North Coast Women's Care Medical Group, Inc. v. Superior Court

189 P.3d 959, 44 Cal. 4th 1145, 81 Cal. Rptr. 3d 708, 2008 Cal. LEXIS 10093
CourtCalifornia Supreme Court
DecidedAugust 18, 2008
DocketNo. S142892
StatusPublished
Cited by32 cases

This text of 189 P.3d 959 (North Coast Women's Care Medical Group, Inc. v. Superior Court) is published on Counsel Stack Legal Research, covering California Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
North Coast Women's Care Medical Group, Inc. v. Superior Court, 189 P.3d 959, 44 Cal. 4th 1145, 81 Cal. Rptr. 3d 708, 2008 Cal. LEXIS 10093 (Cal. 2008).

Opinions

[1150]*1150Opinion

KENNARD, J.

Do the rights of religious freedom and free speech, as guaranteed in both the federal and the California Constitutions, exempt a medical clime’s physicians from complying with the Unruh Civil Rights Act’s (Civ. Code, § 51) prohibition against discrimination based on a person’s sexual orientation? Our answer is no.

I

This case comes to us after the trial court granted plaintiff’s motion for summary adjudication of one affirmative defense, thereby determining that no triable issue of material fact existed as to the defense and that plaintiff was entitled to judgment on the defense as a matter of law. (See Code Civ. Proc., § 437c, subds. (c), (f)(1).) The Court of Appeal issued a writ of mandate setting aside that ruling on the ground that it failed to completely dispose of the affirmative defense and thus was contrary to the statutory requirements for summary adjudication. (See Code Civ. Proc., § 437c, subd. (f)(1).) Because this case reached us pretrial, after the trial court granted plaintiff’s motion for summary adjudication, our factual description comes primarily from the parties’ statements of undisputed facts filed in connection with that motion.

Plaintiff Guadalupe T. Benitez is a lesbian who lives with her partner, Joanne Clark, in San Diego County. They wanted Benitez to become pregnant, and they decided on intravaginal self-insemination, a nonmedical process in which a woman inserts sperm into her own vagina. Benitez and Clark used sperm from a sperm bank. In 1999, after several unsuccessful efforts at pregnancy through this method, Benitez was diagnosed with polycystic ovarian syndrome, a disorder characterized by irregular ovulation, and she was referred to defendant North Coast Women’s Care Medical Group, Inc. (North Coast), for fertility treatment.

In August 1999, Benitez and Clark first met with defendant Christine Brody, an obstetrician and gynecologist employed by defendant North Coast. Benitez mentioned that she was a lesbian. Dr. Brody explained that at some point intrauterine insemination (IUI) might have to be considered. In that medical procedure, a physician threads a catheter through the patient’s cervix and inserts semen through the catheter into the patient’s uterus. Dr. Brody said that if IUI became necessary, her religious beliefs would preclude her from performing the procedure for Benitez.1 According to Dr. Brody, she told [1151]*1151Benitez and Clark at that initial meeting that her North Coast colleague, Dr. Douglas Fenton, shared her religious objection to performing IUI for an unmarried woman, but that either of two other North Coast physicians, Dr. Charles Stoopack and Dr. Ross Langley, could do the procedure for Benitez. According to Benitez, however, Dr. Brody said that she was the only North Coast physician with a religious objection to performing IUI for Benitez, and that “all other members of her practice—whom she believed lacked her bias—would be available” to do this medical procedure.

From August 1999 through June 2000, Dr. Brody treated Benitez for infertility. The treatment consisted chiefly of prescribing Clomid, an ovulation-inducing medication, followed by Benitez’s use of intravaginal self-insemination with sperm obtained from a sperm bank. To determine whether Benitez’s fallopian tubes were blocked, Dr. Brody had her take a medical test (hysterosalpingiogram), which was negative. After performing a surgical procedure (diagnostic laparoscopy), Dr. Brody determined that Benitez’s infertility was not the result of endometriosis.2

According to Benitez, when in April 2000 she still had not become pregnant, she decided “with the advice and consent of Dr. Brody,” to try IUI, which, as explained earlier, is a medical procedure in which a physician uses a catheter to insert sperm directly into the patient’s uterus. Instead, in May 2000, Benitez resorted to the nonmedical procedure of intravaginal self-insemination that she had used before; but this time, rather than using sperm from a sperm bank as she had done earlier, she used fresh sperm donated by a male friend. When Benitez thereafter missed a menstrual period, she thought she was pregnant. But a home pregnancy test was negative, and a pregnancy test done at defendant North Coast’s facilities on July 5, 2000, confirmed that she was not pregnant. Benitez then decided to try IUI, using her friend’s fresh sperm.

