In Re: Ohio Execution Protocol Litigation

IN THE UNITED STATES DISTRICT COURT

FOR THE SOUTHERN DISTRICT OF OHIO

EASTERN DIVISION AT COLUMBUS

IN RE: OHIO EXECUTION : Case No. 2:11-cv-1016

PROTOCOL LITIGATION

:

District Judge Edmund A. Sargus, Jr.

: Magistrate Judge Michael R. Merz

This document relates to Plaintiff

Gerald Hand. :

ORDER ON MOTION TO DISMISS THIRD AMENDED INDIVIDUAL

SUPPLEMENTAL COMPLAINT

This consolidated § 1983 method of execution case is before the Court on the Defendants’

Motion to Dismiss (ECF No. 2888) the Third Amended Individual Supplemental Complaint of

Plaintiff Gerald Hand (“ISC” ECF No. 2781). After the filing of a memorandum contra (ECF No.

3023) and a reply in support (ECF No. 3106), this Court heard oral argument on August 20, 2020

(Hrg. Tr., ECF No. 3259). Hand and Defendants unanimously consented to plenary Magistrate

Judge jurisdiction for this proceeding only (Order of Reference, ECF No. 3157.) For the reasons

set forth below, Defendants’ Motion is DENIED to the extent not previously granted (Order, ECF

No. 3255).

Background

A. Henness II and Defendants’ Motion

As part of this ongoing consolidated litigation, this Court denied the Motion for

Preliminary Injunction of Plaintiff Warren K. Henness. In so doing, this Court concluded that

Henness:

[I]s likely to prevail at trial on the first prong of the Glossip test:

executing him by Ohio's current three-drug protocol will certainly

or very likely cause him severe pain and needless suffering because

the dose of midazolam intended to be used will not render him

sufficiently unconscious as to prevent him from suffering the severe

pain caused by injection of the paralytic drug or potassium chloride

or the severe pain and needless suffering caused by pulmonary

edema from the midazolam itself. However, he has not satisfied the

second prong of Glossip because has not proved that the alternative

methods he proposes are available, feasible, and can be readily

implemented.

In re: Ohio Execution Protocol Litig. (Henness), 2019 U.S. Dist. LEXIS 8200, at *251 (S.D. Ohio

Jan. 14, 2019) (Merz, Mag. J.) (“Henness I”), citing Glossip v. Gross, 576 U.S. 863 (2015).1

On appeal, the United States Court for the Sixth Circuit affirmed the denial of Henness’s

motion. Henness v. DeWine, 946 F.3d 287 (6th Cir. 2019), cert. denied 141 S.Ct. 7 (Mem.) (2020)

(“Henness II”). Therein, the appellate court left undisturbed this Court’s findings that the 500 mg

dose of midazolam in Defendants’ execution protocol: would do nothing to render inmates

insensate or otherwise attenuate the pain caused by the second and third drugs in the protocol; and

would cause inmates to suffer acute pulmonary edema, which would cause their lungs to fill with

fluid and induce chest pain, chest tightness, and pain and terror akin to suffocation and drowning.

See, e.g., Henness I, 2019 U.S. Dist. LEXIS 8200 at *105-06, 251. However, the panel overruled

this Court’s conclusion that such pain is sufficient to meet prong one of Glossip:

We disagree. Glossip’s first prong, to begin, presents a high bar.

Because the U.S. Constitution does not guarantee “a painless death,”

prisoners must show more than a risk of pain. To be constitutionally

cognizable, the pain has to be “severe.” How severe? Bucklew tells

us that earlier modes of execution offer “instructive” examples, both

1 As Plaintiff Henness and Defendants unanimously consented to plenary Magistrate Judge jurisdiction for the

disposition of his Motion for Preliminary Injunction, the undersigned’s denial was an Order, rather than a Report and

Recommendations (Order Referring Case, ECF No. 1805).

of what qualifies as too severe (“[b]reaking on the wheel, flaying

alive, rending asunder with horses”) and what does not (hanging).

Take death by hanging. “Many and perhaps most hangings were

evidently painful for the condemned person,” Bucklew observed,

“because they caused death slowly,” namely through suffocation

over several minutes. Despite that risk of pain, despite indeed the

near certainty of that pain, hangings have been considered

constitutional for as long as the United States have been united. All

of this puts Henness’s claims about risks of pain in context. Yes, he

points to the risks of chest tightness and chest pain. But that pales in

comparison to the pain associated with hanging. And yes, he points

to the risks of sensations of drowning and suffocation. But that looks

a lot like the risks of pain associated with hanging, and indeed may

present fewer risks in the typical lethal-injection case.

