PLANNED PARENTHOOD MAR MONTE, INC. v. STATE OF NEV. (CIVIL)
CourtNevada Supreme Court
Date FiledMay 28, 2026
Docket91394
StatusPublished
📰 News Coverage: Read the LAWS.com news report on this case
Full Opinion
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142 Nev., Advance Opinion YO
IN THE SUPREME COURT OF THE STATE OF NEVADA
PLANNED PARENTHOOD MAR No. 91394
MONTE, INC., A CALIFORNIA
NONPROFIT CORPORATION; AND DR.
DOE, AN INDIVIDUAL, 2
Appellants, [F | LL. fe D
VS. :
THE STATE OF NEVADA EX REL. THE - MAY 28 20260
OFFICE OF THE NEVADA ATTORNEY
GENERAL; AND ATTORNEY
GENERAL OF NEVADA,
Respondents.
Appeal from a district court order denying a motion for a
preliminary injunction. Eighth Judicial District Court, Clark County; Erika
Mendoza, Judge.
Reversed and remanded.
Planned Parenthood Federation of America and Valentina De Fex, New
York, New York, and Hannah Swanson, Washington, D.C.; Bravo Schrager
LLP and Bradley S$. Schrager and Daniel Bravo, Las Vegas: Gibson, Dunn
& Crutcher LLP and Grace E. Hart and Brian Yeh, New York, New York,
and Hui Fang, Washington, D.C.,
for Appellants.
Aaron D. Ford, Attorney General, Heidi J. Parry Stern, Solicitor General,
and Jeffrey M. Conner, Chief Deputy Solicitor General, Carson City,
for Respondents.
American Civil Liberties Union of Nevada and Christopher M. Peterson,
North Las Vegas,
for Amici Curiae American Civil Liberties Union and American Civil
Liberties Union of Nevada.
2io- 241
McLetchie Law, PLLC, and Lisa A. Rasmussen, Margaret A. McLetchie,
and Leo $. Wolpert, Las Vegas,
for Amici Curiae Silver State Hope Fund: Wild West Access Fund:
University of Nevada, Las Vegas, William S. Boyd School of Law’s Survivor
Representation and Advocacy Clinic Within the Thomas and Mack Legal
Clinic; National Network of Abortion Funds: If/When/How: and the
National Center for Youth Law.
BEFORE THE SUPREME COURT, EN BANC.
OPINION
By the Court, HERNDON, CwJ.:
In 1985, the Nevada Legislature passed Senate Bill 510,
requiring persons under the age of 18 to notify their parent or guardian, or
obtain judicial approval, before receiving an abortion. Enforcement of the
law was enjoined before it took effect pursuant to federal injunction,
Recently, the federal injunction was vacated, and §.B. 510 took effect in
July 2025. At that time, Planned Parenthood Mar Monte (PPMM) and Dr.
Doe sued in state court, challenging the law as unconstitutional. In this
appeal, we consider the state district court’s denial of their motion for a
preliminary injunction against §.B. 510’s enforcement.
Broadly, the questions presented to this court are whether
appellants satisfy standing and ripeness requirements and whether they
satisfied the components for a preliminary injunction to issue. We conclude
that appellants demonstrated injury and thus have standing to challenge
aspects of S.B. 510 and that the matter is ripe for review. As to the
preliminary injunction, we conclude that appellants demonstrated a
reasonable likelihood of success and irreparable harm and that the balance
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of hardships against public interests favors appellants. Therefore, we
reverse the order denying the preliminary injunction.
FACTS AND PROCEDURAL HISTORY
Nevada regulates abortion healthcare through a combination of
laws and regulations found in NRS Chapter 442 and corresponding Nevada
Administrative Code provisions. Healthcare providers may offer abortion
services during the first 24 weeks of pregnancy. NRS 442.250(1)(b).
In 1985, Nevada lawmakers passed 8.B. 510, establishing
certain processes for patients under the age of 18 who wish to receive an
abortion. These processes were codified under NRS 442.255 and NRS
442.2555, and violation of them was criminalized per NRS 442.257. Before
the laws could take effect, however, the federal district court preliminarily
enjoined the statutes. Glick v. McKay. 616 F. Supp. 322, 325-27 (D. Nev.
