6:23-cv-01101•Henson v. PeaceHealth Peace Harbor Medical Center
Testo completo
PAGE 1 – FINDINGS & RECOMMENDATION IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF OREGON EUGENE DIVISION MARGARET HENSON, Plaintiff, v. PEACEHEALTH PEACE HARBOR MEDICAL CENTER, Defendant. Case No. 6:23-cv-01101-AP FINDINGS & RECOMMENDATION ______________________________________ POTTER, United States Magistrate Judge: Plaintiff Margaret Henson alleges that her former employer, Defendant PeaceHealth Peace Harbor Medical Center, discriminated against her by failing to accommodate her religious beliefs. Compl., ECF No. 1. She brings claims under Title VII and the corresponding Oregon statute. Id. Defendant moves for summary judgment. Def.’s Mot., ECF No. 32. Defendant also moves to strike the declaration of Colleen Huber, Plaintiff’s expert witness. Def.’s Reply 2–25, ECF No. 42. Because Dr. Huber’s opinion does not meet reliability standards as required under the Federal Rules of Civil Procedure, Defendant’s motion to strike should be granted. Because any other accommodation would have been an undue hardship, Defendant’s motion for summary judgment should also be granted. BACKGROUND Plaintiff is a certified medical assistant. Compl. ¶ 7. Beginning in 2010, she worked at Defendant’s Peace Harbor Medical Center in Florence, Oregon. Id.; Freeman Decl. ¶ 2, ECF No. Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 1 of 20
PAGE 2 – FINDINGS & RECOMMENDATION 36. Specifically, Plaintiff worked at the contact center where her job duties primarily consisted of telephoning patients and providers. Compl. ¶ 7; Freeman Decl. ¶ 4. When the COVID-19 pandemic began in 2020, Defendant, like other healthcare facilities, saw large numbers of patients infected with the virus. Kroll Decl. ¶ 4, ECF No. 34. Defendant worked to reduce the risks of infection and the spread of the disease by “optimizing ventilation systems, physical distancing, screening, testing, masking, and other forms of personal protective equipment.” Kroll Decl. ¶¶ 4-5. When vaccines for COVID-19 became available in December 2020, Defendant encouraged employees to receive the vaccine. Kroll Decl. ¶ 6. By the summer of 2021, the Delta variant surged in Oregon. Koekkoek Decl. ¶ 10, ECF No. 33. COVID-19 cases increased nationwide by 300%, leading to increased hospitalizations and deaths. Koekkoek Decl. ¶ 37; Koekkoek Decl. Ex. 12. In July 2021, Defendant convened an Ethical Discernment process to determine whether they should require caregivers to be vaccinated against COVID-19. Koekkoek Decl. ¶ 24. After considering “internal infection prevention data, as well as publicly available information regarding COVID-19 and the vaccines,” the Ethical Discernment team voted unanimously to require vaccination for all caregivers, except those with medical or religious exceptions. Koekkoek Decl. ¶¶ 26, 27. Defendant announced their vaccine requirement policy on August 3, 2021. Koekkoek Decl. ¶ 29. At the same time, the State of Oregon was attempting to limit the spread of COVID-19. On August 4, 2021, Governor Kate Brown announced a vaccine mandate. The initial Oregon Health Authority (OHA) mandate required healthcare workers to either (1) be fully vaccinated or (2) submit to weekly testing. OAR 333-019-1010 (eff. August 5, 2021 to August 24, 2021). However, just twenty days later, OHA amended the rule, removing the weekly testing option and Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 2 of 20
PAGE 3 – FINDINGS & RECOMMENDATION requiring all healthcare workers to be fully vaccinated or have a medical or religious exception in place by October 18, 2021. OAR 333-019-10101 (eff. August 25, 2021 to June 30, 2023). By the end of August 2021, Defendant had received exception requests from 267 caregivers in Oregon, including Plaintiff. Le Decl. ¶¶ 20, 33, ECF No. 35. Defendant approved Plaintiff’s religious exception request, as well as those of 233 other caregivers in Oregon. Id. Also in August 2021, Defendant “made the clinical determination that contact between unvaccinated caregivers and patients, caregivers, or other community members in [their] facilities posed an unacceptable health and safety risk.” Le Decl. ¶ 16. For employees with approved medical or religious exception requests, Defendant initiated an interactive process to determine if “the caregiver could perform the essential functions of their position 100% remotely.” Le Decl. ¶ 23. Because of the nature of healthcare work, most employees were unable to perform their jobs remotely.1 Le. Decl. ¶ 24. For those employees, Defendant “provided the only other accommodation available that did not pose an unreasonable health and safety risk to patients and other caregivers: unpaid administrative leave.” Id. Defendant determined that Plaintiff could not perform her job 100% remotely and she was placed on administrative leave, effective September 1, 2021. Le Decl. ¶¶ 33, 35. STANDARDS I. Motion to Strike Expert Witness An expert witness’s opinion is admissible when the court finds it “more likely than not that: (a) the expert's scientific, technical, or other specialized knowledge will help the trier of fact to understand the evidence or to determine a fact in issue; (b) the testimony is based on sufficient facts or data; (c) the testimony is the product of reliable principles and methods; and (d) the 1 PeaceHealth was able to accommodate 142 caregivers with remote work. Le Decl. ¶ 21. Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 3 of 20
