Pharmaceutical Research and Manufacturers of America v. Williams

U.S. District Court, District of Minnesota

Pharmaceutical Research and Manufacturers of America v. Williams

Trial Court Opinion

             UNITED STATES DISTRICT COURT                            
                 DISTRICT OF MINNESOTA                               
              CIVIL NO. 20-1497(DSD/DTS)                             

Pharmaceutical Research and                                               
Manufacturers of America,                                                 

          Plaintiff,                                                 
v.                                           ORDER                        
Stuart Williams, et al.,                                                  
          Defendants.                                                

Joseph R. Guerra, Esq. and Sidley Austin LLP, 1501 K. Street,        
N.W., Washington, DC 20005, counsel for plaintiff.                   

Sarah L. Krans, Esq. and Minnesota Attorney General’s Office,        
445 Minnesota Street, Suite 1800, St. Paul, MN, counsel for          
defendants.                                                          


This matter is before the court upon defendants’ motion to           
dismiss, plaintiff Pharmaceutical Research and Manufacturers of           
America’s  (PhRMA)  conditional  motion  for  leave  to  file  a          
supplemental complaint, and PhRMA’s motion for summary judgment.          
Based on a review of the file, record, and proceedings herein, and        
for  the  following  reasons,  defendants’  motion  to  dismiss  is       
granted, PhRMA’s motion for leave to file a supplemental complaint        
is denied, and PhRMA’s motion for summary judgment is denied.             
                      BACKGROUND                                     
This dispute arises out of the recently enacted Alec Smith           
Insulin Affordability Act (Act).  Compl. ¶ 1.  PhRMA is a nonprofit       

corporation that represents pharmaceutical companies and serves as        
the pharmaceutical industry’s “principal public policy advocate.”         
Id. ¶¶ 10, 12.  Its member companies include Eli Lilly and Company        
(Lilly),  Novo  Nordisk  Inc.,  and  Sanofi,  which  collectively         
manufacture most of the insulin sold in Minnesota and the United          
States.  Id. ¶ 13.  Defendants are members of the Board of Pharmacy,      
named only in their official capacities, who enforce the Act.1  Id.       
¶¶ 15.                                                                    
On April 15, 2020, the governor of Minnesota signed the Act          
into law to establish insulin safety net programs.  Id. ¶ 64.  The        
Act requires manufacturers to provide insulin for free to Minnesota       
residents who meet certain criteria.  Id.; 
Minn. Stat. § 151.74
,          

subdiv. 1(a).  The Act has two programs: the Continuing Safety Net        
Program and the Urgent Need Program.  Compl. ¶ 65.                        
The Continuing Safety Net Program mandates that manufacturers        
provide  free  insulin  products  to  any  individual  who  meets  the    

1  Defendants  Stuart  Williams,  Stacey  Jassey,  Mary  Phipps,     
Andrew  Behm,  James  Bialke,  Amy  Pardis,  Rabih  Nahas,  Samantha      
Schirmer, and Kendra Metz are members of the Board of Pharmacy.           
Compl.  ¶¶  16-24.    The  parties  stipulated  to  the  dismissal  of    
defendants Nate Clark, Peter Benner, Suyapa Miranda, David Fisher,        
Jodi  Harpstead,  Phil  Norrgard,  Stephanie  Stoffel,  and  Andrew       
Whitman, who are members of the Board of MNSure.  ECF No. 22.  see        
also Compl. ¶¶ 25-32.                                                     
eligibility criteria.2  
Id.
  Under this program, manufacturers must       
review  applications,  determine  whether  the  applicant  meets  the     
eligibility  criteria,  and  notify  applicants  of  their  decision      

within ten business days.  
Id. ¶ 66
; 
Minn. Stat. § 151.74
, subdiv.        
5(a).    If  denied,  the  applicant  may  appeal  to  a  review  panel   
created by the Board of Pharmacy, which may overrule manufacturers        
with binding decisions.  Compl. ¶ 67; 
Minn. Stat. § 151.74
, subdiv.       
8.                                                                        
If the manufacturer determines an applicant is eligible, it          
next determines whether to provide the individual with a statement        
of eligibility.  An individual with a statement of eligibility may        
present it to a pharmacy to obtain free insulin for up to one year.       
Compl.  ¶¶  68-69;  
Minn. Stat. § 151.74
,  subdiv.  5(b).    If  an    
eligible  applicant   does  not  have   private  insurance,   the         
manufacturer  must  provide  the  individual  with  a  statement  of      

eligibility.  Compl. ¶ 69.  If an eligible applicant does have            


2  To  be  eligible,  an  individual  must:  (1)  be  a  Minnesota   
resident with valid identification; (2) have a family income of           
400% or less of the federal poverty level; (3) not be enrolled in         
medical  assistance  or  MinnesotaCare;  (4)  not  be  eligible  for      
federal funded healthcare or Veterans Administration prescription         
drug benefits; and (5) not be covered by an insurance plan under          
which they can obtain a thirty day supply of insulin for $75 or           
less out of pocket.  Compl. ¶ 65; 
Minn. Stat. § 151.74
, subdiv.           
4(a)-(b).    Additionally,  if  an  individual  meets  some  of  the      
statutory criteria, has prescription drug coverage under Medicare         
Part D, and has spent more than $1000 on prescription drugs in the        
calendar year, they are also eligible to receive free insulin.            
Compl. ¶ 65, 
Minn. Stat. § 151.74
, subdiv. 4(c).                          
private  insurance,  the  manufacturer  may  determine  whether  the      
individual’s needs are better met through the manufacturer’s co-          
payment  assistance  program.    
Id. ¶ 68
.    If  it  determines  the   

manufacturer’s   assistance   program   better   addresses    the         
individual’s needs, the manufacturer “shall inform the individual         
and provide the individual with the necessary coupons to submit to        
a pharmacy.”  Id.; 
Minn. Stat. § 151.74
, subdiv. 5(c).  Otherwise,        
it must provide the individual with a statement of eligibility.           
Compl. ¶ 68; 
Minn. Stat. § 151.74
, subdiv. 5(b).                          
When  presented  an  eligibility  statement,  pharmacies  order      
insulin from the manufacturer, and the manufacturer must “send to         
the pharmacy a 90-day supply of insulin ... at no charge to the           
individual  or  pharmacy.”    Compl.  ¶  70;  
Minn. Stat. § 151.74
,    
subdiv. 6(c).  The pharmacy is allowed to charge the applicant a          
co-payment “not to exceed $50 for each 90-day supply” to cover            

