## Facts

- In 2009, the City of Baltimore enacted an ordinance requiring pregnancy-related organizations that did not provide birth-control or abortion services to post a sign in the waiting room stating that those services were not offered.
- The ordinance applied to a category often described as “limited-service pregnancy centers,” which provide pregnancy-related counseling or services but do not offer or refer for abortion or some contraception.
- Greater Baltimore Center for Pregnancy Concerns, Inc., a Catholic organization, offered free pregnancy testing, counseling, and material assistance, and did not provide birth-control or abortion services because of religious beliefs.
- After the ordinance’s enactment, the Center filed suit against the Mayor and City Council of Baltimore and related city officials responsible for enforcement.
- The Center alleged that requiring it to display the City’s message in its waiting room forced it to speak in violation of the First Amendment’s Free Speech Clause.
- The City defended the ordinance as a disclosure requirement aimed at preventing confusion or deception about what services were available at certain pregnancy-related facilities.
- The case proceeded on the merits, with the Center seeking declaratory and injunctive relief and the parties presenting the dispute for judicial resolution.

## Issues

1. Whether Baltimore’s ordinance requiring a waiting-room sign stating that abortion and birth-control services were not offered unconstitutionally compelled speech in violation of the First Amendment.
2. Whether the ordinance was a content-based and speaker-targeted regulation of speech that triggered heightened constitutional scrutiny.
3. Whether the City’s asserted interests in preventing deception and protecting the public could justify the compelled disclosure as written and applied.

## Decision

- The U.S. District Court for the District of Maryland held that the ordinance violated the First Amendment’s Free Speech Clause.
- The court granted summary judgment for the Center and issued declaratory and injunctive relief barring enforcement of the sign requirement against the plaintiff.
- The court treated the required waiting-room notice as compelled speech imposed on a noncommercial, ideologically and religiously oriented speaker, rather than as a routine regulation of commercial advertising.
- The court concluded that the ordinance operated as a content-based requirement focused on abortion and contraception and imposed the disclosure only on a defined set of pregnancy-related speakers.
- Applying heightened scrutiny, the court determined that the City had not shown that the mandated notice, imposed in the waiting-room setting, was sufficiently justified and narrowly tailored to the City’s stated objectives.
- The court noted that the City could address misleading advertising or confusion through more targeted measures, rather than forcing the Center to post a government-authored message in its own facility.

## Legal Principles

- The First Amendment restricts government from compelling private speakers to convey a government-scripted message, especially when the compelled message is tied to contested public issues.
- Laws that single out speech based on its subject matter, or single out a defined class of speakers for special speech burdens, are generally subject to demanding judicial review.
- A compelled disclosure is more likely to be upheld when it is part of a neutral, generally applicable consumer-protection scheme directed at commercial advertising; compelled speech imposed on noncommercial, advocacy-oriented speakers receives stronger protection.
- Even where government asserts interests in preventing deception or confusion, compelled-speech mandates must be narrowly drawn and supported by a record showing that the chosen approach fits the problem addressed.
- Courts consider whether less speech-restrictive tools—such as enforcing false-advertising laws or using government speech to inform the public—could achieve the government’s aims without forcing private speakers to carry the government’s message.

## Conclusion

O’Brien v. Mayor and City Council of Baltimore held that Baltimore’s ordinance requiring certain pregnancy-related organizations to post a waiting-room sign disclosing they did not offer abortion or birth-control services was unconstitutional compelled speech, and the district court granted the plaintiff Center declaratory and injunctive relief preventing enforcement of the sign requirement.


O'Brien v. Mayor and City Council of Baltimore, 768 F. Supp. 2d 804 (2011)