PAGE 4 – FINDINGS & RECOMMENDATION expert’s opinion reflects a reliable application of the principles and methods to the facts of the case.” Fed. R. Evid. 702. When evaluating scientific knowledge, courts should consider “whether it can be (and has been) tested,” “whether the theory or technique has been subjected to peer review and publication,” “the known or potential rate of error,” and general acceptance. Daubert v. Merrell Dow Pharms., Inc., 509 U.S. 579, 593-94 (1993). “Under Daubert, the trial court must act as a ‘gatekeeper’ to exclude junk science that does not meet . . . reliability standards.” Ellis v. Costco Wholesale Corp., 657 F.3d 970, 982 (9th Cir. 2011). II. Summary Judgment Summary judgment is warranted when, based on the pleadings, depositions, and other interrogatories and admissions on file, together with the affidavits, if any, “there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56. A dispute is considered “genuine” if the “evidence is such that a reasonable jury could return a verdict for the nonmoving party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). A fact is “material” if it could affect the outcome of the case; disputes about irrelevant or unnecessary facts do not preclude summary judgment. Id. And the materiality of the fact is “determined by the substantive law governing the claim.” T.W. Elec. Serv., Inc. v. Pac. Elec. Contractors Ass’n, 809 F.2d 626, 630 (9th Cir. 1987). Whether there is a genuine issue of material fact is often a close question. Id. Thus, the moving party bears an initial burden to show the absence of a genuine issue of material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 325 (1986). When the moving party has met its burden, the non-moving party must present “specific facts showing that there is a genuine issue for trial.” T.W. Elec. Ser., Inc., 809 F.2d at 630 (quoting Fed. R. Civ. P. 56(e)). The nonmoving party cannot merely rely on allegations in the pleadings or claims that it will discredit the moving Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 4 of 20
PAGE 5 – FINDINGS & RECOMMENDATION party’s evidence at trial. Id. But neither party need prove any fact conclusively at this stage. Id. The court reviews evidence and draws inferences in the light most favorable to the non-moving party and when evidence conflicts, the court “must assume the truth of the evidence set forth by the nonmoving party with respect to that fact.” Id. at 631. At bottom, “if a rational trier of fact might resolve the issue in favor of the nonmoving party, summary judgment must be denied. Id. DISCUSSION I. Defendant’s Motion to Strike Huber Declaration Defendant moves to strike the declaration of Plaintiff’s expert witness, Colleen Huber, NMD, under Rule 702. Def.’s Reply 2–18.2 Defendant argues that Dr. Huber is “disastrously unqualified” and that her declaration is wholly comprised of “junk science” and “unreliable nonsense.” Id. at 2. When considering a motion to strike, the Court is tasked with determining whether the expert’s testimony “rests on a reliable foundation and is relevant to the task at hand.” Daubert, 509 U.S. at 597. Here, Dr. Huber’s declaration fails to meet the reliability test. And to the extent her opinion is that the medical community (and the government) got it wrong when it promoted COVID vaccines, it is not relevant. Dr. Huber is a naturopathic medical doctor.3 Huber Decl. ¶ 2, ECF No. 41. Plaintiff proffers her opinion that “PeaceHealth could have offered ivermectin as an accommodation to any employee in a healthcare setting from taking the COVID-19 vaccine, so that they could 2 Per Local Rule 56-1(b), Defendant’s evidentiary objections are properly brought in their Reply memorandum. 3 Dr. Huber’s license was revoked in 2022. See Lauren Decl., Ex. 4, ECF No. 43. Dr. Huber has appealed the revocation; the Arizona Court of Appeals recently remanded the case to the superior court, holding that Dr. Huber was entitled to a de novo jury trial. Huber v. Arizona Naturopathic Physicians Medical Board, —P.3d —, 2025 WL 2775274 (Az. Ct. App. Sept. 30, 2025). Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 5 of 20
