Joseph Zadeh v. Mari Robinson ( 2019 )


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  •      Case: 17-50518    Document: 00515018705     Page: 1   Date Filed: 07/02/2019
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE FIFTH CIRCUIT
    United States Court of Appeals
    Fifth Circuit
    FILED
    No. 17-50518                        July 2, 2019
    Lyle W. Cayce
    DOCTOR JOSEPH A. ZADEH; JANE DOE, Patient,                               Clerk
    Plaintiffs - Appellants
    v.
    MARI ROBINSON, in her individual capacity and in her official capacity;
    SHARON PEASE, in her individual capacity; KARA KIRBY, in her
    individual capacity,
    Defendants – Appellees
    Appeals from the United States District Court
    for the Western District of Texas
    ON PETITION FOR REHEARING EN BANC
    Before JOLLY, SOUTHWICK, and WILLETT, Circuit Judges.
    LESLIE H. SOUTHWICK, Circuit Judge:
    No member of the panel nor judge in regular active service requested
    that the court be polled on rehearing en banc. The petition for rehearing en
    banc is therefore DENIED. See FED. R. APP. P. and 5th Cir. R. 35. Treating
    the petition for rehearing en banc as a petition for panel rehearing, the petition
    is GRANTED. We withdraw our prior opinion, Zadeh v. Robinson, 
    902 F.3d 483
    (5th Cir. 2018), and substitute the following.
    Case: 17-50518     Document: 00515018705       Page: 2   Date Filed: 07/02/2019
    No. 17-50518
    The Texas Medical Board executed an administrative subpoena on
    Dr. Joseph Zadeh’s medical office.       Thereafter, Dr. Zadeh and one of his
    patients sued several Board members under 42 U.S.C. § 1983, claiming that
    the Board’s actions violated the Fourth Amendment.             The district court
    partially granted the defendants’ motion to dismiss and later granted their
    motion for summary judgment rejecting all remaining claims. We AFFIRM.
    FACTUAL AND PROCEDURAL BACKGROUND
    Plaintiff Dr. Joseph Zadeh appeals the dismissal of his Section 1983
    claim against several members of the Texas Medical Board who he claims
    violated his constitutional rights through a warrantless search of his office and
    medical records. Dr. Zadeh, an internal medicine doctor, owns and operates a
    medical practice in Euless, Texas. One of his patients, Jane Doe, is also a
    plaintiff-appellant in this case.
    Dr. Zadeh was the subject of an administrative proceeding before the
    State Office of Administrative Hearings (“SOAH”) for violations of the Board’s
    regulations. The Drug Enforcement Agency (“DEA”) also was investigating
    him. Indeed, it appears the Board first learned about allegations against
    Dr. Zadeh when the DEA filed a complaint with the Board about his
    prescribing practices in September 2013. The DEA investigator emailed a
    representative of the Board, stating, “I’m at a point in the criminal case that I
    need to interview Dr. Zadeh and review his patient files.” The Board then
    initiated an investigation.
    As part of this investigation, Defendants Sharon Pease and Kara Kirby,
    who were investigators with the Board, served an administrative subpoena on
    Dr. Zadeh on October 22, 2013. The subpoena had the electronic signature of
    Defendant Mari Robinson, who was the Executive Director of the Board. The
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    subpoena was for the immediate production of the medical records of sixteen
    of Dr. Zadeh’s patients. Two DEA agents who were investigating related
    criminal allegations accompanied Kirby and Pease.
    The district court found the “facts surrounding the execution of the
    subpoena” to be “largely undisputed.” Dr. Zadeh was not present when the
    investigators arrived. The subpoena was handed to the doctor’s assistant. The
    investigators sat in the medical office waiting room to give the doctor time to
    appear. While they waited, the assistant spoke on the phone with Dr. Zadeh,
    his lawyer, and his brother who also is a lawyer. The assistant testified that
    after these calls had occurred but no permission to proceed had been given, the
    investigators told her they would suspend Dr. Zadeh’s license if the records
    they sought were not produced. The investigators admit something was said
    that was akin to a promise of some vague “disciplinary action.” What was said
    at that point is at least unclear. The assistant eventually complied, taking the
    defendants into a conference room and delivering the requested records to
    them. Although most of their time was spent inside the public waiting area or
    conference room, the investigators also approached the medical assistant to
    ask for help while she was in exam rooms and later in a storage room.
    As a result of that search, Dr. Zadeh and his patient, Jane Doe, sued
    Robinson, Pease, and Kirby in their individual capacities and Robinson in her
    official capacity in the United States District Court for the Western District of
    Texas. They alleged the defendants’ actions violated their Fourth Amendment,
    due process, and privacy rights. The plaintiffs sought monetary damages
    under 42 U.S.C. § 1983 as well as declaratory relief. The defendants moved to
    dismiss the claims on these grounds: (1) the plaintiffs lacked standing; (2) the
    Younger abstention doctrine barred the requests for declaratory relief; (3) the
    claim against Robinson in her official capacity was barred by the doctrine of
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    sovereign immunity; (4) the doctrine of qualified immunity applied to the
    claims against the defendants in their individual capacities.
    In ruling on the motion to dismiss, the district court held Dr. Zadeh had
    standing to pursue declaratory relief, but Jane Doe did not. Nonetheless, the
    district court concluded that “the Younger abstention doctrine require[d] [it] to
    abstain from adjudicating Plaintiff Zadeh’s claims for declaratory relief.” The
    district court also held that sovereign immunity barred the plaintiffs’ claims
    for monetary damages against Robinson in her official capacity. Finally, the
    court concluded that the defendants were entitled to qualified immunity for
    the privacy and due process claims. The only part of the suit left, then, was
    Dr. Zadeh’s claim that the defendants violated his clearly established Fourth
    Amendment rights during the search of his office.
    The defendants moved for summary judgment on “whether Defendants
    exceeded their statutory subpoena authority by searching and inspecting
    Plaintiff’s office and records.”     Although the plaintiffs alleged that the
    investigators performed a thorough search of Dr. Zadeh’s office, the district
    court found that the record did not support this allegation. Instead, the district
    court determined that the “Defendants’ presence at Plaintiff’s office was solely
    to execute the subpoena instanter.” The district court also held that Robinson
    was not liable as she neither affirmatively participated in the alleged search
    nor    implemented     unconstitutional       policies   that   caused   the   alleged
    constitutional deprivation. Further, there was “no evidence Defendants Pease
    and Kirby inspected Plaintiff’s office or searched his records.” The plaintiffs
    timely appealed.
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    DISCUSSION
    The plaintiffs appeal both the order granting the motion to dismiss in
    part and the order granting the motion for summary judgment. Although we
    review both de novo, a different legal standard applies to each:
    In the former, the central issue is whether, in the light most
    favorable to the plaintiff, the complaint states a valid claim for
    relief. In the latter, we go beyond the pleadings to determine
    whether there is no genuine issue as to any material fact and that
    the movant is entitled to judgment as a matter of law.
    St. Paul Mercury Ins. Co. v. Williamson, 
    224 F.3d 425
    , 440 n.8 (5th Cir. 2000)
    (citations omitted).
    We first address the plaintiffs’ challenge to the district court’s grant of
    qualified immunity, evaluating whether clearly established law prohibited the
    defendants’ conduct. Next, we discuss whether the district court erred in
    abstaining from deciding the plaintiffs’ claims for declaratory judgment.
    Finally, we analyze whether Robinson was liable in her supervisory capacity.
    I.    Grant of qualified immunity
    “The doctrine of qualified immunity protects government officials from
    civil damages liability when their actions could reasonably have been believed
    to be legal.”   Morgan v. Swanson, 
    659 F.3d 359
    , 370–71 (5th Cir. 2011).
    Officials are entitled to qualified immunity “unless (1) they violated a federal
    statutory or constitutional right, and (2) the unlawfulness of their conduct was
    ‘clearly established at the time.’” District of Columbia v. Wesby, 
    138 S. Ct. 577
    ,
    589 (2018) (quoting Reichle v. Howards, 
    566 U.S. 658
    , 664 (2012)).
