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IN THE SUPREME COURT OF THE UNITED STATES
No. 16-24 IN THE SUPREME COURT OF THE UNITED STATES SPRING TERM, 2016 BEETZ, INC., Petitioner, v. ERIKA RITE, Respondent. On Writ of Certiorari to the United States Court of Appeals for the Thirteenth Circuit BRIEF FOR RESPONDENT Team 20 Counsel for Respondent QUESTIONS PRESENTED FOR REVIEW I. Whether Erika Rite, a transgender woman, is protected from employment discrimination under Title VII of the Civil Rights Act of 1964 on the basis of sex discrimination. II. Whether gender dysphoria qualifies as a serious medical condition under the Family Medical Leave Act (FMLA) where the medical symptoms and treatment force a victim to undergo extensive medical treatment. i Team 20 TABLE OF CONTENTS QUESTIONS PRESENTED FOR REVIEW ................................................................................. i TABLE OF AUTHORITIES......................................................................................................... iv OPINIONS BELOW ...................................................................................................................... x STATUTORY PROVISIONS ....................................................................................................... x STATEMENT OF THE CASE ...................................................................................................... x SUMMARY OF ARGUMENT………………………………………………….……………..…1 ARGUMENT ................................................................................................................................. 2 A TRANSGENDER EMPLOYEE IS PROTECTED FROM EMPLOYMENT DISCRIMINATION UNDER TITLE VII OF THE CIVIL RIGHTS ACT OF 1964..................................................................................................................... 2 A. The Language and Evolving Nature of Title VII Shows that Its Protection Against Sex Discrimination Extends to Transgender Employees.......................... 4 1. Transgender Discrimination is so Closely Related to Sex Discrimination That Excluding It from the Meaning of Sex Discrimination Would Severely Limit the Power of Title VII ............................................................ 5 2. Nowhere in the Plain Language of Title VII is the Intent to Limit it to Biological Sex Discrimination Apparent ....................................................... 9 B. The Actions of Petitioner Constitute Unlawful Sex Discrimination Under Title VII...................................................................................................... 11 C. As a Matter of Policy, Excluding Transgender Employees from Title VII Protection Exposes Them to a Windfall of Discriminatory Practices and Promotes a Hostile Work Environment for Employees That Do Not Conform to Traditional Gender Stereotypes......................................................... 14 WHETHER GENDER DYSPHORIA QUALIFIES AS A SERIOUS MEDICAL CONDITION UNDER THE FAMILY MEDICAL LEAVE ACT (FMLA) WHERE THE MEDICAL SYMPTOMS AND TREATMENT FORCE A VICTIM TO UNDERGO EXTENSIVE MEDICAL TREATMENT.................................................... 17 A. Ms. Rite’s Diagnosis and Surgical Treatment of Gender Dysphoria Exceeds the Minimal Requirements Set Forth By Congress to be Considered a Serious Health Condition Under the FMLA......................... 18 ii Team 20 B. Even Assuming Arguendo that the Incapacitation from Sexual Reassignment Surgery Cannot Meet the Low Bar of a Serious Medical Condition, the Individual Aspects of Ms. Rite’s Battle with Gender Dysphoria Constitute a Serious Health Condition Under the FMLA................... 22 C. As a Matter of Policy, Restricting Transsexual Access to Employment Benefit and FMLA Protection is Tantamount to Banning Their Freedom of Gender Expression and Autonomy................................................................... 25 CONCLUSION.............................................................................................................................. 27 APPENDIX A …………………………………………………………………………………. A-1 APPENDIX B ………………………………………………………………………………….. B-1 iii Team 20 TABLE OF AUTHORITIES United States Supreme Court Cases: Coleman v. Court of Appeals, 132 S. Ct. 1327 (2012)............................................................................................................ 17 Faragher v. City of Boca Raton, 524 U.S. 775 (1998).................................................................................................................. 9 Griggs v. Duke Power Co., 401 U.S. 424 (1971)........................................................................................................ 2, 7, 11 Harris v. Forklift Sys., 510 U.S. 17 (1993).............................................................................................................. 9, 15 Mastro Plastics Corp v. NLRB, 350 U.S. 270 (1956)................................................................................................................ 10 Meritor Savings Bank, FSB v. Vinson, 477 U.S. 57 (1986).............................................................................................................. 9, 15 McDonnel Douglas Corp. v. Green, 411 U.S. 792 (1973)............................................................................................................ 2, 11 Nev. Dep’t of Human Res. v. Hibbs, 538 U.S. 721 (2003)................................................................................................................ 19 Oncale v. Sundowner, 523 U.S. 75 (1998)................................................................................................................ 8, 9 Price Waterhouse v. Hopkins, 490 U.S. 228 (1989)......................................................................................................... passim Richards v. United States, 369 U.S. 1 (1962)................................................................................................................ 9, 10 Tx. Dep’t of Cmty. Affairs v. Burdine, 450 U.S. 248 (1981).......................................................................................................... 10, 11 Walsh v. Glucksberg, 521 U.S. 702 (1997)................................................................................................................ 16 W. Va Univ. Hosps v. Casey, 499 U.S. 83 (1991).................................................................................................................... 9 iv Team 20 United States Circuit Court of Appeals Cases: Barker v. Rooms to go Furniture Corp., 375 Fed. Appx. 966 (11th Cir. 2010)...................................................................................... 20 Barnes v. Costle, 561 F.2d 983 (D.C. Cir. 1977)................................................................................................ 10 Costa v. Desert Palace, 299 F.3d 838 (9th Cir. 2002).................................................................................................... 