McCullen v. Coakley , 708 F.3d 1 ( 2013 )


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  •           United States Court of Appeals
    For the First Circuit
    No. 12-1334
    ELEANOR McCULLEN ET AL.,
    Plaintiffs, Appellants,
    v.
    MARTHA COAKLEY ET AL.,
    Defendants, Appellees.
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF MASSACHUSETTS
    [Hon. Joseph L. Tauro, U.S. District Judge]
    Before
    Boudin,* Selya and Stahl,
    Circuit Judges.
    Mark L. Rienzi, with whom Edward C. DuMont, Todd C. Zubler,
    Wilmer Cutler Pickering Hale and Dorr LLP, Philip D. Moran and
    Michael J. DePrimo, were on brief, for appellants.
    William W. Porter, Assistant Attorney General, with whom
    Martha Coakley, Attorney General of Massachusetts, Kenneth W.
    Salinger and Gabrielle Viator, Assistant Attorneys General, were on
    brief, for appellees.
    January 9, 2013
    *
    Judge Boudin heard oral argument in this matter and
    participated in the semble, but he did not participate in the
    issuance of the panel's opinion. The remaining two panelists have
    issued the opinion pursuant to 28 U.S.C. § 46(d).
    SELYA, Circuit Judge.          This case does not come to us as
    a   stranger.      At   the   turn   of   the   century,   the   Massachusetts
    legislature passed a law that created fixed and floating buffer
    zones around abortion clinics.            We rejected serial challenges to
    the constitutionality of that law.           See McGuire v. Reilly (McGuire
    I), 
    260 F.3d 36
    (1st Cir. 2001) (rejecting facial challenge);
    McGuire v. Reilly (McGuire II), 
    386 F.3d 45
    (1st Cir. 2004)
    (rejecting      as-applied    challenge).       The   Supreme    Court   denied
    certiorari.      
    544 U.S. 974
    (2005).
    One might have thought that the matter would end there,
    but it did not.     In 2007, the legislature revisited the statute and
    amended it to create a fixed thirty-five-foot buffer zone around
    the entrances, exits, and driveways of abortion clinics.                   The
    revised statute drew renewed fire and, in 2009, we upheld it
    against a facial challenge.          See McCullen v. Coakley (McCullen I),
    
    571 F.3d 167
    (1st Cir. 2009), cert. denied, 
    130 S. Ct. 1881
    (2010).
    This decision left open the plaintiffs' as-applied challenge, and
    they unsuccessfully pursued that initiative in the district court.
    See McCullen v. Coakley (McCullen II), 
    759 F. Supp. 2d 133
    (D.
    Mass. 2010) (granting judgment on the pleadings on certain issues);
    McCullen v. Coakley (McCullen III), 
    844 F. Supp. 2d 206
    (D. Mass.
    2012) (resolving remaining issues after trial).
    -2-
    The plaintiffs again appeal.             They advance a salmagundi
    of arguments, old and new, some of which are couched in a creative
    recalibration of First Amendment principles.
    Few subjects have proven more controversial in modern
    times than the issue of abortion.               The nation is sharply divided
    about the morality of the practice and its place in a caring
    society.     But the right of the state to take reasonable steps to
    ensure the safe passage of persons wishing to enter healthcare
    facilities cannot seriously be questioned.                   The Massachusetts
    statute at issue here is a content-neutral, narrowly tailored time-
    place-manner regulation that protects the rights of prospective
    patients and clinic employees without offending the First Amendment
    rights of others.         We therefore affirm the judgment below.
    I.    BACKGROUND
    We briefly recount the historical background and travel
    of    the   case    and     then    describe    the   particular   circumstances
    concerning the three clinic locations that lie at the epicenter of
    the plaintiffs' as-applied challenge.
    A.     Travel of the Case.
    The centerpiece of this saga is Mass. Gen. Laws ch. 266,
    §    120E   1/2    (2007)    (the    Act).      The   provenance   and   pertinent
    provisions of the Act are set out in some detail in McCullen 
    I, 571 F.3d at 172-74
    , and we assume the reader's familiarity with that
    -3-
    account.   We rehearse here only what is necessary to place into
    perspective the issues on appeal.
    The Act states in pertinent part that "[n]o person shall
    knowingly enter or remain on a public way or sidewalk adjacent to
    a reproductive health care facility" (RHCF) within a designated and
    clearly marked buffer zone.     Mass. Gen. Laws ch. 266, § 120E
    1/2(b), (c).   The buffer zone spans
    a radius of 35 feet of any portion of an
    entrance, exit or driveway of a[n RHCF] or
    within the area within a rectangle created by
    extending the outside boundaries of any
    entrance, exit or driveway of a[n RHCF] in
    straight lines to the point where such lines
    intersect the sideline of the street in front
    of such entrance, exit or driveway.
    
    Id. § 120E 1/2(b).
      Four categories of persons identical to those
    enumerated in the 2000 version of the law are exempted:
    (1) persons entering or leaving such facility;
    (2) employees or agents of such facility
    acting within the scope of their employment;
    (3) law enforcement, ambulance, firefighting,
    construction, utilities, public works and
    other municipal agents acting within the scope
    of their employment; and
    (4) persons using the public sidewalk or
    street right-of-way adjacent to such facility
    solely   for  the purpose     of  reaching   a
    destination other than such facility.
    
    Id. On January 25,
    2008, the Massachusetts Attorney General
    sent a letter to a wide audience, including RHCF personnel and law
    enforcement agencies.   The text of the letter is reproduced as an
    appendix to our opinion in McCullen 
    I, 571 F.3d at 184
    .     Its stated
    -4-
    purpose is to summarize the provisions of the Act and offer
    "guidance to assist [] in applying the four exemptions."
