Garcia v. Woman's Hosp. of Texas

Decision Date22 October 1996
Docket NumberNo. 95-20727,95-20727
Citation97 F.3d 810
Parties72 Fair Empl.Prac.Cas. (BNA) 230, 69 Empl. Prac. Dec. P 44,382, 36 Fed.R.Serv.3d 735 Monica M. GARCIA, Plaintiff-Appellant, v. WOMAN'S HOSPITAL OF TEXAS, Defendant-Appellee.
CourtU.S. Court of Appeals — Fifth Circuit

Jerry L. Spence, Houston, TX, for plaintiff-appellant.

Nancy Lynne Patterson, Weil, Gotshal & Manges, Houston, TX, for defendant-appellee.

Appeal from the United States District Court for the Southern District of Texas.

Before REYNALDO G. GARZA, DeMOSS and PARKER, Circuit Judges.

REYNALDO G. GARZA, Circuit Judge:

Monica Garcia appeals the district court's grant of judgment as a matter of law to her former employer on her claim of pregnancy discrimination under Title VII. Finding error, we REVERSE the judgment of the district court and REMAND this case for further proceedings in accordance with this opinion.

I. Facts and Summary of Proceedings

Woman's Hospital of Texas (hereinafter Hospital or employer) hired Garcia on April 22, 1991 as a licensed vocational nurse (LVN) in its Family Care Center Unit, a combined postpartum and newborn nursery unit. In December 1992, Garcia learned she was pregnant with what would be her first child. In January 1993, she began to experience pregnancy-related complications including dehydration and chronic vomiting and, as a result, took a medical leave of absence beginning January 28. By the end of February, her condition had improved and Garcia felt she was ready to return to work. Her obstetrician, Dr. Debra Gunn, agreed and cleared her to return to work in a March 1 letter sent to Judith Squyres, the Hospital's occupational health nurse. The letter did not go into detail, but stated: "It is recommended that Ms. Garcia may return to work on 3/1/93." Dr. Gunn, incidentally, also worked for the Hospital in obstetrics and was familiar with Garcia's job duties. At no time did Dr. Gunn warn Garcia that she was in any way restricted by her pregnancy in the tasks she could perform upon her return to work.

The Hospital initially informed Garcia that it would return her to the duty roster, but after some in-house discussion it delayed her return. It sent to Dr. Gunn a form purporting to recite all of Garcia's job requirements and asked her to place a check mark next to any requirement that Garcia could not meet because of her pregnancy. Dr. Gunn checked a box indicating that Garcia was not to "push, pull, lift, and support over 150 lbs." Upon receipt of the form from Dr. Gunn, the Hospital informed Garcia that she could not return to work because of a Hospital policy disallowing employees on medical leave to return with any medical restrictions. Another Hospital policy provided that employees on medical leave more than six months were to be discharged. After six months, Garcia would be in her eighth month of pregnancy and still under the medical restriction. Pursuant to the Hospital policy, Garcia was effectively terminated.

Garcia sued the Hospital in the United States District Court for the Southern District of Texas alleging that the Hospital's policies constituted a violation of Title VII of the 1964 Civil Rights Act, as amended by the Pregnancy Discrimination Act of 1978. 1 She contended that the lifting requirements listed on the form sent to her obstetrician were artificial in that no nurse was actually required to lift that amount at work. The hospital confessed that it did not test Garcia when it hired her to ascertain whether she could in fact lift that amount, that it does not test any job applicants, and that it does not test current employees either. The hospital maintains, nevertheless, that the requirements are bona fide.

The district court denied a motion by the Hospital for summary judgment finding that Garcia could establish a prima facie case of disparate treatment under Title VII. At the conclusion of Garcia's case at trial, however, the court granted the Hospital's Rule 50 motion on the basis that the Hospital applied its policy of requiring employees to return to work without restrictions to all employees equally. Garcia asked the court at this time to allow her to reopen her case to permit the testimony of Dr. Gunn, who had been subpoenaed but was temporarily out of town. The court impliedly denied this motion and entered judgment for the Hospital. Garcia appeals.

