Leah Prida v. Option Care Enters., Inc.

Court of Appeals for the Sixth Circuit·Decided February 11, 2025·No. 23-3936·Unpublished

Opinion

NOT RECOMMENDED FOR PUBLICATION File Name: 25a0078n.06

No. 23-3936

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

FILED

Feb 11, 2025

) KELLY L. STEPHENS, Clerk LEAH PRIDA, )

Plaintiff-Appellant, )

) ON APPEAL FROM THE UNITED v. ) STATES DISTRICT COURT FOR ) THE NORTHERN DISTRICT OF OPTION CARE ENTERPRISES, INC.; ) OHIO CLINICAL SPECIALTIES, INC., )

Defendants-Appellees. ) OPINION )

Before: STRANCH, THAPAR, and MURPHY, Circuit Judges.

JANE B. STRANCH, Circuit Judge. Leah Prida worked at Option Care Enterprises until March 9, 2022, when she was terminated for not complying with the company’s Covid vaccination or testing policy. Prida alleges that Option Care violated Title VII of the Civil Rights Act and Ohio state law because her termination constituted religious discrimination, failure to accommodate, and retaliation. The district court granted Option Care’s motion to dismiss. In light of the governing Rule 12(b)(6) standard of review, we REVERSE.

I. BACKGROUND

We construe the facts as alleged in Prida’s Amended Complaint in the light most favorable to Prida, according to our standard of review at this stage. See Bassett v. Nat’l Collegiate Athletic Ass’n, 528 F.3d 426, 430 (6th Cir. 2008). The parties in this case also refer to a few outside-the- complaint exhibits. Because neither party objects to the use of these exhibits at this stage, we

assume that we may consider them on the ground that “they are referred to in the Complaint” and “central” to its claims. Id.

A. Prida’s Termination Option Care Enterprises, Inc. provides direct patient care through infusion services to people with acute and chronic conditions.1 Prida worked at Option Care for approximately 25 years, most recently in network operations in Option Care’s Hudson, Ohio office. Prida was discharged from her position at Option Care in March of 2022 for refusing to comply with a weekly Covid testing requirement.

At Covid’s outset in 2020, Option Care transitioned to a work-from-home model for non-

essential employees. For over a year, Prida worked remotely at least half of the time and reported to a partially vacant office for the other half. In 2021, Option Care began to return employees to its offices. Prida went to the office even less in the second half of 2021, but when Prida did go to the office, she wore a mask, as required by Option Care.

In November of 2021, Option Care announced that it would be implementing a company-

wide Covid vaccine or testing mandate. Employees were given notice that they had until January of 2022 to get the vaccine or seek an exemption. If employees sought a medical or religious exemption to receiving the Covid vaccine, their exemption option was to take a weekly Covid test. Option Care delayed the deadline to February due to ongoing vaccine-mandate litigation, which is not at issue here.

Prida alleges that she is a practicing Jehovah’s Witness, and requested an exemption from the Covid vaccination or testing policy. In her original exemption request, Prida stated that

1 Option Care does business through Clinical Specialties, Inc., for whom Prida worked. For simplicity, we refer to Prida’s employer as “Option Care” throughout.

I was raised as a Christian. I continue to follow God and the principals he laid out for us in his word. I strongly believe that vaccines and/or testing, violate his requirements set forth for us in the Bible. I sincerely believe that all human beings are made in the image of God and this concept affirms the unique value of ALL human life. Exodus 20:13 – as the 6th Commandment states, “You shall not murder”. I believe that abortion is gravely wrong at any stage of a pregnancy. Since our loving Heavenly Father created us and gave us such a gift with our physical bodies I have been taught in 1 Corinthians 3:16-17 – “Do you not know that you yourselves are God’s Temple and that the spirit of God dwells in you? If anyone destroys the Temple of God, God will destroy him; for the Temple of God is holy, and you are that temple”. Also 1 Corinthians 6:19-20 says similar – “Do you not know that your body is the temple of the holy spirit within you, which you have from God? Also, you do not belong to yourselves, for you were bought with a price.

By all means, glorify God in your body”. As Christians our bodies belong to God.

We are accountable to our creator by the way we care for, maintain and protect our bodies.

* * *

In order to produce and manufacture these vaccines use [sic] abortion derived fetal cell lines. Partaking in such, offends me and my religious faith. I will not subject myself to testing either. The United States EPA has shown since 2016 Ethylene Oxide (EO) which is used in these PCR tests on the cotton swab is a known human carcinogen.

This all relates to what I believe in, how I should care for and what I should do with my temple of God. I cannot in good conscience alter my God given body and will not risk the harm that may come from both the vaccines or the chemicals in the testings.

R. 12-1, Mot. to Dismiss, Exh. 1, PageID 142 (citation omitted). As an accommodation, Option Care granted Prida a religious exemption to the vaccine requirement based on this request and specified that Prida must comply with the weekly testing program.

Prida refused the weekly testing requirement. She responded to human resources’ approval of her vaccine exemption and repeated her statement that “I cannot in good conscience alter my God given body ‘my temple’ and will not risk the harm that may come from the chemicals in the

testing.” R. 12-2, Mot. to Dismiss, Exh. 2, PageID 145. In these communications, Prida again discussed her medical concerns, stating, “Not only was I raised very religious, I was also raised all natural.” Id. at PageID 143. Prida explained her belief that the chemicals in the Covid vaccine and tests are medically harmful—leading to brain damage and chemical burns—and that the Covid vaccine causes increased transmission of Covid.

In the two weeks between Prida’s explanation for refusing the testing requirement and her termination, Option Care warned Prida numerous times that she would be terminated under the policy. On February 25, her manager told her that if she did not comply with the testing requirement by March 7, Option Care would have to terminate her employment.

Prida alleges that she refused to enroll in the weekly testing program and sent human resources a 19-page affidavit—titled “Affidavit of Declination for Offer of Medical Interventions, Products, and Devices. Silence is Acquiescence; Agreement & Dishonour; This is an Actual & Constructive Legal Notice”—providing a series of citations and reasons why she believed she should not have to enroll in the testing program. R. 14-1, Pl.’s Opp., Exh. 1, PageID 192. The citations ran the gamut from quotes to the Nuremberg Code, to Bible verses, to the Health Insurance Portability and Accountability Act (HIPAA). The affidavit included the full text of Title VII, Section 703, which prohibits workplace discrimination based on religion. In another section, Prida stated that she had a “right to retain employment without discrimination . . . protected by [Title VII].” Id. at PageID 192, 193.

Prida alleges that she sought an arrangement to work remotely all or most of the time so she would not have to take the Covid tests, but Option Care declined and required her to come to the office on her regular schedule. Prida also claims that she offered to use a different form of testing without Ethylene Oxide. Around this time, Prida discovered that, during a leadership

meeting that discussed her requests, her manager disclosed to other Option Care managers that Prida was not vaccinated. Prida complained to Option Care that this disclosure violated her HIPAA protections.

On March 9, Option Care terminated Prida for failure to comply with the policy’s weekly Covid testing requirement.

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