Elia Ramirez v. Trusper, Inc.

District Court, N.D. California·Decided August 13, 2026·No. 5:24-cv-02012·Unknown

Opinion

ELIA RAMIREZ, Case No. 5:24-cv-02012-EJD

Plaintiff, ORDER GRANTING IN PART AND DENYING IN PART MOTION TO v. DISMISS

Re: Dkt. No. 55 Defendant.

Plaintiff Elia Ramirez (“Ramirez”) brings individual and class action claims against Defendant, a telehealth company known as Trusper, Inc., d/b/a Musely (“Musely”), alleging that Musely embedded surveillance software known as the “Facebook Pixel” and “TikTok Pixel” into its website, which allowed Meta and TikTok to intercept users’ personally identifiable and protected health information in violation of various California privacy laws. First Am. Compl. (“FAC”), ECF No. 49. Before the Court is Musely’s motion to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6). Mot., ECF No 55. This motion is fully briefed. Opp’n, ECF No. 60; Reply, ECF No. 62. After carefully reviewing the relevant documents, the Court finds this motion suitable for decision without oral argument pursuant to Local Rule 7-1(b). For the reasons explained below, the Court GRANTS IN PART and DENIES IN PART Musely’s motion to dismiss. As the Court detailed in its prior order denying Musely’s motion to compel arbitration, ECF No. 25, Ramirez alleges that Musely disclosed its users’ confidential medical information to Meta and TikTok for advertising purposes by embedding the Facebook Pixel and TikTok Pixel on its website. See FAC. The Facebook Pixel and TikTok Pixel are pieces of JavaScript-based code that advertisers can install on their websites. Id. ¶¶ 66, 68. When a Facebook or TikTok user accesses the advertiser’s website, the codes cause the user’s internet browser to send information about their actions on the website to Meta and TikTok. Id. Meta and TikTok then use that data to identify the user and provide insights to the advertiser about its audience. Id. Musely is a nationwide telehealth services website that connects customers searching for prescription skin condition treatments to doctors. Id. ¶¶ 20–22. Ramirez alleges that she went to Musely’s website in or around August 2023 to purchase a prescription skin care treatment. Id. ¶ 5. Unbeknownst to her, Ramirez alleges that Musely had installed the Facebook Pixel on its website, and the personal information she submitted to receive a prescription was secretly sent to Meta without her consent. Id. ¶ 7. “To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). A plaintiff must “plead[] factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged,” which requires “more than a sheer possibility that a defendant has acted unlawfully.” Id. The Court must “accept factual allegations in the complaint as true and construe the pleadings in the light most favorable to the nonmoving party.” Manzarek v. St. Paul Fire & Marine Ins. Co., 519 F.3d 1025, 1031 (9th Cir. 2008). However, courts “are not bound to accept as true a legal conclusion couched as a factual allegation.” Ashcroft, 556 U.S. at 678. If the court concludes that a Rule 12(b)(6) motion should be granted, the “court should grant leave to amend even if no request to amend the pleading was made, unless it determines that the pleading could not possibly be cured by the allegation of other facts.” Lopez v. Smith, 203 F.3d 1122, 1127 (9th Cir. 2000) (en banc) (quotation omitted). III. DISCUSSION This case is not the first of its kind. The Court has issued several recent orders in cases alleging substantially similar CIPA, ECPA, CMIA, and California Constitution privacy claims— filed by largely the same counsel—arising out of the presence of LinkedIn’s Insight Tag and Meta’s Facebook Pixel on health-related websites. See, e.g., Doe, et al. v. LinkedIn Corp., No. 5:25-CV-03737-EJD, 2026 WL 2199526, at *1 (N.D. Cal. July 30, 2026); J.S. v. Spring Fertility Holdings, LLC, No. 5:24-CV-07374-EJD, 2026 WL 1483490, at *1 (N.D. Cal. May 27, 2026); L.B. v. LinkedIn Corp., Case No. 5:24-CV-06832-EJD, 2025 WL 2899514 (N.D. Cal. Oct. 10, 2025). The Court’s analysis below applies those same principles to the facts of this case. The Court will address in turn the threshold issues of consent and intent before examining Ramirez’s CIPA, CMIA, ECPA, and California Constitution claims. A. Consent Consent is a defense to each of Ramirez’s claims. See Calhoun v. Google LLC, 526 F. Supp. 3d 605, 619 (N.D. Cal. 2021) (collecting cases). Musely argues that Ramirez consented to the sharing of her data, including health-related information, through the Privacy Policy hyperlinked on the homepage of Musely’s website. Mot. 15. For a defendant to show consent through disclosures, the disclosures must “explicitly notify” users of the practice at issue and must have only one plausible interpretation. In re Facebook, Inc., Consumer Priv. User Profile Litig., 402 F. Supp. 3d 767, 794 (N.D. Cal. 2019); see also In re Google Location Hist. Litig., 428 F. Supp. 3d 185, 190 (N.D. Cal. 2019) (“Consent is only effective if the person alleging harm consented to ‘the particular conduct, or to substantially the same conduct’ and if the alleged tortfeasor did not exceed the scope of that consent.”). While there may be “subtle differences” among consent doctrines, “the question under [each] is essentially the same: Would a reasonable user who viewed [the defendant’s] disclosures have understood that [it] was collecting [the information at issue]?” Perkins v. LinkedIn Corp., 53 F. Supp. 3d 1190, 1212 (N.D. Cal. 2014); see also In re Google Inc., No. 13-MD-02430-LHK, 2013 WL 5423918, at *12 (N.D. Cal. Sept. 26, 2013) (“[C]onsent is not an all-or-nothing proposition.”). The parties spend a great deal of time in their pleadings disputing whether Ramirez had sufficient notice of the Privacy Policy, and whether the Court should grant Musely’s request to take judicial notice of a screenshot depicting what appears to be Muley’s Sign Up page.1 However, the Court finds it unnecessary to engage in that analysis at this time. Even if Ramirez had sufficient notice of the Privacy Policy, Musely has not established as a matter of law that the Privacy Policy disclosed Musely would send users’ health information to third parties such as Meta and TikTok. Musely’s motion presents the following argument, in its totality, regarding the disclosures in the Privacy Policy:

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Elia Ramirez v. Trusper, Inc., (N.D. Cal. 2026).

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