    On January 16, 2008, the plaintiffs brought this action
    against the Massachusetts Attorney General in the federal district
    court.1    Invoking 42 U.S.C. § 1983, they alleged a plethora of
    constitutional claims.
    The district court bifurcated the case, separating the
    plaintiffs' facial challenge from their as-applied challenge.    In
    due season, the court addressed the facial challenge and upheld the
    Act.
    On appeal, we affirmed, holding the Act to be content-
    neutral,    viewpoint-neutral,   and   a   valid   time-place-manner
    regulation.   McCullen 
    I, 571 F.3d at 176-81
    & n.2.     At the same
    time, we rebuffed the plaintiffs' overbreadth claim, citing Hill v.
    Colorado, 
    530 U.S. 703
    (2000), in which the Supreme Court upheld a
    Colorado statute regulating communicative activities within 100
    feet of healthcare facility entrances. See McCullen 
    I, 571 F.3d at 181-82
    .    We likewise rejected the plaintiffs' vagueness claim
    (which focused on the Attorney General's letter), explaining that
    such an attempt at interpretive guidance cannot alter the meaning
    1
    The plaintiffs who remain in the case — others have come and
    gone — are Eleanor McCullen, Jean Blackburn Zarrella, Gregory A.
    Smith, Eric Cadin, Cyril Shea, Nancy Clark, and Mark Bashour.
    There has also been some movement on the defense side of the
    ledger: the plaintiffs have now added as defendants three district
    attorneys, each of whom has jurisdiction over a county in which one
    of the three specified clinics, see infra Part I(B), is located.
    -5-
    of a law that is clear on its face.              
    Id. at 182-83. Finally,
    we
    ruled that the Act did not constitute an unlawful prior restraint
    on protected speech.         
    Id. at 183-84. When
    the dust had settled, the district court took up the
    plaintiffs' as-applied challenge.                As a threshold matter, it
    invoked the law of the case doctrine and resisted the plaintiffs'
    attempt    to    reargue   the     facial   constitutionality         of   the    Act.
    McCullen 
    II, 759 F. Supp. 2d at 136-41
    .                  Next, it granted the
    defendants' motion for judgment on the pleadings with respect to
    seven as-applied counts.             
    Id. at 141-45. Turning
    to whether the
    Act, as applied, constituted a valid time-place-manner regulation,
    the court concluded that the only trialworthy issue concerned the
    adequacy of alternative channels of communication at the challenged
    facilities.      
    Id. at 145. Following
    a bench trial, the court upheld
    the Act as applied.        McCullen 
    III, 844 F. Supp. 2d at 213-25
    .
    B.      The Three Sites.
    We    rehearse     the    evidence   anent   the   relevant       clinic
    locations.       As a prelude, we note that each of the plaintiffs
    engages in communicative activities outside one of these three
    RHCFs.
    1.    Boston.      The Boston clinic is situated in a free-
    standing building at 1055 Commonwealth Avenue (a main thoroughfare
    in   the   Brighton   section        of   Boston).      Its   front    door      faces
    Commonwealth Avenue; its rear garage entrance faces Gardner Street.
    -6-
    All clinic patients enter through the front door and must use the
    twenty-five-foot-wide public sidewalk along Commonwealth Avenue.
    Buffer zones,    marked   with   yellow   arcs and   posted   signs,   are
    appurtenant to each entrance.
    Three of the plaintiffs (McCullen, Cadin, and Zarrella)
    regularly engage in "sidewalk counseling" at the Boston clinic.
    McCullen parks her car on Commonwealth Avenue and festoons it with
    pro-life signage; Zarrella sometimes prays aloud; and Cadin from
    time to time holds aloft a large pro-life sign.
    A fourth plaintiff, Smith, has demonstrated outside the
    Boston clinic for many years.      He has displayed a crucifix, sung
    religious hymns, and prayed aloud.        His prayers are meant to be
    heard by passersby in hopes of persuading them to opt against
    abortion.    He sometimes brings a loudspeaker to amplify group
    prayers that occur outside the clinic on the second Saturday of
    every month and on Good Friday.
    The plaintiffs insist that they have achieved success in
    their counseling efforts: they speak with prospective patients,
    elicit responses, and hand out literature. In some instances, they
    have persuaded women to decide against terminating pregnancies.
    McCullen estimates that, during the period between November 2007
    and May 2011, her sidewalk counseling convinced approximately
    eighty women to refrain from seeking abortions.
    -7-
    Despite their accomplishments, the plaintiffs argue that
    the buffer zones prevent close personal contact with their intended
    audience     and,    thus,    impede    their     ability     to   communicate
    effectively.        By way of illustration, Zarrella asserts that,
    although women "always" respond to her offers of enlightenment and
    assistance, she has not been able to convince any of them to opt
    out of an abortion since the 2007 buffer zones were put in place.
    2.    Worcester.     The Worcester clinic is situated in a
    stand-alone building at 470 Pleasant Street.           Its main entrance is
    accessible from Pleasant Street and also from a private parking lot
    behind the building.         The public sidewalk on Pleasant Street is
    nearly fifty-four feet from the main door and staggered metal
    fences shield the front of the building and the private pedestrian
    walkway that runs between these points.             Neither the fencing nor
    the walkway is on public property.           The entrance to the parking lot
    is   on   Dewey   Street   and   all   vehicular    traffic    must   use   that
    entrance.
    There are buffer zones marked with painted white arcs and
    posted signs on both Pleasant Street and Dewey Street.                More than
    eighty-five percent of all patients arrive by car, park in the
    clinic's lot, and walk directly to the main door (without setting
    foot on any public way).
    Two of the plaintiffs (Bashour and Clark) engage in
    sidewalk counseling at the Worcester clinic.             They try to divert
    -8-
    women to Problem Pregnancy, a "pro-life pregnancy crisis center"
    located across the street.             Bashour prays quietly outside the
    clinic, sometimes alone and sometimes with others.             For her part,
    Clark often displays a large pro-life sign.