2 Glenn v. Brumby, 663 F.3d 1312 (11th Cir 2011)................................................................................... 6, 7, 8, 11 Maggert v. Hanks, 131 F.3d 670 (7th Cir. 1997).................................................................................................. 18 Meriwether v. Faulkner, 821 F.2d 408 (7th Cir. 1984).................................................................................................. 18 Nguyen v. City of Cleveland, 229 F.3d 559 (6th Cir. 2000).................................................................................................. 11 Rite v. Beetz, Inc., 575 F.3d 185 (13th Cir. 2015)............................................................................................ v, 12 Roche v. St. Lukes Shawnee Mission Health Sys., 46 Fed. Appx. 867 (8th Cir. 2002)...........................................................................................19 Santiago v. DOT, 50 F. Supp. 3d 136 (2nd Cir. 2014)........................................................................................ 21 Schwenk v. Hartford, 204 F.3d 1187 (9th Cir. 2000).............................................................................................. 7, 8 Smith v. City of Salem, 378 F.3d 566 (6th Cir. 2004)........................................................................................... passim Sommers v. Budget Mktg., Inc., 667 F.2d 748 (8th Cir. 1982).................................................................................................... 6 Ulane v. E. Airlines, Inc., 742 F. 2d 1081 (7th Cir. 1984)........................................................................................... 6, 18 v Team 20 United States District Court Cases: Barron v. Runyon, 11 F. Supp. 2d 676 (E.D. Va. 1998)....................................................................................... 23 Basso v. Potter, 596 F. Supp. 2d 324 (D. Conn. 2009)............................................................................... 17, 18 Bauer v. Dayton-Walther Corp., 910 F. Supp. 306 (E.D. Ky. 1996).......................................................................................... 19 Brohm v. JH Props, 947 F. Supp. 299 (W.D. Ky. 1996)......................................................................................... 19 Darboe v. Staples, Inc., 243 F. Supp. 2d 5 (S.D.N.Y 2003)......................................................................................... 19 EEOC v. R.G. & G.R. Harris Funeral Homes, Inc., 100 F Supp. 3d 594 (E.D. Mich. 2015)..................................................................................... 6 Hopkins v. Price Waterhouse, 618 F. Supp. 1109 (D.D.C 1985).............................................................................................. 5 Kaynor v. Fannin Regional Hosp., 946 F. Supp. 988 (N.D. Ga 1997)........................................................................................... 21 Lewis v. Boehringer Ingelheim Pharms., Inc., 79 F. Supp. 394 (D. Conn. 2015)............................................................................................ 19 Mora v. Chem-Tronics, Inc., 16 F. Supp. 2d 1192 (S.D. Cal 1998)...................................................................................... 21 Rite v. Beetz, Inc., 585 F. Supp. 3d 1 (S.D. Wgr. 2015)................................................................................... v, 12 Schroer v. Billington, 577 F. Supp. 2d 293 (D.D.C. 2008)........................................................................................ 15 State Court Cases: Comm’n on Human Rights & Opportunities v. Sullivan, 939 A.2d 541 (Conn. 2008)...................................................................................................... 3 Enriquez v. West Jersey Health Systems, 777 A.2d 365 (N.J. 2001)................................................................................................ passim vi Team 20 Lie v. Sky Publ’g Corp., Mass Super. Lexis 402 (Mass. Super. Ct. 2002)....................................................................... 5 Constitutional and Statutory Authorities: 29 C.F.R. § 825.203(a).................................................................................................................. 23 29 C.F.R. § 825.203(d)................................................................................................................. 21 29 C.F.R. § 825.113........................................................................................................................ v 29 C.F.R. § 825.113 (a)................................................................................................................. 22 29 C.F.R. § 825.113(b)................................................................................................................. 20 29 C.F.R. § 825.113(e).................................................................................................................. 22 29 C.F.R. § 825.114........................................................................................................................ v 29 C.F.R. § 825.115........................................................................................................................ v 29 C.F.R. § 825.115(c).................................................................................................................. 21 29 C.F.R. § 825.115(d) ................................................................................................................ 22 29 C.F.R. § 825.115(e)(2) ............................................................................................................ 21 29 C.F.R. § 825.220(c).................................................................................................................. 17 29 C.F.R. § 825.1139(c)................................................................................................................ 18 29 C.F.R. § 2611 (11) ...................................................................................................... 17, 18, 20 29 U.S.C.S. § 2601....................................................................................................................... 17 29 U.S.C. § 2612(a)(1) (1964)...................................................................................................... 17 29 U.S.C. § 2612(a)(1)(D) (1964).................................................................................................. v 29 U.S.C. § 2612(b)(1)................................................................................................................. 21 29 U.S.C.S. § 2613(a)................................................................................................................... 19 29 U.S.C.S. § 2615(a)................................................................................................................... 