Nilsen v. University of Washington

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

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT SEATTLE PATRICIA NILSEN, et al., CASE NO. C23-1498 MJP Plaintiffs, ORDER ON CROSS-MOTIONS FOR SUMMARY JUDGMENT v. MEDICAL CENTER, et al., Defendants.

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

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

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

The Proclamation also included a provision allowing for exemptions to the vaccine mandate. Specifically, it provided: In implementing the requirements of this Order, State Agencies, operators of Educational Settings, and operators of Health Care Settings: Must provide any disability-related reasonable accommodations and sincerely held religious belief accommodations to the requirements of this Order that are required under the Americans with Disabilities Act of 1990 (ADA), the Rehabilitation Act of 1973 (Rehabilitation Act), Title VII of the Civil Rights Act of 1964 (Title VII), the Washington Law Against Discrimination (WLAD), and 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 required to provide accommodations if they would cause undue hardship.

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

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

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

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

Arnold Decl.”).) The document appears to show that: (1) 61 employees sought medical exemptions; (2) 23 obtained exemptions; and (3) all 23 of those individuals obtained accommodations. (Ex. F to the Arnold Decl. (Dkt. No. 48-6 at 4).) The document identifies a “job profile,” “job title,” “organization,” and location of each individual, but none of the data fields identifies whether or not these individuals had direct or indirect patient contact or worked in close quarters with others. The document also appears to show that: (1) 370 employees sought religious exemptions; (2) 366 had were given exemptions; and (3) 141 were given accommodations. (Id. at 15.) As with the medical exemptees, the data includes information about each employee’s job profile, title, location, and organization, but nothing further about their contact with patients or other employees.

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