    Here, too, the plaintiffs claim to have achieved some
    success in their counseling efforts.             They speak with patients,
    distribute literature, and persuade women to refrain from seeking
    abortions.       Notwithstanding these successes, the plaintiffs aver
    that the physical set-up renders their attempts to communicate
    "ineffective" by impeding their ability to view and approach
    individuals entering the front door, to make eye contact with
    patients, and to "demonstrate a caring demeanor."             As they recall
    it, virtually no patients who park in the clinic's private lot
    respond to their overtures or "make the effort" to venture outside
    the clinic's       premises.     The    buffer zones     preclude    them   from
    speaking at "a normal conversational distance" with, or placing
    literature near, the vast majority of patients entering the clinic.
    3.    Springfield.      The Springfield clinic is situated in
    a multi-tenant medical complex at the corner of Main Street and
    Wason Avenue.        The building contains at least eight separate
    medical offices.       It is bordered on two sides by private parking
    lots; a third side abuts another building; and the fourth side
    neighbors    an    open   expanse   that     contains   railroad    trackage.
    -9-
    Approximately ninety percent of individuals patronizing the complex
    arrive by car and park in one of the lots.
    There are five driveways leading to and from the complex,
    two of which have been painted with white arcs and posted to
    establish buffer zones: one on Main Street and one on Wason Avenue.
    The remaining three driveways have painted white arcs but no signs.
    They are not, therefore, buffer zones authorized by the Act.    See
    Mass. Gen. Laws ch. 266, § 120E 1/2(c) (requiring signage to
    demarcate buffer zones).    Consequently, they have no legal effect.
    A plaintiff (Shea) prays aloud and engages in sidewalk
    counseling outside the clinic. He habitually displays a large sign
    that reads "They're Killing Babies Here."     He laments that, from
    and after the creation of the buffer zones, he has not seen
    literature provided to anyone in a vehicle. He estimates that only
    five percent of those who arrive by car leave the clinic's parking
    lots either to accept pro-life literature or to investigate the
    possibility of counseling.
    II.   THE LAW OF THE CASE
    We start our appraisal of the merits with the plaintiffs'
    exhortation that we revisit McCullen I, in which we held that the
    Act, on its face, is a constitutionally valid time-place-manner
    regulation. See McCullen 
    I, 571 F.3d at 176-81
    . The district court
    found that the law of the case doctrine barred relitigation of this
    issue.   McCullen 
    II, 759 F. Supp. 2d at 136-41
    .   We agree.
    -10-
    The law of the case doctrine has two branches.               The
    first,   which   embodies   the   so-called   mandate     rule,   "prevents
    relitigation in the trial court of matters that were explicitly or
    implicitly decided by an earlier appellate decision in the same
    case."   United States v. Matthews, 
    643 F.3d 9
    , 13 (1st Cir. 2011)
    (internal quotation marks omitted).       The second "binds a successor
    appellate panel in a second appeal in the same case to honor fully
    the original decision."      
    Id. (internal quotation marks
    omitted).
    Both branches of the doctrine apply here.
    To be sure, the law of the case doctrine admits of
    certain exceptions.       But the circumstances giving rise to those
    exceptions are narrowly circumscribed:
    A party may avoid the application of the law
    of the case doctrine only by showing that, in
    the relevant time frame, controlling legal
    authority has changed dramatically; or by
    showing that significant new evidence, not
    earlier obtainable in the exercise of due
    diligence, has come to light; or by showing
    that the earlier decision is blatantly
    erroneous and, if uncorrected, will work a
    miscarriage of justice.
    
    Id. at 14 (internal
      quotation   marks   omitted).      Although   the
    plaintiffs allude in desultory fashion to the third exception,2
    2
    For example, the plaintiffs use the phrase "serious
    injustice" twice in their opening brief. This ipse dixit does not
    suffice, however, to put in play the third exception to the law of
    the case doctrine. See Ahmed v. Holder, 
    611 F.3d 90
    , 98 (1st Cir.
    2010) (explaining that "appellate arguments advanced in a
    perfunctory manner, unaccompanied by citations to relevant
    authority, are deemed waived"); United States v. Zannino, 
    895 F.2d 1
    , 17 (1st Cir. 1990) (similar).
    -11-
    they make no reference to the second exception and their only
    colorable claim concerns the first exception.
    The plaintiffs base their claim on recent decisions of
    the Supreme Court standing for the wholly unremarkable proposition
    that   content-based   and   speaker-based    speech    restrictions     are
    disfavored.   See, e.g., Sorrell v. IMS Health Inc., 
    131 S. Ct. 2653
    (2011); Snyder v. Phelps, 
    131 S. Ct. 1207
    (2011); Citizens United
    v. FEC, 
    130 S. Ct. 876
    (2010).           In their view, these neoteric
    decisions have so reconfigured the First Amendment landscape as to
    justify a departure from the law of the case. This impressionistic
    argument,   though   ingenious,   elevates    hope    over    reason.    The
    propositions for which the plaintiffs cite those cases are no more
    than conventional First Amendment principles recited by the Supreme
    Court in the context of factual scenarios far different than the
    scenario at issue here.
    The decision on which the plaintiffs rely most heavily —
    Citizens United — is emblematic of this point.               Citizens United
    overruled Austin v. Michigan Chamber of Commerce, 
    494 U.S. 652
    (1990), which had held that corporate entities, as opposed to other
    speakers, could be prohibited from engaging in political speech.
    Citizens 
    United, 130 S. Ct. at 886
    .        The plaintiffs contend that
    Citizens United announced, for the first time, a blanket ban on all
    speaker distinctions, whatever the setting.          This categorical ban,
    -12-
    they say, should serve to invalidate the Act as a speaker-specific
    restriction.
