Amendment). The determination of whether

a disputed policy actually penalizes the right to travel is therefore open to debate

due to the scant consensus on the values the right is meant to protect. See Cohen,

supra , at 77-78.

As a consequence, the Supreme Court has been reluctant to identify when a

state-created classification penalizes the right to travel. Instead, it has avoided

the question either by determining the purposes advanced by the government are

illegitimate or, if legitimate, that the created distinction does not even rationally

further the stated goal. See, e.g. , Hooper , 472 U.S. at 622-23 (concluding that

state had not advanced any legitimate purpose for drawing distinction between

long- and short-term residents); Zobel , 457 U.S. at 61-63 (holding that state’s

desire to reward past contributions of its citizens is not legitimate state purpose

and concluding that legitimate purposes proffered were not rationally related to

distinction based on duration of residency); 11
see also Soto-Lopez , 476 U.S. at

11
In finding that the law “was clearly established in 1982,” the district
court relied on the statement in Zobel that permitting “the states to divide citizens
(continued...)

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912-13 (Burger, C.J., concurring) (criticizing plurality for adopting a strict

scrutiny standard without first determining whether disputed classification would

survive rational basis review); see generally Ashutosh Bhagwat, Purpose Scrutiny

in Constitutional Analysis , 85 Cal. L. Rev. 297, 312 & n.54 (1997) (gathering

right to travel cases that engage in purpose scrutiny). In the same manner, the

Court has upheld durational residency classifications when impressed by the

legitimacy of the purposes advanced. See, e.g. , Sosna v. Iowa , 419 U.S. 393, 406

(1975) (distinguishing durational residency cases in which “budgetary or

recordkeeping considerations . . . were held insufficient to outweigh the

constitutional claims of the individuals”).

In this case, defendants argue that the distinction was employed as a proxy

for selecting those candidates likely to return to the state of New Mexico and

supply needed medical care to underserved areas of the state. Contrary to

11
(...continued)
into expanding numbers of permanent classes . . . would be clearly
impermissible.” 457 U.S. at 64. That statement, however, can be understood as
limited to the context of the state purposes considered by the Zobel court. Zobel
focused on the impermissibility of allowing a state to distribute benefits unequally
simply to reward its long-term citizens for “past contributions.” See id.
(“Alaska’s reasoning could open the door to state apportionment of other rights,
benefits, and services according to length of residency.”). Here, however,
defendants’ proffered purpose is entirely unrelated to rewarding long-term
citizens. Indeed, its ultimate purpose—to protect public health—is manifestly of
benefit to all residents of the state, no matter how recently-arrived or long-
established.

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plaintiff’s argument, we conclude that this justification is not only legitimate, but

also compelling. See Bakke , 438 U.S. at 310 (“It may be assumed that in some

situations a State’s interest in facilitating the health care of its citizens is

sufficiently compelling to support the use of a suspect classification.”) (Powell,

J.). New Mexico’s policy seeks to provide medical care to all residents of the

state, regardless of their duration of residency. Given the evenhandedness of this

purpose, and the strong role that the purpose plays in right to travel analysis, it

cannot have been unreasonable for Klepper and Atencio to believe the policy

would not be subject to heightened scrutiny. Further, although the record

contains evidence that duration of residency is not the best predictor of where a

physician will choose to establish a practice, see Appellant’s App. at 102 (Dep. of

Dean Paul Roth), such evidence hardly makes it irrational to use duration of

residency in this manner.

B

Even were we to conclude that Zobel clearly establishes UNMSM’s policy

is subject to strict scrutiny, plaintiff still would not prevail because competent

administrators could reasonably disagree on whether UNMSM’s admission policy

would withstand such scrutiny. See Malley , 475 U.S. at 341. To survive strict

scrutiny, the disputed policy must be narrowly tailored to serve a compelling

government interest. See Smith v. Paulk , 705 F.2d 1279, 1284 (10th Cir. 1983).

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Given our conclusion that public health is a compelling government interest, see

Bakke , 438 U.S. at 310, the only question before us is whether a competent

administrator could believe that UNMSM’s policy was narrowly tailored to

promote the goal of admitting applicants likely to practice in New Mexico.

Defendants argue that the Bakke decision authorizes the use of durational

residency as a “plus” factor to select candidates likely to improve public health in

the state. The district court disagreed, stating that the Bakke Court was

“exceptionally divided,” that four members of the Court never reached the

constitutional issue, and that four other justices only approved the use of race and

ethnicity as a subfactor when needed to “‘remedy disadvantages cast on minorities

by past racial prejudice, at least when appropriate findings have been made by

judicial, legislative, or administrative bodies with competence to act in this

area.’” Appellant’s App. at 210-11 (quoting Bakke , 438 U.S. at 325). The

question before us, however, is not whether defendant’s policy is permissible

under Bakke ; rather, the issue is whether defendants could reasonably have relied

on Bakke to adopt the preference at issue in this case.

Bakke holds that a university may not set aside a certain number of

admission places on the basis of race or ethnicity in an attempt to diversify its

student body. See 438 U.S. at 319-20. Discussing viable alternatives to a strict

set-aside, however, Justice Powell concluded that, so long as every applicant was

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permitted to compete for every seat, an admissions plan under which an applicant

received a “plus” for racial or ethnic background would be narrowly tailored to

achieve a school’s compelling interest in diversity. See id. at 318-19. Four

justices agreed with Powell to the extent that his opinion “affirms the

constitutional power of Federal and State Governments to act affirmatively to

achieve equal opportunity for all.” Id. at 324 (Brennan, J., concurring in part and

dissenting in part). Despite the absence of a clear majority opinion, Bakke

remains the leading jurisprudential authority in this area and there is no Tenth

Circuit authority that provides further guidance.

Here, we are faced with a Bakke -type admissions plan. Each applicant may

compete for every available seat and duration of residence is no more than a plus

factor. 12 As a consequence, it was not unreasonable for the defendants to believe

that using duration of residence as a plus factor to gauge an applicant’s propensity

to practice in New Mexico was a constitutionally permissible means to increase

the provision of medical care to underserved portions of the state.

VI

12
Although the district court found a genuine issue of material fact as to
whether duration of residence was the dispositive factor with respect to plaintiff’s
rejection , there is no dispute that defendants consider other factors in their
admission decisions.

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 Because we find plaintiff lacks standing to seek an injunction prohibiting

UNMSM from favoring long-term residents in future admissions decisions or a

forward-looking declaration that such practice is unconstitutional, the injunction

entered by the district court in its May 30 order is VACATED . Moreover,

because we conclude the institutional defendants are immune from suit under the

Eleventh Amendment, the district court’s judgment is REVERSED to the extent

that it permits plaintiff to proceed with any action against UNMSM, its Board of

Regents, or its Committee on Admissions. We AFFIRM the district court to the

extent that it permits plaintiff to seek injunctive relief under the Ex Parte Young

exception against Klepper and Atencio in their official capacities that would place

her in the immediate entering class at UNMSM. However, we REVERSE the

district court’s decision to the extent that it permits plaintiff to seek a declaration

that the disputed policy violated her rights in the past. Finally, we REVERSE

the district court’s denial of Klepper and Atencio’s motion for summary judgment

on the grounds of qualified immunity because we conclude that the law was not

clearly established. This action is REMANDED to the district court for further

proceedings consistent with this opinion.

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