Case: Judge Rotenburg Center v. Food and Drug Administration

20-01087 | U.S. Court of Appeals for the District of Columbia Circuit

Filed Date: March 27, 2020

Case Ongoing

Clearinghouse coding complete

Case Summary

This case concerns the Food and Drug Administration’s (FDA) ability to ban the use of electrical stimulation devices to treat self-injurious or aggressive behavior. The petitioners are the Judge Rotenburg Center (“the Center”), a facility in Massachusetts that provides treatment and education to people with serious mental disabilities, like autism, and a group of parents of patients at the Center. The Center is the only place in the country where electrical stimulation is used to prevent self-h…

This case concerns the Food and Drug Administration’s (FDA) ability to ban the use of electrical stimulation devices to treat self-injurious or aggressive behavior. The petitioners are the Judge Rotenburg Center (“the Center”), a facility in Massachusetts that provides treatment and education to people with serious mental disabilities, like autism, and a group of parents of patients at the Center. The Center is the only place in the country where electrical stimulation is used to prevent self-harm or aggression in people with mental disabilities. This treatment functions by administering an electric shock to a patient when they behave in a certain way, thus discouraging or stopping the behavior. Using electrical shocks on people with disabilities is extremely controversial and the Center has been engaged in litigation since the 1980s with Massachusetts authorities about its use of “aversive therapies” like electrical stimulation. Behavioral Research Institute v. Secretary of Administration, Petition of Kaufman, and Judge Rotenberg Educational Center, Inc. v. Commissioner of the Department of Mental Retardation (see related cases), are some of the cases brought surrounding various issues related to JRC's use of aversive therapies and funding. In fact, the Center’s present name comes from the state trial judge who enjoined the Commonwealth’s attempt to revoke its license to provide services in 1986.

On March 6, 2020, the FDA issued a ban on the device used by the Center to administer electrical stimulation treatment. The FDA had previously issued a proposed ban of the device in 2016. The Center responded by filing a Freedom of Information Act request for records from the FDA related to the ban, which itself was the subject of litigation. See 17-2092, 376 F. Supp. 3d 47. Shortly after the final ban was enacted, the facility and parents, represented by private counsel, filed a petition for review of the agency’s rule in the U.S. Court of Appeals for the D.C. Circuit. They argued that the FDA's ban was arbitrary and capricious, in violation of the Administrative Procedures Act and that the process which led to the ban was characterized by bad faith and undue political pressure.

The defendants moved for summary judgment on May 4, 2020. However, on August 24, 2020, Judge Howell issued an order staying the motion for summary judgment to allow the parties to narrow the issues remaining in the case. 

The case was assigned to a panel consisting of Chief Judge Sri Srinivasan and Judges Gregory G. Katsas and David B. Sentelle. The panel heard argument on April 23, 2021, and issued an opinion on July 6, 2021. 3 F.4th 390, 2021 WL 2799891. Judge Sentelle wrote the majority opinion, joined by Judge Katsas, vacating the FDA's rule. The majority found that the rule violated two statutes: 21 U.S.C. § 360f, which allows the FDA to ban medical devices and 21 U.S.C. § 396, which prevents the FDA from regulating the practice of medicine. In the majority’s view, the FDA’s choice to, in effect, ban the use of electrical stimulation to treat people with mental disabilities, but not other patients, overstepped its statutory authorities. Instead of banning a medical device, the FDA was impermissibly regulating the practice of medicine. It also noted that allowing FDA regulation of medical practice, an area traditionally left to state regulation, raised federalism concerns. Chief Judge Srinivasan dissented, arguing that the FDA was permitted by statute to impose a more tailored ban on medical devices for particular purposes, given that was permitted to impose a blanket ban.

The same day the court issued its opinion, it also issued an order staying the mandate until the end of any rehearing procedures. However, on November 22, 2021, the full D.C. Circuit declined to hear the case en banc.

