Nilsen v. University of Washington

District Court, W.D. Washington·Decided November 8, 2024·No. 2:23-cv-01498·Unknown

Opinion

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5 6 7 UNITED STATES DISTRICT COURT 8 WESTERN DISTRICT OF WASHINGTON AT SEATTLE 9 10 PATRICIA NILSEN, et al., CASE NO. C23-1498 MJP 11 Plaintiffs, ORDER ON CROSS-MOTIONS FOR SUMMARY JUDGMENT 12 v. 13 UNIVERSITY OF WASHINGTON MEDICAL CENTER, et al., 14 Defendants. 15

16 This matter comes before the Court on Plaintiffs’ Motion for Partial Summary Judgment 17 (Dkt. No. 95) and Defendants’ Motion for Partial Summary Judgment (Dkt. No. 56). Having 18 reviewed the Motions, the Responses (Dkt. Nos. 120, 123), and Replies (Dkt. Nos. 124, 128), 19 and all supporting materials, and having held oral argument on October 29, 2024, the Court 20 DENIES Plaintiffs’ Motion and GRANTS Defendants’ Motion. 21 BACKGROUND 22 The twenty-one Plaintiffs in this lawsuit are former employees of the University of 23 Washington who were terminated after the University did not accommodate their religious 24 1 objections to the University’s Covid-19 vaccination requirement. Nineteen of the Plaintiffs were 2 healthcare workers at Harborview Medical Center or hospitals comprising the University of 3 Washington Medical Center, while Plaintiff Avery Snyder worked as a field engineer in the 4 Applied Physics Lab and Plaintiff Patricia Nilsen worked was a clinical instructor at the

5 University’s School of Nursing. (See Declaration of Shelley Kostrinsky (Dkt. No. 70); 6 Declaration of James Girton (Dkt. No. 67).) Plaintiffs pursue a smattering of federal and state 7 law claims. The Parties have cross-moved for partial summary judgment on some, but not all of 8 the claims. Below, the Court reviews Washington State Governor’s 2021 vaccine mandate, the 9 University’s implementation Governor’s vaccination mandate, the evidence relevant to the 10 claims and defenses at issue in the cross motions, and the procedural posture. 11 A. The Governor’s Mandate 12 After Covid-19 vaccines were approved and in wide use, Governor Jay Inslee signed a 13 proclamation that mandated all healthcare workers and state employees to be vaccinated or 14 receive a medical or religious exemption by October 18, 2021. (Ex. C to the Declaration of

15 Timothy O’Connell (Dkt. No. 57-1 at 17-30) (“Proclamation” or “Mandate”).) The Proclamation 16 was in partial response to the emergence of the “delta variant” of Covid-19 that was “highly 17 contagious.” (Id. at 18.) The Proclamation stated that “COVID-19 vaccines are effective in 18 reducing infection and serious disease, widespread vaccination is the primary means we have as 19 a state to protect everyone[.]” (Id. at 19.) And, among other things, the Proclamation identified 20 “the duty of every employer to protect the health and safety of employees by establishing and 21 maintaining a healthy and safe work environment and by requiring all employees to comply with 22 health and safety measures.” (Id. at 20.) 23

24 1 The Proclamation also included a provision allowing for exemptions to the vaccine 2 mandate. Specifically, it provided: 3 In implementing the requirements of this Order, State Agencies, operators of Educational Settings, and operators of Health Care Settings: 4 Must provide any disability-related reasonable accommodations and sincerely 5 held religious belief accommodations to the requirements of this Order that are required under the Americans with Disabilities Act of 1990 (ADA), the 6 Rehabilitation Act of 1973 (Rehabilitation Act), Title VII of the Civil Rights Act of 1964 (Title VII), the Washington Law Against Discrimination (WLAD), and 7 any other applicable law. As provided in the above-noted laws, State Agencies, operators of Educational Settings, and operators of Health Care Settings are not 8 required to provide accommodations if they would cause undue hardship.

9 (O’Connell Decl. Ex. C, Dkt. No. 57-1 at 22.) The Proclamation further specified that “[a]s 10 provided in the above noted laws, State Agencies, operators of Educational Settings, and 11 operators of Health Care Settings are not required to provide accommodations if they would 12 cause undue hardship.” (Id. at 5-6.) 13 B. The University’s Policy 14 In response to the Mandate, the University created a set of guidelines for exemptions and 15 accommodations, which the Court refers to as the “Policy.” (Ex. D to the Declaration of Nathan 16 Arnold ISO Def. MPSJ (“Second Arnold Decl.”) (Dkt. No. 122-4).) The Policy included 17 guidelines specific to employees who provided direct or indirect “patient care in medical centers, 18 clinics & other health care settings.” (Id.) For those employees with direct or indirect patient 19 contact, the Policy recommended different accommodations for those with medical exemptions 20 and those with religious exemptions. For “the small group of [employees] who have a University 21 approved medical exemptions,” the Policy placed those employees “into a ‘temporary deferred 22 vaccination’ status pending availability of new COVID vaccine products that could be used” and 23 allowed for accommodation. (Dkt. No. 122-4 at 2-3, 8.) For those employees with religious 24 1 exemptions, the Policy recommended against accommodation. (Id. at 2-3.) The Policy explained 2 that because “sincerely held religious beliefs are considered permanent and would not change 3 based on the availability of future vaccine products,” an “indefinite” accommodation would 4 “present an undue hardship and a barrier to safe patient care.” (Id. at 2-3.)

5 The University’s Medical Exemption Review Panel’s (“Panel”) developed the Policy to 6 implement the Governor’s Mandate. (Declaration of Seth Cohen, M.D. ¶ 13 (Dkt. No. 59).) The 7 Panel, composed of six medical doctors and other nurse leaders from UW Medicine, drew “a 8 distinction between temporary and permanent accommodations.” (Id. ¶ 15.) Medical exemptions 9 were considered temporary with “the expectation [] that the employee would become vaccinated 10 against COVID-19 after the temporary medical condition resolved.” (Id.) For example, if an 11 employee was allergic to a vaccine component, the Panel believed that future vaccines might not 12 include the allergenic component. (Id.) Religious exemptions were considered permanent 13 because religious views against vaccines were not expected to change, even as components of 14 the vaccines themselves might have evolved. (Id.) The Panel also viewed those with medical and

15 religious exemptions as posing distinct risks. According to Cohen, “[t]emporary 16 accommodations involve substantially less disruption and fewer safety concerns because the 17 employee is required to become vaccinated after the medical condition or contraindication 18 resolves.” (Id.) But “allowing healthcare workers to continue to remain on-site and provide direct 19 and indirect patient care while permanently unvaccinated would increase the health and safety 20 risk at the University and lead to a less safe environment for its patients, visitors, and 21 employees.” (Id.) 22 23

24 1 C. The University’s Accommodation Process 2 Plaintiffs rely extensively on a document that they claim shows the number of people at 3 the University who were given medical and religious exemptions and, of those, how many were 4 given accommodations. (Exhibit F to the Declaration of Nathan Arnold ¶ 8 (Dkt. No. 48) (“First

5 Arnold Decl.”).) The document appears to show that: (1) 61 employees sought medical 6 exemptions; (2) 23 obtained exemptions; and (3) all 23 of those individuals obtained 7 accommodations. (Ex. F to the Arnold Decl. (Dkt. No. 48-6 at 4).) The document identifies a 8 “job profile,” “job title,” “organization,” and location of each individual, but none of the data 9 fields identifies whether or not these individuals had direct or indirect patient contact or worked 10 in close quarters with others.

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