Petition for Writ of Certiorari — Kenneth Eugene Smith, Petitioner v. John Q. Hamm, Commissioner, Alabama Department of Corrections, et al.

Supreme Court briefJan 25, 2024

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No.

KENNETH EUGENE SMITH,

Petitioner,

v.

COMMISSIONER, ALABAMA DEPARTMENT OF CORRECTIONS, et al.,

Respondent.

ON PETITION FOR A WRIT OF CERTIORARI TO

THE UNITED STATES COURT OF APPEALS FOR

THE ELEVENTH CIRCUIT

PETITIONER’S APPENDIX—VOLUME I (APP’X A-E)

Andrew B. Johnson

BRADLEY ARANT BOULT CUMMINGS LLP

1819 Fifth Avenue North

Birmingham, Alabama 35203

(205) 521-8000

ajohnson@bradley.com

Robert M. Grass

Counsel of Record

Jeffrey H. Horowitz

David Kerschner

ARNOLD & PORTER KAYE SCHOLER LLP

250 West 55th Street

New York, New York 10019

(212) 836-8000

robert.grass@arnoldporter.com

jeffrey.horowitz@arnoldporter.com

david.kerschner@arnoldporter.com

Counsel for Petitioner

TABLE OF CONTENTS

APPENDIX

Appendix A

Appendix B

Appendix C

Appendix D

Appendix E

Appendix F

Appendix G

Appendix H

DOCUMENT

Opinion of the United States Court of

Appeals for the Eleventh Circuit

Kenneth Eugene Smith v. Comm’r,

Ala. Dep’t of Corr., No. 24-10095, Doc.

58-1 (11th Cir. Jan. 24, 2024)

Memorandum Opinion and Order of

the District Court for the Middle

District of Alabama

Smith v. Hamm, No. 2:23-cv-00656,

DE 69 (M.D. Ala. Jan. 10, 2024)

Order of the United States Court of

Appeals for the Eleventh Circuit

Kenneth Eugene Smith v. Comm’r,

Ala. Dep’t of Corr., No. 24-10095, Doc.

44-2 (11th Cir. Jan. 20, 2024)

Order of the District Court for the

Middle District of Alabama

Smith v. Hamm, No. 2:23-cv-00656,

DE 88 (M.D. Ala. Jan. 24, 2024)

Plaintiff Kenneth Eugene Smith’s

Renewed Emergency Motion to

Supplement the Record (with exhibits)

Smith v. Hamm, No. 2:23-cv-00656,

DE 87 (M.D. Ala. Jan. 23, 2024)

Second Amended Complaint

Smith v. Hamm, No. 2:23-cv-00656,

DE 31 (M.D. Ala. Nov. 28, 2023)

Declaration of Dr. Robert Jason Yong,

MD, MBA, dated Nov. 17, 2023

Smith v. Hamm, No. 2:23-cv-00656,

DE 19-1 (M.D. Ala. Nov. 20, 2023)

Supplemental Declaration of Dr.

Robert Jason Yong, MD, MBA, dated

Dec. 18, 2023

ii

PAGE

1a

36a

84a

86a

90a

147a

184a

236a

Appendix I

Appendix J

Appendix K

Smith v. Hamm, No. 2:23-cv-00656,

DE 62-58 (M.D. Ala. Dec. 22, 2023)

Declaration of Dr. Katherine

Porterfield, Ph.D., dated Nov. 18, 2023

Smith v. Hamm, No. 2:23-cv-00656,

DE 19-3 (M.D. Ala. Nov. 20, 2023)

Supplemental Declaration of Dr.

Katherine Porterfield, Ph.D., dated

Dec. 15, 2023

Smith v. Hamm, No. 2:23-cv-00656,

DE 62-113 (M.D. Ala. Dec. 22, 2023)

Declaration of Dr. Jonathan I. Groner,

MD, dated Nov. 13, 2023

Smith v. Hamm, No. 2:23-cv-00656,

DE 19-1 (M.D. Ala. Nov. 20, 2023)

iii

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[DO NOT PUBLISH]

In the

United States Court of Appeals

For the Eleventh Circuit

____________________

No. 24-10095

____________________

KENNETH EUGENE SMITH,

Plaintiff-Appellant,

versus

COMMISSIONER, ALABAMA DEPARTMENT OF CORRECTIONS,

WARDEN, HOLMAN CORRECTIONAL FACILITY,

Defendants-Appellees.

____________________

Appeal from the United States District Court

for the Middle District of Alabama

D.C. Docket No. 2:23-cv-00656-RAH

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____________________

Before WILSON, JILL PRYOR, and GRANT, Circuit Judges.

PER CURIAM:

Kenneth Eugene Smith is a death row inmate in the custody

of the Alabama Department of Corrections (ADOC) at William C.

Holman Correctional Facility (Holman). Smith is set to be executed on Thursday, January 25, 2024, for the second time. In its

first execution attempt, Alabama failed to obtain intravenous (IV)

access necessary to complete the lethal injection. Now, Alabama

plans to use nitrogen hypoxia for the first time.

Smith sued ADOC Commissioner John Hamm and Holman

Warden Terry Raybon (collectively, Defendants), asserting violations of the First, Eighth, and Fourteenth Amendments, the Religious Land Use and Institutionalized Persons Act (RLUIPA), 42

U.S.C. § 2000cc et seq., and the Alabama Constitution’s Religious

Freedom Amendment (ARFA), Ala. Const. art. I, § 3.01. Smith also

asked for a preliminary injunction to stop the scheduled execution.

The Defendants moved to dismiss the complaint and opposed the

request for an injunction. Although the district court found that

Smith alleged plausible claims under the First and Eighth Amendments, RLUIPA, and ARFA, Smith failed to show a substantial likelihood of success on those claims to warrant a preliminary injunction.

After careful review and with the benefit of oral argument,

we affirm the district court.

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Background

On June 24, 2022, Alabama moved to set Smith’s execution

date for the murder of Elizabeth Sennet.1 On September 30, 2022,

the Supreme Court of Alabama granted Alabama’s motion and set

Smith’s execution for Thursday, November 17, 2022.

On August 18, 2022, Smith sued Hamm and ADOC, asserting two Section 1983 claims—violations of the Eighth and Fourteenth Amendments. Hamm and ADOC moved to dismiss Smith’s

complaint, and the district court granted the dismissal with prejudice. Smith moved to amend the judgment to a dismissal without

prejudice, and alleged that ADOC’s “[u]se of [the lethal injection

p]rotocol” would subject him to an Eighth Amendment violation

because, “as ADOC implements it,” he would likely be subject to

cruel and unusual punishment because of particular physiological

predispositions. The district court denied Smith’s motion, explaining that, to support an Eighth Amendment violation, Smith had to

show how ADOC’s deviations—or how implementation of its

1 In April 1996, a jury convicted Smith of capital murder based on the robbery

and murder of Elizabeth Sennett. Smith v. State, 908 So. 2d 273, 278 n.1, 279

(Ala. Crim. App. 2000). Ultimately, the jury recommended by a vote of 11 to

1 a sentence of life imprisonment without the possibility of parole. Id. at 278.

The trial judge overrode the jury’s recommendation and sentenced Smith to

death. Id. But in 2017, Alabama amended its law to no longer permit judicial

override in capital cases. See Ala. Code § 13A-5-47(a) (“Where a sentence of

death is not returned by the jury, the court shall sentence the defendant to life

imprisonment without parole.”) (emphasis added). But Alabama has not made

that statute retroactive, so Smith’s death sentence still stands.

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lethal injection protocol more broadly—subjected Smith to a substantial risk of serious harm, and Smith failed to do so.

Smith timely appealed and sought to stay his execution

pending his appeal. We reversed the district court. A majority of

the panel found that Smith pled sufficient facts to plausibly support

an Eighth Amendment method-of-execution claim that was not

barred by the applicable statute of limitations. Because we resolved

Smith’s underlying appeal, we denied as moot his motion for stay

of execution pending appeal. We expedited the mandate so that

Smith’s case could proceed in the district court.

On November 17, 2022, Smith filed an amended complaint

and moved for a preliminary injunction. Smith also sought an

emergency motion to stay his execution. Ultimately, the district

court denied Smith’s request for a preliminary injunction and stay

of execution finding that Smith inexcusably delayed in seeking

these requests. Smith again appealed to this court and moved to

stay his execution. The panel unanimously granted Smith’s request for stay at approximately 8:00 PM CST. Before the stay was

entered, Smith was taken to the execution chambers.

Smith remained strapped to a gurney in the execution chambers while Alabama’s Office of the Attorney General asked the Supreme Court of the United States to allow the execution to proceed. Smith was not told that his case had been stayed. At approximately 10:00 PM CST, the Supreme Court vacated our stay without any explanation. But the execution team could not obtain IV

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access before the expiration of the death warrant. At approximately 11:30 PM CST, ADOC called off the execution.

The case returned to the district court where Smith moved

to amend his complaint to include related failed execution claims

and add new defendants. In his second amended complaint, Smith

detailed the almost four hours that he spent on the gurney in the

execution chamber. Smith asserted three claims: (1) an Eighth

Amendment violation that a second execution attempt by lethal injection would constitute cruel and unusual punishment; (2) an

Equal Protection violation by seeking a second attempt to execute

Smith despite not doing the same for another inmate whose execution failed; and (3) a violation of court order to not deviate from

ADOC’s lethal injection protocol related to Smith’s failed execution.

ADOC then moved to dismiss the complaint, but the district

court denied in part the motion to dismiss and allowed Smith’s

Eighth and Fourteenth Amendment claims to proceed. Specifically, the district court found that Smith plausibly alleged an Eighth

Amendment claim, noting:

given Smith’s allegations that he himself experienced

severe pain during a prior execution attempt, and that

the prior execution attempt was the latest in an ongoing pattern of the State’s difficulties in establishing venous access when attempting to carry out lethal injection executions, it is plausible, rather than merely possible, that a second lethal injection execution poses a

substantial risk of severe pain to Smith.

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ADOC then answered, and the court directed the parties to

develop a case management report under Rule 26. On August 24,

2023, the district court entered a scheduling order and set an initial

disclosures deadline for August 29, 2023. On August 25, 2023,

ADOC moved to dismiss because Hamm determined that nitrogen

hypoxia was available as a means of execution and agreed that lethal injection would not be used in any future attempts to execute

Smith. Smith opposed—he agreed with the injunction to prevent

a second execution using lethal injection, but objected to the use of

nitrogen hypoxia without the opportunity to review ADOC’s protocol to ensure it met constitutional requirements. Based on

ADOC’s representations, the district court granted its motion to

dismiss and entered a permanent injunction barring it from using

lethal injection to execute Smith.

On August 25, 2023, Alabama’s Office of the Attorney General sought authorization from the Alabama Supreme Court to execute Smith by nitrogen hypoxia. Over Smith’s objection, on November 1, 2023, the Alabama Supreme Court granted the motion

and ordered the Commissioner to carry out the death sentence.

On November 8, 2023, the Governor set Smith’s execution for a

thirty-hour time frame beginning January 25, 2024.

That same day, Smith filed this action with the district court

against Hamm and Raybon, alleging that ADOC’s nitrogen hypoxia protocol (Protocol) and Alabama’s selection of him to be the

first inmate executed by this method violate several constitutional

and statutory provisions. Smith moved to preliminarily enjoin

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Hamm and Raybon from executing him under the present Protocol. They moved to dismiss.

On December 20, 2023, the district court held a hearing on

Smith’s injunction motion, where the court reviewed 111 exhibits,

expert witness declarations, case reports, medical articles, videos of

individuals wearing the mask, the mask itself, and various witnesses testifying to the Protocol’s potential ramifications. On January 10, 2024, the district court granted in part the Defendants’ motion to dismiss, dismissing Smith’s Fourteenth Amendment claim,

but denied the motion as to the remaining counts, allowing those

claims to proceed. Ultimately, the district court denied Smith’s

motion for preliminary injunction.

The order organized Smith’s claims into Counts One (Fourteenth Amendment), Two (Eighth Amendment), Three (First

Amendment), Four (RLUIPA), and Five (ARFA). The district court

dismissed Count One, where Smith alleges that his right to equal

protection under the Fourteenth Amendment was violated when

“the State chose [him] to be the first condemned person to be subject to execution” by nitrogen hypoxia despite his pending state collateral appeal and an Alabama custom that waits for exhaustion of

all conventional appeals. The district court found that Smith

lacked standing because Hamm and Raybon, as the named defendants, lack authority to select inmates and set execution dates under

Alabama law. Since neither Hamm nor Raybon held decisional authority to select Smith, the district court concluded “Count One

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suffers from traceability and causation infirmities that require its

dismissal.”

As to the remaining counts, the district court held that Smith

properly pled plausible claims as to the remaining counts. Turning

to Count Two, the district court concluded that Smith sufficiently

alleged an Eighth Amendment method-of-execution claim because

taking the allegations as true, the Protocol could increase time to

unconsciousness, presents imminent dangers to superadd pain

(e.g., a persistent vegetative state, stroke, vomiting, or sensation of

suffocation), and two feasible, readily implemented alternative

methods exist (i.e., an amended Protocol with ten proposed

changes or death by firing squad using Utah’s execution protocol).

Turning to Count Three, the district court concluded that Smith

sufficiently alleged a First Amendment free speech claim because

no “compelling government interest” justifies masking Smith for

his final statement, so the Protocol’s burden on speech is not reasonably related to a legitimate penological interest. On Count

Four, the district court determined that Smith plausibly pled a

RLUIPA violation: audible prayer (1) comes from a long history of

traditional religious exercise at prisoners’ executions, (2) is part of

his sincere religious beliefs, and (3) substantially burdens his exercise by forcing “the untenable choice of either praying audibly or

risking the consequences of dislodging the mask.” The district

court also held that “Smith has also necessarily pled a plausible First

Amendment free exercise claim” because RLUIPA “embeds a

heightened standard for government restrictions of the free exercise of religion.” Finally, the district court found a plausible claim

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under ARFA because, although requiring strict scrutiny similar to

RLUIPA, the statute dramatically lowers the threshold from “substantial burden” to “any burden—even an incidental or insubstantial one.” Therefore, Smith’s pleading under RLUIPA more than

satisfied a claim under ARFA.

However, the district court ultimately denied Smith’s motion for a preliminary injunction against his execution under the

Protocol. The court held that Smith failed to show a substantial

likelihood of success on the merits under the Eighth Amendment,

RLUIPA, and ARFA.2 First, the district court concluded that

Smith’s Eighth Amendment claim failed because “there is simply

not enough evidence to find with any degree of certainty or likelihood” that the possibility of the mask dislodging or Smith choking

on his own vomit will occur—therefore, “only if a cascade of unlikely events occurs” would execution under the Protocol superadd

pain or prolong death. Second, the district court rejected Smith’s

RLUIPA claim because ADOC “provided substantial evidence that

the mask will not dislodge if Smith audibly prays during his execution,” obviating any untenable choice between audibly praying and

prolonging death. Third, the district court determined that Smith’s

ARFA claim failed for similar reasons—Smith failed to show “there

2 Smith’s First Amendment claims under Count 3 were not considered because

Smith did not seek a preliminary injunction based on those grounds. And,

because Smith’s Fourteenth Amendment claim under Count 1 was dismissed,

it was also not considered in the preliminary injunction analysis.

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is likely to be any burden on his ability to audibly pray during his

execution,” because the evidence “strongly shows the opposite.”

Smith timely appealed and sought a stay of execution. This

court set the case for expedited briefing and oral argument. At oral

argument on January 19, 2024, Smith’s counsel informed the panel

that Smith had started to vomit as his execution date approached

and he had been seen by medical professionals at Holman. That

evening, Smith filed a “Notice of Supplemental Evidentiary Submission.” The panel construed the filing as a motion to supplement the record and denied that request without prejudice to seek

relief in the district court. On January 20, 2024, Smith moved in

the district court to supplement the record with Smith’s counsel’s

affidavit regarding Smith’s new physical symptoms. On January

22, 2024, the district court denied Smith’s motion to supplement

the record but explained that:

Pursuant Federal Rule of Civil Procedure 62.1(b),

Smith shall notify the Eleventh Circuit’s clerk of court

of this court’s indicative ruling that it would grant his

motions to supplement the record as currently presented if the Eleventh Circuit remanded for that purpose.

On January 23, 2024, Smith moved again in this court to supplement, or in the alternative, for limited remand. We granted his

motion and remanded for the limited purpose of entertaining

Smith’s motion to supplement the record and permitting the State

to submit additional evidence in response to Smith’s new evidence.

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We asked the district court to determine whether the newly submitted evidence would change the previous factual findings or conclusions of law in its January 10, 2024 order denying Smith’s request

for a preliminary injunction.

Once we remanded, the district court ordered the parties to

file their motions to supplement and argument on how to interpret

the new evidence. Both parties filed motions to supplement.

Smith presented his recent medical records about his vomiting and

supplemental declarations from Dr. Yong and Dr. Porterfield, indicating that the new medical records demonstrate that Smith is

likely to vomit during his execution, along with declarations from

his counsel. The Defendants provided an affidavit from Warden

Raybon stating Smith would receive his last meal at 10:00 a.m. and

would not consume liquids after 4:00 p.m.