The ruling of the D.C. Circuit vacating the FDA’s rule did not become final until February 2, 2022 (after the D.C. Circuit declined to rehear the case en banc and the FDA did not petition the Supreme Court for certiorari). 

After the D.C. Circuit’s decision, the issues remaining related to outstanding FOIA requests of records that the defendants continued to withhold or were produced with redactions. On August 19, 2022, the plaintiffs moved to amend their complaint to add a new FOIA request submitted that year. However, Chief Judge Howell denied the plaintiffs’ motion to amend their complaint on November 1, 2022. The court began by noting that the case should be nearing a resolution, with only the defendants’ motion for summary judgment pending (which had been stayed in 2020). In a Rule 15(d) analysis, the court noted that the FOIA request at issue came nearly six years after the initial FOIA requests giving rise to this litigation, and that they were directed to purported lobbying efforts to have the vacated rule reestablished by legislative action. The court found that allowing the plaintiffs’ proposed supplement would (1) prevent the economic and speedy disposition of the existing controversy between the parties, (2) cause undue delay by further “putting off” the pending motion for summary judgment, and (3) prejudice the rights of the defendants. The court concluded by advising that if the plaintiffs were dissatisfied with the FDA’s response to their new FOIA request, the proper course of action would be to file a new lawsuit. 2022 WL 16845801.

On March 29, 2023, the plaintiffs filed a cross-motion for summary judgment. Both plaintiffs' and defendants’ motions for summary judgment remain and the case is ongoing as of June 2024.

Summary Authors

Jonah Hudson-Erdman (7/11/2021)

Jonah Hudson-Erdman (4/7/2022)

Stephanie Chin (3/17/2023)

Related Cases

Judge Rotenberg Educational Center, Inc. v. Commissioner of the Department of Mental Retardation, Massachusetts state trial court (1986)

Behavioral Research Institute v. Secretary of Administration, Massachusetts state trial court (1989)

Petition of Kaufman, Massachusetts state trial court (1991)

People

For PACER's information on parties and their attorneys, see: https://www.courtlistener.com/docket/59849295/parties/the-judge-rotenberg-education-v-fda/


Judge(s)
Attorney for Plaintiff
Attorney for Defendant

Aguilar, Daniel (District of Columbia)

Expert/Monitor/Master/Other

Attorney, Edward John (District of Columbia)

Attorney, Felicia H. (District of Columbia)

Attorney, Daniel J. (District of Columbia)

Attorney, Scott R. (District of Columbia)

Attorney for Defendant

Aguilar, Daniel (District of Columbia)

Baer, Michael Hendry (District of Columbia)

Bennett, Michelle (District of Columbia)

Berwick, Benjamin Leon (District of Columbia)

Braswell, Marina Utgoff (District of Columbia)

Burch, Alan R. (District of Columbia)

Burnham, James Mahoney (District of Columbia)

Caplen, Robert Aaron (District of Columbia)

Cirino, Paul (District of Columbia)

Clark, Andrew E. (District of Columbia)

Cohen, Jason Todd (District of Columbia)

Coles-Huff, Doris Denise (District of Columbia)

Cutini, Drake S. (District of Columbia)

Ellison, James Philip (District of Columbia)

Ellsworth, Felicia H. (Massachusetts)

Fowler, Adrienne Elise (District of Columbia)

Goulka, Jeremiah (District of Columbia)

Grogg, Adam (District of Columbia)

Gural, Roger Joseph (District of Columbia)

Hammond, Derek S. (District of Columbia)

Harvey, Gordon Michael (District of Columbia)

Haynes, Fred Elmore (District of Columbia)

Humphreys, Bradley P. (District of Columbia)

Kade, Elizabeth L. (District of Columbia)

Kell, Gerald Cooper (District of Columbia)

Kirschner, Adam D. (District of Columbia)

Kolsky, Joshua M. (District of Columbia)

Kopplin, Rebecca Michelle (District of Columbia)