1985): see also Planned Parenthood Monte Mar, Inc. v. Ford, 349 F.R.D. 213,
218 (D. Nev. 2025) (providing historical context). The Ninth Circuit
affirmed, holding that the enjoined provisions did not “sufficiently protect a
pregnant minor's constitutional right to an abortion.” Glick v. McKay, 937
F.2d 434, 442 (9th Cir. 1991), abrogated by Lambert v. Wicklund, 520 U.S.
292 (1997). Following htigation on the merits, the federal district court
declared the statutes unconstitutional under Roe v. Wade, 410 U.S. 113
(1973), and entered permanent injunctive and declaratory relief barring
enforcement of NRS 442.255, NRS 442.2555, and NRS 442.257. Glick v.
McKay, No. C-R-85-331-ECR, 2023 WL 12064153, at *2 (D. Nev. Oct. 10,
1991; refiled Nov. 16, 2023).
In December 2023, two Nevada district attorneys filed a motion
for relief from the federal district court’s judgment under FRCP 60(b)(5),
arguing that the previous judgment was no longer equitable, in part, due to
Dobbs v. Jackson Women’s Health Organization, 597 U.S, 215 (2022). which
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overruled Roe v. Wade and thus eliminated the basis for the injunction.
Planned Parenthood Monte Mar, 349 F.R.D. at 218. The federal district
court granted the motion and vacated the permanent injunction and final
judgment. Planned Parenthood Monte Mar, 349 F.R.D. at 228. Ultimately,
NRS 442.255, NRS 442.2555, and NRS 442.257 took effect on July 22, 2025.
Planned Parenthood Monte Mar, No. 3:85-cv-00331-ART-CSD, ECF No. 150
(D. Nev. July 22, 2025) (Order Lifting Administrative Stay).
In July 2025, Planned Parenthood Mar Monte and Dr. Doe
challenged 8.B. 510 in state court, naming the State of Nevada and the
Nevada Attorney General (collectively, the State) as defendants. PPMM is
a nonprofit corporation licensed to operate in Nevada that provides health
care and education through its health centers. PPMM, through Nevada
licensed physicians, provides reproductive healthcare at its centers in Reno
and North Las Vegas. PPMM provides medication abortions up to 11 weeks
after the patient’s last menstrual period and in-clinic abortions (also known
as procedural abortions) up to 12 weeks from a patient’s last menstrual
period. Dr. Doe is an anonymous physician who is licensed to practice
medicine and who performs abortions in Nevada.
Appellants moved for a temporary restraining order and a
preliminary injunction, arguing S.B. 510 was void from inception and
beyond the legislature's authority to enact, is unconstitutionally vague, and
violates their patients’ procedural due process rights. The district court
denied the preliminary injunction, finding standing and_ ripeness
requirements were met only as to certain issues and that appellants had
not sufficiently demonstrated a likelihood of success on the merits and
injury, and this appeal followed.
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DISCUSSION
S.B. 510
As enacted, $.B. 510 contains two relevant parts. The first:
under NRS 442.255(1), a physician cannot perform an abortion on an
“unmarried and unemancipated” patient under 18 unless their custodial
parent or guardian 1s “personally notified.” And if the parent or guardian
cannot be personally notified “after a reasonable effort, the physician shall
delay performing the abortion until the physician has notified the parent or
guardian by certified mail at the last known address of the parent or
guardian.” NRS 442.255(1). Hereinafter, we refer to the portion of NRS
442.255(1) that requires notice be provided to a parent or guardian as the
“parental notification provision.” !
The second: under NRS 442.255(2), the patient can “request a
district court to issue an order authorizing an abortion[, and, iJf so
requested, the court shall interview the patient at the earliest practicable
time, which must not be more than 2 judicial days after the request is
made.” The court must issue an order authorizing or denying the abortion
within one judicial day of the interview. NRS 442.255(2)-(3). If the court
INRS 442.255(1) states, in relevant part, that:
[A} physician shall not knowingly perform or induce
an abortion upon an unmarried and
unemancipated woman who is under the age of 18
years unless a custodial parent or guardian of the
woman 1s personally notified before the abortion. If
the custodial parent or guardian cannot be so
notified after a reasonable effort, the physician
shall delay performing the abortion until the
physician has notified the parent or guardian by
certified mail at the last known address of the
parent or guardian.
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does not timely enter an order, authorization is deemed to have been
granted. NRS 442.255(3). In other words, NRS 442.255(3) allows the court
to provide a “pocket approval” by inaction. If the district court timely denies
the abortion, NRS 442.2555 establishes an appeals process for patients to
request reconsideration. Hereinafter, we refer to NRS 442.255(2)-(4), which
contain the request for judicial authorization provision and the pocket
approval provision, and NRS 442.2555 in totality as “the judicial bypass
provisions.”
