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Case: 23-60167

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No. 23-60167

IN THE UNITED STATES COURT OF APPEALS

FOR THE FIFTH CIRCUIT

–––––––––––––––––––––––––––––––––––––––––––––

ILLUMINA, INCORPORATED; GRAIL,

INCORPORATED, now known as GRAIL, L.L.C.

Petitioners,

v.

FEDERAL TRADE COMMISSION,

Respondent.

–––––––––––––––––––––––––––––––––––––––––––––

On Petition for Review of an Order

of the Federal Trade Commission

Docket No. 9401

–––––––––––––––––––––––––––––––––––––––––––––

BRIEF OF THE FEDERAL TRADE COMMISSION

(PUBLIC VERSION)

–––––––––––––––––––––––––––––––––––––––––––––

Of Counsel:

SUSAN A. MUSSER

STEPHEN MOHR

JORDAN ANDREW

DAVID GONEN

Attorneys

FEDERAL TRADE COMMISSION

Washington, D.C., 20850

ANISHA S. DASGUPTA

General Counsel

MATTHEW M. HOFFMAN

Attorney

FEDERAL TRADE COMMISSION

600 Pennsylvania Avenue, N.W.

Washington, D.C. 20580

(202) 326-3097

mhoffman@ftc.gov

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STATEMENT REGARDING ORAL ARGUMENT

Oral argument would aid the Court in resolving the issues raised

in this petition for review.

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TABLE OF CONTENTS

STATEMENT REGARDING ORAL ARGUMENT ................................... i

ADDENDUM OF RELEVANT STATUTES ............................................iii

TABLE OF AUTHORITIES ..................................................................... iv

CITATION ABBREVIATIONS ............................................................... xii

INTRODUCTION ...................................................................................... 1

JURISDICTIONAL STATEMENT ........................................................... 3

QUESTIONS PRESENTED ..................................................................... 3

STATEMENT OF THE CASE .................................................................. 3

A.

The Race To Develop MCED Tests ......................................... 3

B.

Illumina’s NGS Platforms ....................................................... 4

C.

Illumina’s Acquisition of Grail................................................ 5

D.

The FTC and the Clayton Act ................................................. 5

E.

Proceedings in This Case. ....................................................... 8

F.

The Commission Decision ..................................................... 10

G.

Commissioner Wilson’s Concurrence.................................... 13

SUMMARY OF ARGUMENT ................................................................. 14

STANDARD OF REVIEW....................................................................... 18

ARGUMENT ........................................................................................... 19

I.

The Commission Properly Found That Illumina’s

Merger With Grail Violates the Clayton Act. ....................... 19

A.

The Commission Properly Defined the

Relevant Market. ......................................................... 21

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B.

II.

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The Commission Properly Found a Prima

Facie Case of Anticompetitive Effects. ........................ 31

1.

The Commission Properly Found a

Prima Facie Case Under the Abilityand-Incentive Framework. ................................. 31

2.

The Commission Properly Found a

Prima Facie Case Under Brown Shoe. ............... 38

C.

The Commission Properly Held That the

Open Offer Does Not Offset the Merger’s

Anticompetitive Effects. ............................................... 43

D.

The Commission Properly Found That

Illumina’s Claimed Efficiencies Did Not

Rebut the Showing of Anticompetitive

Effects. .......................................................................... 50

Illumina’s Constitutional Challenges Lack Merit. ............... 59

A.

Illumina’s Nondelegation Argument Is

Waived, Not Properly Presented, and

Wrong. .......................................................................... 60

B.

Illumina’s Article II Challenge Is Barred by

Supreme Court Precedent and Provides No

Basis for Invalidating the Commission’s

Order. ........................................................................... 65

C.

The Commission’s Procedures Do Not

Violate Due Process. .................................................... 70

D.

Illumina Was Not Denied Equal Protection. ............... 76

CONCLUSION ........................................................................................ 81

ADDENDUM OF RELEVANT STATUTES

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TABLE OF AUTHORITIES

CASES

AD/SAT v. Assoc. Press,

181 F.3d 216 (2d Cir. 1999) ......................................................... 28, 36

Agostini v. Felton,

521 U.S. 203 (1997) ............................................................................. 67

Avondale Shipyards, Inc. v. Vinson,

623 F.2d 1117 (5th Cir. 1980) ............................................................. 75

Axon Enters., Inc. v. FTC,

143 S. Ct. 890 (2023) ........................................................................... 73

Baum v. Blue Moon Ventures, LLC,

513 F.3d 181 (5th Cir. 2008) .............................................................. 62

Bridas S.A.P.I.C. v. Gov’t of Turkmenistan,

345 F.3d 347 (5th Cir. 2003) .............................................................. 22

Brown Shoe Co. v. United States,

370 U.S. 294 (1962) ............................. 11, 20, 21, 22, 24, 29, 38, 39, 40

C.E. Servs., Inc. v. Control Data Corp.,

759 F.2d 1241 (5th Cir. 1985) ............................................................ 26

Califano v. Yamasaki,

442 U.S. 682 (1979) ............................................................................ 19

Carr v. Saul,

141 S. Ct. 1352 (2021) ........................................................................ 60

Chicago Bridge & Iron Co. N.V. v. FTC,

534 F.3d 410 (5th Cir. 2008) ................................. 10, 18, 19, 40, 45, 46

Cmty. Fin. Servs. Ass’n of Am. v. CFPB,

51 F.4th 616 (5th Cir. 2022) ........................................................ 60, 69

Collins v. Yellin,

141 S. Ct. 1761 (2021) ............................................................. 66, 68, 69

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Cotherman v. FTC,

417 F.2d 587 (5th Cir. 1969) .............................................................. 60

FCC v. Beach Commc’ns,

508 U.S. 307 (1993) ....................................................................... 76, 78

Ford Motor Co. v. United States,

405 U.S. 562 (1972) ................................................................ 39, 41, 42

Fruehauf Corp. v. FTC,

603 F.2d 345 (2d Cir. 1979) ......................................................... 39, 41

FTC v. Am. Nat’l Cellular, Inc.,

810 F.2d 1511 (9th Cir. 1987) ............................................................. 67

FTC v. Arch Coal,

329 F. Supp. 2d 109 (D.D.C. 2004) .................................................... 30

FTC v. Cement Inst.,

333 U.S. 683 (1948) ....................................................................... 71, 77

FTC v. Elders Grain, Inc.,

868 F.2d 901 (7th Cir. 1989) .............................................................. 20

FTC v. Hackensack Meridian Health, Inc.,

30 F.4th 160 (3d Cir. 2022) ................................................................ 51

FTC v. Ind. Fed’n of Dentists,

476 U.S. 447 (1986) ...................................................................... 18, 19

FTC v. Penn State Hershey Med. Ctr.,

838 F.3d 327 (3d Cir. 2016) ............................................................... 51

FTC v. R.F. Keppel & Bro., Inc.,

291 U.S. 304 (1934) ............................................................................ 64

FTC v. Staples, Inc.,

190 F. Supp. 3d 100 (D.D.C. 2016) .................................................... 48

FTC v. Sysco Corp,

113 F. Supp. 3d 1 (D.D.C. 2015) ........................................................ 48

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FTC v. Univ. Health, Inc.,

938 F.2d 1206 (11th Cir. 1991) .......................................................... 52

Gibson v. FTC,

682 F.2d 554 (5th Cir. 1982). .............................................................. 71

Golden Gate Pharmacy Servs., Inc. v. Pfizer,

No. C-09-3854, 2010 WL 1541257 (N.D. Cal., April 16, 2010) ......... 30

Gundy v. United States,

139 S. Ct. 2116 (2019) .................................................................. 62, 63

Heatransfer Corp. v. Volkswagenwerk, A.G.,

553 F.2d 964 (5th Cir. 1977) .............................................................. 20

Heller v. Doe,

509 U.S. 312 (1993) ............................................................................. 76

Hosp. Corp. of Am. v. FTC,

807 F.2d 1381 (7th Cir. 1986) ............................................................. 77

Humphrey’s Executor v. United States,

295 U.S. 602 (1935) ........................................................... 17, 64, 66, 68

Impax Labs v. FTC,

994 F.3d 484 (5th Cir. 2021) .................................................. 18, 19, 43

In re IBM Corp.,

618 F.2d 923 (2nd Cir. 1980) .............................................................. 74

Jarkesy v. SEC,

34 F.4th 446 (5th Cir. 2022) ...................................... 16, 19, 60, 61, 62

Ky. Speedway, LLC v. Nat’l Ass’n of Stock Car Auto Racing, Inc.,

588 F.3d 908 (6th Cir. 2009) .............................................................. 26

Lefebure v. D’Aquila,

15 F.4th 650 (5th Cir. 2021) ............................................................... 67

Mercantile Tex. Corp. v. Bd. of Governors of the Fed. Rsrv. Sys.,

638 F.2d 1255 (5th Cir. 1981) ............................................................ 31

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N.Y. Cent. Sec. Corp. v. United States,

287 U.S. 12 (1932) .............................................................................. 63

Nat’l Broad. Co. v. United States,

319 U.S. 190 (1943) ............................................................................ 63

Ohio v. Am. Express Co.,

138 S. Ct. 2274 (2018) ........................................................................ 22

Phillips v. Jt. Legis. Comm. on Performance & Expenditure Rev.,

637 F.2d 1014 (5th Cir. 1981) ............................................................. 73

Rothery Storage & Van Co. v. Atlas Van Lines, Inc.,

792 F.2d 210 (D.C. Cir. 1986) ............................................................ 24

Schweiker v. McClure,

456 U.S. 188 (1982) ............................................................................. 71

SCM Corp. v. Xerox Corp,

645 F.2d 1195 (2d Cir. 1981) ............................................................. 30

Se. Mo. Hosp. v. C.R. Bard, Inc.,

642 F.3d 608 (8th Cir. 2011) .............................................................. 23

Seila Law LLC v. CFPB,

140 S. Ct. 2183 (2020) ......................................................................... 66

Sierra Club v. United States Dep’t of Interior,

990 F.3d 898 (5th Cir. 2021) ............................................................... 72

Smith v. United States,

568 U.S. 106 (2013) ............................................................................ 47

So. Pac. Commc’n Co. v AT&T Co.,

740 F.2d 980 (D.C. Cir. 1994) ............................................................. 73

St. Alphonsus Med. Ctr.-Nampa, Inc. v. St. Luke’s Health Sys.,

778 F.3d 775 (9th Cir. 2015) .................................................. 51, 55, 65

United States v. Aetna Inc.,

240 F. Supp. 3d 1 (D.D.C. 2017) ........................................................ 48

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United States v. Anthem, Inc.,

855 F.3d 345 (D.C. Cir. 2017) ............................................................ 51

United States v. AT&T Inc.,

310 F. Supp. 3d 161 (D.D.C. 2018) .................................................... 11

United States v. AT&T Inc.,

916 F.3d 1029 (D.C. Cir. 2019) .................................................... 11, 49

United States v. Benitez-Villafuerte,

186 F.3d 651 (5th Cir. 1999) ............................................................... 71

United States v. Diggins,

36 F.4th 302 (1st Cir. 2022) ............................................................... 63

United States v. E.I. du Pont de Nemours & Co.,

353 U.S. 586 (1957) ............................................................................ 20

United States v. E.I. du Pont de Nemours & Co.,

366 U.S. 316 (1961) ...................................................................... 47, 48

United States v. Fernandez,

48 F.4th 405 (5th Cir. 2022) .............................................................. 59

United States v. Libbey, Inc.,

211 F. Supp. 2d 34 (D.D.C. 2002) ................................................ 49, 50

United States v. Lopez-Velaquez,

526 F.3d 804 (5th Cir. 2008) ......................................................... 79, 80

United States v. Phila. Nat’l Bank,

374 U.S. 321 (1960) ...................................................................... 20, 59

United States v. UnitedHealth Group, Inc.,

630 F. Supp. 3d 118 (D.D.C. 2022) .................................................... 49

Whitman v. Am. Trucking Ass’ns,

531 U.S. 457 (2001) ............................................................................ 63

Wiener v. United States,

357 U. S. 349 (1958) ............................................................................ 68

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Withrow v. Larkin,

421 U.S. 35 (1975) .................................................................. 17, 70, 71

STATUTES

5 U.S.C. § 554(d)(2) ............................................................................. 7, 72

10 U.S.C. § 942(f)..................................................................................... 68

15 U.S.C § 21 ............................................................................................. 6

15 U.S.C. § 18 .......................................................................... 1, 19, 21, 78

15 U.S.C. § 2053(a) .................................................................................. 68

15 U.S.C. § 21(b) .................................................................... 3, 6, 7, 67, 77

15 U.S.C. § 21(c) ........................................................................ 3, 7, 18, 80

15 U.S.C. § 25 .......................................................................................... 77

15 U.S.C. § 41 ............................................................................................ 6

15 U.S.C. § 45 ............................................................................................ 6

15 U.S.C. § 45(b) .......................................................................... 3, 6, 7, 62

15 U.S.C. § 45(c) .................................................................................... 3, 7

15 U.S.C. § 53(b) ............................................................................ 8, 61, 62

26 U.S.C. § 7443(f) ................................................................................... 68

28 U.S.C. § 176 ........................................................................................ 68

29 U.S.C. § 153(a) .................................................................................... 68

38 U.S.C. § 7253(f) ................................................................................... 68

42 U.S.C. § 7171(b) .................................................................................. 68

Clayton Act, ch. 323, 38 Stat. 730 (1914)............................................ 6, 67

Federal Trade Commission Act, ch. 311, 38 Stat. 717 (1914) .................. 6

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REGULATIONS

16 C.F.R. § 0.8 ........................................................................................... 6

16 C.F.R. § 3.31 ................................................................................... 7, 80

16 C.F.R. § 3.41 ....................................................................................... 80

16 C.F.R. § 3.41(c) ..................................................................................... 7

16 C.F.R. § 3.43 ............................................................................. 7, 75, 80

16 C.F.R. § 3.46 ......................................................................................... 7

16 C.F.R. § 3.51 ......................................................................................... 7

16 C.F.R. § 3.52 ......................................................................................... 7

16 C.F.R. § 3.54 ......................................................................................... 7

16 C.F.R. § 4.7(b) ................................................................................. 7, 72

OTHER AUTHORITIES

Phillip E. Areeda & Herbert Hovenkamp, Antitrust Law

§ 335a (May 2023 update) .................................................................. 42

§ 1008a (Aug. 2022 update) ................................................................ 20

Dep’t of Justice & FTC, Horizontal Merger Guidelines (2010) .............. 30

EC Press Release, Mergers: Commission adopts interim measures

to prevent harm to competition following Illumina’s early

acquisition of GRAIL (Oct. 29, 2021..................................................... 9

EC Press Release, Mergers: Commission fines Illumina and

GRAIL for implementing their acquisition without prior merger

control approval (July 12, 2023) ........................................................... 9

EC Press Release, Mergers: Commission prohibits acquisition of

GRAIL by Illumina (Sept. 6, 2022) ...................................................... 9

GAO, DOJ and FTC Jurisdictions Overlap, but Conflicts are

Infrequent (Jan. 2023) ........................................................................ 78

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John Gramlich, Pew Research Center, Only 2% of federal criminal

defendants go to trial, and most who do are found guilty (June

11, 2019) .............................................................................................. 74

Maureen K. Ohlhausen, Administrative Litigation at the FTC:

Effective Tool for Developing the Law or Rubber Stamp, 12 J.

Comp. L. & Econ. 623 (2016) .............................................................. 74

Steven C. Salop, Invigorating Vertical Merger Enforcement, 127

Yale L.J. 1962 (2018) .......................................................................... 55

S. Rep. No. 63-597 (1914) ........................................................................ 64

S. Rep. No. 93-151 (1973) ........................................................................ 64

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CITATION ABBREVIATIONS

This Brief uses the same abbreviations used in Petitioners’ Brief,

including the following:

Conc.