PAGE 6 – FINDINGS & RECOMMENDATION continue to work.” 4 Id. ¶ 22. In Dr. Huber’s view, ivermectin is an effective prophylactic. Id. at 13. Dr. Huber describes ivermectin as “extraordinarily safe” and effective as a treatment and a prophylactic for COVID-19. Id. ¶ 11. Dr. Huber’s opinion is based on her “study of ivermectin” and her experience “treating both COVID patients and those who desired to prevent COVID.” Huber Decl. ¶ 6. Dr. Huber asserts she treated 100 to 200 patients who exhibited COVID symptoms with ivermectin, amongst other things.5 Huber Decl. ¶ 2. However, as Dr. Willian Ehni, Defendant’s rebuttal expert notes, “this is anecdotal evidence.” Lauren Decl. Ex 5 (Ehni Report) at ¶ 3, ECF No. 43. Dr. Huber fails to state how many patients were treated, the dose of ivermectin that was used, if any protocol was followed or if there was a control group. Id. While clinical practice can certainly support an expert’s opinion, treating a small percentage of patients who might have had COVID with ivermectin does not amount to the type of clinical experience that would support the conclusion that ivermectin could protect healthcare workers and patients from COVID-19. Dr. Huber also relies on studies including a “meta-analysis” that purports to show ivermectin was effective in treating COVID-19. Huber Decl. ¶ 3. But an analysis of the studies used in that meta-analysis reveals that many of the studies have methodology issues including studies that involved multiple treatments, had small sample sizes, were phone surveys, or had inadequate randomization. Ehni Report ¶ 6. And none of the studies referenced by Dr. Huber involve the use of ivermectin as a prophylactic. Id. at ¶ 9. Simply cherry-picking information 4 Dr. Huber believes that no one should get vaccinated for COVID. Lauren Decl. Ex. 1 (Huber Depo.) at 11:17-20. It is her medical opinion that people should “avoid the vaccines like the plague” because “vaccines in general are an 18th century superstition.” Id. at 138-39. 5 Because Dr. Huber believes there is no reliable law test for COVID, she did not test any of these patients to confirm they actually had COVID. Huber Depo. 186:6-17. Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 6 of 20
PAGE 7 – FINDINGS & RECOMMENDATION from studies—many of which would fail to meet the reliability test in the first instance—is insufficient to support a conclusion that ivermectin was an effective treatment. Plaintiff argues that Dr. Huber is “the perfect expert witness . . . because she literally wrote the [self-published] book on treatments for COVID.” Pl.’s Surreply 1, ECF No. 48. Dr. Huber has self-published two books about COVID-19: The Defeat of COVID: 500+ Medical Studies Show What Works and What Doesn’t and Neither Safe Nor Effective: The Evidence Against the COVID Vaccines. Huber Decl. ¶¶ 3, 4; Huber Depo. 100:13-15. Dr. Huber has also published five articles in the online Primary Doctor Medical Journal, which bills itself as “A peer-reviewed journal by physicians and scientists without commercial influence.” Primary Doctor Medical Journal, pdmj.org (last visited October 9. 2025). PDMJ.org is registered in Dr. Huber’s name and she is the primary publisher of articles on the site. Lauren Decl. Ex. 1 (Huber Depo.) 83:23-84:1; 87:1-3.6 PDMJ.org does not provide any details on their peer-review process; while Dr. Huber has been a peer reviewer for all the articles that she did not write, she also cannot provide any detail on the peer review process. Huber Depo. 81-82. Because Dr. Huber’s writings on COVID have all essentially been self-published and not subject to any meaningful form of peer review, the Court cannot find that they support reliability. Further, none of Dr. Huber’s opinions regarding ivermectin have found general acceptance. In fact, the opposite is true.7 The Food and Drug Administration, the World Health Organization, 6 In her Supplemental Declaration, Dr. Huber states that she has “never operated the PDMJ website.” Huber Supp. Decl. ¶ 20. This inconsistency is immaterial. 7 Indeed, Dr. Huber’s postings on vaccinations and COVID-19 resulted in her being suspended from Twitter for violating its COVID-19 policy which provided that users may not share or post content “that may mislead people about ... the efficacy and/or safety of preventative measures, treatments, or other precautions to mitigate or treat the disease. . . .” Huber v. Biden, No. 21-CV- 06580-EMC, 2022 WL 827248, at *5 (N.D. Cal. Mar. 18, 2022), aff’d, No. 22-15443, 2022 WL Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 7 of 20
PAGE 8 – FINDINGS & RECOMMENDATION the National Institutes of Health, and Merck (the manufacturer of ivermectin) all recommend against using ivermectin to treat COVID-19. Ehni Report ¶ 7. “The FDA has determined that currently available clinical trial data do not demonstrate that ivermectin is effective against COVID 19 in humans.” Ehni Report ¶ 8; U.S. Food and Drug Administration, Ivermectin and COVID-19, https://www.fda.gov/consumers/consumer-updates/ivermectin-and-covid-19 (last visited October 9, 2025). Dr. Huber counters this by arguing that historically mainstream medicine has gotten things wrong. Huber Suppl. Decl. ¶ 6 (noting that bloodletting was once believed to be an effective treatment for disease). That may be true, but it does not change the fact that she has failed to cite any reliable sources to show that the medical establishment was wrong about ivermectin as a treatment for COVID. And to the extent she is saying that the evidence exists now, it is not relevant. What is relevant is what information Defendant had at the time it made its decision. See MacDonald v. Oregon Health & Sci. Univ., No. 3:22-CV-01942-IM, 2024 WL 3316199, at *7 (D. Or. July 5, 2024). Dr. Huber’s “specialized knowledge” does not meet the reliability standards laid out in Daubert. And to the extent that Dr. Huber’s opinion is that PeaceHealth and the public were misled by the medical community about COVID, as a result of “censorship” of her ideas, that is not relevant. Huber Suppl. Decl. ¶ 25. Defendant’s motion to strike should be granted. II. Failure to Accommodate Religious Discrimination Plaintiff brings claims of religious discrimination for failure to accommodate under Title VII and ORS 659A.030. Because Oregon’s employment discrimination statutes were modeled 17818543 (9th Cir. Dec. 20, 2022) (finding that there was no conspiracy between Twitter and former-President Biden and dismissing her lawsuit). Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 8 of 20
PAGE 9 – FINDINGS & RECOMMENDATION after Title VII, courts generally analyze these claims together. Dawson v. Entek Int'l, 630 F.3d 928, 935 (9th Cir. 2011). To establish a prima facie case of religious discrimination, a plaintiff must show that (1) she holds a bona fide religious belief that conflicts with an employment duty; (2) she informed her employer about the conflict; and (3) she was subjected to an adverse employment action because of that conflict. Peterson v. Hewlett-Packard Co., 358 F.3d 599, 606 (9th Cir. 2004). If a plaintiff establishes a prima facia case of religious discrimination, the burden shifts to the defendant to show that it could reasonably accommodate the employee without undue hardship. Id. Defendant argues both that Plaintiff failed to establish a prima facie case, and that any other accommodation would have been an undue hardship. Def’s Mot. 19–34. A. Prima Facie Case Defendant first argues that Plaintiff has failed to articulate a religious belief that conflicted with an employment duty. Def.’s Mot. 19. Plaintiff alleges that her “sincerely held religious beliefs conflicted with PeaceHealth’s vaccine mandate.” Compl. ¶ 73. In her exemption request, Plaintiff stated: The Bible teaches that our bodies are a habitation for God and encourages to abstain from substances or activity that may be threatening to one’s bodily health. Based on the lack of sufficient research surrounding Covid-19 vaccines, and the known harmful side-affects [sic] many individuals have experienced, it may be harmful and dishonoring to my body to receive the vaccine. I also believe the use of the vaccination containing cell lines from an aborted fetus to be unclean and a grave violation of my faith and conscience. Le Decl. Ex. 14. Plaintiff added that she has prayed earnestly to God and that “it is not God’s will that [she] receive the Covid vaccination.” Id. Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 9 of 20
PAGE 10 – FINDINGS & RECOMMENDATION When examining whether a plaintiff has articulated a “bona fide religious belief, courts do not inquire into the sincerity or reasonableness of a plaintiff’s religious belief but instead focus on the conflict between the belief and the job requirement. Bolden-Hardge v. Off. of California State Controller, 63 F.4th 1215, 1222-23 (9th Cir. 2023). That conflict must be based on religious not secular beliefs. Detwiler v. Mid-Columbia Med. Ctr., No. 23-3710, 2025 WL 2700000, at *7 (9th Cir. Sept. 23, 2025). “Title VII does not protect secular preferences.” Tiano v. Dillard Dep’t Stores, Inc., 139 F.3d 679, 682 (9th Cir. 1998). Broad assertions like my “body is a temple” are predicated on health concerns, rather than religious beliefs and therefore, are not sufficient to establish a religious conflict. Detwiler, 2025 WL 2700000, at *11. Similarly, invocation of prayer is also insufficient to establish a religious conflict. Id. To the extent Plaintiff asserts that her body is a temple and that she prayed, those statements are insufficient to show a conflict between her religious beliefs and the vaccine mandate. But Plaintiff’s request for accommodation includes more than just those secular statements; her request includes reference to the use of fetal cells in the vaccine. That is sufficient for Plaintiff to establish a prima facie case here. While Defendant argues that Plaintiff’s belief about fetal cell lines is not scientifically accurate, that is not a requirement of a religious belief. Keene v. City & Cnty. of San Francisco, No. 22-16567, 2023 WL 3451687, at *2 (9th Cir. May 15, 2023) (remanding a COVID vaccine case where the plaintiff asserted a religious conflict based on supposed fetal cell lines in the vaccine because “it seems that the district court erroneously held that Appellants had not asserted sincere religious beliefs because their beliefs were not scientifically accurate.”); cf. Detweiler, 2025 WL 2700000, at * 8 n. 2 (noting that the Keene plaintiff had pled a specific religious Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 10 of 20
