Mark S. Mais v. Gulf Coast Collection Bureau, Inc. ( 2014 )


Menu:
  •               Case: 13-14008     Date Filed: 09/29/2014   Page: 1 of 32
    [PUBLISH]
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE ELEVENTH CIRCUIT
    ________________________
    No. 13-14008
    ________________________
    D.C. Docket No. 0:11-cv-61936-RNS
    MARK S. MAIS,
    on behalf of himself and all others similarly situated,
    Plaintiff - Appellee,
    versus
    GULF COAST COLLECTION BUREAU, INC.,
    Defendant - Appellant.
    ________________________
    Appeal from the United States District Court
    for the Southern District of Florida
    ________________________
    (September 29, 2014)
    Before HULL, MARCUS and HILL, Circuit Judges.
    MARCUS, Circuit Judge:
    Case: 13-14008    Date Filed: 09/29/2014    Page: 2 of 32
    Plaintiff Mark Mais filed a claim in federal district court against a hospital-
    based radiology provider and its debt collection agent for making autodialed or
    prerecorded calls in violation of the Telephone Consumer Protection Act of 1991
    (TCPA), Pub. L. No. 102-243, 
    105 Stat. 2394
     (codified at 
    47 U.S.C. § 227
    ).
    Defendant Gulf Coast Collection Bureau, Inc. (“Gulf Coast”) argued that the calls
    fell within a statutory exception for “prior express consent,” as interpreted in a
    2008 declaratory ruling from the Federal Communications Commission (the
    “FCC” or “Commission”). See In re Rules and Regulations Implementing the
    Telephone Consumer Protection Act of 1991 (2008 FCC Ruling), 23 FCC Rcd.
    559, 564. The district court granted Mais partial summary judgment against Gulf
    Coast for alternative reasons: the FCC’s interpretation was inconsistent with the
    language of the TCPA and, regardless, the 2008 FCC Ruling did not apply on the
    facts of this case.
    As we see it, the district court lacked the power to consider in any way the
    validity of the 2008 FCC Ruling and also erred in concluding that the FCC’s
    interpretation did not control the disposition of the case. In the Hobbs Act, 
    28 U.S.C. § 2342
    , Congress unambiguously deprived the federal district courts of
    jurisdiction to invalidate FCC orders by giving exclusive power of review to the
    courts of appeals. See Self v. Bellsouth Mobility, Inc., 
    700 F.3d 453
    , 461 (11th
    Cir. 2012). And Mais’s claim falls squarely within the scope of the FCC order,
    2
    Case: 13-14008     Date Filed: 09/29/2014    Page: 3 of 32
    which covers medical debts. The 2008 FCC Ruling “conclude[d] that the
    provision of a cell phone number to a creditor, e.g., as part of a credit application,
    reasonably evidences prior express consent to be contacted at that number
    regarding the debt.” 23 FCC Rcd. at 564. There is no dispute that Mais’s wife
    listed his cell phone number on a hospital admissions form and agreed to the
    hospital’s privacy practices, which allowed the hospital to release his health
    information for billing to the creditor. As a result, the TCPA exception for prior
    express consent -- as interpreted in the 2008 FCC Ruling -- entitles Gulf Coast to
    judgment as a matter of law. Accordingly, we reverse the district court’s grant of
    partial summary judgment to Mais and remand with instructions to enter final
    summary judgment for Gulf Coast.
    I.
    A.
    The district court found the following facts to be material and undisputed,
    and indeed the parties have not disputed any of them on appeal. See Mais v. Gulf
    Coast Collection Bureau, Inc., 
    944 F. Supp. 2d 1226
    , 1230-31 & n.1 (S.D. Fla.
    2013). Mark Mais sought emergency room treatment at the Westside Regional
    Hospital (the “Hospital”) in Broward County, Florida, in 2009. On behalf of her ill
    husband, Laura Mais completed and signed admissions documents, which she gave
    to a Hospital representative. She provided the admitting nurse with demographic
    3
    Case: 13-14008    Date Filed: 09/29/2014    Page: 4 of 32
    and insurance information, including her husband’s cell phone number. By signing
    a Conditions of Admission form, she acknowledged receiving the Hospital’s
    Notice of Privacy Practices (the “Notice”) and expressly agreed that “the hospital
    and the physicians or other health professionals involved in the inpatient or
    outpatient care [may] release [Plaintiff’s] healthcare information for purposes of
    treatment, payment or healthcare operations,” including “to any person or entity
    liable for payment on the patient’s behalf in order to verify coverage or payment
    questions, or for any other purpose related to benefit payment.” Id. at 1230-31
    (alterations in original). Moreover, the Notice said the Hospital “may use and
    disclose health information about [Plaintiff’s] treatment and services to bill and
    collect payment from [Plaintiff], [his] insurance company or a third party payor.”
    Id. at 1231 (alterations in original). The Notice stated that “[w]e may also use and
    disclose health information . . . to business associates we have contracted with to
    perform agreed upon service and billing for it,” including “physician services in
    the emergency department and radiology.” In addition, the Notice told patients
    that the Hospital “may disclose your health information to our business associate[s]
    so that they can perform the job we’ve asked them to do and bill you.” Finally, the
    Conditions of Admission form stated that services provided by “[h]ospital-based
    physicians,” including “Radiologists,” “are rendered by independent contractors”
    and “will be billed for separately by each physician’s billing company.”