The district court reviewed this new evidence and found as

follows:

Even in light of the new evidence, the court cannot

conclude the Defendants’ method of execution creates a “substantial risk of serious harm, an objectively

intolerable risk of harm that prevents prison officials

from pleading that they were subjectively blameless

for purpose of the Eighth Amendment,” or that Smith

identified “an alternative that is feasible, readily implemented, and in fact significantly reduce[s] [the] risk

of severe pain” he alleges he will suffer if he becomes

nauseous or vomits during the execution.

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The case returned to us, and Smith renewed his motion to stay his

execution, arguing that with this new information, he is likely to

show a success on the merits of his Eighth Amendment claim.

Turning to the remainder of Smith’s appeal, Smith argues

that the district court erred in dismissing his Fourteenth Amendment claim. Smith argues the district court abused its discretion in

denying him a preliminary injunction on his Eighth Amendment

claim and RLUIPA claims. 3 Last, Smith argues that the district

court abused its discretion in two of its evidentiary rulings.

First, we will address Smith’s argument about the dismissal

of his Fourteenth Amendment claim. Then we will turn to his arguments about the denial of a preliminary injunction and the evidentiary issues associated with that order. Last, we will address

Smith’s motion to stay his execution.

II.

Motion to Dismiss

“We review the grant of a motion to dismiss under Rule

12(b)(6) de novo, accepting the allegations in the complaint as true

and construing them in the light most favorable to the plaintiff.”

Chabad Chayil, Inc. v. Sch. Bd. of Miami-Dade Cnty., 48 F.4th 1222,

1229 (11th Cir. 2022). Similarly, we review a district court’s standing determinations de novo. Sierra v. City of Hallandale Beach, 996

F.3d 1110, 1112 (11th Cir. 2021). We first address our jurisdiction

over Smith’s Fourteenth Amendment claim. We have jurisdiction

3 In his reply brief, Smith explicitly drops his ARFA claim as it relates to his

preliminary injunction argument.

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to consider Smith’s Eighth Amendment and RLUIPA claims under

28 U.S.C. § 1292(a)(1), as this is an appeal from an order denying a

preliminary injunction based on those claims. Further, we may extend our review to Smith’s Fourteenth Amendment claim since it

was “[a]n integral part of the District Court’s denial of the preliminary injunction.” Speer v. Miller, 15 F.3d 1007, 1010 (11th Cir. 1994).

Since the Fourteenth Amendment served as an integral ground of

Smith’s preliminary injunction request, we exercise jurisdiction

over this claim.

In order to bring a particular claim in federal court, the petitioner must have standing. Jacobson v. Fla. Sec’y of State, 974 F.3d

1236, 1245 (11th Cir. 2020). Standing requires (1) an injury in fact

that (2) is fairly traceable to the defendant’s actions and is (3) likely

to be redressed by a favorable decision. Lujan v. Defs. of Wildlife,

504 U.S. 555, 560–61 (1992). The second requirement demands

that the injury be “fairly traceable to the challenged action of the

defendant, and not the result of the independent action of some

third party not before the court.” Id. at 560 (cleaned up).

Smith challenges the district court’s conclusion that he lacks

standing because his Fourteenth Amendment injury “suffers from

traceability and causation infirmities that require its dismissal.” He

argues that nothing in Alabama law expressly authorizes the Attorney General to select condemned people for execution. But testimony in the record confirms the Attorney General’s primary role

in selecting condemned inmates and serving as the final confirmation for an execution to proceed during the course of Alabama’s

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execution process. Without the Attorney General’s actions, neither Hamm nor Raybon may proceed with their duties under Alabama Code § 15-18-82(b) and (c). Rather, Smith’s execution selection injury is directly traceable to the Attorney General. As a result,

Smith’s Fourteenth Amendment injury fails on traceability

grounds, and therefore he lacks standing to raise this claim.

III.

Motion for Preliminary Injunction

“A movant is eligible for a preliminary injunction or a stay

of execution only if he establishes that (1) he has a substantial likelihood of success on the merits, (2) he will suffer irreparable injury

unless the injunction or stay issues, (3) the injunction or stay would

not substantially harm the other litigant, and (4) if issued, the injunction or stay would not be adverse to the public interest.” Barber v. Governor of Ala., 73 F.4th 1306, 1317 (11th Cir. 2023). The first

factor is considered one of “the most critical.” Nken v. Holder, 556

U.S. 418, 434 (2009). When a court concludes that the movant fails

to establish a substantial likelihood of success on the merits, “it [is]

unnecessary” for the court to determine whether the movant “satisfied the second, third, or fourth factors.” Grayson v. Warden,

Comm’r, Ala., 869 F.3d 1204, 1238 n.89 (11th Cir. 2017).

“Our standard of review on appeal is deferential, and we ask

only whether the district court abused its discretion” in either denying or granting a preliminary injunction. Reeves v. Comm’r, Ala.

Dep’t of Corr., 23 F.4th 1308, 1320 (11th Cir. 2022). “In so doing, we

review the findings of fact of the district court for clear error and

legal conclusions de novo.” Scott v. Roberts, 612 F.3d 1279, 1289 (11th

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Cir. 2010). “This scope of review will lead to reversal only if the

district court applies an incorrect legal standard, or applies improper procedures, or relies on clearly erroneous factfinding, or if

it reaches a conclusion that is clearly unreasonable or incorrect.” Schiavo ex rel. Schindler v. Schiavo, 403 F.3d 1223, 1226 (11th

Cir. 2005) (per curiam).

The abuse of discretion standard “recognizes the range of

possible conclusions the [district court] may reach.” United States

v. Frazier, 387 F.3d 1244, 1259 (11th Cir. 2004) (en banc). It “allows

a range of choice for the district court, so long as that choice does

not constitute a clear error of judgment.” Id. (quotation marks

omitted). Thus, under the abuse of discretion standard, we may

not reverse “‘simply because we are convinced that we would have

decided the case differently.’” Price v. Comm’r, Dep’t of Corr., 920

F.3d 1317, 1323 (11th Cir. 2019) (quoting Glossip v. Gross, 576 U.S.

863, 881 (2015)).

Smith argues that he has established a substantial likelihood

of success on the merits, and that the district court abused its discretion by denying him a preliminary injunction on his Eighth

Amendment and RLUIPA claims. Smith also asserts that the district court abused its discretion in two of its evidentiary rulings related to its preliminary injunction decision. We address each argument in turn.

A.

Eighth Amendment Claim

To state a plausible claim for relief under the Eighth Amendment, a plaintiff must plead “a substantial risk of serious harm, an

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objectively intolerable risk of harm that prevents prison officials

from pleading that they were subjectively blameless for purposes

of the Eighth Amendment.” Baze v. Rees, 553 U.S. 35, 50 (2008) (internal quotation marks omitted). The Eighth Amendment inquiry

focuses on whether the state’s chosen method of execution “cruelly

superadds pain to the death sentence” by asking whether the state

has “a feasible and readily implemented alternative method of execution that would significantly reduce a substantial risk of severe

pain.” Bucklew v. Precythe, 139 S. Ct. 1112, 1125 (2019).

Smith argues that the district court erred in denying his request for a preliminary injunction because he is likely to succeed

on his Eighth Amendment claim. Smith asserts that the Protocol

as developed by ADOC fails to ensure an airtight seal and would

allow oxygen to infiltrate the mask. This oxygen infiltration while

nitrogen is being pumped into the mask could lead to a persistent

vegetative state, stroke, or suffocation. Smith also argues that his

exposure to high levels of nitrogen, which may cause nausea, in

combination with his documented chronic nausea induced by his

PTSD from his prior execution attempt, could lead to him vomiting and asphyxiation. Finally, Smith argues that he has identified

feasible and readily available alternative methods to ADOC’s protocol.

To demonstrate that a risk of harm violates the Eighth

Amendment, the petitioner must show the conditions leading to

the risk are “sure or very likely to cause serious illness and needless

suffering,” and will cause “sufficiently imminent dangers.” Helling v.

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McKinney, 509 U.S. 25, 33–34 (1993) (emphasis added). There must

be a “substantial risk of serious harm,” also considered an “objectively intolerable risk of harm,” that negates any contention by

prison officials that they qualify as “subjectively blameless” under

the Eighth Amendment. Farmer v. Brennan, 511 U.S. 825, 842, 846,

& n.9 (1994). Further, the petitioner must show that its alternative

method “would significantly reduce a substantial risk of severe

pain. A minor reduction in risk is insufficient; the difference must

be clear and considerable.” Bucklew, 139 S. Ct. at 1130 (internal citation omitted).

Supreme Court precedent is clear that a new method of execution does not automatically establish a claim for cruel and unusual punishment. See id. at 1123–24 (discussing the shift to electrocution and how that was not considered cruel in the constitutional

sense); Glossip, 576 U.S. at 881–86 (discussing the changes in lethal

injection drugs and how those changes do not amount to cruel and

unusual punishment); Baze, 553 U.S. at 50–51 (addressing lethal injection for the first time and finding it not to be cruel and unusual).

There is no doubt that death by nitrogen hypoxia is both new and

novel. Because we are bound by Supreme Court precedent, Smith

cannot say that the use of nitrogen hypoxia, as a new and novel

method, will amount to cruel and unusual punishment in violation

of the Eighth Amendment by itself. Rather, Smith must show why

this method will cause him “a demonstrated [substantial] risk of severe pain.” Glossip, 576 U.S. at 878. Smith must also “show a feasible and readily implemented alternative method of execution that

would significantly reduce a substantial risk of severe pain and that

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[Alabama] has refused to adopt without a legitimate penological

reason.” Bucklew, 139 S. Ct. at 1125.

Here, the district court was tasked with conducting factual

findings for the first new method of execution in over 40 years. The

district court boiled Smith’s arguments down to three:

(1) use of an off-the-shelf mask, as opposed to some

other device such as a hood, subjects Smith ‘to a substantial risk of oxygen infiltration’; (2) the specific

mask the ADOC intends to use for Smith’s execution

‘will permit the entertainment of room air’ resulting

in a substantial risk of superadded pain short of death;

[and] (3) the Protocol itself, and Smith’s individual circumstances—now suffering from PTSD and depression as a result of the failed lethal injection execution

attempt and his looming execution—subjects him to

a “substantial risk of asphyxiation on his own vomit.”

After an analysis of expert testimony, various supporting exhibits, and the mask apparatus, the court held:

What the testimony from the experts shows, if anything from an overall standpoint of consistency, is

that the uninterrupted introduction of pure nitrogen

will result in nitrogen hypoxia and that nitrogen hypoxia will ultimately lead to death. On this record,

there is simply not enough evidence to find with any

degree of certainty or likelihood that execution by nitrogen hypoxia under the Protocol is substantially

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likely to cause Smith superadded pain short of death

or a prolonged death.

After a thorough review of the underlying record, and in light of

our highly deferential standard of review, we are bound to agree

with the district court’s factual findings. We address the district

court’s findings surrounding the likelihood of vomiting and oxygen

infiltration in turn.4

Our deferential standard of review does not support a finding that the district court’s determination that Smith is not substantially likely to vomit during the execution is clearly erroneous. The

district court found that “[t]he record still lacks evidence demonstrating when, where, or how much Smith might vomit during the

execution, with or without the mask on, before or during the administration of nitrogen.” The district court noted that Smith’s experts testified that Smith is likely to vomit during the execution

based on the medical records. But even with that information, the

district court balanced this testimony against the Defendants’ alteration of when Smith will receive his last meal, prohibiting solid

food intake for over eight hours before his scheduled execution.

This was similar to one of Smith’s suggested remedies to the Protocol to reduce the substantial risk of harm. Because there is no

evidence that Smith is likely to vomit at the moment in which nitrogen is introduced into the mask, we cannot say that the district

4 As we noted above, this case has been back to the district court for further

review, so the district court’s factual finding on whether Smith is likely to

vomit comes from the district court’s January 24, 2024 order.

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court erred in finding that Smith would not be at substantial risk of

harm from choking on his vomit during the execution.

We are similarly bound by the district court’s factual findings surrounding a substantial risk of oxygen infiltration. The district court found that:

Given its design, the court finds it highly unlikely the

mask would dislodge or that the seal would be broken

and outside air introduced if it is tightly secured on

the condemned inmate’s head in a positive pressure

environment, even under the scenarios Smith alleges

could break the seal—like audibly speaking or moving his mouth or head.

After a painstaking review of the underlying record, we cannot say

this conclusion is a clear error. Diagrams and testimony about the

mask’s design confirm that its five straps securely fit the mask

across the entire face, with the entire assembly enveloping the

wearer’s head. Videos demonstrate the condemned will be

strapped to a gurney with limited mobility 5 and, coupled with the

mask’s design, it is not clearly erroneous to find it “highly unlikely”

the mask will dislodge. Even if the mask is an imperfect fit, the

footage exhibits an unsecured mask that, when pumped with a

5 Alabama provided video evidence of volunteers who wore the mask, while

strapped to the gurney and spoke while breathing oxygen through the apparatus. We note that this evidence has limited relevance given the vastly different circumstances the condemned faces—a second execution, by a novel

method, through the use of an inert gas.

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high volume of nitrogen, creates a rapidly hypoxic environment

over the course of 45 seconds. Taken together, it is not clearly erroneous to conclude that the mask will be adequately sealed to create sufficiently severe hypoxic conditions that, according to expert

testimony, will lead to unconsciousness within seconds. Based on

this record, we cannot say the mask is “sure or very likely to” dislodge or permit enough oxygen to infiltrate to create a substantial

risk of severe pain. See Helling, 509 U.S. at 33–34.

In Glossip, the Supreme Court reiterated that “prisoners cannot successfully challenge a method of execution unless they establish that the method presents a risk that is ‘sure or very likely to cause

serious illness and needless suffering’ and give rise to ‘sufficiently

imminent dangers.” 576 U.S. at 877 (quoting Baze, 553 U.S. at 50).

When the district court assessed Smith’s claim, it discussed that

most of Smith’s claims are predicated on “a cascade of unlikely

events.” And considering the underlying factual findings, which

are not clearly erroneous, Smith is unable to meet the high standard that Eighth Amendment jurisprudence requires. 6

We are bound by this record to hold the district court did

not clearly err in its substantial risk of serious harm findings. Because Smith’s claim fails on this prong, his Eighth Amendment

6 We also note that in Glossip, when confronted with little evidence about the

use and effects of midazolam, the Supreme Court explained that the inmate

“bear[s] the burden of persuasion” even if there is a “dearth of evidence.” 576

U.S. at 881–84. The lack of evidence here on the effects nitrogen hypoxia will

have on Smith makes it impossible for us to reverse. Glossip ties our hands.

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claim must fail.7 We consequently must affirm the district court

on its Eighth Amendment holding.

B.

RLUIPA

Under RLUIPA, “[n]o government shall impose a substantial

burden on the religious exercise of a person residing in or confined

to an institution . . . unless the government demonstrates that imposition of the burden on that person (1) is in furtherance of a compelling governmental interest; and (2) is the least restrictive means

of furthering that compelling governmental interest.” 42 U.S.C.

§ 2000cc-1(a) (emphasis added). In practice, the person challenging

a policy under RLUIPA bears the initial burden of proving that said

policy implicates and substantially burdens his or her religious exercise. Holt v. Hobbs, 574 U.S. 352, 360 (2015). Once that burden is

met, the burden shifts to the government, which then must prove

that (1) the policy is in furtherance of a compelling governmental

interest; and (2) is the least restrictive means of furthering that compelling governmental interest. Id. at 362.

7 We do not address Smith’s alternative methods. But we do want to note that

the district court improperly latched on to Alabama’s “veritable blueprint” argument when it faulted Smith’s proposed amendments as “far from providing

a feasible, readily implemented alternative nitrogen hypoxia protocol with his

list of proposed amendments.” But the district court overstates Smith’s “feasible” and “readily implemented” requirement and misreads the holding in

Nance v. Ward, 597 U.S. 159 (2022). The Supreme Court did not state “that a

condemned person proposing an alternative method of execution must provide a veritable blueprint for carrying the death sentence out.” Rather, this

language comes from a factual analogy of that inmate’s proposal—not from a

new legal standard. See 597 U.S. at 169.

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Congress enacted RLUIPA “to provide very broad protection for religious liberty” by subjecting the State to strict scrutiny

whenever it “substantially burdens [a prisoner’s] religious exercise.” Id. at 356 (quoting Burwell v. Hobby Lobby Stores, Inc., 573 U.S.

682, 693 (2014)). Under RLUIPA, the term “religious exercise”

broadly “includes any exercise of religion, whether or not compelled by, or central to, a system of religious belief.” 42 U.S.C.

§ 2000cc-5(7)(A). Audible prayer has been recognized by the Supreme Court as a form of religious exercise with a rich history in

the United States. See Ramirez v. Collier, 142 S. Ct. 1264, 1278–79

(2022).