Concurring Opinion of Commissioner Wilson

ID

Initial Decision of Administrative Law Judge

IDF

Initial Decision Findings of Fact

Op.

Opinion of Commission

Oral Arg. Tr.

Transcript of Oral Argument Before Commission

Prehearing Tr. Prehearing Transcript

PX

Exhibit of Complaint Counsel

RX

Exhibit of Respondents (Petitioners here)

RFF

Proposed Findings of Fact of Respondents

(Petitioners here)

Tr.

Trial Transcript

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INTRODUCTION

This case involves a merger that threatens to stifle ongoing

competition in the race to develop and commercialize multi-cancer early

detection (“MCED”) tests, which can identify several kinds of cancer in

asymptomatic people by analyzing blood samples. Petitioner GRAIL,

Inc., sells an MCED test called Galleri on a limited basis, but the test is

not approved by the Food and Drug Administration, not covered by

insurance, and costs nearly $1000. Several other companies are also

developing MCED tests. Grail’s ordinary-course-of-business documents

show that it sees these companies as serious competitive threats, while

other MCED test developers view Grail as their main rival.

All MCED tests rely on next generation sequencing (“NGS”)

technology to analyze DNA, and petitioner Illumina, Inc., is the only

company that makes suitable NGS platforms. In 2021, Illumina

purchased Grail. After thoroughly reviewing the record of a multi-week

trial, the Federal Trade Commission unanimously found that this

acquisition violates Section 7 of the Clayton Act, 15 U.S.C. § 18, because

it may substantially lessen the existing competition among Grail and

other MCED test developers. The Commission found that the merged

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firm will have both the ability and a strongly increased incentive to use

its dominance in NGS platforms to favor Grail and disadvantage rival

test developers—e.g., by raising the prices Illumina charges Grail’s

competitors or degrading their access to service and necessary supplies.

Illumina and Grail (collectively, “Illumina”) petition for review of

the Commission’s order. None of their challenges has merit. The

Commission correctly applied the Clayton Act, its decision is supported

by substantial evidence, and there is no constitutional defect in the

Commission’s structure or its proceedings. At the outset, it is important

to dispel one particular myth that Illumina repeats throughout its brief:

the claim that the merger will save lives by somehow accelerating

Grail’s ability to gain FDA approval and payer acceptance for Galleri.

As the Commission properly found, this claim is based on nothing more

than speculation by a single Illumina executive, who could not identify

a single step Illumina might actually take to expedite Galleri’s

approval.

The fundamental question here is whether the merger will

threaten other companies’ ability to develop rival MCED tests and

deprive Americans of competition in this critical market. Competition

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among MCED test developers will promote innovation, leading to more

and better tests being made available to American consumers at lower

prices. This Court should protect competition, as Congress has directed,

and deny the petition.

JURISDICTIONAL STATEMENT

The Commission entered its order on March 31, 2023, pursuant to

15 U.S.C. §§ 21(b) and 45(b) . Illumina timely filed its petition on April

5, 2023. This Court has jurisdiction under 15 U.S.C. §§ 21(c) and 45(c) .

QUESTIONS PRESENTED

1.

Did the Commission properly determine that the Illumina-

Grail merger violates the Clayton Act?

2.

Were the Commission’s proceedings constitutional?

STATEMENT OF THE CASE

A.

The Race To Develop MCED Tests

MCED tests are a screening tool to detect cancer at an early stage

in patients with no cancer symptoms. They work by analyzing a sample

of a patient’s blood for minute amounts of certain “biomarkers” (such as

proteins, DNA, or RNA) associated with the presence of cancers. Op. 3.

Grail and several other companies are in a race to develop and

commercialize MCED tests. Op. 3. Grail started selling its Galleri test

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in April 2021, but has not yet obtained FDA approval, which means the

test can be sold only on a limited basis. Galleri currently costs $949 and

is not covered by insurance. Op. 12, 14. Another leading competitor,

Exact/Thrive, is developing a test called CancerSEEK, which received a

“breakthrough” device designation from the FDA that could accelerate

its review and regulatory approval. Op. 14-16. Exact/Thrive currently

plans

Op. 15, 56. Other companies, including Guardant,

Singlera, Freenome, Natera, and Helio Health, are at various stages of

the development and commercialization process. Op. 16-19. As the

Commission found (Op. 31), the market is like a racetrack where some

companies are leading the pack and others are nipping at their heels,

but collectively, competition is spurring the field to move faster and

work harder to provide patients with many choices of MCED tests.

B.

Illumina’s NGS Platforms

Illumina sells NGS platforms, including the instruments used to

sequence DNA and consumable supplies such as “flow cells” that hold

samples and chemical reagents used in the sequencing process. Op. 4, 6.

NGS platforms are a critical input for MCED tests, and only Illumina

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offers products with the specific characteristics MCED test developers

need: high throughput, high accuracy, low cost, and the ability to read

short DNA fragments. Op. 5-7, 21, 36-40, 42. MCED test developers

thus have no substitute for Illumina’s NGS platforms, either now or in

the near future. Id.

C.

Illumina’s Acquisition of Grail

Illumina formed Grail in 2016, but later spun it off as a separate

company, retaining a 12% stake and the right to a royalty on net sales

of Grail’s oncology products. Op. 10-11. At the time, Illumina explained

that the spinoff would “level[] the playing field” and “accelerate the

liquid biopsy market for all.” Op. 11, 52; PX2406-005. But in September

2020, Illumina changed its mind and decided to acquire the remainder

of Grail for $8 billion. Op. 11. The Grail acquisition was part of a

strategy to shift Illumina’s focus away from NGS platforms and toward

clinical testing, which Illumina saw as an enormous market opportunity

with much greater profit potential. Op. 45-46; see also PX2151-005;

PX2169-045; PX2488-009; PX2465-006 to -008.

D.

The FTC and the Clayton Act

Congress established the FTC in 1914 and directed it to prevent

“unfair methods of competition” in commerce. FTC Act, ch. 311, § 5, 38

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Stat. 717, 719 (1914) (codified as amended at 15 U.S.C. § 45). A few

weeks later, Congress enacted the Clayton Act to further strengthen the

nation’s antitrust regime and directed the FTC to enforce the Act’s antimerger provisions. Clayton Act, ch. 323, § 11, 38 Stat. 730, 734 (1914)

(codified as amended at 15 U.S.C § 21).

The Commission consists of five Commissioners appointed by the

President and confirmed by the Senate, no more than three of whom

may be members of the same political party. 15 U.S.C. § 41. To ensure

that the Commission performs its duties as an independent body,

Congress provided that the President may remove Commissioners only

“for inefficiency, neglect of duty, or malfeasance in office.” Id.

Commissioners also serve staggered terms of seven years, so that the

composition of the Commission regularly changes. Id. The President

selects one Commissioner as the Chair, who is the executive and

administrative head of the agency, and may change that designation at

any time. Id.; 16 C.F.R. § 0.8.

Congress directed the Commission to enforce the FTC and Clayton

Acts through administrative adjudication. 15 U.S.C. §§ 21(b), 45(b). The

Commission may issue an administrative complaint when it has “reason

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to believe” a merger may violate the law. Id. The complaint is not a

finding of a violation, but merely the first step in an adversarial process

of review. The complaint is referred to an administrative law judge for

discovery and a trial. See 16 C.F.R. §§ 3.31-3.46. The Commissioners

are not involved in prosecuting the case; that function is performed by

agency staff known as Complaint Counsel, who are walled off from the

Commissioners and the ALJ and prohibited from having any ex parte

contact with them. See 5 U.S.C. § 554(d)(2); 16 C.F.R. § 4.7(b). At trial,

both Complaint Counsel and the respondents (i.e., the merging parties)

may present testimonial and documentary evidence, cross-examine

witnesses, and object to the other side’s evidence, much as they would

in a district court proceeding. Id. §§ 3.41(c), 3.43. Following trial, the

ALJ issues an initial decision. Id. § 3.51. Either side may then appeal to

the full Commission, which reviews the facts and law de novo. Id.

§§ 3.52, 3.54. If the Commission finds in favor of Complaint Counsel,

the respondent may seek review in an appropriate court of appeals. 15

U.S.C. §§ 21(c), 45(c).

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E.

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Proceedings in This Case.

In March 2021, the Commission voted to issue an administrative

complaint alleging that the Illumina-Grail merger would violate the

Clayton Act and the FTC Act. The vote was unanimous and bipartisan.

1

The Commission also sought a preliminary injunction in district court

to block the merger during the pendency of the administrative case. See

15 U.S.C. § 53(b). Shortly afterwards, the European Commission (“EC”)

opened an antitrust investigation upon request from several European

states. That investigation triggered a standstill obligation that barred

Illumina and Grail from completing the merger. In light of the

standstill, the Commission determined that interim relief was no longer

needed to protect the public interest and voluntarily dismissed the

preliminary injunction action. Illumina did not object, though it argued

unsuccessfully that the dismissal should be with prejudice. See FTC v.

Illumina, Inc., No. 3:21-cv-800 (S.D. Cal), ECF Nos. 120, 124, 126.

Despite the European standstill requirement, Illumina closed its

acquisition of Grail in August 2021. Op. 11. The merger was not

1

The Commissioners at that time were Acting Chairwoman Rebecca Kelly

Slaughter and Commissioners Noah Joshua Phillips, Rohit Chopra, and Christine

S. Wilson, with one vacancy.

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operationally implemented, however, because the EC ordered Illumina

2

to hold Grail as a separate entity. The EC later concluded that the

acquisition violated European antitrust law and ordered Illumina to

3

unwind the purchase of Grail. It separately fined Illumina €432 million

for knowingly and intentionally breaching the standstill obligation.

4

Meanwhile, following a multi-week trial, the FTC’s ALJ issued an

initial decision in favor of Illumina. On appeal, the Commission

conducted a de novo review and concluded that the transaction violated

the Clayton Act (and therefore the FTC Act as well). Op 2, 24, 93.

Although the Commission’s lineup had changed, the decision was again

bipartisan and unanimous.

5

2

EC Press Release, Mergers: Commission adopts interim measures to prevent

harm to competition following Illumina’s early acquisition of GRAIL (Oct. 29, 2021),

https://shorturl.at/iGJX4.

3

EC Press Release, Mergers: Commission prohibits acquisition of GRAIL by

Illumina (Sept. 6, 2022), https://shorturl.at/nozQ9.

4

EC Press Release, Mergers: Commission fines Illumina and GRAIL for

implementing their acquisition without prior merger control approval (July 12,

2023), https://shorturl.at/hRV58.

5

The Commissioners at the time of decision were Chair Lina M. Khan and

Commissioners Rebecca Kelly Slaughter, Christine S. Wilson, and Alvaro Bedoya,

with one vacancy.

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F.

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The Commission Decision

The Commission agreed with the ALJ that research, development,

and commercialization of MCED tests in the United States is the

relevant market for evaluating the acquisition. Op. 24-34. It also agreed

with the ALJ that Illumina’s NGS platforms are a critical and

irreplaceable input for MCED test developers. Op. 35-39. To analyze the

merger’s effects, the Commission applied the well-established burdenshifting framework (Op. 23-24) which this Court endorsed in Chicago

Bridge & Iron Co. N.V. v. FTC, 534 F.3d 410 (5th Cir. 2008). Under that

framework, Complaint Counsel must first “establish a prima facie case

that an acquisition is unlawful.” Id. at 423. The merging parties may

then rebut that case “by producing evidence to cast doubt on the

accuracy of [Complaint Counsel’s] evidence as predictive of future anticompetitive effects.” Id. Finally, “if the respondent successfully rebuts

the prima facie case, the burden of production shifts back to [Complaint

Counsel] and merges with the ultimate burden of persuasion, which is

incumbent on [Complaint Counsel] at all times.” Id.

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The Commission found that Complaint Counsel established a

prima facie case of anticompetitive effects and that Illumina did not

adequately rebut that case.

1.

Anticompetitive Effects. The Commission analyzed the

anticompetitive effects of the acquisition under two overlapping

standards: one set forth by the Supreme Court in Brown Shoe Co. v.

United States, 370 U.S. 294 (1962), and a test applied in more recent

cases that examines whether a transaction will increase the ability

and/or incentive of the merged firm to foreclose competition. See, e.g.,

United States v. AT&T Inc., 310 F. Supp. 3d 161, 243-45 (D.D.C. 2018),

aff’d, 916 F.3d 1029 (D.C. Cir. 2019). Under both approaches, the

Commission found that Complaint Counsel demonstrated a prima facie

case that the merger may threaten competition.

Central to both analyses was the Commission’s finding that a

merged entity could impede or obstruct in multiple ways the efforts of

Grail’s rivals to develop and commercialize MCED tests—for example,

by raising the prices charged for NGS platforms; withholding or

degrading access to supplies, services, or new technologies; and

withholding or delaying cooperation that MCED test developers need to

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obtain regulatory approval for their product. Op. 43-44, 48-49. The

Commission also found that the merger significantly increased

Illumina’s incentives to employ these foreclosure strategies. Op. 45, 4953. As the owner of Grail, Illumina will earn much bigger profits from

the sale of Grail’s tests than it could by selling NGS platforms to Grail’s

rivals. Op. 49-50. The merged firm thus has “an enormous financial

incentive to place [its] thumb on the scale” by favoring Grail over its

competitors. Op. 45. The Commission found that use of these strategies

would harm competition (and ultimately American consumers) by

making it more difficult for Grail’s rivals to develop their products,

leading to reduced innovation, lower quality, and lower availability of

competing MCED tests. Op. 59-61.

2.

Illumina’s Defenses. The Commission held that Illumina did

6

not adequately rebut the prima facie case. It rejected the claim that an

“Open Offer” Illumina made to U.S. oncology customers, purporting to

provide them with access to the same NGS platforms available to Grail

at the same prices, would negate the merger’s anticompetitive effects.

6

The Commission majority opined that the Open Offer would more properly be

addressed at the remedy stage, after a finding of liability, but because it made no

difference to the outcome it analyzed the Offer on rebuttal. Op. 64-65.

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Op. 65-73. The Commission likewise rejected Illumina’s arguments that

the merger would generate various efficiencies and procompetitive

benefits that would offset the harms to competition. Op. 74-87.

3.

Constitutional Arguments. Having found the merger

unlawful, the Commission considered and rejected several

constitutional challenges to its authority. Op. 87-93.

4.

Remedy. The Commission ordered Illumina to divest Grail,

except for the 12% stake it owned before the acquisition, and also

imposed various interim requirements (which are stayed pending this

Court’s review). Op. 94-98.

G.

Commissioner Wilson’s Concurrence

Commissioner Christine S. Wilson authored a concurring opinion

differing with some aspects of the majority’s legal analysis but agreeing

that the Grail acquisition “is likely to lessen competition substantially

in the market for the research, development, and commercialization of

7

MCED tests” and therefore violates the Clayton Act. Conc. 1.

7

Commissioner Wilson would have addressed anticompetitive effects solely under

the ability-and-incentive test because she considered Brown Shoe’s focus on market

share out-of-step with modern antitrust analysis. Conc. 1-3. She also disagreed with

the Commission’s statement that the Open Offer would more properly be addressed

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Commissioner Wilson noted that “[e]ven with respect to those sections

of the Opinion that I do not join, I do rely on and adopt the factual

analysis contained therein.” Id. She specifically agreed with the

rejection of Illumina’s Open Offer and efficiencies defenses. Id. at 4-5.