PAGE 11 – FINDINGS & RECOMMENDATION belief); Doe v. San Diego Unified Sch. Dist., 19 F.4th 1173, 1176 n. 3 (9th Cir. 2021) (“We may not and do not question the legitimacy of Jill Doe's religious beliefs regarding COVID-19 vaccinations.”). Defendant also argues that Plaintiff “did not sufficiently inform PeaceHealth” of her conflict. Def.’s Mot. 22. Because the Court finds that Plaintiff’s exemption request sufficiently articulated a religious conflict, it follows that Plaintiff informed her employer of this conflict. Defendant does not dispute the third element of Plaintiff’s prima facie case. Plaintiff suffered an adverse employment action when she was placed on unpaid leave. Therefore, Plaintiff has established a prima facie case of religious discrimination. B. Undue Hardship At this stage, the burden shifts to Defendant to show that Plaintiff’s religious beliefs could not be accommodated short of placing her on leave without pay. Tiano, 139 F.3d at 681. Here, Defendant argues that “[a]ny accommodation other than leave would have been an undue hardship for non-remote healthcare workers.” Def.’s Mot 24. The Court agrees. “‘[U]ndue hardship’ is shown when a burden is substantial in the overall context of an employer’s business.” Groff v. DeJoy, 600 U.S. 447, 468 (2023). This is a fact-specific inquiry. Id. Courts in this District have repeatedly found that “allowing unvaccinated [healthcare] employees to work in-person would have been a substantial burden.” Gemmrig v. Asante Three Rivers Med. Ctr., LLC, No. 1:22-CV-01814-AA, 2025 WL 1787524, at *11 (D. Or. June 25, 2025), report and recommendation adopted sub nom. Gilinsky v. Asante, No. 1:23-CV-00799- CL, 2025 WL 2170528 (D. Or. July 31, 2025), and report and recommendation adopted, No. 1:22-CV-01814-AA, 2025 WL 2555337 (D. Or. Sept. 5, 2025) (collecting cases). In doing so, courts have considered the information available at the time, the economic and non-economic Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 11 of 20
PAGE 12 – FINDINGS & RECOMMENDATION costs, and the cumulative or aggregate effects of multiple employees requesting accommodations at the same time. Lavelle-Hayden v. Legacy Health, 744 F.Supp.3d 1135, 1151-53 (D. Or. 2024). The scientific data available at the time indicated that allowing unvaccinated employees to work in person greatly increased the risk of COVID infections and deaths. The data also showed that COVID-19 vaccines were safe and effective. Koekkoek Decl. Ex. 13. A July 2021 CDC report indicated that unvaccinated individuals were eight times more likely to contract COVID-19, 25 times more likely to be hospitalized if they contracted COVID-19, and 25 times more likely to die as a result of COVID-19. Koekkoek Decl. ¶ 36; Koekkoek Decl. Ex. 11. A June 2021 study similarly found that COVID-19 vaccination reduced the risk of infection by 91% and also offered protection against severe illness and hospitalization if an individual still became infected. Koekkek Decl. ¶ 35; Koekkoek Decl. Ex. 10. PeaceHealth’s Infection Prevention team analyzed “the risk posed by both vaccinated and unvaccinated caregivers” between January 2021 and August 2021. Kroll Decl. ¶ 18. They found: Of 17 vaccinated caregivers who tested positive for COVID-19, the vaccinated caregivers potentially exposed 55 patients, but only one patient contracted COVID-19. Of 19 unvaccinated caregivers who tested positive for COVID-19, the unvaccinated caregivers potentially exposed 96 patients, and 20 of those patients contracted COVID-19. No patients died from contracting COVID-19 from vaccinated caregivers. Two patients at a PeaceHealth facility outside Oregon died after contracting COVID-19 from unvaccinated caregivers. Id. OHA rules were also in line with this data. “It is vital to this state that healthcare providers and healthcare staff be vaccinated against COVID-19.” Or. Admin. R. 333-019-1010 (eff. Aug. 25, 2021 to June 30, 2023). OHA mandated that healthcare workers be fully vaccinated against COVID-19 by October 18, 2021, unless they were granted a religious or Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 12 of 20
PAGE 13 – FINDINGS & RECOMMENDATION medical exception. Id. OHA also mandated that healthcare employers who granted religious or medical exceptions “take reasonable steps to ensure that unvaccinated healthcare providers and healthcare staff are protected from contracting and spreading COVID-19.” Id. “The OHA’s decision in August 2021 to add an additional vaccination requirement for healthcare workers, on top of existing masking and other requirements, strongly indicates that those existing measures alone were no longer sufficient to protect healthcare workers and patients.” Gemmrig, 2025 WL 1787524, at *9. PeaceHealth’s mission is “to promote personal and community health.” Koekkoek Decl. ¶ 6. “A significant portion of PeaceHealth’s patients are medically vulnerable individuals, who either could not be vaccinated (due to age or medical conditions) or who, despite vaccination, are more susceptible to serious illness or death if they are exposed and experience a breakthrough contraction of COVID-19.” Koekkoek Decl. ¶ 7. In keeping with their mission as a healthcare facility, Defendant concluded that they could not allow unvaccinated individuals to work in person. Id. (“Protecting these patients from exposure to COVID-19 by unvaccinated