Ellison v. Inova Health System Foundation

CourtDistrict Court, E.D. Virginia
DecidedApril 15, 2024
Docket1:23-cv-00132
StatusUnknown

This text of Ellison v. Inova Health System Foundation (Ellison v. Inova Health System Foundation) is published on Counsel Stack Legal Research, covering District Court, E.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ellison v. Inova Health System Foundation, (E.D. Va. 2024).

Opinion

UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA Alexandria Division

MICHAEL ELLISON, et al., Plaintiffs,

v. No. 1:23-cv-00132 (MSN/LRV)

INOVA HEALTH CARE SERVICES, et al., Defendants.

MEMORANDUM OPINION

This matter comes before the Court on Defendants Inova Health System Foundation and Inova Health Care Services’ (collectively “Inova”) Motion for Summary Judgment (ECF 117) and Plaintiffs’ Motion for Partial Summary Judgment (ECF 120). I. BACKGROUND1 This case involves a hospital’s efforts to respond to the COVID-19 pandemic and how those efforts allegedly impacted its employees’ exercise of their religious beliefs. During the pandemic, Inova added the COVID-19 vaccine to its Immunization Program Policy (“IPP”) as a required vaccine for its employees. Def. Statement of Undisputed Material Facts, ECF 118, (“SUMF”) ¶ 11. Plaintiffs Michael Ellison and Andrea Graham sought religious exemptions to this requirement, which Inova ultimately denied. Ellison and Graham now seek to recover under Title VII for Inova’s alleged failure to accommodate their religious beliefs. A. Inova’s COVID-19 Vaccination Requirement In July 2021, Inova added the COVID-19 vaccine to the IPP list of required vaccinations for its employees. SUMF ¶ 11. Employees were required to receive one of the three available

1 The following facts are undisputed unless otherwise indicated. COVID-19 vaccinations by September 1, 2021, unless they requested and received a medical or religious exemption. Id. ¶ 12. During this time, Inova’s Team Member Health Department, which administered the IPP and ensured compliance, was empowered to grant exemption requests. Id. ¶ 13.

On November 5, 2021, the Centers for Medicare and Medicaid Services (“CMS”) issued an interim final rule (“CMS Mandate”) that required participating healthcare facilities, including Inova, to ensure that their staff receive the COVID-19 vaccine. Id. ¶ 24. Finding that vaccination of healthcare workers against COVID-19 is “necessary for the health and safety of individuals to whom care and services are furnished,” and that staff who are unvaccinated “pose a serious threat to the health and safety of patients,” CMS required participating facilities to ensure that their staff, including primarily remote workers who only periodically interact in person with healthcare personnel, to receive the COVID-19 vaccine. Id. ¶ 26 (quoting 86 Fed. Reg. at 61,559, 61,570). The CMS Mandate specified that “[r]equests for exemptions based on an applicable Federal law must be documented and evaluated in accordance with applicable Federal law and each facility’s

policies and procedures.” Id. ¶ 27 (quoting 86 Fed. Reg. at 61,572). Following the CMS Mandate, Inova updated its IPP and told its employees that it would be reevaluating exemption requests. Id. ¶¶ 28-31. As it related to COVID-19 vaccinations, the IPP required employees to “receive primary vaccination and booster dose(s) for COVID-19 … unless an exemption is granted.” ECF 118-21. The IPP defined “primary vaccination” as “all recommended primary series doses of a Food and Drug Administration (FDA) authorized or World Health Organization (WHO) listed COVID-19 vaccine.” Id. At the time the IPP was updated on February 23, 2022, there were three approved vaccines -- Pfizer, Moderna, and Johnson & Johnson -- and the IPP specified the primary series requirements for those vaccines. Id. In that same section, the policy reiterated that “[a]ny other vaccine series authorized for [Emergency Use Authorization] by the FDA or WHO” would satisfy the primary vaccination requirement. Id. Inova requested that its employees resubmit exemption requests using an updated form. SUMF ¶ 31. It had developed a more robust procedure for evaluating exemption requests: they

