“[A] stronger showing of 8 one element may offset a weaker showing of another.”
How later courts described this case
- “[A] stronger showing of 8 one element may offset a weaker showing of another.”
Written by the judges who cited it.
The opinion
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5 UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF WASHINGTON
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7 RICHARD S. WILKINSON, et al.,
NO. 1:23-CV-3035-TOR
8 Plaintiffs,
ORDER GRANTING PLAINTIFFS’
9 v. MOTION TO EXPEDITE AND
DENYING PLAINTIFFS’ MOTION
10 SCOTT RODGERS, et al., FOR TEMPORARY RESTRAINING
ORDER
11 Defendants.
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13 BEFORE THE COURT are Plaintiffs’ Motion for Temporary Restraining
14 Order (ECF No. 4) and Motion to Expedite the same (ECF No. 3). This matter was
15 submitted for consideration without oral argument. The Court has reviewed the
16 record and files herein and is fully informed. For the reasons discussed below,
17 Plaintiffs’ Motion to Expedite (ECF No. 3) is GRANTED and Plaintiffs’ Motion
18 for Temporary Restraining Order (ECF No. 4) is DENIED.
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1 BACKGROUND
2 This matter relates to a Position Statement adopted by the Washington
3 Medical Commission (“WMC”) on September 22, 2021 to address misinformation
4 related to COVID-19 and the available treatments. ECF No. 4 at 2. In relevant
5 part, the Position Statement says: “Treatments and recommendations regarding this
6 disease that fall below standard of care as established by medical experts, federal
7 authorities and legitimate medical research are potentially subject to disciplinary
8 action.” Id. The Position Statement also encourages the public and medical
9 practitioners to file complaints when they believe the standard of care has been
10 breached. ECF No. 1 at 28, ¶ 63.
11 The WMC received complaints about Plaintiffs Wilkerson and Cole. Id. at
12 11, ¶ 6, at 13, ¶ 13. It is unclear whether any complaints were lodged against
13 Plaintiff Eggleston. In any event, all Plaintiffs were investigated by the WMC, and
14 all subsequently received a Statement of Charges alleging they made false and
15 misleading statements to the public regarding COVID-19 and the available
16 treatments. ECF No. 4 at 4–5. Plaintiffs Wilkerson and Eggleston have license
17 review hearings scheduled for April and May, respectively. Id. at 5–6. Plaintiff
18 Cole does not have a hearing scheduled at this time. ECF No. 1 at 13, ¶ 13.
19 Plaintiffs raise seven causes of action: violations the First Amendment and
20 42 U.S.C. § 1983 (Count I); violations of procedural due process under the Fifth
1 and Fourteenth Amendments, and 42 U.S.C. §§ 1983, 1988 (Count II); violations
2 of Article I, § 5 of the Washington State Constitution (Count III); violations of the
3 Washington Administrative Procedures Act, RCW 34.05, et seq. (Count IV);
4 violations of substantive due process under the Fifth and Fourteenth Amendments,
5 and 42 U.S.C. § 1983 (Count V); defamation/false light (Count VI); and tortious
6 interference with business relationship and/or expectancy (Count VII) (raised only
7 by Plaintiff Cole). Id. at 30–50, ¶¶ 72–146. Plaintiffs seek a temporary restraining
8 order to enjoin Defendants from enforcing the Position Statement. ECF No. 4.
9 DISCUSSION
10 I. Temporary Restraining Order (TRO)
11 Pursuant to Federal Rule of Civil Procedure 65, a district court may grant a
12 TRO in order to prevent “immediate and irreparable injury.” Fed. R. Civ. P.
13 65(b)(1)(A). The analysis for granting a TRO is “substantially identical” to that
14 for a preliminary injunction. Stuhlbarg Int’l Sales Co., Inc. v. John D. Brush &
15 Co., 240 F.3d 832, 839 n.7 (9th Cir. 2001). It “is an extraordinary remedy never
16 awarded as of right.” Winter v. Nat. Res. Def. Council, Inc., 555 U.S. 7, 24 (2008).
17 To obtain this relief, a plaintiff must demonstrate: (1) a likelihood of success
18 on the merits; (2) a likelihood of irreparable injury in the absence of preliminary
19 relief; (3) that a balancing of the hardships weighs in plaintiff’s favor; and (4) that
20 a preliminary injunction will advance the public interest. Winter, 555 U.S. at 20;
1 M.R. v. Dreyfus, 697 F.3d 706, 725 (9th Cir. 2012). Under the Winter test, a
2 plaintiff must satisfy each element for injunctive relief.
3 Alternatively, the Ninth Circuit also permits a “sliding scale” approach
4 under which an injunction may be issued if there are “serious questions going to
5 the merits” and “the balance of hardships tips sharply in the plaintiff’s favor,”
6 assuming the plaintiff also satisfies the two other Winter factors. All. for the Wild
7 Rockies v. Cottrell, 632 F.3d 1127, 1131 (9th Cir. 2011) (“[A] stronger showing of
8 one element may offset a weaker showing of another.”). “[T]he district court ‘is
9 not bound to decide doubtful and difficult questions of law or disputed questions of
10 fact.’” Int’l Molders’ and Allied Workers’ Local Union No. 164 v. Nelson, 799
11 F.2d 547, 551 (9th Cir. 1986). In the same vein, the court’s factual findings and
12 legal conclusions are “not binding at trial on the merits.” Univ. of Tex. v.