Here, Smith argues that the Protocol substantially burdens

his ability to audibly pray during the course of his execution because he faces an untenable choice—audibly pray or face a substantial risk of superadded pain or prolonged death due to a dislodged

mask. It is not speculative that Smith would engage in religious

exercise because he both audibly prayed and sang the contemporary hymn “I Am Not Alone” during his failed execution. However, we cannot say that the district court clearly erred when it

found that any risk of the mask gaping or dislodging is speculative

based upon the same factual findings regarding the mask’s design,

fit, and nitrogen volumes above. Without such findings, we cannot

conclude that Smith will be substantially burdened in his ability to

audibly pray during the course of the execution. Based upon this

standard of review, we are bound to accept the district court’s findings as to Smith’s claim and affirm the district court on its RLUIPA

holding.

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C. Evidentiary Issues

Lastly, Smith asserts that the district court abused its discretion in denying his motion to strike Dr. Antognini’s opinion, and

failing to respond, thus implicitly denying, his motion to compel

information predating ADOC’s adoption of the current protocol.

We typically review evidentiary issues for abuse of discretion. Harrison v. Culliver, 746 F.3d 1288, 1297 (11th Cir. 2014). But

we also have an obligation to review sua sponte whether we have

jurisdiction at any point in the appellate process. See Reaves v. Sec’y,

Fla. Dep’t. of Corr., 717 F.3d 886, 905 (11th Cir. 2013).

Generally, interlocutory discovery orders are not immediately appealable. Doe No. I v. United States, 749 F.3d 999, 1004 (11th

Cir. 2014). And we find that the district court’s order did not resolve Smith’s motion to compel information predating ADOC’s

adoption of the current protocol. Because there is nothing for us

to review, we lack jurisdiction. Cf. Kaimowitz v. Orlando, 122 F.3d

41, 43 (11th Cir. 1997) (per curiam).

As to Smith’s motion to strike Dr. Antognini’s opinion, the

district court overruled the objections as it related to Dr. Antognini, explaining that he would take Smith’s arguments “into consideration as it concerns the weight and credibility.” Although still

uncertain about whether the motion has been resolved, we assume

that the district court’s discussion at the hearing denied the motion.

Even though discovery orders are typically not appealable, we may

review such an order if it is “inextricably intertwined” with an issue

before the court. Jones v. Fransen, 857 F.3d 843, 850 (11th Cir. 2017).

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Dr. Antognini’s opinion goes directly to several of the issues in the

preliminary injunction, including the mask fit and whether it

would dislodge during use.

Thus, we have jurisdiction to review the district court’s decision denying Smith’s motion to strike Dr. Antognini’s opinion.

Turning to the merits, the district court has wide discretion on evidentiary rulings. Harrison, 746 F.3d at 1297. “[W]e will not overturn discovery rulings unless it is shown that the District Court’s

ruling resulted in substantial harm to the appellant’s case.” Iraola

& CIA, S.A. v. Kimberly–Clark Corp., 325 F.3d 1274, 1286 (11th Cir.

2003) (internal quotation marks omitted). Smith’s argument focuses on Dr. Antognini’s review of the system at Holman, tests involving the system, and how it was unfair that he was not privy to

this information. But as Alabama notes, Smith’s main argument

involves the type of mask and how it could possibly dislodge.

Smith’s expert, Dr. Nitschke, inspected the mask and provided his

opinion on whether it could become dislodged, as did Dr. Antognini. Smith deposed Dr. Antognini about the opinion8 and had the

opportunity to cross-examine him at the evidentiary hearing.

Thus, the district court did not abuse its discretion in allowing Dr.

Antognini’s opinion.

8 Smith does note that he received Dr. Antognini’s opinion late the night be-

fore Dr. Antognini’s deposition. We appreciate the expedited nature of this

case and the balancing of confidential information, but we are concerned and

disheartened that Alabama’s Office of the Attorney General would wait until

late the night before a deposition to provide an expert opinion report, especially one that was hired before the start of this litigation.

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Motion to Stay Execution

The standard governing a stay of execution mirrors that for

a preliminary injunction: the movant must establish a substantial

likelihood of success on the merits. See Valle v. Singer, 655 F.3d 1223,

1225 (11th Cir. 2011) (per curiam). For the reasons we have discussed above, Smith has failed to show a substantial likelihood of

success on the merits of his claims. Accordingly, his motion for a

stay of execution is due to be denied without regard to the other

prerequisites for the issuance of the same.

AFFIRMED.

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Wilson, J., Concurring

1

WILSON, Circuit Judge, Concurring:

The Supreme Court has recognized that death is not painless, and an execution that causes pain “by accident or as an inescapable consequence of death” does not constitute a risk which

rises to an Eighth Amendment violation. Baze v. Rees, 553 U.S. 35,

50 (2008). But the Eighth Amendment does prohibit an execution

that would amount to cruel and unusual punishment. Id. at 51.

With that in mind, Smith may not be constitutionally guaranteed

a painless death, but I have concerns that these circumstances may

rise to a cruel and unusual execution.1

My first apprehension concerns what would occur if Smith

were to vomit after nitrogen has been turned on, because ADOC

has no protocol to handle this situation. Instead, Cynthia StewartRiley, the ADOC Regional Director, testified that the execution

team will do nothing if this were to happen, which could lead

Smith to asphyxiating. And expert testimony established that if

Smith were to vomit once nitrogen is introduced, Smith faces a

likelihood of asphyxiating on his own vomit. 2

1 We have recognized that Alabama has a history of failed executions.

See

Barber v. Governor of Ala., 73 F.4th 1306, 1317 (11th Cir. 2023) (Pryor, J. dissenting) (“Three botched executions in a row are three too many.”).

2 In Dr. Yong’s supplemental declaration, he stated that if Smith is “in a re-

clined position, he will likely inhale vomit and asphyxiate, resulting in painful

sensations of choking and suffocations or even death from asphyxiation.”

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My second concern focuses on Smith’s prior failed execution

and subsequent litigation. For context, I provide a truncated version of past events.

Before his first attempted execution, 3 scheduled for November 17, 2022, Smith repeatedly warned that Alabama would struggle—if not fail—to obtain IV access necessary to complete the lethal injection. Smith alleged that Alabama’s lethal injection protocol would subject him to an Eighth Amendment method-of-execution claim, pointing to evidence of Alabama’s recent mishandling

of condemned inmates with similar difficulties. 4 Smith argued that

Alabama recently deviated from its execution protocol twice and

would likely do so again. The district court denied Smith’s motion,

but we reversed, finding that he pled sufficient facts to plausibly

support his Eighth Amendment claim. On November 17, 2022, at

approximately 8:00 PM CST, we unanimously granted Smith’s

3 If Smith were to be convicted and sentenced today, he would be ineligible

for the death penalty. The jury in his capital murder case recommended a sentence of life imprisonment—by a vote of 11 to 1. A single judge had the power

override the reasoned decision of a jury Smith’s peers and impose the death

penalty himself. Judges no longer have this power, as the Supreme Court has

since held that this sort of unilateral sentencing scheme violates criminal defendants’ Sixth Amendment right to trial by jury. Hurst v. Florida, 577 U.S. 92,

94 (2016). Pertinent here, Smith’s conviction predates Hurst’s mandate.

4 In July 2022, Alabama executed Joe Nathan James. James was behind closed

curtains for over three hours as the execution team sought to gain IV access.

In September 2022, Alabama attempted to execute Alan Eugene Miller. Miller

was strapped to a gurney for two hours, his arms outstretched over his head,

while the execution team attempted to gain IV access.

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request for stay of execution. Before the stay was entered, Alabama

took Smith to the execution chambers. The execution team

strapped Smith to a gurney in the chamber while Alabama sought

to vacate this court’s stay of execution with the United States Supreme Court. And at approximately 10:00 PM CST, the Supreme

Court vacated the stay without explanation. When Alabama’s execution team attempted to gain IV access, Smith explained that

“[the IV Team] began repeatedly jabbing Mr. Smith’s arms and

hands with needles, well past the point at which the executioners

should have known that it was not reasonably possible to access a

vein.” As Smith predicted, Alabama was unable to obtain IV access, and at 11:30 PM CST Alabama called off the execution.

Smith filed an amended complaint to include allegations

from his failed execution. He asserted that a second execution

would constitute cruel and unusual punishment and violate his

equal protection rights. Alabama moved to dismiss the complaint,

but this time, the district court allowed Smith’s Eighth and Fourteenth Amendment claims to proceed, noting that:

[Smith’s] allegations, which must be assumed true at

this stage, go well beyond merely being pricked subcutaneously over a brief period in an attempt to establish an IV line. Rather, Smith’s allegations support

a plausible claim of cruel superadded pain as part of

the execution, as multiple needle insertions over the

course of one-to-two hours into muscle and into the

collarbone in a manner emulating being stabbed in

the chest, in combination with being strapped to the

gurney for up to four hours and at one point being

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placed in a stress position for an extended period of

time, goes “so far beyond what [is] needed to carry

out a death sentence that [it] could only be explained

as reflecting the infliction of pain for pain’s sake.”

Moreover, given Smith’s allegations that he himself

experienced severe pain during a prior execution attempt, and that the prior execution attempt was the

latest in an ongoing pattern of the State’s difficulties

in establishing venous access when attempting to

carry out lethal injection executions, it is plausible, rather than merely possible, that a second lethal injection execution poses a substantial risk of severe pain

to Smith.

The district court directed the parties to develop a case management report under Rule 26 to begin the discovery process. The

district court entered a scheduling order and set a deadline for initial disclosures. The next day (four days before the initial disclosures’ deadline), Alabama moved to dismiss because John Hamm,

Commissioner of ADOC, determined that nitrogen hypoxia would

be an available method of execution. He also affirmed that lethal

injection would not be used in any future attempts to execute

Smith. Smith’s counsel agreed with the injunction to prevent a second execution by lethal injection. However, he objected to the use

of nitrogen hypoxia, as Alabama only provided Smith—and the

court—with a heavily redacted version of their proposed protocol

and sparse detail on how the execution would work in practice.

Nonetheless, the district court granted Alabama’s motion to

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5

dismiss and entered a permanent injunction barring Alabama from

using lethal injection to execute Smith.

But as our opinion explains, the standard of review governs

our determination on whether the district court made clearly erroneous factual findings. Clear error mandates that “[if] the district

court’s view of the evidence is plausible in light of the entire record,

an appellate court may not reverse even if it is convinced that it

would have weighed the evidence differently in the first instance.”

Barber v. Governor of Ala., 73 F.4th 1306, 1317 (11th Cir. 2023) (quoting Brnovich v. Democratic Nat’l Comm., 141 S. Ct. 2321, 2349 (2021))

(emphasis added). And, for Smith to prevail, he must show that

those factual findings are clearly erroneous. Like our opinion

notes, Smith has failed to meet this demanding burden. Thus, I

must concur.

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1

JILL PRYOR, Circuit Judge, Dissenting:

The State of Alabama seeks to test an entirely new method

of execution on Kenny Smith, opting for him to die not by lethal

injection, but by nitrogen gas. Alabama proposes to do so even

though its new nitrogen gas protocol has never been tested and despite real doubts about the protocol’s ability to safeguard a condemned person’s constitutional rights. And—critically, as I view

this case—Alabama has chosen this condemned person, this protocol, and this moment, even though Mr. Smith is suffering mentally

and physically from the posttraumatic stress Alabama caused when

it botched its first attempt to execute him in 2022.

What is all of this likely to look like when the time comes

for Mr. Smith to face his death again? He will be escorted by his

executioners to the same execution chamber that was previously

used for the first attempted execution. Inside the chamber, he will

be strapped to a gurney, the same one that held him for hours as he

endured excruciating pain just over a year ago. Nitrogen gas will

begin to flow into the mask. Under these conditions Mr. Smith’s

undisputed posttraumatic stress disorder, which no one contests is

causing him to persistently vomit, will be at its absolute peak. At

the same time, he will experience oxygen deprivation, a known effect of which is vomiting. If Mr. Smith vomits, his executioners

will not intervene—they have told us so—even as vomit fills the

mask and flows into Mr. Smith’s nose and mouth. Then, at last, Mr.

Smith’s body will succumb to the effects of oxygen deprivation,

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asphyxiation, or both. He will die. The cost, I fear, will be Mr.

Smith’s human dignity, and ours. See Hall v. Florida, 572 U.S. 701,

708 (2014).

The Supreme Court has imposed a high bar on a condemned

person seeking to prove that his impending execution will violate

the Eighth Amendment’s guarantee against cruel and unusual punishment. He must show that “the risk of pain associated with the

State’s method is substantial when compared to a known and available alternative.” Bucklew v. Precythe, 139 S. Ct. 1112, 1125 (2019)

(internal quotation marks omitted). The district court found that

Mr. Smith had satisfied neither the substantial risk part of the test

nor the known and available alternative part. As for the known and

available alternative part, the district court legally erred in applying

a “veritable blueprint” standard. See Maj. Op. at 22 n.7. Without

addressing Mr. Smith’s proposed amendments to the nitrogen gas

protocol, I would hold that he has identified firing squad as a

known and available alternative.

I part with the majority opinion because I believe the district

court clearly erred in its factual findings regarding the substantial

risk part of the Supreme Court’s Eighth Amendment test. The district court said Mr. Smith’s claim that he is likely to vomit during

the execution while nitrogen is flowing is “possible only upon the

occurrence of a cascade of unlikely events.” But the record shows

that Mr. Smith is likely to vomit, both because of the undisputed

effects of oxygen deprivation and because of the undisputed activation of his posttraumatic stress disorder from the first botched

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3

execution attempt, of which his persistent vomiting is a documented symptom. Because no one will intervene if he vomits, his

vomit will flood his face, both nose and mouth. And the record reflects that when a person inhales vomit and asphyxiates, he experiences “painful physical sensations of choking and suffocation.” As I

see it, this cascade of likely events is, in turn, likely to prolong or

superadd pain and suffering to Mr. Smith’s death. I view the district

court’s findings of fact otherwise as clearly erroneous. And given

the record evidence about the effects of this execution on this individual, I would conclude that Mr. Smith has shown a substantial

likelihood of success on the merits of his Eighth Amendment claim,

and I would not allow his execution to proceed. 1

Respectfully, I dissent.

1 Because I would

enjoin Mr. Smith’s execution on Eighth Amendment

grounds, I would not reach his remaining claims in this appeal.

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IN THE UNITED STATES DISTRICT COURT

FOR THE MIDDLE DISTRICT OF ALABAMA

NORTHERN DIVISION

KENNETH EUGENE SMITH,

)

)

)

)

)

)

)

)

)

Plaintiff,

v.

JOHN Q. HAMM, et al.,

Defendants.

CASE NO. 2:23-cv-656-RAH

[WO]

MEMORANDUM OPINION AND ORDER

I. INTRODUCTION

Kenneth Eugene Smith was convicted of capital murder and sentenced to

death in 1996. He is now scheduled for execution via a new method—nitrogen

hypoxia—on January 25, 2024. This is the State of Alabama’s second attempt to

execute Smith, the first attempt at execution by lethal injection having failed. Both

before and after the failed first attempt, Smith voiced his preference that any

execution be conducted by nitrogen hypoxia. After the failed first attempt, the State

of Alabama honored Smith’s request and notified him of its intent to execute him by

nitrogen hypoxia. Now, and unsurprisingly, Smith objects to that method too, at

least under Alabama’s current protocol. He also offers up amendments to the current

protocol and Utah’s firing squad execution protocol as feasible and readily

implemented alternative methods. He challenges his current execution method

pursuant to 42 U.S.C. § 1983 under the First, Eighth, and Fourteenth Amendments

to the United States Constitution, the Religious Land Use and Institutionalized

Persons Act (RLUIPA), 42 U.S.C. § 2000cc et seq., and the Alabama Constitution’s

Religious Freedom Amendment (ARFA), Ala. Const. amend. 622.

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Smith has moved for a preliminary injunction to enjoin Defendants John Q.

Hamm (Commissioner of the Alabama Department of Corrections) and Terry

Raybon (Warden at the William C. Holman Correctional Facility), in their official

capacities, from executing him under Alabama’s current nitrogen hypoxia protocol

(Protocol). The Defendants have moved to dismiss Smith’s Second Amended

Complaint (SAC), the operative one. The motions are ripe for review. For the

reasons that follow, the court will grant in part and deny in part the Defendants’

motion to dismiss and will deny Smith’s motion for preliminary injunction.

II. BACKGROUND

Sometime in mid-August 2023, Hamm formally approved a nitrogen hypoxia

execution protocol, the first protocol of its kind in the United States. On August 25,

2023, the State of Alabama, through the Office of the Attorney General, moved for

an order from the Alabama Supreme Court authorizing the Alabama Department of

Corrections (ADOC) to carry out Smith’s death sentence by means of nitrogen

hypoxia within a time frame set by the Governor of Alabama. Over Smith’s

opposition, the Alabama Supreme Court granted the Attorney General’s motion and

ordered Hamm to carry out Smith’s death sentence within the time frame set by the

Governor. The Governor then set Smith’s execution for a thirty-hour time frame

between January 25, 2024, and January 26, 2024. Smith then filed the instant

lawsuit.

A. Smith’s Capital Litigation History

In 1988, Elizabeth Dorlene Sennett was found dead in her home. Smith v.