Additionally, under NRS 442.256, physicians who perform
abortions must maintain records for at least five years after the procedure.
The records must contain a consent form, a statement of the information
provided to the patient, and a description of efforts to give notice to the
custodial parent or guardian as required under NRS 442.255. NRS
442.256(1)-(3). Anyone who violates any of these provisions—from notice to
the custodial parent or guardian, to a request for judicial authorization, to
rehance on pocket approval authorization, to recordkeeping—may be
criminally prosecuted. NRS 442.257; see NRS 193.150 (punishment for a
misdemeanor 1s up to six months of imprisonment, a monetary fine of up to
$1,000, or both).
Standing
Standing is a question of law we review de novo. Logan v. Abe,
131 Nev. 260, 263, 350 P.3d 1139, 1141 (2015). “The Nevada Constitution
does not include the ‘case or controversy’ requirement stated in Article [I
of the United States Constitution, so we are not strictly bound to federal
constitutional standing requirements.” Nat? Ass’n of Mut. Ins. Co. v. State,
Dep't of Bus. & Indus., 1389 Nev. 18, 22, 524 P.3d 470, 476 (2023). However,
“as a prudential matter and because of the justiciability requirements the
separation-of-powers doctrine imposes on the Nevada judiciary, our caselaw
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generally requires the same showing of injury-in-fact. redressability, and
causation that federal cases require for Article III standing.” Jd. (citations
omitted).
Appellants demonstrated injury as to the judicial bypass provisions
The district court found appellants had standing to challenge
the parental notification and pocket approval provisions but did not have
standing as to the request for judicial authorization provision, as they did
not need to understand how the request for judicial authorization provision
works in order to comply with their duties under the other provisions.
Appellants argue the district court erred in concluding they did not
establish injury in fact stemming from potential enforcement of the
provisions allowing for the judicial bypass method of securing an abortion
as a whole.
We agree, as appellants’ challenge to the judicial bypass
provisions cannot be parsed by subsection in this manner. “To establish
injury in fact, a plaintiff must show that he or she suffered ‘an invasion of
a legally protected interest’ that is ‘concrete and particularized’ and ‘actual
or imminent, not conjectural or hypothetical.” Spokeo, Inc. v. Robins, 578
U.S. 330. 339 (2016) (quoting Lujan v. Defenders of Wildlife, 504 U.S. 555.
560 (1992)). Appellants argue that the threat of enforcement as to the
judicial bypass provisions gives them a special or peculiar injury that is
“The State argues for a heightened evidentiary burden of proof for
standing for a preliminary injunction “commensurate with the substantive
evidentiary burden for a preliminary injunction.” We decline to address this
applicable standard of proof argument as it was not raised below and thus
not addressed in the district court’s order. See Old Aztec Mine, Ine. v.
Brown, 97 Nev. 49, 52, 623 P.2d 981, 983 (1981) (explaining arguments
raised for the first time on appeal are waived),
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different than one sustained by the general public. See id. at 339 (“For an
injury to be ‘particularized, it must affect the plaintiff in a personal and
individual way.” (internal quotation marks omitted)). Indeed, appellants
could be held criminally liable. by way of NRS 442.257, for providing an
abortion without judicial authorization—either by order or by inaction—
under the bypass provisions. The pocket approval subsection does not exist
separately from the request for judicial authorization subsection: rather,
they are inextricably intertwined, as each is dispositive of a request for
judicial authorization. Thus, appellants’ injury is particularized as to the
entirety of the judicial bypass provisions.
Moreover, the threat of enforcement is sufficiently concrete to
establish standing. See Babbitt v. Farm Workers, 442 U.S. 289, 298 (1979)
(recognizing a plaintiff satisfies the injury in fact requirements when he
alleges “an intention to engage in a course of conduct arguably affected with
a constitutional interest, but proscribed by a statute, and there exists a
credible threat of prosecution thereunder’). Dr. Doe’s declaration explains
that appellants provide minors with medication abortions up to 11 weeks,
or procedural abortions up to 12 weeks, and that, due to uncertainty from
the judicial bypass provisions, they are unable to confidently perform the
procedure if minors cannot demonstrate the procedure has been judicially
authorized. This evidence, in conjunction with the fact that two of Nevada’s
elected district attorneys took the affirmative step of reinvigorating a
dormant federal lawsuit to lift a decades-old injunction and activate the
statutes, leads us to conclude that appellants face a credible threat of
prosecution.