    This is an imprecise reading of Citizens United.        The
    Citizens United Court held that government cannot entirely prohibit
    corporate political speech.     
    Id. In support, it
    invoked the
    "central principle" laid out in First National Bank of Boston v.
    Bellotti, 
    435 U.S. 765
    (1978), to the effect "that the First
    Amendment does not allow political speech restrictions based on a
    speaker's corporate identity." Citizens 
    United, 130 S. Ct. at 903
    .
    The Act, of course, makes no such distinction.
    The plaintiffs, however, are undaunted.      They seize upon
    an isolated statement in Citizens United: "Prohibited, too, are
    restrictions distinguishing among different speakers, allowing
    speech by some but not others."      See 
    id. at 898. But
    they yank
    this statement from its context and they neglect to mention that
    the Court cites Bellotti — a case that substantially predates
    McCullen I — for this proposition.    See 
    id. at 898-99. The
    Court's
    reliance on Bellotti is not a mere fortuity.           After all, the
    Citizens United Court described its decision as a return to classic
    First Amendment jurisprudence rather than a departure therefrom.
    See 
    id. at 912. The
    Court did not retreat from its well-settled
    abortion clinic/buffer zone jurisprudence.     See, e.g., Hill, 
    530 U.S. 703
    ; Madsen v. Women's Health Ctr., Inc., 
    512 U.S. 753
    (1994).
    Seen in this light, we cannot read Citizens United as undermining
    -13-
    the First Amendment foundation on which our rejection of the
    plaintiffs' facial challenge rested.
    So, too, Snyder, in which the Court held that the First
    Amendment    precludes       tort    liability   against      persons   who    had
    peacefully protested, on public property, at the funeral of a
    Marine.    
    Snyder, 131 S. Ct. at 1213-14
    , 1220-21.               Once again, the
    Court did no more than apply long-recognized First Amendment
    principles.       And while it reiterated the special status of public
    streets as the "archetype of a traditional public forum," it
    proceeded    to    confirm    that    even    public   fora    are   subject    to
    reasonable time-place-manner regulations.3              
    Id. at 1218 (internal
    quotation marks omitted). It is especially telling that, in making
    this point, the Court referred specifically to the abortion clinic
    buffer zone that it had upheld in Madsen.              See 
    id. The plaintiffs' reliance
    on Sorrell is equally mislaid.
    The Sorrell Court invalidated a Vermont law that restricted the
    sale,    disclosure,    and    use    of   pharmacy    records    for   marketing
    purposes.    
    Sorrell, 131 S. Ct. at 2659
    .         The law, on its face, was
    content-based and speaker-based, and had been enacted with the
    avowed purpose of "diminsh[ing] the effectiveness of marketing by
    manufacturers of brand-name drugs."            
    Id. at 2662-63. 3
           This formulation is reminiscent of 
    Hill, 530 U.S. at 715
    , in
    which the Court recognized sidewalks and areas outside healthcare
    clinics as "'quintessential' public forums" while upholding a
    buffer zone that limited communicative activities within those
    areas.
    -14-
    The case before us could not be more different.           As we
    explained in McCullen 
    I, 571 F.3d at 175-78
    , the Act is both
    content-neutral and speaker-neutral.         Moreover, the legislature
    enacted it to serve a valid, non-speech-related purpose: public
    safety.   See 
    id. at 176. In
    a Rumpelstiltskin-like effort to turn straw into gold,
    the   plaintiffs   dismiss   these    important   differences   and   focus
    instead on the Sorrell Court's statement that "the inevitable
    effect of a statute on its face may render it unconstitutional."
    
    Sorrell, 131 S. Ct. at 2663
    (internal quotation marks omitted).
    But this hoary legal precept (with which we agree) is not novel.
    The "inevitable effect" language derives from the Court's decision
    in United States v. O'Brien, 
    391 U.S. 367
    , 384 (1968), which
    comfortably predates both our decision in McCullen I and the
    Supreme Court's abortion clinic/buffer zone jurisprudence.
    More to the point, the Sorrell precept is in no way
    inconsistent with our holding in McCullen I.            The "inevitable
    effect" of the Act is to limit the communicative activities of all
    demonstrators (whether pro-choice or pro-life) to exactly the same
    extent.
    The plaintiffs have also marshaled other recent Supreme
    Court cases in their ambitious effort to reinvent First Amendment
    doctrine.    See, e.g., United States v. Stevens, 
    130 S. Ct. 1577
    (2010).   It would serve no useful purpose to canvass these cases.
    -15-
    For present purposes, it suffices that these decisions, by no
    stretch of even the most fertile imagination, sully either the
    reasoning or the doctrinal infrastructure of McCullen I.
    The short of it is that the First Amendment principles
    underpinning    our    core   holdings     in   McCullen   I    have   not   been
    materially altered, let alone abrogated, by any subsequent Supreme
    Court precedent.       Accordingly, the district court did not err in
    declining the plaintiffs' invitation to set the law of the case
    doctrine to one side and revisit the plaintiffs' facial challenge
    to the Act.
    III.   JUDGMENT ON THE PLEADINGS
    The plaintiffs challenge the district court's entry of
    judgment on the pleadings on several fronts.             We review de novo an
    order granting or denying judgment on the pleadings.              Mass. Nurses
    Ass'n v. N. Adams Reg'l Hosp., 
    467 F.3d 27
    , 31 (1st Cir. 2006).                To
    withstand a motion for judgment on the pleadings, a "complaint must
    contain sufficient factual matter to state a claim to relief that
    is plausible on its face."         Grajales v. P.R. Ports Auth., 
    682 F.3d 40
    , 44 (1st Cir. 2012) (internal quotation marks omitted).