State, 908 So. 2d 273, 279 (Ala. Crim. App. 2000), cert. denied, 546 U.S. 928 (2005),

denying stay of execution, 143 S. Ct. 440 (2022). She was stabbed eight times in the

chest and once on each side of her neck. In 1996, an Alabama jury convicted Smith

of murdering Sennett for $1,000 and recommended a sentence of life imprisonment

without the possibility of parole by an 11-to-1 vote. The trial judge however

2

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overrode the jury’s recommendation and sentenced Smith to death. After pursuing

conventional post-trial and post-conviction relief in state court, including a direct

appeal of his conviction and sentence and his first Rule 32 action, Smith filed for

federal habeas relief pursuant to 28 U.S.C. § 2254, seeking to reverse his conviction

and sentence, which the United States District Court for the Northern District of

Alabama denied. Smith v. Dunn, No. 2:15-cv-0384-AKK, 2019 WL 4338349 (N.D.

Ala. Sept. 12, 2019), aff’d, 850 F. App’x 726 (11th Cir. 2021), cert. denied, 142 S.

Ct. 1108 (2022).

On August 18, 2022, and after the Attorney General sought an execution date,

Smith filed his first method-of-execution action challenging Alabama’s lethal

injection protocol. Smith v. Hamm, No. 2:22-cv-497-RAH, 2022 WL 10198154

(M.D. Ala. Oct. 16, 2022). In that action, Smith asserted that execution by lethal

injection violated his Eighth Amendment rights, and he further asserted that nitrogen

hypoxia was his preferred method of execution because it was an available and

feasible alternative method.

Smith also sought a preliminary and permanent

injunction against the ADOC’s plan to execute him by lethal injection.

On

September 30, 2022, the Alabama Supreme Court authorized Smith’s execution and

the Governor thereafter set his execution for November 17, 2022.

After the defendant (Hamm) moved to dismiss that action, Smith’s complaint

was dismissed and his later attempt to alter or amend the dismissal ruling with an

amended complaint was denied. Smith v. Hamm, No. 2:22-cv-497-RAH, 2022 WL

16842050 (M.D. Ala. Nov. 9, 2022). On appeal, the Eleventh Circuit reversed,

holding that Smith’s proposed amended complaint stated a plausible Eighth

Amendment claim. Smith v. Comm’r, Ala. Dep’t of Corr., No. 22-13781, 2022 WL

17069492 (11th Cir. 2022) (per curiam), cert. denied, No. 22-580, 143 S. Ct. 1188

(2023).

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The same day the Eleventh Circuit ruled, and the day of his execution, Smith

moved for a preliminary injunction seeking an order enjoining the defendants from

executing him by lethal injection. He also sought an emergency stay of execution.

Both requests were denied. Smith v. Hamm, No. 2:22-cv-497-RAH, 2022 WL

17067498 (M.D. Ala. Nov. 17, 2022). Smith appealed again that day. The Eleventh

Circuit then granted a temporary stay of execution, Smith v. Comm’r, Ala. Dep’t of

Corr., No. 22-13846-P, 2022 WL 19831029 (11th Cir. 2022), which the United

States Supreme Court vacated several hours later, Hamm v. Smith, No. 22A441, 143

S. Ct. 440 (2022).

With the green light to proceed, at approximately 8:00 p.m. that evening,

ADOC officials attempted to execute Smith via lethal injection. The ADOC was

unsuccessful with its efforts despite trying to access Smith’s veins for over 90

minutes. Smith v. Hamm, No. 2:22-cv-497-RAH, 2023 WL 4353143, at *3 (M.D.

Ala. July 5, 2023). The execution was terminated just before midnight.

After the failed execution attempt, Smith’s lethal injection litigation

continued, this time with another amended complaint that also included the Alabama

Attorney General as a defendant. During that litigation, Smith, through counsel,

continued to represent in court proceedings that nitrogen hypoxia was his preferred

method of execution. On August 25, 2023, the defendants moved to dismiss the

case, stating that Smith’s challenge to lethal injection was now moot because the

defendants had agreed never to attempt to execute Smith by lethal injection again

and that the Attorney General had moved to reset Smith’s execution, this time by

nitrogen hypoxia. On September 20, 2023, Smith’s lethal injection case was

dismissed for lack of a live case or controversy and the defendants were enjoined

from conducting any future execution of Smith by lethal injection. Smith v. Hamm,

No. 2:22-cv-497-RAH, Final Judgment & Order (M.D. Ala. Sept. 20, 2023).

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On May 12, 2023, Smith filed a second Rule 32 petition in state court (the

Circuit Court of Jefferson County, Alabama) related to the failed execution attempt

by lethal injection, seeking to prevent the State of Alabama from attempting to

execute him a second time by any means; that is, relieve him of his death sentence

(Doc. 58-1 at 30.) The state trial court dismissed Smith’s petition, and the Alabama

Court of Criminal Appeals affirmed that dismissal on December 8, 2023. (Id. at 39.)

On December 18, 2023, Smith petitioned for a Writ of Certiorari in the Alabama

Supreme Court. (Id. at 2.) As the court writes, that petition remains pending.

B. Alabama’s Novel Nitrogen Hypoxia Execution Protocol

In June 2018, Alabama’s statutory amendment allowing execution by nitrogen

hypoxia as an approved method of execution went into effect. Ala. Code § 15-1882.1(b).

Although condemned inmates have offered nitrogen hypoxia as the

preferred feasible and readily implemented alternative method of execution in their

capital § 1983 litigation challenging lethal injection, Smith, No. 2:22-cv-497-RAH,

2023 WL 4353143, at *5; Bucklew v. Precythe, 139 S. Ct. 1112, 1129–30 (2019);

Price v. Comm’r, Dep’t of Corr., 920 F.3d 1317, 1328 (11th Cir. 2019); Miller v.

Hamm, No. 2:22-cv-506-RAH, 2022 WL 4348724, at *3 (M.D. Ala. Sept. 19, 2022),

the Attorney General’s office and the ADOC maintained, until just a few months

ago, that nitrogen hypoxia was not a feasible and available method because the

ADOC had not yet formalized and approved an execution protocol for it. Then, in

August 2023, with no warning that it was coming, the Attorney General’s office

announced the finalization of the Protocol.

Maintaining the ADOC’s familiar veil of secrecy over its capital punishment

procedures, the public version of the Protocol is heavily redacted. But its 40 pages

contain provisions and instructions for ADOC officials to follow from the time the

ADOC receives word that an execution directive has been issued by the Alabama

Supreme Court and Governor to the time of the inmate’s interment after execution,

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including detailed procedures for carrying out the State of Alabama’s three approved

methods of execution: electrocution, lethal injection, and nitrogen hypoxia.

The present action concerns the Protocol’s nitrogen-hypoxia-specific

provisions. These provisions contain detailed directives and warnings about gas

usage in an enclosed space; training; and inspections, testing, calibration, and use of

atmospheric monitors, gas measurement devices, pulse oximeters, tubing, masks,

and other devices. (Doc. 31-1.) The Protocol also contemplates the attendance of

the condemned inmate’s spiritual advisor in the execution chamber and securing and

checking the mask.

C. The Present Action

The SAC is the governing pleading. In it, Smith pleads five causes of action

against two defendants, John Q. Hamm, in his official capacity as the ADOC

Commissioner, and Terry Raybon, in his official capacity as Warden of the William

C. Holman Correctional Facility. Smith seeks declaratory and injunctive relief.

1. Fourteenth Amendment Claim

In Count One, Smith asserts a claim under the Fourteenth Amendment.1 He

asserts that the State of Alabama’s custom is to wait to move for an inmate’s

execution until after the inmate has exhausted his conventional appeals, and that

here, Smith “has not exhausted his appeals.” (Doc. 31 at 29.) He alleges that his

appeal from his Second Petition for Relief from Death Sentence Under Alabama Rule

of Criminal Procedure 32, filed on May 12, 2023, seeking an order altogether

relieving him of his death sentence, remains pending. He further alleges that “[o]ther

condemned people in Alabama who elected to be executed by nitrogen hypoxia five

years ago have exhausted their appeals” and therefore the “Defendants’ actions

1

For ease of reference, Smith’s claims for relief will be referred to as Counts One, Two, Three,

Four and Five, instead of his First Claim for Relief, Second Claim for Relief, etc. as used in the

SAC.

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toward Mr. Smith are arbitrary and capricious and violate its own stated custom

regarding selecting condemned people for execution.” (Doc. 31 at 29.) This,

according to Smith, is not rationally related to a legitimate government purpose and

therefore violates his Fourteenth Amendment rights.

2. Eighth Amendment Claim

In Count Two, Smith asserts that the Defendants’ intention to execute him by

nitrogen hypoxia under this Protocol would expose him to a “severe risk of a

persistent vegetative state, a stroke, or the painful sensation of suffocation, i.e.,

superadded pain” and that there are feasible and readily implemented alternatives

that would reduce the risk to him either by amending the Protocol or executing him

by firing squad using Utah’s protocol. (Id. at 31.) He alleges, “[i]t is clear that the

consequences of attempting an execution by nitrogen hypoxia using ADOC’s

deficient Protocol will be dire. If not performed correctly, execution by nitrogen

hypoxia can result in another failed execution that risks leaving Mr. Smith with

permanent injuries.” (Id. at 4.) Smith asserts that death by nitrogen hypoxia exposes

him to a severe risk of superadded pain, including hypoxemia and hypoxia short of

death.

In particular, he alleges that the Protocol does not contain guidance on the

type of mask to be used; how, when, and by whom it will be placed, adjusted, and

inspected; how variations in the physical characteristics of the inmate, such as facial

hair and obesity, can increase the mask’s ventilation through breach of the mask’s

seal; what training the ADOC execution team will receive; how the ADOC will

conduct a final inspection to determine if the mask has been properly placed; and

what will happen if the mask becomes displaced or dislodged during the execution

process. All, Smith alleges, could result in the infiltration of oxygen inside the mask,

thereby increasing time to unconsciousness and increasing the risk of dire

consequences such as a vegetative state, a stroke, or the painful sensation of

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suffocation. He also alleges that allowing an inmate to speak with the mask on will

increase the possibility that the mask could dislodge and break the seal. He further

alleges that the Protocol does not provide for the removal of exhaled carbon dioxide,

does not specify the purity of nitrogen gas to be used, and does not require

monitoring of the pulse oximeters after nitrogen is introduced. Smith also claims

the Protocol fails to account for the possibility that he could vomit inside the mask

thereby causing him to choke, a possibility due to his diagnosed post-traumatic stress

disorder (PTSD), depression, and anxiety attributable to the circumstances

surrounding his current situation and the previously failed execution attempt. He

claims that procedures should be implemented to account for these issues, including:

the use of a custom fit mask; allowing him to speak, including his prayers and final

statement, before placement of the mask; adding a mechanism to remove carbon

dioxide from the mask; use of 100% pure nitrogen; disclosure of the source of the

nitrogen and testing of it; inclusion of procedures to test the nitrogen; monitoring of

the pulse oximeter; halting the execution if vomiting occurs; accounting for Smith’s

PTSD and depression; and having a licensed medical provider present.

Alternatively, Smith alleges the Defendants should execute him by firing squad

consistent with the protocol used by the State of Utah.

3. First Amendment, RLUIPA, and ARFA Claims

In Counts Three, Four, and Five, Smith alleges that his First Amendment and

religious freedom rights under RLUIPA and ARFA will be violated because

“[m]asking will interfere with Mr. Smith’s right to make an audible statement and

to pray audibly” and “any statement or prayer may not be audible and may risk

consequences associated with dislodging the mask and/or building the level of

carbon dioxide under the mask.” (Doc. 31 at 31.) He also alleges that the Protocol

burdens his exercise of religion because it forces Smith to “choose between

abstaining from his religious practice of audible prayer at the end of his life or face

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the dangerous consequences of dislodging the mask while praying.” (Doc. 31 at 32–

33.)2

D. Evidence Presented at the December 20, 2023, Hearing

On December 20, 2023, the court held a hearing on Smith’s preliminary

injunction request. The court admitted 58 exhibits from Smith and 53 exhibits from

the Defendants. Among other things, the evidence included: declarations from

expert witnesses, Smith, and other party and non-party witnesses; case reports and

articles discussing hypoxia in the context of industrial accidents and assisted

suicides; medical articles concerning the respiratory system and anesthesiology; and

several videos of individuals donning the mask the Defendants intend to use for

Smith’s execution.

The Defendants also presented the court with the mask

apparatus, which the court examined in detail.3 Smith called five witnesses: Dr.

2

Smith also claims that he has been placed on “single walk” status, “which means that he cannot

share the same space with other” inmates, “some of whom he has developed familial relationships

with over decades.” (Doc. 31 at 26.) Smith alleges the Protocol is further deficient because it is

silent on “single walk” status even though “Defendants intend to maintain Mr. Smith isolated from

his brothers on that status for 78 days through his planned execution.” (Id.) By his account, “single

walk” status “deprives Mr. Smith of the fellowship of his brother inmates when he needs their

friendship most. . . [and] deprives him of the companionship of his family during this critical

period.” (Id.) While he is on “single walk” status, “Smith’s family cannot schedule a visit with

him when any other Holman inmate has a scheduled visit[,]” and the status “interferes with his

relationship with his counsel when he needs their advice most because their visits are constrained

for the same reason.” (Id.) “And while Defendants recently permitted Mr. Smith to select one

religious service that he will be permitted to attend each week accompanied by two corrections

officers, his ‘single walk’ status also burdens the exercise of his religion.” (Id.) Although he

generally makes these allegations, he does not raise them in Counts Three, Four and Five.

3

The court’s examination of the mask apparatus revealed it to be a NIOSH-approved, industrial

grade, continuous flow supplied-air respirator mask with an adjustable five point harness system

and a pliable, double flange rubber seal that would tightly fit and hold the mask over the entirety

of the wearer’s face—including eyes, nose, mouth, and chin—that also contained a one-way valve

near the mouth and nose allowing for the exit of exhaled gases, including carbon dioxide. Such

masks are often used in industrial settings involving confined spaces and chemical processes where

external air conditions are or can be dangerous. The mask is very different from those encountered

in a medical or hospital setting or used to deliver continuous air pressure to individuals diagnosed

with sleep apnea, i.e., CPAP machines.

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Robert Jason Yong, Defendant John Q. Hamm, Dr. Philip Nitschke, Smith, and Dr.

Katherine Porterfield.

The Defendants called, and made available for cross-

examination, nine witnesses: Dr. Joseph Antognini, Cynthia Stewart-Riley, James

Houts, and six assistant attorneys general who were videoed wearing the mask in the

execution chamber while also breathing and speaking.

The court need not repeat or summarize all the testimony and declarations

here but will summarize relevant portions of the testimony several witnesses

provided during the hearing.

During the hearing, Dr. Yong, an anesthesiologist and pain doctor with

expertise in the respiratory system and ventilation, testified about nitrogen hypoxia

and the use of masks to deliver gas. In his declaration, he testified that “[b]reathing

in 100% nitrogen gas would result in hypoxemia, eventual end-organ damage, and

ultimately death.” (Doc. 19-1 at 6.) But he also voiced concerns about the use of

anything less than 100% pure nitrogen and a mask delivery system in general.4 His

concerns about the mask included that the mask may not properly fit due to

variations in the physical characteristics of wearers, such as nose structure and facial

hair; dislodgment of the mask if a wearer resists or is noncompliant, turns his head,

speaks, or suffers a seizure; the failure of the mask to allow for the removal of

exhaled carbon dioxide; and vomiting inside of the mask—all of which could result

in the condemned inmate experiencing a persistent vegetative state, stroke,

suffocation, choking, or other complications short of death. At the hearing, Dr. Yong

testified that there is “not an abundant body of literature” or case reports to allow for

concrete scientific conclusions about what will happen to a person subject to the

current Protocol. And concerning whether nitrogen hypoxia could leave a person in

a persistent vegetative state, he said there are a very small number of OSHA reports

4

No testimony was provided that Dr. Yong has seen, viewed, or examined the mask that the

Defendants intend to use. As such, his opinions were largely theoretical.

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in total and no report states such a vegetative state has or would actually occur. He

further testified that there is no data to conclude with certainty the time to

unconsciousness under conditions with no or minimal oxygenation because the

science is experimental and that any conclusions he has made in his declaration

concerning the time to unconsciousness under the Protocol amount to extrapolations

from industrial disasters or assisted suicides. Dr. Yong also testified that the

Protocol lacks a “nothing by mouth” order by which a condemned inmate would be

prohibited from consuming food for an amount of time prior to the execution to

avoid, or minimize the risk of, vomiting during the execution process.

Defendant Hamm testified that he alone, pursuant to his duty as

Commissioner of the ADOC, approved and adopted the Protocol. He did not recall

whether he had considered an alternative to the mask, such as a hood, to deliver

nitrogen to the condemned inmate. He testified it is and will be his responsibility to

determine whether an execution fails and at what moment to call off an execution

attempt.