17 42 U.S.C. § 2000e-2(a) (1964)................................................................................................ v, 2, 8 vii Team 20 42 U.S.C. § 2000e-2(a)(2) (1964)................................................................................................. 10 42 U.S.C. § 2000e-2(m) (1964)...................................................................................................... 2 Congressional Record: H.R. 3185, 114th Cong. (1st Sess. 2015)........................................................................................ 7 Administrative Agencies: Macy v. Holder, 2012 EEOPUB LEXIS 1181 (E.E.O.C. 2012)…………………………………………….… 7 Secondary Sources: American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Ass’n et. al. eds., 5th ed. 2013............................................................. 14 Anastasia Niedrich, Removing Categorical Constraints on Equal Employment Opportunities and Anti-Discrimination Protections, 18 Mich. J. Gender & L. 25 (2011)........................................................................................... 7 Ilona M. Turner, Sex Stereotyping Per Se: Transgender Employees and Title VII, 95 Cal. L. Rev. 561 (2007)....................................................................................................... 6 Kyle Knight, Rights in Transition: Making Legal Recognition for Transgender People a Global Priority, January 30, 2016, https://www.hrw.org/world-report/2016/rights-in-transition ..............23, 24 Kristine Holt, Reevaluating Holloway: Title VII, Equal Protection, and the Evolution of a Transgender Jurisprudence, 70 Temp. L. Rev. 283 (1997)............................................................................................ 14, 15 Dr. L. Gooren, An Appraisal of endocrine theories of homosexuality and gender dysphoria, Handbook of Sexology vol. 6 (1988)...................................................................................... 15 Pamela Papish, Homosexual Harassment or Heterosexual Horseplay? The False Dichotomy of Same-Sex Sexual Harassment Law, 28 Colum. Human Rights L. Rev. 201 (1996)........................................................................ 13 Phyllis Randolph Frye, The International Bill of Gender Rights vs. the Cider House Rules: Transgenders struggle with the Courts Over What Clothing They Are Allowed to Wear on the Job, Which Restroom They Are Allowed to Use on the Job, Their Right to Marry, and the Very Definition of Their Sex, 7 Wm. & Mary J. Women & L. 133 (2000) ……………………………………………….. 26 viii Team 20 Richard Posner, Sex and Reason, (Harvard Univ. Press 1st ed. 1992)........................................................................................... 3 Scott Bauer, Wisconsin Republicans Defend Transgender Restrictions Bill Associated Press, November 19, 2015.................................................................................... 24 Taylor Flynn, Transforming the Debate: Why We Need to Include Transgender Rights in the Struggles for Sex and Sexual Orientation Equality, 101 Colum. L. Rev. 392 (2001)................................................................................................ 5 U.S. Transgender: By the Numbers, Times Union, December 5, 2011............................................................................................ 14 ix Team 20 OPINIONS BELOW The decision of the United States District Court for the Southern District of Wagner, granting Petitioner’s motion to dismiss, is reported at 585 F. Supp. 3d 1 (S.D. Wgr. 2015) and is included in the record at pages 2-21. The decision of the Thirteenth Circuit Court of Appeals, reversing the judgment of the District Court, is reported at 575 F.3d 185 (13th Cir. 2015) and is included in the record at pages 22-30. STATUTORY PROVISIONS INVOLVED Adjudication of this case involves the interpretation of Section 703 of Title VII of the Civil Rights Act. In addition, this case also reviews of the Family Medical Leave Act. The text of both provisions is contained in the Appendices. STATEMENT OF THE CASE This lawsuit is brought under Title VII of the Civil Rights Act of 1964 (“Title VII”) and the Family Medical Leave Act of 1993 (“FMLA”). R. 2. Respondent, Erika Rite (“Rite”), was born male in Trippington, Iowa and given the name Eric Rite at birth. R. 3. After struggling with extreme confusion over her gender identity throughout her adolescent years, she decided to leave Trippington after graduating high school in 2002. R. 3. This decision was attributed to her concerns that the people in her hometown would not accept her gender identity. R. 3. After leaving Iowa, Rite moved to a city known for its diverse population and liberal perspective, Kompton, Wagner. R. 3. Although she felt more welcome in Kompton she continued to identify as male and use her birth name, Eric, despite feeling uncomfortable identifying as a man. R. 3. After arriving in Kompton, she began pursuing a degree from Wagner State University where she went on to earn a Master’s degree in Business Administration (“MBA”) with a concentration in marketing. R. 3. After obtaining her MBA in 2005, she was hired as a sales consultant by Petitioner, Beetz, Inc. (“Beetz”), a top developer, producer, and x Team 20 distributor of audio output devices. R. 3-4. Beetz was established by Andre Young, a talented and creative musician who had worked hard to create and maintain a sophisticated image for Beetz. R. 4. Andre Young was, at all relevant times, the CEO of Beetz. R. 4. Rite thrived in her position as a sales consultant with Beetz and developed a strong rapport and trust with Beetz investors. R. 4. On many occasions, investors preferred to meet with her to discuss advertisement and business decisions, rather than meet with other sales consultants within the company. R. 4. It was not long until she was promoted to Lead Sales Consultant for developing the most innovative brands and generating the highest sales numbers for Beetz products. R. 4. In 2007, O’Shay Jackson started working as a sales consultant for Beetz as well. R. 6. Like Rite, O’Shay also graduated with an MBA, although with a concentration in finance. R. 6. O’Shay did not perform as strongly as Rite, but he did design a few brands for Beetz and performed exceptionally with a small group of investors. R. 6. Although O’Shay was regarded as a good employee, it was noted on his 2013 evaluation that he was “occasionally not thorough enough with data entry” and that he had been involved in a verbal altercation with his co-worker. R. 32. Rite soon became depressed, despite her success, because of her continued suppression of her desire to identify as female. R. 4. This was even noticed by her superiors who noted on her 2013 evaluation that she appeared “distracted and distraught.” R. 31. She spent many nights trying to reconcile the disharmony between her presentation as a male and her desire to identify as female. R. 4. This depression led her to consult psychotherapist Dr. Warren Gee (“Dr. Gee”) in December 2012 about her anxiety and discomfort with her gender identify. R. 4. After a few weeks of discussing her discomfort identifying as a