Henness II, 946 F.3d at 290, quoting Bucklew v. Precythe, ___ U.S. ____, 139 S.Ct. 1112, 1124

(2019); citing Bucklew, 139 S.Ct. at 1130, 1133 n.4; Glossip, 576 U.S. at 877-78. Further:

[I]t is immaterial whether the inmate will experience some pain—as

noted, the question is whether the level of pain the inmate

subjectively experiences is constitutionally excessive. See Bucklew,

139 S. Ct. at 1124. And the fact that midazolam may not prevent an

inmate from experiencing pain is irrelevant to whether the pain the

inmate might experience is unconstitutional. Without evidence

showing that a person deeply sedated by a 500 milligram dose of

midazolam is still “sure or very likely” to experience an

unconstitutionally high level of pain, Henness has not met his

burden on this prong, and the district court clearly erred in

concluding otherwise.

Id., citing Bucklew, 139 S.Ct. at 1124; Fears v. Morgan, 860 F.3d 881, 884-86 (6th Cir. 2017) (en

banc). Finally, the Sixth Circuit affirmed this Court’s conclusion with respect to the second prong

of Glossip—that Henness had failed to demonstrate that one or more of his proposed alternatives

would substantially lessen the risk of severe pain and was feasible and readily available. Id. at

291, quoting Bucklew, 139 S.Ct. at 1129; Glossip, 576 U.S. at 877; Fears, 860 F.3d at 890.

However, that affirmation was only in the alternative:

Henness’s failure to satisfy Glossip’s first prong necessarily means

that he cannot demonstrate a likelihood of success on the second

prong. In other words, because Henness has not shown that Ohio’s

existing method of execution causes severe pain (discussed above),

it is impossible for him to show the existence of an alternative

method of execution that would “significantly reduce [the]

substantial risk of severe pain” caused by the existing method.

But even if we were to agree with Henness that Ohio’s method of

execution is very likely to cause either of the types of severe pain

identified by Henness and the district court, we would still find that

Henness has failed to carry his burden under Glossip’s second

prong. This is because Henness’s proposed alternative method—

death by secobarbital—is not a viable alternative.

Id., quoting Bucklew, 139 S.Ct. at 1129; citing Bucklew, 139 S.Ct. at 1128-30; Fears, 860 F.3d at

890.

On February 3, 2020, Hand filed his ISC, raising forty-seven state and federal statutory and

constitutional causes of action2 (ECF No. 2781, PageID 144224-28). On February 28, 2020,

Defendants’ moved to dismiss the ISC in toto. Their Motion and Reply (ECF Nos. 2888, 3106)

focus on Eighth Amendment “Baze/Glossip” 3 claims regarding the current three-drug protocol.

Nonetheless, Defendants argue that, in light of Henness II and other jurisprudence from this

consolidated litigation and other method of execution cases, none of the claims in the ISC is viable,

and, consequently, that the entire ISC should be dismissed (Hand Motion, ECF No. 2888, PageID

152891 n.1).

B. Memorandum Contra, Reply, and King v. Parker

In his Memorandum in Opposition, Hand notes the narrowness of Defendants’ argument,

despite their request for dismissal of the ISC “in its entirety.” Because a defendant moving for

dismissal under Fed.R.Civ.P. 12(b)(6) bears the burden of persuasion, the defendant must at least

2 The term “cause of action” was replaced in federal civil practice with the term “claim for relief” by adoption of the

Federal Rules of Civil Procedure. The undersigned has commented on this many times in the course of this litigation,

but Plaintiffs’ counsel cling to the older terminology without explanation.

3 Referring to Baze v. Rees, 553 U.S. 35 (2008), and Glossip v. Gross, 576 U.S. 863 (2015).

present some argument in favor of the motion (Hand MIO, ECF No. 3023, PageID 154259, quoting

Bangura v. Hansen, 434 F.3d 487, 498 (6th Cir. 2006)). Defendants should be “confined to the

grounds raised in their motion and [supporting memorandum].” Id. at PageID 154260 (brackets

in original), quoting Osborne v. Pickaway Cty. Ohio, No. 2:19-cv-3628, 2020 U.S. Dist. LEXIS

46254, at *22 n.4 (S.D. Ohio Mar. 17, 2020) (Sargus, J.). “Arguments alluded to in a perfunctory

(at best) way, such as Defendants’ footnote 1, are forfeited.” Id., citing In re Anheuser-Busch Beer

Labeling Mktg., 644 F. App’x 515, 529 (6th Cir. 2016), citing Moorer v. Baptist Mem’l Health

Care Sys., 398 F.3d 469, 487 (6th Cir. 2005); Noble v. Chrysler Motors Corp., 32 F.3d 997, 1002

(6th Cir. 1994)).