    Using this framework, we analyze the plaintiffs’ arguments that clearly
    established law prohibited the defendants’ execution of the subpoena
    instanter. The plaintiffs offer two theories for why the defendants’ conduct
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    was unconstitutional. First, they argue it was a warrantless search that did
    not satisfy the administrative exception.       Second, they argue it was a
    pretextual search and thus unconstitutional.
    a.    Warrantless search
    The plaintiffs argue the Board violated the Fourth Amendment when it
    demanded immediate compliance with its administrative subpoena. We have
    previously considered a challenge to a subpoena instanter executed by the
    Texas Medical Board. See Cotropia v. Chapman, 721 F. App’x 354 (5th Cir.
    2018). In that nonprecedential opinion, we held: “Absent consent, exigent
    circumstances, or the like, in order for an administrative search to be
    constitutional, the subject of the search must be afforded an opportunity to
    obtain precompliance review before a neutral decisionmaker.”            
    Id. at 358
    (quoting City of Los Angeles v. Patel, 
    135 S. Ct. 2243
    , 2452 (2015)).
    In that case, the physician at the center of a Board investigation pled
    sufficient facts to overcome qualified immunity. 
    Id. at 361.
    The doctor alleged
    that a Board member “violated the clearly established right to an opportunity
    to obtain precompliance review of an administrative subpoena before a neutral
    decisionmaker” when he took documents from the physician’s office over
    objections from the office receptionist. 
    Id. at 357.
    Relying on Supreme Court
    precedent, we held that it was clear at the time that “prior to compliance,
    Cotropia was entitled to an opportunity to obtain review of the administrative
    subpoena before a neutral decisionmaker.” 
    Id. at 358
    (citing See v. City of
    Seattle, 
    387 U.S. 541
    , 545 (1967); Donovan v. Lone Steer, Inc., 
    464 U.S. 408
    ,
    415 (1984)). Similarly, the demand to turn over Dr. Zadeh’s medical records
    immediately did not provide an opportunity for precompliance review. We
    agree, then, that a requirement of precompliance review in many, if not most,
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    administrative searches had been clearly established by Supreme Court
    precedent prior to the search here.
    The defendants acknowledge this law but maintain there was no
    constitutional violation because this search fell into an exception to the general
    rule requiring precompliance review. We next examine that argument.
    i.     Closely regulated industry
    No opportunity for precompliance review is needed for administrative
    searches of industries that “have such a history of government oversight that
    no reasonable expectation of privacy” exists for individuals engaging in that
    industry. Marshall v. Barlow’s, Inc., 
    436 U.S. 307
    , 313 (1978). Even so,
    warrantless inspections in closely regulated industries must still satisfy three
    criteria: (1) a substantial government interest, (2) a regulatory scheme that
    requires warrantless searches to further the government interest, and (3) “a
    constitutionally adequate substitute for a warrant.” New York v. Burger, 
    482 U.S. 691
    , 702–03 (1987) (quoting Donovan v. Dewey, 
    452 U.S. 594
    , 603 (1981)).
    Cotropia did not resolve whether the Board’s use of administrative
    subpoenas satisfied the Burger criteria because the issue was not raised until
    oral argument. Cotropia, 721 F. App’x at 360 & n.6. As a result, the panel’s
    holding was expressly limited to concluding that the Board’s demand for
    immediate compliance with the subpoena did not satisfy the general
    administrative exception to the warrant requirement.         The argument has
    timely been raised here, though. Thus, we must discuss whether the Burger
    exception permitted the Board’s administrative subpoena and whether that
    law was clearly established at the time of its execution.
    To categorize industries under Burger, courts consider the history of
    warrantless searches in the industry, how extensive the regulatory scheme is,
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    whether other states have similar schemes, and whether the industry would
    pose a threat to the public welfare if left unregulated. See 
    Burger, 482 U.S. at 704
    ; 
    Patel, 135 S. Ct. at 2454
    .    The defendants characterize the relevant
    industry in two different ways. We evaluate first whether the practice of
    medicine is a closely regulated industry and then whether the practice of
    prescribing controlled substances is closely regulated.
    Acknowledging that the medical profession is subject to close oversight,
    the district court emphasized the absence of a history of warrantless
    inspections to conclude that the medical profession was not a closely regulated
    industry. Important to its conclusion was the confidential nature of the doctor-
    patient relationship: “It strains credibility to suggest that doctors and their
    patients have no reasonable expectation of privacy.” On appeal, the defendants
    all but concede that there is not a lengthy history of warrantless searches.
    They instead emphasize the extensive regulatory scheme governing the
    practice of medicine and the risk that the industry could pose to the public
    welfare.
    There is no doubt that the medical profession is extensively regulated
    and has licensure requirements. Satisfying the Burger doctrine requires more.
    The Supreme Court instructs “that the doctrine is essentially defined by ‘the
    pervasiveness and regularity of the federal regulation’ and the effect of such
    regulation upon an owner’s expectation of privacy.” 
    Burger, 482 U.S. at 701
    (quoting 
    Dewey, 452 U.S. at 605
    –06). Another key factor is “the duration of a
    particular regulatory scheme.” 
    Id. (quoting Dewey,
    452 U.S. at 606).
    The Board cites several laws or regulations governing the behavior of
    doctors. Outside of citing Texas’s licensure requirement for physicians, the
    regulations the Board cites do not apply to the entire medical profession.
    Instead, they target the practice of prescribing controlled substances.       As
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    examples, the Board states that doctors must register with the DEA to
    prescribe controlled substances, TEX. HEALTH & SAFETY CODE § 481.061; that
    prescriptions of controlled substances are monitored by several law
    enforcement agencies, 
    id. §§ 481.067,
    481.075, 481.076; and that pain
    management clinics must register as such, which allows the Board to inspect
    them from time to time, TEX. OCC. CODE §§ 168.101, 168.052; 37 Tex. Reg.
    10079, 10079–80 (2012), adopted 38 Tex. Reg. 1876, 1876–77 (2013), amended
    39 Tex. Reg. 297, 297–98 (2014) (former 22 TEX. ADMIN. CODE § 195.2); 35 Tex.
    Reg. 1924, 1925–26 (2010), adopted 35 Tex. Reg. 3281, 3281–82 (2010),
    amended 43 Tex. Reg. 768, 768–74 (2018) (former 22 TEX. ADMIN. CODE
    § 195.3). The Board also refers us to laws and regulations that similarly
    regulate anesthesia.     These, though, do not amount to pervasiveness and
    regularity of regulation over the medical industry as a whole as Burger
    requires. Instead, only specific groups of doctors may have been put on notice
    that the Board may perform some inspections.
    We also do not see in the medical profession an entrenched history of
    warrantless searches. Its absence is relevant, though not dispositive, to our
    issue. 
    Burger, 482 U.S. at 701
    . For example, when the Court held that the
    liquor     industry   was   closely    regulated,    it   mentioned   that   English
    commissioners could inspect brewing houses on demand in the 1660s, and that
    Massachusetts passed a similar law in 1692. Colonnade Catering Corp. v.
    United States, 
    397 U.S. 72
    , 75 (1970). It then referred to a 1791 federal law
    that has continued in various forms, permitting federal officers to perform
    warrantless searches of distilleries and imposing an excise tax on distilled
    liquor. 
    Id. Because the
    focus there was “the liquor industry long subject to
    close supervision and inspection,” the Court concluded that the Fourth
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    Amendment did not prohibit the warrantless searches authorized by Congress.
    
    Id. at 77.
    Here, there is no such history.
    In considering the reasonable expectation of privacy, we also consider
    the sensitive nature of medical records. The Ninth Circuit explained that “the
    theory behind the closely regulated industry exception is that persons
    engaging in such industries, and persons present in those workplaces, have a
    diminished expectation of privacy.” Tucson Woman’s Clinic v. Eden, 
    379 F.3d 531
    , 550 (9th Cir. 2004). We agree with that court’s observation that in medical
    contexts, the expectation of privacy likely is heightened. 