“the pharmacy’s costs for processing and dispensing” the insulin.         
Compl. ¶ 70; 
Minn. Stat. § 151.74
, subdiv. 6(e).  The manufacturer        
does not receive any amount of the co-payment.  This process may          
be  repeated  throughout  a  full  year  of  eligibility,  and  the       
manufacturer must continue to send “an additional 90-day supply of        
the  product  ...  at  no  charge  to  the  individual  or  pharmacy.”    
Compl. ¶ 71; 
Minn. Stat. § 151.74
, subdiv. 6(f).                          
The second program is the Urgent Need Program.  Compl. ¶ 72.         
The program requires manufacturers to provide a thirty-day supply         
of free insulin to individuals who meet eligibility criteria.3            
Id.; 
Minn. Stat. § 151.74
, subdiv. 2(a)-(b).  When an applicant           
submits an application with a valid prescription, the pharmacy            

must dispense a thirty-day supply of insulin to the individual.           
Compl. ¶ 73; 
Minn. Stat. § 151.74
, subdiv. 3(c).                          
After dispensing insulin, the pharmacy submits a claim for           
payment to the manufacturer or the manufacturer’s vendor.  Compl.         
¶ 73; 
Minn. Stat. § 151.74
, subdiv. 3(d).  The manufacturer must          
either  “reimburse  the  pharmacy  in  an  amount  that  covers  the      
pharmacy’s  acquisition  cost”  or  else  “send  to  the  pharmacy  a     
replacement supply of the same insulin as dispensed in the amount         
dispensed.”  Compl. ¶ 73; 
Minn. Stat. § 151.74
, subdiv. 3(d).             
Pharmacies  may  collect  an  insulin  co-payment  form  from  the        
individual in an amount not to exceed thirty-five dollars for the         
thirty-day supply.  Compl. ¶ 74; 
Minn. Stat. § 151.74
, subdiv.            

3(e).  The manufacturer does not receive any of the co-payment            
amount.  Compl. ¶ 74.                                                     



3  Eligible individuals must (1) be Minnesota residents who          
are not enrolled in Medicaid or MinnesotaCare; (2) not be enrolled        
in a prescription drug coverage plan that would cover thirty-day          
supply of insulin for $75 or less out of pocket; (3) not have             
received insulin under the Urgent Need Program within the last            
twelve months; and (4) have less than a seven-day supply of insulin       
and need insulin to avoid the likelihood of suffering significant         
health consequences.  Compl. ¶ 72; 
Minn. Stat. § 151.74
, subdiv.          
2(a)-(b).                                                                 
PhRMA claims it will incur significant expenses by giving            
away free insulin and administering both programs.  
Id. ¶ 75
.             
Moreover, if a manufacturer does not comply with the programs and         

other  statutory  requirements,  the  Board  of  MNSure  may  assess      
penalties.  
Id. ¶ 76
; 
Minn. Stat. § 151.74
, subdiv. 10(a)-(b).            
The Act governs all insulin manufacturers unless one of two          
exceptions applies.  Compl. ¶ 77.  First, manufacturers with an           
“annual gross revenue of $2,000,000 or less from insulin sales in         
Minnesota” are exempt under the Act.  Id.; 
Minn. Stat. § 151.74
,          
subdiv. 1(c).  Second, if the wholesale acquisition cost (WAC) of         
a manufacturer’s insulin product “is $8 or less per milliliter or         
applicable  National  Council  for  Prescription  Drug  Plan  billing     
unit, for the entire assessment time period, adjusted annually            
based on the Consumer Price Index,” then the product is exempt.           
Compl. ¶ 77; 
Minn. Stat. § 151.74
, subdiv. 1(d).  Neither exception       

applies to PhRMA’s members.  Compl. ¶ 78.                                 
On June 30, 2020, PhRMA filed this suit alleging that the            
Act’s programs violate the Takings Clause of the Fifth Amendment.         
Id. ¶¶ 80-85
.  PhRMA also asserts that one of the Act’s exemptions,       
if interpreted a certain way, violates the Commerce Clause.  PhRMA        
seeks declaratory and injunctive relief.  Defendants now move to          
dismiss for lack of subject matter jurisdiction and for failure to        
state a claim upon which relief can be granted.  PhRMA moves for          
summary  judgment  and  conditional  leave  to  file  a  supplemental     
complaint.                                                                


                      DISCUSSION                                     
I.   Defendants’ Motion to Dismiss                                        
A.   Standard of Review                                              
A court must dismiss an action over which it lacks subject-          
matter  jurisdiction.    Fed.  R.  Civ.  P.  12(h)(3).    In  a  facial   
challenge  under  Rule  12(b)(1),  the  court  accepts  the  factual      
allegations in the pleadings as true and views the facts in the           
light most favorable to the nonmoving party.  See Hastings v.             
Wilson, 
516 F.3d 1055, 1058
 (8th Cir. 2008); see also Osborn v.           
United  States,  
918 F.2d 724
,  729  n.6  (8th  Cir.  1990)  (“[T]he    
nonmoving party receives the same protections [for facial attacks         
under Rule 12(b)(1)] as it would defending against a motion brought       

under Rule 12(b)(6).”) (citation omitted).                                
B.   Takings Claim                                                   
PhRMA alleges that the Act compels its members to give away          
insulin without compensation in violation of the Takings Clause.          
PhRMA  seeks  an  injunction  barring  the  Act’s  enforcement  and  a    
declaration that the Act is unconstitutional, but it does not seek        
compensation.  Consequently, defendants argue that PhRMA’s takings        
claim should be dismissed because the court lacks subject matter          
jurisdiction.  The underlying basis for defendants’ argument is           
that  the  United  States  Supreme  Court  foreclosed  prospective        
injunctive and declaratory relief for a takings claim under Knick         
v. Township of Scott, 
139 S. Ct. 2162
 (2019).4  PhRMA responds that       