Appellants satis[y causation and redressability
The State argues that appellants’ general standing theory
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enforcement of the parental notification provision is not fairly traceable to
any actions of the Attorney General. Specifically, the State argues that
causation is not satisfied because appellants fear prosecution based on
statements from district attorneys, not from the Attorney General. And
that redressability is also not satisfied because a preliminary injunction
that prevents the Attorney General from enforcing NRS 442.255 does not
redress appellants’ fears of prosecution, as the fear comes from
independently elected county district attorneys who were not named as
defendants.
In the district court, the State did not dispute causation and
conceded that Dr. Doe had standing to challenge the parental notification
and pocket approval provisions. As a result, appellants argue that
causation generally, and redressability as to Dr. Doe and the parental
notification and pocket approval provisions, should not be considered on
appeal given the State did not cross-appeal the district court’s conclusions.
But, in this case, the State contests a factor within the broader standing
argument that was addressed below. Accordingly, we address the State’s
argument.
Regarding the merits, we conclude that the causation
requirement is satisfied against the Attorney General, even though the
district attorneys are not named, because a “[c]hallengers’ standing is not
short-circuited by the fact that there are multiple authorized enforcers for
the statute.” Matsumoto v. Labrador, 122 F.4th 787, 798 (9th Cir. 2024):
see also Bronson v. Swenson, 500 F.3d 1099, 1110 (10th Cir. 2007) C [T]he
causation element of standing requires the named defendants to possess
authority to enforce the complained-of provision.”). Further, the State and
the Attorney General have not disavowed enforcing S.B. 510, and the
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Attorney General has also not announced he will attempt to prevent county
prosecutors from enforcing the statute—factors that support the credible
fear of enforcement. See Cal. Trucking Ass’n v. Bonta, 996 F.3d 644, 653
(9th Cir. 2021) ( [T]he state’s refusal to disavow enforcement ... is strong
evidence that the state intends to enforce the law and that [the plaintiffs]
face a credible threat.”); see also Chiles v. Salazar, 607 U.S. _, __, 146 S.
Ct. 1010, 1019 (2026) (affirming that a plaintiff alleges a “credible threat”
that the State will enforce the law against them when authorities refuse to
disavow bringing enforcement actions against the plaintiff).
Furthermore, appellants satisfied the redressability
requirement. “Where a state statute specifically grants enforcement powers
to multiple government authorities, an injunction against the exercise of
those powers by any one of those authorities suffices to establish
redressability.”. Matsumoto, 122 F.4th at 801. Although NRS Chapter 442
does not specifically grant enforcement powers to multiple government
authorities as in Matsumoto, there are multiple actors who can enforce the
provisions, and the Attorney General is one of them. See NRS 228.120(2)-
(3) (providing, respectively, that “[the Attorney General may e]xercise
supervisory powers over all district attorneys in the State in all matters
pertaining to the duties of their offices” and “[a]ppear in, take exclusive
charge of and conduct any prosecution in any court of this State for a
violation of any law of this State”). Given that the Attorney General is a
key actor for enforcement of Nevada laws, we conclude that naming the
Attorney General as one of the defendants in a suit challenging the
constitutionality of a statute is sufficient to satisfy causation and
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redressability for standing.’ Thus, we conclude that appellants satisfy the
standing requirements.
Ripeness
Appellants argue the district court erred in concluding that
their challenge to the judicial bypass provisions was not ripe for review.
Ripeness is a question we review de novo. See Or. Nat'l Desert Ass'n v. U.S.
Forest Serv., 957 F.3d 1024, 1031 (9th Cir. 2020). “[R]ipeness focuses on the
timing of the action rather than the party bringing the action.” Jn re T.R..
119 Nev. 646, 651, 80 P.2d 1276, 1279 (2003). “The factors to be weighed in
deciding whether a case is ripe for judicial review include: (1) the hardship
to the parties of withholding judicial review, and (2) the suitability of the
issues for review.” Id.