    A.   Viewpoint Discrimination.
    The plaintiffs' principal challenge to the entry of
    judgment on the pleadings relates to their claim of viewpoint
    discrimination.       They argue that Planned Parenthood employees and
    agents   have   abused      the   buffer   zones   and   that   this   activity
    -16-
    constitutes viewpoint discrimination under the First Amendment.
    The district court rejected this argument on the pleadings, holding
    that the plaintiffs had not alleged sufficient facts to support the
    claim.   See McCullen 
    II, 759 F. Supp. 2d at 143-44
    .
    In their complaint, the plaintiffs aver that "pro-choice
    advocates [] surround, cluster, yell, make noise, mumble, and/or
    talk loudly to clinic clients for the purpose of disrupting or
    drowning out pro-life speech and thwart Plaintiffs' efforts to
    distribute literature."    They further aver that clinic "employees
    and/or agents stand idly on the public sidewalks and streets inside
    the [buffer] zone" — sometimes smoking, speaking with each other or
    on mobile phones, or drinking coffee — "even when clinic clients
    are not present."
    Because this issue was resolved at the pleading stage, we
    assume arguendo that the raw facts are as the plaintiffs have
    alleged.    The question remains, however, whether the depicted
    conduct can fairly be characterized as viewpoint discrimination
    attributable to the state.    The plaintiffs say that it can.   The
    Attorney General demurs.
    We begin with the basics.     The Act, on its face, is
    viewpoint-neutral.    See McCullen 
    I, 571 F.3d at 178
    & n.2.
    Although it contains a "clinic employee" exemption, that exemption
    does not purport to allow either advocacy by an exempt person or
    interference by an exempt person with the advocacy of others.
    -17-
    The plaintiffs strive mightily to overcome this obstacle.
    They call our attention to the decision in Hoye v. City of Oakland,
    
    653 F.3d 835
    (9th Cir. 2011).         There, a municipal ordinance
    prohibited, within a 100-foot zone around entrances to RHCFs, any
    knowing or willful "approach within eight feet of an individual
    seeking entry to the clinic if one's purpose in approaching that
    person is to engage in conversation, protest, counseling, or
    various other forms of speech."    
    Id. at 839. The
    Ninth Circuit
    concluded that the ordinance was constitutional on its face but
    unconstitutional as applied.   
    Id. at 849, 856.
      It predicated this
    conclusion on a determination that the city did not evenly enforce
    the ordinance; rather, the city's actions manifested "a firm policy
    of enforcing the Ordinance . . . only [against] efforts to persuade
    women approaching [RHCFs] . . . not to receive abortions or other
    reproductive health services, and not [against] communications
    seeking to encourage entry into the clinic for the purpose of
    undergoing treatment."   
    Id. at 849-50 (emphasis
    in original).
    This case is at a considerable remove from Hoye.        The
    Hoye court's finding of uneven enforcement was inevitable in light
    of the city's frank admission that it consciously "enforces the
    Ordinance in a content-discriminatory manner."      
    Id. at 850. In
    -18-
    contrast, the plaintiffs here have not pleaded any facts that might
    suffice to ground a claim of uneven enforcement.4
    The conduct described, without more, has nothing to do
    with the First Amendment.   While loitering in a buffer zone by an
    exempt person is not expressive in nature and arguably does not
    serve the purposes of the Act, such conduct, simpliciter, does not
    prefer one viewpoint over another.5
    What is more, the employees and agents about whom the
    plaintiffs complain are not state actors but — unlike the municipal
    police officers in Hoye — are agents of a private entity (Planned
    Parenthood).   The Act allows these individuals to be in buffer
    zones under the clinic employee exemption.   But to the extent that
    they have tried to use their exempt status either to advocate a
    particular point of view or to drown out the plaintiffs' message,
    there is no allegation that such behavior has been sanctioned by
    the state.
    4
    The plaintiffs attempt to rely upon declarations and
    deposition testimony amplifying these allegations.        We add,
    however, that even if we were free to consider these extraneous
    materials, they would not suffice to make out a claim of viewpoint
    discrimination. Such extraneous materials are beyond the scope of
    appellate review of a judgment on the pleadings. See NEPSK, Inc.
    v. Town of Houlton, 
    283 F.3d 1
    , 8 (1st Cir. 2002); Int'l Paper Co.
    v. Town of Jay, 
    928 F.2d 480
    , 482 (1st Cir. 1991).
    5
    We say "arguably" because it may be necessary for escorts to
    spend idle time in the buffer zones in order to keep themselves
    available to assist incoming patients — a task consistent with the
    purpose of the exemption.
    -19-
    Another   point   is   worth     making.   If    the   plaintiffs
    believed themselves to be aggrieved by the employee/agent behavior
    that they describe, the commonsense remedy would have been to
    complain to police officers or other state authorities.                  The
    pleadings are barren of any allegation that such a complaint was
    ever made.
    The bottom line is that, to be cognizable, a claim of
    uneven enforcement requires state action. See McGuire 
    II, 386 F.3d at 60
      ("The   First   Amendment    is    concerned     with   government
    interference, not private jousting in the speech marketplace.").
    Whatever actions the clinic employees and agents may have taken,
    this record reveals no basis for a plausible claim that those
    actions reflect a viewpoint preference of the state.              See 
    id. at 59-60. B.
      Overbreadth.
    The plaintiffs assign error to the district court's entry
    of judgment on the pleadings with respect to their overbreadth
    claim.    Although they concede that we rejected a substantially
    similar overbreadth claim in McCullen 
    I, 571 F.3d at 181-82
    , they
    suggest that the Act may be overbroad in particular applications.
    Overbreadth doctrine invalidates statutes "not because
    [the plaintiffs'] own rights of free expression are violated, but
    because of a judicial prediction or assumption that the statute's
    very existence may cause others not before the court to refrain
    -20-
    from constitutionally protected speech or expression."                     