In their Reply Memorandum, Defendants assert that their Motion is adequate under

Fed.R.Civ.P. 7 to ground dismissal of the ISC in its entirety (ECF No. 3106, PageID 156607-08,

citing Reynolds v. Dayton, 533 F. Supp. 136, 143 (S.D. Ohio 1982) (Rice, J.); Bumpus v. Uniroyal

Tire Co., Division of Uniroyal, Inc., 392 F. Supp. 1405, 1406 (E.D .Pa. 1975)).

Further, Hand argues that Defendants have mischaracterized recent Supreme Court and

Sixth Circuit jurisprudence with respect to what constitutes “constitutionally prohibited” levels of

pain (Hand MIO, ECF No. 3023, PageID 154261-62 n.1, quoting Hand Motion, ECF No. 2888,

PageID 152894, 152895). Hand claims that, contrary to Defendants’ argument, the

constitutionality of a three-drug protocol has never been expressly upheld. Id. at PageID 154262-

63, citing Glossip, 576 U.S. 863; Fears, 860 F.3d at 886; King v. Parker, 467 F. .Supp. 3d 569,

571, 572 (M.D. Tenn. 2020). Hand relies heavily on King, in which the State of Tennessee

Defendants moved for judgment on the pleadings under Fed.R.Civ.P. 12(c) after Henness II was

decided. Id. at PageID 152463, citing King, 467 F. Supp. 3d at 571-72. The court in King noted

that no court had interpreted Glossip as foreclosing as matters of law challenges to lethal injection

protocols—and indeed, that argument had been rejected by multiple appellate courts. King, 467

F. Supp. 3d at 572-73, quoting Grayson v. Warden, Comm’r Ala. Dep’t of Corr., 869 F.3d 1204,

1216 (11th Cir. 2017); Fears, 860 F.3d at 886, 890; citing Campbell v. Kasich, 881 F.3d 447, 449,

451 (6th Cir. 2018).

Henness II did nothing to change that analysis, King concluded. 467 F. Supp. 3d at 573.

The King court noted that “the Sixth Circuit could have avoided the issue of Glossip's first prong

entirely and affirmed simply on Henness's failure to meet his burden on the second prong. But it

nevertheless opined that the district court had erred in two ways when it found Henness had

satisfied the first prong.” Id., citing Henness II, 946 F.3d at 289-91. First, Henness II found that

the undersigned erred in not concluding that the pain resulting from pulmonary edema caused by

the 500 mg dose of midazolam was “insufficient as a matter of law to support a claim under

Glossip. Thus, it would be legally impossible for anyone alleging only sensations of drowning or

suffocating to establish an Eighth Amendment violation in connection with a method of

execution.” Id., citing Henness II, 946 F.3d at 290. Second:

Without evidence showing that a person deeply sedated by a 500

milligram dose of midazolam is “sure or very likely” to experience

an unconstitutionally high level of pain [from the second and third

drugs], Henness has not met his burden on this prong, and the district

court clearly erred in concluding otherwise.

Id. (emphasis added and brackets in original), quoting Henness II, 946 F.3d at 290. But this

holding, King surmised, “is not the same as holding that it would be legally impossible for him, or

any other plaintiff, to do so. That possibility, therefore, remains open to Plaintiff.” Id., citing

Henness II, 946 F.3d at 290-91.

Rejecting the Defendants’ argument that King “is bound by the outcome in Henness [II]

because he alleged in his amended complaint that his evidence would be materially similar to the

evidence offered in that case[,]” the trial court noted that, while the Sixth Circuit has expressed

fatigue over repeatedly addressing the issue of whether and to what extent midazolam can shield

inmates from the pain of the second and third drugs, the question “has never been answered as a

matter of law.” King, 467 F. Supp. 2d at 574, citing Campbell, 881 F.3d at 452. The trial court

further concluded that King’s allegations, taken as true, could plausibly satisfy the first prong of

Glossip. Id. at 573-74. Specifically, King’s allegations that midazolam’s lack of analgesic

properties meant that he would not be shielded from the pain and suffering from the second and

third drugs and the consequent cardiac arrest—which are themselves so severe as to be

“constitutionally unacceptable”—were sufficient to allow his claims to proceed to discovery.

“Whether his evidence will prove the truth of that allegation remains to be seen, but his allegations

are sufficient to entitle him to try.” Id. at 574.