    Id. Admittedly, federal
    regulations do exempt the Board from the privacy
    requirements of the Health Insurance Portability and Accountability Act
    (“HIPAA”). 45 C.F.R. § 164.512. Further, the Board cites Texas laws providing
    that where the Board does obtain information, it is subject to confidentiality
    requirements. See TEX. OCC. CODE §§ 159.002; 159.003(a)(5); 164.007(c). That
    HIPAA permits disclosure to the Board and that the regulations governing the
    Board continue to protect that information from disclosure does not mean that
    the Board is entitled to access to that information through an administrative
    search without allowing an opportunity for precompliance review.
    We conclude, then, that the medical industry as a whole is not a closely
    regulated industry for purposes of Burger. Still, even if the medical profession
    at large cannot be said to fall within these Burger factors, it is possible that a
    subset, such as those who prescribe controlled substances, would do so.
    Because the parties focus their analysis of whether there is a closely regulated
    industry on the medical profession as a whole and not on pain management
    clinics, we assume only for purposes of our analysis today that pain
    management clinics are part of a closely regulated industry and that Dr. Zadeh
    was operating such a clinic even if his clinic was not certified as one. Such
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    assumptions are appropriate in this case because ultimately our resolution
    turns on whether the relevant law was clearly established. At this point, we
    can at least say that the law was not clearly established whether pain
    management clinics are part of a closely regulated industry. The remaining
    relevant law, established with clarity or not, is analyzed below.
    ii.   Burger exception requirements
    Even were we to accept the defendants’ argument that doctors
    prescribing controlled substances are engaging in a closely regulated industry
    with less reasonable expectations of privacy, administrative searches of such
    industries still must satisfy the three Burger criteria. There is no meaningful
    dispute in this case as to the first two factors, namely, that the State has a
    substantial interest in regulating the prescription of controlled substances and
    that the inspection of a doctor’s records would aid the Government in
    regulating the industry. We thus analyze only whether the statutory scheme
    is a proper substitute for a search warrant. The Board relies on its authority
    to issues subpoenas and to inspect pain management clinics. The principal
    response from plaintiffs is that neither provides a constitutionally adequate
    substitute for a warrant.
    In order for a warrant substitute authorized by statute to be
    constitutionally adequate, “the regulatory statute must perform the two basic
    functions of a warrant: it must advise the owner of the commercial premises
    that the search is being made pursuant to the law and has a properly defined
    scope, and it must limit the discretion of the inspecting officers.” 
    Burger, 482 U.S. at 703
    . The relevant statute provides: “The board may issue a subpoena
    or a subpoena duces tecum to compel the attendance of a witness and the
    production of books, records, and documents.” TEX. OCC. CODE. § 153.007(a).
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    The Board argues that the statute, when considered with the following
    regulation, limits the discretion of the officials. The regulation provides that
    after a “request by the board or board representatives, a licensee shall furnish
    to the board copies of medical records or the original records within a
    reasonable time period, as prescribed at the time of the request.” 22 TEX.
    ADMIN. CODE § 179.4(a). The regulation defines “reasonable time” as “fourteen
    calendar days or a shorter time if required by the urgency of the situation or
    the possibility that the records may be lost, damaged, or destroyed.” 
    Id. The district
    court held that a search using the Board’s subpoena
    authority did not satisfy the third factor of the Burger test as it was “purely
    discretionary,” allowing the Board “to choose which doctors to subpoena and to
    do so at a frequency it determines.” To evaluate that holding, we consider the
    limits that do exist: only licensees are subject to the subpoena; only medical
    records must be produced; and it is the Board or its representatives who will
    be asking for the records. As the district court stated, though, there is no
    identifiable limit on whose records can properly be subpoenaed.
    As to inspections of pain management clinics, the Board argues that
    some limits to its authority are set by the statute permitting it to inspect pain
    management clinics.     Specifically, the statute allows it to examine “the
    documents of a physician practicing at the clinic, as necessary to ensure
    compliance with this chapter.” TEX. OCC. CODE. § 168.052(a). Providing more
    specific guidance, the regulation in effect at the time provided:
    The board may conduct inspections to enforce these rules, including
    inspections of a pain management clinic and of documents of a
    physician’s practice. The board may contract with another state agency
    or qualified person to conduct these inspections.
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    35 Tex. Reg. 1925, 1925–26 (2010), adopted 35 Tex. Reg. 3281, 3281–82 (2010),
    amended 43 Tex. Reg. 768, 768–74 (2018) (former 22 TEX. ADMIN. CODE
    § 195.3).
    The district court found this inspection authority, like the subpoena
    authority, to be “purely discretionary.” The governing criteria for an inspection
    is that the target be a pain management clinic, that the Board performs the
    inspection, and that the purpose for the search be to determine compliance
    with pain management rules. We agree with the district court, though, that
    these requirements suffered from the same fatal Burger flaw as the subpoena
    authority: they did not limit how the clinics inspected are chosen.
    In summary, there are insufficient limits on the discretion of the Board
    to satisfy the Burger requirements, whether considering the medical profession
    in general or as to pain management clinics. What is left is the question of
    whether the law on these points was clearly established and, regardless,
    whether the search was invalid as pretextual.
    iii.   Clearly established law for qualified immunity
    To summarize, we have concluded there was a violation of Dr. Zadeh’s
    constitutional rights. That is true even with our twin assumptions that pain
    management clinics are part of a closely regulated industry and that Dr. Zadeh
    operated a pain management clinic. Nonetheless, the defendants are entitled
    to qualified immunity unless the constitutional requirements they violated
    were clearly established at the time of their actions. 
    Reichle, 566 U.S. at 664
    .
    We hold that it was clearly established at the time of this search that the
    medical profession as a whole is not a closely regulated industry, meaning that
    governmental agents violate the Constitution when they search clinics that are
    not pain management clinics without providing an opportunity for
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    precompliance review. We also hold, even assuming that pain management
    clinics are part of a closely regulated industry, that on-demand searches of
    those clinics violate the constitution when the statutory scheme authorizing
    the search fails to provide sufficient constraints on the discretion of the
    inspecting officers. We need to analyze, though, whether that last statement
    of law was clearly established when this search occurred.
    Our analysis of the clarity of relevant law is objective, meaning it does
    not focus on the specific defendants’ knowledge.        “The touchstone of this
    inquiry is whether a reasonable person would have believed that his conduct
    conformed to the constitutional standard in light of the information available
    to him and the clearly established law.” Goodson v. City of Corpus Christi, 
    202 F.3d 730
    , 736 (5th Cir. 2000).         “[E]ven law enforcement officials who
    ‘reasonably but mistakenly [commit a constitutional violation]’ are entitled to
    immunity.”    Glenn v. City of Tyler, 
    242 F.3d 307
    , 312–13 (5th Cir. 2001)
    (quoting 
    Goodson, 202 F.3d at 736
    ). For the law to be clearly established, there
    must be a close congruence of the facts in the precedent and those in the case
    before us. 
    Wesby, 138 S. Ct. at 589
    –90. “The precedent must be clear enough
    that every reasonable official would interpret it to establish the particular rule
    the plaintiffs seek to apply.” 
    Id. at 590.
          Defendants rely on one of our precedents that reviewed an
    administrative search of a dentist’s office by agents of the Texas State Board
    of Dental Examiners, accompanied by Department of Public Safety officials.
    Beck v. Tex. State Bd. of Dental Exam’rs, 
    204 F.3d 629
    , 632 (5th Cir. 2000).
    Dentist Beck was a target because of complaints filed against him for
    prescribing controlled substances. 
    Id. We concluded
    that the search did not
    violate the plaintiff’s clearly established rights. 
    Id. at 638–39.
    We applied the
    Burger exception and determined there was a significant state interest in
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    regulating dentists’ use of controlled substances; the search was conducted
    pursuant to two regulatory schemes; and there was an adequate substitute for
    a warrant where the statute permitted the official to conduct inspections
    during “reasonable times” after “stating his purpose” and presenting his
    credentials to the owner. 
    Id. at 638–39.
    In light of Beck, the Board argues that
    reasonable investigators could have believed the Burger exception permitted
    the execution of the subpoena as they too were investigating prescriptions of
    controlled substances within the medical industry.