[1152]*1152The parties agree that when Benitez told Dr. Brody she wanted to use her friend’s donated fresh sperm for the IUI, Brody replied that this would pose a problem for North Coast. Its physicians had performed IUI either with fresh sperm provided by a patient’s husband or sperm from a sperm bank, but never with fresh sperm donated by a patient’s friend. To do the latter, Dr. Brody said, might delay the procedure as North Coast would first have to confirm that its protocols pertaining to donated fresh sperm would satisfy the requirements of North Coast’s state tissue bank license and the federal Clinical Laboratory Improvement Amendments of 1988 (42 U.S.C. § 263). After hearing this, Benitez opted to have the IUI with sperm from a sperm bank. Dr. Brody so noted in Benitez’s medical records and then left for an out-of-state vacation.

During Dr. Brody’s absence, her colleague, Dr. Douglas Fenton, took over Benitez’s medical care. Dr. Fenton contends that he was unaware of Dr. Brody’s record notation of Benitez’s decision not to use her friend’s fresh sperm for the IUI, because the secretary who had typed that notation in Benitez’s file left it in Dr. Brody’s in-box awaiting her return from vacation. Therefore, according to Dr. Fenton, he mistakenly believed that Benitez intended to have IUI with fresh sperm donated by a friend. The parties agree that unlike sperm from a sperm bank, fresh sperm (even when provided by a patient’s husband) requires “certain preparation” before it can be used for IUI, and that “[c]ertain licensure” is necessary to do the requisite sperm preparation. Of North Coast’s physicians, only Dr. Fenton was licensed to perform these tasks. But he refused to prepare donated fresh sperm for Benitez because of his religious objection. Two of his colleagues, Drs. Charles Stoopack and Ross Langley, had no such religious objection, but unlike Dr. Fenton, they were not licensed to prepare fresh sperm. Dr. Fenton then referred Benitez to a physician outside North Coast’s medical practice, Dr. Michael Kettle.

The IUI performed by Dr. Kettle did not result in a pregnancy. Benitez was unable to conceive until June 2001, when Dr. Kettle performed in vitro fertilization.3

In August 2001, Benitez sued North Coast and its physicians, Brody and Fenton, seeking damages and injunctive relief on several theories, notably sexual orientation discrimination in violation of California’s Unruh Civil Rights Act. Defendants’ answer to the complaint asserted a variety of affirmative defenses. Pertinent here is affirmative defense No. 32 stating that [1153]*1153defendants’ “alleged misconduct, if any” was protected by the rights of free speech and freedom of religion set forth in the federal and state Constitutions.

Benitez moved for summary adjudication of that defense.

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

Related

Civil Rights Dept. v. Cathy's Creations
California Court of Appeal, 2025
Austin v. Miller
N.D. California, 2022
Minton v. Dignity Health
California Court of Appeal, 2019
State v. Arlene's Flowers, Inc.
Washington Supreme Court, 2017
Keehn v. La Jolla Cosmetic Laser Clinic CA4/1
California Court of Appeal, 2016
Craig v. Masterpiece Cakeshop, Inc
2015 COA 115 (Colorado Court of Appeals, 2015)
Mullins v. Masterpiece Cakeshop, Inc
2015 COA 115 (Colorado Court of Appeals, 2015)
Law School Admission Council v. California
California Court of Appeal, 2014
Law School Admission Council, Inc. v. State
222 Cal. App. 4th 1265 (California Court of Appeal, 2014)
Naoko Ohno v. Yuko Yasuma
723 F.3d 984 (Ninth Circuit, 2013)
Maureen K. v. Tuschka
215 Cal. App. 4th 519 (California Court of Appeal, 2013)
William Grote, III v. Kathleen Sebe
708 F.3d 850 (Seventh Circuit, 2013)
Elane Photography, LLC v. Willock
2012 NMCA 086 (New Mexico Court of Appeals, 2012)
Harris v. Superior Court
266 P.3d 953 (California Supreme Court, 2011)
Stevens v. OPTIMUM HEALTH INSTITUTE-SAN DIEGO
810 F. Supp. 2d 1074 (S.D. California, 2011)

Cite This Page — Counsel Stack

Bluebook (online)
189 P.3d 959, 44 Cal. 4th 1145, 81 Cal. Rptr. 3d 708, 2008 Cal. LEXIS 10093, Counsel Stack Legal Research, https://law.counselstack.com/opinion/north-coast-womens-care-medical-group-inc-v-superior-court-cal-2008.