Layton, Elisabeth (District of Columbia)

Littman, M. Jared (District of Columbia)

Lyons, Jane M. (District of Columbia)

Maier, Peter Rolf (District of Columbia)

McBarnette, Andrea (District of Columbia)

McIntosh, Scott R. (District of Columbia)

Momeni, Mercedeh (District of Columbia)

Myers, Steven A. (District of Columbia)

Nebeker, William Mark (District of Columbia)

Peterson, Benton Gregory (District of Columbia)

Pruski, Jacek (District of Columbia)

Russell, Beverly Maria (District of Columbia)

Samp, Richard A. (District of Columbia)

Scannapieco, Gabriel H. (District of Columbia)

Schaefer, Daniel Patrick (District of Columbia)

Seabrook, April Denise (District of Columbia)

Simon, Jeremy S. (District of Columbia)

Tepe, Sean Michael (District of Columbia)

Yee, Marsha Wellknown (District of Columbia)

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Documents in the Clearinghouse

Document

20-01088

Docket [PACER]

The Judge Rotenberg Education v. FDA

July 6, 2021

July 6, 2021

Docket
1

1:17-cv-02092

Complaint for Declaratory and Injunctive Relief

Judge Rotenburg Center v. Food and Drug

U.S. District Court for the District of District of Columbia

Oct. 10, 2017

Oct. 10, 2017

Complaint
39

1:17-cv-02092

Memorandum Opinion

The Judge Rotenberg Educational Center v. United States Food and Drug Administration

U.S. District Court for the District of District of Columbia

March 21, 2019

March 21, 2019

Order/Opinion

376 F.Supp.3d 47

1208343993

20-01087

On Petitions for Review of an Order of the Food and Drug Administration

July 6, 2021

July 6, 2021

Order/Opinion

3 F.4th 390

20-01088

Opinion of the Court

The Judge Rotenberg Educational Center v. United States Food and Drug Administration

July 6, 2021

July 6, 2021

Order/Opinion

3 F.4th 390

1208378234

20-01087

Order

Nov. 22, 2021

Nov. 22, 2021

Order/Opinion
61

1:17-cv-02092

Joint Status Report

The Judge Rotenberg Educational Center, Inc. v. U.S. Food and Drug Adminsitration

U.S. District Court for the District of District of Columbia

July 14, 2022

July 14, 2022

Pleading / Motion / Brief

Resources

Docket

See docket on RECAP: https://www.courtlistener.com/docket/59849295/the-judge-rotenberg-education-v-fda/

Last updated Dec. 16, 2024, 5:42 p.m.

Docket sheet not available via the Clearinghouse.

Case Details

State / Territory: District of Columbia

Case Type(s):

Intellectual Disability (Facility)

Key Dates

Filing Date: March 27, 2020

Case Ongoing: Yes

Plaintiffs

Plaintiff Description:

A nonprofit facility providing education and therapy for people with mental disabilities and several parents of patients at that facility.

Plaintiff Type(s):

Private Plaintiff

Public Interest Lawyer: No

Filed Pro Se: No

Class Action Sought: No

Class Action Outcome: Not sought

Defendants

Food and Drug Administration (Washington, District of Columbia), Federal

Defendant Type(s):

Hospital/Health Department

Facility Type(s):

Non-government non-profit

Case Details

Causes of Action:

Administrative Procedure Act, 5 U.S.C. §§ 551 et seq.

Special Case Type(s):

Appellate Court is initial court

Available Documents:

Trial Court Docket

Complaint (any)

Any published opinion

Outcome

Prevailing Party: Plaintiff

Nature of Relief:

Injunction / Injunctive-like Settlement

Source of Relief:

Litigation

Issues

General/Misc.:

Aggressive behavior

Informed consent/involuntary medication

Disability and Disability Rights:

Autism

Mental impairment

Medical/Mental Health Care:

Self-injurious behaviors