Prescott v. Rady Children's Hospital-San Diego

265 F. Supp. 3d 1090
CourtDistrict Court, S.D. California
DecidedSeptember 27, 2017
DocketCase No.: 16-cv-02408-BTM-JMA
StatusPublished
Cited by18 cases

This text of 265 F. Supp. 3d 1090 (Prescott v. Rady Children's Hospital-San Diego) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prescott v. Rady Children's Hospital-San Diego, 265 F. Supp. 3d 1090 (S.D. Cal. 2017).

Opinion

ORDER GRANTING IN PART AND DENYING IN, PART DEFENDANT’S MOTION TO DISMISS .AND DENYING DEFENDANT’S MOTION TO STAY

Barry Téd Moskowitz, Chief Judge

Before the Court are Defendant Rady Children’s Hospital, San Diego’s (“RCHSD”) motion to dismiss and motion to stay. (ECF. No. 9, 15.) The Court discusses each below.

I. BACKGROUND

Plaintiff Katharine Prescott brought this action against RCHSD on behalf of herself, and ori behalf of Kyler Prescott, her deceased . minor son. (ECF No. 1 (“Compl.”).) RCHSD is a nonprofit healthcare organization affiliated with the University of California, San Diego School of Medicine that receives federal and state assistance. (Compl. ¶ 20-22.) Mr. Prescott alleges that RCHSD “advertises its expertise in treating transgender and gender noncomforming children and adolescents through its Gender Management Clinic... .’’ (Id. at ¶23.) “RCHSD held itself out and warranted itself to the public as competent, careful, and experienced in the care and treatment of patients, particularly transgender patients and those with gender dysphoria1.” (Id.) Additionally, RCHSD’s website states that transgender youth “deserve to have a medical home at Rady Children’s Hospital — San Diego.” (Id.)

Kyler was assumed to be female at birth. (Id. at ¶ 29.) However, at the age of ten Kyler began exhibiting signs that he was a boy. (Id.) At the age of twelve, due to increasing gender dysphoria, Kyler began engaging in self-harming behaviors. (Id.) When Kyler was thirteen, he told Ms. Prescott that he was a boy. (Id. at ¶ 30.) As Kyler entered puberty, his gender dys-phoria significantly worsened and he continued to engage in severe self-harming behaviors. (Id.) Concerned about his mental health, Kyler’s parents and then-therapist focused their therapy sessions on helping him cope with his gender dysphoria and depression. (Id.) When Kyler was thirteen, with the support of his parents, he socially transitioned2 to living life as a boy. (Id. at ¶ 34.) At fourteen Kyler began seeing Darlene Tando, an expert in providing therapy to transgender youth. (Id.) In September 2014, Kyler’s endocrinologist, a physician in the Gender Management Clinic at RCHSD, approved him for puberty-delaying medication. (Id. at ¶ 35.) In October 2014, Kyler received his first treatment. (Id.)

Despite the positive effects Kyler’s transition had on his mental health, he still experienced depression and gender dys-phoria. (Id. at ¶36.) For a transgender person with gender dysphoria, being referred to by the wrong gender pronoun is often incredibly distressing. (Id. at ¶ 37.) For Kyler, being misgendered caused him psychological distress. (Id. at ¶ 38.) This led Kyler to withdraw from his charter school and instead participate in a private independent study. (Id.)

On April 5, 2015, Ms. Prescott took Kyler to the Sam S. and Rose Stein Emergency Care Center of RCHSD because of his suicidal thoughts related to gender dys-phoria and to treat his self-inflicted lacerations. (Id. at ¶ 39.) In the early morning of April 6, 2015, Kyler was admitted to RCHSD’s Child and Adolescent Psychiatry Services (“CAPS”) unit on a Cal. Welf. & Inst. Code section 5150 hold for psychiatric inpatient care. (Id.) The RCHSD and CAPS staff was informed by Ms. Prescott of Kyler’s male identity and “his need to be referred to exclusively with male gender pronouns.” (Id. at ¶ 40.) Kyler’s medical records reflected his legal name and gender change. (Id. at ¶ 40.) His male gender identity was also denoted on his RCHSD medical wrist bracelet, (Id.) Upon intake, the RCHSD staff assured Ms. Prescott “that Kyler’s sex and gender identity would be respected and affirmed” and that “all staff would refer to Kyler with male gender pronouns and would otherwise treat him as a boy.” (Id. at ¶ 41.)