SUMMARY OF ARGUMENT

This case presents a textbook example of a vertical merger that

threatens to stifle competition. What makes the Illumina-Grail merger

especially problematic is that rival MCED test developers depend on

access to Illumina’s NGS platforms and have no available substitutes,

now or in the near future. That gives the merged entity the ability to

tilt the playing field in Grail’s favor in multiple ways, and the merged

firm has a strong incentive to do whatever it can to keep other MCED

test developers at least one step behind Grail in the innovation race.

The Commission properly defined the relevant product market as

research, development, and commercialization of MCED tests.

Particularly relevant to this analysis is the overwhelming documentary

evidence showing that Grail views itself as competing with other MCED

at the remedy stage, see supra n.6, and did not join certain statements about

efficiencies defenses. Id. at 3-5.

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test developers in a distinct market. Illumina misses the mark with its

arguments that other MCED tests are not yet being sold and may

ultimately have different features from Galleri. The Commission was

concerned with preserving the existing vigorous competition in

research, development, and commercialization of MCED tests, not with

current sales. And it found that other MCED tests in development were

sufficiently similar to Galleri to give the merged firm a strong incentive

to foreclose competition.

The Commission also properly found a reasonable probability that

the merger will substantially lessen the existing competition among

MCED test developers. Substantial evidence supports the Commission’s

conclusions that Complaint Counsel established a prima facie case of

anticompetitive effects under both the ability-and-incentive test and

under Brown Shoe. Illumina does not challenge the Commission’s

factual findings that the Open Offer would not offset the merger’s

anticompetitive effects. Its argument that the Commission should have

addressed the Open Offer as part of the prima facie case is wrong, but

in any event that does not matter because the Commission fully

considered all the evidence and found the Offer fatally flawed. Further,

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the Commission properly found that Illumina’s claimed efficiencies were

unsubstantiated, not merger-specific, and unlikely to be passed along to

consumers. These findings are also supported by substantial evidence,

and the Court must decline Illumina’s repeated invitations to reweigh

the evidence.

None of Illumina’s constitutional arguments has merit. Illumina’s

nondelegation argument, based on Jarkesy v. SEC, 34 F.4th 446 (5th

Cir. 2022), cert granted, 2023 WL 4278448 (June 30, 2023) is directed to

the constitutionality of Section 13(b) of the FTC Act. That section,

enacted in 1973, gave the Commission authority to sue for a permanent

injunction in district court as an alternative to administrative

adjudication, but the Commission has never sought a permanent

injunction against Illumina under Section 13(b) so the nondelegation

issue is not presented here. In any case, unlike the statute in Jarkesy,

Section 13(b) did not give the Commission authority to determine who

gets a jury trial because it authorizes only the equitable remedy of an

injunction. Furthermore, Congress provided an intelligible principle to

guide the Commission’s choice of forum by directing it to consider the

public interest in deciding whether to proceed under Section 13(b) or

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administratively. The Supreme Court has long held that such directives

are sufficient to avoid any nondelegation problem.

Illumina’s argument that the structure of the Commission is

unconstitutional because Commissioners can be removed only for cause

is squarely barred by Humphrey’s Executor v. United States, 295 U.S.

602 (1935), which is binding on this Court. But even if Humphrey’s

Executor were to be overruled, that would not invalidate the

Commission’s decision, because it is undisputed that the Commissioners

were properly appointed, and Illumina cannot show any harm traceable

to the removal restriction.

Withrow v. Larkin, 421 U.S. 35 (1975), bars Illumina’s argument

that Commission proceedings violate due process because prosecutorial

and adjudicative functions are combined in the same agency. As due

process required, the agency staff responsible for prosecution were

walled off from the Commissioners once the complaint was issued.

Moreover, Illumina has not shown any actual bias by any of the

Commissioners.

Finally, Illumina’s equal protection claim fails because the

allocation of merger cases between the Commission and the

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Department of Justice is rationally related to legitimate government

purposes. Congress gave the Commission and DOJ overlapping

jurisdiction to enforce the Clayton Act, and the agencies’ allocation of

cases conserves resources, avoids duplicative proceedings, and allows

each agency to develop industry-specific expertise. Equal protection

does not give merging parties the right to enforcement in the forum of

their choice.

STANDARD OF REVIEW

This Court reviews the Commission’s ruling, not the ALJ’s. Impax

Labs v. FTC, 994 F.3d 484, 491 (5th Cir. 2021). The Commission’s

findings are “conclusive” if supported by substantial evidence, i.e., “such

relevant evidence as a reasonable mind might accept as adequate to

support a conclusion.” 15 U.S.C. §§ 21(c), 45(c); FTC v. Indiana Fed’n of

Dentists, 476 U.S. 447, 454 (1986). This is a “deferential review” that is

“no more searching than if [the Court] were evaluating a jury’s verdict.”

Impax, 994 F.3d at 492. The Court’s “task is not to reweigh the

evidence.” Chicago Bridge, 534 F.3d at 430. “The statute forbids a court

to make its own appraisal of the testimony, picking and choosing for

itself among uncertain and conflicting inferences.” Indiana Fed’n, 476

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U.S. at 454 (cleaned up). Rather, the Court “must accept findings

supported by [substantial] evidence even if suggested alternative

conclusions may be equally or even more reasonable and persuasive.”

Impax, 994 F.3d at 492 (cleaned up).

The Commission’s legal conclusions are reviewed de novo as to

both antitrust questions and constitutional issues. Chicago Bridge, 534

F.3d at 422; Jarkesy, 34 F.4th at 451.

ARGUMENT

Where a litigant raises both statutory and constitutional

arguments, a court “usually should pass on the statutory claim before

considering the constitutional question.” Califano v. Yamasaki, 442 U.S.

682, 692 (1979). Accordingly, we first show that Illumina’s substantive

antitrust challenges to the Commission’s order lack merit, and then

show that Illumina’s constitutional arguments also fail.

I.

THE COMMISSION PROPERLY FOUND THAT ILLUMINA’S

MERGER WITH GRAIL VIOLATES THE CLAYTON ACT.

The Clayton Act prohibits acquisitions the effect of which “may be

substantially to lessen competition, or to tend to create a monopoly.”

15 U.S.C. § 18. Congress used the words “may be” to “indicate that its

concern was with probabilities, not certainties.” Brown Shoe, 370 U.S.

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at 323. Because the Act was designed to “arrest anticompetitive

tendencies in their incipiency,” it “requires … a prediction of [a

merger’s] impact upon competitive conditions in the future.” United

States v. Phila. Nat’l Bank, 374 U.S. 321, 362 (1960) (cleaned up).

“[D]oubts are to be resolved against the transaction.” FTC v. Elders

Grain, Inc., 868 F.2d 901, 906 (7th Cir. 1989). The ultimate issue is

whether there is “a reasonable probability that the merger will

substantially lessen competition.” Brown Shoe, 370 U.S. at 325.

The Clayton Act applies equally to horizontal and vertical

8

mergers. United States v. E.I. du Pont de Nemours & Co., 353 U.S. 586,

590-92 (1957) (“DuPont I”) (Clayton Act always applied to vertical

mergers, and 1950 amendment made that clear); see also Heatransfer

Corp. v. Volkswagenwerk, A.G., 553 F.2d 964, 981-82 (5th Cir. 1977)

(affirming finding that vertical merger violated Clayton Act). “The

primary vice of a vertical merger … is that, by foreclosing the

competitors of either party from a segment of the market otherwise

8

Illumina argues that “most vertical mergers are procompetitive” (Br. 40, 58), but

it is well-recognized that a vertical merger may be anticompetitive, e.g., if it “so

narrow[s] the market that rivals or new entrants would have inadequate access to

low-cost inputs.” Phillip E. Areeda & Herbert Hovenkamp, Antitrust Law § 1008a

(Aug. 2022 update).

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open to them, the arrangement may act as a clog on competition.”

Brown Shoe, 370 U.S. at 323-24 (cleaned up).

This case involves a textbook example of a vertical merger that

threatens to clog competition in a developing industry. What makes

Illumina and Grail’s merger an especially clear statutory violation is

that Grail’s downstream competitors are completely dependent on

Illumina’s NGS platforms and have no available substitute today or in

the near future. A merged entity will thus have both the ability and a

strong financial incentive to disadvantage other MCED test

developers—Grail’s direct rivals—by raising the cost of this critical

input or denying or degrading access to it. That would reduce

competition among MCED test developers, leading to less innovation,

higher prices, and lower quality and availability of MCED tests.

A.

The Commission Properly Defined the Relevant

Market.

The first step in merger analysis is definition of the relevant

market, i.e., the “line of commerce” and the “section of the country”

where competition occurs. 15 U.S.C. § 18; Brown Shoe, 370 U.S. at 324.

Congress “prescribed a pragmatic, factual approach to the definition of

the relevant market and not a formal, legalistic one,” Brown Shoe,

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370 U.S. at 336; see also Ohio v. Am. Express Co., 138 S. Ct. 2274, 2285

(2018) (“[C]ourts should combine different products or services into a

single market when that combination reflects commercial realities.”)

(cleaned up). The Commission agreed with the ALJ that the relevant

product market here is research, development, and commercialization of

9

MCED tests. Op. 24-25; ID 164-68. The evidence supporting that

finding is overwhelming.

10

The Commission defined the product market using the Brown

Shoe methodology, which Illumina concedes is proper. Br. 34-35. Under

Brown Shoe, the “outer boundaries of a product market are determined

by the reasonable interchangeability of use” between the product and

substitutes for it. 370 U.S. at 325. Within that broad market, courts

examine several “practical indicia” to identify “submarkets” which “in

themselves[] constitute product markets for antitrust purposes.” Id.

“[T]he presence of some [indicia], and absence of others, is not

9

It is undisputed that the relevant geographic market is the United States.

10

Illumina’s argument that the Commission erred in not defining a “related

product market” (Br. 39 n.11) is raised only in a footnote and therefore waived. See,

e.g., Bridas S.A.P.I.C. v. Gov’t of Turkmenistan, 345 F.3d 347, 357 n.7 (5th Cir.

2003).

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dispositive.” Se. Mo. Hosp. v. C.R. Bard, Inc., 642 F.3d 608, 614 (8th

Cir. 2011).

The Commission focused on four of the Brown Shoe indicia.

Op. 26-29. First, the Commission found that MCED tests have peculiar

characteristics and uses that set them apart from other tests. Op. 26.

The defining characteristic of MCED tests, the Commission explained,

is that they can detect multiple forms of cancer at an early stage by

examining DNA fragments in the bloodstream. Id. Illumina effectively

conceded this point below. Op. 25-26; see also Br. 35 (characterizing

whether MCEDs are a distinct product line as a “non-issue”).

Second, the Commission found that MCED tests will have distinct

customers from other types of tests because they are designed for use by

asymptomatic adults, as opposed to patients with symptoms or a

diagnosis of cancer. Op. 26-27. Again, Illumina effectively conceded this

point below. Op. 27.

Third, the Commission found that MCED tests will have distinct

prices from other types of cancer tests because of “the need to attract a

unique population of asymptomatic individuals and to persuade payers

to reimburse the tests at population scale.” Op. 28. Illumina argues that

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the exact prices for other MCED tests are unknown because they are

not yet being sold (Br. 36), but that does not undermine the

Commission’s conclusion that the features and intended use of the tests

will result in distinct prices.

Finally, the Commission focused on “industry … recognition of the

[]market as a separate economic entity.” Op. 28; Brown Shoe, 370 U.S.

at 325. It cited copious evidence from Grail’s documents showing that

Grail views itself as competing with other MCED test developers in a

distinct market. Op. 28, 30-34. This evidence is particularly important

because courts “assume that economic actors usually have accurate

perceptions of economic realities.” Rothery Storage & Van Co. v. Atlas

Van Lines, Inc., 792 F.2d 210, 218 n.4 (D.C. Cir. 1986).

For example, in a 2020 presentation addressing

Op. 33; PX4250-002, -009. In a 2020 SEC filing,

Grail described itself as operating in an “intensely competitive”

environment and identified these same companies as “competitors” that

were “developing tests designed to detect cancer, including some that

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will use [genetic data] analyses like ours.” PX4082-036. In a 2021

presentation for a cancer research conference, Grail stated that MCED

tests were “evolving into a highly competitive landscape” and identified

several “[p]otential MCED direct competitor[s].” PX4616-017. Grail

regularly gathered intelligence on and monitored the activities of

potential competitors in the MCED space. See PX4048; Tr. 510-12.

Additionally, Illumina’s CEO at the time of the merger

acknowledged that the merged firm would be “compet[ing] with … some

of our customers,” including several of Grail’s MCED rivals. Tr. 222223. And executives from other MCED test developers likewise testified

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that they were directly competing with Grail and with each other. See

2504-05 (Guardant);

PX7042 at 98-100 (Singlera);

This evidence

leaves no doubt that Grail is currently engaged in vigorous competition

with other MCED developers to win the innovation race.

Illumina wrongly suggests that the Court should ignore this realworld evidence. Br. 37. But this Court has held that materials such as

“affidavits, documentary evidence, and deposition testimony”—

including “marketing and competitive strategies” showing that a group

of firms viewed themselves as a distinct industry and competed

vigorously with each other—is probative evidence on market definition.

C.E. Servs., Inc. v. Control Data Corp., 759 F.2d 1241, 1246 (5th Cir.

1985). The case Illumina cites merely held that certain lay opinion

testimony and internal marketing documents were not enough to

support the proposed market definition in that case, not that ordinarycourse documents and testimony are categorically irrelevant. Ky.

Speedway, LLC v. Nat’l Ass’n of Stock Car Auto Racing, Inc., 588 F.3d

908, 919 (6th Cir. 2009).

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Illumina’s other attacks on the Commission’s market definition

also lack merit. First, Illumina argues that other MCED tests are not

reasonably interchangeable with Galleri because they are not being sold

and their precise features and performance characteristics are not yet

known.

11

Br. 30-34. As the Commission explained, Illumina’s

arguments “miss the mark” because the issue in this case whether the

research, development, and commercialization of MCED tests

constitutes a distinct market, given all the evidence of existing vigorous

competition among MCED test developers. That turns on “whether

MCED tests will be sufficiently interchangeable in the future such that

the merged firm has an incentive to disadvantage Grail’s rivals as they

pursue research, development, and commercialization.” Op. 30. The

Commission found that the tests would be sufficiently interchangeable

because they all “share core features and functionality with Galleri”—

they are “designed to detect multiple cancers by blood draw in

asymptomatic patients”—and Grail “viewed rival products as

potentially developing into substitutes for Galleri.” Id.

11

Illumina asserts that any market entry by a rival firm is five to seven years

away (Br. 34), but the Commission found

Op. 15.

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The fact that other tests may have some different features or

performance characteristics from Galleri does not undermine the

Commission’s conclusion. “[P]roducts or services need not be identical to

be part of the same market.” AD/SAT v. Assoc. Press, 181 F.3d 216, 227

(2d Cir. 1999). Here, “different companies are taking different

approaches” to MCED tests as one would expect in a “nascent market

engaged in innovation.” Op. 31. The purpose of preserving competition

is to foster that innovation so that consumers have a choice. As Dr.

William Cance of the American Cancer Society testified, “we don’t have

a depth of knowledge yet in the complex area of human cancer to know

which test or tests … will be the most effective.” Tr. 621.

Illumina wrongly accuses the Commission of “denigrating” Galleri.

Br. 33. The portions of the Commission opinion Illumina cites (Op. 5456) discuss anticompetitive effects, not market definition, but in any

case the Commission’s findings are fully supported by the record. It is

undisputed that Galleri does not yet have FDA approval. Illumina’s own

expert acknowledged that Galleri has only been shown to detect seven

types of early-stage cancer in the intended use-population of

asymptomatic adults, not 50 as Illumina repeatedly claims. Op. 54; Tr.