    4
    Case: 13-14008    Date Filed: 09/29/2014    Page: 5 of 32
    Mark Mais was admitted to the Hospital, where he received radiology
    services from Florida United Radiology, L.C. (“Florida United”), a hospital-based
    provider. Mais incurred a medical debt of $49.03 to Florida United. McKesson
    Practice Services (“McKesson”), a billing company serving as Florida United’s
    agent, electronically retrieved Mais’s telephone number and demographic
    information from the Hospital and billed Mais. When Mais did not pay or dispute
    the debt, McKesson forwarded his account to Gulf Coast for collection pursuant to
    a written agreement between Gulf Coast and Florida United’s parent company,
    Sheridan Acquisition, P.A. (“Sheridan”), that provided Gulf Coast would “perform
    third party collection services on referred accounts receivable.” Gulf Coast is a
    debt collector that uses a predictive dialer to dial telephone numbers through
    automated technology. See In re Rules & Regulations Implementing the
    Telephone Consumer Protection Act of 1991, 18 FCC Rcd. 14,014, 14,022 (2003)
    (“Predictive dialers, which initiate phone calls while telemarketers are talking to
    other consumers, frequently abandon calls before a telemarketer is free to take the
    next call. Using predictive dialers allows telemarketers to devote more time to
    selling products and services rather than dialing phone numbers, but the practice
    inconveniences and aggravates consumers who are hung up on.” (footnote
    omitted)); id. at 14,093 (“[T]he Commission finds that a predictive dialer falls
    within the meaning and statutory definition of ‘automatic telephone dialing
    5
    Case: 13-14008       Date Filed: 09/29/2014      Page: 6 of 32
    equipment’ and the intent of Congress.”). Gulf Coast called Mais’s cell phone
    about the debt with its predictive dialer between fifteen and thirty times and left
    four messages. Gulf Coast similarly placed calls to other putative class members
    to collect medical debts owed to Florida United.
    Mais filed an amended class action complaint against Gulf Coast, Florida
    United, and Sheridan (collectively, “Defendants”) in the United States District
    Court for the Southern District of Florida, alleging that their collection activities
    violated the Telephone Consumer Protection Act because Gulf Coast, acting on
    behalf of Florida United and Sheridan, called Mais’s cell phone using an automatic
    telephone dialing system or a prerecorded or artificial voice without his prior
    express consent. 1 Before the district court considered the question of class
    certification, the Defendants moved for summary judgment on the affirmative
    defense that the calls could not and did not violate the TCPA because Mais
    provided “prior express consent” to receive them when his wife completed in
    writing the Hospital admissions forms. See 
    47 U.S.C. § 227
    (b)(1)(A)(iii). The
    Defendants relied on a 2008 FCC Ruling, which concluded that “the provision of a
    cell phone number to a creditor, e.g., as part of a credit application, reasonably
    1
    Mais’s amended complaint also named as a defendant Jack W. Brown, III, vice president and
    part owner of Gulf Coast. The district court separately granted Brown summary judgment
    because it found Mais pled no substantive cause against him individually and because it saw no
    evidence that Brown committed, directly participated in, or otherwise authorized the commission
    of wrongful acts. No appeal has been taken from that summary judgment order, and thus any
    claims leveled against Brown are not part of this appeal.
    6
    Case: 13-14008    Date Filed: 09/29/2014    Page: 7 of 32
    evidences prior express consent by the cell phone subscriber to be contacted at that
    number regarding the debt.” 23 FCC Rcd. at 564. Defendants further argued that,
    because the Hospital had consent to use and disclose Mais’s cell phone number
    under the Health Insurance Portability and Accountability Act (HIPAA), Pub. L.
    No. 104-191, 
    110 Stat. 1936
     (1996), the TCPA prior express consent exception
    was satisfied. Florida United and Sheridan also separately argued that they could
    not be held vicariously liable for Gulf Coast’s calls because § 227(b)(1)(A) of the
    TCPA only reaches those who “make any call” to a cell phone using automatic
    dialing or a recorded voice. Mais likewise moved for partial summary judgment,
    arguing that he had not given prior express consent for the calls because the 2008
    FCC Ruling did not apply to medical debt and because his cell phone number had
    been given to the Hospital, not the creditor, Florida United.
    The district court found that Mais, not the Defendants, was entitled to
    summary judgment on the prior express consent defense mounted by Gulf Coast,
    Florida United, and Sheridan. The court began by explaining that satisfaction of
    HIPAA did not automatically ensure compliance with the TCPA, “a separate
    statute that imposes separate requirements.” Mais, 944 F. Supp. 2d at 1234. The
    district court also determined that Defendants could not prevail on the basis of the
    2008 FCC Ruling. While acknowledging that the Hobbs Act gave the federal
    courts of appeals exclusive jurisdiction to review final FCC orders, the district
    7
    Case: 13-14008     Date Filed: 09/29/2014     Page: 8 of 32
    court determined that it had jurisdiction to examine the FCC’s interpretation of the
    TCPA because the central purpose of Mais’s suit was to obtain damages for
    violations of the statute, not to collaterally attack or invalidate the 2008 FCC
    Ruling. The court concluded that the Federal Communication Commission’s
    interpretation of “prior express consent” embodied in its 2008 rule was not entitled
    to any deference because it conflicted with the clear meaning of the TCPA. See
    Chevron, U.S.A., Inc. v. Natural Res. Def. Council, Inc., 
    467 U.S. 837
    , 843 n.9
    (1984) (“The judiciary is the final authority on issues of statutory construction and
    must reject administrative constructions which are contrary to clear congressional
    intent.”). According to the district court, implying consent from the provision of a
    cell phone number to a creditor impermissibly expanded the statutory exception to
    cover “prior express or implied consent.” Mais, 944 F. Supp. 2d at 1239.
    Compare Black’s Law Dictionary 346 (9th ed. 2004) (defining “express consent”
    as “[c]onsent that is clearly and unmistakably stated”), with id. (defining “implied
    consent” as “[c]onsent inferred from one’s conduct rather than from one’s direct
    expression”). Cut loose from any FCC rulemaking concerning the meaning of
    prior express consent, and thus interpreting the language found in the Act afresh,
    the district court concluded that listing Mais’s cell phone number on the Hospital
    admissions documents alone did not evince prior express consent to receive
    autodialed or prerecorded calls. In the alternative, the district court also ruled that,
    8
    Case: 13-14008     Date Filed: 09/29/2014    Page: 9 of 32
    even if the FCC’s interpretation of the meaning of prior express consent found in
    the 2008 FCC Ruling was valid and binding, the rule would not apply under the
    facts of this case because it was designed to cover consumer and commercial
    contexts and did not reach medical settings. Moreover, the district court
    determined, the FCC’s 2008 rulemaking would not apply here because Mais’s wife
    gave his number only to the Hospital and not to the creditor, Florida United.