    Hill, 530 U.S. at 731-32
    (internal quotation marks omitted). But overbreadth
    must be both "real" and "substantial," as assessed "in relation to
    the statute's plainly legitimate sweep."                   
    Id. at 732 (internal
    quotation     marks   omitted).           "Where   an    overbreadth       attack   is
    successful,     the    statute       is    obviously      invalid     in     all    its
    applications, since every person to whom it is applied can defend
    on the basis of the same overbreadth."              Bd. of Trs. of State Univ.
    of N.Y. v. Fox, 
    492 U.S. 469
    , 483 (1989) (emphasis in original).
    Thus, the appropriate analysis "requires consideration of many more
    applications than those immediately before the court." 
    Id. at 485. In
    the case at hand, the parties spar over whether there
    is   such a    creature   as    an    as-applied        overbreadth    challenge.
    Compare, e.g., Farrell v. Burke, 
    449 F.3d 470
    , 498 (2d Cir. 2006)
    (asserting     that    "[a]ll        overbreadth        challenges     are     facial
    challenges"), with, e.g., Turchick v. United States, 
    561 F.2d 719
    ,
    721 n.3 (8th Cir. 1977) (suggesting the contrary).                     We need not
    grapple with this conundrum because, even if some overbreadth
    challenges may contain an as-applied component, this one does not.
    In explaining the district court's supposed error, the
    plaintiffs    repeat    their    complaint,        rejected    on     their    facial
    challenge, that all communicative activities (as opposed to, say,
    purely violent or aggressive activities) are banned within buffer
    zones. In attempting to convert this previously rejected challenge
    -21-
    into a viable as-applied challenge, they posit that McCullen I
    cannot control because it did not specifically conclude whether the
    Act is substantially overbroad at the Boston, Worcester, and
    Springfield locations.    Withal, they offer no accompanying factual
    allegations, other than pointing to what they identify as five
    buffer zones at the Springfield location.                As we already have
    explained, 
    see supra
    Part I(B)(3), only two enforceable buffer
    zones exist around the Springfield clinic.             Thus, our Springfield-
    directed analysis considers only those two zones.
    We   need   not        tarry.      Here,    as   in   Hill,   "the
    comprehensiveness of the statute is a virtue, not a vice, because
    it is evidence against there being a discriminatory governmental
    
    motive." 530 U.S. at 731
    .        The plaintiffs have not pleaded facts
    sufficient to suggest that our earlier holding in McCullen I does
    not control their present claim.              Accordingly, the claim fails
    under the plausibility standard.              It follows that the district
    court did not err in granting judgment on the pleadings on the
    overbreadth claim.
    C.    Other Claims.
    The plaintiffs attempt to resurrect a number of other
    claims that the district court laid to rest in its entry of
    judgment on the pleadings.           See McCullen 
    II, 759 F. Supp. 2d at 143-45
    .    There are two principal problems.
    -22-
    First,      the   plaintiffs       have      not   pleaded     an   adequate
    factual predicate.        In the absence of pleaded facts sufficient to
    distinguish the plaintiffs' as-applied challenge on these grounds
    from their failed facial challenge, the latter controls the former.
    See McGuire 
    II, 386 F.3d at 61-62
    ; Repub. Nat'l Comm. v. FEC, 
    698 F. Supp. 2d 150
    , 157 (D.D.C.), aff'd mem., 
    130 S. Ct. 3544
    (2010).
    Second, the plaintiffs do not pursue this battery of
    claims with developed argumentation or in any other meaningful way.
    We routinely have held, and today reaffirm, that theories presented
    on appeal in a perfunctory fashion are deemed abandoned.                             See,
    e.g., Ahmed v. Holder, 
    611 F.3d 90
    , 98 (1st Cir. 2010); United
    States v. Zannino, 
    895 F.2d 1
    , 17 (1st Cir. 1990).                     So it is here.
    IV.    THE AS-APPLIED CHALLENGE
    We   turn    next       to   the   red    meat     of   this   appeal:   the
    plaintiffs' as-applied challenge to the operation of the Act at the
    three specific RHCFs described above.                 The district court spurned
    this challenge; it concluded that because there are adequate
    alternative channels of communication open to the plaintiffs at
    each   location,     the      Act    comprises       a    valid     time-place-manner
    regulation.      McCullen 
    III, 844 F. Supp. 2d at 225
    .                 We review this
    conclusion de novo.           See Bose Corp. v. Consumers Union of U.S.,
    Inc., 
    466 U.S. 485
    , 508 n.27 (1984); Sullivan v. City of Augusta,
    
    511 F.3d 16
    , 24-25 (1st Cir. 2007).
    -23-
    With   respect    to   time-place-manner   regulations,     the
    Supreme Court has explained:
    [E]ven in a public forum the government may
    impose reasonable restrictions on the time,
    place, or manner of protected speech, provided
    the   restrictions   are   justified   without
    reference to the content of the regulated
    speech, that they are narrowly tailored to
    serve a significant governmental interest, and
    that they leave open ample alternative
    channels for communication of the information.
    Ward v. Rock Against Racism, 
    491 U.S. 781
    , 791 (1989) (internal
    quotation marks omitted); see Bl(a)ck Tea Soc'y v. City of Boston,
    
    378 F.3d 8
    , 12 (1st Cir. 2004).      The district court found that the
    issues of content neutrality and narrow tailoring were definitively
    resolved by McCullen I.     See McCullen 
    III, 844 F. Supp. 2d at 210
    ;
    see also McCullen 
    II, 759 F. Supp. 2d at 145
    .              The plaintiffs
    lament   that   this   approach   "improperly   narrowed    the   required
    constitutional analysis."