    The plaintiffs insist that Beck is “patently distinguishable” for the same
    reason argued in the separate opinion here.         The clarity of any possible
    distinction, though, must be viewed through the lens that the law, including a
    distinction, must be “sufficiently clear that every reasonable official would
    understand that what he is doing is unlawful” at that time. 
    Wesby, 138 S. Ct. at 589
    (quotation marks omitted). That means “existing law must have placed
    the constitutionality of the officer’s conduct ‘beyond debate.” 
    Id. Perhaps most
    relevant, the “legal principle [must] clearly prohibit the officer’s conduct in the
    particular circumstances before him. The rule’s contours must be so well
    defined that it is ‘clear to a reasonable officer that his conduct was unlawful in
    the situation he confronted.’” 
    Id. at 590
    (emphasis added).
    The claimed sufficient distinction here is that the regulations and
    statutes under which the investigators in Beck acted explicitly permitted
    inspections without prior notice. See 
    Beck, 204 F.3d at 639
    . The Beck court
    discussed that point at the end of the opinion, as it addressed several questions
    regarding whether what occurred was a valid administrative search of a closely
    regulated industry. 
    Id. The final
    subject the court discussed was that one of
    the statutes under which the inspection was conducted did not require that
    prior notice be given. 
    Id. (quoting Section
    5.01(c) of the Texas Controlled
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    Substances Act.) That is no small distinction, and we conclude today that
    absent similar statutory or perhaps regulatory authority that dispenses with
    prior notice, a search such as occurred here cannot be conducted without prior
    notice. The issue for us, though, is whether that law was clearly established
    at the time of the search we are reviewing today.
    As we already stated, the right is not clearly established unless it is
    beyond debate using an objective test. We have discussed the intricacies of
    New York v. Burger, which permit warrantless searches when they satisfy a
    three-factor test. Our Beck decision held that the search there was of a closely
    regulated industry, and therefore went through the three Burger factors. The
    discussion of the specific statutory authorization for no-notice inspections was
    to show that the third Burger factor was satisfied, which is that an adequate
    substitute for a warrant existed. We did not say in Beck that the only sufficient
    substitute under Burger was a statute authorizing no-notice searches. We did
    hold that “under these circumstances, Beck does not show a violation of a
    clearly established constitutional right.” 
    Beck, 204 F.3d at 639
    .
    Instead of clearly establishing the principle that prior notice of a
    regulatory search must be given unless the authorizing statute explicitly
    announces it is unnecessary, Beck applied the general Burger principle to the
    facts of that case that a warrant substitute authorized by a “regulatory statute
    must perform the two basic functions of a warrant: it must advise the owner of
    the commercial premises that the search is being made pursuant to the law
    and has a properly defined scope, and it must limit the discretion of the
    inspecting officers.” 
    Burger, 482 U.S. at 703
    . In the Beck situation, that factor
    was satisfied with the statutory language already discussed. We cannot see,
    though, that every reasonable official prior to conducting a search under the
    circumstances of this case would know this Burger factor was not satisfied. We
    16
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    think some, even many, reasonable officers would believe under the third
    Burger factor that the owner of the premises was charged with knowledge that
    a statute authorized the search, and the officers would reasonably believe the
    scope of the search and the discretion of the officials was validly limited. We
    have held that the statute fails this standard, but we do not hold that all
    reasonable officers would have known that, until now.
    Therefore, although Beck does not control the constitutionality of the
    Board’s actions in this case, it does weigh in favor of the defendants’ receiving
    qualified immunity. We find more guidance from cases where a statute did not
    clearly limit the official’s discretion in selecting who would be subject to an
    administrative search.     In one, we held that the statute provided a
    constitutionally adequate substitute for a warrant where the statute provided:
    The licensing agency shall make or cause to be made inspections
    relative to compliance with the laws and regulations governing the
    licensure of child care facilities. Such inspections shall be made at
    least once a year but additional inspections may be made as often
    as deemed necessary by the licensing agency.
    See Ellis v. Miss. Dep’t of Health, 344 F. App’x 43 (5th Cir. 2009) (citing MISS.
    CODE. ANN. § 43-20-15). Though that opinion is not precedential, we agree
    with its reasoning.
    We also upheld an administrative search where, despite limits on the
    conduct of an officer after a traffic stop, there were not clear limits on an
    officer’s discretion as to whom to stop. See United States v. Fort, 
    248 F.3d 475
    ,
    482 (5th Cir. 2001). Because we have not so far required there to be a clear
    limit on determining whom officials select for an administrative search, the
    defendants reasonably could have believed that the administrative scheme
    here provided a constitutionally adequate substitute for a warrant.
    17
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    Finally, the plaintiffs argue that even if qualified immunity might apply
    to defendants who conducted a proper search, the defendants did not follow the
    statutory scheme.     Therefore, they assert, caselaw in which the legal
    requirements for the search were followed is inapplicable.        The claims of
    overstepping authority, though, are minor. First, while the medical assistant
    was waiting for Dr. Zadeh to appear, there is evidence one of the investigators
    approached the assistant at her desk, then followed her into two exam rooms.
    While in one of the rooms, the investigator asked if controlled substances were
    kept in the room.     Second, there is evidence this same investigator also
    approached the assistant while the latter was in a storage room and asked if
    the investigators could use the medical office’s copy machine. The district court
    said there was no evidence the investigator ever looked at any files or went
    somewhere in the medical office without the assistant. Finally, as soon as the
    investigators were asked to leave the office, they did so. We agree with the
    district court that there is “no support in the record” to sustain the allegation
    the investigators did a “thorough search and inspection.” The factual basis for
    deviations from search protocols is insubstantial.
    In conclusion, the unlawfulness of the defendants’ conduct was not
    clearly established at the time of the search.
    b.    Pretextual searches
    The plaintiffs also argue that the search was a pretext for uncovering
    evidence of criminal wrongdoing, not a valid administrative search. According
    to the plaintiffs, the DEA brought Dr. Zadeh’s possible misdeeds before the
    Medical Board. A DEA agent then was present during the search. To finish
    the story, though, the Medical Board proceeded against Dr. Zadeh. Before
    there was a full hearing on the merits, the Board entered an agreed order. In
    18
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    No. 17-50518
    the order, the panel found that Dr. Zadeh was operating a pain management
    clinic without registering it. There is nothing in this record indicating whether
    the DEA’s investigation resulted in a criminal prosecution or any other action.
    “Even under a valid inspection regime, the administrative search cannot
    be pretextual.” Club Retro, LLC v. Hilton, 
    568 F.3d 181
    , 197 (5th Cir. 2009).
    It is incorrect, though, to use the label “pretext” simply because of an overlap
    between an administrative search and a criminal search. The Burger Court
    remarked that “a State can address a major social problem both by way of an
    administrative scheme and through penal sanctions.” 
    Burger, 482 U.S. at 712
    .
    To determine whether the search there was constitutional, the Court looked to
    whether the administrative scheme really “authorize[d] searches undertaken
    solely to uncover evidence of criminality.” 
    Id. Similarly, the
    Supreme Court dismissed a defendant’s argument “that
    because the Customs officers were accompanied by a Louisiana State
    Policeman, and were following an informant’s tip that a vessel in the ship
    channel was thought to be carrying marijuana,” the Government could not rely
    on the administrative search exception. United States v. Villamonte-Marquez,
    
    462 U.S. 579
    , 584 n.3 (1983).
    We have applied these principles to a search of an automobile salvage
    yard. United States v. Thomas, 
    973 F.2d 1152
    , 1155–56 (5th Cir. 1992). There,
    an investigator with the Texas Department of Public Safety tracked a vehicle
    to an auto salvage business and there conducted an inventory inspection under
    Texas statute.    
    Id. at 1155.
      Even though the inventory inspection was
    prompted by suspicion of criminal conduct, the investigator still was entitled
    to use information gained during the inspection to obtain a search warrant for
    the salvage-yard owner’s residence. 
    Id. “Administrative searches
    conducted
    19
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    pursuant to valid statutory schemes do not violate the Constitution simply
    because of the existence of a specific suspicion of wrongdoing.” 
    Id. at 1155–56.
            Beck has similar analysis. As here, the administrative search in Beck
    was initiated after a tip. Dental Board member Michael Pitcock “stated in his
    deposition that information was forwarded to him alleging that Beck had
    ordered unusually high volumes of controlled substances.” 