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4000-01.

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And Grail’s own website states that a positive test may

require follow-up imaging for diagnostic confirmation. Op. 55; PX0063002; see also Tr. 1387; PX4207-040; RX3041-003. None of the other

purported facts that Illumina claims the Commission ignored have any

bearing on market definition.

Illumina’s argument that a product market analysis must always

begin by examining the “most narrowly-defined group of products”

(Br. 34-35) is also wrong. Brown Shoe expressly contemplates that the

market analysis may start with a broad group of all reasonably

interchangeable products, which can then be narrowed into distinct

submarkets based upon the practical indicia. See 370 U.S. at 325.

Indeed, the Court there rejected an argument that the market for

“children’s shoes” should be further subdivided based on age and sex

because “[f]urther division does not aid us in analyzing the effects of

this merger.” Id. at 327. The iterative broadening process Illumina

describes comes from a different method for defining markets called the

hypothetical monopolist test (“HMT”), which the Commission did not

12

As the Commission explained, the 50-cancer claim is based on a study that

included patients already diagnosed with cancer. Op. 13.

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apply here and which differs from the Brown Shoe analysis.

13

Notably,

Illumina’s expert agreed that it is not a requirement to begin with the

smallest possible market. PX7132-029.

Illumina’ remaining cases (Br. 37-38) are inapt. Illumina cites

SCM Corp. v. Xerox Corp, 645 F.2d 1195 (2d Cir. 1981), for the

proposition that the Clayton Act requires potential harm to competition

in an existing market, id. at 1211, but here the Commission focused on

the existing market for research, development, and commercialization

of MCED tests. Golden Gate Pharmacy Services, Inc. v. Pfizer, No. C-093854, 2010 WL 1541257 (N.D. Cal., April 16, 2010), rejected a proposed

market defined as the “pharmaceutical industry” because all

pharmaceuticals are not interchangeable, id. at *3, but here the

Commission focused on one category of medical tests sharing core

features and functionality. Mercantile Texas Corp. v. Board of

13

See generally Dep’t of Justice & FTC, Horizontal Merger Guidelines § 4.1.1

(2010) (describing HMT). Although the HMT is often a useful way to define

markets, it is not required. The Commission did not apply the HMT here because it

concluded the necessary cross-elasticity data was not available given the nature of

the market. Op. 29 n.12. FTC v. Arch Coal, 329 F. Supp. 2d 109 (D.D.C. 2004),

discusses the “narrowest market” principle in the context of an HMT analysis. Id. at

120-21.

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Governors of the Federal Reserve System, 638 F.2d 1255 (5th Cir. 1981),

does not involve market definition and has no relevance to this case.

B.

14

The Commission Properly Found a Prima Facie Case

of Anticompetitive Effects.

The Commission majority held that Complaint Counsel

established a prima facie case of anticompetitive effects under both

Brown Shoe and the ability-and-incentive test. The Commission

properly applied both tests and substantial evidence supports its

conclusions. Because all four Commissioners agreed on the ability-andincentive test, and Illumina agrees that test is proper (Br. 46), we begin

there.

1.

The Commission Properly Found a Prima Facie

Case Under the Ability-and-Incentive

Framework.

The Commission properly found that Complaint Counsel

established a prima facie case by showing that Illumina had the ability

to foreclose competition among MCED test developers and that the

merger substantially increases its incentive to do so. Op. 47-61.

14

Contrary to Illumina’s claims, Mercantile Texas did not hold that courts may not

“consider market entry that will not occur within two or three years.” Br. 38. It held

that if a potential competitor’s likely market entry were further away than that, the

antitrust analysis should address whether market concentration might change in

that time period. 638 F.2d at 1272.

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Illumina does not dispute that it has the ability to foreclose competition.

Its arguments focus entirely on the incentive side of the test. Br. 47-55.

But substantial evidence, including Illumina and Grail’s internal

documents and expert economic analysis, supports the Commission’s

finding that the merged firm has an increased incentive to take actions

that would hinder the development and commercialization of MCED

tests that might compete with Galleri.

15

Contrary to Illumina’s claims (Br. 48), the Commission properly

compared Illumina’s incentives in a world without the Grail acquisition

to Illumina’s incentives as 100% owner of Grail. The Commission

explained that before the merger, Illumina stood to derive only a small

share of profits from Grail’s sale of MCED tests, based on its 12%

ownership stake in Grail and the royalty Illumina receives on sales of

Grail products. Op. 49. Under those circumstances, if Illumina sought to

favor Grail over rival MCED test developers, the benefit it would

receive would be significantly offset by the NGS revenue it would lose if

15

The Commission credited the testimony of Complaint Counsel’s economic

expert, Dr. Fiona Scott Morton, finding that she was “highly qualified to offer

economic opinions for this case.” Op. 47 n.31. Dr. Scott Morton is a professor at the

Yale School of Organization and Management who studies and conducts research

regarding competitive strategy and industrial organization. PX6090 ¶¶ 1-6.

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a rival’s MCED business were to shrink. Id.; see PX6090 ¶ 196. Thus

Illumina had at most a small incentive to engage in a foreclosure

strategy. Op. 49.

As the 100% owner of Grail, however, Illumina’s incentives change

dramatically. For tests sold by Grail, Illumina will earn a profit on NGS

sales plus 100% of the profit on Grail’s sales, whereas for tests made by

other companies it will earn a profit only on NGS sales. Op. 49-50. Since

Illumina now will earn substantially more profit on Grail’s tests than it

would on a test sold by another developer, it has a substantially

increased incentive to favor Grail over other test developers. Op. 49-50;

PX7138 at 57.

As the Commission found (Op. 50-51), Illumina’s and Grail’s

internal documents bolster the conclusion that the merger will

substantially increase Illumina’s foreclosure incentive. The Grail

acquisition was a key part of Illumina’s strategy to

PX2465 at 3. Illumina saw Grail’s MCED business as a

, PX2151 at 5, and

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, PX2488 at 8.

.

Post-merger, Illumina thus has “a powerful economic incentive to use

its control over the NGS platform to hamstring GRAIL’s competitors as

they pursue commercialization and eventual FDA approval.” Op. 51.

The Commission found that Illumina’s past conduct bolsters the

conclusion that the Grail acquisition heightened Illumina’s incentive to

foreclose. When Illumina was Grail’s sole owner, it gave Grail deep

discounts on pricing and other benefits that were not available to other

firms. When Illumina reduced its ownership to a minority stake, it

eliminated these benefits to “level[] the playing field” and “accelerate

the liquid biopsy market for all.” Op. 11, 52; PX2406-005. As the

Commission found, these statements acknowledge the existence of

competition and raise concerns that Illumina’s reacquisition of Grail

will “re-tilt” the playing field. Op. 52-53.

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Additionally, when Illumina vertically expanded into therapy

selection tests (used to help clinicians choose the appropriate treatment

for cancer patients), it began to see some NGS customers in that market

as competitive threats, and took that into account in deciding whether

to support their efforts to obtain FDA approval. Op. 53; see PX2095-002

(arguing

); Tr. 2085 (discussing “cannibalization” of Illumina’s

business). The Commission found that this “real-world evidence”

showed that Illumina “rationally acted on its incentives in determining

the amount of cooperation it would provide to downstream competitors,”

and that Illumina “can be expected to similarly limit support for MCED

rivals after the Acquisition.” Op. 53.

Illumina’s arguments (Br. 48-55) essentially ask the Court to

reweigh the evidence, which is improper under the substantial evidence

standard. For example, Illumina argues that other MCED tests are not

reasonable substitutes for Galleri and hence will not divert sales.

Br. 49-50. But the Commission cited extensive evidence that other tests

are sufficiently close substitutes to Galleri that they could divert sales—

making it economically advantageous for Illumina to try to slow or halt

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their development. See Op. 54-57. And as noted above (at 27-28) the fact

that other tests may not be identical to Galleri does not mean they will

not meaningfully compete with it. See AD/SAT, 181 F.3d at 227.

Substantial evidence likewise supports the Commission finding

that concerns about reputational harm will not constrain Illumina from

engaging in foreclosure strategies. The record showed that Illumina has

the ability to target MCED customers specifically. Op. 57-58 (citing IDF

¶¶ 746-759, 766-778). Moreover, Illumina could undercut MCED test

developers’ access to NGS platforms in subtle ways that would not be

apparent to other customers and thus would not cause reputational

harm. Op. 58 (citing PX7105 at 69-71; PX7113 at 277; PX7058 at 17477). And the fact that MCED customers have no alternative to

Illumina’s NGS platforms limits Illumina’s potential losses. Op. 58.

Illumina claims there is evidence of actual and potential competition in

the NGS market (Br. 51-52), but the Commission carefully analyzed the

evidence and concluded (in agreement with the ALJ) that Illumina’s

NGS platforms are the only ones suitable for use in MCED testing now

or in the near future. Op. 7-9, 36-40; see also ID 151-52.

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Illumina is mistaken in asserting (Br. 54-55) that the Commission

“ignored” its 2013 acquisition of Verinata, which makes noninvasive

prenatal tests (“NIPT”). Although Illumina contends that the Verinata

merger had procompetitive effects, that acquisition involved a very

different market situation because—as Illumina acknowledges—there

were already four NIPT providers on the market and Verinata was not

the first to market. See RFF ¶ 953. But the Commission raised concerns

about Illumina’s conduct with respect to Verinata,

Op. 33 (citing

). Other evidence raises

additional concerns about Illumina’s tactics, including a presentation

showing that Illumina wanted to “[c]reate a cost structure for Natera

that they can’t sustain or introduce[] a reasonable price floor” and to

“[l]ock in” another NIPT competitor “in order to ensure … [m]arket

price floor.” PX2076-003.

Finally, Illumina’s assertion that it does not expect to earn a profit

on the purchase of Grail until 2026 or fully recoup the cost of purchase

until 2030 (Br. 52) does not undercut the Commission’s findings.

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Presumably Illumina would not have invested $8 billion to purchase

Grail if it did not think the transaction would be profitable in the long

term.

2.

The Commission Properly Found a Prima Facie

Case Under Brown Shoe.

The Commission majority also properly found a prima facie case of

anticompetitive effects under Brown Shoe and its progeny. That

approach begins by examining the “share of the market foreclosed,”

which is an “important” but not necessarily “determinative”

consideration in determining whether a vertical merger may

substantially lessen competition. Brown Shoe 370 U.S. at 328. “[I]f the

share of the market foreclosed is so large that it approaches monopoly

proportions, the Clayton Act will, of course, have been violated,” but

otherwise courts must examine other “economic and historical factors”

to determine whether the transaction may have an anticompetitive

effect. Id. at 328-29.

In keeping with this approach, the Commission first found that

the share of the market foreclosed was “very substantial” because NGS

platforms are a critical input for MCED test developers and Illumina is

the only viable supplier of that technology. Op. 42-45. Illumina could

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exploit its dominance to gain a competitive advantage over Grail’s

MCED rivals, including by raising prices for NGS platforms,

withholding or degrading access to service or supplies or new products,

and delaying or withholding cooperation necessary to obtain regulatory

approval. Op. 43-45.

The Commission then turned to other factors discussed in Brown

Shoe and its progeny, starting with the “nature and purpose” of the

acquisition. Brown Shoe, 370 U.S. at 329. That factor supported a

finding of likely anticompetitive effects, since Illumina’s stated purpose

for the merger was to shift the balance of its revenues away from NGS

platforms and toward clinical testing, which Illumina saw as an

enormous profit opportunity. Op. 45-46. Another relevant factor is “the

degree of market power … possessed by the merged enterprise.”

Fruehauf Corp. v. FTC, 603 F.2d 345, 353 (2d Cir. 1979). That factor

also supported a prima facie case, since Grail is the only current seller

of MCED tests and will directly benefit from the merged firm’s use of

foreclosure strategies against its competitors. Op. 46. “[B]arriers to

entry” are also a relevant factor. Ford Motor Co. v. United States, 405

U.S. 562, 571 (1972); see also Fruehoff, 603 F.2d at 353 (”capital cost”

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and “market share needed … to achieve a profitable level of production”

are relevant factors). The Commission found that the merger will likely

raise entry barriers, because developing an MCED test is an extremely

costly and time-consuming process, and companies are less likely to

make the necessary investments to enter the market if they are

completely dependent on a sole-source supplier that is also a

competitor. Op. 47-48.

There is no merit to Illumina’s arguments that the Commission

misapplied Brown Shoe. Br. 41-46. Contrary to Illumina’s claim (Br. 4142), the Commission did not rely on mere “possibilities.” The

Commission found a “reasonable likelihood” that the merger will

substantially lessen competition (Op. 41-42), which is the proper

standard. See Brown Shoe, 370 U.S. at 323 n.39, 324; Chicago Bridge,

534 F.3d at 423. The Clayton Act does not require proof of more because

its purpose is to “arrest restraints of trade in their incipiency and before

they develop into full-fledged restraints.” Id.

Nor did the Commission apply a per se rule or rely solely on

market share, as Illumina claims. Br. 42-43. The Commission

considered the share of the market foreclosed, as instructed by Brown

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Shoe, and then proceeded to analyze other factors. Illumina faults the

Commission for not addressing all of the Brown Shoe factors (Br. 43),

but as the Commission noted, the Supreme Court has found mergers

unlawful where only some of the factors were satisfied. Op. 42 n.27

(citing Ford Motor, 405 U.S. at 566-70); see also Fruehoff, 603 F.2d at

353 ("[T]here are no precise formulas for determining whether a vertical

merger may probably lessen competition."). Illumina makes no showing

that the omitted factors were relevant to this case or that consideration

of them might have changed the analysis.

Illumina's argument that "the merger will cause no actual

foreclosure today'' because Galleri is the only MCED currently being

sold (Br. 44) focuses on the wrong market. The Commission properly

found a reasonable likelihood that the merger will foreclose the

competition existing today between Grail and other firms to develop and

commercialize MCED tests.

16

Op. 40-41.

Illumina's challenges to the Brown Shoe-related factual findings

(Br. 43-46) of the Commission likewise fail. Although Illumina argues

16

Illumina's citation to Mercantile Texas a ain misstates that case's holdin

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that the purpose of the merger was simply to “accelerate Galleri and

save lives” (Br. 44), ample evidence showed that the Grail acquisition

was part of a long-term strategy by Illumina to shift its profit center

away from NGS platforms and toward clinical testing. PX2151-005;

PX2169-045; PX2465-006 to -008; PX2488-009. And as discussed below

(at 56), the Commission found that Illumina offered only unsupported

speculation to support its claims of market acceleration and potential

lives saved. Given this record, the Commission was not required to

credit self-serving testimony from Illumina and Grail executives that

they acted out of altruism.

17

Illumina is also off base in arguing that the merger will not

change the merged firm’s market power. Br. 45. As the Commission

explained, Illumina already has the power to foreclose competition

among MCED test developers and the merger will give it an increased

incentive to foreclose because it will be directly competing with Grail’s

rivals. Op. 52-53; cf. Ford Motor Co., 405 U.S. at 571 (vertical

17

Illumina is not aided by its reference to Professors Areeda and Hovenkamp’s

discussion of the “antitrust injury” a private plaintiff must demonstrate to have

standing to sue. Br. 45. That requirement does not apply to the United States

government. See Phillip E. Areeda & Herbert Hovenkamp, Antitrust Law § 335a

(May 2023 update).

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acquisition violated § 7 where the merged firm had “every incentive” to

foreclose rivals).

Finally, although Illumina contends that the merger will not

increase barriers to entry (Br. 45), the Commission cited ample evidence

that the merger will disincentivize firms from undertaking the large

investments necessary to develop an MCED test, including testimony

from several of Grail’s leading competitors, see Op. 47;

. Illumina argues that

the ALJ gave scant weight to this evidence (Br. 45-46), but Congress

gave the ultimate authority to weigh evidence to the Commission, not

the ALJ. See Impax, 994 F.3d at 491.