    At the same time, the district court ruled that defendants Sheridan and
    Florida United were entitled to summary judgment anyway because they could not
    be held vicariously liable under the Telephone Consumer Protection Act for Gulf
    Coast’s calls. Ultimately, the district court granted summary judgment to Mais
    against Gulf Coast in part, ruling that he was entitled to $500 per call in statutory
    damages for each of fifteen violative calls placed to his cell phone, as well as an
    injunction ordering Gulf Coast not to place any further calls to Mais’s cell phone in
    violation of the TCPA. The court left for trial the singular issue of whether Gulf
    Coast willfully or knowingly violated the TCPA, and thus whether Mais would be
    entitled to up to treble damages.
    After unsuccessfully seeking reconsideration of the summary judgment
    order, Gulf Coast asked the district court to certify the prior express consent issue
    for interlocutory appeal because the “order involve[d] a controlling question of law
    as to which there is substantial ground for difference of opinion” and because “an
    9
    Case: 13-14008        Date Filed: 09/29/2014         Page: 10 of 32
    immediate appeal from the order may materially advance the ultimate termination
    of the litigation.” 
    28 U.S.C. § 1292
    (b).2 The district court certified four questions
    to this Court:
    1) Whether a district court has jurisdiction under the Hobbs Act to
    review an FCC order in a TCPA case when the plaintiff does not
    challenge the validity of that order;
    2) If the district court has such jurisdiction, whether the FCC’s
    pronouncements on the issues of “prior express consent” and
    vicarious liability are entitled to deference under Chevron;
    3) If the district court lacks such jurisdiction, whether the FCC’s
    opinion on “prior express consent” is limited to the consumer credit
    transaction arena such that it does not apply to the medical care
    setting; and
    4) Whether a medical provider’s consent to use and disclose patient
    information, including phone numbers, under HIPAA equates to
    “prior express consent” for affiliates and agents of that provider to call
    the patient on his cell phone for debt collection purposes using an
    automated telephone dialing system.
    This Court granted Gulf Coast’s timely petition for permission to appeal under
    § 1292(b).
    2
    In full, § 1292(b) provides:
    When a district judge, in making in a civil action an order not otherwise
    appealable under this section, shall be of the opinion that such order involves a
    controlling question of law as to which there is substantial ground for difference
    of opinion and that an immediate appeal from the order may materially advance
    the ultimate termination of the litigation, he shall so state in writing in such order.
    The Court of Appeals which would have jurisdiction of an appeal of such action
    may thereupon, in its discretion, permit an appeal to be taken from such order, if
    application is made to it within ten days after the entry of the order: Provided,
    however, That application for an appeal hereunder shall not stay proceedings in
    the district court unless the district judge or the Court of Appeals or a judge
    thereof shall so order.
    10
    Case: 13-14008     Date Filed: 09/29/2014     Page: 11 of 32
    Though the certified questions may guide our analysis, “[t]he scope of
    review on appeal under 
    28 U.S.C. § 1292
    (b) ‘is not limited to the precise question
    certified by the district court because the district court’s order, not the certified
    question, is brought before the court.’” Moorman v. UnumProvident Corp., 
    464 F.3d 1260
    , 1272 (11th Cir. 2006) (quoting Aldridge v. Lily-Tulip, Inc. Salary Ret.
    Plan Benefits Comm., 
    40 F.3d 1202
    , 1207 (11th Cir. 1994)); accord Yamaha
    Motor Corp., U.S.A. v. Calhoun, 
    516 U.S. 199
    , 205 (1996) (“[T]he appellate court
    may address any issue fairly included within the certified order because ‘it is the
    order that is appealable, and not the controlling question identified by the district
    court.’” (quoting 9 James W. Moore & Bernard J. Ward, Moore’s Federal Practice
    ¶ 110.25[1], at 300 (2d ed. 1995))).
    B.
    A review of the statutory and regulatory background is critical to
    understanding the proper resolution of the issues raised by this appeal. In response
    to evidence “that automated or prerecorded calls are a nuisance and an invasion of
    privacy,” Congress passed the Telephone Consumer Protection Act to balance
    “[i]ndividuals’ privacy rights, public safety interests, and commercial freedoms of
    speech and trade.” TCPA §2(9), (13), 105 Stat. at 2394, 2395. The TCPA
    prohibits “any person . . . to make any call (other than a call made for emergency
    purposes or made with the prior express consent of the called party) using any
    11
    Case: 13-14008     Date Filed: 09/29/2014    Page: 12 of 32
    automatic telephone dialing system or an artificial or prerecorded voice . . . to any
    telephone number assigned to a . . . cellular telephone service.” 
    47 U.S.C. § 227
    (b)(1) (emphasis added). The TCPA also creates a private right of action that
    allows a person to seek an injunction or monetary damages based on a violation of
    § 227(b) or a regulation promulgated thereunder. Id. § 227(b)(3). For each
    violation, a plaintiff can recover the greater of actual monetary loss or $500. Id.
    § 227(b)(3)(B). Up to treble damages are available if the defendant committed a
    violation willfully or knowingly. Id. § 227(b)(3)(C).
    Moreover, Congress has conferred upon the FCC general authority to make
    rules and regulations necessary to carry out the provisions of the TCPA. Id.
    § 227(b)(2) (“The Commission shall prescribe regulations to implement the
    requirements of this subsection.”); see id. § 201(b) (“The Commission may
    prescribe such rules and regulations as may be necessary in the public interest to
    carry out the provisions of this chapter.”); id. § 303 (“Except as otherwise provided
    in this chapter, the Commission from time to time, as public convenience, interest,
    or necessity requires, shall -- . . . (r) Make such rules and regulations and prescribe
    such restrictions and conditions, not inconsistent with law, as may be necessary to
    carry out the provisions of this chapter . . . .”). The TCPA emphasizes that “the
    [FCC] should have the flexibility to design different rules for those types of
    automated or prerecorded calls that it finds are not considered a nuisance or
    12
    Case: 13-14008     Date Filed: 09/29/2014    Page: 13 of 32
    invasion of privacy.” Pub. L. No. 102-243, § 2(13), 105 Stat. at 2395. As a result,
    the TCPA permits the FCC to create exemptions “by rule or order” for certain
    automatically dialed or prerecorded calls, such as calls not made for a commercial
    purpose, 
    47 U.S.C. § 227
    (b)(2)(B)(i), calls that will not adversely affect privacy
    rights and do not involve unsolicited advertisement, 
    id.