    Beck, 204 F.3d at 632
    . The Dental Board suspected Beck of violating criminal statutes, and a
    law enforcement officer accompanied the board agent in its inspection of the
    dental office. 
    Id. The dentist
    argued that the search was conducted to uncover
    criminal wrongdoing and thus was not conducted pursuant to a valid
    administrative scheme. 
    Id. at 638.
    We held that the suspicions of criminal
    wrongdoing “did not render the administrative search unreasonable,” citing
    Villamonte-Marquez and Thomas. 
    Id. at 639.
            As to Dr. Zadeh, the DEA was closely involved with the Board’s
    investigation. Under Burger, though, we look to whether the search that
    occurred was under a scheme serving an administrative purpose. The Board’s
    purpose is demonstrated by the subsequent administrative action against
    Dr. Zadeh.     The search was not performed “solely to uncover evidence of
    criminality.” See 
    Burger, 482 U.S. at 698
    . Thus, the search was not pretextual.
    II.     Declaratory Judgment
    Dr. Zadeh argues that the district court erred in abstaining from
    deciding the declaratory judgment claims following Younger. Dr. Zadeh asked
    the district court to make declaratory judgments on several laws implicating
    the Board. The district court did not resolve any.
    “In Younger, the Supreme Court ‘instructed federal courts that the
    principles of equity, comity, and federalism in certain circumstances counsel
    20
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    abstention in deference to ongoing state proceedings.’” Wightman v. Tex.
    Supreme Court, 
    84 F.3d 188
    , 189 (5th Cir. 1996) (citations omitted). Following
    Supreme Court precedent, this court follows “a three-part test describing the
    circumstances under which abstention [is] advised: (1) the dispute should
    involve an ‘ongoing state judicial proceeding;’ (2) the state must have an
    important interest in regulating the subject matter of the claim; and (3) there
    should be an ‘adequate opportunity in the state proceedings to raise
    constitutional challenges.’” 
    Id. (citation omitted).
          The district court applied the reasoning of one of our unpublished cases,
    Perez v. Tex. Med. Bd., 556 F. App’x 341 (5th Cir. 2014). There, we held that
    Younger barred the plaintiffs’ suit seeking to enjoin the Board from pursuing
    any causes of action against them. 
    Id. at 342–43.
    We agree with that panel’s
    determination that Texas had a strong interest in regulating the practice of
    medicine, and the Perez plaintiffs could raise their constitutional challenges in
    the state court because the law provided for judicial review of the
    administrative decision.     
    Id. at 342.
        Following Perez, the district court
    concluded that Dr. Zadeh had an ongoing administrative action pending; the
    state had a significant interest in regulating medicine in Texas; and Dr. Zadeh
    could appeal his administrative action in state court and raise constitutional
    challenges there. Accordingly, the district court abstained from adjudicating
    the requests for declaratory relief.
    Dr. Zadeh claims Younger is inapplicable because the Board argued that
    the lawsuit did not implicate the underlying investigation. Dr. Zadeh also
    argues that there will be no adequate opportunity in the state proceedings to
    raise any constitutional challenges. He claims that “[d]octors do not have the
    power to file an appeal concerning the findings of fact and conclusions of law
    contained in a final decision (but the TMB does).”
    21
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    Dr. Zadeh was subject to an ongoing state administrative proceeding,
    and that qualifies as a judicial proceeding for this analysis. See Middlesex
    Cnty. Ethics Comm. v. Garden State Bar Ass’n, 
    457 U.S. 423
    , 432 (1982). As
    we stated in Perez, Texas has a strong interest in regulating the practice of
    medicine. Finally, despite plaintiffs’ contrary view, Texas law does permit
    judicial review by either party of an administrative decision. 1 “A person who
    has exhausted all administrative remedies available within a state agency and
    who is aggrieved by a final decision in a contested case is entitled to judicial
    review under this chapter.” TEX. GOV’T CODE. § 2001.171.
    The district court did not abuse its discretion in abstaining from deciding
    the declaratory judgment claims.
    III.     Director Robinson’s potential supervisory capacity liability
    The plaintiffs argue that Robinson should be held liable in her
    supervisory capacity. “A supervisory official may be held liable under § 1983
    only if (1) he affirmatively participates in the acts that cause the constitutional
    deprivation, or (2) he implements unconstitutional policies that causally result
    in the constitutional injury.” Gates v. Tex. Dep’t of Protective and Regulatory
    Servs., 
    537 F.3d 404
    , 435 (5th Cir. 2008). A failure to train claim requires that
    the plaintiff show (1) the supervisor’s failure to train; (2) the failure to train
    resulted in the violation of the plaintiff’s rights; and (3) the failure to train
    shows deliberate indifference. 
    Id. For deliberate
    indifference, “there must be
    ‘actual or constructive notice’ ‘that a particular omission in their training
    The plaintiffs note that the administrative law judge in the SOAH proceeding
    1
    declined to address the constitutional questions. Even so, all the law requires is that the
    issue have been preserved for the appeal to the state court. See Ohio Civil Rights Comm’n v.
    Dayton Christian Schs., Inc., 
    477 U.S. 619
    , 629 (1986).
    22
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    program causes . . . employees to violate citizens’ constitutional rights’ and the
    actor nevertheless ‘choose[s] to retain that program.’” Porter v. Epps, 
    659 F.3d 440
    , 447 (5th Cir. 2011) (citation omitted).
    The plaintiffs argue that Robinson improperly delegated her subpoena
    authority to subordinates whose training she knew nothing about. Therefore,
    the subpoena did not comply with Texas law because the Executive Director of
    the Board is not permitted to delegate her subpoena authority. The district
    court did not determine whether the delegation was permissible. “In light of
    the express regulatory authority for the delegation, the precedent set by her
    predecessors, and the sheer volume of subpoenas issued every year by the
    TMB,” Robinson’s actions did not amount to deliberate indifference.
    In Texas administrative law, a rule of statutory construction presumes
    that where a statute grants specific authority to a designated public officer,
    the legislature intended only that officer to have that authority. Lipsey v. Tex.
    Dep’t of Health, 
    727 S.W.2d 61
    , 64 (Tex. App.—Austin 1987, writ ref’d n.r.e.).
    Still, Lipsey recognized “the authority to ‘subdelegate’ or transfer the assigned
    function may be implied and the presumption defeated owing to the nature of
    the assigned function, the makeup of the agency involved, the duties assigned
    to it, the statutory framework, and perhaps other matters.” 
    Id. at 65.
          In this case, a statute permits the Board to subpoena records. TEX. OCC.
    CODE. § 153.007. Section 153.007(b) permits the Board to delegate subpoena
    authority “to the executive director or the secretary-treasurer of the board.”
    By administrative rule, the executive director may “delegate any responsibility
    or authority to an employee of the board.” 22 TEX. ADMIN. CODE § 161.7(c).
    In resolving this issue, we start with the fact the rule articulated in
    Lipsey is only a presumption. Even assuming that the plaintiffs could show
    that Robinson failed to train her subordinates and that failure resulted in a
    23
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    constitutional violation, Robinson was not deliberately indifferent in
    delegating her subpoena authority in light of the fact she was acting pursuant
    to the regulations in the same way as her predecessors and the numerous
    subpoenas issued each year. To the extent the plaintiffs seek to impose Section
    1983 liability on Kirby and Pease through the subdelegation argument, that
    law also was not clearly established.
    AFFIRMED.
    24
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    No. 17-50518
    DON R. WILLETT, Circuit Judge, concurring in part, dissenting in part:
    State investigators, without notice and without a warrant, entered a
    doctor’s office and demanded to rifle through the medical records of 16 patients.
    Or else. The doctor was not in, and the investigators, after being told that the
    doctor contested the subpoena, warned his assistant that if she didn’t produce
    the patient files at once, there would be grave repercussions. According to her,
    the investigators threatened to suspend the doctor’s medical license. They
    demanded compliance—immediately.
