Woods v. Rumer

District Court, S.D. Ohio·Decided September 8, 2025·No. 2:23-cv-04089·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF OHIO EASTERN DIVISION

SKYE A. WOODS,

Plaintiff, Case No. 2:23-cv-4089 v. Judge James L. Graham Magistrate Judge Elizabeth P. Deavers

KRISTINE RUMER, et al.,

Defendants.

REPORT AND RECOMMENDATION This matter is before the Court on Defendants Rumer and Chambers-Smith and Interested Party State of Ohio’s (“Defendants”) Motion to Dismiss Amended Complaint (Mot., ECF No. 60) and Supplemental Motion to Dismiss Amended Complaint (Supp. Mot., ECF No. 64). Plaintiff only filed a Response to the Motion to Dismiss. (Resp., ECF No. 61.) Defendants filed a Reply. (Reply, ECF No. 62.) This matter is ripe for judicial review. For the following reasons, the Undersigned RECOMMENDS that the Court GRANT in part Defendants’ Motions to Dismiss. (ECF No. 61, 64.) I. BACKGROUND On December 12, 2023, Plaintiff initiated this suit. (ECF No. 1.) At that time, Plaintiff was incarcerated in Chillicothe Correctional Institution. (Id.) On June 12, 2024, Plaintiff was released from incarceration. (ECF Nos. 17, 28.) In her Amended Complaint, Plaintiff alleges that Defendants violated her Eighth and Fourteenth Amendment rights by denying her hormone therapy as treatment for her gender dysphoria (“GD”).1 (Am. Compl., ECF No. 41.) Plaintiff

1 The Court performed an initial screen of the Amended Complaint and permitted Plaintiff to move forward with her claims except for her claim against Defendant Chambers-Smith for monetary damages. (ECF Nos. 54, 55.) further asserts that Defendants Rumer and Gill violated 42 U.S.C. § 2000dd(a)(d) and Ohio Revised Code § 5120.051 by denying her hormone therapy referrals, and Defendant Rumer violated 42 U.S.C. § 12132 by denying her second referral for hormone therapy based on Plaintiff’s intellectual disability. (Id. at PageID 284–86.) Plaintiff also alleges that Ohio Department of Rehabilitation and Correction policy 69-OHC-07 (“Policy”) “is unconstitutional

because it allows institutional staff including the defendants Kristine E. Rumer And Aradhana Gill to violate the 8th Amendment of the United States Constitution by denying People Medical care including the plaintiff . . . .” (Id. at PageID 283 (as in original).) Plaintiff attaches twenty-one Exhibits to her Amended Complaint, including the denial letters and portions of her medical records. (ECF Nos. 41-1, 41-21.) The Undersigned summarizes the relevant portions of Plaintiff’s medical records and will provide more detail as necessary below. See Hicks v. Smith, No. 3:17-CV-251, 2018 WL 11446636, at *3 (W.D. Ky. July 23, 2018) (“[I]n evaluating a motion to dismiss, the Court ‘may consider the complaint and any exhibits attached thereto.’”) (citing Luis v. Zang, 833 F.3d 619, 626 (6th Cir. 2016)).

Plaintiff’s medical records reflect that she began receiving mental health treatment as early as October 31, 2018, and from March 1, 2022, to April 5, 2023, received consistent care for general mental health and her desire to transition genders. (ECF Nos. 41-6, 41-7, 41-8, 41-9, 41- 10, 41-11.) On April 10, 2023, Defendant Rumer denied Plaintiff’s referral for hormone treatment, noting the decision was based on “diagnostic clarification, further assessment and education/counseling.” Defendant Rumer further explained that the treatment team had not adequately demonstrated that Plaintiff met all diagnostic criteria for GD. (ECF No. 41-8, 41-12.) On November 9, 2023, Defendant Rumer denied Plaintiff’s second referral for hormone treatment, noting the decision was based on “concerns about your understanding of the effects of hormone treatment, expected side effects, risks, and future implications.” (ECF No. 41-2.) On March 15, 2024, Defendant Gill denied Plaintiff’s third referral for hormone treatment, explaining that “the treatment team has not adequately demonstrated that all diagnostic criteria required for gender dysphoria has been met, no psychological contraindications exist and that

pretreatment counseling has been completed.” (ECF No. 41-18.) Defendants move to dismiss Plaintiff’s Amended Complaint with prejudice pursuant to Federal Rule of Civil Procedure 12(b)(6). (Mot. at PageID 461; Supp. Mot. at PageID 503.) II. STANDARD OF REVIEW To survive a motion to dismiss for failure to state a claim under Rule 12(b)(6), a plaintiff must satisfy the basic federal pleading requirements set forth in Rule 8(a). Under Rule 8(a)(2), a complaint must contain a “short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). Thus, Rule 8(a) “imposes legal and factual demands on the authors of complaints.” 16630 Southfield Ltd., P’ship v. Flagstar Bank, F.S.B., 727 F.3d 502, 503 (6th Cir. 2013) (emphasis in original) (internal citations omitted).

Although this pleading standard does not require “‘detailed factual allegations,’ . . . [a] pleading that offers ‘labels and conclusions’ or ‘a formulaic recitation of the elements of a cause of action,’” is insufficient. Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555 (2007)). A complaint will not “suffice if it tenders ‘naked assertion[s]’ devoid of ‘further factual enhancement.’” Id. (quoting Twombly, 550 U.S. at 557). Instead, to survive a motion to dismiss for failure to state a claim under Rule 12(b)(6), “a complaint must contain sufficient factual matter . . . to ‘state a claim to relief that is plausible on its face.’” Id. (quoting Twombly, 550 U.S. at 570). Facial plausibility is established “when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Id. (quoting Twombly, 550 U.S. at 556). “The plausibility of an inference depends on a host of considerations, including common sense and the strength of competing explanations for the defendant’s conduct.” Flagstar Bank, 727 F.3d at 504 (citations omitted). In considering whether a complaint fails to state a claim upon which relief can be

granted, the Court must “construe the complaint in the light most favorable to the plaintiff, accept its allegations as true, and draw all reasonable inferences in favor of the plaintiff.” Ohio Police & Fire Pension Fund v. Standard & Poor’s Fin. Servs. LLC, 700 F.3d 829, 835 (6th Cir. 2012) (quoting Directv, Inc. v. Treesh, 487 F.3d 471, 476 (6th Cir. 2007)). Of note, “the tenet that a court must accept a complaint’s allegations as true is inapplicable to threadbare recitals of a cause of action’s elements, supported by mere conclusory statements.” Iqbal, 556 U.S. at 663. Thus, while a court is to afford plaintiff every inference, the pleading must still contain facts sufficient to “provide a plausible basis for the claims in the complaint”; a recitation of facts intimating the “mere possibility of misconduct” will not suffice. Flex Homes, Inc. v. Ritz–Craft

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