Wright v. National Board of Medical Examiners

Court of Appeals for the Tenth Circuit·Decided July 2, 2024·No. 23-1274·Unpublished

Opinion

Appellate Case: 23-1274 Document: 010111073708 Date Filed: 07/02/2024 Page: 1 FILED United States Court of Appeals UNITED STATES COURT OF APPEALS Tenth Circuit

FOR THE TENTH CIRCUIT July 2, 2024 _________________________________ Christopher M. Wolpert Clerk of Court JASON WRIGHT,

Plaintiff - Appellant,

v. No. 23-1274 (D.C. No. 1:21-CV-02319-GPG-KAS) NATIONAL BOARD OF MEDICAL (D. Colo.) EXAMINERS,

Defendant - Appellee. _________________________________

ORDER AND JUDGMENT * _________________________________

Before TYMKOVICH, BACHARACH, and CARSON, Circuit Judges. _________________________________

Mr. Jason Wright wants a medical license. To get it, he needs to pass

a test administered by the National Board of Medical Examiners. The test

has three parts, and Mr. Wright has passed the first two parts. But he’s

tried four times—without success—to pass the third part.

* Oral argument would not help us decide the appeal, so we have decided the appeal based on the briefing and the record. See Fed. R. App. P. 34(a)(2)(C); 10th Cir. R. 34.1(G).

This order and judgment does not constitute binding precedent except under the doctrines of law of the case, res judicata, and collateral estoppel. But the order and judgment may be cited for its persuasive value if otherwise appropriate. See Fed. R. App. P. 32.1(a); 10th Cir. R. 32.1(A). Appellate Case: 23-1274 Document: 010111073708 Date Filed: 07/02/2024 Page: 2

Mr. Wright attributes these failures to the Board’s unwillingness to

provide accommodations for his disability, and he has sued under the

Americans with Disabilities Act. 1 Under this statute, however, Mr. Wright

can get only preventive relief. 42 U.S.C. §§ 2000a–3(a), 12188(a). The

availability of preventive relief turns not only on the merits of

Mr. Wright’s claim but also on his eligibility to retake the third part of the

test.

When he first took the test, the Board’s rule allowed him to take the

third part six times. But the Board changed the rule, stating that applicants

could take the third part of the test only four times. And Mr. Wright has

now taken the third part of the test four times. The district court thus

dismissed the action on jurisdictional grounds, concluding that the claims

are

 moot for tests already taken and

 unripe for future tests in the absence of an opportunity to take the third part again.

We conduct de novo review over these jurisdictional conclusions.

Tompkins v. United States Dep’t of Veterans Affairs, 16 F.4th 733, 741

(10th Cir. 2021).

1 Mr. Wright has also invoked state law and says that the district court failed to address the state-law claim. Mr. Wright is mistaken. The court dismissed the state-law claim, declining to exercise supplemental jurisdiction.

2 Appellate Case: 23-1274 Document: 010111073708 Date Filed: 07/02/2024 Page: 3

Mr. Wright doesn’t question the mootness of his claims involving the

tests that he has already taken. Instead, he alleges a right to take the third

part of the test two more times because of the failure to honor past requests

for accommodations. Given this alleged right, Mr. Wright argues that his

claim for future accommodations is ripe.

The district court rejected this argument, concluding that Mr. Wright

had not shown a legal right to take the test two more times. We agree with

the district court that the claim isn’t ripe, but we differ with the court in

our approach. In our view, the Board’s challenge to ripeness is factual and

the undisputed facts show that Mr. Wright has no right to retake the third

part of the test.

We can affirm on other grounds as long as they’re supported by the

record. I Dig Texas, LLC v. Creager, 98 F.4th 998, 1009 (10th Cir. 2024).

In deciding whether to consider other grounds to affirm, we consider

whether

 the issue was briefed in district court and on appeal,

 the question is legal, and

 the record is adequately developed.

Id. These factors support consideration of the alternative ground to affirm.

The parties briefed the issue in district court and on appeal, ripeness

3 Appellate Case: 23-1274 Document: 010111073708 Date Filed: 07/02/2024 Page: 4

constitutes a matter of law, 2 and both parties had an opportunity to present

evidence involving the Board’s practices.

Ripeness involves fitness of the issue for judicial resolution and

hardship to the parties from withholding a decision. United States v.

Wilson, 244 F.3d 1208, 1213 (10th Cir. 2001). A challenge to ripeness can

be facial or factual. Laufer v. Looper, 22 F.4th 871, 875 (10th Cir. 2022).

A facial attack assumes that the allegations are true; a factual attack relies

on evidence outside the complaint. Id.

The Board’s challenge is factual because it rests on Mr. Wright’s

ineligibility to retake the third part of the test. Responding to this

challenge, Mr. Wright insists that two of his tests shouldn’t count because

the Board hadn’t honored his past requests for accommodation. Even if

Mr. Wright were correct, ripeness would turn on the Board’s actual

practice (rather than what it should be).

Assume, for example, that the district court requires the Board to

accommodate Mr. Wright if he retakes the third part of the test. This

requirement would be academic if the Board doesn’t allow Mr. Wright to

retake this part of the test, and Mr. Wright’s eligibility to retake the test

turns solely on the Board’s actual practice.

2 See Texas v. United States, 497 F.3d 491, 495 (5th Cir. 2007) (stating that ripeness constitutes a matter of law). 4 Appellate Case: 23-1274 Document: 010111073708 Date Filed: 07/02/2024 Page: 5

Mr. Wright argues that he remains eligible to retake the test because

two of his attempts shouldn’t count. The Board characterizes this argument

as factual; Mr. Wright characterizes the argument as legal. With either

characterization, however, the argument fails.

Mr. Wright doesn’t argue that the Board’s policy expressly allows

another chance to take the test based on past failures to accommodate a

disability. Mr. Wright instead argues that the Board’s policy is flexible

enough to allow retesting when there are glitches with administration of

the test (such as computer problems).

Mr. Wright failed to preserve this argument because he didn’t present

it in district court. See Ave. Cap. Mgt. II, L.P. v. Schaden, 843 F.3d 876,

884 (10th Cir. 2016). Even if he had preserved the argument, however, it

wouldn’t matter because Mr. Wright doesn’t suggest that this policy is

broad enough to allow retesting when the Board denies a required

accommodation. So Mr. Wright’s argument would fail if we characterize it

as factual.

The same is true if we characterize the argument as legal. Mr. Wright

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