staff was a matter of life or death.”). The aggregate effect of hundreds of exception requests also supports finding that any other accommodation would have been an undue hardship. Hall v. Sheppard Pratt Health Sys., Inc., No. 24-2048, 2025 WL 2957805, at *4 (4th Cir. Oct. 21, 2025) (“Courts may, and should, look to the undue hardship a particular religious accommodation would have in the aggregate if granted to all similarly situated employees.”). By the end of August 2021, Defendant had received exception requests from 267 caregivers in Oregon; they approved 234 of them. Le Decl. ¶ 20. This “flood of exception requests . . . placed an incredible strain on an already exhausted staff to cover shifts and hire and train contract healthcare workers.” Le Decl. ¶ 22. “In addition to Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 13 of 20
PAGE 14 – FINDINGS & RECOMMENDATION the administrative strain, the sheer number of exception requests compounded the undue hardship inherent in allowing unvaccinated individuals to work in person because the cumulative risk would have been much greater than the individual impact of any single unvaccinated employee.” Gemmrig at *10. For employees whose job duties required in-person work, “any accommodation other than leave would have posed an undue hardship on Defendant.” Sano v. PeaceHealth, Inc., No. 6:22-CV-01210-MTK, 2024 WL 4979429, at *9 (D. Or. Dec. 4, 2024); see also Petersen v. Snohomish Reg'l Fire & Rescue, 150 F.4th 1211, 1220 (9th Cir. 2025).8 Plaintiff offers two alternative reasonable accommodations: (1) Defendant could have permitted her to work remotely or (2) Defendant could have offered her ivermectin. Plaintiff argues that she could have worked remotely because she was “not an employee with direct patient contact or who require[d] facilities like laboratories to do her work.” Pl.’s Resp. 7. “However, employers have the ultimate authority to determine what are the essential functions of a job position, and if it requires in-person work.” Kather v. Asante Health Sys., No. 1:22-CV-01842-MC, 2025 WL 1788267, at *8 (D. Or. June 25, 2025), report and recommendation adopted, No. 1:22-CV-01842-MC, 2025 WL 2374384 (D. Or. Aug. 14, 2025), and report and recommendation adopted sub nom. Johnson v. Asante Health Sys., No. 1:23-CV- 8 “Allowing unvaccinated firefighters to keep working in October 2021 would have come at a substantial cost to SRFR. The objective, unrebutted medical evidence shows that SRFR would have faced significant health and safety costs by allowing unvaccinated firefighters to continue working, even with accommodations. Those costs would have affected SRFR’s own workforce and persons in the public needing emergency, even life-saving, services. Because firefighters did not (and likely could not) always mask and social distance, SRFR needed a way to ensure employee and public safety. Dr. Lynch’s opinion explains that the vaccine offered the safest, easiest, and most effective way of doing so.” Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 14 of 20
PAGE 15 – FINDINGS & RECOMMENDATION 1261-AA, 2025 WL 2576376 (D. Or. Sept. 5, 2025) (citing Bates v. United Parcel Serv., Inc., 511 F.3d 974, 991 (9th Cir. 2007)). Plaintiff, a medical assistant, worked as a Contact Center Caregiver at the Peace Harbor Clinic. Compl. ¶ 7, Freeman Decl. ¶ 3. Stacy Freeman, the Clinic Manager at the Peace Harbor Clinic, declares that “[t]he primary duties of all Contact Center Caregivers were to answer and make phone calls to and from patients and other providers, including calls regarding referrals, prescription refills, scheduling and confirming appointments, verifying insurance coverage, and otherwise directing patient calls to nurses and providers as needed.” Freeman Decl. ¶ 4; see also Le Decl. Ex. 13 (Medical Assistant Job Description). Medical assistants working in the contact center were “trained to assist with patient care by taking vitals, preparing patients for exams, and assisting with procedures.” Freeman Decl. ¶ 6. They also “interacted frequently with patient electronic health records.” Id. Ms. Freeman also declares that Contact Center Caregivers frequently needed to “walk[] around the clinic to find an appropriate nurse or provider to ask for help, as clinical staff were generally on the floor attending to patients . . . and not quickly reachable by phone, email, or other electronic communication.” Freeman Decl. ¶ 7. Finally, Ms. Freeman declares that when a Contact Center Caregiver had a patient in crisis on the phone, “clinic policy was to keep the patient on the line and hold up a ‘pink card’ to indicate to other nearby caregivers that they required immediate assistance.” Freeman Decl. ¶ 8. By contrast, Plaintiff declares that she performed her job duties entirely by phone or email. Henson Decl. ¶ 12, ECF No. 40. “I never physically walked around the clinic to find an appropriate nurse or provider to ask for help.” Henson Decl. ¶ 13. “Moreover, I could not walk about the clinic without losing the phone connection with the patient.” Id. “I never got up to find a nurse when a COVID call came in. I either telephoned for help, or I sent a message.” Henson Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 15 of 20