     § 227(b)(2)(B)(ii), and
    calls made to cell phones that are not charged to the called party, id.
    § 227(b)(2)(C).
    The first FCC rules implementing the Act came in a 1992 Report and Order
    that concluded “persons who knowingly release their phone numbers have in effect
    given their invitation or permission to be called at the number which they have
    given, absent instructions to the contrary.” In re Rules and Regulations
    Implementing the Telephone Consumer Protection Act of 1991 (1992 FCC Order),
    7 FCC Rcd. 8752, 8769. Therefore, the FCC explained, “telemarketers will not
    violate our rules by calling a number which was provided as one at which the
    called party wishes to be reached.” Id. In reaching that conclusion, the FCC
    specifically referenced the House Report on the TCPA, which recognized that, if a
    person knowingly releases his phone number, calls are permitted because “the
    called party has in essence requested the contact by providing the caller with their
    telephone number for use in normal business communications.” Id. at 8769 n.57
    (quoting H.R. Rep. No. 102-317, at 13 (1991)).
    13
    Case: 13-14008       Date Filed: 09/29/2014       Page: 14 of 32
    In 2008, in response to a Petition for Expedited Clarification and
    Declaratory Ruling filed by ACA International, a trade organization of credit and
    collection companies, 3 the FCC after notice and comment issued a Declaratory
    Ruling “clarify[ing] that autodialed and prerecorded message calls to wireless
    numbers that are provided by the called party to a creditor in connection with an
    existing debt are permissible as calls made with the ‘prior express consent’ of the
    called party.” 2008 FCC Ruling, 23 FCC Rcd. at 559. Specifically, the FCC
    “conclude[d] that the provision of a cell phone number to a creditor, e.g., as part of
    a credit application, reasonably evidences prior express consent by the cell phone
    subscriber to be contacted at that number regarding the debt.” Id. at 564. The FCC
    “emphasize[d] that prior express consent is deemed to be granted only if the
    wireless number was provided by the consumer to the creditor, and that such
    number was provided during the transaction that resulted in the debt owed.” Id. at
    564-65. The Commission concluded that “the burden will be on the creditor to
    show it obtained the necessary prior express consent” because “creditors are in the
    best position to have records kept in the usual course of business showing such
    consent.” Id. at 565. As in the 1992 FCC Order, the Commission found support
    for its interpretation of prior express consent from the legislative history of the
    TCPA, including the House Report, which stated that “[t]he restriction on calls to
    3
    ACA International filed a brief in this case as amicus curiae in support of Gulf Coast.
    14
    Case: 13-14008     Date Filed: 09/29/2014   Page: 15 of 32
    emergency lines, pagers, and the like does not apply when the called party has
    provided the telephone number of such a line to the caller for use in normal
    business communications.” Id. at 564 (quoting H.R. Rep. No. 102-317, at 17).
    In 2012, the FCC issued still another Report and Order that further
    interpreted the meaning of the prior express consent exception embodied in
    § 227(b)(1)(A) of the statute, though the Commission did not change the standard
    for debt collection calls made to cell phone numbers. See In re Rules and
    Regulations Implementing the Telephone Consumer Protection Act of 1991 (2012
    FCC Order), 27 FCC Rcd. 1830. The 2012 FCC Order required written prior
    express consent for autodialed or prerecorded calls to wireless or residential
    numbers that deliver a telemarketing message. Id. at 1838. It “eliminate[d] the
    established business relationship exemption for prerecorded telemarketing calls to
    residential lines” created by the FCC in 1992. Id. at 1845. And the Commission
    added an exemption for “all prerecorded health care-related calls to residential
    lines that are subject to HIPAA.” Id. at 1852.
    II.
    We review the grant or denial of a motion for summary judgment de novo.
    See Moton v. Cowart, 
    631 F.3d 1337
    , 1341 (11th Cir. 2011). In so doing, we draw
    all inferences and review all evidence in the light most favorable to the non-
    moving party. 
    Id.
     Summary judgment is required when “the movant shows that
    15
    Case: 13-14008     Date Filed: 09/29/2014    Page: 16 of 32
    there is no genuine dispute as to any material fact and the movant is entitled to
    judgment as a matter of law.” Fed. R. Civ. P. 56(a).
    A.
    The district court exceeded its jurisdiction by declaring the 2008 FCC
    Ruling to be inconsistent with the TCPA. Section 402(a) of the Communications
    Act provides that (except in limited circumstances not relevant here) any
    “proceeding to enjoin, set aside, annul, or suspend any order of the Commission”
    must be brought under the Hobbs Act. 
    47 U.S.C. § 402
    (a). The Hobbs Act, in
    turn, expressly confers on the federal courts of appeals “exclusive jurisdiction to
    enjoin, set aside, suspend (in whole or in part), or to determine the validity of”
    such FCC orders. 
    28 U.S.C. § 2342
    ; see FCC v. ITT World Commc’ns, Inc., 
    466 U.S. 463
    , 468 (1984) (“Exclusive jurisdiction for review of final FCC orders . . .
    lies in the Court of Appeals.”). This procedural path created by the command of
    Congress “promotes judicial efficiency, vests an appellate panel rather than a
    single district judge with the power of agency review, and allows ‘uniform,
    nationwide interpretation of the federal statute by the centralized expert agency
    created by Congress’ to enforce the TCPA.” CE Design, Ltd. v. Prism Bus. Media,
    Inc., 
    606 F.3d 443
    , 450 (7th Cir. 2010) (quoting United States v. Dunifer, 
    219 F.3d 1004
    , 1008 (9th Cir. 2000)); see Nack v. Walburg, 
    715 F.3d 680
    , 685 (8th Cir.
    2013), cert. denied, 
    134 S. Ct. 1539
     (2014). In explaining the reach of the Hobbs
    16
    Case: 13-14008     Date Filed: 09/29/2014     Page: 17 of 32
    Act, the Supreme Court has instructed that, “[a]bsent a firm indication that
    Congress intended to locate initial APA review of agency action in the district
    courts, we will not presume that Congress intended to depart from the sound policy
    of placing initial APA review in the courts of appeals.” Fla. Power & Light Co. v.