Knick  does  not  foreclose  perspective  equitable  relief  because      
state law remedies for providing just compensation are inadequate.        
The court finds that PhRMA lacks standing to bring a takings         
claim.  “The party invoking federal jurisdiction bears the burden         
of establishing [standing].”  Lujan v. Defs. of Wildlife, 
504 U.S. 555, 561
  (1992).    A  plaintiff  must  allege  (1)  an  injury,  (2)   
“fairly traceable to the defendant’s alleged conduct,” that is (3)        
“likely to be redressed by the requested relief.”  Allen v. Wright,       
468 U.S. 737, 751
  (1984).    The  third  prong  of  standing,         
redressability, requires plaintiff to show that “it is likely, as         
opposed to merely speculative, that the injury will be redressed          
by a favorable decision.”  Lujan, 
504 U.S. at 561
.                        

The Fifth Amendment’s Takings Clause prohibits the government        
from taking  “private property ... for public use, without just           
compensation.”  U.S. Const. amend. V.  “The Fifth Amendment does          
not proscribe the taking of property; it proscribes taking without        

4    Defendants  argue  that  PhRMA’s  takings  claim  should  be    
dismissed  because  defendants  are  immune  from  suit  under  the       
eleventh amendment, PhRMA lacks associational standing, the claim         
is not ripe, and PhRMA’s claims fail as a matter of law.  The court       
need not address these arguments because injunctive and equitable         
relief are unavailable for PhRMA’s takings claim.  See Va. Hosp.          
& Healthcare Ass’n v. Kimsey, No. 3:20CV587-HEH, 
2020 WL 5947887
,         
at *2 n.1 (E.D. Va. Oct. 7, 2020).                                        
just  compensation.”    Williamson  Cty.  Reg’l  Planning  Comm’n  v.     
Hamilton Bank of Johnson City, 
473 U.S. 172, 194
 (1985), overruled        
on other grounds by Knick, 
139 S. Ct. 2162
.  A takings claim arises       

when the government takes private property for public use without         
compensation.  Knick, 
139 S. Ct. at 2170
.  The Supreme Court in           
Knick explained that the appropriate remedy for a government taking       
is compensation.  
139 S. Ct. at 2175-77
.  Equitable relief is             
unavailable  because  “[a]s  long  as  an  adequate  provision  for       
obtaining just compensation exists, there is no basis to enjoin           
the government’s action effecting a taking.”  
Id. at 2176
.  The           
Court held that injunctive relief is foreclosed “as long as just          
compensation remedies are available – as they have been for nearly        
150 years ....”  
Id. at 2179
.                                             
Here, just compensation remedies are available in Minnesota          
through inverse condemnation actions in state court.5  Am. Family         

Ins. v. City of Minneapolis, 
836 F.3d 918, 923
 (8th Cir. 2016)            
(citing Nolan & Nolan v. City of Eagan, 
673 N.W.2d 487, 492
 (Minn.        
Ct. App. 2003)).  Despite the availability of compensation, PhRMA         
seeks injunctive and declaratory relief.  PhRMA is foreclosed from        
seeking equitable relief because it may bring an action seeking           


5  An inverse condemnation action may be brought through a           
mandamus  action  when  the  government  takes  property  without         
formally invoking its eminent domain powers.  Am. Family Ins. v.          
City of Minneapolis, 
836 F.3d 918, 923
 (8th Cir. 2016) (citation          
omitted).                                                                 
just compensation.  Consequently, PhRMA does not have standing            
under Count I because it does state a claim that can be redressed         
by a favorable decision.  See Va. Hosp. & Healthcare Ass’n v.             

Kimsey, No. 3:20CV587-HEH, 
2020 WL 5947887
, at *3-4 (E.D. Va. Oct.        
7, 2020) (dismissing a takings claim under Knick because plaintiffs       
did not meet the redressability requirement of standing).                 
PhRMA argues that equitable relief is not foreclosed because         
Minnesota inverse condemnation suits are inadequate for providing         
just compensation.  PhRMA argues that inverse condemnation actions        
cannot  compensate  for  “future  takings”  and  continuous  takings.     
The court disagrees.  First, a “future taking” – or a taking that         
has not happened yet – does not give rise to a claim under the            
Takings Clause.  Knick, 
139 S. Ct. at 2171
 (“[A] property owner           
has a constitutional claim for just compensation at the time of           
the taking.”) (internal quotations and citation omitted).  The            

government does not need to compensate for property it has not yet        
taken.  Second, the court is not convinced that bringing multiple         
actions impairs the ability of Minnesota’s inverse condemnation           
procedures to adequately compensate insulin manufacturers.  The           
Supreme  Court  noted  that  where  “nearly  all  state  governments      
provide  just  compensations   remedies,”  equitable  relief  is          
“generally unavailable.”  
Id. at 2176
.  The court is unaware of           
any cases in which a court found a state’s inverse condemnation           
procedures to be inadequate.6  See Cormack v. Settle-Beshears, 
474 F.3d 528
, 531 (8th Cir. 2007) (“We have been unable to find a case        
in which this court has declared a state’s inverse condemnation           

procedures   to  be   inadequate....”).     Minnesota’s   inverse         
condemnation actions allow state courts to determine whether a            
taking occurred and the monetary value of the harm.  See  Am.             
Family  Ins.,  
836 F.3d at 923
  (rejecting  an  argument  that         
Minnesota’s inverse condemnation remedies are futile).  The court         
finds Minnesota’s just compensation provisions to be adequate.            
Alternatively, PhRMA argues that only injunctive relief is           
foreclosed,  leaving  declaratory  relief  as  an  available  remedy      
under the Takings Clause.  The court disagrees.  A declaration            
that the Act is an unconstitutional taking would be the functional        
equivalent of an injunction barring enforcement.  See Baptiste v.         
Kennealy, No. 1:20-CV-11335-MLW, 
2020 WL 5751572
, at *23 (D. Mass.        