PAGE 16 – FINDINGS & RECOMMENDATION Decl. ¶ 14. “The pink card procedure was obsolete and not used long before COVID.” Henson Decl. ¶ 15. Further, “I could not contact anyone with a pink card because I was in an office by myself. . . . Our process was to contact management or a registered nurse.” Id. This dispute about the nature of the job duties is not material, though, because regardless, Defendant maintains that Plaintiff’s job duties could not be performed remotely. According to Defendant, Peace Harbor Clinic “did not have the technology to allow Contact Center Caregivers to work remotely,” at the time because Plaintiff’s job duties required “accessing patient electronic health records frequently, and because Plaintiff would be unable to comply with PeaceHealth’s confidentiality and patient privacy policies if she were working remotely. Def.’s Reply 31; Freeman Decl. ¶¶ 11-12. Indeed, Defendant submits that no PeaceHealth contact center employee has ever worked remotely. Freeman Decl. ¶ 13. Plaintiff does not offer any evidence to dispute these assertions. Instead, Plaintiff argues that it is a question of fact whether she could perform her job entirely remotely. In support, Plaintiff cites to Kather. 2025 WL 1788267. In Kather, the court considered whether 61 healthcare workers could have performed their job duties 100% remotely during COVID. Id. at *9-12. The court found that all but two could not. Id. While Plaintiff likens her situation to those two plaintiffs, they are entirely distinguishable. One plaintiff had worked remotely since the beginning of the pandemic. Id. at *11. The other plaintiff had performed her job completely remotely before the pandemic. Id. Plaintiff, on the other hand, never worked remotely for PeaceHealth. Nor does she point to any evidence that any contact center employee worked remotely during COVD, because none did. Freeman Decl. ¶ 13. To the extent Plaintiff’s argument is that the technology existed, she cites to nothing that would require Defendant to Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 16 of 20
PAGE 17 – FINDINGS & RECOMMENDATION prioritize developing and implementing new technology in its clinics in the middle of a pandemic. Because Plaintiff needed to access sensitive patient data that could not be accessed remotely, Plaintiff was not able to perform her essential job duties 100% remotely. As an alternative, Plaintiff argues that Defendant should have offered her prophylactic dosing of ivermectin in place of the vaccine as a reasonable accommodation.9 Pl.’s Resp. 12–15. In support, Plaintiff proffers Dr. Huber’s opinion. However, as explained above, Dr. Huber’s opinion does not meet the standards for reliability required under FRE 702 and Daubert. But even if Dr. Huber’s opinion were reliable, “it is appropriate to confine the analysis to the information available to the employer when it made its undue hardship decision.” MacDonald, 2024 WL 3316199, at *7. Dr. Huber’s opinion is that everyone got it wrong about COVID and ivermectin. See Huber Suppl. Decl. ¶ 31 (“The establishment within the medical community has been misleading the public through-out the COVID era. New evidence is being revealed nearly every day validating my opinions and showing how badly the public was misled.”). But she does not—because she cannot—deny that all the information Defendant was receiving in 2021 counseled against the use of ivermectin. In developing their COVID-19 policies, PeaceHealth used “currently available, established and respected sources of medical information.” Ehni Report ¶ 13. “The FDA and every government agency and major medical authority addressing the issue had denounced and recommended against using ivermectin to treat COVID-19.” Salier v. Walmart, Inc., 76 F.4th 796, 802 (8th Cir. 2023); Ehni Report ¶ 13. PeaceHealth “relied on the scientific evidence and COVID data then available and acted in the best interests of the community.” Petersen, 150 9 There is no evidence before the Court that Plaintiff asked for this accommodation. Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 17 of 20
PAGE 18 – FINDINGS & RECOMMENDATION F.4th at 1222. Yet, despite this, Plaintiff contends that Defendant should have offered—without even being asked—to allow her to use a treatment in lieu of a vaccine that every major medical authority rejected. That is not reasonable; use of prophylactic ivermectin was not appropriate. Because Defendant has shown that any other accommodation would have been an undue hardship, Defendant’s motion for summary judgment should be granted. III. Time-Barred State Law Claims Defendant also argues that Plaintiff’s state law claim under ORS 659A.030 is time-barred because Plaintiff filed suit 101 days after BOLI issued a Right to Sue letter. Def.’s Mot. 35. While the state law claims should be dismissed because Plaintiff has not established a failure to accommodate, the Court will address this argument as well. Plaintiff filed a complaint with BOLI under 659A.820. Le Decl. Ex. 