Daniel P. Lopez, M.D., et al. v. Clinical Sierra Vista, et al.

District Court, E.D. California·Decided December 9, 2025·No. 1:24-cv-01596·Unknown

Opinion

DANIEL P. LOPEZ, M.D., et al., Case No. 1:24-cv-01596-KES-CDB

Plaintiffs, ORDER GRANTING PLAINTIFFS’ UNOPPOSED MOTION FOR LEAVE TO v. FILE SECOND AMENDED COMPLAINT

CLINICAL SIERRA VISTA, et al., (Doc. 42)

Defendants. 7-DAY DEADLINE

Pending before the Court is the unopposed motion of Plaintiff-Relator Daniel P. Lopez, M.D. (“Plaintiff” or “Plaintiff-Relator”) for leave to file a second amended complaint (“SAC”) and proposed SAC attached thereto, filed on November 10, 2025. (Doc. 42). On November 24, 2025, Defendants Clinica Sierra Vista (“CSV”), Olga Meave, M.D., and Irving Ayala-Rodriguez, M.D. (collectively, “CSV Defendants”) filed a response to Plaintiffs’ motion representing that CSV Defendants take no position on the motion and will address any jurisdictional challenges in a motion to dismiss under Rule 12 rather than in the context of Plaintiff’s motion for leave to amend. (Doc. 44). The Court deemed the motion submitted without a hearing or oral argument. (Doc. 43). Relevant Background Plaintiff initiated this qui tam action with the filing of a sealed complaint on December 30, 2024. (Doc. 1). On June 25, 2025, the Court ordered the complaint be unsealed and served upon complaint. (Doc. 13). On October 3, 2025, the Court (1) granted the parties’ third stipulated request to extend time for CSV Defendants to file a responsive pleading. (Doc. 37). On October 14, 2025, Plaintiff filed a notice of voluntary dismissal without prejudice as to Defendants Bakersfield Memorial Hospital and Dignity Health, and those Defendants were terminated as parties in this case by operation of law pursuant to Federal Rule of Civil Procedure 41(a)(1)(A)(i). (Docs. 40, 41). On November 10, 2025, Plaintiff filed the pending unopposed motion to amend. (Doc. 42). Therein, Plaintiff asserts that the proposed SAC clarifies factual allegations, streamlines the parties and causes of action, and conforms the pleading to newly discovered information. Id. at 2. Plaintiff asserts that the SAC eliminates Bakersfield Memorial Hospital and Dignity Health as defendants, leaving only CSV Defendants as the named defendants, and clarifies that Counts I and II are against CSV only, and not against individual Defendants Dr. Meave or Dr. Ayala-Rodriguez. Id. The SAC removes a claim for retaliation (EMTALA, formerly Count V) and renumbers the claims accordingly. Id. The SAC, among other things, clarifies Plaintiff’s allegations as to his EMTALA claim, CSV’s involvement, and Plaintiff’s reasonable beliefs, and includes new allegations such as to the corporate structure of Bakersfield Memorial Hospital. Id. at 3. Plaintiff asserts the proposed SAC is filed in good faith, is timely, will not cause undue prejudice to Defendants or the added parties, and is clearly not futile. Id. at 5. A copy of the proposed SAC is attached to the motion as Exhibit 1 (“Ex. 1”). See id. at 9-47. Governing Law Rule 15 permits a plaintiff to amend the complaint once as a matter of course no later than 21 days after service of the complaint or 21 days after service of a responsive pleading or motion to dismiss, whichever is earlier. See Fed. R. Civ. P. 15(a)(1). After such time has passed or plaintiff has once amended their complaint, amendment may only be by leave of the court or by written consent of the adverse parties. Fed. R. Civ. P. 15(a)(2). “Rule 15(a) is very liberal” and a court should freely give leave to amend when “justice so requires.” AmerisourceBergen Corp. v. Dialysist West, Inc., 465 F.3d 946, 951 (9th Cir. 2006); see Chodos v. W. Publ. Co., 292 F.3d 992, 1003 (9th Cir. 2002) (“it is generally our policy to permit amendment with ‘extreme liberality’”) (quoting Morongo Band of Mission Indians v. Rose, 893 F.2d 1074, 1079 (9th Cir.1990)). Granting or denying leave to amend a complaint under Rule 15 is within the discretion of the court. Swanson v. United States Forest Service, 87 F.3d 339, 343 (9th Cir. 1996). “In exercising this discretion, a court must be guided by the underlying purpose of Rule 15 to facilitate decision on the merits, rather than on the pleadings or technicalities.” United States v. Webb, 655 F.2d 977, 979 (9th Cir, 1981); Chudacoff v. Univ. Med. Ctr., 649 F.3d 1143, 1152 (9th Cir. 2011) (“refusing Chudacoff leave to amend a technical pleading error, albeit one he should have noticed earlier, would run contrary to Rule 15(a)’s intent.”). A court ordinarily considers five factors in assessing whether to grant leave to amend: “(1) bad faith; (2) undue delay; (3) prejudice to the opposing party; (4) futility of amendment; and (5) whether the plaintiff has previously amended its complaint.” Western Shoshone Nat’l Council v. Molini, 951 F.2d 200, 204 (9th Cir. 1991). The factors are not weighed equally. Bonin v. Calderon, 59 F.3d 815, 845 (9th Cir. 1995); see Atkins v. Astrue, No. C 10–0180 PJH, 2011 WL 1335607, at *3 (N.D. Cal. Apr. 7, 2011) (the five factors “need not all be considered in each case”). Undue delay, “by itself … is insufficient to justify denying a motion to amend.” Bowles v. Reade, 198 F.3d 752, 758 (9th Cir. 1999). On the other hand, futility of amendment and prejudice to the opposing party can, by themselves, justify the denial of a motion for leave to amend. Bonin, 59 F.3d at 845; see Eminence Capital, LLC v. Aspeon, Inc., 316 F.3d 1048, 1052 (9th Cir. 2003) (the consideration of prejudice to the opposing party carries the greatest weight). In conducting this five-factor analysis, the court generally grants all inferences in favor of permitting amendment. Griggs v. Pace Am. Group, Inc., 170 F.3d 877, 880 (9th Cir. 1999). Moreover, the court must be mindful that, for each of these factors, the party opposing amendment has the burden of showing that amendment is not warranted. DCD Programs, Ltd. v. Leighton, 833 F.2d 183, 187 (9th Cir. 1987). Discussion The Court addresses the relevant factors set forth in Western Shoshone Nat’l Council v. A. Bad Faith A motion to amend is made in bad faith where there is “evidence in the record which would indicate a wrongful motive” on the part of the litigant requesting leave to amend. DCD Programs, 833 F.2d at 187; Wizards of the Coast LLC v. Cryptozoic Entm’t LLC, 309 F.R.D. 645, 651 (W.D. Wash. 2015) (“In the context of a motion for leave to amend, ‘bad faith’ means acting with intent to deceive, harass, mislead, delay, or disrupt.”) (citing Leon v. IDX Sys. Corp., 464 F.3d 951, 961 (9th Cir. 2006)). Here, there is no information before the Court suggesting bad faith on the part of Plaintiff in seeking leave to amend. That CSV Defendants do not oppose amendment confirms the absence of bad faith on the part of Plaintiff. Accordingly, this factor weighs in favor of amendment. B. Undue Delay By itself, a showing of undue delay is insufficient to deny leave to amend pleadings. Howey v. United States,

Daniel P. Lopez, M.D., et al. v. Clinical Sierra Vista, et al., (E.D. Cal. 2025).

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