C. Oral Argument

At oral argument, Defendants argued that decisions rendered over the sixteen years of

litigation over Ohio’s lethal injection protocol4, when taken together, have foreclosed as

implausible any Eighth Amendment challenge to the protocol (Hrg. Tr., ECF No. 3259, PageID

156886-87). They claimed that twenty-two of the causes of action in Plaintiffs’ ISCs5 were Eighth

Amendment claims, and thus, were foreclosed by Henness II; that the gravamen of those claims

was presented by an individual plaintiff in a motion for preliminary injunction, rather than in a

merits trial, is immaterial. Id. at PageID 156903-05. Defendants noted that King is an out-of-state

4 Both in the instant case and its predecessor, Cooey v. Kasich, 2:04-cv-1156.

5 The gravamen of the claims in the majority of Plaintiffs’ ISCs (ECF Nos. 2732, 2734-58, 2760-64, 2766-71, 2773-

83, 2786-93, 2796-2808, 2811-12, 2815-17, 2821-30) are largely identical. Defendants treated the ISCs as largely

identical during oral argument, and Allen Bohnert and Adam Rusnak, attorneys of record for several of the Plaintiffs,

argued on behalf of all Plaintiffs during oral argument (Hrg. Tr., ECF No. 3259, PageID 156938-39).

decision and that Plaintiffs have had eleven years6 to research and develop claims with respect to

a three-drug protocol. Yet, unlike the particularized allegation set forth by the Plaintiff in Bucklew,

Plaintiffs merely offer “a laundry list of conclusory allegations[.]” Id. at PageID 156905-06, citing

139 S.Ct. 1112. They claimed that if this Court concluded that the myriad health concerns

presented by individual Plaintiffs, including Hand, added up to plausible claims for relief, then

“not only will you have to go past 12(b)(6) but you also ultimately end up with 79

trials[.] . . . The litigation would . . . never end.” Id. at PageID 156907. Defendants argued that to

avoid the absurd outcome described above, if a claim was dismissed in a previous iteration of this

litigation, said claim should be dismissed in this iteration. Id. at PageID 156934-35. Defendants

stated that seventeen claims in the ISCs met that classification, but did not identify them at oral

argument or anywhere else. Id. at PageID 156935. Defendants further stated that six claims raised

in the ISC were subsequently withdrawn, but again, did not identify those claims at oral argument

or anywhere else. Id.

Plaintiffs argued that the only issue properly presented in Defendants’ Motion and Reply

was whether Henness II forecloses any Eighth Amendment “Baze/Glossip” challenge to the

protocol. They claimed that only six of the forty-seven causes of action—Nos. 20 through 23,

“potentially” 27, and 33—fit within that category, and noted that King, the case most directly on

point, had already rejected that argument at the Rule 12 stage (Hrg. Tr., ECF No. 3259, PageID

156909-10, 156928). Arguing that Henness II’s adjudication of Eighth Amendment claims

forecloses all claims, without more, is not enough to satisfy Fed.R.Civ.P. 7, which requires that a

motion be particular and state the particular bases for a motion.” Id. at PageID 156910-11, 156915-

16. Plaintiffs claimed that arguments made by Defendants as to non-Baze/Glossip claims have

6 The protocol at issue in Henness II was adopted by the State of Ohio on October 7, 2016.

been forfeited for the purposes of the instant Motions; raising them at oral argument is not enough

for them to be fairly as grounds for dismissal. Id. at PageID 156911-13.

This limited scope was Defendants’ choice, Plaintiffs argued:

[I]f the State wanted to seek summary judgment, then certainly they

could have done that. They chose not to. They chose to seek

dismissal under 12(b)(6) and so without additional evidence being

brought into the picture, Your Honor, or even the chance to bring

additional evidence into the picture it would be wholly inappropriate

in this situation for Your Honor to go ahead and just sort of

unilaterally or sua sponte convert these into summary judgment

motions without giving the Plaintiffs any opportunity to address

that.

(Hrg. Tr., ECF No. 3259, PageID 156919-20). Plaintiffs argued that while the Sixth Circuit found

that the pain from pulmonary edema was not itself constitutionally prohibited, that “is not the same

as saying that the pain and suffering inflicted by pulmonary edema from the Midazolam (sic) does

not matter.” Id. at PageID 156922, 156923, citing Campbell, 881 F.3d 447; Fears, 860 F.3d 881.

They also claimed that there was no reasonable argument that the pain from the second and third

drugs was “constitutionally insufficient,” as it has been the law since Baze that the pain from a

paralytic and potassium is “constitutionally problematic.” Id at PageID 156925. Further,

Plaintiffs argued, the King court’s interpretation of Henness II—that Henness’s failure to present

sufficient evidence to meet prong one of Glossip was not the same as Henness’s being legally

unable to allege sufficient facts to meet that burden—was correct. Id. at PageID 156926-27. The

facts alleged in the ISCs, far from being a “laundry list,” established nexus between their individual

characteristics (e.g., paradoxical reaction, hyperalgesia) and the unconstitutional pain and

suffering resulting from the protocol drugs. Id. at PageID 156928-29.

