Thornton v. Ipsen Biopharmaceuticals, Inc.

126 F.4th 76
Court of Appeals for the First Circuit·Decided January 16, 2025·No. 23-1951·Published·Cited by 19 cases

Opinion

United States Court of Appeals For the First Circuit

No. 23-1951 REGINA M. THORNTON,

Plaintiff, Appellant,

v.

IPSEN BIOPHARMACEUTICALS, INC., Defendant, Appellee.

APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MASSACHUSETTS

[Hon. Jennifer C. Boal, U.S. Magistrate Judge]

Before

Barron, Chief Judge,

Thompson and Gelpí, Circuit Judges.

Richard C. Chambers, Jr., with whom Joseph Spinale was on brief, for appellant.

Jonathan Rosenfeld and Michael Lenzi, with whom Wilmer Cutler Pickering Hale and Dorr LLP was on brief, for appellee.

January 16, 2025

GELPÍ, Circuit Judge. Plaintiff-Appellant Regina M.

Thornton ("Thornton") was employed by Defendant-Appellee Ipsen Biopharmaceuticals, Inc. ("Ipsen") as Associate Director - Patient Safety. In September 2021, Ipsen implemented a policy requiring its employees to receive COVID-19 vaccinations. Citing her religious beliefs, Thornton submitted a request for an exemption from the vaccination requirement, which Ipsen denied. After Thornton did not comply with the vaccination requirement, Ipsen terminated her employment.

Thornton sued Ipsen in the Superior Court of Massachusetts, County of Middlesex, alleging claims under Title VII of the Civil Rights Act of 1964, 42 U.S.C. § 2000e-2(a) ("Title VII"), and the corresponding Massachusetts law, Mass. Gen. Laws ch. 151B ("Chapter 151B"); the Fourteenth Amendment to the United States Constitution; and the Massachusetts Declaration of Rights ("MDR"). Ipsen removed the case to the United States District Court for the District of Massachusetts and moved to dismiss all counts. The United States Magistrate Judge who presided over the case with the parties' consent granted Ipsen's motion, dismissing Thornton's complaint. Thornton appealed.

For the reasons explained below, we reverse in part and affirm in part.

I. BACKGROUND

A. Factual Background

Because "this appeal follows the granting of a motion to dismiss, we draw the relevant facts from the plaintiff's complaint" and "from documentation incorporated by reference in the complaint." Rivera–Díaz v. Humana Ins. of P.R., Inc., 748 F.3d 387, 388 (1st Cir. 2014) (citing Jorge v. Rumsfeld, 404 F.3d 556, 558-59 (1st Cir. 2005)). In reciting the facts, we accept as true all well-pleaded allegations "and draw[] all reasonable inferences in favor of the non-moving party." Squeri v. Mount Ida Coll., 954 F.3d 56, 61 (1st Cir. 2020) (citing Penate v. Hanchett, 944 F.3d 358, 362 (1st Cir. 2019)).

On September 7, 2021, Ipsen implemented a policy requiring its employees to become "fully vaccinated" against COVID-19 by November 1, 2021. Pursuant to the terms of the vaccination policy, employees would be "considered fully vaccinated for COVID-19 two weeks after [the employee] ha[d] received the second dose in a two-dose series (Pfizer-BioNTech or Moderna) or two weeks after they ha[d] received a single-dose vaccine (Johnson and Johnson/Janssen)." Those who failed to provide timely proof of vaccination were subject to termination for cause.

The policy, however, provided a procedure by which employees could request a religious exemption from the vaccination

requirement. To do so, an employee needed to submit an accommodation request form accompanied by "a written statement describing [their] sincerely held religious belief, practice, or observance and how it conflict[ed] with . . . receiving the COVID-19 vaccination." Ipsen reviewed all such "requests on a case-by-case basis."

Thornton, who at the time was employed by Ipsen as Associate Director - Patient Safety, sought a religious exemption from the vaccination requirement on October 26, 2021. In her accommodation request form, she stated the following:

[B]eing a very private person, this process that requires me to divulge my sincerely held beliefs and personal medical information makes me extremely uncomfortable. Receiving a vaccine (including the [COVID-19] vaccine)

goes against my personal, private and sincerely held religious beliefs. Therefore, I am requesting a reasonable accommodation based on my religious convictions. My long standing beliefs are sincerely held and firmly established in my faith, the Holy Bible and my awareness that what God has created is perfect.

On November 2, 2021, Ipsen denied Thornton's request.

Even though the vaccination policy did not provide for an internal appeal process, Thornton still tried to appeal the denial by submitting a letter to Ipsen on November 5, 2021. Therein, she elaborated further:

I have never had to defend my faith and it is difficult for me to put into words my sincerely held religious beliefs that I hold

in my heart and soul. I demonstrate my sincerely held religious beliefs not only in how I think, but in how I live my life every day. God requires me to follow His Word and His Teachings so that I may live in Grace and have eternal salvation. In practicing my faith, which requires me to keep my body and soul pure to God's standard as He created, I follow God's word by . . . [p]raying to God. . . . God does not make mistakes and I am created in His image and defying what He has created is a sin and morally wrong. . . . I have not received a vaccine in at least twenty years. Through much prayer and listening to the guidance of the Holy Spirit, it would violate my sincerely held religious beliefs and jeopardize my soul and eternal salvation to go against God by defiling my perfectly created body that He created in His image by receiving the vaccine. This is the way I choose to interpret God's Word; the messages I have received from God; and is my own personal translation of His teachings.

Ipsen made no decision regarding this letter, nor did Thornton comply with the vaccination requirement. As a result, Ipsen terminated Thornton's employment on November 10, 2021.

Six days later, Thornton filed a religious discrimination charge with the Equal Employment Opportunity Commission ("EEOC"), which is empowered to enforce Title VII. 42 U.S.C. § 2000e-5. The EEOC dismissed the charge and issued Thornton a right-to-sue letter on August 30, 2022. Thornton then filed in Massachusetts Superior Court a complaint against Ipsen, which she twice amended. In her second amended complaint ("SAC"), Thornton alleges the following three counts: (1) religious discrimination in violation of Title VII and Chapter 151B;

(2) violation of her equal protection rights under the Fourteenth Amendment to the United States Constitution; and (3) violation of her substantive and procedural due process rights under the Fourteenth Amendment to the United States Constitution and the MDR.

On May 25, 2023, Ipsen removed the case to the United States District Court for the District of Massachusetts and, a week later, moved to dismiss Thornton's SAC under Federal Rule of Civil Procedure 12(b)(6). The parties then consented to having the case referred to the U.S. Magistrate Judge for all further proceedings, including entry of final judgment. See 28 U.S.C. § 636(c).

On October 26, 2023, the Magistrate Judge granted Ipsen's motion pursuant to Rule 12(b)(6) and dismissed the SAC in its entirety. The Magistrate Judge first determined that Thornton had failed to state a plausible claim of religious discrimination under Title VII or Chapter 151B. After considering Thornton's SAC, accommodation request form, and November 5 letter, the Magistrate Judge concluded that Thornton did not "state what [her] beliefs were or how they relate to vaccines generally or the COVID-19 vaccine specifically." The Magistrate Judge also noted that Thornton "d[id] not allege that her religion require[d] her to observe certain medical limitations that include a refusal to take vaccines generally or the COVID-19 vaccine." Thus, the

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Thornton v. Ipsen Biopharmaceuticals, Inc., 126 F.4th 76 (1st Cir. 2025).

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