male, Dr. Gee diagnosed her with gender dysphoria. R. 4. Gender dysphoria is characterized by a strong desire to outwardly present the xi Team 20 correct gender identity. R. 5. Individuals experiencing gender dysphoria frequently suffer from anxiety and depression and have a tendency to withdraw from social interaction. R. 5. In January 2013, she began to identify as transgender and after numerous visits with Dr. Gee, Rite’s mental condition improved significantly. R. 5. She also began taking medication during this time to combat her anxiety and depression. R. 5. Over the next year, Rite seriously considered transitioning and researched various treatment options with Dr. Gee. R. 5. After careful consideration, Rite decided to undergo gender reassignment surgery and promptly began saving for the procedure. R. 5. Rite also began hormone replacement therapy to help with the transition in her physical appearance and emotional stability. R. 5. The changes in physical appearance included slowed body and facial hair growth, breast growth, and decreased muscle mass. R. 6. Rite was informed by Dr. Gee that she would continue to experience physical changes over the next two years, at which point she would be allowed to undergo gender reassignment surgery. R. 6. In November 2013, Andre Young announced that the former Executive Director had recently retired and that he planned to promote a sales consultant to fill the position. R. 6. The person selected would receive a substantial pay raise and become the primary point-of-contact for all Beetz’s sales and distribution ventures. R. 6. Young decided to promote from within the company and hoped to find someone who (1) had worked with Beetz for a minimum of seven years; (2) had an exemplary performance record; and (3) appropriately presented Beetz to the industry and to its customers. R. 6. Young considered Rite and O’Shay Jackson to be his top candidates for the job. R. 6. Young interviewed both Rite and Jackson for the Executive Director position and Rite believed her interview went well. R. 7. At the end of her interview, Rite fully disclosed to Young that she now identified as female, was receiving hormone treatment, and if all went well, she xii Team 20 planned to undergo gender reassignment surgery by the end of 2014. R. 7. She informed Young that after the surgery, she would prefer to be called Erika. R. 7. Young did not say much in response to this news, but thanked Rite for her honesty before ending the interview. R. 7. One month after her interview, Rite began presenting herself as a woman while at work R. 7. She started wearing professional female attire to work, let her hair grow out, painted her nails, and wore makeup. R. 7. Rite received a mixed reaction from the Sales Department; some supported her decision while others scorned her. R. 7. Despite this, she continued to do exceptional work while at Beetz. R. 7. Many of the investors supported Rite’s decision, and no investor pulled financial support from Beetz upon learning about her decision to be identified as female. R. 7. In February 2014, Young announced his decision to promote O’Shay Jackson to Executive Distributor citing his extraordinary skill and performance. R. 7. Even though Rite was disappointed by Young’s decision, she graciously congratulated Jackson and continued working as the lead sales consultant. R. 7. A week later, Rite was transferred to the Graphic Design Department where she would start working as a graphic designer. R. 8. Young informed her that “Beetz takes great pride in its image” and that he thought it was in Beetz’s best interest to transfer her to a department with “less public visibility.” R. 8. Although she continued to receive the same salary, she had very little contact with other employees and her only contact with investors was via email or telephone. R. 8. Rite was very upset by this transfer and believed she was being discriminated against because of identity as transgender. R. 8. Shortly after this transfer, Dr. Gee referred Rite to Dr. Romel Dreigh (“Dr. Dreigh”) having determined she was ready for gender reassignment surgery. R. 8. After being approved for the surgery, Rite approached Tamika Woods (“Woods”), the Director of Human Resources, to discuss her plan to undergo gender reassignment surgery and the company’s policy on medical xiii Team 20 leave. R. 8. Rite was referred to the company handbook for information on medical leave. R. 8. On November 1, 2014, Rite applied for FMLA leave having exhausted most of her paid sick days on hormone therapy with Dr. Gee. R. 8. Dr. Dreigh filled out the appropriate medical certification and Rite submitted it to Woods on November 8, 2014. R. 8. On November 13, 2014, Rite contacted Woods to inquire about her pending application and was informed that, due to the unprecedented nature of her request, her FMLA leave application had been referred to senior management. R. 8. Concerned by this news, Rite contacted Young who informed her that the matter was being referred to Beetz’s legal department, but she should not be worried about this and that she would be contacted soon, although he did not give an exact date. R. 8-9. Confident that her application would be approved, she chose to move forward with the gender reassignment surgery. R. 9. On January 30, 2015, Rite underwent gender reassignment surgery, as well as further surgery to “feminize” her features. R. 9. After her surgery, Rite was instructed to stay in bed for at least one more week and that she would be able to return to her daily activities within one to two weeks after surgery. R. 9. Dr. Dreigh further warned her to avoid strenuous activity for three to four weeks after surgery so as to not disrupt the healing process. R. 9. Rite planned to return to work on March 6, 2015. R. 9. On February 1, 2015, Woods left a voicemail for Rite informing her that her FMLA leave had been denied and any additional leave would result in disciplinary action. R. 9. Due to her bedridden state, Rite did not have a chance to review the message until February 8, 2015. R. 9. On February 27, 2015 Woods called Rite to inform her that she had been terminated due to her absence. R. 9. On March 13, 2015, Rite filed a complaint with the Equal Employment Opportunity Commission (“EEOC”) alleging that Beetz had engaged in sex discrimination on the basis of her transgender identity. R. 9. After investigating her claim, the EEOC determined that Rite met the xiv Team 20 prima facie threshold in alleging sex discrimination under Title VII and issued her a Right to Sue notification. R. 10. On April 3, 2015, Rite filed a suit against Beetz in the Wagner District Court, claiming a violation of both Title VII and the FMLA. R. 10. On August 5, 2015, the Wagner District Court ruled that Rite was not entitled to relief under Title VII or the FMLA and granted Beetz’s motion to dismiss on both claims. R. 21. Rite appealed this decision and on December 11, 2015, the Thirteenth Circuit Court of Appeals reversed the decision of the