Kristen Barnett v. INOVA Health Care Services

Court of Appeals for the Fourth Circuit·Decided January 7, 2025·No. 24-1271·Published

Opinion

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 24-1271

KRISTEN M. BARNETT, Plaintiff - Appellant,

v.

INOVA HEALTH CARE SERVICES, Defendant - Appellee.

------------------------------

COMMONWEALTH OF VIRGINIA; FORMER EEOC GENERAL COUNSEL AND RELIGIOUS NONDISCRIMINATION EXPERT; ALLIANCE DEFENDING FREEDOM,

Amici Supporting Appellant.

Appeal from the United States District Court for the Eastern District of Virginia, at Alexandria. Michael Stefan Nachmanoff, District Judge. (1:23-cv-01638-MSN-WEF)

Argued: November 1, 2024 Decided: January 7, 2025

Before GREGORY, THACKER, and BERNER, Circuit Judges.

Reversed and remanded for further proceedings by published opinion. Judge Gregory wrote the opinion, in which Judge Thacker and Judge Berner joined.

ARGUED: Timothy Bosson, BOSSON LEGAL GROUP, PC, Fairfax, Virginia, for Appellant. Nancy North Delogu, LITTLER MENDELSON, P.C., Washington, D.C., for Appellee. Frederick William Eberstadt, OFFICE OF THE ATTORNEY GENERAL OF VIRGINIA, Richmond, Virginia, for Amicus Curiae. ON BRIEF: Isaiah R. Kalinowski,

BOSSON LEGAL GROUP, PC, Fairfax, Virginia, for Appellant. Alexander P. Berg, Lauren M. Bridenbaugh, LITTLER MENDELSON, P.C., Tysons Corner, Virginia, for Appellee. John C. Sullivan, S | L LAW PLLC, Cedar Hill, Texas, for Amicus Alliance Defending Freedom. Rachel N. Morrison, ETHICS & PUBLIC POLICY CENTER, Washington, D.C., for Amici Former EEOC General Counsel and Religious Nondiscrimination Expert. Jason S. Miyares, Attorney General, Erika L. Maley, Solicitor General, Kevin M. Gallagher, Principal Deputy Solicitor General, OFFICE OF THE ATTORNEY GENERAL OF VIRGINIA, Richmond, Virginia, for Amicus Commonwealth of Virginia.

GREGORY, Circuit Judge:

Plaintiff-Appellant Kristen M. Barnett appeals the district court’s grant of Defendant-Appellee INOVA Health Care Services’ (“INOVA”) 12(b)(6) motion to dismiss. Barnett, a former registered nurse and employee of INOVA, refused to receive the COVID-19 vaccine as required under INOVA’s policy because of its alleged conflict with her religious belief. INOVA discharged her, and Barnett filed a Title VII religious discrimination claim against INOVA. Specifically, she alleged three claims of religious discrimination: failure to provide reasonable accommodation under Title VII; disparate treatment under Title VII; and disparate treatment under the Virginia Human Rights Act (“VHRA”). The district court granted INOVA’s motion to dismiss in its entirety.

Considering the facts as pled in the complaint, Barnett has sufficiently alleged religious discrimination for all three of her claims at this stage. Accordingly, for the reasons to follow, we reverse and remand this case for further proceedings.

I.

A.

The following facts were alleged in Barnett’s Complaint. In July 2021, while the pandemic was still rampant, INOVA instituted its first COVID-19 vaccine policy in compliance with the Centers for Medicare & Medicaid Services Mandate. J.A. 6. This policy required employees to receive the COVID-19 vaccine unless they had a religious or medical exemption. Id. Barnett was a registered nurse and the Pediatric Intensive Care Unit Supervisor for INOVA, as well as a devout Christian. J.A. 6–7. On July 5, 2021,

following the new policy, Barnett submitted a medical exemption request related to lactation and nursing. J.A. 7. INOVA granted Barnett’s medical exemption. J.A. 7. In December 2021, INOVA revised its policy to require all employees to reapply for an exemption and created an Exemption Review Committee (“Exemption Committee”) to oversee the process. J.A. 7. “This time,” according to Barnett, the Exemption Committee “created specific questions for each employee to answer so that the [Exemption Committee] could scrutinize and determine, in its view, the validity of an employee’s religious beliefs.” J.A. 8.