In Susan B. Anthony List v. Driehaus, the United States
Supreme Court found the hardship factor was satisfied when “denying
prompt judicial review would impose a substantial hardship on petitioners,”
as it would force a choice “between refraining from core political speech on
the one hand or engaging in that speech and risking costly Commission
proceedings and criminal prosecution on the other.” 573 U.S. 149, 167-68
(2014). Dr. Doe asserts that when patients cannot demonstrate judicial
authorization, it delays or even impedes a physician’s ability to provide care.
Specifically, care must be delayed until the patient can demonstrate that
the abortion is authorized under NRS 442.255 or NRS 442.2555. As
appellants explain, the statute forces physicians into an impossible choice:
deny urgently needed medical care or risk prosecution. Harm that can
‘Because we conclude appellants demonstrate standing to challenge
5.B. 510, we need not address whether appellants have third-party standing
on behalf of patients.
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cause a party “hardship” for ripeness is one that “force{s] [plaintiffs] to
modify [their] behavior in order to avoid future adverse consequences,” Ohio
Forestry Ass'n vu. Sierra Club, 523 U.S. 726, 734 (1998), and thus we
conclude that appellants have demonstrated hardship if judicial review is
withheld.
Furthermore, a case is suitable for review when the challenge
to the statute “presents an issue that is ‘purely legal, and will not be
clarified by further factual development.” Susan B, Anthony List, 573 U.S.
at 167 (quoting Thomas v. Union Carbide Agric, Prods. Co., 473 U.S. 568,
581 (1985)). Appellants have raised questions of law regarding whether the
judicial bypass provisions are facially vague. Because appellants bring
solely a facial challenge and present issues that are purely legal and will
not benefit from waiting for further factual development, we conclude the
issues are ripe for review.
Preliminary injunction
For a prelimmary injunction to issue, the moving party must
“demonstrate that (1) ‘it has a reasonable hkelihood of success on the
merits’; and (2) ‘absent a preliminary injunction, it will suffer irreparable
harm for which compensatory damages would not suffice.” Elk Point
Country Club Homeowners’ Ass'n v. K.J. Brown, LLC, 138 Nev. 640, 642,
515 P.3d 837, 839 (2022) (quoting Excellence Cmty. Memt., LLC v. Gilmore,
131 Nev. 347, 351, 351 P.38d 720, 722 (2015)). Further, “courts [will] also
weigh the potential hardships to the relative parties and others, and the
public interest.” Univ. & Cmty. Coll. Sys. of Nev. v. Nevadans for Sound
Gov't, 120 Nev. 712, 721, 100 P.3d 179, 187 (2004).
A decision on a motion for preliminary injunction is only
reversible “when the district court abused its discretion or based its decision
on an erroneous legal standard or on clearly erroneous findings of fact.”
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Excellence Cmty. Mgmt., 131 Nev. at 351, 351 P.3d at 722 (internal
quotation marks omitted). Questions of law are reviewed de novo. Id.
Likelihood of stccess on the merits
Appellants argue the district court erred in concluding they had
not demonstrated a likelihood of success as to their arguments that S.B. 510
is unconstitutionally vague, was void from inception and beyond the
legislature’s authority to enact, and violates their patients’ procedural due
process rights.
As to the vagueness challenge, appellants argue that S.B. 510
does not provide adequate notice of proscribed conduct, allowing for
discriminatory and arbitrary enforcement. “Vagueness may invalidate a
criminal law for either of two independent reasons: (1) if it fails to provide
a person of ordinary intelligence fair notice of what is prohibited; or (2) if it
is so Standardless that it authorizes or encourages seriously discriminatory
enforcement.” State v. Castaneda, 126 Nev. 478, 481-82, 245 P.3d 550, 553
(2010) (emphasis added) (citation modified). We have explained that
“constitutional vagueness analysis does not treat statutory text as a closed
universe’ and clarity may be supplied by “judicial gloss on an otherwise
uncertain statute, by giving a statute’s words their well-settled and
ordinarily understood meaning, and by looking to the common law
definitions of the related term or offense.” Castaneda, 126 Nev. at 483, 245
P.3d at 553-54 (emphasis omitted) (citation modified). Further, if the
legislature’s intention is clear, “it is the duty of the court to give effect to
such intention and to construe the language of the statute to effectuate
rather than nullify its manifest purpose.” Sheriff, Washoe Cnty. v. Martin,
99 Nev. 336, 340, 662 P.2d 634, 637 (1983).
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The vagueness analysis standard for criminal statutes applies
Appellants argue that the district court erred by applying the
vagueness standard for civil statutes. We agree with appellants because,
when a statute “involves criminal penalties or constitutionally protected
rights,” a higher standard applies and “the question becomes whether
vagueness so permeates the text that the statute cannot meet these
requirements in most applications.” Flamingo Paradise Gaming, LLC v.