Wagner District Court on both claims and remanded the case for proceedings consistent with their opinion. R. 30. This Court has now granted certiorari in response to Beetz’s appeal to address Erika Rite’s Title VII and FMLA claims. R. 40. xv Team 20 SUMMARY OF THE ARGUMENT Erika Rite, as a transgender employee, is protected from workplace discrimination under Title VII on the basis of gender. The language and evolving nature of Title VII shows that its protection against sex discrimination extends to transgender employees because of gender. This is true for two reasons. First, transgender discrimination is so closely related to sex discrimination that excluding it from the meaning of sex discrimination would severely limit the power of title VII. Second, the plain language of Title VII does not limit protection to biological sex discrimination. Also, the actual actions of the Petitioner constitute unlawful sex discrimination under Title VII. Finally, excluding transgender employees from Title VII protection exposes them to a windfall of discriminatory practices and promotes a hostile work environment for employees that do not conform to traditional gender stereotypes. For these reasons, Erika Rite is protected against employment discrimination under Title VII. Moreover, gender dysphoria qualifies as a serious medical condition under the Family Medical Leave Act (“FMLA”) where the medical symptoms and treatment force a victim to undergo extensive medical treatment. Ms. Rite’s diagnosis and surgical treatment of gender dysphoria exceeds the minimal requirements set forth by congress to be considered a serious health condition under the FMLA. Furthermore, even assuming arguendo that the incapacitation from sexual reassignment surgery cannot meet the low bar of a serious medical condition, the individual aspects of Ms. Rite’s battle with gender dysphoria constitute a serious health condition under the FMLA. Also, as a matter of policy, restricting transsexual access to employment benefits and FMLA protection is tantamount to banning their freedom of gender expression and autonomy. Because of the 1 Team 20 reasons above, Erika Rite’s diagnosis of gender dysphoria qualifies as a serious medical condition under the FMLA. Thus, this Court should affirm the Thirteenth Circuit Court of Appeals’ judgment and remand this case for further proceedings, consistent with their ruling. ARGUMENT I. A TRANSGENDER EMPLOYEE IS PROTECTED FROM EMPLOYMENT DISCRIMINATION UNDER TITLE VII OF THE CIVIL RIGHTS ACT OF 1964 The Thirteenth Circuit Court of Appeals correctly held that an individual that identifies as transgender may not be discriminated against on the basis of their gender identity under Title VII, and that decision should be affirmed. Title VII of the Civil Rights Act of 1964 (“Title VII”) states that it “shall be an unlawful employment practice for an employer … 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) (1964). Title VII also sets out that “an unlawful employment practice is established when the complaining party demonstrates that race, color, religion, sex, or national origin was a motivating factor for any employment practice, even though other factors also motivated the practice.” 42 U.S.C. § 2000e-2(m) (1964). A “plaintiff in any Title VII case may establish a violation through a preponderance of evidence (whether direct or circumstantial) that a protected characteristic played ‘a motivating factor.’” Costa v. Desert Palace, 299 F.3d 838, 853-854 (9th Cir. 2002). The purpose of Title VII “is the removal of artificial, arbitrary, and unnecessary barriers to employment when the barriers operate invidiously to discriminate on the basis of racial or other impermissible 2 Team 20 classification.” Griggs v. Duke Power Co., 401 U.S. 424, 431 (1971). At its broadest view, Title VII’s goal “is efficient and trustworthy workmanship assured through fair … employment and personnel decisions.” McDonnell Douglas Corp. v. Green, 411 U.S. 792, 801 (1973). This interest extends to gender issues as well as others. As Justice Brennan wrote, “Congress’ intent to forbid employers to take gender into account in making employment decisions appears on the face of the statute.” Price Waterhouse v. Hopkins, 490 U.S. 228, 239 (1989). He went on to write that “Title VII even forbids employers to make gender an indirect stumbling block to employment opportunities.” Id. at 242. In order to meet the prima facie standard for discrimination, the employee must show: “(1) [she] is a member of a protected class; (2) applied for and was qualified for the benefit or position; (3) suffered an adverse action by the defendant; and (4) the adverse action occurred under circumstances giving rise to an inference of discrimination.” Comm’n on Human Rights & Opportunities v. Sullivan, 939 A.2d 541, 554 (Conn. 2008). The only factors at issue here is the first and the fourth; whether or not Respondent is a member of a protected class, and whether the adverse action gives rise to an inference of discrimination. While biological sex is an important issue, Title VII’s protection of sex discrimination extends to gender issues as well. As Judge Posner has illustrated, gender is simply a term “borrowed from grammar to designate the sexes as viewed as social rather than biological classes.” Richard A. Posner, Sex and Reason, 1, 24-25 (1992). Title VII is meant to protect employees from being discriminated against when they don’t conform to the traditional ideas of “masculinity” or “femininity,” whether through their actions or appearance. Price Waterhouse, 490 U.S. at 258. Justice 3 Team 20 Brennan said it best, “[Title VII] does not purport to limit the other qualities and characteristics that employers may take into account in making employment decisions.” Id. at 239. For that reason, the Thirteenth Circuit correctly found that Respondent’s decision to identify as female is protected by Title VII. That court correctly interpreted Title VII’s protection against sex discrimination to include transgender employees. Furthermore, under this appropriate standard, Petitioner’s actions constituted unlawful discrimination under Title VII. Finally, as a matter of policy, excluding transgender employees from Title VII protection exposes them to a windfall of discriminatory practices and promotes hostile work environments for employees that do not conform to traditional gender stereotypes. For all these reasons, a transgender employee is protected under Title VII of the Civil Rights Act, and this Court should affirm the decision of the Thirteenth Circuit Court of Appeals. A. The Language and Evolving Nature of Title VII Shows That Its Protection Against Sex Discrimination Extends to Transgender Employees When Title VII was enacted in 1964, it was clearly the intent of the legislature to allow for an evolving definition of sex discrimination which now includes transgender discrimination for two reasons. First, transgender discrimination is very closely related to sex discrimination, which