C.

The Commission Properly Held That the Open Offer

Does Not Offset the Merger’s Anticompetitive Effects.

The Commission carefully analyzed the evidence concerning

Illumina’s “Open Offer” and properly concluded that the Offer does not

“eliminate Illumina’s ability to favor GRAIL and harm GRAIL’s rivals”

or “fundamentally alter its incentive to do so.” Op. 73.

18

18

Illumina does

Commissioner Wilson agreed that “the Open Offer does not prevent Illumina

from advantaging GRAIL relative to GRAIL’s rivals” or “eliminate the predicted

anticompetitive effects of the transaction,” and that “even after considering the

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not contend that any of these findings are unsupported by substantial

evidence and has shown no basis for overturning them.

As the Commission explained, the flaws in the Open Offer are

legion. First, Illumina’s offer to provide price parity to Grail’s rivals is

illusory because after the merger, the “prices” charged to Grail are

internal transfer prices that can be adjusted at will. Op. 67-68.

Illumina’s own expert conceded that “GRAIL doesn’t technically pay a

price” and that any “price” charged by Illumina would be a made-up

scenario. Op. 68; RX6000-36. Second, the offer to provide comparable

service to Grail’s competitors would be easy to evade. Op. 68-69. The

Open Offer allows Illumina to give Grail advance access to information

about new products still in development or to design NGS sequencers

specifically to optimize performance for Grail. Op. 69-70. And the Offer’s

firewall to protect MCED rivals’ competitive information is “unusually

porous and inherently flawed.” Op. 70. Finally, enforcement of the

Offer’s terms would be difficult and of limited effect. Op. 71-72.

effects of the Open Offer, anticompetitive effects are likely and the transaction is

likely to lessen competition substantially.” Conc. 4-5.

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Illumina’s argument that the Commission erred by not addressing

the Open Offer as part of Complaint Counsel’s prima facie case (Br. 5758) is a red herring. As this Court held in Chicago Bridge (which

Illumina does not reference), burden-shifting is “a flexible framework

rather than an air-tight rule,” and “in practice, evidence is often

considered all at once and the burdens are often analyzed together.” 534

F.3d at 424. Here, Complaint Counsel produced evidence in its case-inchief that the Open Offer was ineffective, see, e.g., PX6090 ¶¶ 305-315,

and Illumina attempted to produce contrary evidence in the defense

case. Although the Commission addressed this evidence at the rebuttal

stage of the analysis, the result would have been no different if it had

been considered at the prima facie stage, given the Commission’s

findings that the Offer is full of holes and would not offset the

anticompetitive effects of the merger.

In any case, the Commission did not err by addressing the Open

Offer at the rebuttal stage. Illumina’s argument is a variation on one

this Court rejected in Chicago Bridge, where the merging parties

claimed that the Commission improperly shifted the burden of

persuasion on their market entry defense. 534 F. 3d at 425. The Court

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held that the Commission had properly imposed the burden of

production on the merging parties, i.e., “the obligation to come forward

with evidence” to support their defense. Id. Once such evidence is

introduced, the Court explained, the Commission must “judge whether

the nexus between the rebuttal arguments and the proffered evidence is

plausible so as to satisfy the burden of production as a matter of law.”

Id. While the Commission cannot impose “too exacting a standard,” it

“has some discretion to decide if the [merging parties’] proffered

evidence justifies [their] arguments in rebuttal.” Id. at 425-26. Where

Complaint Counsel has anticipated and addressed the rebuttal evidence

in its prima facie case, as in both Chicago Bridge and this case, the

merging parties’ “burden of production on rebuttal is also heightened.”

Id. at 426. Here, the Commission properly determined that the Illumina

did not meet its burden of production because the evidence did not show

that the Open Offer would significantly counteract the merger’s

anticompetitive effects.

The Commission did not err by placing the burden on Illumina to

produce evidence that the Open Offer would be effective. “Where the

facts with regard to an issue lie peculiarly in the knowledge of a party,

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that party is best situated to bear the burden….” Smith v. United

States, 568 U.S. 106, 112 (2013) (cleaned up). Here, Illumina crafted the

Open Offer and continued to modify it even while trial was proceeding.

Because the facts regarding the Offer were peculiarly within Illumina’s

knowledge and control, Illumina bore the burden to produce evidence

that the Offer would remedy the merger’s anticompetitive effects. As

the Commission explained, placing the burden on Complaint Counsel

would “create a perverse incentive for merging parties to propose socalled fixes that leave some portion of competitive harm unremedied,

requiring the government to keep up with shifting proposals that

change, as this one did, in the midst of litigation, and forcing the public

to live with partial remedies that do not fully restore competition.”

Op. 64; see also Conc. 4 (agreeing that “the burden of showing the

competitive effects of the Open Offer falls on [Illumina]”).

United States v. E.I. du Pont de Nemours & Co., 366 U.S. 316

(1961) (“DuPont II”), supports the Commission’s conclusion that

Illumina bore the burden of production here. In that case the Supreme

Court held that “[t]he burden is not on the Government” to show that a

proposed remedy for a Clayton Act violation would itself violate § 7, and

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that complete divestiture is the appropriate remedy if there is a

“substantial likelihood” that the proposed alternative remedy would not

“satisfactorily eliminate[]” the anticompetitive effects. Id. at 331-32

(cleaned up). Although Du Pont involved a remedy that was proposed

after a finding of liability, as an alternative to complete divestiture, the

Commission majority and Commissioner Wilson, writing separately,

both noted that lower courts have applied the same principles when

considering proposed remedies at the liability stage. See, e.g., United

States v. Aetna Inc., 240 F. Supp. 3d 1, 60 (D.D.C. 2017) (“In rebuttal, a

defendant may introduce evidence that a proposed divestiture would

restore the competition lost by the merger counteracting the

anticompetitive effects of the merger.”) (cleaned up); FTC v. Staples,

Inc., 190 F. Supp. 3d 100, 137 n.15 (D.D.C. 2016) (merging parties “bear

the burden of showing that any proposed remedy would negate any

anticompetitive effects of the merger”); FTC v. Sysco Corp, 113 F. Supp.

3d 1, 72-73 (D.D.C. 2015) (placing burden on merging parties to show

partial divestiture would replace competitive intensity lost by the

merger.)

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As the Commission noted (Op. 63-64), the cases cited by Illumina

(Br. 55) are not to the contrary. In United States v. AT&T, Inc., 916

F.3d 1029 (D.C. Cir. 2019), the district court held that the government

failed to establish a prima facie case under the ability-and-incentive

test, and described evidence of certain arbitration agreement offers as

“extra icing on a cake already frosted.” Id. at 1038. It did not hold that

the government had the burden of producing evidence concerning those

agreements. In United States v. UnitedHealth Group, Inc., 630 F. Supp.

3d 118 (D.D.C. 2022), the court held that even applying the

government’s proposed standard, the defendants’ evidence that a

proposed divestiture would offset a merger’s anticompetitive effects was

sufficient to rebut the government’s prima facie case. Id. at 134-35, 140.

Although the court expressed its view that the government should bear

the initial burden of showing the merger would substantially lessen

competition with the proposed divestiture in place, that discussion is

merely dicta and, as the court acknowledged, contrary to cases such as

Aetna and Sysco. Id. at 132-33. United States v. Libbey, Inc., 211 F.

Supp. 2d 34 (D.D.C. 2002), merely held that where the original merger

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agreement was superseded by an amended agreement, review should

focus on the amended agreement. Id. at 46.

Finally, the Commission properly rejected Illumina’s argument

(renewed here at Br. 57) that the Open Offer should not be treated as a

proposed remedy because it is supposedly a “market reality.” Op. 62-63.

As the Commission noted, the Offer was not “some preexisting market

condition or ‘economic reality’ but a remedial effort crafted in

anticipation of legal concerns about the Acquisition.” Op. 62. The Offer

was conditioned on Illumina’s purchase of Grail; its terms are subject to

ongoing modification; and it only applies to customers who sign the

agreement (which not all MCED test developers have done). Id. The

Commission properly held that the Open Offer should be analyzed the

same way as other proposed remedies.

D.

The Commission Properly Found That Illumina’s

Claimed Efficiencies Did Not Rebut the Showing of

Anticompetitive Effects.

The Commission properly rejected Illumina’s claims that various

purported efficiencies could justify the merger. Op. 74-87. No court has

ever held that efficiencies immunized an otherwise unlawful

transaction, and several courts have expressed skepticism that an

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efficiencies defense is even cognizable. E.g., FTC v. Hackensack

Meridian Health, Inc., 30 F.4th 160, 176 (3d Cir. 2022); United States v.

Anthem, Inc., 855 F.3d 345, 353-54 (D.C. Cir. 2017); FTC v. Penn State

Hershey Med. Ctr., 838 F.3d 327, 347-48 (3d Cir. 2016); St. Alphonsus

Med. Ctr.-Nampa, Inc. v. St. Luke’s Health Sys., 778 F.3d 775, 789-90

(9th Cir. 2015).

At a minimum, though, a party asserting the defense must meet

several strict requirements. First, because “the language of the Clayton

Act must be the linchpin of any efficiencies defense,” the evidence must

be sufficient to show that the merger is not anticompetitive. St.

Alphonsus, 778 F.3d at 790. Second, the efficiencies must be “mergerspecific,” meaning they “cannot be achieved by either company alone” or

by other means “without the concomitant loss of a competitor.” Id. at

790-91; Penn State Hershey, 838 F.3d at 348. Third, the efficiencies

must be “verifiable, not speculative.” and “must be shown in what

economists label ‘real’ terms.” Id. at 348-49 (cleaned up). Fourth, the

efficiencies “must not arise from anticompetitive reductions in output or

service.” Id. at 349. Finally, the benefits from the efficiencies must

actually be passed through to consumers. Anthem, 855 F.3d at 362; FTC

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v. University Health, Inc., 938 F.2d 1206, 1223 (11th Cir. 1991). The

Commission properly considered these requirements and concluded that

Illumina’s claimed efficiencies were “unverified, not merger-specific,

and to the extent they might somehow come to pass, not likely to benefit

the public.” Op. 76.

19

Illumina’s claims of legal error (Br. 60-64) mischaracterize the

Commission’s decision. The Commission did not shift the burden of

persuasion to Illumina. It recognized that the burden of persuasion

“remains with the government at all times” (Op. 24), but found

Illumina’s evidentiary showing insufficient to rebut Complaint

Counsel’s prima facie case. Nor did the Commission conclude that

testimony of Illumina’s business executives was “legally irrelevant,” as

Illumina claims. Br. 61. The Commission found that much of the

specific testimony offered by Illumina consisted of unsupported

speculation and was not independently verifiable. The legal standards

applied by the Commission are correct and consistent with governing

case law discussed above.

19

Commissioner Wilson agreed that Illumina “failed adequately to substantiate

[its] claims.” Conc. 5.

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Illumina’s claims that the Commission’s specific findings are not

supported by substantial evidence also fall flat.

Grail Royalty: The Commission found that Illumina failed to show

that elimination of the royalty paid by Grail to Illumina was mergerspecific, pointing to

. Illumina asserts

(Br. 65) that these scenarios were not viable, but as the Commission

noted, the undisputed evidence is that

, so there is no way to tell whether they might have been

accepted. Op. 84; Tr. 3086-87.

In any event, even if this could be characterized as a mergerspecific benefit, the Commission found no evidence that the royalty

reduction (or any of the other claimed efficiencies) would be passed

through to consumers, given “the current absence of a commercial

alternative to Galleri and the corresponding absence of a competitive

pressure to pass through.” Op. 86. Illumina’s expert merely assumed

100% pass-through and conceded that he could not model the effects of

a reduction in Grail’s royalty. Op. 86-87; RX3864 at 73 n.270; RX6000

at 125-26. Illumina argues that some portion of a reduced cost would be

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passed through to consumers (Br. 67), but it was Illumina’s burden to

demonstrate that through economic analysis of this specific market

(e.g., by showing what portion of the costs will be passed through), and

it failed to do so. Op. 87.

EDM: The Commission concluded that Illumina’s evidence of

efficiencies resulting from the elimination of double marginalization

(“EDM”) were not adequately substantiated and that there was no

evidence any savings would be passed through to consumers. Op. 84,

87.

20

Illumina’s economic expert conceded that he could not reliably

quantify the value of EDM, and that his calculations were “intended

only to be illustrative,” and relied on “assumptions” about cost

passthrough. Op. 84.

Illumina does not dispute these findings but argues that EDM

should have been addressed as part of Complaint Counsel’s prima facie

case. Br. 66. Yet Illumina’s expert agreed that EDM is an efficiency.

RX3864 ¶ 101. As the Commission found, courts have uniformly held

that the merging parties bear the burden of production as to

20

Illumina’s counsel conceded at oral argument before the Commission that EDM

“is not one of the more significant efficiencies.” Oral Arg. Tr. 56.

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efficiencies. See, e.g., St. Alphonsus, 778 F.3d at 791; see also Steven C.

Salop, Invigorating Vertical Merger Enforcement, 127 Yale L.J. 1962,

1981 (2018) (in vertical mergers, “[b]ecause the merging parties have

better access to the relevant information, they also bear the burden of

producing evidence of efficiency benefits, just as they do elsewhere in

antitrust”).

21

Supply Chain/Operational Efficiencies: Illumina is wrong in

claiming that the Commission rejected claimed supply chain and

operational efficiencies “principally because Grail had made some

operational improvements on its own.” Br. 66. The Commission rejected

the claimed efficiencies primarily because they were speculative and

unsupported; they were based on a single spreadsheet with no

explanation of how the numbers were generated or the assumptions

underlying the cost savings. Op. 84. The fact that Grail was improving

operations on its own (which Illumina does not dispute) was an

additional factor that made it “difficult to tell what incremental value, if

any, the Acquisition will provide.” Op. 85.

21

Commissioner Wilson’s 2020 remarks, which Illumina cites, did not argue that

Complaint Counsel should bear the burden of demonstrating efficiencies, and

Commissioner Wilson agreed that Illumina’s efficiencies claims failed here.

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R&D Efficiencies: Contrary to Illumina’s assertion (Br. 67), the

Commission rejected Illumina’s claimed research and development

efficiencies because they were not adequately verified, not because they

were based on testimony by company executives. Illumina “failed to

identify the nature or timing of specific, concrete research advances; to

quantify their value; or to account for the likely costs of or barriers to

achieving them.” Op. 77.

Market Access Acceleration: The Commission had multiple reasons

for rejecting Illumina’s claim that the merger would save lives by

accelerating FDA approval and payer acceptance for Galleri. First, the

claim was based on vague and unsupported speculation. Illumina’s

economic expert assumed that the merger would accelerate Galleri’s

market acceptance by one year, but the only evidence to support that

claim came from Illumina’s chief medical officer (“CMO”), who testified

as to the company’s “feel[ing]” but provided no supporting analysis.

Op. 78-79, Tr. 4360-61. The Commission also noted that Illumina did

not account for any market acceleration in its financial modeling for the

Grail acquisition, which “gives reason to question whether it will

actually occur.” Op. 79. Illumina claims that it was being “conservative”

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(Br. 69), but the Commission credited expert testimony that this

explanation was implausible given the

. Op. 79; PX6092 ¶48,

PX7140 at 25-27. Illumina also failed to quantify the costs it would

incur to achieve the purported market acceleration. Op. 79.

Furthermore, Illumina failed to produce any credible evidence as

to how the claimed acceleration might occur. Illumina’s CMO testified

that “

. Op. 79. Despite Illumina’s claim

of superior FDA experience, it has obtained only one approval in the

relevant area, and that was not for a liquid biopsy test.