II. Standard of Review

We review de novo the lower court's grant of judgment as a matter of law under Rule 50. Resolution Trust Corp. v. Cramer, 6 F.3d 1102, 1109 (5th Cir.1993). We consider all of the evidence "in the light and with all reasonable inferences most favorable to the party opposed to the motion." Id. If the facts and inferences point so strongly and overwhelmingly in favor of the moving party that the reviewing court believes that reasonable jurors could not have arrived at a contrary verdict, then we will conclude that the motion should have been granted. Boeing Co. v. Shipman, 411 F.2d 365, 374 (5th Cir.1969) (en banc).

III. Discussion
A. Pregnancy Discrimination Claims Under Title VII

Title VII of the 1964 Civil Rights Act makes it unlawful for an employer "to fail or refuse to hire or to discharge any individual, or otherwise to discriminate against any individual with respect to his compensation, terms, conditions, or privileges of employment, because of such individual's race, color, religion, sex, or national origin." 42 U.S.C. § 2000e-2(a)(1). In 1978, the Congress passed the Pregnancy Discrimination Act (PDA) which amended the definition of "sex" as follows:

The terms "because of sex" or "on the basis of sex" include but are not limited to, because of or on the basis of pregnancy, childbirth, or related medical conditions; and women affected by pregnancy, childbirth, or related medical conditions shall be treated the same for all employment-related purposes, including receipt of benefits under fringe benefit programs, as other persons not so affected but similar in their ability or inability to work....

42 U.S.C. § 2000e(k). The PDA did not amend Title VII in any other way. Therefore in analyzing a claim of pregnancy discrimination we apply the same rules used for discrimination claims in general.

There are different theories by which a plaintiff can make out a claim of discrimination under Title VII. In Griggs v. Duke Power Co., 401 U.S. 424, 91 S.Ct. 849, 28 L.Ed.2d 158 (1971), the Supreme Court held that Title VII bans not only intentional discrimination (so-called disparate treatment), but also those employment practices that result in disparate impact. Disparate impact claims, the Court stated, involve employment practices "that are facially neutral in their treatment of different groups but that in fact fall more harshly on one group and cannot be justified on business necessity." International Bhd. of Teamsters v. United States, 431 U.S. 324, 335-36 n. 15, 97 S.Ct. 1843, 1855 n. 15, 52 L.Ed.2d 396 (1977). A plaintiff proceeding under this theory need not offer proof of discriminatory motive to make out her prima facie case. Griggs, 401 U.S. at 430-32, 91 S.Ct. at 853-54. She must, however, isolate and identify a particular employment practice which is the cause of the disparity and provide evidence sufficient to raise an inference of causation. Watson v. Fort Worth Bank and Trust, 487 U.S. 977, 994-95, 108 S.Ct. 2777, 2788-89, 101 L.Ed.2d 827 (1988). At this point the employer can respond with evidence that the "challenged practice is job-related for the position in question and consistent with business necessity." 42 U.S.C. § 2000e-2(k)(1)(A)(i).

At trial, Garcia pointed to the Hospital's lifting requirement as the employment practice that was the cause of the disparity. She must also prove causation, however, and for this needed testimony to the effect that the 150-pound lifting requirement would cause pregnant women as a group to be forced onto unnecessary medical leave and, because of the six-month limit on medical leave, to be terminated. It would, of course, be insufficient for a claim under Title VII if Garcia were the only pregnant woman adversely affected; she must show that pregnant women as a group would be subject to this medical restriction. If all or substantially all pregnant women would be advised by their obstetrician not to lift 150 pounds, then they would certainly be disproportionately affected by this supposedly mandatory job requirement for LVN's at the Hospital. Statistical evidence would be unnecessary if Garcia could establish this point. Should she establish her prima facie case, the burden would then shift to the Hospital to prove that the lifting requirement was job related and consistent with business necessity. The PDA does not mandate preferential treatment for pregnant women and that is not what Garcia is seeking. If the lifting requirement is found to be bona fide, then Garcia loses.

The district court granted the Hospital's Rule 50 motion on the basis that Garcia had not made out a claim for disparate...

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