    The Fourth Amendment forbids such roughshod rummaging. The
    Framers cared deeply about We the People’s right “to be secure in [our]
    persons, houses, papers, and effects against unreasonable searches and
    seizures.” 1 The Fourth Amendment was the Founding generation’s “response
    to the reviled ‘general warrants’ and ‘writs of assistance’ of the colonial era,
    which allowed British officers to rummage through homes in an unrestrained
    search for evidence of criminal activity.” 2 In fact, outrage over unchecked
    searches was “one of the driving forces behind the Revolution itself.” 3
    The majority opinion correctly diagnoses Dr. Zadeh’s injury but refuses
    to prescribe a remedy: His rights were violated, but since the law wasn’t clearly
    established, Dr. Zadeh loses. I originally agreed with this violation-without-
    vindication result. 4
    But deeper study has convinced me that the officials’ constitutional
    misstep violated clearly established law, not a previously unknown right. And
    1 U.S. CONST. amend. IV.
    2 Riley v. California, 
    134 S. Ct. 2473
    , 2494 (2014).
    3 
    Id. 4 Zadeh
    v. Robinson, 
    902 F.3d 483
    , 498 (5th Cir. 2018) (Willett, J., concurring
    dubitante).
    25
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    it has reaffirmed my broader conviction that the judge-made immunity regime
    ought not be immune from thoughtful reappraisal.
    I
    To rebut the officials’ qualified-immunity defense and get to trial, Dr.
    Zadeh must plead facts showing that the alleged misconduct violated clearly
    established law. 5 He has done so.
    A
    The Supreme Court held 40-plus years ago in See that the Fourth
    Amendment requires precompliance review. 6 An administrative subpoena
    “may not be made and enforced by the inspector in the field . . . .” 7 Almost 20
    years later, the Court in Lone Steer elaborated that although an agency “may
    issue an administrative subpoena without a warrant,” it must give the
    subpoenaed person an opportunity “to question the reasonableness of the
    subpoena . . . by raising objections in an action in district court” before suffering
    any penalties for noncompliance. 8 The Court reaffirmed this settled
    precompliance-review requirement again just four years ago in Patel. 9
    Here, Texas officials gave Dr. Zadeh no time to question the subpoena’s
    reasonableness. That’s a violation. Plain and simple.
    B
    But there are exceptions to most every rule. Under the Supreme Court’s
    1981 decision in Burger, officials don’t have to give people time to comply if:
    • the business is part of a closely regulated industry;
    5 Ashcroft v. al-Kidd, 
    563 U.S. 731
    , 735 (2011).
    6 See v. City of Seattle, 
    387 U.S. 541
    (1967).
    7 
    Id. at 544–45.
           8 Donovan v. Lone Steer, Inc., 
    464 U.S. 408
    , 415 (1984).
    9 City of Los Angeles v. Patel, 
    135 S. Ct. 2443
    , 2452 (2015) (“[T]he subject of the search
    must be afforded an opportunity to obtain precompliance review before a neutral
    decisionmaker.”).
    26
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    • there’s a substantial government interest;
    • warrantless searches are necessary; and
    • there’s a “constitutionally adequate substitute for a
    warrant.” 10
    This search whiffs two requirements. So I agree with the majority opinion: The
    Burger exception doesn’t apply.
    1
    Medical practices—including pain-management clinics—aren’t “closely
    regulated” industries. In both Burger 11 and Patel, 12 the Supreme Court
    considered the history of warrantless searches, then-current regulations, and
    the public interest. Take Patel. The Court held that hotels aren’t a closely
    regulated industry—no history of regular, warrantless searches. 13 Public-
    accommodation laws require hotels to serve all paying customers. That just
    doesn’t equate to state officials knocking down doors. 14
    Likewise, state officials haven’t historically rummaged through pain-
    management clinics without warrants. If anything, it’s the opposite. The law
    has consistently protected doctor–patient confidentiality. In 2011, the
    Supreme Court in Sorrell noted that “for many reasons, physicians have an
    interest in keeping their prescription decisions confidential.” 15 Ten years
    earlier, the Court in Ferguson recognized medical patients’ “reasonable
    expectation of privacy”—that no one will share their records without
    permission. 16
    10 New York v. Burger, 
    482 U.S. 691
    , 702–03 (1987).
    11 See 
    id. at 704.
          12 See 
    Patel, 135 S. Ct. at 2454
    .
    13 
    Id. at 2455.
          14 
    Id. 15 Sorrell
    v. IMS Health Inc., 
    564 U.S. 552
    , 572 (2011).
    16 Ferguson v. City of Charleston, 
    532 U.S. 67
    , 78 (2001).
    27
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    It’s not just our Nation’s highest court. Lower courts recognize this too.
    The district court here emphasized that “warrantless inspections of doctors’
    offices” don’t often happen. 17 In 2017, another Texas federal district court
    stressed a stark distinction between medicine and “closely regulated”
    industries. The court noted that the government has long treated liquor and
    guns very differently than doctors. 18
    True, we held in Schiffman that pharmaceuticals are a “pervasively”
    regulated industry. 19 But that was in 1978. And the Supreme Court has since
    clarified things. As the Court said in Patel, the closely-regulated-industry
    exception is very much that—“the exception.” 20 So Schiffman doesn’t control.
    In sum, the law strongly protects privacy in medicine. Pain management
    is a medical field. So pain-management clinics aren’t closely regulated.
    Unfortunately, the majority opinion assumes without deciding that pain-
    management clinics are closely regulated. In doing so, the majority blurs
    constitutional contours. 21 Our legal system serves the public best when it
    provides clear rules, consistently applied—bright lines and sharp corners. We
    owe clarity to the courts below us, the litigants before us, and the cases beyond
    us. Thankfully, our court has at least established that medicine generally isn’t
    closely regulated.
    2
    Setting aside the “closely regulated” issue, the Burger exception still
    doesn’t apply. The laws here aren’t a constitutionally adequate substitute for
    17  Zadeh v. Robinson, No. 1:15-CV-598, Dkt. No. 40, at *10 (W.D. Tex., Apr. 26, 2016),
    aff’d, 
    902 F.3d 483
    (5th Cir. 2018).
    18 Barry v. Freshourt, No. H-17-1403, 
    2017 WL 4682176
    , at *6–7 (Rosenthal, J.) (S.D.
    Tex. Oct. 18, 2017), rev’d on other grounds, 
    905 F.3d 912
    (5th Cir. 2018).
    19 United States v. Schiffman, 
    572 F.2d 1137
    , 1142 (5th Cir. 1978).
    
    20 135 S. Ct. at 2455
    .
    21 See discussion infra Section III.
    28
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    a warrant. In Burger, the Court explained that a statute has to notify the public
    that the government can search on-demand. And it must limit officer
    discretion. 22 These statutes neither notify nor limit. 23
    Our 2000 decision in Beck sheds light on what counts for notice. 24 There,
    the Controlled Substances Act explicitly authorized officers to search dental
    offices “upon stating [their] purpose[s]” and showing their credentials. 25 That
    was clear statutory notice. And so we upheld an on-demand search. In other
    words, there had to be notice that no notice is necessary. 26
    Consider our 2001 opinion in Fort too. 27 There, we stamped our approval
    on a statute that allowed officers to inspect vehicles “after stating the purpose
    of the inspection.” 28 The law put Texas drivers on notice that their cars could
    be searched. Eight years later in Club Retro, we again enforced the notice
    requirement. 29 That time, a SWAT team had raided a nightclub—replete with
    “physical assault, threats at gunpoint, and prolonged detention.” 30 But the
    22  
    Burger, 482 U.S. at 703
    (“[Statutes must] perform the two basic functions of a
    warrant: it must advise . . . that the search is being made pursuant to the law and has a
    properly defined scope, and it must limit the discretion of inspecting officers.”).
    23 TEX. OCC. CODE § 153.007 (“[T]he board may issue a subpoena or a subpoena duces
    tecum to compel the attendance of a witness and the production of books, records, and
    documents.”); TEX. OCC. CODE § 168.052 (allowing the Board to examine “the documents of a
    physician practicing at the clinic, as necessary to ensure compliance with this chapter”); 22
    TEX. ADMIN. CODE § 179.4 (“Upon the request by the board or board representatives, a
    licensee shall furnish to the board copies of medical records . . . within a reasonable time
    period . . . .”); 22 TEX. ADMIN. CODE § 195.3 (“The board may inspect a pain management
    clinic certified under this chapter, including the documents of a physician practicing at the
    clinic, to determine if the clinic is being operated in compliance with applicable laws and
    rules.”).