D. Law of the Case Order

On September 10, 2020, the undersigned issued an order under the law of the case doctrine

dismissing the following causes of action from the ISC as duplicative already dismissed from the

4AOC:

 Second Cause of Action: Fourteenth Amendment Due Process violations;

 Fourth Cause of Action: Fourteenth Amendment Equal Protection violations

through burdening of fundamental rights—Sub-claims:

o A.2: Deviations from Ohio’s execution statute;

o A.3: Deviations from Ohio Constitution;

o A.4: Failure to follow federal and Ohio laws related to imported drugs,

unapproved drugs, misbranded drugs, adulterated drugs, controlled

substances, and compounded drugs, including compounding sterile

injectable controlled substances to be used as execution drugs;

o A.5: Deviations from Ohio’s definition-of-death law;

o A.6: Deviations from Ohio and federal law prohibiting non-consensual

human experimentation;

o A.7: Use of an Execution Protocol and policies by which Defendants deny

necessary medical and resuscitative care and permit a lingering death;

o A.8: Use of midazolam and the unavoidable variation inherent in

midazolam’s efficacy on individual people;

o A.9: Use of compounded execution drugs and the unavoidable variation

inherent in compounded drugs;

 Fourth Cause of Action—Fourteenth Amendment Equal Protection violations

through “Class of One” disparate treatment

o B.2: Unequal application of Ohio’s execution statute to Plaintiff as a class

of one;

o B.3: Unequal application to Plaintiff, as a class of one, of federal and Ohio

state laws related to imported drugs, unapproved drugs, misbranded drugs,

adulterated drugs, controlled substances, or compounded drugs, including

compounding sterile injectable controlled substances to be used as

execution drugs;

o B.4: Unequal application of Ohio’s definition-of-death law to Plaintiff as a

class of one;

o B.5: Unequal application of federal and Ohio state laws prohibiting non-

consenting human experimentation to Plaintiff as a class of one;

o B.6: Disparate denial of necessary medical care and permitting a lingering

death;

o B.7: Use of midazolam and the unavoidable variation inherent in

midazolam’s efficacy on individuals, which treats Plaintiff unequally as a

class of one;

 Fifth Cause of Action—Violations of Fundamental Rights Arising Under The

Principles Of Liberty and/or Natural Law Which Are Protected By The Ninth

Amendment;

 Sixth Cause of Action—First Amendment Free Speech Clause Violations;

 Seventh Cause of Action—Fourteenth Amendment Due Process Violation for

Failure to Identify Drug Source Defendants;

 Eighth Cause of Action—Fourteenth Amendment Due Process Clause Violations

For Experimenting On Non-Consenting Prisoners ;

 Ninth Cause of Action—Fourteenth Amendment Privileges or Immunities Clause

Violations For Experimenting on Non-Consenting Prisoners;

 Tenth Cause of Action—Ex Post Facto Violation;

 Twelfth Cause of Action— Eighth Amendment violation by Deliberately

Indifferent and/or Reckless Denial of Resuscitative Health Care after the Execution

is to be Completed;

 Fourteenth Cause of Action—Fourteenth Amendment Due Process Violation

through Arbitrary and Capricious Government Action that Shocks the Conscience;

 Thirtieth Cause of Action—Fourteenth Amendment Due Process Violation for

Failure to Comply with Federal Investigational New Drug Application Regulations

with Respect to the Method and Choice of Drug to be Used in Plaintiff’s Execution;

and

 Thirty-First Cause of Action—Equal Protection Violations Related To Defendants’

Failures To Comply With The [Investigational New Drug] Application Laws.

(Order, ECF No. 3255, PageID 156838-40, citing 2018 U.S. Dist. LEXIS 209769 at *46-49, 52-

53; 4AOC, ECF No. 1252, PageID 45412-14, 45416-17). The Order also dismissed the Third

Cause of Action and sub-claims A.1, A.10, B.1, and B.8 from the ISC. Id. at PageID 156843. The

Order did not opine on any other causes of action.

Analysis

A. Legal Standard

Federal Rule of Civil Procedure 12(b)(6) allows a party to move for dismissal of a

complaint on the basis that it “fail[s] to state a claim upon which relief can be granted.” The

moving party “has the burden of showing that the opposing party has failed to adequately state a

claim for relief.” DirecTV, Inc. v. Treesh, 487 F.3d 471, 476 (6th Cir. 2007), citing Carver v.

Bunch, 946 F.2d 451, 454-55 (6th Cir. 1991)). The purpose of a Rule 12(b)(6) motion to dismiss

“is to allow a defendant to test whether, as a matter of law, the plaintiff is entitled to legal relief

even if everything alleged in the complaint is true.” Mayer v. Mylod, 988 F.2d 635, 638 (6th Cir.

1993). In ruling on a Rule 12(b)(6) motion, the Court must “construe the complaint in the light

most favorable to the plaintiff, accept its [well-pleaded] allegations as true, and draw all reasonable

inferences in favor of the plaintiff.” Handy-Clay v. City of Memphis, 695 F.3d 531, 538 (6th Cir.