Sept. 25, 2020) (holding that declaratory relief for a takings            
claim,  without  seeking  just  compensation,  is  the  “functional       
equivalent of an unwarranted injunction” and is foreclosed under          
Knick).  The Supreme Court assured governments that they “need not        
fear that [Knick] will lead federal courts to invalidate their            
regulations  as  unconstitutional.”    Knick,  
139 S. Ct. at 2179
.    

6  The court rejects PhRMA’s reliance on McShane v. City of          
Faribault, 
292 N.W.2d 253
 (Minn. 1980), which was abrogated by            
DeCook v. Rochester Int’l Airport Joint Zoning Bd., 
811 N.W.2d 610, 612
 (Minn. 2012).                                                    
Courts  have   routinely  found  that   takings  claims   seeking         
declaratory relief are barred under Knick.  See, e.g., Culinary           
Studios, Inc. v. Newsom, No. 1:20-CV-1340 AWI EPG, 
2021 WL 427115
,        

at *14 (E.D. Cal. Feb. 8, 2021) (dismissing a takings claim seeking       
declaratory or injunctive relief as inappropriate under Knick);           
Baptiste, 
2020 WL 5751572
, at *23 (finding that plaintiffs are not        
entitled to declaratory relief for a Takings Clause violation).           
The court dismisses PhRMA’s takings claim because PhRMA does         
not meet the redressability requirement of standing.                      
C. Dormant Commerce Clause Claim                                     
PhRMA alleges that the exemption under subdivision 1(d) of           
the Act violates the dormant commerce clause.  PhRMA asserts that         
the   exemption  could   be   interpreted  “to   afford   insulin         
manufacturers the option of avoiding the unconstitutional taking          
of their property by lowering the WAC of their products ....”             

Compl.  ¶  87.    Because  the  WAC  is  a  national  list  price  that   
manufacturers  charge  to  all  customers,  including  non-Minnesota      
wholesalers, PhRMA claims the exemption would directly regulate           
the price of out-of-state transactions.  PhRMA seeks injunctive           
relief and a declaration that “if [the exemption] were interpreted        
as  a  condition  on  the  ability  of  manufacturers  to  escape  the    
unlawful taking of their personal property, that condition would          
violate the Commerce Clause.”  
Id. at 28
.                                 
Defendants respond that PhRMA’s dormant commerce claim should        
be dismissed as wholly derivative of its takings claim.  Defendants       
argue that dormant commerce claim arises only if PhRMA’s takings          

claim  proceeds  and  the  exemption  is  interpreted  as  a  savings     
provision.  PhRMA does not contest that its dormant commerce claim        
is derivative of its takings claim.  Because the court dismissed          
PhRMA’s takings claim as nonjusticiable, the court also dismisses         
the remaining dormant commerce claim.7                                    
II.  Motion for Leave to File a Supplemental Complaint                    
PhRMA conditionally moves to file a supplemental complaint to        
address subsequent events under Federal Rule of Civil Procedure           
15(d), in the event the court dismisses the complaint on ripeness         
or injury-in-fact grounds.                                                
The court denies PhRMA’s motion.  Rule 15(d) allows the court        
to “permit a party to serve a supplemental pleading setting out           

any transaction, occurrence, or event that happened after the date        
of the pleading to be supplemented.”  Fed. R. Civ. P. 15(d).  If          
supplementing the pleadings would be futile, the court may deny           
the motion.  See, e.g., Favors v. Mike, No. 20-cv-00365 (SRN/DTS),        

7  The court also notes that it should “avoid deciding ...           
hypothetical questions of constitutional law.” Boumediene v. Bush,        
553 U.S. 723
, 805 (2008).  To the extent that PhRMA encourages an         
unconstitutional  construction   of  the   exemption,   statutory         
interpretation  instruct  the  court  to  give  “a  construction,  if     
reasonably  possible,  that  would  avoid  constitutional  doubts.”       
Carhart v. Stenberg, 
192 F.3d 1142
, 1150 (8th Cir. 1999), aff’d,          
530 U.S. 914
 (2000).                                                      
2021 WL 222935
, at *5 (D. Minn. Jan. 22, 2021) (denying a motion          
to supplement the complaint as futile because it did not cure             
deficiencies in the complaint).  As explained above, the court            

dismisses the complaint on separate grounds, and PhRMA’s proposed         
amendments  will  not  overcome  the  complaint’s   deficiencies.         
Therefore, the court denies PhRMA’s motion as futile.                     
III. Motion for Summary Judgment                                          
PhRMA also moves for summary judgment.  Because the court            
grants defendants’ motion to dismiss, the court must deny PhRMA’s         
motion for summary judgment as moot.                                      

                      CONCLUSION                                     
Accordingly, based on the above, IT IS HEREBY ORDERED that:          
1.   The motion to dismiss [ECF No. 12] is granted;                  
2.   The motion for leave to file a supplemental complaint           

[ECF No. 34] is denied;                                                   
3.   The motion for summary judgment is denied as moot [ECF          
No. 14]; and                                                              
4.   The case is dismissed without prejudice.                        
LET JUDGMENT BE ENTERED ACCORDINGLY.                                      
Dated: March 15, 2021                                                     
                              s/David S. Doty                        
                              David S. Doty, Judge                   
                              United States District Court           

Trial Court Opinion

             UNITED STATES DISTRICT COURT                            
                 DISTRICT OF MINNESOTA                               
              CIVIL NO. 20-1497(DSD/DTS)                             

Pharmaceutical Research and                                               
Manufacturers of America,                                                 

          Plaintiff,                                                 
v.                                           ORDER                        
Stuart Williams, et al.,                                                  
          Defendants.                                                

Joseph R. Guerra, Esq. and Sidley Austin LLP, 1501 K. Street,        
N.W., Washington, DC 20005, counsel for plaintiff.                   