is in the plain language of Title VII. Excluding this type of discrimination from the meaning of sex discrimination would severely limit the power of Title VII. Second, nowhere in the plain language of Title VII is the intent to limit it to biological sex discrimination evidenced. As a result, this Court should include transgender discrimination as a form of discrimination protected under Title VII. 4 Team 20 1. Transgender Discrimination is so Closely Related to Sex Discrimination That Excluding It from the Meaning of Sex Discrimination Would Severely Limit the Power of Title VII As this Court has already established, an employer cannot take adverse action against a male employee because he acts feminine or a female employee because she acts masculine. Price Waterhouse, 490 U.S. at 258. The state is similarly prohibited from taking adverse action against an employee who wishes to identify as the opposite sex. This is because biological sex is the basis for gender and transgender discrimination since “the discrimination would not occur but for the victim’s sex.” Smith v. City of Salem, 378 F.3d 566, 574 (6th Cir. 2004). By holding that Title VII covers men and women who do not adhere to the social expectations of how they should look and behave, the Supreme Court made clear “that Title VII’s reference to ‘sex’ encompasses both the biological differences between men and women, and gender discrimination, that is, discrimination based on a failure to conform to stereotypical gender norms.” Id. at 573. Title VII’s applicability to gender discrimination was unsettled until 1989 when the Supreme Court decided Price Waterhouse. Price Waterhouse, 490 U.S. 228. There, this Court examined a situation where a woman in an accounting firm was denied a position as a partner and was advised to “walk more femininely, talk more femininely, dress more femininely, wear make-up, have her hair styled, and wear jewelry.” Hopkins v. Price Waterhouse, 618 F. Supp. 1109, 1117 (D.D.C. 1985). While this Court ultimately did not decide the case1, it did determine that gender discrimination was covered under Title VII. Price Waterhouse, 490 U.S. at 245. In ruling, this Court made it clear that when “an employer ignored the attributes enumerated in the statute, Congress hoped, it 1 The case was remanded to the lower court for further proceedings. 5 Team 20 naturally would focus on the qualifications of the applicant or employee.” Id. at 243. This Court stated that Congress’ intent “is the theme of a good deal of the statute’s legislative history.” Id. In including gender discrimination, Title VII should also cover transgender discrimination. Gender is “whether a person has qualities that society considers masculine or feminine,” Enriquez v. West Jersey Health Systems, 777 A.2d 365, 371 (N.J. 2001) (citing Taylor Flynn, Transforming the Debate: Why We Need to Include Transgender Rights in the Struggles for Sex and Sexual Orientation Equality, 101 Colum. L. Rev. 392, 394 (2001)), and transsexualism “is best understood as an issue of gender identity.” Lie v. Sky Publ'g Corp., 2002 Mass. Super. LEXIS 402, *22 (Mass. Super. Ct. 2002). Any discrimination against “a plaintiff who is a transsexual - and therefore fails to act and/or identify with his or her gender - is no different from the discrimination directed against Ann Hopkins in Price Waterhouse, who, in sex-stereotypical terms, did not act like a woman.” Smith, 378 F.3d at 575. Just as gender discrimination is another form of sex discrimination, transgender discrimination is another form of gender discrimination. We are “beyond the day when an employer could evaluate employees by assuming or insisting that they matched the stereotype associated with their group.” EEOC v. R.G. & G.R. Harris Funeral Homes, Inc., 100 F. Supp. 3d 594, 600 (E.D. Mich. 2015) (citing Price Waterhouse, 490 U.S. at 251). The “very acts that define transgender people as transgender are those that contradict stereotypes of gender-appropriate appearance and behavior.” Ilona M. Turner, Sex Stereotyping Per Se: Transgender Employees and Title VII, 95 Cal. L. Rev. 561, 563 (2007). The Sixth Circuit correctly reasoned that “employers who discriminate against men because they do wear dresses and makeup, or 6 Team 20 otherwise act femininely, are also engaging in sex discrimination, because the discrimination would not occur but for the victim’s sex.” Smith, 378 F.3d at 574. As the superior court of New Jersey said, a “person who is discriminated against because he changes his gender from male to female is being discriminated against because he or she is a member of a very small minority whose condition remains incomprehensible to most individuals.” Enriquez, 777 A.2d at 372. Petitioner now argues that transgender employees should not be a protected class under Title VII because it is not a form of sex discrimination. This argument is faulty however, because “all persons, whether transgender or not, are protected from discrimination on the basis of gender stereotype.” Glenn v. Brumby, 663 F.3d 1312, 1318 (11th Cir. 2011). A “label, such as ‘transsexual,’ is not fatal to a sex discrimination claim where the victim has suffered discrimination because of his or her gender nonconformity.” Smith, 378 F.3d at 575. Petitioners here cite to the Seventh Circuit case of Ulane v. E. Airlines, Inc., 742 F.2d 1081 (7th Cir. 1984), and the Eighth Circuit case of Sommers v. Budget Mktg., Inc., 667 F.2d 748 (8th Cir. 1982) to support their position that sex discrimination does not encompass transgender employees. However, these decisions came before Price Waterhouse, which held that gender issues were indeed protected in the workplace. Price Waterhouse, 490 U.S. at 258. This is reflective of the evolving nature of Title VII. As of recently, the EEOC has taken a firm stand on the issue of transgender employment discrimination finding that Title VII does indeed protect this type of discrimination. Macy v. Holder, 2012 EEOPUB LEXIS 1181, *36. In their decision, the Commission cited many Circuit cases that were decided after the Price Waterhouse decision. See Smith, 378 F.3d at 578 (holding that a transsexual firefighter 7 Team 20 was protected under Title VII based on gender issues); Glenn, 663 F.3d at 1321 (holding that the termination of a transsexual employee of Georgia General Assembly's Office of Legislative Counsel was a form of sex discrimination); Schwenk v. Hartford, 204 F.3d 1187, 1202 (9th Cir. 2000) (recognizing that employer discrimination against transgender employee is “related to the sex of the victim”). Furthermore, in June of last year, the Equality Act of 2015 came before Congress which seeks to amend Title VII to include sexual orientation and gender identity. H.R. 3185, 114th Cong. (1st Sess. 2015). The fact that Congress is still considering the Equality Act further reinforces the argument that Title VII is constantly evolving. Allowing Title VII to remain stagnant and rigid would only encourage “discriminatory employers’ and courts’ prejudices against transgender individuals by ratifying adverse employment decisions made solely on the basis of an individual's transgender status.” Anastasia Niedrich, Removing Categorical Constraints on Equal Employment Opportunities and Anti-Discrimination Protections, 18 Mich. J. Gender & L. 25, 64 (2011). Time and again this Court has made it clear that “discriminatory preference for any group, minority or majority, is precisely and only what Congress has proscribed.” Griggs, 401 U.S. at 431. That discriminatory preference is very apparent in this case. The view of the Seventh, Eighth, and Tenth Circuits is far too constricted to accurately reflect the true purpose Congress gave to Title VII, and does not accurately reflect this Court’s ruling in the Price Waterhouse case. Enriquez, 777 A.2d at 372; See also Smith, 378 F.3d at 573 (“the approach in Holloway, Sommers, and Ulane - and by the district court in this case - has been eviscerated by Price Waterhouse”). Congress intended Title VII to be a 8 Team 20 powerful piece of legislation, meant to protect employees from primitive discrimination. It was a statute that was meant to grow and become more powerful as the years passed, in order to ensure that employees would not be subjected to a discriminatory workplace. As this Court has clearly stated in the past, “statutory prohibitions often go beyond the principal evil to cover reasonably comparable evils, and it is ultimately the provisions of our laws … by which we are governed.” Oncale v. Sundowner Offshore Servs., 523 U.S. 75, 79 (1998). Narrowing the power of Title VII would only be doing a disservice to the people it was meant to protect. In sum, Title VII was not meant to be a boilerplate statute with a narrow interpretation, it was meant to evolve to reflect our views as a society. This is apparent by this Court’s inclusion of gender discrimination in 1989 and the growing acceptance of transgender employee’s inclusion in Title VII among the various Circuits. See Price, 490 U.S. 228; Smith, 378 F.3d 566; Glenn, 663 F.3d, 1312; Schwenk, 204 F.3d 1187. On the other hand, many of the cases Petitioner uses are outdated and are not a true reflection with our societal views. In the case at hand, it would be an impermissible act to exclude transgender employees from the protection of Title VII. 2. The Plain Language of Title VII Does Not Limit Protection to Biological Sex Discrimination While Title VII only states that it covers “race, color, religion, sex, or national origin,” 42 U.S.C. § 2000e-2(a), nothing in the statute indicates Congress’ intent to narrowly limit it to these five categories. In fact, the legislative history and the expanding role of Title VII indicate quite the opposite approach. For instance, this Court has expanded the definition of “race discrimination” to include discrimination between members of the same race. Oncale, 523 U.S. at 78. This Court has also expanded the 9 Team 20 protection of Title VII by holding that an employer could be vicariously liable under Title VII for a work environment caused by a supervisor. Faragher v. City of Boca Raton, 524 U.S. 775, 810 (1998). Where a statutory term “is ambiguous, [the members of this Court] construe it to contain that permissible meaning which fits most logically and comfortably into the body of both previously and subsequently enacted law.” W. Va. Univ. Hosps. v. Casey, 499 U.S. 83, 100 (1991). Throughout the years, the courts have also come to realize that limiting sex discrimination to biological sex would not only be an insult to the creators of Title VII, it would leave those employees that are similarly situated to Erika Rite with no protection from discrimination. This Court specifically has recognized this frightening fact and warned that Title VII “not only covers ‘terms’ and ‘conditions’ in the narrow contractual sense, but ‘evinces a congressional intent to strike at the entire spectrum of disparate treatment of men and women in employment.’” Id. (citing Meritor Savings Bank, FSB v. Vinson, 477 U.S. 57, 64 (1986)). Clearly, Title VII was meant to protect against discrimination in general, not just certain types of people who fall into specific categories. In the words of Justice O’Connor, “[w]hen the workplace is permeated with discriminatory intimidation, ridicule, and insult, that is sufficiently severe or pervasive to alter the conditions of the victim’s employment and create an abusive working environment, Title VII is violated.” Harris v. Forklift Sys., 510 U.S. 17, 21 (1993). Generally, a court must look to the intent of the legislation to properly interpret a statute. It is a fundamental truth “that a section of a statute should not be read in isolation.” Richards v. United States, 369 U.S. 1, 11 (1962). As this Court has already made clear, “in interpreting legislation, ‘[this Court] must not be guided by a single 10 Team 20 sentence or member of a sentence, but [should] look to the provisions of the whole law, and to its object and policy.’” Id. (citing Mastro Plastics Corp. v. NLRB, 350 U.S. 270, 285 (1956)). The object and policy of Title VII is “to drive employers to focus on qualifications.” Price Waterhouse, 490 U.S. at 243. This “is the theme of a good deal of [Title VII’s] legislative history.” Id. This Court and others have recognized that Title VII was not meant to have a limited meaning. Title VII makes it clear that an employer may not “limit, segregate, or classify his employees or applicants for employment in any way which would deprive or tend to deprive any individual of employment opportunities or otherwise adversely affect his status as an employee, because of such individual’s . . . sex.” 42 U. S. C. §§ 2000e2(a)(2) (emphasis added). This Court has already said that “to construe the words ‘because of’ as colloquial shorthand for ‘but-for causation’ … is to misunderstand them.” Price Waterhouse, 490 U.S. at 240. Courts have “consistently recognized that Title VII must be construed liberally to achieve its objectives.” Barnes v. Costle, 561 F.2d 983, 994 (D.C. Cir. 1977). Title VII “requires an interpretation animated by the broad humanitarian and remedial purposes underlying the federal proscription of employment discrimination.” Id. In other words, not only does nothing in Title VII indicate that it was meant to be limited, but the history of interpreting Title VII actually indicates that it was meant to be expansive. B. The Actions of Petitioner Constitute Unlawful Sex Discrimination Under Title VII In a Title VII case, “the plaintiff has the burden of proving by the preponderance of the evidence a prima facie case of discrimination.” Tex. Dep't of Cmty. Affairs v. Burdine, 450 U.S. 248, 252-253 (1981). The “prima facie case serves an important 11 Team 20 function in the litigation: it eliminates the most common nondiscriminatory reasons for the plaintiff's rejection.” Id. at 253-54. In order to meet this burden, “the plaintiff must prove by a preponderance of the evidence that she applied