Dr. Nitschke, a medical doctor with expertise in assisted suicides and a PhD

in Physics, opined that the risks he gleaned from the Protocol could subject Smith

“to incomplete cerebral hypoxia. A resultant vegetative state with permanent brain

damage cannot be excluded.” (Doc. 19-2 at 8.) He inspected the nitrogen delivery

system, and mask (including the mask user manual) the Defendants intend to use

during Smith’s execution as well as the declaration of Dr. Antognini, the

Defendants’ expert witness. At the hearing, Dr. Nitschke testified to the use of a bag

delivery system, as opposed to a mask, during assisted suicides to reduce the risk of

outside air infiltration during nitrogen delivery. He also testified it is possible for a

person exposed to nitrogen via a bag delivery system to experience nausea.

Smith testified that he was put on “single-walk” status after a prison official

informed him that the Governor had set his execution date. He testified that “single11

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walk” status deprived him of the close relationships he developed with his fellow

inmates and that his status limits his availability for visitation because he cannot

have a visitor at the same time any other inmate has a visitor. He also testified that

he and his spiritual advisor have agreed to a plan on the day of his execution, which

includes praying audibly, communion, reading of scripture, and the spiritual advisor

anointing Smith with oil.

Dr. Porterfield, a clinical psychologist from New York with expertise in

treating survivors of torture and war trauma, examined Smith after the previous

failed execution attempt. Dr. Porterfield opined that, due in large part to the failed

execution, Smith suffers from PTSD and depression, and that the experience from

the upcoming execution “will likely create a panic reaction that is totally

destabilizing to his mind and nervous system” and “will most certainly cause him

severe suffering, destabilization and psychological deterioration.” (Doc. 19-3 at 35.)

At the hearing, Dr. Porterfield acknowledged that Smith did not report to her that he

has vomited as a result of PTSD or depression, and that he did not report nausea

during his previous failed execution attempt. She also testified that it is possible but

not certain that Smith may experience nausea during the next execution attempt.

Dr. Antognini, an anesthesiologist, submitted a declaration and supplemental

declaration. He stated that, in his professional opinion, the Protocol will result in a

likely 35 to 40 second time to unconsciousness, death in 10 to 15 minutes after

nitrogen begins flowing, and will not cause carbon dioxide rebreathing, significant

leakage that will allow outside air to enter the mask, significant suffering or pain, or

result in brain damage, persistent vegetative state, or stroke short of death. (Docs.

62-60; 62-61.) At the hearing, Dr. Antognini testified that he has never induced

nitrogen hypoxia in a person or published articles related to administering nitrogen

to a person. But he has inspected the subject mask and has arrived at his conclusions

based upon his own research, relying in part on internet searches, his credentials,

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and his scientific background. He testified that although no human data exists for

the time to unconsciousness by nitrogen hypoxia, death will occur when the oxygen

level in a person’s breathing environment reaches less than six percent.

Stewart-Riley, the ADOC Regional Director, submitted a declaration and two

affidavits, stating among other things that the ADOC has not found and is not aware

of any study or scientific literature evidencing that the selected mask would increase

the risk of harm to Smith were he to vomit during the execution. At the hearing, she

testified to her knowledge of the Protocol.

The court also reviewed the declarations of Thomas R. Govan, Jr., Audrey

Jordan, Alana K. Cammack, Lauren Simpson, Jasper B. Roberts, Jr., and Cameron

Ball, all of whom were videoed wearing the mask in the execution chamber and

audibly speaking while wearing the mask. At the hearing, Simpson, Ball, and

Roberts testified to their experience wearing the mask.

Houts, an attorney and retired military officer, submitted a declaration opining

favorably on the Protocol. At the hearing, he testified that he is not an expert on the

development of nitrogen hypoxia execution protocols and is unsure whether such an

expert exists.

III. JURISDICTION AND VENUE

The court has original subject matter jurisdiction pursuant to 28 U.S.C.

§ 1331. Personal jurisdiction and venue are uncontested, and the court concludes

that venue properly lies in the Middle District of Alabama. See 28 U.S.C. § 1391.

IV. DISCUSSION

The court will first consider the Defendants’ motion to dismiss and then

dispose of Smith’s motion for preliminary injunction on the remaining claims.

A. The Defendants’ Motion to Dismiss

The Defendants have moved to dismiss each of Smith’s claims under Federal

Rule of Civil Procedure 12(b)(6). In ruling upon a Rule 12(b)(6) motion, a court

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considers only the allegations contained in the complaint and any attached exhibits.

Hoefling v. City of Miami, 811 F.3d 1271, 1277 (11th Cir. 2016). A Rule 12(b)(6)

motion tests the sufficiency of the complaint against the legal standard set forth in

Federal Rule of Civil Procedure 8, which requires “a short and plain statement of the

claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). The

court must take “the factual allegations in the complaint as true and construe them

in the light most favorable to the plaintiff.” Pielage v. McConnell, 516 F.3d 1282,

1284 (11th Cir. 2008). However, “the tenet that a court must accept as true all of the

allegations contained in a complaint is inapplicable to legal conclusions.” Ashcroft

v. Iqbal, 556 U.S. 662, 678 (2009).

“To survive a motion to dismiss, a complaint must contain sufficient factual

matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Id. at

678 (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). “Determining

whether a complaint states a plausible claim for relief . . . [is] a context-specific task

that requires the reviewing court to draw on its judicial experience and common

sense.” Id. at 679. But if the facts in the complaint “do not permit the court to infer

more than the mere possibility of misconduct, the complaint has alleged—but it has

not ‘shown’—‘that the pleader is entitled to relief,’” and the complaint must be

dismissed. Id. (alteration adopted) (citing Fed. R. Civ. P. 8(a)(2)).

1. The Eighth Amendment Claim

For clarity, the constitutionality of capital punishment is not before the court.

The death penalty is constitutional, see Baze v. Rees, 553 U.S. 35, 47 (2008) (citing

Gregg v. Georgia, 428 U.S. 153, 177 (1976)), and it is in force in Alabama. The

State of Alabama elected not to join 23 of its sister states in abolishing the death

penalty, so the unenviable task falls to this court to decide whether Alabama’s

newest method of execution, one Smith himself previously declared was his

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preferred method of execution, inflicts cruel and unusual punishment in violation of

the Eighth Amendment. See U.S. Const. amend. VIII.

Smith contends the Protocol, in its current form, exposes him to a substantial

risk of severe and superadded pain although feasible, readily implemented

alternative methods of execution exist—like an amended Protocol or death by firing

squad—that would significantly reduce that risk.

The Defendants raise several arguments in support of dismissing the claim as

set forth in Count Two, with particular emphasis on the doctrine of estoppel and, to

a much lesser extent, issue preclusion. They claim Smith is estopped from bringing

an Eighth Amendment challenge to nitrogen hypoxia because, in his previous

lawsuit, he successfully argued that nitrogen hypoxia was a feasible, readily

implemented alternative method of execution. They also note that Smith repeatedly

stated that nitrogen hypoxia was his preferred method of execution even though he

knew it was untested and that no protocol existed. See generally, Smith, No. 2:22cv-497-RAH, 2023 WL 4353143. By repeatedly pointing to nitrogen hypoxia as his

preferred method, Smith even achieved an injunction enjoining the Defendants from

ever again attempting to execute him by lethal injection. (Doc. 39-11.) Thus,

according to the Defendants, Smith is taking a “new and contradictory position” in

this action by now opposing his execution by nitrogen hypoxia “simply because his

interests have changed,” (Doc. 39 at 34–35 (quoting New Hampshire v. Maine, 532

U.S. 742, 749 (2001))), and he now seeks to delay his execution by “attempting to

manipulate the judicial process to his benefit,”5 (id. at 37).

5

The Defendants cite one judge’s statement, 22 F.4th 621 (Mem.), concerning the Sixth Circuit’s

recent denial of rehearing en banc in Middlebrooks v. Parker, 15 F.4th 784 (6th Cir. 2021), a

§ 1983 method-of-execution case in which the Sixth Circuit reversed the district court’s dismissal

of a facial challenge to Tennessee’s three-drug lethal injection protocol because it concluded the

challenge was barred by the doctrine of res judicata. That judge suggested, “[i]n future cases,

states might consider arguing that judicial estoppel bars inmates from making inconsistent claims

in order to delay proceedings.” 22 F.4th at 628. So, the Defendants did. That judge may well be

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The equitable doctrine of estoppel is intended to “prevent the perversion of

the judicial process” and “protect [its] integrity . . . by prohibiting parties from

deliberately changing positions according to the exigencies of the moment.” Slater

v. United States Steel Corp., 871 F.3d 1174, 1180 (11th Cir. 2017) (en banc)

(alterations in original) (quoting New Hampshire, 532 U.S. at 749–50). When a

party does so, the doctrine of estoppel allows a court to exercise its discretion to

dismiss the party's claims. Id. To determine its application, courts look to “whether

(1) the party took an inconsistent position under oath in a separate proceeding, and

(2) these inconsistent positions were ‘calculated to make a mockery of the judicial

system.’” Id. (quoting Burnes v. Pemco Aeroplex, Inc., 291 F.3d 1282, 1285 (11th

Cir. 2002)). The court must consider Smith’s actions and motive and determine

whether his current claim is the result of “cold manipulation” and not “inadvertence

or mistake.”

Id. at 1881 (brackets omitted) (quoting Johnson Serv. Co. v.

Transamerica Ins. Co., 485 F.2d 164, 175 (5th Cir. 1973)).

It is not lost on the court that Smith vehemently argued for execution by

nitrogen hypoxia in his previous litigation only several months ago when he was

scheduled for execution by lethal injection. He likely did so under the belief that the

ADOC was nowhere near finalizing and issuing a final nitrogen hypoxia protocol,

thereby placing Smith, like any condemned inmate subject to a nitrogen hypoxia

execution, in an indefinite holding pattern while other lethal injection executions

went forward. Now that Alabama is prepared to carry out his sentence using the

method of execution he has consistently declared he prefers, the circumstances have

changed. And what was once highly unlikely is now a certainty. With that change,

right, but such gatekeeping is outweighed where, such as here, a condemned inmate properly

brings a plausible challenge when he “becomes subject to a new or substantially changed execution

protocol.” Boyd v. Warden, Holman Corr. Facility, 856 F.3d 853, 873 (11th Cir. 2017) (citations

omitted).

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Smith now seeks to enjoin the Defendants from carrying out his death sentence using

the Protocol, arguing it unconstitutionally superadds pain such that the court should

order the Defendants to amend it or execute him by firing squad, a “relatively

uncommon and archaic” method. Nance v. Comm’r, Ga. Dep’t Corr., 59 F.4th 1149,

1155 (11th Cir. 2023) (Nance III) (quoting the State’s brief). On that basis, the

Defendants assert estoppel. But the details here compel rejecting the application of

estoppel, or issue preclusion to the extent the Defendants invoke it.

Eighth Amendment jurisprudence holds that a condemned inmate has a new

“method of execution claim [that] accrues on the later of the date on which state

review [of his conviction and sentence] is complete, or the date on which the capital

litigant becomes subject to a new or substantially changed execution protocol.”

Boyd, 856 F.3d at 873 (citations omitted).

In this case, Smith does not challenge nitrogen hypoxia as a method of

execution per se. Rather, he challenges the current procedure by which it will be

carried out. The novelty of the Protocol and that Smith is to be the first condemned

inmate executed under it are undisputed facts. The Protocol did not exist or, at least,

was not approved for use and made publicly known until after the Attorney General’s

office moved for dismissal of Smith’s prior lethal injection litigation last August and

September. Smith’s claim here did not accrue until the Attorney General moved for,

and the Alabama Supreme Court authorized, his execution under the novel Protocol.

It goes without saying that many capital cases come to the federal court system

with the primary or sole aim of delaying execution indefinitely. And inherent in

many if not every capital case is the condemned inmate’s goal to altogether avoid

his death sentence. It is human. But in Smith’s previous lawsuit, the Protocol was

not yet approved or fully made known, and he was not yet subject to it. So, he was

unable to fully and fairly litigate the Eighth Amendment claim that he now brings in

this case. Applying estoppel or issue preclusion here would work a mockery of the

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Eleventh Circuit’s recognition that condemned inmates must be allowed a vehicle to

challenge new and substantially changed execution protocols. The court refuses to

apply either doctrine here.

The Defendants next argue that Smith’s Eighth Amendment claim is far too

speculative to state a claim because he has failed to plead plausible facts showing an

actual risk that he will suffer superadded pain under the Protocol and that “ADOC

officials are aware of, but are disregarding, known substantial risks” of severe pain.

(Doc. 39 at 38, 47–48.) Notably, the Defendants do not argue at this stage that

Smith’s identification of Utah’s execution protocol for the firing squad fails to

identify a “feasible, readily implemented” alternative, but the Defendants do argue

that Smith’s proposed amendments to the Protocol fail as a satisfactory alternative

under Bucklew and Nance III.

To state a plausible method-of-execution claim, Smith must (1) show that the

challenged method “presents a risk that is ‘sure or very likely to cause serious illness

and needless suffering,’ and gives rise to ‘sufficiently imminent dangers’”; and (2)

identify “an alternative that is feasible, readily implemented, and in fact significantly

reduce[s] a substantial risk of severe pain and that the state has refused to adopt

without a legitimate penological reason.” Price, 920 F.3d at 1325–26 (quoting

Glossip v. Gross, 576 U.S. 863, 877 (2015), Baze, 553 U.S. at 50–51, and Bucklew,

139 S. Ct. at 1129). Deciding “whether the State has cruelly ‘superadded’ pain to

the punishment of death isn’t something that can be accomplished by examining the

State’s proposed method in a vacuum, but only by ‘compar[ing]’ that method with a

viable alternative.” Bucklew, 139 S. Ct. at 1126 (alterations in original). The

comparison “‘provides the needed metric’ to measure whether the State is lawfully

carrying out an execution or inflicting ‘gratuitous’ pain.” Id. (citation omitted).

Smith’s burden under this legal test can be “overstated,” so the Supreme Court

has clarified that a condemned person “seeking to identify an alternative method of

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execution is not limited to choosing among those presently authorized by a particular

State’s law.” Id. at 1128. Nonetheless, Smith “faces an exceedingly high bar”

because the Supreme Court “has yet to hold that a State’s method of execution

qualifies as cruel and unusual, and perhaps understandably so. Far from seeking to

superadd terror, pain, or disgrace to their executions, the States have often sought

more nearly the opposite[,]” id. at 1124, that is, “more humane way[s] to carry out

death sentences,” Glossip, 576 U.S. at 868.

In support of their contention that Smith’s allegations are too speculative to

state a claim, the Defendants primarily rely upon six decisions—Baze; Wellons v.

Comm’r, Ga. Dep’t of Corr., 754 F.3d 1260 (11th Cir. 2014); Ferguson v. Warden,

Fla. State Prison, 493 F. App’x 22 (11th Cir. 2012); Pardo v. Palmer, 500 F. App’x

901 (11th Cir. 2012); Jackson v. Danberg, 594 F.3d 210 (3d Cir. 2010); Wackerly v.

Jones, 398 F. App’x 360 (10th Cir. 2010). But none of those decisions were before

courts on a motion to dismiss where, as here, the allegations are assumed true. Each

of those cases, except Baze, reviewed the condemned inmate’s Eighth Amendment

claim under preliminary injunction or summary judgment standards. Although

informative to the court’s later preliminary injunction analysis, the Defendants’ cited

authority offers little in support of their argument that Smith has failed to state a

plausible Eighth Amendment claim under a Rule 12(b)(6) attack.

Here, Smith has alleged several imminent dangers—improper fit of the mask;

the potential for the mask to dislodge from its sealed position for a variety of reasons

such as speaking, praying, or vomiting; vomiting; the introduction of oxygen into

the mask; and the lack of monitoring of the pulse oximeters during the execution—

that he also alleges present risks that are sure or very likely to increase the time for

Smith to reach a state of unconsciousness and “would expose [him] to a severe risk

of a persistent vegetative state, a stroke, or the painful sensation of suffocation, i.e.,

superadded pain.” (Doc. 31 at 22, 31.) Smith has further alleged two alternative

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methods that he says would in fact reduce the risk of severe or superadded pain and

needless suffering he avers the current Protocol is sure or very likely to cause: (1)

amending the Protocol to incorporate several changes he identifies in Paragraph 102

of the SAC or (2) carrying out his execution by firing squad using Utah’s protocol.

(Id. at 27–28.)

Taking Smith’s allegations as true at this stage of the litigation, as the court

must, Smith has alleged facts beyond “a formulaic recitation of the elements of a

cause of action,” and his allegations have a sufficient basis in fact “to raise a right to

relief above the speculative level.” Twombly, 550 U.S. at 555. Smith has pled that

the Protocol could and will increase the time to unconsciousness and will present

imminent dangers and superadd pain in the form of a persistent vegetative state,

stroke, or the sensation of suffocation.

He has alleged two feasible, readily

implemented alternative methods that he says will reduce the risk of that harm.

Together, those dangers—as compared to Smith’s allegations about his proposed

alternative methods—amount to “a ‘substantial risk of serious harm’—severe pain

over and above death itself[.]” Nance v. Ward, 597 U.S. 159, 164 (2022) (Nance II).