13 Camenisch, 451 U.S. 390, 395 (1981). The moving party bears the burden of
14 persuasion and must make a clear showing of entitlement to relief. Winter, 555
15 U.S. at 22.
16 A. Likelihood of Success on the Merits
17 Plaintiffs raise several federal and state causes of action. While this Court
18 may exercise supplemental jurisdiction over state law claims pursuant to 28 U.S.C.
19 § 1367, the decision is discretionary. Acri v. Varian Assocs., Inc., 114 F.3d 999,
20 1000 (9th Cir. 1997), supplemented, 121 F.3d 714 (9th Cir. 1997), as amended,
1 (Oct. 1, 1997). In the interests of judicial economy, convenience, fairness, and
2 comity, the Court declines supplemental jurisdiction over Plaintiffs’ state law
3 claims and will address only the challenges to federal law.
4 Plaintiffs allege three causes of action for violations of their federal
5 constitutional and statutory rights. ECF No. 1 at 30–39, ¶¶ 72–110, at 45–49, ¶¶
6 132–142. Plaintiffs cannot succeed on the merits of these claims for several
7 reasons. First and foremost, Plaintiffs challenge a Position Statement, which is
8 neither a law nor regulation. Plaintiffs’ argument that the Position Statement is a
9 Policy Statement describing WMC’s approach to the implementation of a law or
10 regulation is a misinterpretation of the Position Statement. ECF No. 4 at 3–4. The
11 plain language of the Position Statement clearly indicates certain activities may be
12 subject to disciplinary action. The Position Statement does not contain any
13 enforcement mechanisms, nor does it describe any policies or implementation
14 procedures regarding a law or regulation. Therefore, any claims purportedly
15 arising under the Position Statement are not cognizable. Furthermore, Plaintiffs’
16 true grievances seem to lie with the investigations and disciplinary hearings, not
17 the Position Statement itself. See generally, ECF No. 1.
18 Next, “Younger abstention requires federal courts to abstain from hearing
19 claims for equitable relief as long as the state proceedings are ongoing, implicate
20 important state interests, and provide an adequate opportunity to raise federal
1 questions.” Alsager v. Bd. of Osteopathic Med. & Surgery, 945 F. Supp. 2d 1190,
2 1195 (W.D. Wash. 2013), aff'd, 573 F. App'x 619 (9th Cir. 2014) (citing
3 Buckwalter v. Nevada Bd. of Medical Examiners, 678 F.3d 737, 747 (9th Cir.
4 2012)). All three Younger elements are met here. Medical disciplinary board
5 hearings constitute state proceedings, and since none of the Plaintiffs have
6 completed the hearing process, the proceedings are ongoing; medical board
7 disciplinary proceedings clearly implicate an important state interest in ensuring
8 adequate healthcare; and Washington law provides Plaintiffs with an opportunity
9 to raise federal constitutional challenges on appeal to Washington state courts. See
10 id. at 1195–96; RCW 18.130.140. Accordingly, even if Plaintiffs’ claims were
11 cognizable, this Court would be required to abstain from exercising jurisdiction.
12 Additionally, this Court appears to lack personal jurisdiction over the
13 defendants. Although Plaintiffs name numerous members of the WMC as
14 defendants in the Complaint, neither the pleadings nor the current motion alleges
15 any causes of action against the named individuals; all allegations are made against
16 the WMC as a whole. Because the WMC is not a person for purposes of 42 U.S.C.
17 § 1983 liability, Plaintiffs have failed to carry their burden to establish personal
18 jurisdiction. See Riley's Am. Heritage Farms v. Elsasser, 32 F.4th 707, 732 (9th
19 Cir. 2022); Tuazon v. R.J. Reynolds Tobacco Co., 433 F.3d 1163 (9th Cir. 2006).
20 Finally, even if Plaintiffs had properly alleged causes of action against the
1 named individuals, the claims would still fail because the named individuals are
2 likely protected by immunity. See Delashaw v. Roberts, No. C18-1850JLR, 2020
3 WL 4922203 (W.D. Wash. Aug. 21, 2020) (finding the defendants who
4 participated in the investigation and presentation of information at a WMC
5 disciplinary hearing were entitled to absolute immunity because they acted in a
6 quasi-prosecutorial role, and finding the remaining defendants entitled to qualified
7 immunity where their participation in the disciplinary hearings was not integral to
8 the ultimate licensure suspension); see also RCW 18.71.015, RCW 18.130.300.
9 Plaintiffs have failed to establish they are likely to succeed on the merits of
10 their claims or that there are serious questions going to the merits. Because a
11 likelihood of success on the merits is a prerequisite to granting a TRO, the Court
12 need not address the issue of irreparable harm. Dollar Rent A Car of Washington,
13 Inc. v. Travelers Indem. Co., 774 F.2d 1371, 1375 (9th Cir. 1985).
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ACCORDINGLY, IT IS HEREBY ORDERED:
2 1. Plaintiffs’ Motion to Expedite (ECF No. 3) is GRANTED.
3 2. Plaintiffs’ Motion for Temporary Restraining Order (ECF No. 4) is
4 DENIED.
5 The District Court Executive is directed to enter this Order and furnish
6|| copies to counsel.
7 DATED March 17, 2023
| Car %. oP:
Se Luts 0. Kiet
9 On Ke THOMAS O. RICE
<> United States District Judge
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ORDER GRANTING PLAINTIFFS’ MOTION TO EXPEDITE AND
DENYING PLAINTIFFS’ MOTION FOR TEMPORARY RESTRAINING