Chanos, 125 Nev. 502, 512-13, 217 P.3d 546, 553-54 (2009) (emphasis
added). The judicial bypass provisions are subject to criminal penalties
because NRS 442.257 criminalizes violations of “any provision of NRS
442.252 to 442.256.” NRS 442.257 (emphasis added). Because S.B. 510
imposes criminal penalties, we conclude the district court abused its
discretion when it applied an erroneous legal standard: the vagueness
standard for civil statutes. Instead, the district court should have applied
the vagueness standard for criminal statutes where vagueness must be
demonstrated to exist in most circumstances.
The parental notification provision is unconstitutionally vague
Under the proper standard, appellants argue that the parental
notification provision ig unconstitutionally vague. The State argues that
the provision includes a scienter requirement, see NRS 442.255(1) (“a
physician shall not knowingly perform or induce”), which helps avoid
vagueness. “[A] scienter requirement may mitigate a law’s vagueness,
especially with respect to the adequacy of notice” a defendant receives, Vill.
of Hoffman Ests. v. Flipside, Hoffman Ests., Inc., 455 U.S. 489, 499 (1982),
but it does not guarantee there is no vagueness that renders the statute
unconstitutional. Thus, we address the other phrases in the parental
notification provision.
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Appellants argue there are no adequate guidelines to determine
what suffices in NRS 442.255(1) for “personally notified” or “reasonable
effort” to notify, or how law enforcement will assess whether a physician
“has notified the parent or guardian by certified mail at the last known
address of the parent or guardian.” Under NRS 442.255(1), only after a
“reasonable effort” is made to personally notify a parent or guardian can a
physician proceed to utilizing certified mail. Accordingly, the failure to
provide guidance to a physician as to what efforts allow them to justify
forgoing personal notification in favor of certified mail is concerning. The
lack of specificity arguably leaves it up to each potential investigating
agency and thereafter, judge, to arbitrarily decide what effort is sufficient.
The phrase “personally notified” is also problematic.
“Personally notified” plainly refers to direct communication to the parent or
guardian about the procedure. See Personally, Oxford Dictionary of English
(3d ed. 2010) (defining “personally” as “with the personal presence or action
of the individual specified; in person”); Notify, Oxford Dictionary of English
(3d ed. 2010) (defining “notify” as “inform (someone) or something. typically
in a formal or official manner’); Actual Notice, Black’s Law Dictionary (12th
ed. 2024) (defining “actual notice” as “[nJotice given directly to, or received
personally by, a party”). The legislative history also supports this meaning,
as the legislature understood that “a telephone call or personal visit” or “the
parent com[ing] to the abortion clinic” would count as “personally notified.”
Hearing on 8.B. 510 Before the Assemb. Judiciary Comm., 63d Leg. (Nev..
May 30, 1985). While the expectation that phone calls could suffice is
reasonably clear, the statute is not reasonably clear that medical
professionals may be expected to make “personal visit[s]” to attempt to
locate and notify minor patients’ parents or guardians. It is also unclear
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whether the duty to “personally notify” a parent or guardian is a
requirement imposed specifically on the physician—who is the individual
directly at risk of criminal prosecution for failure to comply with the laws
at 1ssue—or whether it embraces notification occurring through medical
office personnel as well. See Flamingo Paradise Gaming, LLC, 125 Nev. at
513-14, 217 P.3d at 554 (finding unconstitutionally vague a statute that
failed to adequately define who holds the responsibility to prevent another
from smoking in violation of the NCIAA and “what that responsibility
entails’).
Finally, the phrase “notified the parent or guardian by certified
mail at the last known address of the parent or guardian,” NRS 442.255(1),
is somewhat clearer but still contributes to the parental notification
provisions vagueness. At oral argument, the State withdrew from its
position that physicians using certified mail must ensure actual notice—
which runs counter to how notice by certified mail is considered under the
law and in the legislative history for 5.B. 510. See Flangas v. Perfekt Mktg.,
LLC, 138 Nev. 224, 230, 507 P.3d 574, 580 (2022) (noting that the use of
certified mail accomplishes the notice element of due process, even though
notification by certified mail may make actual notice less likely); see also
Hearing on 8.B. 510 Before the Assemb. Comm. on Judiciary, 63d Leg.