Pursuant to the new policy change, Barnett reapplied for an exemption on December 22, 2021. J.A. 8. However, this time, she requested a religious exemption instead of a medical one. Id. In her request for a religious exemption, Barnett stated that she was a devout Christian, baptized in 2011, and made “all life decisions after thoughtful prayer and Biblical guidance.” J.A. 40. While she was not “an anti-vaccine person” and believed “there is a place in this world for both Science and Religion,” she nonetheless believed “it would be sinful for her to consume or engage with a product such as the vaccination after having been instructed by God to abstain from it.” Id. 8, 40. Barnett further explained her “religious reasons for declining the covid vaccinations, . . . were based on her ‘study and understanding of the Bible and personally directed by the true and living God.’” J.A. 8. Therefore, Barnett alleged that receiving the vaccine would be sinning against her body, which is a temple of God, and against God himself. J.A. 40–41. However, Barnett further alleged she would follow God’s guidance if she later felt compelled by the Spirit to receive the vaccine. J.A. 40. She also referred to the scripture to support her belief and stance on the issue. J.A. 40–41.

INOVA ultimately denied Barnett’s request for a religious exemption in March 2022.

J.A. 9. Barnett alleged INOVA “decided to pick winners and losers from among the employees making exemption requests, based upon whether the [Exemption Committee] found an employee’s religious beliefs were legitimate[,]” “chose to exempt employees who came from more prominent religions or held to more conventional beliefs related to religious exemption to vaccines, but denied exemptions to employees like [Barnett] who held less well-known or respected religious beliefs” and “found certain religious beliefs as sufficiently acceptable to qualify for a Covid-19 Policy exemption, while rejecting others.” J.A. 7, 8, 13–16.

On March 21, 2022, Barnett resubmitted a request for religious exemption. J.A. 9– 10, 47. She reiterated her previous statements of religious belief. See J.A. 48–50. She emphasized that the basis of her request was “not medical, scientific, political, philosophical, ethical, or otherwise secular in nature,” but religious. J.A. 50. She also mentioned that INOVA granted accommodation for medical exemptions, while denying religious exemptions. Id. INOVA denied Barnett’s second request for an exemption and placed her on administrative leave. J.A. 10. Barnett continued noncompliance with INOVA’s COVID-19 vaccine policy and was discharged in July 2022. Id.

B.

On December 1, 2023, Barnett sued INOVA in the United States District Court for the Eastern District of Virginia for religious discrimination. J.A. 1. She brought one count for failure to provide a reasonable accommodation under Title VII of the Civil Rights Act of 1964, and two counts for disparate treatment under Title VII of the Civil Rights Act of

1964 and the Virginia Human Rights Act (“VHRA”). J.A. 11–16. On January 12, 2024, INOVA moved to dismiss Barnett’s complaint in its entirety for failure to state a claim under Rule 12(b)(6). J.A. 2.

On March 7, 2024, the district court held a hearing on Barnett’s case. * J.A. 53–63.

The district court found Barnett failed to state a claim for all three claims, and subsequently granted INOVA’s motion to dismiss. J.A. 61–62.

With respect to Barnett’s reasonable accommodation claim under Title VII, the district court found Barnett failed to state a claim “because she did not raise abortion or fetal cells as a basis for her objection[.]” J.A. 61. The district court further found Barnett’s objection that her body was a “temple” amounted to a “blanket privilege . . . that if permitted to go forward would undermine our system of ordered liberty[.]” J.A. 61. Hence, the district court dismissed Barnett’s reasonable accommodation claim. Id.

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

Kristen Barnett v. INOVA Health Care Services, (4th Cir. 2025).

Kristen Barnett v. INOVA Health Care Services (Kristen Barnett v. INOVA Health Care Services) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

United States v. Seeger
380 U.S. 163 (Supreme Court, 1965)
Swierkiewicz v. Sorema N. A.
534 U.S. 506 (Supreme Court, 2002)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
Kay v. Bemis
500 F.3d 1214 (Tenth Circuit, 2007)
Charita D. Chalmers v. Tulon Company of Richmond
101 F.3d 1012 (Fourth Circuit, 1996)
Feminist Majority Foundation v. Richard Hurley
911 F.3d 674 (Fourth Circuit, 2018)
Patrick v. LeFevre
745 F.2d 153 (Second Circuit, 1984)
Kenneth Ringhofer v. Mayo Clinic Ambulance
102 F.4th 894 (Eighth Circuit, 2024)
Megan Passarella v. Aspirus, Inc.
108 F.4th 1005 (Seventh Circuit, 2024)
Aimee Sturgill v. Am. Red Cross
114 F.4th 803 (Sixth Circuit, 2024)