2012) (quoting Treesh, 487 F.3d at 476).

Nevertheless, to survive a Rule 12(b)(6) motion to dismiss, the complaint must contain

“enough facts to state a claim to relief that is plausible on its face.” Bell Atlantic Corp. v. Twombly,

550 U.S.544, 570 (2007). Unless the facts alleged show that the plaintiff's claim crosses “the line

from conceivable to plausible, [the] complaint must be dismissed.” Id. Although this standard

does not require “detailed factual allegations,” it does require more than “labels and conclusions”

or “a formulaic recitation of the elements of a cause of action.” Id. at 555. Legal conclusions

“must be supported by well-pleaded factual allegations ... [that] plausibly give rise to an

entitlement of relief.” Id. at 679. “Although for the purposes of this motion to dismiss we must

take all the factual allegations in the complaint as true, we are not bound to accept as true a legal

conclusion couched as a factual allegation.” Papasan v. Allain, 478 U.S. 265, 286 (1986).

B. Scope of Court’s Consideration

Defendants do not specifically address, in the Motion or Reply, any of the forty-seven

claims in Hand’s ISC. Even though in oral argument they placed forty-five claims into three

categories (Baze/Glossip; previously adjudicated; and previously withdrawn), they did not identify

by number a single claim that fit into any of those categories. As discussed above, their Motion

made only passing reference to dismissing all claims from the ISC (ECF No. 2888, PageID 152891

n.1), arguing that Henness II forecloses any general challenge to the protocol and that Hand’s “as-

applied” allegations regarding his individual characteristics presenting an unacceptable risk of

severe pain and problems with administration of the protocol itself were merely conclusory, and

do not state a cognizable claim in any event. Id. at PageID 152787-89 (citations omitted). No

reference to an individual claim or paragraph number was included. Nor did they discuss any of

the individual characteristics actually set forth in Hand’s ISC (ECF No. 2781, PageID 144232-34,

¶¶ 1909-16). In their Reply, Defendants again recited caselaw in which challenges to three-drug

protocols have been rejected by the Sixth Circuit and elsewhere (ECF No. 3106, PageID 155609),

and argued that Hand did “not explain or articulate the manner in which his ‘individual

characteristics’ are sure or very likely to elevate, beyond a constitutionally tolerable level, the pain

otherwise incident to his execution.” Id. at PageID 155610.

In his memorandum contra and at oral argument, Hand argued that Defendants’ Motion

did not “state with particularity the grounds for seeking the order;” Fed.R.Civ.P. 7(b)(1)(B), other

than two grounds for dismissal: (1) Henness II forecloses any general challenge to the protocol;

and (2) Hand has failed to allege how his individual characteristics could cause unconstitutional

pain (Hand MIO, ECF No. 3023, PageID 154259-61; Hrg. Tr., ECF No. 3259, PageID 156910-

11). Hand is correct. Unlike a Rule12(b)(1) motion to dismiss, which speaks to this Court’s

independent obligation to recognize flaws in subject matter jurisdiction, a Rule 12(b)(6) motion is

to be confined to the four corners of the complaint, motion, and briefing except in narrow

circumstances, none of which is applicable here. Berry v. United States Dep’t of Labor, 832 F.3d

627, 637 (6th Cir. 2016) (“we may look outside the four corners of the complaint and consider

materials attached to a motion to dismiss if they are referred to in the complaint and central to the

claim.”). The above two arguments are the only arguments Defendants raised as to why any or all

of Hand’s claims in the ISC should be dismissed.

Defendants argue that Hand reads Rule 7 too strictly, and that there is nothing in the Rule

suggesting “that Defendants are required to move seriatim to dismiss each of the forty-seven

causes of action set forth in the 217-page Individual Supplemental Complaint.” (Reply, ECF No.

3106, PageID 155607). Defendants’ argument is irrelevant. As the movants, it is Defendants’

responsibility to place Hand and the Court on notice of the reasons they think all claims should be

dismissed. Defendants have repeatedly failed to expand their reasoning beyond the above two

arguments. Accordingly, those arguments are the only the undersigned will consider in evaluating

Defendants’ Motion.7

This consolidated litigation is unique in the Magistrate Judge’s experience. Despite being

pending for sixteen years, none of the constituent cases has ever reached trial or a summary

judgment adjudication. During his twelve-year management of the case, District Judge Gregory

L. Frost several times expressed frustration at the pace and sequencing of the litigation, but

apparently never had second thoughts about the consolidation. The consolidation has indeed

brought many benefits. It has kept the capital method-of-execution matters together on one docket,

which promotes continuity and consistency of judicial attention. It prevents the last-minute filings

in capital cases so common across the country which have exasperated both the circuit and

7 Defendants also argued that the Court could sua sponte convert Defendants’ Motion into one for summary judgment

(Hrg. Tr., ECF No. 3259, PageID 156907-08). While such conversion is undoubtedly within the Court’s power,

Plaintiffs are correct that making such a conversion without giving them the opportunity to respond and present

evidence would be inappropriate. Id. at PageID 156919-20; see also Fed.R.Civ.P. 12(d) (If a Rule 12(b)(6) or 12(c)

motion is converted to one for summary judgment, then “[a]ll parties must be given a reasonable opportunity to present

all the material that is pertinent to the motion.”).