18. When Plaintiff filed her complaint, ORS 659A.875 provided that “[a] person who has filed a complaint under ORS 659A.820 must commence a civil action under ORS 659A.885 within 90 days after a 90- day notice is mailed to the complainant. ORS 659A.875(2) (2023) (amended 2025). “This Court has held in several similar cases that, when a plaintiff files a complaint with BOLI, the statute of limitations for claims brought under O.R.S. 659A.030 is 90 days following the mailing of the right-to-sue letter.” Kneisler v. Legacy Health, 760 F. Supp. 3d 1137, 1143–44 (D. Or. 2024) (collecting cases). Plaintiff’s right to sue letter was issued on April 17, 2023. Le Decl. Ex. 18. This action was not filed until July 27, 2023, 101 days later. Compl. Plaintiff argues that the statute “irrationally” shortened the statute of limitations and should therefore not be followed. Pl.’s Resp. 16, ECF No. 39. In support, Plaintiff cites to a 2017 District of Oregon opinion acknowledging that this interpretation “would penalize a plaintiff who promptly files a BOLI complaint immediately after the allegedly unlawful employment Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 18 of 20
PAGE 19 – FINDINGS & RECOMMENDATION practice.” Daniel v. Oregon Health & Scis. Univ., 262 F. Supp. 3d 1079, 1086 (D. Or. 2017). But the Daniel Court has since reconsidered that holding and concluded that “Oregon Revised Statutes § 659A.875(1)-(2) requires that a person must commence a civil action within 90 days of receiving a right-to-sue letter from the Oregon Bureau of Labor and Industries,” and, as such, the Court “no longer adheres to its holding in Daniel.” Perez v. Legacy Health, No. 3:24-CV- 1038-AR, 2025 WL 642234, at *1 n. 2 (D. Or. Feb. 27, 2025) (adopting the findings and recommendation). And that is consistent with the holdings of the other courts in this district which “have repeatedly held that a plaintiff who elects to file a BOLI complaint must file any civil action based on the same claim within ninety days of the plaintiff's receipt of a right to sue letter from BOLI.” Latham v. Legacy Health, No. 3:24-CV-01008-AN, 2025 WL 1393878, at *4 (D. Or. May 13, 2025) (citing cases). Plaintiff also cites to the 2025 amendments to ORS 659A.875(2) and ORS 659A.880. As of June 24, 2025, plaintiffs who file complaints with BOLI must commence a civil action “[w]ithin 90 days after the date of issuance, if 90 days or less remain on the applicable statute of limitations” or “[b]efore the limitations period expires, if more than 90 days remain on the applicable statute of limitations.” ORS 659A.880(3). While Plaintiff argues that the 2025 amendments indicate that the Daniel court’s interpretation is correct, a closer look at the legislative history indicates otherwise. The Background of the Staff Measure Summary for the House Committee on Labor and Workplace Standards notes that “the right to bring a civil action will be lost if the civil action is not commenced within 90 days after the date of the mailing.” H. Comm. Lab. Workplace Standards, Staff Measure Summary, H. 83rd Leg. Assemb., 2025 Reg., at 2. The amendment fixed this issue, but there is no indication that the statute should be applied retroactively. That same Staff Measure Summary notes that it “[a]pplies to complaints and Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 19 of 20
PAGE 20 – FINDINGS & RECOMMENDATION actions that are filed on or after the effective date of this 2025 Act or filed before the effective date of this 2025 Act and for which BOLI has issued no notice.” Id. This argument also fails. Latham, 2025 WL 1393878, at *4 (noting that multiple courts have rejected this very argument). Because Plaintiff filed her complaint more than 90 days after the issuance of the right to sue letter, her state law claim is time barred and should be dismissed. RECOMMENDATION Defendant’s Motion to Strike should be granted. Defendant’s Motion for Summary Judgment (ECF No. 32) should be granted. Plaintiff’s state law claim under ORS 659A.030 should be dismissed. SCHEDULING ORDER The Findings and Recommendation will be referred to a district judge. Objections, if any, are due fourteen (14) days from service of the Findings and Recommendation. If no objections are filed, then the Findings and Recommendation will go under advisement on that date. A party’s failure to timely file objections to any of these findings will be considered a waiver of that party’s right to de novo consideration of the factual issues addressed herein and will constitute a waiver of the party’s right to review of the findings of fact in any order or judgment entered by a district judge. These Findings and Recommendation are not immediately appealable to the Ninth Circuit Court of Appeals. Any notice of appeal pursuant to Rule 4(a)(1) of the Federal Rules of Appellate Procedure should not be filed until entry of judgment. DATED this ____ day of November, 2025. ___________________________ AMY E. POTTER United States Magistrate Judge 18th /s/Amy E. Potter Case 6:23-cv-01101-AP Document 56 Filed 11/18/25 Page 20 of 20
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