    We reject this lamentation.     The facts proffered by the
    plaintiffs in support of their as-applied challenge do not raise
    new or different issues but, rather, repeat in relevant part the
    same fact patterns envisioned in our adjudication of their failed
    facial challenge.      See, e.g., McCullen 
    I, 571 F.3d at 179-80
    .       It
    is black-letter law that a plaintiff cannot rewardingly prosecute
    an as-applied challenge to the constitutionality of a statute based
    on the same legal arguments and factual predicate that underpinned
    -24-
    an earlier (unsuccessful) facial challenge.         See In re Cao, 
    619 F.3d 410
    , 430 (5th Cir. 2010); McGuire 
    II, 386 F.3d at 61
    .
    The congruence between the plaintiffs' facial and as-
    applied challenges cannot be gainsaid.      The plaintiffs now attempt
    to raise precisely the same arguments about content neutrality and
    the significance of the governmental interest involved that were
    squarely raised (and squarely repulsed) in the course of their
    facial challenge.      See McCullen 
    I, 571 F.3d at 175-78
    .      The same
    can be said of the narrow tailoring inquiry.        See 
    id. at 178-80. In
    any event, to the extent that the as-applied challenge in this
    case implicates particularities of the three clinic locations,
    those particularities are swept into — and appropriately addressed
    by — the inquiry into the availability of adequate alternative
    means of communication.         See, e.g., 
    Hill, 530 U.S. at 725-30
    (blending these two analyses).
    This brings us to the pivotal question of whether the
    Act,   as   applied,   leaves   open   adequate   alternative   means   of
    communication.    Each of the plaintiffs engages in communicative
    activities outside one of the three designated RHCFs. According to
    the plaintiffs, these communicative activities are intended to
    influence individuals seeking or considering abortions as well as
    "those who approve or perform abortions."
    The plaintiffs vouchsafe that they prefer to communicate
    their message through up-close, gentle conversations, accompanied
    -25-
    by smiles and eye contact.          They insist that the buffer zones
    authorized by the Act force them to engage in shorter, louder, and
    less personal exchanges.        They fear that, without the ability to
    "make   eye    contact   and   demonstrate   a   caring   demeanor,"   their
    communications are ineffectual.        As they see it, the need to stop
    at the edge of the buffer zone is devastating; this restriction
    compels them to raise their voices, precludes them from handing
    literature to prospective patients in many instances, detracts from
    their message, and somehow makes them seem "untrustworthy."
    Notwithstanding the plaintiffs' importunings, the court
    below concluded that adequate alternative means of communication
    exist at all three sites.        See McCullen 
    III, 844 F. Supp. 2d at 225
    .    Our inquiry focuses on this set of conclusions.
    The record makes plain that communicative activities
    flourish at all three places.        To begin, the plaintiffs and their
    placards are visible to their intended audience.             Through their
    signs and demonstrations, the plaintiffs disseminate their message
    and elicit audience reactions.         Their voices are audible.        They
    have the option (which they sometimes have exercised) of using
    sound amplification equipment. When they and their cohorts deem it
    useful to do so, they congregate in groups outside a clinic, engage
    in spoken prayer, employ symbols (such as crucifixes and baby
    caskets), and wear evocative garments. They sometimes don costumes
    (dressing up as, say, the Grim Reaper).
    -26-
    To be sure, the Act curtails the plaintiffs' ability to
    carry   on    gentle    discussions         with   prospective   patients     at   a
    conversational distance, embellished with eye contact and smiles.
    But as long as a speaker has an opportunity to reach her intended
    audience, the Constitution does not ensure that she always will be
    able to employ her preferred method of communication. See McCullen
    
    I, 571 F.3d at 180
    (explaining that "the Constitution neither
    recognizes     nor     gives     special      protection   to    any    particular
    conversational distance"); see also Marcavage v. City of New York,
    
    689 F.3d 98
    , 107 (2d Cir. 2012) (explaining that alternative
    channels need not "be perfect substitutes" nor indulge a speaker's
    preference for particular modes of communication).                     In the last
    analysis,      "there     is      no    constitutional       requirement       that
    demonstrators be granted . . . particularized access" to their
    desired audience.       Bl(a)ck Tea 
    Soc'y, 378 F.3d at 14
    .              As long as
    adequate     alternative       means   of    communication   exist,     the   First
    Amendment is not infringed.
    Our inquiry into the adequacy of alternative means of
    communication is, of course, site-specific.                See, e.g., 
    Hill, 530 U.S. at 730
    .     At the Boston clinic, all prospective patients must
    traverse a public sidewalk to gain entry. Given this reality, many
    channels of communication remain available to the plaintiffs.
    Those alternative channels are adequate to offset the restrictions
    inherent in the buffer zones.
    -27-
    The    analysis   is    somewhat   different   with   respect   to
    Worcester and Springfield.         At these sites, it is not the buffer
    zones   that    constitute   the    main    impediment    to   communicative
    activity; instead, it is the prospective patients' unwillingness to
    venture off the clinics' private property.                Most prospective
    patients arrive by car, park in private lots, and use non-public
    walkways to enter the facility.        The fact that these patients are
    not readily accessible to the plaintiffs is more a function of the
    physical characteristics of the sites than of the operation of the
    Act.
    This is a critically important datum.           The law does not
    require that a patient run a public-sidewalk gauntlet before
    entering an abortion clinic.          That patients choose to stay on
    private property or not to stop their cars on approach is a matter
    of patient volition, not an invidious effect of the Act.              First
    Amendment rights do not guarantee to the plaintiffs (or anyone
    else, for that matter) an interested, attentive, and receptive
    audience, available at close-range.
