Antitrust rules for state boards
North Carolina State Board of Dental Examiners v. Federal Trade Commission
In brief
The Supreme Court upheld the ruling: the board could not claim a federal antitrust shield for its conduct without state oversight, which it lacked.
- Where it stands
- Decided
Decided 6-3 · February 25, 2015 · Opinion by Justice Kennedy
- What it’s about
- The Federal Trade Commission challenged the North Carolina dental board’s regulation of competing teeth-whitening providers, and the board claimed a shield from federal antitrust law because it was a state agency.
- Who it affects
- The board could not use the federal antitrust-law shield for the challenged regulation because the state had not actively supervised it.
Summary: written with AI from the case record.

What it's about
The Supreme Court agreed with the lower court: because practicing dentists controlled the board, it needed active state oversight to claim that shield, and it lacked that oversight.
The dental board was a state regulator whose members included people working in the profession it regulated.
Question presented
Is an official state regulatory board whose members are mostly market participants that are elected by other market participants a "private actor" for purposes of federal antitrust laws?
What the Court decided
Holding
Because a controlling number of the Board’s decisionmakers are active market participants in the occupation the Board regulates, the Board can invoke state-action antitrust immunity only if it was subject to active supervision by the State, and here that requirement is not met. 717 F. 3d 359, affirmed.
- Result
- Affirmed
The Court's reasoning
The Court said a board controlled by people active in the field it regulates needs active state supervision to claim a federal antitrust shield. It found North Carolina had not provided that oversight.
The vote
From the opinions
“There is nothing new about the structure of the North Carolina Board.”
What's next
The Supreme Court’s review is complete, and the Fourth Circuit’s ruling remains in place.
Documents
Opinions
Docket activity
New analysis added
AI analysis generated: Impact Analysis
AI analysis generated: Opinion Summary
New analysis added
AI analysis generated: Case Briefing
Show 4 moreShow fewer
AI analysis generated: Decision Record
Case data updated: summary, question_presented, generation_metadata
Case data updated: question_presented, extraction_metadata
Opinion added: Dental Examiners
More questions
- Who elected the board members?
- Other market participants elected them.
Sources
Primary materials plus reporting. Best-effort analysis: this explainer relies on a mix of primary materials and trusted secondary sources. Official filings and opinions remain authoritative.