    24 Beck v. Tex. St. Bd. of Dental Exam’rs, 
    204 F.3d 629
    , 639 (5th Cir. 2000).
    25 
    Id. at 639.
            26 
    Id. (“Thus, [the
    statute] did not require that prior notice be given.”).
    27 United States v. Fort, 
    248 F.3d 475
    , 482 (5th Cir. 2001).
    28 
    Id. (citing TEX.
    TRANSP. CODE § 644.104(b)).
    29 Club Retro, L.L.C. v. Hilton, 
    568 F.3d 181
    , 200 (5th Cir. 2009).
    30 
    Id. 29 Case:
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    supposed authorizing statute notified owners only of periodic fire-safety and
    alcohol compliance checks. 31 So we held that the search failed to meet the
    notice requirement. 32
    Here, the statutes don’t notify business owners of on-demand searches.
    These statutes allow “a reasonable time” to produce records. 33 And they define
    “reasonable time” as “fourteen calendar days”; less only if there’s an emergency
    or a risk “that the records may be lost, damaged, or destroyed.” 34 That’s not
    notice of routine, on-the-spot searches.
    Lastly, the statutes don’t limit officer discretion. The only limits: who
    can subpoena things (the Board); 35 who the Board can subpoena (licensees); 36
    and what the Board can demand (medical records). 37 But that’s it. Otherwise,
    there’s total discretion.
    Thus, the Burger exception doesn’t apply. And so all that’s left to decide
    is if the violation was clearly established.
    C
    It was. Just last year in Wesby, the Supreme Court explained that
    “clearly established” means “settled law.” 38 “[C]ontrolling authority” must
    31 
    Id. 32 Id.
           33 TEX. ADMIN. CODE § 179.4(a).
    34 
    Id. 35 Id.
    (“Upon the request by the board or board representatives, a licensee shall furnish
    to the board copies of medical records . . . within a reasonable time period . . . .” (emphasis
    added)).
    36 
    Id. (“Upon the
    request by the board or board representatives, a licensee shall furnish
    to the board copies of medical records . . . within a reasonable time period . . . .” (emphasis
    added)).
    37 
    Id. (“Upon the
    request by the board or board representatives, a licensee shall furnish
    to the board copies of medical records . . . within a reasonable time period . . . .” (emphasis
    added)).
    38 
    Wesby, 138 S. Ct. at 589
    (2018) (quoting Hunter v. Bryant, 
    502 U.S. 224
    , 228 (1991)
    (per curiam)).
    30
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    explicitly adopt the principle; or else there must be “a robust consensus of cases
    of persuasive authority.” 39 Mere implication from precedent doesn’t suffice. 40
    What’s more, the Court in Wesby reiterated that the legal principle must
    be specific—not general. The rule must “prohibit the officer’s conduct in the
    particular circumstances before him.” 41 The Court doesn’t require “a case
    directly on point.” 42 But it does require a case “where an officer acting under
    similar circumstances . . . violated the Fourth Amendment.” 43
    The Supreme Court in See, 44 Lone Steer, 45 and Patel 46 made clear the
    need for precompliance review of administrative subpoenas. That’s controlling
    law.
    Summing up: The Board violated Dr. Zadeh’s Fourth Amendment rights.
    No exception applies. And the law was clearly established. The state officials
    are thus not immune. On this basis alone, Dr. Zadeh deserves his day in court.
    II
    Respectfully, I think that the majority opinion is wrong for two reasons.
    First, this court shouldn’t determine whether exceptions to violations are
    clearly established. Second, even if we should, Dr. Zadeh should win anyway.
    A
    The majority concedes that the statutes here don’t limit the discretion of
    the inspecting officers as Burger requires. The court also acknowledges that
    39 
    Id. at 590
    (cleaned up) (quoting Ashcroft v. al-Kidd, 
    563 U.S. 731
    , 741–42 (2011)).
    40 
    Id. 41 Id.
           42 
    Id. (quoting al-Kidd,
    563 U.S. at 741).
    43 
    Id. (quoting White
    v. Pauley, 
    137 S. Ct. 548
    , 552 (2017) (per curiam)). But cf.
    discussion infra Section III.
    
    44 387 U.S. at 544
    –45.
    
    45 464 U.S. at 415
    .
    
    46 135 S. Ct. at 2452
    .
    31
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    statutes must provide notice. Yet the court holds that these requirements
    weren’t—themselves—clearly established.
    I understand the impulse. After all, qualified immunity is supposed to
    protect “all but the plainly incompetent or those who knowingly violate the
    law”—that’s what the Supreme Court remarked in Wesby. 47 So if reasonably
    competent officers wouldn’t necessarily know that they’re violating the law,
    they shouldn’t be liable. For example, the majority says that since we haven’t
    yet enforced the limited-discretion requirement, reasonable officials could’ve
    thought that the subpoena satisfied Burger. Thus, they wouldn’t necessarily
    realize they’re breaking the law.
    But that hyperspecific take snubs the Supreme Court’s time-worn test:
    Was there a clearly established violation? 48 Yes, it’s a violation to conduct a
    warrantless search without precompliance review. Sometimes there’s an
    exception to this test. But not here. No exception applies. And it’s only when
    an exception applies that the general rule doesn’t.
    B
    Yet even if we should ask whether the Burger exception was clearly
    established, Dr. Zadeh still ought to win. Controlling law dictates that there
    must be statutory notice.
    Recall Beck. In that case, the law authorized on-demand, warrantless
    searches. And so we upheld the search. 49 Don’t forget Fort 50 or Club Retro 51
    either, in which we similarly enforced the notice requirement. Then of course
    there’s Burger itself. In upholding a warrantless search, the Supreme Court
    
    47 138 S. Ct. at 589
    (quoting Malley v. Briggs, 
    475 U.S. 335
    , 341 (1986)).
    48 See discussion infra Section III.
    
    49 204 F.3d at 639
    .
    
    50 248 F.3d at 482
    .
    
    51 568 F.3d at 200
    .
    32
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    emphasized that the statute “set[] forth the scope of the inspection and,
    accordingly, place[d] the operator on notice as to how to comply with the
    statute.” 52
    Those cases control. They require statutory notice. So the Burger
    exception’s notice element is clearly established. And the Texas laws don’t
    provide notice for on-demand inspections.
    For that reason, the limited-discretion requirement shouldn’t matter.
    The notice requirement would govern. No matter how you shake it, the officials
    shouldn’t be immune.
    III
    Yet here we are—Dr. Zadeh still loses; there and back again. Everyone
    agrees his Fourth Amendment rights were violated. But owing to a legal deus
    ex machina—the “clearly established” prong of qualified-immunity analysis—
    the violation eludes vindication. At first I agreed with the panel majority that
    the government violated the law but not clearly established law. I was wrong.
    Beyond this case, though, I must restate my broader unease with the real-
    world functioning of modern immunity practice.
    To some observers, qualified immunity smacks of unqualified impunity,
    letting public officials duck consequences for bad behavior—no matter how
    palpably unreasonable—as long as they were the first to behave badly. Merely
    proving a constitutional deprivation doesn’t cut it; plaintiffs must cite
    functionally identical precedent that places the legal question “beyond debate”
    to “every” reasonable officer. 53 Put differently, it’s immaterial that someone
    acts unconstitutionally if no prior case held such misconduct unlawful. 
    This 52482 U.S. at 711
    .
    53 
    Ashcroft, 563 U.S. at 741
    ; see also, e.g., Kisela v. Hughes, 
    138 S. Ct. 1148
    , 1153
    (2018) (per curiam); Mullenix v. Luna, 
    136 S. Ct. 305
    , 308 (2015) (per curiam).
    33
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    current “yes harm, no foul” imbalance leaves victims violated but not
    vindicated. Wrongs are not righted, and wrongdoers are not reproached.
