Palacios v. Medstar Health, Inc.
Palacios v. Medstar Health, Inc.
Opinion of the Court
Ariana Palacios brought suit against MedStar Health and MedStar Georgetown Medical Center, Inc. alleging discrimination based on her gender identity after the hospital's Department of Plastic Surgery purportedly refused to provide her gender-affirming breast augmentation surgery. After the parties failed to reach an agreement in mediation, Palacios filed a motion seeking to amend her complaint to add additional claims related to a consultation *89she had with a MedStar Georgetown doctor regarding a different procedure, vocal feminization surgery. MedStar has opposed her motion. Based on the arguments presented by the parties in their briefing and at the hearing, the Court will allow Palacios to amend her federal Affordable Care Act claim but will deny leave to amend her D.C. Human Rights Act claim.
I. Background
According to her complaint, on May 4, 2015, Ariana Palacios-a twenty-seven year old transgender woman-telephoned the Department of Plastic Surgery at MedStar Georgetown Medical Center ("MedStar Georgetown") seeking to make an appointment for breast augmentation surgery. Compl. ¶¶ 19-20. Palacios alleges that during the phone call, she was informed that the Department of Plastic Surgery was no longer accepting "trans patients." Id. ¶ 21. A few days later, Palacios asserts that she and a friend went to the Department of Plastic Surgery in person and were again informed that the Department was not accepting any "trans patients." Id. ¶ 22. Palacios claims she followed this visit up with a phone call to the office of the Chairman of the Department, during which she recounted her prior unsuccessful attempts to obtain an appointment for surgery. Id. ¶ 23. The assistant to whom she spoke allegedly said the Department would return her call within a week, but Palacios says she never received a response. Id.
On August 26, 2015, Palacios filed a charge of discrimination with the D.C. Office of Human Rights related to her interactions with MedStar Georgetown's Department of Plastic Surgery. See Defs.' Opp'n Pl.'s Mot. Leave File Am. Compl. ("Defs.' Opp'n") Ex. A. In it, she alleged that the Department's refusal to schedule her breast augmentation surgery constituted discrimination based on gender identity in violation of D.C.'s anti-discrimination laws. Id. She similarly filed an administrative charge of discrimination against MedStar with the U.S. Department of Health and Human Service's ("HHS") Office for Civil Rights, asserting that the hospital's actions violated the anti-discrimination provision in section 1557 of the Patient Protection and Affordable Care Act ("Affordable Care Act") (codified at
According to Palacios's proposed amended complaint, after these charges were filed she met with MedStar Georgetown physician Shaum Sridharen, an otolaryngologist. Am. Compl. ¶ 32. During this meeting, Palacios says she sought to obtain a video recording of her vocal chords to provide to a surgeon in Boston who was scheduled to perform voice feminization surgery on her.
On May 10, 2017, Palacios withdrew her pending D.C. charge.
*90and MedStar Georgetown (collectively "MedStar"). Her complaint alleges that her interactions with the MedStar Georgetown Department of Plastic Surgery constituted discrimination on the basis of gender identity in violation of the D.C. Human Rights Act,
II. Legal Standard
Under Federal Rule of Civil Procedure 15(a)(2), a plaintiff may file an amended complaint after an answer has been served only with the opposing party's consent or with leave of court. The Court "should freely give leave when justice so requires."
III. Analysis
As Palacios's counsel clarified at the hearing, Palacios seeks to amend both her claim under the Affordable Care Act (the "section 1557 claim") and her claim under the D.C. Human Rights Act (the "D.C. law claim"). Medstar argues that leave to amend should be denied because (1) the claims Palacios seeks to add are barred by the applicable statutes of limitations, and (2) Palacios acted with undue delay, bad faith, and dilatory motive in seeking to amend her complaint. See Defs.' Opp'n at 5, 11.
A. Palacios's section 1557 claim
1. Statute of Limitations
Medstar first argues that the section 1557 claim that Palacios seeks to add is barred by the statute of limitations. In fact, counsel for Medstar suggested at the hearing that all of Palacios's section 1557 claims are barred by the statute of limitations. This is so, Medstar contends, because the one-year statute of limitations governing D.C. Human Rights Act claims applies to Palacios's section 1557 claims. See Defs.' Opp'n at 5. Palacios contends that the three-year statute of limitations governing D.C. personal injury claims applies instead. See Pl.'s Reply at 2-3. Neither side is correct. The Court finds that Palacios's section 1557 claim is actually governed by the federal four-year catchall statute of limitations set forth in
Section 1557 of the Affordable Care Act prohibits discrimination by "any health program or activity" on the basis of race, gender, age, or disability.
*91
While neither party raises it, there seems to be a relatively clear answer to this question: the four-year catchall statute of limitations. Under
Section 1557 is just such a piece of legislation. Palacios's section 1557 claim arises under
*922. Undue delay, bad faith, and dilatory motive
MedStar argues that even if amendment is not futile, leave to amend should still be denied because Palacios's failure to raise the Sridharen claims earlier "amounts to, at best, undue delay and dilatory motive, and could be construed as bad faith." Defs.' Opp'n at 11. The Court disagrees.