Sarah L. Krans, Esq. and Minnesota Attorney General’s Office,        
445 Minnesota Street, Suite 1800, St. Paul, MN, counsel for          
defendants.                                                          


This matter is before the court upon defendants’ motion to           
dismiss, plaintiff Pharmaceutical Research and Manufacturers of           
America’s  (PhRMA)  conditional  motion  for  leave  to  file  a          
supplemental complaint, and PhRMA’s motion for summary judgment.          
Based on a review of the file, record, and proceedings herein, and        
for  the  following  reasons,  defendants’  motion  to  dismiss  is       
granted, PhRMA’s motion for leave to file a supplemental complaint        
is denied, and PhRMA’s motion for summary judgment is denied.             
                      BACKGROUND                                     
This dispute arises out of the recently enacted Alec Smith           
Insulin Affordability Act (Act).  Compl. ¶ 1.  PhRMA is a nonprofit       

corporation that represents pharmaceutical companies and serves as        
the pharmaceutical industry’s “principal public policy advocate.”         
Id. ¶¶ 10, 12.  Its member companies include Eli Lilly and Company        
(Lilly),  Novo  Nordisk  Inc.,  and  Sanofi,  which  collectively         
manufacture most of the insulin sold in Minnesota and the United          
States.  Id. ¶ 13.  Defendants are members of the Board of Pharmacy,      
named only in their official capacities, who enforce the Act.1  Id.       
¶¶ 15.                                                                    
On April 15, 2020, the governor of Minnesota signed the Act          
into law to establish insulin safety net programs.  Id. ¶ 64.  The        
Act requires manufacturers to provide insulin for free to Minnesota       
residents who meet certain criteria.  Id.; 
Minn. Stat. § 151.74
,          

subdiv. 1(a).  The Act has two programs: the Continuing Safety Net        
Program and the Urgent Need Program.  Compl. ¶ 65.                        
The Continuing Safety Net Program mandates that manufacturers        
provide  free  insulin  products  to  any  individual  who  meets  the    

1  Defendants  Stuart  Williams,  Stacey  Jassey,  Mary  Phipps,     
Andrew  Behm,  James  Bialke,  Amy  Pardis,  Rabih  Nahas,  Samantha      
Schirmer, and Kendra Metz are members of the Board of Pharmacy.           
Compl.  ¶¶  16-24.    The  parties  stipulated  to  the  dismissal  of    
defendants Nate Clark, Peter Benner, Suyapa Miranda, David Fisher,        
Jodi  Harpstead,  Phil  Norrgard,  Stephanie  Stoffel,  and  Andrew       
Whitman, who are members of the Board of MNSure.  ECF No. 22.  see        
also Compl. ¶¶ 25-32.                                                     
eligibility criteria.2  
Id.
  Under this program, manufacturers must       
review  applications,  determine  whether  the  applicant  meets  the     
eligibility  criteria,  and  notify  applicants  of  their  decision      

within ten business days.  
Id. ¶ 66
; 
Minn. Stat. § 151.74
, subdiv.        
5(a).    If  denied,  the  applicant  may  appeal  to  a  review  panel   
created by the Board of Pharmacy, which may overrule manufacturers        
with binding decisions.  Compl. ¶ 67; 
Minn. Stat. § 151.74
, subdiv.       
8.                                                                        
If the manufacturer determines an applicant is eligible, it          
next determines whether to provide the individual with a statement        
of eligibility.  An individual with a statement of eligibility may        
present it to a pharmacy to obtain free insulin for up to one year.       
Compl.  ¶¶  68-69;  
Minn. Stat. § 151.74
,  subdiv.  5(b).    If  an    
eligible  applicant   does  not  have   private  insurance,   the         
manufacturer  must  provide  the  individual  with  a  statement  of      

eligibility.  Compl. ¶ 69.  If an eligible applicant does have            


2  To  be  eligible,  an  individual  must:  (1)  be  a  Minnesota   
resident with valid identification; (2) have a family income of           
400% or less of the federal poverty level; (3) not be enrolled in         
medical  assistance  or  MinnesotaCare;  (4)  not  be  eligible  for      
federal funded healthcare or Veterans Administration prescription         
drug benefits; and (5) not be covered by an insurance plan under          
which they can obtain a thirty day supply of insulin for $75 or           
less out of pocket.  Compl. ¶ 65; 
Minn. Stat. § 151.74
, subdiv.           
4(a)-(b).    Additionally,  if  an  individual  meets  some  of  the      
statutory criteria, has prescription drug coverage under Medicare         
Part D, and has spent more than $1000 on prescription drugs in the        
calendar year, they are also eligible to receive free insulin.            
Compl. ¶ 65, 
Minn. Stat. § 151.74
, subdiv. 4(c).                          
private  insurance,  the  manufacturer  may  determine  whether  the      
individual’s needs are better met through the manufacturer’s co-          
payment  assistance  program.    
Id. ¶ 68
.    If  it  determines  the   

manufacturer’s   assistance   program   better   addresses    the         
individual’s needs, the manufacturer “shall inform the individual         
and provide the individual with the necessary coupons to submit to        
a pharmacy.”  Id.; 
Minn. Stat. § 151.74
, subdiv. 5(c).  Otherwise,        
it must provide the individual with a statement of eligibility.           
Compl. ¶ 68; 
Minn. Stat. § 151.74
, subdiv. 5(b).                          
When  presented  an  eligibility  statement,  pharmacies  order      
insulin from the manufacturer, and the manufacturer must “send to         
the pharmacy a 90-day supply of insulin ... at no charge to the           
individual  or  pharmacy.”    Compl.  ¶  70;  
Minn. Stat. § 151.74
,    
subdiv. 6(c).  The pharmacy is allowed to charge the applicant a          
co-payment “not to exceed $50 for each 90-day supply” to cover            