Despite knowing that Kyler was a “transgender boy in acute psychological distress,” “nursing and other RCHSD staff repeatedly addressed and referred to Kyler as a girl, using feminine pronouns.” (Id. at ¶ 43.) Kyler complained to his mother during his stay that the staff referred to him with feminine pronouns, which caused him extreme distress. (Id. at ¶ 44.) Kyler also reported that while the other children who were patients initially referred to him with male pronouns, after the RCHSD staffs repeated use of female pronouns, the children also began calling him “she.” (Id.) After Kyler was discharged, he also told Ms. Prescott that one RCHSD employee told him, “Honey, I would call you ‘he,’ but you’re such a pretty girl.” (Id.) Every time Ms. Prescott observed staff calling Kyler “she,” she reiterated that “it was essential to exclusively refer to Kyler with male gender pronouns, and that mis-gendering caused him serious harm.” (Id. at ¶ 46.)

During Kyler’s stay, Ms. Prescott called RCHSD numerous times to share Kyler’s reports of misgendering and remind the staff of the need to refer to Kyler with male pronouns. (Id. at ¶46.) The. Complaint alleges that in response, RCHSD blocked, her number, “leaving her unable to call the CAPS unit, which had control over her son during his time of distress, as well as leaving her unable to solicit- updates on Kyler’s condition.” (Id. at ¶ 47.) As a result of RCHSD staffs conduct, Kyler suffered severe emotional distress and harm, and Ms. Prescott was and continues to be traumatized by the experience. (Id.) Despite concerns over Kyler’s continuing depression and suicidal thoughts, Kyler’s medical providers concluded that he should be discharged early from the hold at RCHSD because of the staffs conduct. (Id. at ¶ 51.) On April 7, 2015, Kyler was discharged from RCHSD’s facility. (Id. at ¶ 52.) After being discharged, Kyler continued to feel anxious and depressed - as a result of RCHSD staffs treatment during his stay. (Id. at ¶ 53.) On May 18, 2015, Kyler died by suicide. (Id. at ¶ 54.)

Ms. Prescott now brings this action against RCHSD alleging numerous causes of action including violations of the Affordable Care Act § 1557, 42 U.S.C. § 18116 (“ACA”), California’s Unruh Civil Rights Act, Cal. Civ. Code. § 51, California Government Code § 11135, California’s Unfair Competition Law, Cal. Bus. & Prof. Code §§ 17200 et seq. (“UCL”), and California’s Fair Advertising Law, Cal. Bus. <& Prof. Code §§ 17500 et seq. (“FAL”).

II. STANDARD

A. Motion to Dismiss

A motion to dismiss under Federal Rule of Civil Procedure 12(b)(6). should be granted only where a plaintiffs complaint lacks a “cognizable legal theory” or sufficient facts to support a legal claim. Balistreri v. Pacifica Police Dept., 901 F.2d 696, 699 (9th Cir. 1988). When reviewing a motion to dismiss, the allegations of material fact in plaintiffs complaint are taken as true and construed in the light most favorable to the plaintiff. Parks Sch. of Bus., Inc. v. Symington, 51 F.3d 1480, 1484 (9th Cir. 1995).

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Cite This Page — Counsel Stack

Bluebook (online)
265 F. Supp. 3d 1090, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prescott-v-rady-childrens-hospital-san-diego-casd-2017.