Supreme Courts. It has produced a common schedule for these cases which enhances predictability

and deliberate consideration of each case. Although there has never been a trial, the Court has

expended many days in hearing evidence, but always pertinent to a preliminary injunction motion.

In hearing that evidence, this Court has compiled one of the most extensive factual records in the

country on the effects of very large doses of midazolam on the human body. But in making

findings based on that evidence and other evidence, this Court has always emphasized that they

are not conclusive findings of fact.

The findings of fact and conclusions of law required by

Fed.R.Civ.P.52 are embodied in this Decision and Order. They are

not binding at trial on the merits or at future preliminary injunction

proceedings in this consolidated case. United States v. Edward Rose

& Sons, 384 F.3d 258, 261 (6thCir. 2014), citing Univ. of Texas v.

Camenisch, 451 U.S. 390, 395 (1981).

Henness II, 2019 U.S. Dist. LEXIS 8200 at *19. This language duplicates what Judge Frost did

in his preliminary injunction motions in the case, see. e.g., Cooey v. Strickland, No. 2:04-cv-1156,

2009 U.S. Dist. LEXIS 122025, at *7 n.1 (S.D. Ohio Dec. 7, 2009) (Frost, J.), and what the

undersigned has done with each such motion since he assumed management of the case in October

2016. See, e.g., In re Ohio Execution Protocol Litig. (Phillips, Tibbets, and Otte), 235 F. Supp.

3d 892, 894 (S.D. Ohio 2017) (Merz, Mag. J.), vacated and remanded on other grounds in Fears,

860 F.3d 881.8 Neither party has challenged this language in this Court or on appeal, nor has any

party asked the Court to advance the trial on the merits under Fed.R.Civ.P. 65(a)2). Nor indeed

has any party ever moved for summary judgment. In federal litigation, conclusive findings of fact

are made only at trial or on summary judgment. Appellate review of findings of fact on preliminary

injunction does not make those findings final. Defendants essentially seek summary judgment on

8 As in Henness I, Plaintiffs Otte, Phillips, and Tibbets and Defendants unanimously consented to plenary Magistrate

Judge jurisdiction (Order of Reference, ECF No. 734)

the basis of appellate review in Henness II. That is not a permissible way to proceed, even in this

unusual litigation.

C. Henness II does not mandate granting Defendants’ Motion in Full

As King discussed, Henness II made two key holdings with respect to the first prong in

Glossip. Neither holding helps Defendants. True, the Henness II panel held that the pain from

midazolam-induced pulmonary edema was not constitutionally prohibited, 946 F.3d at 290, and

had Defendants moved to dismiss the ISC to the extent Hand was alleging that the pain from

pulmonary edema constituted an Eighth Amendment violation, such a motion may have been

viable. But Defendants did not do that, and their argument that all claims are foreclosed, even at

the motion to dismiss stage, is too broad a reading of Henness II. As to the other holding, that

Henness had failed to demonstrate that the three-drug combination was likely to cause him

substantial pain and suffering, id. at 290-91, the opinion in King, while certainly not binding, is

instructive. That court correctly notes that Henness II did not hold that there was no possibility

that the pain from the three-drug protocol could form the basis of an Eighth Amendment violation;

Henness II simply held that no plaintiff, including Henness, had yet made such a showing. King,

467 F. Supp. 3d at 572-73, citing Henness II, 948 F.3d at 290-91; Campbell, 881 F.3d at 449, 451;

Fears, 860 F.3d at 886, 890, 892.

The issue, then, is whether Hand’s allegations add up to potentially plausible claims for

relief. In addition to his general allegations as to the pain resulting from the three-drug protocol

(Hand ISC, ECF No. 2781, PageID 144229-32, ¶¶ 1893-1908)—pain that has been accepted as

true repeatedly, see, e.g., Baze, 553 U.S. at 49-50 (paralytic and potassium chloride); Henness II,

946 F.3d at 290-91 (midazolam)—Hand claims that his age, sex9, heart condition, high blood

pressure, and symptoms of obstructive sleep apnea (Hand ISC, PageID 144232-33, ¶¶ 1909-12)

will cause the protocol drugs to “act synergistically”—i.e., that the effects of the three drugs

combined on his body is greater than the sum of the effect of each drug on his body if administered

separately and independently. Id. at PageID 144234, ¶ 1914. Hand alleges that those conditions

will likely cause him to have a “paradoxical reaction” to the drugs—i.e., the overdose of

midazolam, far from sedating or anesthetizing him, will send him into a state of hyperalgesia,

making the pain from the second and third drugs worse than if he received no midazolam at all.