    Lorion, 
    470 U.S. 729
    , 745 (1985).
    Despite these statutory strictures, the district court asserted jurisdiction to
    review the 2008 FCC Ruling because Mais did not sue with the primary intent “to
    enjoin, set aside, annul, or suspend” an FCC order, 
    47 U.S.C. § 402
    (a), and
    because Mais’s claim did not necessarily depend on invalidation of the agency’s
    ruling. The district court reasoned that the FCC’s interpretation of the meaning of
    the term “prior express consent” could not be reconciled with the statutory
    language, and therefore it discarded the administrative agency’s rulemaking
    determination. In doing so, the district court exceeded its jurisdiction. “Because
    the courts of appeals have exclusive jurisdiction over claims to enjoin, suspend, or
    invalidate a final order of the FCC, the district courts do not have it.” Self, 700
    F.3d at 461. “That means district courts cannot determine the validity of FCC
    orders.” Id. By refusing to enforce the FCC’s interpretation, the district court
    exceeded its power. “[D]eeming agency action invalid or ineffective is precisely
    the sort of review that the Hobbs Act delegates to the courts of appeals in cases
    challenging final FCC orders.” CE Design, 
    606 F.3d at 448
    .
    17
    Case: 13-14008     Date Filed: 09/29/2014    Page: 18 of 32
    Moreover, Hobbs Act jurisdictional analysis looks to the “practical effect” of
    a proceeding, not the plaintiff’s central purpose for bringing suit. B. F. Goodrich
    Co. v. Nw. Indus., Inc., 
    424 F.2d 1349
    , 1353-54 (3d Cir. 1970) (“The statutory
    procedure for review is applicable although an order is not directly attacked -- so
    long as the practical effect of a successful suit would contradict or countermand a
    Commission order.”). The district courts lack jurisdiction to consider claims to the
    extent they depend on establishing that all or part of an FCC order subject to the
    Hobbs Act is “wrong as a matter of law” or is “otherwise invalid.” Self, 700 F.3d
    at 462. The Hobbs Act does not ask whether an FCC order was first invoked as
    part of a plaintiff’s claim or as an affirmative defense. See Nack, 715 F.3d at 686
    (“‘[W]here the practical effect of a successful attack on the enforcement of an
    order involves a determination of its validity,’ such as a defense that a private
    enforcement action is based upon an invalid agency order, ‘the statutory procedure
    for review provided by Congress remains applicable.’” (quoting Sw. Bell Tel. v.
    Ark. Pub. Serv. Comm’n, 
    738 F.2d 901
    , 906 (8th Cir. 1984))).
    In other words, “[w]hichever way it is done, to ask the district court to
    decide whether the regulations are valid violates the statutory requirements.”
    United States v. Any and All Radio Station Transmission Equip., 
    207 F.3d 458
    ,
    463 (8th Cir. 2000). “The exclusive jurisdiction of the courts of appeals cannot be
    evaded simply by labeling the proceeding as one other than a proceeding for
    18
    Case: 13-14008       Date Filed: 09/29/2014       Page: 19 of 32
    judicial review.” 
    Id.
     (quoting Sw. Bell Tel., 
    738 F.2d at 906
    ). And “[a] defensive
    attack on the FCC regulations is as much an evasion of the exclusive jurisdiction of
    the Court of Appeals as is a preemptive strike.” Id.; see ITT World Commc’ns,
    
    466 U.S. at 468
     (“Litigants may not evade [the Hobbs Act] by requesting the
    District Court to enjoin action that is the outcome of the agency’s order.”). Put still
    another way, whether the challenge to an FCC order “arises in a dispute between
    private parties makes no difference -- the Hobbs Act’s jurisdictional limitations are
    ‘equally applicable whether [a party] wants to challenge the rule directly . . . or
    indirectly, by suing someone who can be expected to set up the rule as a defense in
    the suit.’” CE Design, 
    606 F.3d at 448
     (alterations in original) (quoting City of
    Peoria v. Gen. Elec. Cablevision Corp., 
    690 F.2d 116
    , 120 (7th Cir. 1982)). In the
    face of ample federal appellate precedent undermining his argument, Mais has
    pointed us to no decision from any other court concluding that a district court had
    jurisdiction to invalidate an order like the 2008 FCC Ruling in a dispute between
    private litigants.4
    4
    In Leyse v. Clear Channel Broadcasting Inc., 
    697 F.3d 360
     (6th Cir. 2012), a panel of the Sixth
    Circuit originally held that the Hobbs Act only deprived a district court of jurisdiction “if the
    action’s central object is to either enforce or undercut an FCC order.” Id. at 374. Thereafter,
    however, the panel filed an amending and superseding opinion that abandoned the “central
    object” analysis and concluded that the Hobbs Act limited the district court’s jurisdiction over
    the plaintiff’s claims. See Leyse v. Clear Channel Broad., Inc., 545 F. App’x 444, 459 (6th Cir.
    2013) (unpublished) (“[Plaintiff] knew that Clear Channel’s defense would depend on the FCC’s
    exemption provision.”).
    19
    Case: 13-14008     Date Filed: 09/29/2014    Page: 20 of 32
    Regardless of which party invoked the 2008 FCC Ruling, then, the district
    court lacked jurisdiction “to enjoin, set aside, annul, or suspend” it -- precisely
    what the court did. 
    47 U.S.C. § 402
    (a). “To hold otherwise” and permit a
    challenge to the 2008 FCC Ruling “merely because the issue has arisen in private
    litigation would permit an end-run around the administrative review mandated by
    the Hobbs Act.” Nack, 715 F.3d at 686. Mais is free to ask the Commission to
    reconsider its interpretation of “prior express consent” and to challenge the FCC’s
    response in the court of appeals. See Self, 700 F.3d at 462 (citing 
    28 U.S.C. § 2344
    ). But he “may not seek collateral review . . . by filing claims in the district
    court.” 
    Id.