“the pharmacy’s costs for processing and dispensing” the insulin.         
Compl. ¶ 70; 
Minn. Stat. § 151.74
, subdiv. 6(e).  The manufacturer        
does not receive any amount of the co-payment.  This process may          
be  repeated  throughout  a  full  year  of  eligibility,  and  the       
manufacturer must continue to send “an additional 90-day supply of        
the  product  ...  at  no  charge  to  the  individual  or  pharmacy.”    
Compl. ¶ 71; 
Minn. Stat. § 151.74
, subdiv. 6(f).                          
The second program is the Urgent Need Program.  Compl. ¶ 72.         
The program requires manufacturers to provide a thirty-day supply         
of free insulin to individuals who meet eligibility criteria.3            
Id.; 
Minn. Stat. § 151.74
, subdiv. 2(a)-(b).  When an applicant           
submits an application with a valid prescription, the pharmacy            

must dispense a thirty-day supply of insulin to the individual.           
Compl. ¶ 73; 
Minn. Stat. § 151.74
, subdiv. 3(c).                          
After dispensing insulin, the pharmacy submits a claim for           
payment to the manufacturer or the manufacturer’s vendor.  Compl.         
¶ 73; 
Minn. Stat. § 151.74
, subdiv. 3(d).  The manufacturer must          
either  “reimburse  the  pharmacy  in  an  amount  that  covers  the      
pharmacy’s  acquisition  cost”  or  else  “send  to  the  pharmacy  a     
replacement supply of the same insulin as dispensed in the amount         
dispensed.”  Compl. ¶ 73; 
Minn. Stat. § 151.74
, subdiv. 3(d).             
Pharmacies  may  collect  an  insulin  co-payment  form  from  the        
individual in an amount not to exceed thirty-five dollars for the         
thirty-day supply.  Compl. ¶ 74; 
Minn. Stat. § 151.74
, subdiv.            

3(e).  The manufacturer does not receive any of the co-payment            
amount.  Compl. ¶ 74.                                                     



3  Eligible individuals must (1) be Minnesota residents who          
are not enrolled in Medicaid or MinnesotaCare; (2) not be enrolled        
in a prescription drug coverage plan that would cover thirty-day          
supply of insulin for $75 or less out of pocket; (3) not have             
received insulin under the Urgent Need Program within the last            
twelve months; and (4) have less than a seven-day supply of insulin       
and need insulin to avoid the likelihood of suffering significant         
health consequences.  Compl. ¶ 72; 
Minn. Stat. § 151.74
, subdiv.          
2(a)-(b).                                                                 
PhRMA claims it will incur significant expenses by giving            
away free insulin and administering both programs.  
Id. ¶ 75
.             
Moreover, if a manufacturer does not comply with the programs and         

other  statutory  requirements,  the  Board  of  MNSure  may  assess      
penalties.  
Id. ¶ 76
; 
Minn. Stat. § 151.74
, subdiv. 10(a)-(b).            
The Act governs all insulin manufacturers unless one of two          
exceptions applies.  Compl. ¶ 77.  First, manufacturers with an           
“annual gross revenue of $2,000,000 or less from insulin sales in         
Minnesota” are exempt under the Act.  Id.; 
Minn. Stat. § 151.74
,          
subdiv. 1(c).  Second, if the wholesale acquisition cost (WAC) of         
a manufacturer’s insulin product “is $8 or less per milliliter or         
applicable  National  Council  for  Prescription  Drug  Plan  billing     
unit, for the entire assessment time period, adjusted annually            
based on the Consumer Price Index,” then the product is exempt.           
Compl. ¶ 77; 
Minn. Stat. § 151.74
, subdiv. 1(d).  Neither exception       

applies to PhRMA’s members.  Compl. ¶ 78.                                 
On June 30, 2020, PhRMA filed this suit alleging that the            
Act’s programs violate the Takings Clause of the Fifth Amendment.         
Id. ¶¶ 80-85
.  PhRMA also asserts that one of the Act’s exemptions,       
if interpreted a certain way, violates the Commerce Clause.  PhRMA        
seeks declaratory and injunctive relief.  Defendants now move to          
dismiss for lack of subject matter jurisdiction and for failure to        
state a claim upon which relief can be granted.  PhRMA moves for          
summary  judgment  and  conditional  leave  to  file  a  supplemental     
complaint.                                                                


                      DISCUSSION                                     
I.   Defendants’ Motion to Dismiss                                        
A.   Standard of Review                                              
A court must dismiss an action over which it lacks subject-          
matter  jurisdiction.    Fed.  R.  Civ.  P.  12(h)(3).    In  a  facial   
challenge  under  Rule  12(b)(1),  the  court  accepts  the  factual      
allegations in the pleadings as true and views the facts in the           
light most favorable to the nonmoving party.  See Hastings v.             
Wilson, 
516 F.3d 1055, 1058
 (8th Cir. 2008); see also Osborn v.           
United  States,  
918 F.2d 724
,  729  n.6  (8th  Cir.  1990)  (“[T]he    
nonmoving party receives the same protections [for facial attacks         
under Rule 12(b)(1)] as it would defending against a motion brought       

under Rule 12(b)(6).”) (citation omitted).                                
B.   Takings Claim                                                   
PhRMA alleges that the Act compels its members to give away          
insulin without compensation in violation of the Takings Clause.          
PhRMA  seeks  an  injunction  barring  the  Act’s  enforcement  and  a    
declaration that the Act is unconstitutional, but it does not seek        
compensation.  Consequently, defendants argue that PhRMA’s takings        
claim should be dismissed because the court lacks subject matter          
jurisdiction.  The underlying basis for defendants’ argument is           
that  the  United  States  Supreme  Court  foreclosed  prospective        
injunctive and declaratory relief for a takings claim under Knick         
v. Township of Scott, 
139 S. Ct. 2162
 (2019).4  PhRMA responds that       