were considered by a multi-disciplinary Religious Exemption Committee comprised of employees who served as clergy or provided spiritual care, clinical leaders, and Human Resources employees. Id. ¶ 32. The Committee reviewed anonymized requests to determine whether the applicant had demonstrated a sincerely held religious belief in conflict with the IPP and voted on whether to recommend the exemption should be granted. Id. ¶ 33. The Committee’s recommendation was then shared with the Chief of Clinical Enterprise, the Chief People Officer, and the Chief of Staff, who would decide whether to adopt or reject the recommendation. Id. ¶ 34. B. Plaintiff Michael Ellison Ellison, who worked as a Data Insight Lead, was initially granted a religious exemption request on August 11, 2021. SUMF ¶¶ 19-20, 22. Inova informed Ellison on February 24, 2022,

that it was reevaluating religious exemption requests and directed him to submit one under the new process. Id. ¶ 29. Ellison submitted a religious exemption request on March 21, 2022, explaining that he “cannot, in good conscience, introduce to [his] body a medication that could induce harm.” Id. ¶ 59. Inova denied this request on June 17, 2022, and it gave Ellison until July 1, 2022, to either comply with the IPP or submit additional information. Id. ¶ 64. Ellison submitted additional information after consulting with counsel, explaining that his “body is God’s temple” and also including an objection to “any product developed or tested using aborted fetal cell lines” because of his “sincerely held religious belief in the sanctity of all human life.” Id. ¶¶ 65-68. Two weeks after Ellison submitted this additional information, on July 13, 2022, and while his exemption request was still pending, the FDA granted Emergency Use Authorization of the Novavax COVID-19 vaccine. Id. ¶ 76. Novavax, which developed and manufactured the vaccine, has stated that “[n]o human fetal-derived cell lines or tissue are contained in the Novavax COVID-

19 Vaccine … or used in its development, manufacture or release testing.” ECF 118-47. Plaintiffs dispute, however, “that the Novavax vaccine in fact was not developed using fetal cell lines.” ECF 128 (“Pl. Opp.”) at 4. Before Inova reached a decision after consideration of Ellison’s additional information, Ellison accepted another job and submitted a resignation letter. Ellison accepted a position with a different healthcare organization on July 18, 2022, agreeing to start with that employer on August 22, 2022. SUMF ¶ 71. On August 1, 2022, Ellison submitted a resignation letter to Inova, announcing that his resignation would be effective August 20, 2022. Id. ¶ 72. Inova denied Ellison’s exemption request on August 5, 2022, and gave him until August 19, 2022, to comply. Id. ¶¶ 75, 81. Four days later, Dr. Raj Chand, the President of Inova Fair Oaks

Hospital wrote to Ellison informing him that the Novavax vaccine “will be available at retail pharmacies within a week and has no linkage to fetal cell lines.” Id. ¶ 82. Ellison responded to Dr. Chand the next day that “it [was] too late.” Id. ¶ 83. C. Plaintiff Andrea Graham Graham began working for Inova as an emergency department nurse in March 2021. SUMF ¶ 14. At this time, she acknowledged that she did not seek a religious accommodation with respect to providing patient care of any sort, including patients receiving a “voluntary termination of pregnancy.” Id. ¶ 16. Graham requested a medical exemption from the IPP’s COVID-19 vaccination requirement on August 5, 2021, on the basis of her pregnancy. Inova temporarily granted an exemption. Id. ¶¶ 17-18. On November 19, 2021, Inova informed Graham that she would need to resubmit a request if she still needed an exemption. Id. ¶ 28.

Graham submitted a renewed medical exemption request on January 3, 2022, on the basis of her “plan[ning] on having more children & nursing.” Id. ¶ 35. Inova denied this request three days later. Id. ¶ 36.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
Ellison v. Inova Health System Foundation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ellison-v-inova-health-system-foundation-vaed-2024.