    Moreover, we see no merit to Mais’s argument that the 2008 FCC Ruling
    was not an order within the meaning of the Hobbs Act. Orders “adopted by the
    Commission in the avowed exercise of its rule-making power” that “affect or
    determine rights generally . . . have the force of law and are orders reviewable
    under the” Hobbs Act. Columbia Broad. Sys. v. United States, 
    316 U.S. 407
    , 417
    (1942); see 
    id. at 416
     (“The particular label placed upon [an order] by the
    Commission is not necessarily conclusive, for it is the substance of what the
    Commission has purported to do and has done which is decisive.”). The 2008 FCC
    Ruling is a Hobbs Act final order. ACA International filed a petition seeking a
    declaratory ruling clarifying the TCPA’s prior express consent exception. See 47
    20
    Case: 13-14008      Date Filed: 09/29/2014      Page: 21 of 
    32 C.F.R. § 1.2
    (a) (“The Commission may, in accordance with section 5(d) of the
    Administrative Procedure Act, on motion or on its own motion issue a declaratory
    ruling terminating a controversy or removing uncertainty.”). The FCC sought
    public comment in accordance with its rulemaking procedures. Consumer &
    Governmental Affairs Bureau Seeks Comment on ACA International’s Petition, 21
    FCC Rcd. 3600 (2006); see 
    47 C.F.R. § 1.415
    (a) (“After notice of proposed
    rulemaking is issued, the Commission will afford interested persons an opportunity
    to participate in the rulemaking proceeding through submission of written data,
    views, or arguments . . . .”). Creditors and collectors filed comments in support of
    the petition, while consumer groups and individual consumers submitted
    comments in opposition. 2008 FCC Ruling, 23 FCC Rcd. at 563-64. Thereafter,
    the FCC issued its Declaratory Ruling pursuant to its general rulemaking authority
    to carry out the TCPA. See 
    id.
     at 567 (citing 
    47 U.S.C. §§ 227
    , 303(r)). The 2008
    FCC Ruling thus has the force of law and is an order reviewable under the Hobbs
    Act in the courts of appeals. See Leyse v. Clear Channel Broad., Inc., 545 F.
    App’x 444, 455 (6th Cir. 2013) (unpublished) (“[T]here is little question that
    Congress intended FCC rules of the type at issue here to have force of law.”). In
    short, we hold that the district court was without jurisdiction to consider the
    wisdom and efficacy of the 2008 FCC Ruling.5
    5
    Mais also cites to United States v. Any and All Radio Station Transmission Equipment, 204
    21
    Case: 13-14008        Date Filed: 09/29/2014        Page: 22 of 32
    B.
    Although the district court lacked the power to review the validity of the
    FCC’s interpretation of prior express consent, we are obliged to address the
    alternate holding of the court, that is, whether the facts and circumstances of this
    case somehow fall outside the scope of the 2008 FCC Ruling. See Osorio v. State
    Farm Bank, F.S.B., 
    746 F.3d 1242
    , 1257 (11th Cir. 2014) (“[W]e are not called
    upon here to assess the order’s validity. We are instead simply deciding whether
    the FCC’s . . . ruling is applicable to the present case.”); Self, 700 F.3d at 463
    (determining “the scope” of an FCC order).
    The district court found that the 2008 FCC Ruling did not apply to the
    medical debt in this case because the Commission had addressed consent only in
    the context of consumer credit. But the FCC did not distinguish or exclude
    medical creditors from its 2008 Ruling. Quite the opposite, the FCC’s general
    language sends a strong message that it meant to reach a wide range of creditors
    and collectors, including those pursuing medical debts. The 2008 FCC Ruling
    clarified the meaning of “prior express consent” for all “creditors and collectors
    when calling wireless telephone numbers to recover payments for goods and
    services received by consumers.” 23 FCC Rcd. at 563. Moreover, the FCC noted
    F.3d 658 (6th Cir. 2000), for the proposition that the Hobbs Act does not always strip the district
    courts of jurisdiction to review FCC orders. The problem is that case is wholly different. It
    involved, as the Sixth Circuit noted, a forfeiture action, which that court characterized as “quasi-
    criminal” in nature. Id. at 667.
    22
    Case: 13-14008      Date Filed: 09/29/2014    Page: 23 of 32
    that the debt collection calls at the heart of the 2008 Ruling are primarily regulated
    under the Fair Debt Collection Practices Act (FDCPA), 
    15 U.S.C. §§ 1692
    -1692p,
    which includes medical bills within its broad definition of “debt”: “any obligation
    . . . of a consumer to pay money arising out of a transaction . . . primarily for
    personal, family, or household purposes.” 15 U.S.C. § 1692a. Indeed, we have
    recognized that the collection of medical debt can give rise to an FDCPA violation.
    See, e.g., Bradley v. Franklin Collection Serv., Inc., 
    739 F.3d 606
    , 607 (11th Cir.
    2014) (per curiam).
    While the 2008 FCC Ruling listed the completion of “a credit application”
    as an example of the provision of a cell phone number to a creditor, the
    Commission did so illustratively, not exclusively. 23 FCC Rcd. at 564. Similarly,
    the fact that the FCC’s interpretation often is invoked in the context of consumer or
    commercial creditors does not lessen its application to medical debt collection.
    See Mitchem v. Ill. Collection Serv., Inc., No. 09 C 7274, 
    2012 WL 170968
    , at *1-
    2 (N.D. Ill. Jan. 20, 2012) (unpublished); Moise v. Credit Control Servs., Inc., 
    950 F. Supp. 2d 1251
    , 1253 (S.D. Fla. 2011) (“Based on the plain language of the
    TCPA and the [2008] FCC order, it is clear that if Plaintiff gave his cell phone
    number directly to [a medical laboratory], that would constitute express consent.”);
    Pollock v. Bay Area Credit Serv., LLC, No. 08-61101-CIV, 
    2009 WL 2475167
    , at
    *1 (S.D. Fla. Aug. 13, 2009) (unpublished) (applying the 2008 FCC Ruling to calls
    23
    Case: 13-14008    Date Filed: 09/29/2014    Page: 24 of 32
    made by a defendant “attempting to collect a debt . . . that arose from personal
    medical care”).