He has therefore pled a plausible Eighth Amendment claim, cf. Smith, No. 22-13781,

2022 WL 17069492, and the Defendants’ motion to dismiss Smith’s Eighth

Amendment claim in Count Two is thus due to be denied.6

2. The Fourteenth Amendment Claim

In Count One, Smith alleges that the Defendants have acted in an “arbitrary

and capricious” manner in violation of his equal protection rights by seeking to

execute him by nitrogen hypoxia even though “[o]ther condemned people in

6

Concluding Smith has stated a plausible Eighth Amendment claim does not mean his request for

a preliminary injunction is due to be granted because his request for a preliminary injunction is

subject to an altogether different standard.

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Alabama who elected to be executed by nitrogen hypoxia five years ago have

exhausted their appeals.” 7 (Doc. 31 at 29.) Smith also alleges “that attempting to

execute [him] by nitrogen hypoxia before he has exhausted his pending appeals

would violate his right to equal protection under the laws under the Fourteenth

Amendment.” (Id. at 34.)

Smith argues that he has stated a plausible equal protection claim because (1)

he is similarly situated to all other condemned inmates who are subject to execution

by nitrogen hypoxia; (2) he has an appeal pending with the Alabama Supreme Court;

(3) the State of Alabama has a custom to wait to seek an execution date until after

the inmate has exhausted his conventional appeals: direct appeal, state postconviction, and federal habeas; (4) there are other condemned inmates in Alabama

whose appeals have been exhausted and who elected to be executed by nitrogen

hypoxia in 2018 and are still awaiting execution; (5) the ADOC has given at least

one condemned inmate who it intends to execute by nitrogen hypoxia a grace period

for the inmate and his legal counsel to review the Protocol before the Attorney

General seeks an execution date; (6) Smith was not given a similar grace period; and

(7) the Defendants chose Smith to avoid discovery into their “failed lethal injection

procedures” in his previous lawsuit before this court.

The Defendants argue that dismissal is appropriate because state law does not

assign either of the named defendants the responsibility of seeking an order to carry

out Smith’s execution, let alone any death sentence. The Defendants also argue that

they did not violate any custom of their own; because any custom involving who is

selected next for execution is that of the Attorney General, who is not a party in this

litigation. Additionally, Defendants contend Smith’s pending Rule 32 litigation is

meritless and he has failed to adequately plead comparators. Finally, Defendants

7

Smith voluntarily withdrew his due process claim. (See, e.g., Doc. 44 at 14.)

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argue that dismissal is required on estoppel and res judicata grounds, primarily

pointing to the fact that Smith voiced no concern or objection to the order of his

selection as next in line for execution in his previous litigation.

It is not necessary to address whether Smith’s second Rule 32 petition is

meritless, barred by estoppel, or by any of the Defendants’ other grounds because

Smith’s claim fails for lack of standing. Article III of the Constitution limits the

subject matter jurisdiction of federal courts to “cases and controversies.” U.S. Const.

art. III, § 2. “To have a case or controversy, a [plaintiff] must establish that he has

standing, which requires proof of three elements.” Jacobson v. Fla. Sec’y of State,

974 F.3d 1236, 1245 (11th Cir. 2020) (quoting United States v. Amodeo, 916 F.3d

967, 971 (11th Cir. 2019) (internal quotation marks omitted). To show standing, a

plaintiff must prove (1) an injury in fact that (2) is fairly traceable to the defendant’s

actions and is (3) likely to be redressed by a favorable decision. Lujan v. Defs. of

Wildlife, 504 U.S. 555, 560–61 (1992). “[F]ederal courts are under an independent

obligation to examine their own jurisdiction, and standing ‘is perhaps the most

important of the jurisdictional doctrines.’” United States v. Hays, 515 U.S. 737

(1995) (quoting FW/PBS, Inc. v. Dallas, 493 U.S. 215, 230–31 (1990) (alterations

adopted). “[E]ach element of standing ‘must be supported in the same way as any

other matter on which the plaintiff bears the burden of proof, i.e., with the manner

and degree of evidence required at the successive stages of the litigation.’” Bischoff

v. Osceola Cnty., Fla., 222 F.3d 874, 878 (11th Cir. 2000) (quoting Lujan, 504 U.S.

at 561). “Therefore, when standing becomes an issue on a motion to dismiss, general

factual allegations of injury resulting from the defendant’s conduct may be sufficient

to show standing.” Id.

To have standing, a plaintiff’s injury must be “fairly traceable to the

challenged action of the defendant, and not the result of the independent action of

some third party not before the court.” Lujan, 504 U.S. at 560 (alterations adopted).

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Smith contends that he is injured because he has been selected for execution before

his second state postconviction appeal has been exhausted and before the executions

of other inmates who have selected nitrogen hypoxia long before he selected it. So,

for Smith to have standing, his selection for execution over other condemned

inmates and during the pendency of other litigation must be traceable to the actions

of Defendants Hamm and Raybon in their capacities as the Commissioner of the

ADOC and the Warden of Holman Prison, respectively. Smith’s problem is that

Alabama law tasks the Attorney General with seeking and moving for an execution

date with the Alabama Supreme Court. See Ala. R. App. P. 8(d)(1); Ala. Code § 3615-1(2) (noting the Attorney General of Alabama “shall attend, on the part of the

state, to all criminal cases pending in the Supreme Court”); State of Alabama’s

Motion to Set an Execution Date, Ex parte Kenneth Eugene Smith, No. 1000976

(Ala. Aug. 25, 2023).8 Then, the Alabama Supreme Court decides whether this is

an “appropriate time” to execute a condemned inmate and, if so, authorizes the

execution. Finally, the Governor sets an execution date. The Commissioner of the

ADOC and the Warden at Holman play no role in selecting which condemned inmate

comes next in carrying out a death sentence. In fact, Alabama law merely requires

the Defendants to carry out an execution that has been authorized by the Alabama

Supreme Court and set by the Governor. Ala. Code § 15-18-82(b), (c) (“It shall be

8

The court takes judicial notice of the Attorney General’s motion to set Smith’s execution date in

the Alabama Supreme Court pursuant to Fed. R. Evid. 201(b). This judicial act is not in dispute.

The Eleventh Circuit has explained that “[j]udicial notice of court records is ordinarily confined

to determining what happened in the course of a proceeding—when a plaintiff filed a complaint,

what claims were argued and adjudicated on, and so on.” Kerruish v. Essex Holdings, Inc., 777 F.

App’x 285, 293 (11th Cir. 2019). Moreover, "the Eleventh Circuit has distinguished between

taking judicial notice of the fact that court records or court rulings exist versus taking judicial

notice of the truth of the matter stated within those court records or court rulings.” Auto Owners

Ins. Co. v. Morris, 191 F. Supp. 3d 1302, 1304 (N.D. Ala. 2016) (emphasis in original). Here, the

court references this document to show that the Attorney General, as the State of Alabama’s

representative to the Alabama Supreme Court, is the official who sought Smith’s execution before

others.

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the duty of the Department of Corrections of this state to provide the necessary

facilities, instruments, and accommodations to carry out the execution. The Warden

of the William C. Holman unit of the prison system . . . shall be the executioner.”).

And nowhere in Smith’s SAC does he state how either Defendant played a role in

his selection over other inmates for execution.

Despite his allegation that the ADOC maintains a “custom” of waiting to

move for an execution until a condemned inmate has exhausted his conventional

appeals, Smith mischaracterizes whose custom it actually is. Smith cites to the

custom mentioned in Woods v. Comm’r, Ala. Dep’t of Corrs., 951 F.3d 1288, 1292

(11th Cir. 2020), to support his equal protection claim. However, it is not the ADOC

as an institution, nor the Defendants in their official capacities, that maintain this

custom; instead, it is the Attorney General’s office. Since the Attorney General is

the state official who “attends to the criminal cases pending in the Supreme Court,”

a violation of this custom is fairly traceable back to the Attorney General, not the

Commissioner of the ADOC or the Warden of Holman. Ala. Code § 36-15-1(b); see

Lujan, 504 U.S. at 560. Therefore, Smith has failed to show an injury that is fairly

traceable to any defendant in this case. Lujan, 504 U.S. at 560.

Smith’s SAC is also devoid of any allegation that one or both of these two

Defendants acted outside of their statutory authority or improperly influenced the

Attorney General to move for Smith’s execution. This court, absent allegations of

such conduct, will assume that a state official’s authority lies where the “applicable

law purports to put it.” City of St. Louis v. Praprotnik, 485 U.S. 112, 126 (1988).

Since Smith is unable to show that his injury is fairly traceable to the Defendants, he

lacks the required standing to bring his equal protection claim against them. See

Jacobson, 974 F.3d at 1245 (“To have a case or controversy, a [plaintiff] must

establish that he has standing, which requires proof of [all] three elements.”).

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The court is aware of prior capital punishment litigation in Alabama federal

courts involving equal protection claims where the Attorney General was a

defendant, yet the choice to include the Attorney General was not made here even

though Smith sued the Attorney General in his previous litigation. See generally,

Woods v. Dunn, No. 2:20-cv-58-ECM, 2020 WL 1015763 (M.D. Ala. Mar. 2, 2020);

Smith, No. 2:22-cv-497-RAH, 2023 WL 4353143.

Standing aside, Smith’s equal protection claim also fails on the merits for a

different but related reason: the lack of a causal connection.9 Without a causal

connection between a defendant’s actions and a plaintiff’s alleged constitutional

violation, a § 1983 claim fails. See Spencer v. Benison, 5 F.4th 1222, 1232 (11th

Cir. 2021) (quoting Troupe v. Sarasota Cnty., 419 F.3d 1160, 1165 (11th Cir. 2005)).

Smith’s equal protection claim is premised upon an alleged custom by the ADOC in

how it determines whose execution date will be set next. As Smith defines the claim

in the SAC, his claim focuses on whether or not the Defendants violated their

“custom [to] wait[] to move for an inmate’s execution until he has exhausted his

conventional appeals: direct appeal, state postconviction, and federal habeas.” (Doc.

31 at 2–3, 29 (quoting Woods, 951 F.3d at 1292)). But again, the Defendants are not

involved in the selection of condemned inmates for execution, moving for an

execution date, or authorizing an execution. Their duties are statutory and are merely

to carry out an execution once authorized by the Alabama Supreme Court and set by

9

Defendants also argue that Smith’s claim is due to be dismissed under the Rooker-Feldman

doctrine, arguing that success on this claim would effectively nullify the Alabama Supreme

Court’s authorization of Smith’s execution. The court declines to apply the narrow RookerFeldman doctrine because Smith does not identify or complain of an injury caused by the Alabama

Supreme Court but rather complains about the conduct of the Defendants in “selecting” him for

execution despite having an appeal outstanding. See Exxon Mobil Corp. v. Saudi Basic Indus.

Corp., 544 U.S. 280, 284 (2005) (holding that the Rooker-Feldman doctrine is limited and confined

to “cases brought by state-court losers complaining of injuries caused by state-court judgments

rendered before the district court proceedings commenced and inviting district court review and

rejection of those judgments”).

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the Governor. Compare Ala. Code § 15-18-82 with Ala. Code § 36-15-1(2). There

is no discretion in the Defendants’ responsibilities or duties here. And nowhere in

the SAC or in his responsive briefing does Smith allege that these two Defendants—

Hamm or Raybon—were involved in the process of selecting Smith, or any other

condemned inmate, for execution, or were involved in moving the Alabama

Supreme Court to authorize Smith’s execution. Alabama law provides no ability for

either of these Defendants to involve themselves in this process. As such, there is

simply no causal connection between the Defendants’ actions, Smith’s alleged equal

protection violations, and Smith’s injury, other than the Defendants’ mandatory and

statutory obligations to carry out the death sentence.

In short, Count One must be dismissed for several reasons. Despite Smith’s

allegations, Defendants Hamm and Raybon do not have the statutory power to select,

move for, or authorize his execution—those actions lie with the Attorney General

and the Alabama Supreme Court. As a result, Count One suffers from traceability

and causation infirmities that require its dismissal.

3. The First Amendment Free Speech Claim

In Count Three, Smith alleges that the Protocol violates his First Amendment

rights because it “will interfere with [his] right to make an audible statement and to

pray audibly” and “[a]ny statement or prayer . . . may risk consequences associated

with dislodging the mask and/or building the level of carbon dioxide under the

mask.” (Doc. 31 at 31.) Thus, two parts comprise Smith’s claim: (1) a free exercise

claim and (2) a free speech claim. Because RLUIPA claims “embed[] a heightened

standard for government restrictions on the free exercise of religion” than do First

Amendment free exercise claims, the court reserves its analysis of Smith’s free

exercise claims for its discussion of Smith’s RLUIPA claim. Dorman v. Aronofsky,

36 F.4th 1306, 1313 (11th Cir. 2022). And because, as discussed below, Smith pled

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facts sufficient to state a claim that the Protocol violates his First Amendment right

to free speech, the Defendants’ motion to dismiss that claim is due to be denied.10

In the context of the execution chamber, it is not obvious or recognized that

Smith has a First Amendment “right to make an audible statement” that the SAC

alleges he has. (Doc. 31 at 31.) See In re Ohio Execution Protocol Litig., No. 2:11CV-1016, 2017 WL 2964901, at *26 (S.D. Ohio 2017) (“While last statements have

traditionally been a part of executions in the Anglo-American tradition, nothing in

the Constitution compels honoring that tradition. In the contemporary Ohio context,

the means of communication between the inmate in the death chamber and witnesses

in the witness room is by way of a microphone provided by the State. Even if the

Constitution protects—on free speech or free exercise grounds—the right of an

inmate to speak, it does not compel the State to furnish him with a means to ensure

that speech is heard by certain people.”). Although “federal courts must take

cognizance of the valid constitutional claims of prison inmates,” Turner v. Safley,

482 U.S. 78, 84 (1987), “a lesser standard of scrutiny is appropriate in determining

the constitutionality of [] prison rules” than in determining the validity of laws

impacting constitutional rights outside the prison context, id. at 81. Specifically, a

prison regulation or protocol impacting prisoners’ constitutional rights is valid if

“the regulation is . . . reasonably related to legitimate penological interests.” Id. at

89 (alterations in original) (citations omitted). And there are four factors used to

10

In the SAC, Smith also states that his single-walk status “burdens the exercise of his religion,”

although he does not state exactly how his exercise of religion is burdened. (Doc. 31 at 26.)

Moreover, Smith did not include a single-walk status allegation in his First Amendment claim

(Count Three), RLUIPA claim (Count Four), or ARFA claim (Count Five), and he did not respond

to the Defendants’ arguments about Smith’s single-walk status in their motion to dismiss. (Doc.

39 at 59, 62, 64–65, 68.) Accordingly, the court considers Smith’s allegations that his single-walk

status interferes with his religious exercise abandoned.

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determine whether a regulation is reasonably related to legitimate penological

interests:

(1) whether there is a “valid, rational connection” between the

regulation and a legitimate governmental interest put forward to justify

it; (2) whether there are alternative means of exercising the asserted

constitutional right that remain open to the inmates; (3) whether and the

extent to which accommodation of the asserted right will have an

impact on prison staff, inmates, and the allocation of prison resources

generally; and (4) whether the regulation represents an “exaggerated

response” to prison concerns.

Hakim v. Hicks, 223 F.3d 1244, 1247–48 (11th Cir. 2000). Thus, to state a First

Amendment claim, Smith must state facts alleging that the prison regulation is

unreasonable, and facts supporting the Hakim factors would help him do so.

Taking everything Smith alleges in the SAC as true, the court concludes the

SAC sufficiently alleges that the Protocol’s burden on his speech is not reasonably

related to a legitimate penological interest. Smith offers an alternative that would

resolve his free speech concerns (allowing him to speak without a mask on) (Doc.

31 at 27), and he states that there is no “compelling governmental interest that

justifies” masking Smith for his final statement, (Doc. 31 at 6). And crucially,

“evaluating whether there is a legitimate penological interest that permits a

restriction on the constitutional rights of incarcerated individuals is not normally an

exercise that can be undertaken in the context of a motion to dismiss brought under

Rule 12(b)(6).” Mayberry v. Humphreys Cnty., No. 3:11-0855, 2012 WL 4506027,

at *9 (M.D. Tenn. Sept. 4, 2012) (citations omitted), report and recommendation

adopted, No. CIV. 3:11-0855, 2012 WL 4490809 (M.D. Tenn. Sept. 28, 2012).

Smith’s response to Defendants’ assertion that he has not stated a First Amendment

free speech claim is that he needs further factual development so that he can address

the Hakim factors. (Doc. 44 at 46.) Moreover, the Defendants fail to identify

binding law on this court that states that any of their asserted interests (see Doc. 39

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at 50–51) are, as a matter of law, reasonably related to the need to mask Smith at the

time of his final words. And so, “[w]hile Defendants may develop evidence

consistent with Turner that [they] could rely on at the summary judgment stage, there

is no such evidence before the Court at this juncture.” Garber v. Conway, No. 1:16CV-137-AT, 2016 WL 11545540, at *2 n.2 (N.D. Ga. Dec. 6, 2016). And even if

there was, the court cannot consider it for purposes of the Defendants’ motion to

dismiss.

