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No. 10746692
United States Court of Appeals for the Ninth Circuit
Boysen v. Peacehealth, Inc.
No. 10746692 · Decided December 3, 2025
No. 10746692·Ninth Circuit · 2025·
FlawFinder last updated this page Apr. 2, 2026
Case Details
Court
United States Court of Appeals for the Ninth Circuit
Decided
December 3, 2025
Citation
No. 10746692
Disposition
See opinion text.
Full Opinion
NOT FOR PUBLICATION FILED
UNITED STATES COURT OF APPEALS DEC 3 2025
MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS
FOR THE NINTH CIRCUIT
SARA BOYSEN; et al., No. 24-5204
D.C. No.
Plaintiffs - Appellants, 6:23-cv-01229-AA
v.
MEMORANDUM*
PEACEHEALTH, INC.; PATRICK
ALLEN; Gov. KATE BROWN; LIZ
DUNNE; DOUG KOEKKOEK; TODD
SALNAS,
Defendants - Appellees.
Appeal from the United States District Court
for the District of Oregon
Ann L. Aiken, District Judge, Presiding
Submitted July 9, 2025**
Seattle, Washington
Before: McKEOWN, PAEZ, and SANCHEZ, Circuit Judges.
Sara Boysen and other former PeaceHealth employees (collectively,
“Plaintiffs”) appeal the district court’s dismissal of their claims with prejudice.
*
This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
**
The panel unanimously concludes this case is suitable for decision
without oral argument. See Fed. R. App. P. 34(a)(2).
Plaintiffs were terminated after refusing to vaccinate against COVID-19 in
violation of Defendant PeaceHealth’s COVID-19 vaccination policy. Plaintiffs
allege that PeaceHealth and various PeaceHealth executives (collectively,
“PeaceHealth”), former Oregon Governor Kate Brown, and former Oregon Health
Authority Director Patrick Allen (“State Defendants”) violated Plaintiffs’ rights
under federal and state law by penalizing their decision to refuse vaccination. We
have jurisdiction under 28 U.S.C. § 1291, and we affirm.
We review de novo the grant of a motion to dismiss under Rule 12(b)(6) and
may affirm on any ground supported by the record. Saloojas, Inc. v. Aetna Health
of Cal., Inc., 80 F.4th 1011, 1014 (9th Cir. 2023). “[W]e accept all factual
allegations in the complaint as true and construe the pleadings in the light most
favorable to the nonmoving party.” Heineke v. Santa Clara Univ., 965 F.3d 1009,
1012 (9th Cir. 2020) (quotation omitted). We review de novo the district court’s
determination that a party is not a state actor. Id. We review for abuse of
discretion the dismissal of a complaint with prejudice. Benevidez v. Cnty. of San
Diego, 993 F.3d 1134, 1141–42 (9th Cir. 2021). We affirm.
1. Plaintiffs’ § 1983 Claims (Counts 1 through 5). Plaintiffs allege
that their rights have been violated under various federal statutes, a regulation, two
contractual agreements, a scientific report, an international treaty, and the
Fourteenth Amendment. Plaintiffs’ claims are foreclosed by our recent decision in
2 24-5204
Curtis v. Inslee, 154 F.4th 678 (9th Cir. 2025), which affirmed the district court
judgment dismissing claims by similarly situated “vaccine refusers” for relief
under the Emergency Use Authorization statute, 21 U.S.C. § 360bbb-
3(e)(1)(A)(ii),1 the Spending Clause Doctrine, the Public Readiness and
Emergency Preparedness Act, 42 U.S.C. § 247d-6(a)(1), the “Federal Wide
Assurance Agreement,” the COVID-19 Vaccination Program Provider Agreement,
the Belmont Report, Article VII of the International Convention on Civil and
Political Rights, and the Fourteenth Amendment. Id. at *3-9. For the reasons
explained in Curtis, none of Plaintiffs’ statutory or constitutional sources of law
create any specific and definite rights enforceable under Section 1983.2 Id.
2. Plaintiffs’ State Law Claims (Counts 6 & 7). The district court
dismissed Plaintiffs’ state law claims for breach of contract and intentional
infliction of emotional distress for lack of standing and failure to state a claim,
respectively. Because Plaintiffs do not challenge dismissal of these claims on
appeal, these issues are forfeited. See Indep. Towers of Wash. v. Washington, 350
1
Curtis also resolves Plaintiffs’ claim under Count Eight (“Implied Private Right
of Action 21 U.S.C. § 360bbb-3”). See Curtis, 154 F.4th at 687.
2
Although Count Two purports to assert a claim under the Unconstitutional
Conditions Doctrine, Plaintiffs’ allegations are derivative of their Fourteenth
Amendment claims and fail for the reasons explained in Curtis. See Curtis, 154
F.4th at 690-95.
3 24-5204
F.3d 925, 929 (9th Cir. 2003).3
3. The district court correctly dismissed Plaintiffs’ complaint with
prejudice because it determined that no amendment could cure the legal flaws in
Plaintiffs’ allegations. As discussed in Curtis, 154 F.4th at 695, any amendment to
Plaintiffs’ § 1983 claims would be futile because Plaintiffs have not identified an
actionable source of federal law for their non-constitutional claims, and their
constitutional claims do not survive under rational basis review. See Webb v.
Trader Joe’s Co., 999 F.3d 1196, 1204 (9th Cir. 2021) (quotation omitted)
(“Dismissal with prejudice and without leave to amend is not appropriate unless it
is clear on de novo review that the complaint could not be saved by amendment.”).
AFFIRMED.
3
In light of our determination, we do not reach the parties’ arguments concerning
qualified immunity or whether PeaceHealth is a state actor.
4 24-5204
Plain English Summary
NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS DEC 3 2025 MOLLY C.
Key Points
01NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS DEC 3 2025 MOLLY C.
02COURT OF APPEALS FOR THE NINTH CIRCUIT SARA BOYSEN; et al., No.