    When it comes to expectations for receiving calls, we see no evidence that
    the FCC drew a meaningful distinction between retail purchasers who complete
    credit applications and medical patients who fill out admissions forms like the
    Hospital’s. A patient filling out a form from a healthcare provider may very well
    expect to be contacted about his health and treatment. But if the form explicitly
    states that the provided information will be used for payment and billing, the
    patient has the same reason to expect collection calls as a retail consumer. Though
    Mais might prefer a different rule, the FCC in no way indicated that its 2008 order
    distinguishes medical debtors. Florida United, which sought payment for medical
    services performed for Mais, qualifies as creditor under the 2008 FCC Ruling.
    Mais also suggests that the 2008 FCC Ruling does not affect his claim
    because he did not “provide” his number to “the creditor” -- neither he nor his wife
    personally transferred his cell phone number to Florida United or its collection
    agent, Gulf Coast. After all, his wife submitted the admissions forms and the cell
    phone number to a representative of the Hospital, an entity separate from Florida
    United and Gulf Coast, and the 2008 FCC Ruling “emphasize[d] that prior express
    consent is deemed to be granted only if the wireless number was provided by the
    consumer to the creditor, and that such number was provided during the transaction
    24
    Case: 13-14008     Date Filed: 09/29/2014   Page: 25 of 32
    that resulted in the debt owed.” 23 FCC Rcd. at 564-65 (emphasis added). Boiled
    down, Mois’s argument turns on whether, under the FCC’s interpretation of prior
    express consent, a called party “provides” his cell phone number to a creditor when
    (during the transaction creating the debt) he authorizes an intermediary to disclose
    his number to the creditor for debt collection.
    The 2008 FCC Ruling does not offer an explicit answer to this question
    because it does not spell out in detail the meaning of “provide.” Based on the
    regulatory and statutory context, however, we reject Mais’s argument that the 2008
    FCC Ruling only applies when a cell phone number is given directly to the
    creditor. Mais’s narrow reading of the 2008 FCC Ruling would find prior express
    consent when a debtor personally delivered a form with his cell phone number to a
    creditor in connection with a debt, but not when the debtor filled out a nearly
    identical form that authorized another party to give the number to the creditor.
    Mais offers no functional distinction between these two scenarios, and we see no
    sign that the FCC thought a cell phone number could be “provided to the creditor”
    only through direct delivery. To the contrary, the 2008 FCC Ruling indicated that
    prior express consent existed when a cell phone subscriber “made the number
    available to the creditor regarding the debt.” 23 FCC Rcd. at 567. Plainly, Mais’s
    wife made his number available to Florida United by granting the Hospital
    permission to disclose it in connection with billing and payment.
    25
    Case: 13-14008     Date Filed: 09/29/2014    Page: 26 of 32
    In addition, the FCC recently ruled “that the TCPA does not prohibit a caller
    from obtaining consent through an intermediary.” In re GroupMe, Inc./Skype
    Commc’ns S.A.R.L. Petition, 29 FCC Rcd. 3442, 3447 (2014). A provider of text
    messaging services asked the Commission to “clarify that for non-telemarketing
    voice calls or text messages to wireless numbers . . . the caller can rely on a
    representation from an intermediary that they have obtained the requisite consent
    from the consumer.” Id. at 3444. The FCC after notice and comment issued a
    Declaratory Ruling that found “the TCPA is ambiguous as to how a consumer’s
    consent to receive an autodialed or prerecorded non-emergency call should be
    obtained.” Id. Exercising its interpretive discretion, the FCC explained that
    “allowing consent to be obtained and conveyed via intermediaries in this context
    facilitates these normal, expected, and desired business communications in a
    manner that preserves the intended protections of the TCPA.” Id. at 3445. Of
    particular note here, the FCC said that, though the 2008 FCC Ruling “did not
    formally address the legal question of whether consent can be obtained and
    conveyed via an intermediary,” the earlier order “did make clear that consent to be
    called at a number in conjunction with a transaction extends to a wide range of
    calls ‘regarding’ that transaction, even in at least some cases where the calls were
    made by a third party.” Id. at 3446. The FCC’s recognition of “consent obtained
    26
    Case: 13-14008     Date Filed: 09/29/2014    Page: 27 of 32
    and conveyed by an intermediary,” id., strongly supports our conclusion that
    Mais’s wife “provided” the cell phone number to the creditor through the Hospital.
    Other FCC explications of the prior express consent exception also show
    that the appropriate analysis turns on whether the called party granted permission
    or authorization, not on whether the creditor received the number directly. See
    2012 FCC Order, 27 FCC Rcd. at 1839 (“[R]equiring prior written consent will
    better protect consumer privacy because such consent requires conspicuous action
    by the consumer -- providing permission in writing -- to authorize autodialed or
    prerecorded telemarketing calls . . . .”); 1992 FCC Order, 7 FCC Rcd. at 8769
    (“[P]ersons who knowingly release their phone numbers have in effect given their
    invitation or permission to be called at the number which they have given, absent
    instructions to the contrary.”). This conclusion is consistent with the legislative
    history: the House and Senate Reports explain that the TCPA imposes liability for
    calls made without the called party’s “prior express invitation or permission.”
    H.R. Rep. No. 102-317, at 2, 3, 13; S. Rep. No. 102-177, at 16 (1991). Thus,
    under the 2008 FCC Ruling a cell phone subscriber like Mais could provide his
    number to a creditor like Florida United -- and grant prior express consent to
    receive autodialed or prerecorded calls -- by affirmatively giving an intermediary
    like the Hospital permission to transfer the number to Florida United for use in
    billing.
    27
    Case: 13-14008        Date Filed: 09/29/2014        Page: 28 of 32
    Mais, through his wife, gave the hospital just such permission. On his
    behalf, Mais’s wife gave his cell phone number to a Hospital representative. She
    received the Hospital’s Notice of Privacy Practices, which informed her that “[w]e
    may use and disclose health information about your treatment and services to bill
    and collect payment from you, your insurance company, or a third party payer,”
    and that “[w]e may also use and disclose health information . . . [t]o business
    associates we have contracted with to perform the agreed upon service and billing
    for it.” The Notice explained that, when services are contracted with business
    associates, including “physician services in the emergency department and
    radiology,” the Hospital “may disclose your health information to our business
    associate so that they can perform the job we’ve asked them to do and bill you.”