Although it is entirely possible that the Protocol’s regulation of Smith’s

speech rights is reasonable, that fact-centered determination is not before the court

at this stage of the litigation. Instead, the court must determine whether Smith has

alleged enough to state a plausible claim that the Protocol imposes an unreasonable

restriction on his First Amendment free speech rights. Because the court concludes

he did, although barely, the Defendants’ motion to dismiss Smith’s free speech claim

in Count Three will be denied.

4. The RLUIPA Claim

Count Four alleges that the Protocol violates RLUIPA because it (1)

“substantially burdens Mr. Smith’s religious exercise to pray audibly” during his last

statement and because it (2) “substantially burdens Mr. Smith’s religious exercise to

pray audibly by forcing Mr. Smith to choose between abstaining from his religious

practice of audible prayer at the end of his life or face the dangerous consequences

of dislodging the mask while praying.” (Doc. 31 at 32.) Because Smith has

sufficiently pled that the Protocol substantially burdens an exercise of his sincere

religious beliefs, the Defendants’ dismissal motion as to Smith’s RLUIPA claim will

be denied.

RLUIPA states that

No government shall impose a substantial burden on the religious

exercise of a person residing in or confined to an institution . . . even if

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the burden results from a rule of general applicability, unless the

government demonstrates that imposition of the burden on that

person—(1) is in furtherance of a compelling governmental interest;

and (2) is the least restrictive means of furthering that compelling

governmental interest.

42 U.S.C. § 2000cc–1(a). The Supreme Court has summarized the RLUIPA test as

follows:

A plaintiff bears the initial burden of proving that a prison policy

implicates his religious exercise. Although RLUIPA protects any

exercise of religion, whether or not compelled by, or central to, a system

of religious belief, a prisoner’s requested accommodation must be

sincerely based on a religious belief and not some other motivation.

The burden on the prisoner’s religious exercise must also be substantial.

Once a plaintiff makes such a showing, the burden flips and the

government must demonstrate that the imposition of the burden on that

person is the least restrictive means of furthering a compelling

governmental interest.

Ramirez v. Collier, 595 U.S. 411, 425 (2022) (cleaned up). Thus, to survive a motion

to dismiss a claim that a prison policy violates RLUIPA, Smith must plead that

audible prayer is an exercise of his sincere religious beliefs and that the Protocol

substantially burdens his ability to audibly pray. See, e.g., Holt v. Hobbs, 574 U.S.

352, 360–61 (2015) (stating that “of course, a prisoner’s request for an

accommodation must be sincerely based on a religious belief and not some other

motivation”); Williams v. Wilkinson, 645 F. App’x 692, 699 (10th Cir. 2016) (“To

survive a motion to dismiss . . . [the prisoner] was required to allege only that his

request to eat a kosher diet was motivated by a sincerely held religious belief and

that his exercise of that belief has been substantially burdened by the government.”).

As to religious exercise, the SAC alleges that Smith is a “man of faith.” (Doc.

31 at 11.) Audible prayer is an exercise of that religious faith. The Supreme Court

has found that “traditional forms of religious exercise” satisfy the religious exercise

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prong of RLUIPA, and that “there is a rich history of clerical prayer at the time of a

prisoner’s execution, dating back well before the founding of our Nation[.]”

Ramirez, 595 U.S. at 425, 427. Moreover, the court struggles to conceive of a

practice more central to religious exercise than audible prayer. Accordingly, the

court finds that Smith has pled sufficient facts to state a plausible claim under the

first prong of the RLUIPA analysis.

And as to RLUIPA’s substantial burden analysis, the

inquiry . . . asks whether the government has substantially burdened

religious exercise . . . not whether the RLUIPA claimant is able to

engage in other form of religious exercise. We have held that a

substantial burden is more than an inconvenience and is akin to

significant pressure which directly coerces the religious adherent to

conform his or her behavior accordingly. We said in Midrash Sephardi

that a substantial burden can tend to force adherents to forego religious

precepts or mandate religious conduct.

Dorman, 36 F.4th at 1314 (cleaned up). Smith alleges that being masked “may

prevent [his] prayers from being audible,” and that during his execution he will face

the untenable choice of either praying audibly or risking the consequences of

dislodging the mask. (Doc. 31 at 32.) Taking these allegations as true, Smith has

stated a plausible claim that the Protocol substantially burdens his religious exercise

under RLUIPA. Accordingly, because Smith has plausibly pled that the Protocol

imposes a substantial burden on his religious exercise, the Defendants’ motion to

dismiss Smith’s RLUIPA claim (Count Four) will be denied.

5. The First Amendment Free Exercise Claim

As previously stated, “[i]f a prison’s regulation passes muster under RLUIPA

. . . it will perforce satisfy the requirements of the First Amendment, since RLUIPA

offers greater protection to religious exercise than the First Amendment offers.”

Smith v. Allen, 502 F.3d 1255, 1264 n.5 (11th Cir. 2007). And “[i]f a claim fails

under the RLUIPA—which embeds a heightened standard for government

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restrictions of the free exercise of religion—it necessarily fails under the First

Amendment.” Dorman, 36 F.4th at 1313 (citing Allen, 502 F.3d at 1264 n.5).

Because Smith has plausibly pled a RLUIPA claim, Smith has also necessarily pled

a plausible First Amendment free exercise claim, and therefore the Defendants’

motion to dismiss Smith’s free exercise claim in Count Three will be denied.

6. The ARFA Claim

Section V of the ARFA states:

(a) Government shall not burden a person’s freedom of religion even if

the burden results from a rule of general applicability, except as

provided in subsection (b).

(b) Government may burden a person’s freedom of religion only if it

demonstrates that application of the burden to the person:

(1) Is in furtherance of a compelling governmental interest; and

(2) Is the least restrictive means of furthering that compelling

governmental interest.

Ala. Const. amend. 622 § V.

“Thus, ARFA, like RLUIPA, requires the

government’s action to satisfy strict scrutiny to survive review.” Thai Meditation

Ass’n of Ala., Inc. v. City of Mobile, 83 F.4th 922, 929 (11th Cir. 2023) (TMAA II).

But there is an important difference between RLUIPA and ARFA: rather than

requiring a “substantial” burden on religious exercise as RLUIPA does, any burden

on “freedom of religion” triggers ARFA. See Thai Meditation Ass’n of Ala., Inc. v.

City of Mobile, 980 F.3d 821, 840 (11th Cir. 2021) (TMAA I) (“Under Alabama law,

our job (giving it our best Erie guess) is to interpret [ARFA’s] language to mean

exactly what it says. And what ARFA says is that any burden—even an incidental

or insubstantial one—suffices to trigger strict scrutiny.” (internal quotations and

citations omitted)).

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Were the court to have found that Smith’s RLUIPA claim failed to state a

claim because Smith did not plead a “substantial burden,” the critical difference

between RLUIPA and ARFA would be relevant here: while Smith might not have

pled a substantial burden, he could have still survived the Defendants’ motion to

dismiss his ARFA claim having merely pled a burden. See TMAA I, 980 F.3d at 839

(“ARFA repeatedly states that, except in extraordinary circumstances, the

government may not ‘burden’ religious exercise. In its ‘findings’ section, ARFA

provides that ‘[g]overnments should not burden religious exercise without

compelling justification.’” (emphasis in original) (quoting Ala. Const. amend. 622)).

But because Smith has successfully pled that the Protocol substantially burdens his

sincere religious beliefs, the critical difference between RLUIPA and ARFA does

not matter here. As such, Smith has sufficiently pled that the Protocol merely

burdens Smith’s religious exercise, and therefore the Defendants’ motion to dismiss

Smith’s ARFA claim will be denied.

B. Smith’s Preliminary Injunction Motion

Smith’s motion for preliminary injunction proceeds only as to those claims

that survive the Defendants’ motion to dismiss and only on those claims for which

he has sought a preliminary injunction against his execution under the Protocol—his

Eighth Amendment, RLUIPA, and ARFA claims.11

“When ruling on a preliminary injunction, ‘all of the well-pleaded allegations

[in a movant’s] complaint and uncontroverted affidavits filed in support of the

motion for a preliminary injunction are taken as true.’” Alabama v. U.S. Dep’t of

Com., 546 F. Supp. 3d 1057, 1063 (M.D. Ala. 2021) (quoting Elrod v. Burns, 427

U.S. 347, 350 n.1 (1976)). “At the preliminary injunction stage, a district court may

11

Although his First Amendment claims (Count Three) survived the Defendants’ motion to

dismiss, Smith did not seek a preliminary injunction based on them. Accordingly, the court will

not consider Smith’s First Amendment claims in his request for a preliminary injunction.

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rely on affidavits and hearsay materials which would not be admissible evidence for

a permanent injunction, if the evidence is ‘appropriate given the character and

objectives of the injunctive proceeding.’” Levi Strauss & Co. v. Sunrise Int’l Trading

Inc., 51 F.3d 982, 985 (11th Cir. 1995) (quoting Asseo v. Pan Am. Grain Co., 805

F.2d 23, 26 (1st Cir. 1986)).

And crucially, “where facts are bitterly contested and credibility

determinations must be made to decide whether injunctive relief should issue, an

evidentiary hearing must be held.” McDonald's Corp. v. Robertson, 147 F.3d 1301,

1312 (11th Cir. 1998) (emphasis added). At an evidentiary hearing, the district court

sits as both factfinder and credibility assessor. Four Seasons Hotels & Resorts, B.V.

v. Consorcio Barr, S.A., 320 F.3d 1205, 1211 (11th Cir. 2003). Highly disputed

factual issues may cast doubt on the plaintiff's substantial likelihood of success.

Ultimately, “[t]he grant or denial of a preliminary injunction is a decision within the

sound discretion of the district court.” United States v. Lambert, 695 F.2d 536, 539

(11th Cir. 1983).

“A preliminary injunction is an extraordinary remedy never awarded as of

right.” Winter v. Nat. Res. Def. Council, Inc., 555 U.S. 7, 24 (2008). Smith is

entitled to a preliminary injunction if he demonstrates (1) a substantial likelihood of

success on the merits; (2) a likelihood of suffering irreparable injury without the

injunction; (3) that the threatened injury to him outweighs the harm the injunction

would cause the State; and (4) that the injunction would not be adverse to the public

interest. Barber, 73 F.4th at 1317. A preliminary injunction is “‘not to be granted

unless the movant clearly established the “burden of persuasion”’ for each prong of

the analysis.” Am.’s Health Ins. Plans v. Hudgens, 742 F.3d 1319, 1329 (11th Cir.

2014) (citation omitted). Smith, as the movant, must satisfy his burden on all four

elements “by a clear showing.” Mazurek v. Armstrong, 520 U.S. 968, 972 (1997)

(per curiam).

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Substantial likelihood of success on the merits is “the most critical” factor in

the preliminary injunction analysis, and because the court concludes that Smith has

failed to meet his burden on this factor, “‘it is unnecessary’ for the court to determine

whether [Smith] ‘satisfied the second, third, or fourth factors.’” Barber, 73 F.4th at

1317 (quoting Grayson v. Warden, Comm’r, Ala., 869 F.3d 1204, 1238 n.89 (11th

Cir. 2017)). Although Smith has plausibly alleged claims such that they survive

dismissal at the motion to dismiss stage, he has failed to show a substantial likelihood

of success on their merits. Accordingly, Smith’s motion for preliminary injunction

will be denied.

1. The Eighth Amendment Claim

Execution by nitrogen hypoxia is unusual because it is novel. But Smith has

the burden to “establish a likelihood” that the Protocol is unconstitutionally cruel

because it will inflict an “unacceptable risk of severe pain” that is “substantial when

compared to known and available alternatives.” Glossip, 576 U.S. at 878. The

Eleventh Circuit has applied the Supreme Court’s Eighth Amendment method-ofexecution framework and held that a condemned inmate must show that the

challenged method of execution creates “a substantial risk of serious harm, an

objectively intolerable risk of harm that prevents prison officials from pleading that

they were subjectively blameless for purposes of the Eighth Amendment,” and

additionally must point to “an alternative that is feasible, readily implemented, and

in fact significantly reduce[s] a substantial risk of severe pain.” Price, 920 F.3d at

1326 (quoting Glossip, 576 U.S. at 877). In other words, Smith must again satisfy

the Baze-Glossip test, as interpreted in Price, but now he must bolster his allegations,

which are highly contested by the Defendants, with evidence to meet his heavy

burden.

The parties do not dispute that nitrogen hypoxia can and ultimately will result

in death. Smith contends the Protocol lacks the “proper controls” to alleviate the

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risk of “torture or lingering death,” (Doc. 19 at 24, 28 (quoting Baze, 553 U.S. at

49–50)), or the “‘superadd[ing]’ of ‘terror, pain, or disgrace,’” (id. at 24 (quoting

Bucklew, 139 S. Ct. at 1124).) In other words, he argues that there are deficiencies

with the Protocol that could unnecessarily prolong his death or result in

complications short of death, such as a persistent vegetative state or experiencing a

stroke, the sensation of suffocation, or choking. In his SAC, Smith originally

enumerated six purported deficiencies in the Protocol that will subject him to a

substantial risk of serious harm. However, since that time, Smith has been given a

complete, unredacted copy of the Protocol and has engaged in limited expedited

discovery, both of which appear to have allayed some of those concerns. As such,

at the evidentiary hearing and in his briefing, Smith has reduced those six initial

deficiencies down to three: (1) use of an off-the-shelf mask, as opposed to some

other device such as a hood, subjects Smith “to a substantial risk of oxygen

infiltration”; (2) the specific mask the ADOC intends to use for Smith’s execution

“will permit the entertainment of room air” resulting in a substantial risk of

superadded pain short of death; (3) the Protocol itself, and Smith’s individual

circumstances—now suffering from PTSD and depression as a result of the failed

lethal injection execution attempt and his looming execution—subjects him to a

“substantial risk of asphyxiation on his own vomit[.]” (Doc. 65 at 25–44.) Smith’s

briefing and arguments at the hearing focus his superadded pain argument on his

assertion that the Protocol may result in him vomiting while the mask is on which,

according to Smith, could cause him to choke and/or could dislodge the seal of the

mask, thereby allowing oxygen and outside air into the mask after the nitrogen

begins to flow, which risk pain and physical complications short of death.

To reduce or alleviate the purported substantial risk of harm, Smith proposes

two allegedly feasible and readily implemented alternative methods: (1) an amended

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nitrogen hypoxia protocol that includes ten proposed changes,12 or (2) death by firing

squad using Utah’s execution protocol. (Doc. 31 at 27–28; Doc. 19 at 28–29.) In

support of the firing squad, Smith submitted Utah’s execution protocol (see Doc. 198) and the declaration of Dr. Jonathan I. Groner, M.D., stating:

The Utah firing squad protocol involves 4 skilled individuals

firing 30 caliber bullets directly at the inmate’s heart. These bullets will

tear open the heart causing immediate loss of pumping function to the

heart. The loss of pumping function of the heart will cause the blood

flow to the brain to cease immediately. Loss of consciousness occurs a

few seconds after blood flow to the brain ceases. The loss of

consciousness that occurs when blood flow to the brain ceases is

12

Smith did not draft a proposed amended nitrogen hypoxia protocol. Instead, he submitted a

bullet-point list of ten proposed amendments:

•

•

•

•

•

•

•

•

•

•

Measure each condemned person subject to execution by nitrogen hypoxia for

a custom fit mask to reduce the risk that oxygen leaks under the mask seal or,

alternatively, use a closed space or a hood.

Provide a condemned person an opportunity to speak and to audibly pray

without being masked.

Disclose the training that the execution team members will receive in placing

and adjusting the mask over the condemned inmate’s face, their level of

experience with the masks being used, and the metrics that will be used to

ensure the mask is “properly placed” and passes the “final inspection.”

Add a mechanism to remove carbon dioxide that the condemned inmate exhales

from under the mask.

Disclose the source of the nitrogen to be used, and information about its

transportation and storage to avoid contamination.

Require testing of the nitrogen gas before use to ensure purity of the nitrogen

gas.

Add procedures to monitor the pulse oximeter throughout the process.

Add procedures to halt the execution if the condemned person vomits into the

mask.

Add procedures for attempting to execute condemned inmates who have

survived a previous attempt and are experiencing PTSD as a result.

Employ a third-party licensed medical provider who (1) will be permitted to

observe the execution process from the time the condemned inmate is taken into

the execution chamber until completed, and (2) has the authority to call off or

postpone the execution if, in his or her judgment, the condemned inmate is at

risk of serious injury short of death.

(Doc. 31 at 27–28 ¶102; Doc. 19 at 28–29.)

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complete, meaning the individual cannot experience pain. The inmate

will remain comatose and be clinically dead (absence of heart beath,

breathing, or any reflexes) within a few minutes.

(Doc. 19-8.)

Smith submitted the declarations of Dr. Yong and Dr. Nitschke, both of whom

opined that improper sealing of the face mask, movement of Smith’s head or mouth

during the execution process, improper gas pressure and flow, vomiting, and

respiratory complications specific to an individual person could each complicate the

execution process and may result in prolonged time to death or medical

complications short of death—like the sensation of suffocation, panic, stroke, or a

persistent vegetative state. Both Dr. Yong and Dr. Nitschke testified at the hearing

on December 20, 2023. No evidence was presented showing either Dr. Yong or Dr.

