Pearson v. Shriners Hospitals

133 F.4th 433
CourtCourt of Appeals for the Fifth Circuit
DecidedApril 2, 2025
Docket24-40436
StatusPublished
Cited by6 cases

This text of 133 F.4th 433 (Pearson v. Shriners Hospitals) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pearson v. Shriners Hospitals, 133 F.4th 433 (5th Cir. 2025).

Opinion

Case: 24-40436 Document: 95-1 Page: 1 Date Filed: 04/02/2025

United States Court of Appeals for the Fifth Circuit United States Court of Appeals Fifth Circuit ____________ FILED April 2, 2025 No. 24-40436 Lyle W. Cayce ____________ Clerk

Jeri Pearson; Elizabeth Klem; Ben Homan; Rob Fowler,

Plaintiffs—Appellants,

versus

Shriners Hospitals for Children, Incorporated; Shriners Hospitals for Children, Texas; Beverly Bokovitz; Frances Farley; Jerry Gantt; John McCabe; Phillip Grady; Cecile Erwin Young,

Defendants—Appellees. ______________________________

Appeal from the United States District Court for the Southern District of Texas USDC No. 3:23-CV-387 ______________________________

Before Wiener, Stewart, and Southwick, Circuit Judges. Carl E. Stewart, Circuit Judge: Plaintiffs-Appellants (the “Former Employees”) were terminated from Shriners Hospitals for Children for refusing to get a COVID-19 vaccination. They then sued their private employer, its agents, and the Executive Commissioner of Texas Health and Human Services, for violating Case: 24-40436 Document: 95-1 Page: 2 Date Filed: 04/02/2025

No. 24-40436

their alleged right to refuse the vaccine. 1 The Former Employees asserted various 42 U.S.C. § 1983 claims, a claim directly under the statute permitting the vaccine’s Emergency Use Authorization (the “EUA Statute”), and various Texas state-law claims. We AFFIRM the district court’s judgment dismissing with prejudice the Former Employees’ federal-law claims. We also AFFIRM the district court’s judgment dismissing the Former Employees’ state-law claims with prejudice for lack of supplemental jurisdiction, however, we MODIFY the judgment to reflect that it is without prejudice and AFFIRM as MODIFIED. I. Nearly a year after COVID-19 first reached the United States, the Secretary of Health and Human Services (“HHS”) issued EUAs for vaccines developed by Pfizer, Moderna, and Johnson & Johnson. 2 Because of the short timeline, the Food and Drug Administration (the “FDA”) had not yet fully approved the vaccines. To streamline and organize the national vaccination effort, the federal government purchased all the available COVID-19 vaccines in the United States. Those vaccines were available exclusively through the federal COVID-19 vaccination program, in coordination with state and local governments. Under this arrangement, states were responsible for “ensur[ing] the COVID-19 Vaccination Program [was] implemented throughout the _____________________ 1 Throughout this opinion we refer to the Defendants–Appellants in three groups: (1) Shriners Hospitals for Children and its wholly owned subsidiary Shriners Hospitals for Children, Texas, as “Shriners”; (2) Beverly Bokovitz, Frances Farley, Jerry Gantt, John McCabe, and Phillip Grady as the “Agents”; and (3) the Executive Commissioner of Texas Health and Human Services as the “Commissioner.” 2 Because this case was dismissed on a motion to dismiss, we draw all facts from the Former Employees’ amended complaint. See Ashcroft v. Iqbal, 556 U.S. 662, 678–79 (2009).

2 Case: 24-40436 Document: 95-1 Page: 3 Date Filed: 04/02/2025

jurisdiction in adherence with federal guidance and requirements.” The organizations that administered vaccines to patients had similar obligations to “comply with all applicable requirements as set forth by the [FDA], including but not limited to requirements in any EUA that covers COVID-19 Vaccine[s].” For example, before administering the vaccine, providers had to “provide an approved [EUA] fact sheet or vaccine information statement (VIS) . . . to each vaccine recipient.” As required under the EUA Statute, those fact sheets contained information that “informed” patients “of the option to accept or refuse administration of the product, [and] of the consequences, if any, of refusing administration of the product.” See 21 U.S.C. § 360bbb-3(e)(1)(A)(ii)(III). Shriners was one vaccine provider. As a private nonprofit corporation, it operates an international network of children’s hospitals. The Former Employees worked at one of those hospitals in Galveston, Texas. Shriners is incorporated in Colorado and headquartered in Florida. The two Agents who signed the vaccine provider agreement—Beverly Bokovitz and Frances Farley—were based outside of Texas. In November 2021, Shriners adopted a companywide policy that required its employees to be vaccinated against COVID-19. The policy permitted employees to get vaccinated through Shriners or independent entities. The three Agents who signed the policy—Jerry Gantt, John McCabe, and Phillip Grady—were also based outside of Texas. The Former Employees refused to get vaccinated, so Shriners terminated their employment. In December 2023, nearly two years after the Former Employees were terminated, they sued Shriners, its Agents, and the Commissioner. They

3 Case: 24-40436 Document: 95-1 Page: 4 Date Filed: 04/02/2025

raised six § 1983 claims, 3 a standalone claim under the EUA Statute, and three Texas state-law claims. 4 The Former Employees argued that, Shriners—allegedly a state actor by virtue of the vaccine provider agreement—and its Agents violated their right to refuse the vaccine without consequences through the mandatory vaccination policy. They also argued that the Commissioner, for her part, allegedly violated the same right by failing to stop Shriners. They posited that she breached her duty to ensure that vaccine providers within Texas did not impose a burden on their choice to refuse the vaccine. Shriners, its Agents, and the Commissioner moved to dismiss the Former Employees’ claims. Shriners and its Agents argued that (1) there was no personal jurisdiction over the Agents, (2) the § 1983 claims were time barred, (3) there was no state action as required under § 1983, (4) none of the nonconstitutional provisions confer private rights of action under § 1983 or under the provisions themselves, (5) each claim failed on its merits, (6) Shriners and its Agents are entitled to qualified immunity, and (7) the district court should decline to exercise supplemental jurisdiction over the state-law claims. 5

_____________________ 3 Under § 1983, the Former Employees alleged violations of their (1) substantive due process right to refuse a vaccine; (2) “privacy rights” under the Fourteenth Amendment; (3) equal protection right not to be classified on the basis of vaccination status; (4) procedural due process right to a hearing prior to depriving them of their right to refuse a vaccine without penalty; (5) right to be free from unconstitutional conditions; (6) right to refuse a vaccine under various statutes, treaties, and administrative actions. 4 Under Texas state law, the Former Employees alleged (1) breach of contract as a third-party beneficiary to the vaccine provider agreement between Shriners and the federal government; (2) wrongful termination, and (3) intentional infliction of emotional distress. 5 Shriners and its Agents do not renew on appeal their arguments that the Former Employees’ § 1983 claims are time barred or that they are entitled to qualified immunity. Thus, we address them no further.

4 Case: 24-40436 Document: 95-1 Page: 5 Date Filed: 04/02/2025

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133 F.4th 433, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pearson-v-shriners-hospitals-ca5-2025.