    Mais’s wife signed a Conditions of Admission form in which she acknowledged
    receiving the Notice of Privacy Practices and “permit[ted] the hospital and the
    physicians or other health professionals involved in the inpatient or outpatient care
    to release the healthcare information for purposes of treatment, payment or
    healthcare operations.” We have little doubt that by signing the admissions forms
    Mais’s wife agreed to allow the Hospital to transmit his health information to
    Florida United so it could bill him for services rendered.6
    6
    Mais relies on a materially distinguishable district court case. In Moise, a plaintiff claimed that
    she had not given prior express consent as interpreted in the 2008 FCC Ruling because she had
    not provided her cell phone number to the creditor, an independent medical laboratory, and
    28
    Case: 13-14008       Date Filed: 09/29/2014       Page: 29 of 32
    Mais points out that the FCC concluded in its 2008 Ruling that “prior
    express consent provided to a particular creditor will not entitle that creditor (or
    third party collector) to call a consumer’s wireless number on behalf of other
    creditors, including on behalf of affiliated entities.” 23 FCC Rcd. at 565 n.38.
    Here, however, the Hospital did not call Mais on behalf of Florida United. Nor did
    the Hospital give Mais’s number to a debt collector to make unauthorized calls on
    behalf of other creditors. Instead, with explicit permission from Mais’s wife, the
    Hospital passed his cell phone number to Florida United, the creditor who provided
    radiology services to Mais during his hospitalization. Because Mais’s wife
    specifically authorized that transfer of health information for billing purposes, “the
    wireless number was provided by the consumer to the creditor” in satisfaction of
    the prior express consent exception. Id. at 564.
    Mais finally argues that the term “health information” as used in the
    Hospital admissions forms does not include his cell phone number. We disagree.
    The Notice of Privacy Practices refers to “health information” as the contents of
    instead had given it only to her doctor. 950 F. Supp. 2d at 1252-53. The district court explained,
    “if the number was given only to Plaintiff’s treating physician, then Plaintiff did not give prior
    express consent to [the laboratory] or its third party collector.” Id. at 1253. However, the court
    concluded that “[t]o whom Plaintiff gave his number remains an issue for trial.” Id. In addition,
    and in contrast to this case, the district court noted that “the facts do not indicate whether
    Plaintiff gave his number to his doctor knowing that the doctor would share that number with
    other creditors of Plaintiff or for the express purpose of giving his number to other creditors.”
    Id. at 1254. Here, Mais’s wife gave the Hospital permission to pass on the cell phone number to
    Florida United in connection with the debt.
    29
    Case: 13-14008     Date Filed: 09/29/2014     Page: 30 of 32
    the record created by a health care provider, which includes a patient’s “symptoms,
    examination and test results, diagnoses, treatment, a plan for future care or
    treatment and billing-related information.” The cell phone number listed by
    Mais’s wife on the Hospital admission form was part of the record from his visit
    and was contact information related to billing. Mais observes that, at one point, the
    Notice explains that the Hospital “may use and disclose health information about
    your treatment and services to bill and collect payment.” (emphasis added). This
    additional language does not exclude cell phone numbers; after all, contact
    information can be quite relevant to treatment and services. Other provisions
    describe the hospital’s policy of disclosing health information for billing and
    payment without the “treatment and services” qualifier. And the Notice elsewhere
    makes clear that “health information” covers contact information like cell phone
    numbers because it tells patients that the Hospital may “use and disclose health
    information . . . [t]o remind you that you have an appointment for medical care;
    [t]o assess your satisfaction with our services; . . . [and] [t]o contact you as part of
    fundraising efforts.” It is hard to see how the Hospital or outside entities could
    communicate appointment reminders, survey patient satisfaction, or make
    fundraising requests without using contact information like cell phone numbers.
    Statutory definitions found in HIPAA also support this interpretation. We
    agree with the district court that HIPAA compliance does not automatically ensure
    30
    Case: 13-14008      Date Filed: 09/29/2014     Page: 31 of 32
    that a defendant falls within the prior express consent exception to the TCPA. The
    two statutes provide separate protections, and satisfaction of the first does not
    trigger compliance with the second. Nor has the FCC issued an order ruling that
    satisfaction of HIPAA amounts to prior express consent to make autodialed or
    prerecorded debt collection calls to a cell-phone number. Still, HIPAA’s definition
    of “health information” informs the meaning of the term when the Hospital used it
    in a required HIPAA notice. See 
    45 C.F.R. § 164.520
    (a)(1) (“[A]n individual has a
    right to adequate notice of the uses and disclosures of protected health information
    . . . .”). In line with the Hospital’s Notice, HIPAA defines “health information” to
    include “any information . . . created or received by a health care provider” that
    “relates to . . . the past, present, or future payment for the provision of health care
    to an individual.” 42 U.S.C. § 1320d(4); see id. § 1320d(6) (“The term
    ‘individually identifiable health information’ means any information, including
    demographic information collected from an individual, that -- (A) is created or
    received by a health care provider . . . and (B) relates to . . . the past, present, or
    future payment for the provision of health care to an individual, and -- (i) identifies
    the individual; or (ii) with respect to which there is a reasonable basis to believe
    that the information can be used to identify the individual.”). As reflected on a
    Registration Form, the Hospital received Mais’s wireless number, a piece of
    information related to future payment.
    31
    Case: 13-14008      Date Filed: 09/29/2014   Page: 32 of 32
    Ultimately, by granting the Hospital permission to pass his health
    information to Florida United for billing, Mais’s wife provided his cell phone
    number to the creditor, consistent with the meaning of prior express consent
    announced by the FCC in its 2008 Ruling. Gulf Coast is entitled to summary
    judgment precisely because the calls to Mais fell within the TCPA prior express
    consent exception as interpreted by the FCC. Under the Hobbs Act, the district
    court lacked jurisdiction to review the Commission’s interpretation. Therefore, we
    reverse the partial grant of summary judgment to Mais and remand to the district
    court with instructions to enter summary judgment in favor of Gulf Coast on its
    prior express consent defense.
    REVERSED AND REMANDED.
    32