Nitschke had read the unredacted Protocol in its entirety, but both testified they had

reviewed the redacted Protocol. Dr. Yong testified from his viewpoint as a medical

doctor, whose goal is to minimize risks in medical settings to reduce complications

and to preserve life and not to reduce complications in a penal setting for the purpose

of quickly ending life, as is the case here. From Dr. Nitschke’s perspective with a

background in assisted suicide, although he stated those seeking assisted suicide now

tend to use a hood system instead of a mask, he did not, nor could he, identify to a

scientific certainty or likelihood that the ADOC’s choice of this particular mask

when combined with Smith’s physical characteristics or with speaking or praying

will in fact cause complications from air leakage or a dislodged seal, and he testified

at the hearing that nausea is possible even in a hood system. What both doctors

acknowledged, although from different viewpoints, was that nitrogen hypoxia would

ultimately cause death.

As to the possibility of vomiting inside the mask during the execution,

Stewart-Riley, the Regional Director of the ADOC, testified that the execution team

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would remove and clean the mask and check and clean Smith’s airway if Smith

vomited before nitrogen was introduced into the mask. She also testified that the

team would not halt the execution if Smith vomited after nitrogen was introduced

into the mask. Both Dr. Yong and Dr. Nitschke stated, in their professional opinions,

the Defendants’ proposed procedure to handle vomit could lead to death by

asphyxiation instead of hypoxia. Notably, neither expert stated, or could state to a

scientific or medical certainty, the time to unconsciousness after nitrogen is

introduced into the mask, the time to death, or what percentage of oxygen or other

breathing air could cause pain if the mask dislodged.

Although Dr. Yong and Dr. Nitschke were largely silent on the possibility that

Smith himself could vomit during the execution, Smith introduced the testimony of

Dr. Porterfield. Dr. Porterfield testified Smith suffers from nausea resulting from

PTSD and depression. She also opined that the Protocol does not account for

Smith’s individual mental circumstances and therefore may cause him to panic or

experience “fight or flight dissociation” during the execution. (Doc. 19-3 at 8.)

Dr. Porterfield acknowledged under questioning by defense counsel that

Smith told her that he did not experience nausea during the previous execution

attempt and that he did not report to her vomiting from PTSD-induced nausea since

that time. No one, including Dr. Porterfield, could state with any certainty whether

Smith will feel nauseous during the execution. And no one could state with any

certainty the likelihood Smith will vomit during the execution, with or without the

mask on, before or during the administration of nitrogen; when, where, or how much

he might vomit during the execution, or any other condition or risk. Nor did any

witness provide a foundation upon which any such likelihood of vomiting would be

based, such as the time of Smith’s last meal, whether Smith would eat a last meal,

and if so, the volume of stomach contents that would exist at the time of execution.

Instead, witnesses merely opined to the theoretical possibility the Protocol may lead

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a condemned inmate to vomit, and—by extrapolation—the complications from an

episode of vomiting if the mask happened to become dislodged during the execution

or was removed altogether.

In response, the Defendants argue that each of the purported deficiencies

Smith has identified in the Protocol, although posing some theoretical risks, do not

rise to the level of substantial risk of causing severe pain when compared to Smith’s

proposed alternatives. And as to the alternatives, the Defendants argue that Smith’s

list of proposed amendments to the Protocol fails Nance’s “veritable blueprint”

standard, see Nance II, 597 U.S. at 169 (stating that a condemned person proposing

an alternative method of execution must provide “a veritable blueprint for carrying

the death sentence out” and “persuade[] a court that the State could readily use his

proposal to execute him”), but offer little argument against Utah’s method of

execution by firing squad except to attack the brevity of Dr. Groner’s declaration.

In opposition to Smith’s preliminary injunction request, the Defendants

submitted the declaration of Stewart-Riley. (Doc. 39-13.) Stewart-Riley stated that

she is familiar with the mask that is to be used and that the mask “is designed to fit

and does fit a broad range of wearers.” (Id. at 2.) She said the mask will be secured

to Smith using a five-point harness or strapping system “that allows for a secure fit,

even in instances where the wearer needs to be able to communicate with others”

when masked. (Id. at 2–3.) Based on Stewart-Riley’s observations, “the strapping

system creates a tight seal” and Smith will be able to speak audibly without

dislodging the mask. (Id. at 3.) Stewart-Riley also stated that she has worn the mask

herself and she “was able to breathe comfortably and to make [her]self heard by

those around [her], including persons in the witness rooms[.]” (Id.) Finally, she said

she and others who wore the mask did not report problems breathing or

complications arising from the entrapment of carbon dioxide because the “mask is

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designed to be used with supplied air and features exhalation valves for venting

carbon dioxide.” (Id.)

As to the mask’s design and fit, the court inspected it, including the harness

system, the contours and size of the face shield, and the rubber seal. Given its design,

the court finds it highly unlikely that the mask would dislodge or that the seal would

be broken and outside air introduced if it is tightly secured on the condemned

inmate’s head in a positive pressure environment, even under the scenarios Smith

alleges could break the seal—like audibly speaking or moving his mouth or head.

The Defendants also submitted the declaration of Dr. Antognini. In his

declaration, Dr. Antognini opined the time to unconsciousness when nitrogen is

introduced into a virtually air-tight mask is 35 to 40 seconds, and the time to death

is 10 to 15 minutes. He arrived at his conclusion using case reports studying the

lethality of inert gases during industrial accidents and assisted suicides.

Dr.

Antognini disagreed with Dr. Yong and Dr. Nitschke: it is his “expert medical and

scientific opinion that the use of the mask, as proposed, and the delivery of nitrogen

to the mask, would result in rapid unconsciousness, followed by cardiac arrest and

death[,]” and that the condemned inmate would experience no pain as a result of the

nitrogen hypoxia execution process. (Doc. 62-60 at 16–17.) But the court recalls

defense counsel’s cross-examination of Dr. Yong and, specifically, when Dr. Yong

testified that, because so little data exists on the use of inert gases to cause death in

humans, he could not give an opinion with any certainty concerning the time to

unconsciousness or time to death based merely on extrapolations sourced from

industrial accidents or assisted suicides.

What the testimony from the experts shows, if anything from an overall

standpoint of consistency, is that the uninterrupted introduction of pure nitrogen will

result in nitrogen hypoxia and that nitrogen hypoxia will ultimately lead to death.

On this record, there is simply not enough evidence to find with any degree of

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certainty or likelihood that execution by nitrogen hypoxia under the Protocol is

substantially likely to cause Smith superadded pain short of death or a prolonged

death. It could, in a highly theoretical sense, but only if a cascade of unlikely events

occurs.13 Or it may well be painless and quick. Execution by nitrogen hypoxia is

novel, and it will remain novel even if the Defendants employ Smith’s proposed

amendments to the Protocol.

But novel methods of execution are not new to the federal courts, and the

Supreme Court has examined them before. After all, although lethal injection is

currently the most common form of execution in the present day in this country, it

was once novel. So too were the introduction of various types of sedatives and drugs

during the evolution of many states’ lethal injection protocols over the years. For

example, in Glossip, the Supreme Court considered the constitutionality of

Oklahoma’s amended three-drug lethal injection protocol which replaced

pentobarbital with midazolam after Oklahoma was unable to source sodium

thiopental and pentobarbital. 576 U.S. at 871. Faced with a dearth of evidence

relating to the use and effects of midazolam during a lethal injection procedure in

humans, the Supreme Court affirmed the district court’s denial of a preliminary

injunction because the district court had not clearly erred when it found the

condemned petitioners failed to establish that a massive dose of midazolam during

the lethal injection procedure would entail a substantial risk of severe pain. Id. at

883–84. The fact that little or no evidence and scientific proof on the topic existed

did not relieve the condemned petitioners of their burden “of showing that the

method creates an unacceptable risk of pain.” Id. at 884.

13

For example, Smith eating a sufficiently large meal at a time sufficiently close to the execution

which, together with his anxiety and/or PTSD, results in him vomiting a sufficient volume of

stomach contents into the mask after nitrogen has been introduced that in turn clogs his airways or

impacts the performance of the mask and requires the execution team to intervene and interrupt

the flow of nitrogen.

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Again, preliminary injunctions are extraordinary remedies meant to preserve

the status quo until the merits of a case are fully and fairly adjudicated. Suntrust

Bank v. Houghton Mifflin Co., 268 F.3d 1257, 1265 (11th Cir. 2001). They are the

exception, not the rule. Barber, 73 F.4th at 1317 (quoting Hill v. McDonough, 547

U.S. 573, 584 (2006)). So, it is Smith’s burden to show a substantial likelihood that

he will succeed on his Eighth Amendment claim before the court will enjoin his

execution to allow him to litigate his challenge, and for good reason. The status quo

here is that Smith will be executed by nitrogen hypoxia on January 25, 2024, using

the ADOC’s current Protocol.

Courts presume, based upon the history and

development of capital punishment in this country and the legislative process, that

the Defendants do not “seek[] to superadd terror, pain, or disgrace to their

executions” unless and until a condemned person can make the requisite showing

under Baze and Glossip. Bucklew, 139 S. Ct. at 1124–25 (citing Baze and Glossip).

Considering all the evidence presented and the parties’ arguments, Smith has

not met that burden. His evidence and allegations amount to speculation, at best

“scientific controvers[y,]” well short “of showing that the method creates an

unacceptable risk of pain.” Glossip, 576 U.S. at 882, 884. As in Glossip, Smith’s

own experts effectively conceded that they lacked evidence to prove Smith’s case

beyond dispute. See id. at 884. Proof of some theoretical risk does not clear Smith’s

high hurdle: “[s]imply because an execution method may result in pain, either by

accident or as an inescapable consequence of death, does not establish the sort of

‘objectively intolerable risk of harm’ that qualifies as cruel and unusual.” Baze, 553

U.S. at 50. Smith has argued and provided some evidence that the Protocol could

theoretically result in some risk of pain if many other events occur, like vomiting or

the dislodging of the mask during the execution procedure but—far from providing

a feasible, readily implemented alternative nitrogen hypoxia protocol with his list of

proposed amendments to the Protocol or his cursory allegations and evidence about

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the firing squad—he has not shown the current Protocol is sure or very likely to

cause substantial risk of serious harm or superadded pain when compared to either

of his alleged alternatives, nor that either of his alternative methods would in fact

significantly reduce that risk if used instead.

Smith is not guaranteed a painless death. Bucklew, 139 S. Ct. at 1124. On

this record, Smith has not shown, and the court cannot conclude, the Protocol inflicts

both cruel and unusual punishment rendering it constitutionally infirm under the

prevailing legal framework. Having failed to show a substantial likelihood of

success on the merits, Smith is not entitled to injunctive relief on his Eighth

Amendment claim.

2. The RLUIPA Claim

In his motion for preliminary injunction, Smith argues that the Protocol

“substantially burdens [his] religious exercise by inhibiting audible prayer at the

time of his execution.” (Doc. 19 at 30.) For the court to issue a preliminary

injunction on Smith’s RLUIPA claim, Smith must, as a threshold matter, clearly

establish a prima facie case—that is, that the Protocol substantially burdens his

sincere religious beliefs. See Hudgens, 742 F.3d at 1329; Ramirez, 595 U.S. at 425.

If Smith establishes a prima facie case, the burden then shifts to the Defendants to

demonstrate that the Protocol is the least restrictive means of furthering a compelling

government interest. See, e.g., Smith v. Comm'r, Ala. Dep't of Corr., 844 F. App'x

286, 291–93 (11th Cir. 2021).

The RLUIPA analysis for Smith’s preliminary injunction request begins with

RLUIPA’s first prong: whether Smith can clearly establish that audible prayer is an

exercise of his sincere religious beliefs. Smith’s SAC states that he is a man of faith

and that he prayed audibly during his previous attempted execution. And during the

December 20, 2023 evidentiary hearing, Smith testified to the plans that he and his

spiritual advisor have made for the day of his execution, and that those plans include

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audibly praying. Moreover, the Defendants do not appear to question this aspect of

Smith’s RLUIPA burden. Accordingly, the court finds that Smith has carried his

burden to show that audible prayer is an exercise of his sincere religious beliefs. The

preliminary injunction analysis thus moves to whether Smith has clearly established

that the Protocol substantially burdens his ability to audibly pray.

The substantial burden prong of the RLUIPA analysis requires that, for the

court to issue a preliminary injunction, Smith clearly establish that the Protocol will

force him to “engage in conduct that seriously violates [his] religious beliefs.” Holt,

574 U.S. at 360 (quoting Burwell v. Hobby Lobby Stores, Inc., 573 U.S. 682, 720

(2014)).

The Eleventh Circuit has written that “‘substantial burden’ requires

something more than an incidental effect on religious exercise.” Midrash Sephardi,

366 F.3d at 1227.

[A] “substantial burden” must place more than an inconvenience on

religious exercise; a “substantial burden” is akin to significant pressure

which directly coerces the religious adherent to conform his or her

behavior accordingly. Thus, a substantial burden can result from

pressure that tends to force adherents to forego religious precepts or

from pressure that mandates religious conduct.

Id.

The evidence Smith presented that the mask will substantially burden his

ability to audibly pray during his execution was, as described above in the court’s

analysis of Smith’s Eighth Amendment claim, speculative. Dr. Yong and Dr.

Nitschke stated via their declarations that improper sealing of the face mask and

movement of Smith’s head or mouth could complicate the execution process and

may result in prolonged time to death or medical complications short of death. And

Smith stated that this possibility could lead him to elect not to audibly pray while he

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is being executed.14 So while this assertion could be true, it is speculative because

it is not based on any evidence that Smith has presented and because it is untethered

from the mask that will be used during Smith’s execution.

In contrast to the limited evidence that Smith provided, the Defendants

provided substantial evidence showing that the mask used during the execution will

not dislodge if Smith elects to audibly pray. The Defendants provided numerous

videos showing multiple individuals on the execution gurney in the execution

chamber speaking while wearing the mask without any problem associated with

dislodging the mask. (Docs. 62-72 to 62-77.) And further, Stewart-Riley stated in

her affidavit:

3. The mask that ADOC intends to use is designed to fit and

does fit a broad range of wearers. I understand that this type of mask is

commonly used for industrial purposes. The mask features a five-point

strapping system that allows for a secure fit, even in instances where

the wearer needs to communicate with others while wearing the mask.

4. I have observed the mask in use in conditions closely

replicating those that will take place during the execution. … Based on

my observations, the strapping system creates a tight seal. Individuals

wearing the mask have been able to speak audibly without dislodging

the mask. It would be highly unlikely and very difficult for the wearer

to dislodge the mask without use of his or her hands.

(Doc. 39-13 at 2–3.)

In sum, the Defendants have provided substantial evidence that the mask will

not dislodge if Smith audibly prays during his execution. Smith, in contrast,

provided little-to-no actual evidence, let alone compelling evidence, to the contrary.

So, while Smith’s evidence does suggest that it is possible that his audible prayer

14

The court notes that Smith did not plead and did not present evidence that he actually would

elect not to audibly pray out of fear of dislodging the mask. Smith’s pleadings and evidence only

indicate that he believes he would have to choose between the two. (See Doc. 31 at 32–33.)

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could dislodge the mask during his execution to some extent, Smith has failed to

meet the requisite burden required for this court to issue a preliminary injunction.

Having considered the evidence presented at the December 20, 2023 evidentiary

hearing as well as the written and physical evidence submitted by the parties, the

court concludes that Smith has not clearly established that his ability to audibly pray

at the time of his execution will be substantially burdened by wearing the execution

mask.15 Accordingly, Smith has not shown a substantial likelihood of success on the

merits of his RLUIPA claim.

3. The ARFA Claim

Again, ARFA, unlike RLUIPA, only requires that Smith show that the

Protocol will burden his religious exercise. TMAA I, 980 F.3d at 840. But the

difference between ARFA and RLUIPA is irrelevant here: Smith has not clearly

shown that there is likely to be any burden on his ability to audibly pray during his

execution. The evidence presented strongly shows the opposite. Smith will have to

wear a mask during his execution, but Smith has not shown that wearing a mask in

and of itself burdens the exercise of his religion. Smith has therefore not shown a

substantial likelihood of success on the merits of his ARFA claim.

V. CONCLUSION

For these reasons, it is ORDERED as follows:

1.

The Defendants’ Motion to Dismiss (Doc. 39) is GRANTED in part

and DENIED in part. Count One of Plaintiff’s Second Amended Complaint (Doc.

31) is DISMISSED without prejudice. Counts Two, Three, Four, and Five remain.

15

In their supplemental briefing, and at the court’s suggestion, the Defendants state that they are

willing to modify the Protocol to allow Smith to audibly pray with his spiritual advisor in the

execution chamber with the mask off. (See Doc. 66 at 45–46.) But the Defendants did not say

they will in fact modify the Protocol as such, so the court analyzes Smith’s preliminary injunction

request assuming they will not do so.

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Case 2:23-cv-00656-RAH Document 69 File

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