Collins v. Ascension Via Christi Hospitals, Inc.

District Court, D. Kansas·Decided May 9, 2023·No. 6:22-cv-01223·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS

ROBIN COLLINS, individually, and as parent and next friend of B.C.,

Plaintiff, Case No. 22-CV-1223-JAR-RES v.

ASCENSION VIA CHRISTI HOSPITALS, INC., and ASCENSION MEDICAL GROUP VIA CHRISTI, P.A.,

Defendants.

MEMORANDUM AND ORDER Plaintiff Robin Collins, individually and as parent and next friend of B.C., filed suit against Defendants Ascension Via Christi Hospitals, Inc. and Ascension Medical Group Via Christi, P.A. (collectively “Defendants”). She asserts that Defendants refused to provide her and her daughter with medical services because Plaintiff was unable to wear a mask when visiting Defendants’ facilities. She brings three claims: (1) a violation of § 504 of the Rehabilitation Act,1 (2) a violation of § 1557 of the Affordable Care Act,2 and (3) a claim under the Kansas Consumer Protection Act (“KCPA”).3 Before the Court is Defendants’ Motion to Dismiss (Doc. 36), contending that Defendants offered Plaintiff reasonable accommodations, but she rejected them, and thus Plaintiff fails to state a Rehabilitation Act or Affordable Care Act claim. They also assert that Plaintiff’s KCPA claim fails because she fails to meet the applicable heightened pleading

1 29 U.S.C. § 794. 2 42 U.S.C. § 18116. 3 K.S.A. § 50-623, et seq. standard, fails to adequately plead a deceptive act, and fails to allege facts that she was “aggrieved” by Defendants’ conduct. For the reasons stated in detail below, the Court grants in part and denies in part Defendants’ motion. I. Legal Standard To survive a motion to dismiss brought under Fed. R. Civ. P. 12(b)(6), a complaint must

contain factual allegations that, assumed to be true, “raise a right to relief above the speculative level”4 and must include “enough facts to state a claim for relief that is plausible on its face.”5 Under this standard, “the complaint must give the court reason to believe that this plaintiff has a reasonable likelihood of mustering factual support for these claims.”6 The plausibility standard does not require a showing of probability that “a defendant has acted unlawfully,” but requires more than “a sheer possibility.”7 “[M]ere ‘labels and conclusions,’ and ‘a formulaic recitation of the elements of a cause of action’ will not suffice; a plaintiff must offer specific factual allegations to support each claim.”8 Finally, the court must accept the nonmoving party’s factual allegations as true and may not dismiss on the ground that it appears unlikely the allegations can be proven.9

The Supreme Court has explained the analysis as a two-step process. For the purposes of a motion to dismiss, the court “must take all the factual allegations in the complaint as true, [but

4 Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007) (citing 5C Charles Alan Wright & Arthur R. Miller, Federal Practice and Procedure § 1216, at 235–36 (3d ed. 2004)). 5 Id. at 570. 6 Ridge at Red Hawk, L.L.C. v. Schneider, 493 F.3d 1174, 1177 (10th Cir. 2007). 7 Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citing Twombly, 550 U.S. at 556). 8 Kan. Penn Gaming, LLC v. Collins, 656 F.3d 1210, 1214 (10th Cir. 2011) (quoting Twombly, 550 U.S. at 555). 9 Iqbal, 556 U.S. at 678 (citing Twombly, 550 U.S. at 555). is] ‘not bound to accept as true a legal conclusion couched as a factual allegation.’”10 Thus, the court must first determine if the allegations are factual and entitled to an assumption of truth, or merely legal conclusions that are not entitled to an assumption of truth.11 Second, the court must determine whether the factual allegations, when assumed true, “plausibly give rise to an entitlement to relief.”12 “A claim has facial plausibility when the plaintiff pleads factual content

that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.”13 II. Factual and Procedural Background14 Plaintiff Collins is a resident of Kansas, and she is the mother of B.C. Defendant Ascension Via Christi Hospitals, Inc. (“Hospital)” is a hospital in Wichita, Kansas, and Defendant Ascension Medical Group Via Christi, P.A. (“Medical Group”) is a medical office in Wichita. Defendants primarily offer medical services to the general public. Plaintiff suffers from severe anxiety and post-traumatic stress disorder (“PTSD”), brought on by abuse and trauma. She is unable to think, focus, or communicate when her

anxiety or PTSD is active. Prior to the COVID-19 pandemic, she went to Defendants’ facilities. Beginning in April 2020, Defendants began refusing Plaintiff and her child, B.C., services because Plaintiff was unable to wear a mask or loose-fitting garment around her face.

10 Id. (quoting Twombly, 550 U.S. at 555). 11 Id. at 678–79. 12 Id. at 679. 13 Id. at 678 (citing Twombly, 550 U.S. at 556). 14 The facts are taken from Plaintiff’s Amended Complaint filed on December 16, 2022. Plaintiff also attached three exhibits and references those exhibits throughout her complaint. Pursuant to Fed. R. Civ. P. 10(c), “[a] copy of a written instrument that is an exhibit to a pleading is a part of the pleading for all purposes.” In addition, on a motion to dismiss, the Court “may consider documents referred to in the complaint if the documents are central to the plaintiff’s claim and the parties do not dispute the documents’ authenticity.” Waller v. City & Cnty. of Denver, 932 F.3d 1277, 1282 (10th Cir. 2019) (quoting Jacobsen v. Deseret Book Co., 287 F.3d 936, 941 (10th Cir. 2002)). Plaintiff contends that the requirement to cover her nose and mouth with a mask, or a loose- fitting garment, exacerbates her anxiety and PTSD. She made Defendants aware of her disability and her need for reasonable accommodations and that she be excused from the mask mandate. On October 12 and 13, 2020, Defendants’ staff yelled at Plaintiff and harassed her because she would not wear a mask. Upon arrival at the Hospital, Defendants’ staff told Plaintiff

that she had to sit and wait in her car to be allowed to enter the building because she could not wear a mask. When Defendants called Plaintiff into the building, they separated her from other patients in the waiting room and provided her a face shield to wear. Plaintiff tried to comply with wearing the shield, but it triggered her anxiety and PTSD. When she attempted to remove it, Defendants badgered her. Eventually Hospital staff took Collins back to a room but continued to ask her to wear the face shield. Plaintiff could not remain in the Hospital, and she left. On October 16, 2020, Plaintiff received an exemption letter for wearing a mask from her treating physician. On November 18, 2020, the Medical Group sent Plaintiff a letter claiming that the Medical Group adhered to the Centers for Disease Control (“CDC”) Universal Masking

Guidelines.

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Collins v. Ascension Via Christi Hospitals, Inc., (D. Kan. 2023).

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