.

Op. 80-81; PX2593-001.

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Illumina also failed to show that any regulatory acceleration

would be merger-specific. Op. 80-81. The Commission found that Grail

already had significant FDA experience. Given the enormous profits

Illumina says are anticipated from Galleri, a stand-alone Grail would

have a “massive financial incentive to accelerate market acceptance,”

either by expanding its own capabilities or by partnering with another

firm. Op. 81.

The Commission likewise found that Illumina’s claims that the

merger would accelerate payer acceptance of Galleri amounted to

“vague aspirations” and lacked the “verifiable, analytical plan needed to

support an efficiency claim.” Op. 81-82. These claims were also not

merger-specific because the evidence showed that Illumina’s experience

was limited and not impossible to replicate, and that Grail was capable

of working to obtain market access on its own.

All of these conclusions are supported by substantial evidence, as

shown by the Commission’s extensive citations to the record. Stripped

to its essence, Illumina’s argument (Br. 68-70) is that the Commission

should simply have credited the say-so of its company executives. But

the Commission reasonably and unanimously concluded that this

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evidence was not sufficient to establish a verifiable, merger-specific

efficiency that would benefit consumers.

International Expansion: Illumina also claims that the merger will

accelerate international expansion of Galleri, but as the Commission

found, a merger cannot be justified based on asserted efficiencies

outside the relevant market (here, the United States). Op. 86 (citing

Phila. Nat’l Bank, 374 U.S. at 370). In addition, the Commission found

that any claimed benefits from international expansion were not

verified or merger-specific. Illumina failed to produce concrete,

verifiable evidence that international expansion would produce mergerspecific benefits that would be passed on to American consumers.

ILLUMINA’S CONSTITUTIONAL CHALLENGES LACK MERIT.

II.

Illumina also raises several constitutional challenges. None has

merit.

22

22

Several amici also raise constitutional arguments, but all arguments not made

by Illumina are waived. See, e.g., United States v. Fernandez, 48 F.4th 405, 412 (5th

Cir. 2022).

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Illumina’s Nondelegation Argument Is Waived, Not

Properly Presented, and Wrong.

The Commission correctly found that Illumina waived its

nondelegation argument by failing to raise that argument before trial.

Op. 87.

23

Even if the nondelegation argument is not waived, it is not

properly presented here. Illumina relies on this Court’s decision in

Jarkesy, where the petitioner was subject to an administrative penalty

under a statute that gave the SEC “unfettered discretion” to impose

penalties administratively rather than by suing in court. 34 F.4th at

459-63.

24

Illumina argues that Congress gave the FTC analogous

discretion in 1973 by enacting Section 13(b) of the FTC Act, 15 U.S.C.

23

Carr v. Saul, 141 S. Ct. 1352 (2021), reiterated the general rule that litigants

must raise issues before the agency to preserve their right to judicial review when

the agency proceeding is adversarial. Id. at 1358. Contrary to Illumina’s argument

(Br. 18 n.4), Carr did not categorically exempt structural constitutional issues; it

held that in the “specific context” of Social Security ALJ hearings, which have many

inquisitorial features, the fact that a structural constitutional issue was involved

“tipp[ed] the scales” against treating the matter as adversarial. Id. at 1360. Unlike

Social Security proceedings, FTC adjudications are adversarial, and this Court has

held that failure to properly raise an issue before the Commission generally

precludes judicial review. Cotherman v. FTC, 417 F.2d 587, 591-92 (5th Cir. 1969);

see also Cmty. Fin. Servs. Ass’n of Am. v. CFPB, 51 F.4th 616, 633 n.6 (5th Cir.

2022) (nondelegation argument not raised below was forfeited), cert. granted on

other grounds, 143 S. Ct. 978 (2023).

24

The Supreme Court granted certiorari in Jarkesy on June 30. The FTC

respectfully preserves for future review the issue of whether Congress’s decision to

give an agency discretion to choose between judicial and administrative

enforcement is a delegation of legislative power.

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§ 53(b), which authorizes the Commission to sue in court for a

permanent injunction as an alternative to administrative

adjudication.

25

Br. 16-17. But since the Commission has not sought a

permanent injunction against Illumina under Section 13(b), the Court

has no occasion to address whether Congress violated the nondelegation

doctrine by enacting that section.

If the Court nonetheless reaches this issue, it should hold that

Section 13(b) does not unconstitutionally delegate legislative authority.

The nondelegation issue in Jarkesy turned on Congress’s having given

the SEC “the ability to determine which subjects of its enforcement

actions are entitled to Article III proceedings with a jury trial, and

which are not.” 34 F.4th at 461 (emphasis added). The FTC statutory

scheme, by contrast, does not implicate jury trial rights because the

only relief available under Section 13(b) is an “injunction”—an

equitable remedy that does not trigger Seventh Amendment jury trial

rights. See, e.g., Baum v. Blue Moon Ventures, LLC, 513 F.3d 181, 193

25

Section 13(b) also authorizes the Commission to sue in court for a preliminary

injunction in aid of administrative proceedings, e.g., to block a merger while the

Commission considers its legality. As discussed above (at 8), the Commission filed a

preliminary injunction action in this case but then voluntarily dismissed it after the

EC’s investigation triggered a standstill obligation.

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(5th Cir. 2008). Because there is no right to a jury trial either under

Section 13(b) or in an administrative adjudication, giving the

Commission a choice between those forums is not a delegation of

legislative power under the reasoning of Jarkesy.

Furthermore, the statute in Jarkesy said “nothing at all” about

how the SEC should choose between seeking penalties in court or

administratively. 34 F.4th at 462. Here, Congress provided an

intelligible principle to guide the FTC’s exercise of discretion by

directing the Commission to consider “the interest of the public” in

deciding whether to institute administrative or judicial proceedings. 15

U.S.C. §§ 45(b), 53(b).

26

The “intelligible principle” standard is “not demanding.” Gundy v.

United States, 139 S. Ct. 2116, 2129 (2019). The Supreme Court has

only found delegations excessive in two cases—both instances where

“Congress had failed to articulate any policy or standard to confine

26

Illumina argues (Br. 18 n.3) that the public interest does not provide guidance

for deciding between administrative and judicial proceedings because that language

appears in both Section 5 and Section 13(b), but the most natural reading of the two

provisions is that where the Commission has a choice between judicial and

administrative enforcement, it must determine which forum would better serve the

public interest.

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discretion”—and the Court has “over and over upheld even very broad

delegations.” Id. (cleaned up). Of particular relevance here, the Court

has repeatedly “found an ‘intelligible principle’ in various statutes

authorizing regulation in the ‘public interest.’” Whitman v. Am.

Trucking Ass’ns, 531 U.S. 457, 474 (2001). The public interest is “not a

concept without ascertainable criteria,” N.Y. Cent. Sec. Corp. v. United

States, 287 U.S. 12, 25 (1932), or “so indefinite as to confer an unlimited

power,” Nat’l Broad. Co. v. United States, 319 U.S. 190, 216 (1943); see

also id. at 225-26 (rejecting nondelegation argument). Just last year,

the First Circuit held that a criminal statute authorizing prosecutions

in the “public interest” “indisputably satisfies the lax ‘intelligible

principle’ standard under our precedents and those of the Supreme

Court.” United States v. Diggins, 36 F.4th 302, 319 n. 19 (1st Cir. 2022).

Congress’s directive to act in the “interests of the public” likewise

satisfies the intelligible principle standard here.

In Clayton Act merger cases, the “interests of the public” often

weigh in favor of administrative adjudication. That was the only means

of enforcement available to the Commission from 1914 to 1973, and

there is no indication that Congress intended the enactment of Section

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13(b) to significantly alter that practice in merger cases. The legislative

history of Section 13(b) indicates that Congress wanted to give the

Commission flexibility to bypass the administrative process in

situations where it “does not desire to further expand upon the

provisions of the Federal Trade Commission Act through the issuance of

a cease-and-desist order,” as for example “in the routine fraud case.” S.

Rep. No. 93-151, at 31 (1973). Congress reasoned that giving the

Commission the option of seeking a permanent injunction would enable

“Commission resources [to] be better utilized, and cases [to] be disposed

of more efficiently.” Id.

Clayton Act merger cases, however, are well-suited for

administrative adjudication. Congress created the Commission as an

expert body that would be “specially competent” to deal with complex

antitrust issues “by reason of information, experience and careful study

of the business and economic conditions of the industr[ies] affected.”

FTC v. R.F. Keppel & Bro., Inc., 291 U.S. 304, 314 (1934) (quoting S.

Rep. No. 63-597 at 9, 11 (1914)); see also Humphrey’s Executor, 295 U.S.

at 624 (Commissioners “are called upon to exercise the trained

judgment of a body of experts appointed by law and informed by

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experience.”) (cleaned up). Administrative adjudication in Clayton Act

cases benefits the public because it allows the Commission to apply that

specialized expertise and experience to the novel and complex questions

that frequently arise in these cases. Thus the Commission has most

commonly enforced Section 7 of the Clayton Act through administrative

adjudication using the process that Congress prescribed in 1914.

B.

27

Illumina’s Article II Challenge Is Barred by Supreme

Court Precedent and Provides No Basis for

Invalidating the Commission’s Order.

Humphrey’s Executor squarely bars Illumina’s argument that the

structure of the Commission violates Article II of the Constitution

because the President cannot remove Commissioners at will.

28

In that

case, President Roosevelt sought to remove a Commissioner without

cause. The Supreme Court held that the FTC Act authorized removal of

Commissioners only on the grounds specified in the statute

27

There are exceptions, such as where the Commission seeks to enforce the

Clayton Act jointly with a State See, e.g., St. Alphonsus, 778 F.3d at 782 (joint suit

with Idaho). In such instances, the public interest may favor district court

enforcement because the State cannot participate as a plaintiff in an administrative

proceeding.

28

Arguments concerning the constitutionality of removal restrictions on FTC

Commissioners and the combination of prosecutorial and adjudicative functions

within the same agency were also raised in Traffic Jam Events, LLC v. FTC, No. 2160947, which was argued on May 3, 2023.

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(“inefficiency, neglect of duty, or malfeasance in office”) and that this

limitation on the President’s removal power was constitutional given

the “character of the structure and functions of the Commission.” 295

U.S. at 626-32.

In recent cases addressing the President’s removal power, the

Supreme Court has repeatedly declined to overrule Humphrey’s

Executor. For instance, Seila Law LLC v. CFPB, 140 S. Ct. 2183 (2020),

held that Congress cannot restrict the President’s power to remove a

single head of department, but the Supreme Court expressly stated that

“we need not and do not revisit our prior decisions allowing certain

limitations on the President’s removal power” in other contexts,

including Humphrey’s Executor. Id. at 2192; accord Collins v. Yellin,

141 S. Ct. 1761, 1783 (2021). Because the Supreme Court has not

revisited Humphrey’s Executor, that case is binding here. The Supreme

Court’s instructions on this point are clear: if one of its precedents “has

direct application in a case, yet appears to rest on reasons rejected in

some other line of decisions, the Court of Appeals should follow the case

which directly controls, leaving to this Court the prerogative of

overruling its own decisions.” Agostini v. Felton, 521 U.S. 203, 237

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(1997); accord Lefebure v. D’Aquila, 15 F.4th 650, 660-61 (5th Cir.

2021).

None of Illumina’s arguments for disregarding Humphrey’s

Executor (Br. 20-21) withstands scrutiny. Although Congress has

expanded the Commission’s powers since Humphrey’s Executor was

decided, e.g., by enacting Section 13(b), that does not make the Supreme

Court’s decision any less binding. See FTC v. Am. Nat’l Cellular, Inc.,

810 F.2d 1511, 1513-14 (9th Cir. 1987) (enactment of Section 13(b) did

not render Humphrey’s Executor inapposite). And this case does not

involve any of those additional powers. The Commission is exercising

the very authority that Congress granted in 1914: the power to conduct

administrative adjudications to determine whether a transaction

violates the Clayton Act. Illumina’s assertion that the Commission

lacked authority to order divestiture when Humphrey’s Executor was

decided (Br. 21) is incorrect. The Clayton Act has expressly authorized

divestiture of stock from 1914 on (though it was later amended to

authorize divestiture of assets as well). See ch. 323, § 11, 38 Stat. 730,

734 (1914) (codified as amended at 15 U.S.C. § 21(b)).

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Furthermore, the key policy rationale underlying Humphrey’s

Executor remains valid today. Commissioners act as an adjudicatory

body, and the for-cause removal standard ensures that they are free

from “suspicion of partisan direction” or “political domination or

control.” Humphrey’s Executor, 295 U.S. at 625. Congress has similarly

provided for-cause removal standards for the members of many other

non-Article III tribunals composed of multiple members who perform

adjudicatory functions as an expert body within a specific area of the

law.

29

See Collins, 141 S. Ct. at 1783 n.18; Wiener v. United States, 357

U. S. 349, 353 (1958).

In any event, even if Humphrey’s Executor were overruled, that

would not invalidate the Commission’s decision. In Collins, the Court

held that so long as agency officials were “properly appointed”—i.e.,

there was “no constitutional defect in the statutorily prescribed method

of appointment to [the] office”—then an unconstitutional restriction on

the President’s removal power does not void the agency’s actions unless

See 10 U.S.C. § 942(f) (United States Court of Appeals for the Armed Forces); 15

U.S.C. § 2053(a) (Consumer Product Safety Commission); 26 U.S.C. § 7443(f) (Tax

Court); 28 U.S.C. § 176 (Court of Federal Claims); 29 U.S.C. § 153(a) (National

Labor Relations Board); 38 U.S.C. § 7253(f) (Court of Appeals for Veterans Claims).

42 U.S.C. § 7171(b) (Federal Energy Regulatory Commission).

29

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the restriction actually caused harm. 141 S. Ct. at 1787-88. Harm might

be shown if the President “had attempted to remove [an agency official]

but was prevented from doing so by a lower court decision holding that

he did not have ‘cause’ for removal,” or “had made a public statement

expressing displeasure with actions taken by [an agency official] and

asserted that he would remove [the official] if the statute did not stand

in the way.” Id. at 1789. Based on that analysis, this Court recently

held that “harm” under Collins requires “(1) a substantiated desire by

the President to remove the unconstitutionally insulated actor, (2) a

perceived inability to remove the actor due to the infirm provision, and

(3) a nexus between the desire to remove and the challenged actions

taken by the insulated actor.” Cmty. Fin. Servs. Ass’n of Am. v. CFPB,

51 F.4th 616, 632 (5th Cir. 2022), cert. granted on other grounds, 143 S.

Ct. 978 (2023).

Illumina does not dispute that all of the Commissioners who voted

out the administrative complaint or issued the Commission’s decision

were properly appointed. Illumina therefore cannot obtain relief from

the Commission’s order unless it shows harm traceable to the

President’s inability to remove Commissioners at will. It cannot do so.

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Illumina’s brief does not even reference the Collins and Community

Financial standard for harm, let alone try to satisfy it. Illumina merely

cites two Wall Street Journal editorials and two blog posts criticizing

the Commission’s decision (Br. 22). This does not come close to

demonstrating a “substantiated desire by the President” to remove any

of the Commissioners, let alone the other requisites set forth in

Community Financial.

C.

The Commission’s Procedures Do Not Violate Due

Process.

Binding precedent also squarely bars Illumina’s argument that

the Commission’s procedures violated due process. As Illumina

concedes, the Supreme Court has rejected “[t]he contention that the

combination of investigative and adjudicative functions necessarily

creates an unconstitutional risk of bias in administrative adjudication.”