Id., ¶¶ 1915-16.

Accepting these allegations as true, as the Court must at this stage, the undersigned

concludes that they support plausible claims that Hand is sure or likely to suffer severe and

needless pain and suffering, in violation of the Eighth Amendment. Moreover, Hand has alleged

sufficient nexus between those individual characteristics and how the execution drugs will

allegedly exacerbate and cause him severe pain, such that any as-applied challenge is similarly

plausible. “Whether his evidence will prove the truth of that allegation remains to be seen, but his

allegations are sufficient to entitle him to try.” King, 467 F. Supp. 3d at 574.

Defendants are correct that Henness II unambiguously held that the evidence presented by

Henness of nearly certain pain and suffering from midazolam-induced pulmonary edema was not

constitutionally prohibited pain. In light of Henness II, the undersigned is dubious about any

Eighth Amendment challenge to the pain from midazolam itself. Yet, as discussed above, Hand

alleged significantly more than that, such that the Henness II does not foreclose his claims as

matters of law at the motion to dismiss stage.

9 Hand’s allegations of “gender” (see, e.g., ISC, ECF No. 2781, PageID 144232, ¶ 1911) are presumably references

to his biological sex, not his gender identity.

After oral argument, Defendants submitted as additional authority (ECF No. 3177-1) the

case of In re Fed. Bureau of Prisons Execution Protocol Cases (Roane v. Barr), No. 19-mc-145

(TSC), 2020 U.S. Dist. LEXIS 153354 (D.D.C. Aug. 15, 2020), rev’d and remanded in part at

980 F.3d 123 (D.C. Cir. 2020). Therein, Judge Tanya S. Chutkan, who had previously enjoined

the federal government’s execution of Daniel Lewis Lee and Dustin Lee Honkin, noted that the

Supreme Court had vacated that injunction and allowed the executions to proceed. Id. at *10,

citing Barr v. Lee, 140 S.Ct. 2590 (2020) (per curiam). The Supreme Court vacated the injunction

despite accepting the district “court’s conclusion that pulmonary edema and excruciating pain was

very likely to occur” from the administration of pentobarbital. Id. at *11. From that conclusion,

Judge Chutkan concluded that “[s]o long as pentobarbital is widely used, Lee suggests that no

amount of new evidence will suffice to prove that the pain pentobarbital causes reaches

unconstitutional levels.” Id. at *13.

Defendants argue that Lee and Roane “powerfully validate Defendants’ core contention

that the plausibility of Plaintiffs’ Eighth Amendment claims must be assessed in light of the

controlling precedents of the Supreme Court and the Sixth Circuit which do address the three-drug

method used by Ohio.” (Reply, ECF No. 3260, PageID 156969 (emphasis in original)).

Defendants’ argument is correct but irrelevant in light of the overbreadth of their Motion. As

Plaintiffs argue, executions via pentobarbital versus a three-drug protocol are quite different for

the purposes of the ISC:

As this Court is aware, pentobarbital is a barbiturate, while

midazolam is a sedative. A sufficient dose of the barbiturate

pentobarbital will eventually cause anesthesia and insensation to

pain. Plaintiffs have alleged that because midazolam is a sedative

and not a barbiturate anesthetic, they will experience the full brunt

of the pain inflicted by Defendants’ protocol—the horrific pain and

terror of pulmonary edema and the excruciating pain from the

paralytic and potassium chloride.

(Resp. to Supp. Auth., ECF No. 3256-1, PageID 156848-49 (emphasis in original)).

Had Defendants specifically moved to dismiss ISC claims as they relate to pulmonary

edema or any challenges to the protocol permitting the use of pentobarbital!°, Lee and Roane would

be persuasive even at the motion to dismiss stage. But Defendants did not do that; they moved to

dismiss in toto. Consequently, Lee and Roane do not provide any basis to dismiss the ISC.

For the foregoing reasons, Defendants’ Motion is denied to the extent not previously

granted (ECF No. 3255). Hand’s First, Second, Eleventh, Thirteenth, Fifteenth through Twenty-

Ninth, and Thirty-Second through Forty-Seventh Causes of Action shall remain pending.

February 1, 2021.

s/ Michael R. Merz

United States Magistrate Judge

#

10 Ohio's current protocol, 01-COM-11, authorizes a one-drug pentobarbital execution, That alternative method has

not been used since 01-COM-11 was adopted in its present from in October 2016 (ECF No. 965-13, PageID 34253).

19