    Today the majority opinion says Dr. Zadeh loses because his rights
    weren’t clearly established. But courts of appeals are divided—intractably—
    over   precisely     what     degree     of   factual    similarity     must     exist.   How
    indistinguishable must existing precedent be? On the one hand, the Supreme
    Court reassures plaintiffs that its caselaw “does not require a case directly on
    point for a right to be clearly established.” 54 On the other hand, the Court
    admonishes that “clearly established law must be ‘particularized’ to the facts
    of the case.” 55 How to square these abstract instructions? Take Dr. Zadeh.
    Effectively, he loses since no previous panel has ever held this exact sort of
    search unconstitutional. In day-to-day practice, the “clearly established”
    standard is neither clear nor established among our Nation’s lower courts.
    Two other factors perpetuate perplexity over “clearly established law.”
    First, many courts grant immunity without first determining whether the
    challenged behavior violates the Constitution. 56 They avoid scrutinizing the
    alleged offense by skipping to the simpler second prong: no factually analogous
    precedent. Forgoing a knotty constitutional inquiry makes for easier sledding,
    no doubt. But the inexorable result is “constitutional stagnation” 57—fewer
    courts establishing law at all, much less clearly doing so. Section 1983 meets
    Catch-22. Plaintiffs must produce precedent even as fewer courts are
    54 
    Kisela, 138 S. Ct. at 1152
    (quoting White v. Pauly, 
    137 S. Ct. 548
    , 551 (2017)).
    55 
    Pauly, 137 S. Ct. at 552
    (quoting 
    Anderson, 483 U.S. at 640
    ).
    56 See Pearson v. Callahan, 
    555 U.S. 223
    , 227 (2009).
    57 Aaron L. Nielson & Christopher J. Walker, The New Qualified Immunity, 89 S. CAL.
    L. REV. 1, 12 (2015) (“Because a great deal of constitutional litigation occurs in cases subject
    to qualified immunity, many rights potentially might never be clearly established should a
    court skip ahead to the question whether the law clearly established that the officer’s conduct
    was unlawful in the circumstances of the case. The danger, in short, is one of constitutional
    stagnation.” (cleaned up)).
    34
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    producing precedent. Important constitutional questions go unanswered
    precisely because no one’s answered them before. Courts then rely on that
    judicial silence to conclude there’s no equivalent case on the books. No
    precedent = no clearly established law = no liability. An Escherian Stairwell.
    Heads government wins, tails plaintiff loses.
    Second, constitutional litigation increasingly involves cutting-edge
    technologies. If courts leapfrog the underlying constitutional merits in cases
    raising novel issues like digital privacy, then constitutional clarity—matter-of-
    fact guidance about what the Constitution requires—remains exasperatingly
    elusive. Result: gauzy constitutional guardrails as technological innovation
    outpaces legal adaptation.
    Qualified immunity aims to balance competing policy goals: “the need to
    hold public officials accountable when they exercise power irresponsibly and
    the need to shield officials from harassment, distraction, and liability when
    they perform their duties reasonably.” 58 And I concede that the doctrine enjoys
    special favor at the Supreme Court, which seems untroubled by any one-
    sidedness. 59 The Court recently declined to take up a closely watched case
    challenging the warrantless strip search of a four-year-old preschooler. 60 A
    strange-bedfellows alliance of leading scholars and advocacy groups of every
    ideological stripe—perhaps the most diverse amici ever assembled—had joined
    forces to urge the Court to fundamentally reshape immunity doctrine. Even in
    58 
    Pearson, 555 U.S. at 231
    (flagging these “two important interests”).
    59 That said, four sitting Justices “have authored or joined opinions expressing
    sympathy” with various doctrinal, procedural, and pragmatic critiques of qualified immunity.
    Joanna C. Schwartz, The Case Against Qualified Immunity, 93 NOTRE DAME L. REV. 1797,
    1800 (2018) (including Justices Thomas, Ginsburg, Breyer, and Sotomayor, plus recently
    retired Justice Kennedy).
    60 Doe v. Woodard, 
    912 F.3d 1278
    (10th Cir. 2019), cert. denied, No. 18-1173, 
    2019 WL 1116409
    , at *1 (May 20, 2019).
    35
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    this hyperpartisan age, there is a growing, cross-ideological chorus of jurists 61
    and scholars 62 urging recalibration of contemporary immunity jurisprudence.
    Indeed, it’s curious how this entrenched, judge-created doctrine excuses
    constitutional violations by limiting the statute Congress passed to redress
    constitutional violations. 63 Count me with Chief Justice Marshall: “The
    government of the United States has been emphatically termed a government
    of laws, and not of men. It will certainly cease to deserve this high appellation,
    if the laws furnish no remedy for the violation of a vested legal right.” 64
    61  See, e.g., 
    Kisela, 138 S. Ct. at 1162
    (Sotomayor, J., dissenting) (fearing the Supreme
    Court’s “one-sided approach to qualified immunity transforms the doctrine into an absolute
    shield for law enforcement officers, gutting the deterrent effect of the Fourth Amendment”
    and signaling “that palpably unreasonable conduct will go unpunished”); Ziglar v. Abbasi,
    
    137 S. Ct. 1843
    , 1872 (2017) (Thomas, J., concurring in part and concurring in the judgment)
    (“In an appropriate case, we should reconsider our qualified immunity jurisprudence.”);
    Thompson v. Clark, No. 14-CV-7349, 
    2018 WL 3128975
    , at *11 (E.D.N.Y. June 26, 2018)
    (Weinstein, J.) (“The Supreme Court’s recent emphasis on shielding public officials and
    federal and local law enforcement means many individuals who suffer a constitutional
    deprivation will have no redress . . . .”).
    62 Last year’s symposium issue of the Notre Dame Law Review gathers several
    scholarly essays that scrutinize qualified immunity and discuss potential refinements given
    mounting legal and empirical criticism. Symposium, The Future of Qualified Immunity, 93
    NOTRE DAME L. REV. 1793 (2018); see also, e.g., William Baude, Is Qualified Immunity
    Unlawful?, 106 CALIF. L. REV. 45, 88 (2018) (claiming the doctrine “lacks legal justification,
    and the Court’s justifications are unpersuasive”); Joanna C. Schwartz, How Qualified
    Immunity Fails, 127 YALE L.J. 2, 70 (2017) (concluding that “the Court’s efforts to advance
    its policy goals through qualified immunity doctrine has been an exercise in futility”); John
    C. Jeffries, Jr., What’s Wrong with Qualified Immunity?, 62 FLA. L. REV. 851, 869 (2010)
    (“Today, the law of qualified immunity is out of balance . . . . The Supreme Court needs to
    intervene, not only to reconcile the divergent approaches of the Circuits but also, and more
    fundamentally, to rethink qualified immunity and get constitutional tort law back on track.”).
    The essays in Notre Dame Law Review feature lively disagreement, including a nuanced pro-
    immunity piece by Professors Aaron Nielson and Christopher Walker, A Qualified Defense of
    Qualified Immunity, that addresses two principal anti-immunity arguments—that qualified
    immunity (1) is unlawful as a matter of positive law and (2) fails to advance its purported
    policy objectives. Aaron L. Nielson & Christopher J. Walker, A Qualified Defense of Qualified
    Immunity, 93 NOTRE DAME L. REV. 1853 (2018).
    63 Cf. United States v. Ugalde, 
    861 F.2d 802
    , 810 (5th Cir. 1988) (“We must ensure
    that for every right there is a remedy.” (citing 
    Marbury, 5 U.S. at 163
    )).
    64 Marbury v. Madison, 5 U.S. (1 Cranch) 137, 163 (1803). In Little v. Barreme, Chief
    Justice Marshall’s opinion declined to “excuse from damages” Captain George Little for
    36
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    Doctrinal reform is arduous, often-Sisyphean work. Finding faults is
    easy; finding solutions, less so. But even if qualified immunity continues its
    forward march and avoids sweeping reconsideration, it certainly merits a
    refined procedural approach that more smartly—and fairly—serves its
    intended objectives.
    unlawfully capturing a Danish vessel, though it was “seized with pure intention.” 6 U.S. (2
    Cranch) 170, 179 (1804).
    37