Knick  does  not  foreclose  perspective  equitable  relief  because      
state law remedies for providing just compensation are inadequate.        
The court finds that PhRMA lacks standing to bring a takings         
claim.  “The party invoking federal jurisdiction bears the burden         
of establishing [standing].”  Lujan v. Defs. of Wildlife, 
504 U.S. 555, 561
  (1992).    A  plaintiff  must  allege  (1)  an  injury,  (2)   
“fairly traceable to the defendant’s alleged conduct,” that is (3)        
“likely to be redressed by the requested relief.”  Allen v. Wright,       
468 U.S. 737, 751
  (1984).    The  third  prong  of  standing,         
redressability, requires plaintiff to show that “it is likely, as         
opposed to merely speculative, that the injury will be redressed          
by a favorable decision.”  Lujan, 
504 U.S. at 561
.                        

The Fifth Amendment’s Takings Clause prohibits the government        
from taking  “private property ... for public use, without just           
compensation.”  U.S. Const. amend. V.  “The Fifth Amendment does          
not proscribe the taking of property; it proscribes taking without        

4    Defendants  argue  that  PhRMA’s  takings  claim  should  be    
dismissed  because  defendants  are  immune  from  suit  under  the       
eleventh amendment, PhRMA lacks associational standing, the claim         
is not ripe, and PhRMA’s claims fail as a matter of law.  The court       
need not address these arguments because injunctive and equitable         
relief are unavailable for PhRMA’s takings claim.  See Va. Hosp.          
& Healthcare Ass’n v. Kimsey, No. 3:20CV587-HEH, 
2020 WL 5947887
,         
at *2 n.1 (E.D. Va. Oct. 7, 2020).                                        
just  compensation.”    Williamson  Cty.  Reg’l  Planning  Comm’n  v.     
Hamilton Bank of Johnson City, 
473 U.S. 172, 194
 (1985), overruled        
on other grounds by Knick, 
139 S. Ct. 2162
.  A takings claim arises       

when the government takes private property for public use without         
compensation.  Knick, 
139 S. Ct. at 2170
.  The Supreme Court in           
Knick explained that the appropriate remedy for a government taking       
is compensation.  
139 S. Ct. at 2175-77
.  Equitable relief is             
unavailable  because  “[a]s  long  as  an  adequate  provision  for       
obtaining just compensation exists, there is no basis to enjoin           
the government’s action effecting a taking.”  
Id. at 2176
.  The           
Court held that injunctive relief is foreclosed “as long as just          
compensation remedies are available – as they have been for nearly        
150 years ....”  
Id. at 2179
.                                             
Here, just compensation remedies are available in Minnesota          
through inverse condemnation actions in state court.5  Am. Family         

Ins. v. City of Minneapolis, 
836 F.3d 918, 923
 (8th Cir. 2016)            
(citing Nolan & Nolan v. City of Eagan, 
673 N.W.2d 487, 492
 (Minn.        
Ct. App. 2003)).  Despite the availability of compensation, PhRMA         
seeks injunctive and declaratory relief.  PhRMA is foreclosed from        
seeking equitable relief because it may bring an action seeking           


5  An inverse condemnation action may be brought through a           
mandamus  action  when  the  government  takes  property  without         
formally invoking its eminent domain powers.  Am. Family Ins. v.          
City of Minneapolis, 
836 F.3d 918, 923
 (8th Cir. 2016) (citation          
omitted).                                                                 
just compensation.  Consequently, PhRMA does not have standing            
under Count I because it does state a claim that can be redressed         
by a favorable decision.  See Va. Hosp. & Healthcare Ass’n v.             

Kimsey, No. 3:20CV587-HEH, 
2020 WL 5947887
, at *3-4 (E.D. Va. Oct.        
7, 2020) (dismissing a takings claim under Knick because plaintiffs       
did not meet the redressability requirement of standing).                 
PhRMA argues that equitable relief is not foreclosed because         
Minnesota inverse condemnation suits are inadequate for providing         
just compensation.  PhRMA argues that inverse condemnation actions        
cannot  compensate  for  “future  takings”  and  continuous  takings.     
The court disagrees.  First, a “future taking” – or a taking that         
has not happened yet – does not give rise to a claim under the            
Takings Clause.  Knick, 
139 S. Ct. at 2171
 (“[A] property owner           
has a constitutional claim for just compensation at the time of           
the taking.”) (internal quotations and citation omitted).  The            

government does not need to compensate for property it has not yet        
taken.  Second, the court is not convinced that bringing multiple         
actions impairs the ability of Minnesota’s inverse condemnation           
procedures to adequately compensate insulin manufacturers.  The           
Supreme  Court  noted  that  where  “nearly  all  state  governments      
provide  just  compensations   remedies,”  equitable  relief  is          
“generally unavailable.”  
Id. at 2176
.  The court is unaware of           
any cases in which a court found a state’s inverse condemnation           
procedures to be inadequate.6  See Cormack v. Settle-Beshears, 
474 F.3d 528
, 531 (8th Cir. 2007) (“We have been unable to find a case        
in which this court has declared a state’s inverse condemnation           

procedures   to  be   inadequate....”).     Minnesota’s   inverse         
condemnation actions allow state courts to determine whether a            
taking occurred and the monetary value of the harm.  See  Am.             
Family  Ins.,  
836 F.3d at 923
  (rejecting  an  argument  that         
Minnesota’s inverse condemnation remedies are futile).  The court         
finds Minnesota’s just compensation provisions to be adequate.            
Alternatively, PhRMA argues that only injunctive relief is           
foreclosed,  leaving  declaratory  relief  as  an  available  remedy      
under the Takings Clause.  The court disagrees.  A declaration            
that the Act is an unconstitutional taking would be the functional        
equivalent of an injunction barring enforcement.  See Baptiste v.         
Kennealy, No. 1:20-CV-11335-MLW, 
2020 WL 5751572
, at *23 (D. Mass.        