(Nev., May 30, 1985) (]An Assemblymember] wondered if the doctor could
perform the abortion as soon as he put the notice in the certified mail and
was told he could. It did not matter if the person addressed had received
it.”). Nonetheless, notice via certified mail still leaves much to be desired
as to fair notice for the physician attempting to comply and the standardless
enforcement that may result. This is largely because it is unclear how long
a physician must wait after sending certified mail to proceed with an
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abortion. And without more specificity as to how or when notice through
certified mail is satisfied. the parental notification provision then lends
itself to authorizing arbitrary enforcement. Relatedly, the timing for notice
by certified mail that satisfies the parental notification provision is also
critical as toa minor’s ability to return for the procedure and to even receive
the procedure—the difference of days could result in only being able to
undergo procedural abortion, as opposed to medication abortion at PPMM,
or not being able to receive the procedure at all.
We conclude that vagueness so permeates the text of the
parental notification provision that the statute cannot meet the
requirements tn most applications. Thus. appellants demonstrate a
reasonable likelihood of success on the merits as to their void-for-vagueness
claim on the parental notification provision.
The judicial bypass provisions are unconstitutionally vague
Appellants argue that the judicial bypass provisions are
unconstitutionally vague, as NRS 442.255 does not establish
implementation procedures for judicial bypass. Appellants explain that
physicians need to be able to identify whether their patients have obtained
proper judicial authorization or they risk prosecution and that nothing in
the statute limits how law enforcement will assess whether a physician has
sufficiently demonstrated that judicial authorization has occurred.
We conclude that the judicial bypass provisions are vague as to
what the physician must do and the standards that would be enforced.
Under NRS 442.255, a physician may not perform an abortion via the
judicial pathway unless they are certain of judicial authorization. But a
physician does not have fair notice as to how to comply with ascertaining
such authorization, which lends itself to authorizing seriously
discriminatory enforcement. See Flamingo Paradise Gaming, LLC, 125
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Nev. at 513-14, 217 P.83d at 554 (concluding that a statute that failed to
explain “whether business owners . . . have a responsibility to stop someone
who is smoking in violation of the [NCIAA] and if so, what that
responsibility entails” is unconstitutionally vague). For example, can a
physician rely solely on the representations ofa patient? Does the physician
have to ask the patient for documentation, so the physician can record it
pursuant to NRS 442.256? Does the physician have to verify the document
in some way? Ifthe patient says they have pocket approval stemming from
a district court’s inaction, what kind of documentation can they provide?
Can a patient tell the physician when the patient requested an interview
with a court, such that if the patient is at least three days out from the
interview date the physician can assume the absence of any document
means pocket authorization has occurred? Does the physician have to
attempt to access the court docket to find some record of the interview,
which are required to be confidential pursuant to NRS 442.255(4)?
These questions demonstrate not only that the judicial bypass
provisions provide insufficient notice to appellants, but also how the statute
could allow seriously discriminatory enforcement, as enforcement
authorities may challenge the method by which a physician determines
judicial authorization occurred. See Flamingo Paradise Gaming, LLC, 125
Nev. at 514, 217 P.3d at 554 (“The statute fails to provide guidelines as to
what action is required and how the statute is enforced, and therefore, it
creates the possibility of arbitrary and discriminatory enforcement.”).
Because physicians face possible criminal prosecution and occupational
harm pursuant to NRS 442.257, the lack of fair notice and the potential for
standardless enforcement elevates our concerns. Thus, we conclude that in
most applications, the judicial bypass provisions are not clear enough to
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provide notice and standards to avoid discriminatory enforcement. Because
appellants demonstrated a reasonable likelihood of success as to their
vagueness claim regarding S.B. 510, we next assess whether appellants
demonstrated irreparable harm.*
Irreparable harm
A preliminary injunction “is proper where the moving party can
demonstrate that it has a reasonable likelihood of success on the merits and
that, absent a preliminary injunction, tt will suffer irreparable harm for
which compensatory damages would not suffice.” Excellence Cmty. Mgmt.,
LIC v. Gilmore, 131 Nev. 347, 350-51, 351 P.3d 720, 722 (2015) (emphasis
added). Appellants have shown a reasonable likelihood of success on the
merits of their constitutional claim that S.B. 510 is void for vagueness, and
thus, they also demonstrate irreparable harm. See City of Sparks v. Sparks
Mun. Ct., 129 Nev. 348, 357, 302 P.3d 1118, 1124 (2013) (“As a
constitutional violation may be difficult or impossible to remedy through
money damages, such a violation may, by itself, be sufficient to constitute
irreparable harm.”).