Withrow, 421 U.S. at 47. It is “very typical for the members of

administrative agencies to receive the results of investigations, to

approve the filing of charges or formal complaints instituting

enforcement proceedings, and then to participate in the ensuing

hearings,” and “[t]his mode of procedure … does not violate due process

of law.” Id. at 56. This Court has previously observed that the FTC Act

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specifically authorizes the Commission “to issue administrative

complaints and subsequently sit as an adjudicative body,” and that

“[t]he combination of investigative and judicial functions within an

agency has been upheld against due process challenges.” Gibson v. FTC,

682 F.2d 554, 560 (5th Cir. 1982).

While due process requires an unbiased decisionmaker, Withrow,

421 F.3d at 46-47, courts cannot “presume bias from the mere

institutional structure” of an agency.” United States v. BenitezVillafuerte, 186 F.3d 651, 660 (5th Cir. 1999). Agency adjudicators are

presumed to be unbiased, absent some showing of “conflict of interest or

some other specific reason for disqualification.” Schweiker v. McClure,

456 U.S. 188, 195 (1982); see also Withrow, 421 U.S. at 55 (adjudicators

are presumed to be people of “conscience and intellectual discipline,

capable of judging a particular controversy fairly on the basis of its own

circumstances”). To establish a due process violation, a party must show

that the decisionmakers’ minds were “irrevocably closed” to its position.

FTC v. Cement Inst., 333 U.S. 683, 701 (1948); Benitez-Villafuerte, 186

F.3d at 660.

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Illumina does not even attempt to make this showing. Instead, it

relies on misrepresentations and outright falsehoods. First, Illumina

asserts that the Commission “directed [the complaint’s] prosecution.”

Br. 24. That is untrue. The Commission complied fully with the

requirements of the APA and its own regulations, both of which require

that the agency staff responsible for prosecuting the complaint be

walled off from the Commission and the ALJ. See 5 U.S.C. § 554(d)(2);

16 C.F.R. § 4.7(b). Next, Illumina falsely asserts that the Commission

“colluded with the European Commission” to “deprive the parties of a

hearing before an Article III judge,” citing a letter from four Senators as

purported support. Br. 24-25. The letter is not part of the

administrative record and therefore is not properly before this Court,

see, e.g., Sierra Club v. United States Dep’t of Interior, 990 F.3d 898, 907

(5th Cir. 2021), but in any event the letter does not show that FTC

“colluded” with European officials. Each agency conducted an

independent assessment of the merger consistent with the facts and its

governing law.

30

30

FTC staff communicated with their EC counterparts as part of their routine

duties, but as both the Commission majority and Commissioner Wilson noted, that

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Illumina’s citation to the individual concurring opinions of Justice

Thomas and Justice Gorsuch in Axon Enterprises, Inc. v. FTC, 143 S.

Ct. 890 (2023) (Br. 24), do not advance its argument. Justice Thomas’s

opinion acknowledges that existing Supreme Court law allows for

administrative adjudication, but calls for a reevaluation of those

precedents. Id. at 906-11 (Thomas, J., concurring). This Court, however,

is bound by existing Supreme Court precedent. Justice Gorsuch

asserted that “some say the FTC has not lost an in-house proceeding in

25 years,” though he acknowledged statistics showing the Complaint

Counsel’s success rate is closer to 90%. Id. at 917-18 (Gorsuch, J.,

concurring). But even a “demonstrated tendency to rule any particular

way” does not prove unconstitutional bias. Phillips v. Jt. Legis. Comm.

on Performance & Expenditure Review, 637 F.2d 1014, 1020 (5th Cir.

1981).

31

The most comprehensive analysis of Commission

kind of coordination is explicitly authorized by Congress and international

agreements. Op. 91-02 n.75; Conc. 5-6. Communications at the staff level also do not

show any bias by the Commissioners. The only Commissioner-level communications

with foreign authorities that Illumina cited below were with officials of the United

Kingdom, which is no longer part of the European Union and never opened an

investigation into the merger.

31

See also So. Pac. Commc’n Co. v AT&T Co., 740 F.2d 980, 995 (D.C. Cir. 1994)

(“Statistical one-sidedness” of rulings “cannot be used to support an inference of

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decisionmaking, conducted by former Commissioner Maureen

Ohlhausen and published in a peer-reviewed economics journal, found

no evidence of systemic bias.

32

As a point of comparison, more than 90%

of federal criminal cases are resolved with guilty pleas, and fewer than

1% of federal criminal defendants go to trial and are acquitted.

33

That is

not because federal judges are biased against criminal defendants, but

because the Government does not bring cases without strong evidence

of illegality.

Illumina’s complaint that the Commission considered some

evidence that might not have been admissible under the Federal Rules

of Evidence (Br. 25-26) likewise does not show bias.

34

The same rules of

judicial bias.”); In re IBM Corp., 618 F.2d 923, 930 (2nd Cir. 1980) (“[S]tatistics

alone, no matter how computed, cannot establish extrajudicial bias.”)

32

Maureen K. Ohlhausen, Administrative Litigation at the FTC: Effective Tool for

Developing the Law or Rubber Stamp, 12 J. Comp. L. & Econ. 623, 634-35, 651

(2016).

33

John Gramlich, Pew Research Center, Only 2% of federal criminal defendants

go to trial, and most who do are found guilty (June 11, 2019), at

https://shorturl.at/AILMT.

34

Illumina’s specific examples are spurious. Illumina complains about the

Commission’s reliance on testimony from investigational hearings (Br. 25), but

Illumina’s proposed findings cited the same hearing transcripts. See, e.g., RFF

¶¶ 296, 627, 629, 631, 785, 792, 948. Illumina did not object to the admission of the

deposition transcripts and exhibits that it now complains about. Br. 25-26.

Illumina’s assertion that the Commission “refused to consider evidence” that

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evidence applied to both sides. And although the Commission’s

evidentiary rules are not identical to the Federal Rules, they are very

similar, see 16 C.F.R. § 3.43, and an agency’s “relaxation of the ordinary

rules of procedure and evidence does not invalidate the proceedings,

provided the substantial rights of the parties are preserved.” Avondale

Shipyards, Inc. v. Vinson, 623 F.2d 1117, 1121 (5th Cir. 1980). In

practice, the ALJ adheres closely to the Federal Rules. See Prehearing

Tr. at 41 (“[I]f you have an objection to that type of testimony, don’t be

afraid to cite to the Rules of Evidence…. [Y]ou’ll find I go by the book.”).

The fact that the Commission ruled in Illumina’s favor on several

important issues further shows that it was not biased. For example, the

Commission rejected Complaint Counsel’s argument that Illumina

waived its challenge to the ALJ’s market determination by failing to file

a cross-appeal. Op. 24 n.12. The Commission also rejected a provision of

Complaint Counsel’s proposed remedy that Illumina characterized as

“disgorgement.” Op. 97. And the Commission ultimately granted

contradicted Complaint Counsel’s theory of the case (Br. 26) is untrue. Illumina is

referring to its request to reopen the record more than a month after oral argument

to admit two new exhibits. The Commission rejected this evidence because it was

untimely and Complaint Counsel would not have an opportunity for crossexamination, but also found that even if considered, “the statements at issue would

not change our analysis.” Op. 56 n.38.

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Illumina’s request for a stay of the final order over Complaint Counsel’s

objection. As these and other rulings illustrate, the Commission decided

this matter based on the relevant facts and law.

D.

Illumina Was Not Denied Equal Protection.

Illumina’s equal protection argument also fails. The allocation of

Clayton Act cases between the Commission and the Department of

Justice neither proceeds along suspect lines nor infringes fundamental

constitutional rights. Thus, as Illumina concedes (Br. 26), that

allocation is subject only to rational basis review. It “must be upheld …

if there is any reasonably conceivable state of facts that could provide a

rational basis for the classification.” FCC v. Beach Commc’ns, 508 U.S.

307, 313 (1993); see also Heller v. Doe, 509 U.S. 312, 320 (1993) (there

need only be “a rational relationship between the disparity of treatment

and some legitimate governmental purpose”). The government has “no

obligation to produce evidence to sustain [its] rationality,” and the

justification for the classification “may be based on rational speculation

unsupported by evidence or empirical data.” Id. at 320 (cleaned up). The

allocation of cases between the FTC and DOJ easily satisfies this

standard.

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When Congress passed the Clayton Act in 1914, it gave the

Commission and the Attorney General overlapping enforcement

authority. Congress directed the Commission to enforce certain sections

of the Act (including the merger provisions) through administrative

adjudication. 15 U.S.C. § 21(b). Congress chose this mode of

enforcement because it “thought the assistance of an administrative

body would be helpful in resolving [antitrust] questions and indeed

expected the FTC to take the leading role in enforcing the Clayton Act.”

Hospital Corp. of Am. v. FTC, 807 F.2d 1381, 1386 (7th Cir. 1986). But

Congress also authorized the Attorney General to sue in equity to

restrain violations of the Act. 15 U.S.C. § 25. As the Supreme Court has

explained, Congress wanted to “provide the Government with

cumulative remedies against activity detrimental to competition,” and

to “permit the simultaneous use of both types of proceedings” rather

than “confin[ing] [them] within narrow, mutually exclusive limits.”

Cement Institute, 383 U.S. at 694-95.

Congress reconfirmed its intention that the FTC and DOJ would

share enforcement authority over mergers when it enacted the 1976

Hart-Scott-Rodino Antitrust Improvements Act, which requires the

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parties to most large mergers to submit detailed filings to both the

Commission and DOJ before the merger can close. 15 U.S.C. § 18a. This

premerger notification gives the agencies an opportunity to investigate

the proposed transaction for antitrust issues and, if necessary, to take

action to block the merger. To conserve resources and avoid duplicative

proceedings, the FTC and DOJ have agreed that any antitrust

investigation will be assigned to one agency or the other, depending on

which has the most experience in the relevant industry and which has

available resources or capacity.

35

This allocation of shared authority does not violate the

Constitution’s equal protection guarantee. Rational basis review “is not

a license for courts to judge the wisdom, fairness, or logic of legislative

choices.” Beach Commc’ns, 508 U.S. at 313. Here, Congress reasonably

determined that in the realm of antitrust, two enforcement agencies

were better than one. And because Congress gave the FTC and DOJ

overlapping authority, the agencies had a rational basis for deciding to

assign responsibility for any given merger to the agency with the most

35

See GAO, DOJ and FTC Jurisdictions Overlap, but Conflicts are Infrequent 912 (Jan. 2023), https://www.gao.gov/assets/820/814486.pdf.

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relevant experience and best current capacity. Allocating cases in this

way conserves government resources, prevents parties from being

subjected to duplicative investigations, and allows each agency to

develop and utilize industry-specific expertise. These are all legitimate

governmental purposes.

Illumina errs in claiming that procedural differences between the

administrative and a judicial forum caused it to be denied equal

protection. Equal protection does not guarantee the subject of

government enforcement action a right to the forum it deems most

advantageous, even when substantive rights are at issue. For example,

in United States v. Lopez-Velaquez, 526 F.3d 804 (5th Cir. 2008), this

Court rejected a criminal defendant’s claim that he was denied equal

protection because he was prosecuted in a judicial district without a

“fast-track” early disposition program, and thus was not eligible for a

sentencing reduction that might have been available if he was

prosecuted in another district. The Court applied rational basis review,

holding that the Attorney General’s decision to implement a fast-track

program in some districts but not others was “a function of

Congressional policy,” and that the structure of the program was

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rationally related to the goals of “promoting judicial efficiency” and

“preserving prosecutorial discretion.” Id. at 808. Similarly, in this case,

the FTC and DOJ’s overlapping authority to enforce the Clayton Act is

a function of longstanding Congressional policy and the decision to

allocate cases between the two agencies is rationally related to

legitimate government purposes.

Illumina also exaggerates the procedural differences between the

Commission’s administrative proceedings and court proceedings. The

two are fundamentally very similar.

36

The same substantive legal

standard—the Clayton Act—applies in both forums. Procedurally, in

both forums the parties have substantially the same rights to take

discovery, present evidence at trial, and cross-examine the other side’s

witnesses. See 16 C.F.R. §§ 3.31-3.38, 3.41, 3.43. In both types of

proceedings, the ultimate decisionmaker—an Article III judge in a trial,

and the Commissioners in an FTC adjudication—are appointed by the

36

In some respects, administrative adjudication affords procedural advantages to

merging parties as compared to federal court. For example, when DOJ brings an

action in district court, it chooses the forum, but in FTC adjudications the merging

parties may seek review in any circuit where they reside or carry on business. 15

U.S.C. §§ 21(c), 45(c). And while DOJ may appeal an adverse district court decision,

Complaint Counsel cannot appeal from a Commission decision.

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President, confirmed by the Senate, and protected from arbitrary

removal to ensure that politics does not influence their decisions.

Decisions in both types of proceedings are subject to review in the

courts of appeals. Illumina has not shown any differences between the

forums materially affected the outcome of this case.

CONCLUSION

The petition should be denied.

Respectfully submitted,

ANISHA S. DASGUPTA

General Counsel

July 26, 2023

/s/ Matthew M. Hoffman

MATTHEW M. HOFFMAN

Attorney

FEDERAL TRADE COMMISSION

600 Pennsylvania Avenue,

N.W.

Washington, D.C. 20580

(202) 326-3097

mhoffman@ftc.gov

Of Counsel:

SUSAN A. MUSSER

STEPHEN MOHR

JORDAN ANDREW

DAVID GONEN

Attorneys

FEDERAL TRADE COMMISSION

Washington, D.C. 20580

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CERTIFICATE OF COMPLIANCE

I certify that the foregoing brief complies with the volume

limitations of Fed. R. App. P. 32(a)(7)(B), as modified by the Court’s

order of June 23, 2023, because it contains 15,901 words, excluding the

parts of the brief exempted by Fed. R. App. P. 32(a)(7)(B)(iii), and that

it complies with the typeface and type style requirements of Fed. R.

App. P. 32(a)(5) and (a)(6) and 5th Cir. R. 32.1 because it was prepared

in a proportionally spaced typeface using Microsoft® Word for Microsoft

365 MSO. The text is in 14 point Century Schoolbook type and the

footnotes are in 12-point Century Schoolbook type.

July 26, 2023

/s/ Matthew M. Hoffman

Matthew M. Hoffman

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ADDENDUM OF RELEVANT STATUTES

Clayton Act

15 U.S.C. § 18 ................................................................................ A1

15 U.S.C. § 21 ................................................................................ A2

Federal Trade Commission Act

15 U.S.C. § 41 ................................................................................ A6

15 U.S.C. § 45 ................................................................................ A7

15 U.S.C. § 53 .............................................................................. A11

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United States Code, 2021 Edition

Title 15 - COMMERCE AND TRADE

CHAPTER 1 - MONOPOLIES AND COMBINATIONS IN RESTRAINT OF TRADE

Sec. 18 - Acquisition by one corporation of stock of another

From the U.S. Government Publishing Office, www.gpo.gov

§ 18: Acquisition by one corporation of stock of another

No person engaged in commerce or in any activity affecting

commerce shall acquire, directly or indirectly, the whole or any part of

the stock or other share capital and no person subject to the jurisdiction

of the Federal Trade Commission shall acquire the whole or any part of

the assets of another person engaged also in commerce or in any

activity affecting commerce, where in any line of commerce or in any

activity affecting commerce in any section of the country, the effect of

such acquisition may be substantially to lessen competition, or to tend

to create a monopoly.

No person shall acquire, directly or indirectly, the whole or any part

of the stock or other share capital and no person subject to the

jurisdiction of the Federal Trade Commission shall acquire the whole or

any part of the assets of one or more persons engaged in commerce or in

any activity affecting commerce, where in any line of commerce or in

any activity affecting commerce in any section of the country, the effect

of such acquisition, of such stocks or assets, or of the use of such stock

by the voting or granting of proxies or otherwise, may be substantially

to lessen competition, or to tend to create a monopoly.