Sept. 25, 2020) (holding that declaratory relief for a takings            
claim,  without  seeking  just  compensation,  is  the  “functional       
equivalent of an unwarranted injunction” and is foreclosed under          
Knick).  The Supreme Court assured governments that they “need not        
fear that [Knick] will lead federal courts to invalidate their            
regulations  as  unconstitutional.”    Knick,  
139 S. Ct. at 2179
.    

6  The court rejects PhRMA’s reliance on McShane v. City of          
Faribault, 
292 N.W.2d 253
 (Minn. 1980), which was abrogated by            
DeCook v. Rochester Int’l Airport Joint Zoning Bd., 
811 N.W.2d 610, 612
 (Minn. 2012).                                                    
Courts  have   routinely  found  that   takings  claims   seeking         
declaratory relief are barred under Knick.  See, e.g., Culinary           
Studios, Inc. v. Newsom, No. 1:20-CV-1340 AWI EPG, 
2021 WL 427115
,        

at *14 (E.D. Cal. Feb. 8, 2021) (dismissing a takings claim seeking       
declaratory or injunctive relief as inappropriate under Knick);           
Baptiste, 
2020 WL 5751572
, at *23 (finding that plaintiffs are not        
entitled to declaratory relief for a Takings Clause violation).           
The court dismisses PhRMA’s takings claim because PhRMA does         
not meet the redressability requirement of standing.                      
C. Dormant Commerce Clause Claim                                     
PhRMA alleges that the exemption under subdivision 1(d) of           
the Act violates the dormant commerce clause.  PhRMA asserts that         
the   exemption  could   be   interpreted  “to   afford   insulin         
manufacturers the option of avoiding the unconstitutional taking          
of their property by lowering the WAC of their products ....”             

Compl.  ¶  87.    Because  the  WAC  is  a  national  list  price  that   
manufacturers  charge  to  all  customers,  including  non-Minnesota      
wholesalers, PhRMA claims the exemption would directly regulate           
the price of out-of-state transactions.  PhRMA seeks injunctive           
relief and a declaration that “if [the exemption] were interpreted        
as  a  condition  on  the  ability  of  manufacturers  to  escape  the    
unlawful taking of their personal property, that condition would          
violate the Commerce Clause.”  
Id. at 28
.                                 
Defendants respond that PhRMA’s dormant commerce claim should        
be dismissed as wholly derivative of its takings claim.  Defendants       
argue that dormant commerce claim arises only if PhRMA’s takings          

claim  proceeds  and  the  exemption  is  interpreted  as  a  savings     
provision.  PhRMA does not contest that its dormant commerce claim        
is derivative of its takings claim.  Because the court dismissed          
PhRMA’s takings claim as nonjusticiable, the court also dismisses         
the remaining dormant commerce claim.7                                    
II.  Motion for Leave to File a Supplemental Complaint                    
PhRMA conditionally moves to file a supplemental complaint to        
address subsequent events under Federal Rule of Civil Procedure           
15(d), in the event the court dismisses the complaint on ripeness         
or injury-in-fact grounds.                                                
The court denies PhRMA’s motion.  Rule 15(d) allows the court        
to “permit a party to serve a supplemental pleading setting out           

any transaction, occurrence, or event that happened after the date        
of the pleading to be supplemented.”  Fed. R. Civ. P. 15(d).  If          
supplementing the pleadings would be futile, the court may deny           
the motion.  See, e.g., Favors v. Mike, No. 20-cv-00365 (SRN/DTS),        

7  The court also notes that it should “avoid deciding ...           
hypothetical questions of constitutional law.” Boumediene v. Bush,        
553 U.S. 723
, 805 (2008).  To the extent that PhRMA encourages an         
unconstitutional  construction   of  the   exemption,   statutory         
interpretation  instruct  the  court  to  give  “a  construction,  if     
reasonably  possible,  that  would  avoid  constitutional  doubts.”       
Carhart v. Stenberg, 
192 F.3d 1142
, 1150 (8th Cir. 1999), aff’d,          
530 U.S. 914
 (2000).                                                      
2021 WL 222935
, at *5 (D. Minn. Jan. 22, 2021) (denying a motion          
to supplement the complaint as futile because it did not cure             
deficiencies in the complaint).  As explained above, the court            

dismisses the complaint on separate grounds, and PhRMA’s proposed         
amendments  will  not  overcome  the  complaint’s   deficiencies.         
Therefore, the court denies PhRMA’s motion as futile.                     
III. Motion for Summary Judgment                                          
PhRMA also moves for summary judgment.  Because the court            
grants defendants’ motion to dismiss, the court must deny PhRMA’s         
motion for summary judgment as moot.                                      

                      CONCLUSION                                     
Accordingly, based on the above, IT IS HEREBY ORDERED that:          
1.   The motion to dismiss [ECF No. 12] is granted;                  
2.   The motion for leave to file a supplemental complaint           

[ECF No. 34] is denied;                                                   
3.   The motion for summary judgment is denied as moot [ECF          
No. 14]; and                                                              
4.   The case is dismissed without prejudice.                        
LET JUDGMENT BE ENTERED ACCORDINGLY.                                      
Dated: March 15, 2021                                                     
                              s/David S. Doty                        
                              David S. Doty, Judge                   
                              United States District Court           

Reference

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