Balance of hardships and public interests
Finally, courts “may...weigh the public interest and the
relative hardships of the parties in deciding whether to grant a preliminary
injunction.” Clark Cnty. Sch. Dist. v. Buchanan, 112 Nev. 1146, 1150, 924
P.2d 716, 719 (1996).
4Given this conclusion, we need not address appellants’ arguments
that S.B. 510 is void ab initio and violative of procedural due process.
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The district court did not err when it considered parental
interests and community views
Appellants first argue the district court abandoned the
principle of party presentation “by introducing independent arguments and
evidence to support its holding that the balance of hardships did not favor
a preliminary injunction.” Specifically, appellants assert the district court
improperly considered parents’ interests and community views when
balancing hardships.
The principle of party presentation “sets forth that courts rely
on the parties to frame the isswes of a given matter.” Nev. Pol’y Rsch. Inst.,
Inc. v. Miller, 140 Nev., Adv. Op. 69, 558 P.3d 319, 331 (2024) (emphasis
added). This court has recognized, however, that courts “may consider an
issue antecedent to...and ultimately dispositive of the dispute before it,
even an issue the parties fail to identify and brief.” U.S. Natl Bank of Or.
v. Indep, Ins. Agents of Am., Inc., 508 U.S. 439, 447 (1993) (nternal
quotation marks omitted): see Nev. Pol’y Rsch. Inst., Inc., 140 Nev., Adv. Op.
69, 558 P.3d at 331. Thus, the district court was permitted to consider
independent arguments and evidence that were relevant to its decision on
balancing hardships and public interest.
The relevant factors weigh in appellants’ favor
Appellants argue the district court erred in determining they
failed to demonstrate that the balance of hardships and public interest
weighed in favor of granting a preliminary injunction. Appellants assert
the district court failed to consider that granting an injunction would
preserve the status quo, the new requirements would restrict access to
health care, and appellants and their patients have a strong interest in not
being subject to unconstitutional laws.
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Preserving the status quo and access to health care are factors
that other courts have considered in their hardship or public interest
analyses. For example, the Utah Supreme Court affirmed the grant of a
preliminary injunction for a pre-Dobbs abortion statute that prohibited
abortion at any point. Planned Parenthood Ass’n of Utah v. State, 554 P.3d
998, 1006-07, 1046 (Utah 2024). That court explained that the “appropriate
time to determine the status quo is the last uncontested status between the
parties which preceded the controversy” and that “[t]he last uncontested
status between the State and [Planned Parenthood] existed before [the
statute] took effect.” Jd. at 1045 (citation modified); see also Golden Gate
Rest, Ass'n v. City & County of San Francisco, 512 F.3d 1112, 1125-26 (th
Cir. 2008) (acknowledging that “lack of timely access to health care poses
serious health risks” and is a hardship and that the public has an interest
in health). And because appellants have demonstrated a reasonable
likelihood of success on one of their constitutional claims. there is an
impacted interest in ensuring that appellants are not subject to
unconstitutional laws.
Although the State rightly asserts that rights of parents have
been repeatedly recognized as a fundamental interest even pre-Dobbs. see
HL. v. Matheson, 450 U.S. 398, 410 (1981) (explaining that the relationship
between parent and child is constitutionally protected), and is a public
interest that weighs towards denying preliminary injunction, preserving
the status quo and access to healthcare are considerable interests in favor
of granting a preliminary injunction. On balance, we conclude that the
district court abused its discretion and that the hardship to appellants and
the public interests involved favor appellants and warrant a preliminary
injunction.
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CONCLUSION
We conclude that appellants have shown injury for standing
and ripeness to challenge the judicial bypass provisions. As to the
preliminary injunction, we conclude that appellants demonstrated a
reasonable likelihood of success on their claim that S.B. 510 is
unconstitutionally vague, that appellants demonstrated irreparable harm,
and that the balance of hardships and public interests favor appellants.
Accordingly, we reverse the order denying the request for a preliminary
injunction and remand the matter to the district court with instructions to
iB Cd.
Herndon
grant the preliminary injunction.
We concur:
4
Pickering J Parraguirre
Bell Stiglich
Cadish Lee
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