***

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United States Code, 2021 Edition

Title 15 - COMMERCE AND TRADE

CHAPTER 1 - MONOPOLIES AND COMBINATIONS IN RESTRAINT OF TRADE

Sec. 21 - Enforcement provisions

From the U.S. Government Publishing Office, www.gpo.gov

§ 21. Enforcement provisions

(a) Commission, Board, or Secretary authorized to enforce

compliance

Authority to enforce compliance with sections 13, 14, 18, and 19 of

this title by the persons respectively subject thereto is vested in the

Surface Transportation Board where applicable to common carriers

subject to jurisdiction under subtitle IV of title 49; in the Federal

Communications Commission where applicable to common carriers

engaged in wire or radio communication or radio transmission of

energy; in the Secretary of Transportation where applicable to air

carriers and foreign air carriers subject to part A of subtitle VII of title

49; in the Board of Governors of the Federal Reserve System where

applicable to banks, banking associations, and trust companies; and in

the Federal Trade Commission where applicable to all other character

of commerce to be exercised as follows:

(b) Issuance of complaints for violations; hearing; intervention;

filing of testimony; report; cease and desist orders; reopening

and alteration of reports or orders

Whenever the Commission, Board, or Secretary vested with

jurisdiction thereof shall have reason to believe that any person is

violating or has violated any of the provisions of sections 13, 14, 18, and

19 of this title, it shall issue and serve upon such person and the

Attorney General a complaint stating its charges in that respect, and

containing a notice of a hearing upon a day and at a place therein fixed

at least thirty days after the service of said complaint. The person so

complained of shall have the right to appear at the place and time so

fixed and show cause why an order should not be entered by the

Commission, Board, or Secretary requiring such person to cease and

desist from the violation of the law so charged in said complaint. The

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Attorney General shall have the right to intervene and appear in said

proceeding and any person may make application, and upon good cause

shown may be allowed by the Commission, Board, or Secretary, to

intervene and appear in said proceeding by counsel or in person. The

testimony in any such proceeding shall be reduced to writing and filed

in the office of the Commission, Board, or Secretary. If upon such

hearing the Commission, Board, or Secretary, as the case may be, shall

be of the opinion that any of the provisions of said sections have been or

are being violated, it shall make a report in writing, in which it shall

state its findings as to the facts, and shall issue and cause to be served

on such person an order requiring such person to cease and desist from

such violations, and divest itself of the stock, or other share capital, or

assets, held or rid itself of the directors chosen contrary to the

provisions of sections 18 and 19 of this title, if any there be, in the

manner and within the time fixed by said order. Until the expiration of

the time allowed for filing a petition for review, if no such petition has

been duly filed within such time, or, if a petition for review has been

filed within such time then until the record in the proceeding has been

filed in a court of appeals of the United States, as hereinafter provided,

the Commission, Board, or Secretary may at any time, upon such notice

and in such manner as it shall deem proper, modify or set aside, in

whole or in part, any report or any order made or issued by it under this

section. After the expiration of the time allowed for filing a petition for

review, if no such petition has been duly filed within such time, the

Commission, Board, or Secretary may at any time, after notice and

opportunity for hearing, reopen and alter, modify, or set aside, in whole

or in part, any report or order made or issued by it under this section,

whenever in the opinion of the Commission, Board, or Secretary

conditions of fact or of law have so changed as to require such action or

if the public interest shall so require: Provided, however, That the said

person may, within sixty days after service upon him or it of said report

or order entered after such a reopening, obtain a review thereof in the

appropriate court of appeals of the United States, in the manner

provided in subsection (c) of this section.

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(c) Review of orders; jurisdiction; filing of petition and record of

proceeding; conclusiveness of findings; additional evidence;

modification of findings; finality of judgment and decree

Any person required by such order of the commission, board, or

Secretary to cease and desist from any such violation may obtain a

review of such order in the court of appeals of the United States for any

circuit within which such violation occurred or within which such

person resides or carries on business, by filing in the court, within sixty

days after the date of the service of such order, a written petition

praying that the order of the commission, board, or Secretary be set

aside. A copy of such petition shall be forthwith transmitted by the

clerk of the court to the commission, board, or Secretary, and thereupon

the commission, board, or Secretary shall file in the court the record in

the proceeding, as provided in section 2112 of title 28. Upon such filing

of the petition the court shall have jurisdiction of the proceeding and of

the question determined therein concurrently with the commission,

board, or Secretary until the filing of the record, and shall have power

to make and enter a decree affirming, modifying, or setting aside the

order of the commission, board, or Secretary, and enforcing the same to

the extent that such order is affirmed, and to issue such writs as are

ancillary to its jurisdiction or are necessary in its judgment to prevent

injury to the public or to competitors pendente lite. The findings of the

commission, board, or Secretary as to the facts, if supported by

substantial evidence, shall be conclusive. To the extent that the order of

the commission, board, or Secretary is affirmed, the court shall issue its

own order commanding obedience to the terms of such order of the

commission, board, or Secretary. If either party shall apply to the court

for leave to adduce additional evidence, and shall show to the

satisfaction of the court that such additional evidence is material and

that there were reasonable grounds for the failure to adduce such

evidence in the proceeding before the commission, board, or Secretary,

the court may order such additional evidence to be taken before the

commission, board, or Secretary, and to be adduced upon the hearing in

such manner and upon such terms and conditions as to the court may

seem proper. The commission, board, or Secretary may modify its

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findings as to the facts, or make new findings, by reason of the

additional evidence so taken, and shall file such modified or new

findings, which if supported by substantial evidence, shall be

conclusive, and its recommendation, if any, for the modification or

setting aside of its original order, with the return of such additional

evidence. The judgment and decree of the court shall be final, except

that the same shall be subject to review by the Supreme Court upon

certiorari, as provided in section 1254 of title 28.

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United States Code, 2021 Edition

Title 15 - COMMERCE AND TRADE

CHAPTER 2 - FEDERAL TRADE COMMISSION; PROMOTION OF EXPORT TRADE AND

PREVENTION OF UNFAIR METHODS OF COMPETITION

SUBCHAPTER I - FEDERAL TRADE COMMISSION

Sec. 41 - Federal Trade Commission established; membership; vacancies; seal

From the U.S. Government Publishing Office, www.gpo.gov

§ 41. Federal Trade Commission established; membership;

vacancies; seal

A commission is created and established, to be known as the Federal

Trade Commission (hereinafter referred to as the Commission), which

shall be composed of five Commissioners, who shall be appointed by the

President, by and with the advice and consent of the Senate. Not more

than three of the Commissioners shall be members of the same political

party. The first Commissioners appointed shall continue in office for

terms of three, four, five, six, and seven years, respectively, from

September 26, 1914, the term of each to be designated by the President,

but their successors shall be appointed for terms of seven years, except

that any person chosen to fill a vacancy shall be appointed only for the

unexpired term of the Commissioner whom he shall succeed: Provided,

however, That upon the expiration of his term of office a Commissioner

shall continue to serve until his successor shall have been appointed

and shall have qualified. The President shall choose a chairman from

the Commission’s membership. No Commissioner shall engage in any

other business, vocation, or employment. Any Commissioner may be

removed by the President for inefficiency, neglect of duty, or

malfeasance in office. A vacancy in the Commission shall not impair the

right of the remaining Commissioners to exercise all the powers of the

Commission. The Commission shall have an official seal, which shall be

judicially noticed.

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United States Code, 2021 Edition

Title 15 - COMMERCE AND TRADE

CHAPTER 2 - FEDERAL TRADE COMMISSION; PROMOTION OF EXPORT TRADE AND

PREVENTION OF UNFAIR METHODS OF COMPETITION

SUBCHAPTER I - FEDERAL TRADE COMMISSION

Sec. 45 - Unfair methods of competition unlawful; prevention by Commission

From the U.S. Government Publishing Office, www.gpo.gov

§ 45. Unfair methods of competition unlawful; prevention by

Commission

(a) Declaration of unlawfulness; power to prohibit unfair

practices; inapplicability to foreign trade

(1) Unfair methods of competition in or affecting commerce, and

unfair or deceptive acts or practices in or affecting commerce, are

hereby declared unlawful.

(2) The Commission is hereby empowered and directed to prevent

persons, partnerships, or corporations, except banks, savings and loan

institutions described in section 57a(f)(3) of this title, Federal credit

unions described in section 57a(f)(4) of this title, common carriers

subject to the Acts to regulate commerce, air carriers and foreign air

carriers subject to part A of subtitle VII of title 49, and persons,

partnerships, or corporations insofar as they are subject to the Packers

and Stockyards Act, 1921, as amended [7 U.S.C. 181 et seq.], except as

provided in section 406(b) of said Act [7 U.S.C. 227(b)], from using

unfair methods of competition in or affecting commerce and unfair or

deceptive acts or practices in or affecting commerce.

***

(b) Proceeding by Commission; modifying and setting aside

orders

Whenever the Commission shall have reason to believe that any such

person, partnership, or corporation has been or is using any unfair

method of competition or unfair or deceptive act or practice in or

affecting commerce, and if it shall appear to the Commission that a

proceeding by it in respect thereof would be to the interest of the public,

it shall issue and serve upon such person, partnership, or corporation a

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complaint stating its charges in that respect and containing a notice of a

hearing upon a day and at a place therein fixed at least thirty days

after the service of said complaint. The person, partnership, or

corporation so complained of shall have the right to appear at the place

and time so fixed and show cause why an order should not be entered by

the Commission requiring such person, partnership, or corporation to

cease and desist from the violation of the law so charged in said

complaint. Any person, partnership, or corporation may make

application, and upon good cause shown may be allowed by the

Commission to intervene and appear in said proceeding by counsel or in

person. The testimony in any such proceeding shall be reduced to

writing and filed in the office of the Commission. If upon such hearing

the Commission shall be of the opinion that the method of competition

or the act or practice in question is prohibited by this subchapter, it

shall make a report in writing in which it shall state its findings as to

the facts and shall issue and cause to be served on such person,

partnership, or corporation an order requiring such person, partnership,

or corporation to cease and desist from using such method of

competition or such act or practice. Until the expiration of the time

allowed for filing a petition for review, if no such petition has been duly

filed within such time, or, if a petition for review has been filed within

such time then until the record in the proceeding has been filed in a

court of appeals of the United States, as hereinafter provided, the

Commission may at any time, upon such notice and in such manner as

it shall deem proper, modify or set aside, in whole or in part, any report

or any order made or issued by it under this section. After the

expiration of the time allowed for filing a petition for review, if no such

petition has been duly filed within such time, the Commission may at

any time, after notice and opportunity for hearing, reopen and alter,

modify, or set aside, in whole or in part any report or order made or

issued by it under this section, whenever in the opinion of the

Commission conditions of fact or of law have so changed as to require

such action or if the public interest shall so require, except that (1) the

said person, partnership, or corporation may, within sixty days after

service upon him or it of said report or order entered after such a

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reopening, obtain a review thereof in the appropriate court of appeals of

the United States, in the manner provided in subsection (c) of this

section; and (2) in the case of an order, the Commission shall reopen

any such order to consider whether such order (including any

affirmative relief provision contained in such order) should be altered,

modified, or set aside, in whole or in part, if the person, partnership, or

corporation involved files a request with the Commission which makes

a satisfactory showing that changed conditions of law or fact require

such order to be altered, modified, or set aside, in whole or in part. The

Commission shall determine whether to alter, modify, or set aside any

order of the Commission in response to a request made by a person,

partnership, or corporation under paragraph1 (2) not later than 120

days after the date of the filing of such request.

(c) Review of order; rehearing

Any person, partnership, or corporation required by an order of the

Commission to cease and desist from using any method of competition

or act or practice may obtain a review of such order in the court of

appeals of the United States, within any circuit where the method of

competition or the act or practice in question was used or where such

person, partnership, or corporation resides or carries on business, by

filing in the court, within sixty days from the date of the service of such

order, a written petition praying that the order of the Commission be

set aside. A copy of such petition shall be forthwith transmitted by the

clerk of the court to the Commission, and thereupon the Commission

shall file in the court the record in the proceeding, as provided in

section 2112 of title 28. Upon such filing of the petition the court shall

have jurisdiction of the proceeding and of the question determined

therein concurrently with the Commission until the filing of the record

and shall have power to make and enter a decree affirming, modifying,

or setting aside the order of the Commission, and enforcing the same to

the extent that such order is affirmed and to issue such writs as are

ancillary to its jurisdiction or are necessary in its judgement to prevent

injury to the public or to competitors pendente lite. The findings of the

Commission as to the facts, if supported by evidence, shall be

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conclusive. To the extent that the order of the Commission is affirmed,

the court shall thereupon issue its own order commanding obedience to

the terms of such order of the Commission. If either party shall apply to

the court for leave to adduce additional evidence, and shall show to the

satisfaction of the court that such additional evidence is material and

that there were reasonable grounds for the failure to adduce such

evidence in the proceeding before the Commission, the court may order

such additional evidence to be taken before the Commission and to be

adduced upon the hearing in such manner and upon such terms and

conditions as to the court may seem proper. The Commission may

modify its findings as to the facts, or make new findings, by reason of

the additional evidence so taken, and it shall file such modified or new

findings, which, if supported by evidence, shall be conclusive, and its

recommendation, if any, for the modification or setting aside of its

original order, with the return of such additional evidence. The

judgment and decree of the court shall be final, except that the same

shall be subject to review by the Supreme Court upon certiorari, as

provided in section 1254 of title 28.

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United States Code, 2021 Edition

Title 15 - COMMERCE AND TRADE

CHAPTER 2 - FEDERAL TRADE COMMISSION; PROMOTION OF EXPORT TRADE AND

PREVENTION OF UNFAIR METHODS OF COMPETITION

SUBCHAPTER I - FEDERAL TRADE COMMISSION

Sec. 53 - False advertisements; injunctions and restraining orders

From the U.S. Government Publishing Office, www.gpo.gov

§ 53. False advertisements; injunctions and restraining orders

***

(b) Temporary restraining orders; preliminary injunctions

Whenever the Commission has reason to believe—

(1) that any person, partnership, or corporation is violating, or is

about to violate, any provision of law enforced by the Federal Trade

Commission, and

(2) that the enjoining thereof pending the issuance of a complaint

by the Commission and until such complaint is dismissed by the

Commission or set aside by the court on review, or until the order of

the Commission made thereon has become final, would be in the

interest of the public,

the Commission by any of its attorneys designated by it for such

purpose may bring suit in a district court of the United States to enjoin

any such act or practice. Upon a proper showing that, weighing the

equities and considering the Commission’s likelihood of ultimate

success, such action would be in the public interest, and after notice to

the defendant, a temporary restraining order or a preliminary

injunction may be granted without bond: Provided, however, That if a

complaint is not filed within such period (not exceeding 20 days) as may

be specified by the court after issuance of the temporary restraining

order or preliminary injunction, the order or injunction shall be

dissolved by the court and be of no further force and effect: Provided

further, That in proper cases the Commission may seek, and after

proper proof, the court may issue, a permanent injunction. Any suit

may be brought where such person, partnership, or corporation resides

or transacts business, or wherever venue is proper under section 1391 of

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title 28. In addition, the court may, if the court determines that the

interests of justice require that any other person, partnership, or

corporation should be a party in such suit, cause such other person,

partnership, or corporation to be added as a party without regard to

whether venue is otherwise proper in the district in which the suit is

brought. In any suit under this section, process may be served on any

person, partnership, or corporation wherever it may be found.

***

A12

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Date Filed: 08/04/2023 | Frix