    One additional observation seems appropriate.             In the
    context of abortion-related demonstrations, the Supreme Court has
    specifically recognized the interest of clinic patients both "in
    avoiding       unwanted   communication"       and   "pass[ing]      without
    obstruction."      See 
    Hill, 530 U.S. at 716-18
    (internal quotation
    marks omitted). Consistent with this interest, the First Amendment
    -28-
    does not compel prospective patients seeking to enter an abortion
    clinic to make any special effort to expose themselves to the
    cacophony of political protests.         See 
    id. at 716. Nor
    does it
    guarantee to the plaintiffs the same quantum of communication that
    would exist in the total absence of regulation.       A diminution in
    the amount of speech, in and of itself, does not translate into
    unconstitutionality.    
    Sullivan, 511 F.3d at 44
    .           So long as
    adequate alternative means of communication exist, no more is
    constitutionally exigible.
    We add a coda.      Even if the plaintiffs' audience is
    diminished in some respects by the existence of the buffer zones,
    that diminution is not constitutionally fatal.        The fact that a
    regulation "may reduce to some degree the potential audience for
    [the plaintiffs'] speech is of no consequence," as long as adequate
    alternative means of communication exist.       
    Ward, 491 U.S. at 802
    .
    In an effort to change the trajectory of the debate, the
    plaintiffs tout the Supreme Court's decision in City of Ladue v.
    Gilleo, 
    512 U.S. 43
    (1994).   That decision is inapposite here.
    Gilleo involved a municipal ordinance that broadly banned
    residential signs.   
    Id. at 45. Analyzing
    the ordinance as a time-
    place-manner regulation, the Court assumed the validity of the
    city's content-neutral justification and acknowledged its valid
    governmental interest in limiting "visual clutter."        
    Id. at 53-54. But
    the Court took account of the peculiar characteristics of home-
    -29-
    lawn signs and the "special respect for individual liberty in the
    home" and    concluded    that   the   ordinance   failed to   leave       open
    adequate alternative means of communication.            
    Id. at 56-58. Of
    particular pertinence for present purposes, the Court explicitly
    contrasted the home-lawn sign context with "the government's need
    to mediate among various competing uses, including expressive ones,
    for public streets."      
    Id. at 58. The
    case at hand falls solidly
    within the latter context and, thus, outside Gilleo's precedential
    sweep.
    One further point must be made.        The decision in Gilleo
    predates the Court's abortion clinic/buffer zone line of cases.
    See, e.g., Hill, 
    530 U.S. 703
    ; Schenck v. Pro-Choice Network of W.
    N.Y., 
    519 U.S. 357
    (1997); Madsen, 
    512 U.S. 753
    .               The Court's
    majority in these cases never even mentions Gilleo.          It would make
    no sense to wrest Gilleo from its contextual moorings and use it as
    a wedge to subvert the Court's later decisions addressed to the
    much different problem of how the First Amendment operates when the
    special   concerns   of   public-sidewalk     protests    around     abortion
    clinics are at stake.
    We summarize succinctly.       On this record, it is readily
    apparent that, notwithstanding the buffer zones authorized by the
    Act,   adequate   communicative    channels    remain    available    to   the
    plaintiffs, including oral speech of varying degrees of volume and
    amplification, distribution of literature, displays of signage and
    -30-
    symbols, wearing of evocative garments and costumes, and prayer
    alone and in groups.        The Act is, therefore, a valid time-place-
    manner   regulation    as    applied   to   the      Boston,    Worcester,    and
    Springfield RHCFs.
    V.    LEAVE TO AMEND
    In a last-ditch effort to save the day, the plaintiffs
    asseverate that the district court erred in denying them leave to
    amend their complaint to include a direct challenge to the Attorney
    General's letter.      We review for abuse of discretion a district
    court's denial of a motion to amend a complaint.                Hatch v. Dep't
    for Children, Youth & Their Families, 
    274 F.3d 12
    , 19 (1st Cir.
    2001).   As a general proposition, a denial of a motion for leave to
    amend "will be upheld so long as the record evinces an arguably
    adequate basis for the court's decision," such as "futility, bad
    faith, undue delay, or a dilatory motive on the movant's part."
    
    Id. The order challenged
    in this case falls within the rubric
    of undue delay.     The district court took a balanced approach.               It
    allowed the plaintiffs to make amendments at the margins of their
    complaint (for example, the addition of the three district attorney
    defendants,   
    see supra
       note   1),   but   it    refused    to   allow   the
    plaintiffs to introduce a new theme at so late a date.
    The plaintiffs' original complaint focused exclusively on
    the Act. The Attorney General issued the guidance letter within two
    -31-
    weeks of the filing of the complaint, yet the plaintiffs chose to
    ignore it.6     Not until September 17, 2010 did the plaintiffs seek
    to enlarge their target to include the Attorney General's letter.
    That was more than two-and-one-half years after the docketing of
    their     original     complaint.      They   have   offered    no   compelling
    explanation for the delay.           Given the passage of this inordinate
    period of time, we cannot say that the district court abused its
    discretion in drawing the line and refusing to allow the plaintiffs
    to refocus their attack.           See, e.g., Villanueva v. United States,
    
    662 F.3d 124
    , 127 (1st Cir. 2011) (per curiam); Kay v. N.H. Dem.
    Party,    
    821 F.2d 31
    ,   34   (1st   Cir.   1987)   (per   curiam).    The
    plaintiffs had ample time to get their ducks in a row, and the
    district court was under no obligation to give them more.
    VI.   CONCLUSION
    We need go no further. For the reasons elucidated above,
    we affirm the judgment of the district court.
    Affirmed.
    6
    This course of conduct hardly can be deemed an oversight.
    After all, the McGuire family of cases contained a failed as-
    applied challenge to an earlier (but similar) version of the
    Attorney General's letter. See McGuire 
    II, 386 F.3d at 48
    , 52, 64.
    -32-