For one, Palacios has not exhibited undue delay in moving to amend her complaint. She filed suit in May 2017 and formally moved to amend her complaint six months later, in November 2017. MedStar's counsel was informed at the mediation session in October of Palacios's intent to file an amended complaint and was provided a copy of that complaint. Given the parties' attempt at mediation-which they agreed to undergo about two months after the complaint was filed-it makes sense that Palacios would wait until mediation proved unsuccessful to file her motion for leave to amend, and she acted promptly thereafter. A delay of six months is hardly an eternity in the lifespan of a civil lawsuit.
Nor is MedStar prejudiced by the delay between the initial filing of the complaint and the motion to amend: discovery here has not yet begun, nor has the Court confronted any dispositive motions. This is not a case where a plaintiff has waited years, until discovery has concluded or the eve of trial arrives or the Court grants a defendant's dispositive motion, to suddenly move to amend the complaint. Cf. Williamsburg Wax Museum, Inc. v. Historic Figures, Inc.,
Nor has MedStar met its burden of showing bad faith. See Sherrod v. McHugh,
B. Palacios's D.C. law claim.
Palacios's counsel clarified at the hearing that she also seeks to amend her D.C.
*93law claim. MedStar, again, contends that leave should be denied on the same grounds as for her section 1557 claim. Because MedStar is correct that Palacios's claim concerning Dr. Sridharen would be barred by the applicable D.C. statute of limitations, amendment would be futile. Palacios's motion will therefore be denied as to this claim.
Palacios's D.C. law claim has a clear statute of limitations: D.C. law provides that claims arising under the D.C. Human Rights Act must be filed within one year of the alleged discriminatory act.
Palacios nonetheless contends that the tolling provision in the D.C. statute of limitations applies and saves her claim from being barred. The D.C. statute of limitations provides that "[t]he timely filing of a complaint with the [D.C.] Office [of Human Rights] ... shall toll the running of the statute of limitations while the complaint is pending."
First, Palacios's D.C. charge: This charge was filed on August 26, 2015, prior to the incident with Dr. Sridharen in November 2015. Unsurprisingly, then, it does not mention the incident with Dr. Sridharen. See Defs.' Opp'n Ex. A. Nor has Palacios presented any evidence that she amended her D.C. charge to encompass the Dr. Sridharen incident or filed a separate charge regarding that claim. The absence of any reference to the Dr. Sridharen incident means that Palacios's D.C. complaint does not toll the statute of limitations as to the Sridharen D.C. law claim.
Next, Palacios's charge with HHS's Office for Civil Rights: This charge was ultimately amended to encompass the Dr. Sridharen incident. See Defs.' Opp'n Ex. B. But the statute of limitations is tolled by the filing of a charge with the D.C. Office of Human Rights , not just the filing of any administrative charge. See
IV. Conclusion
For the foregoing reasons, it is hereby
ORDERED that [16] Plaintiff's Motion for Leave to File Amended Complaint is GRANTED IN PART and DENIED IN PART. Plaintiff will be granted leave to amend her federal claim under the Affordable Care Act but will be denied leave to amend her D.C. law claim under the D.C. Human Rights Act. The Court will issue a separate discovery scheduling order.
SO ORDERED .
Palacios's federal charge with HHS's Office for Civil Rights remains pending. In 2016, the District Court for the Northern District of Texas issued a nationwide preliminary injunction prohibiting HHS from enforcing the anti-discrimination provision of the Affordable Care Act as to allegations of gender identity discrimination. See Franciscan Alliance, Inc. v. Burwell,
Even if the Court were to engage in the complex exercise that section 1658(a) was enacted to avoid, it would still find Palacios's claim timely. In the absence of the catchall statute of limitations, the Court would turn to Title IX to determine a statute of limitations because section 1557 specifically directs that the "enforcement mechanisms provided for and available under" Title IX "shall apply" to such violations of section 1557,
For this reason, the Court need not address the parties' arguments regarding the relation back doctrine. Even if Palacios's amended complaint did relate back to her original complaint, that complaint was not filed within the one-year statute of limitations.
Palacios also appears to argue that her complaint relates back to her original administrative charge. The Court is unaware of any precedent allowing an amended complaint to relate back to an administrative charge rather than the original complaint-which is unsurprising since Federal Rule of Civil Procedure 15(c) provides for relation back to a party's original pleading and a charge filed with an agency is not a pleading.
Admittedly, the filing of a charge with the federal Equal Employment Opportunity Commission ("EEOC") would trigger the tolling provision in the D.C. statute of limitations. See, e.g., Estenos v. PAHO/WHO Federal Credit Union,
Reference
- Full Case Name
- Ariana PALACIOS v. MEDSTAR HEALTH, INC.
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- 15 cases
- Status
- Published