for an available position for which she was qualified, but was rejected under circumstances which give rise to an inference of unlawful discrimination.” Id. The plaintiff must also show that “the defendant took an employment action adverse to [her]” and that “there was a causal connection between the protected activity and the adverse employment action.” Smith, 378 F.3d at 570. Although “no one factor is dispositive in establishing a causal connection, evidence . . . that the adverse action was taken shortly after the plaintiff's exercise of protected rights is relevant to causation.” Nguyen v. City of Cleveland, 229 F.3d 559, 563 (6th Cir. 2000). Once the prima facie standard is met, the “burden then must shift to the employer to articulate some legitimate, nondiscriminatory reason for the employee's rejection.” McDonnell Douglas Corp., 411 U.S. at 802. While it is true that “the Act does not command that any person be hired simply because he was formerly the subject of discrimination, or because he is a member of a minority group,” barriers that “operate invidiously to discriminate on the basis of racial or other impermissible classification” cannot stand. Griggs, 401 U.S. 430-31. In a case that is similar to this, a plaintiff was fired from Georgia’s Office of Legislative Counsel because her decision to express herself as a woman. Glenn, 663 F.3d at 1314. Like Ms. Rite, the plaintiff there did not experience any adverse actions until she disclosed the fact that she was in the process of transitioning to her supervisor. Id. Plaintiff was eventually fired for her decision to transition because her supervisor found it “inappropriate.” Id. However, the Eleventh Circuit ruled that the plaintiff’s actions were a 12 Team 20 form of sex discrimination and ruled in her favor.2 Id. at 1321. The logic of the Eleventh Circuit Court is sound and represents the true purpose of Title VII. It is no secret that “Beetz considered every aspect of Rite’s performance to be exceptional and ideal for a higher executive position.” Rite v. Beetz, Inc., 575 F.3d 185, 190 (13th Cir. 2015). Ms. Rite had “diligently worked for Beetz for ten years, where she has excelled at her duties.” Id. She not only maintained a strong relationship with her clients, she also turned out the highest sales numbers and developed the most innovative brands. R. 4. Clearly her body of work speaks for itself. Not only was Ms. Rite very qualified for the position of Executive Distributor, she may have actually been the most qualified candidate. However, Petitioner did not promote her simply because of her transgender identity. The court below correctly identified that it “was not until Rite started expressing herself as a woman that Beetz’s CEO, Young, retreated from Rite.” Rite, 575 F.3d at 190. Young even went as far as telling her that “because ‘Beetz takes great pride in its image,’ he thought it was in the company’s best interest to relocate her to another department with ‘less public visibility.’” Rite, 585 F. Supp. 3d 1, 8 (S.D. Wgr. 2015). The Thirteenth Circuit said it best, “just as Rite was finding a bit of happiness, Beetz showered her in shame and attempted to hide her in a department where she would no longer interact with clients or investors in person and would rarely be seen by coworkers.” Rite, 575 F.3d at 190-91. There should be no question here that the actions of Petitioner and its agents gave rise to a strong inference of unlawful discrimination and thus, Ms. Rite has met her burden. Furthermore, it is impossible for Petitioner to show that there was a legitimate, 2 This case was filed under the Equal Protection Clause, but the court recognized that the plaintiff would have been successful had she filed suit under Title VII. Glenn, 663 F.3d at 1321. 13 Team 20 nondiscriminatory reason for the rejecting Ms. Rite. Petitioner’s decision could not have been based on Ms. Rite’s work product because even after she began her transition, “Rite continued to do exceptional work.” Rite, 585 F. Supp. 3d at 7-8. Clearly, the reason Ms. Rite was passed up was because of her decision to express herself as a woman. After Young had made his decision not to promote Ms. Rite, he actually told her that she was passed up was because Beetz took pride in their image, implying that her decision to portray herself as a woman was the reason why she was not promoted. R. 7-8. However, there was no recorded incident of Ms. Rite’s decision to transition affecting Petitioner’s “image” at all. In fact, “many of the investor’s supported her decision” and “no investor pulled financial support from Beetz upon learning of Rite’s transition.” Rite, 585 F. Supp. 3d at 7-8. Despite this, Petitioner still chose to hide Ms. Rite in the Graphic Design Department, where she resided until she was terminated. Although she received the same salary, she was isolated from the investors and her co-workers. Thus, Ms. Rite easily meets her burden while Petitioner cannot meet its shifting burden. It is abundantly clear that, not only was she very qualified for the position of Executive Distributer, but she was rejected under circumstances which give rise to an inference of unlawful discrimination. It is also not possible, based on the circumstances, for Petitioners to show there was a nondiscriminatory reason for rejecting Ms. Rite. Accordingly, Ms. Rite has shown that the actions of Petitioner constituted unlawful sexual discrimination. C. As a Matter of Policy, Excluding Transgender Employees from Title VII Protection Exposes Them to a Windfall of Discriminatory Practices and Promotes a Hostile Work Environments for Employees That Do Not Conform to Traditional Gender Stereotypes Finally, as a matter of policy, “refusing to consider the harassment of employees 14 Team 20 - whether they are gay, lesbian, bisexual, or do not conform to gendered norms -- by heterosexual harassers actionable, courts create and reinforce stereotypical gender roles.” Pamela Papish, Homosexual Harassment or Heterosexual Horseplay? The False Dichotomy of Same-Sex Sexual Harassment Law, 28 Colum. Human Rights L. Rev. 201, 225 (1996) (emphasis added). By reinforcing these stereotypical gender roles, these same courts indirectly promote prejudicial attitudes to those who do not conform. An employee “who is discriminated against because he changes his gender from male to female is being discriminated against because he or she is a member of a very small minority whose condition remains incomprehensible to most individuals.” Enriquez, 777 A.2d at 372. This does not form an appropriate basis for employment discrimination. It is truly frightening that certain courts “have applied the outdated statutory interpretation of narrowly defining ‘sex’ solely to derogate transgendered persons’ civil rights and equal protection guarantees under Title VII.” Kristine Holt, Reevaluating Holloway: Title VII, Equal Protection, and the Evolution of a Transgender Jurisprudence, 70 Temp. L. Rev. 283, 286 (1997). It is hardly a secret that transgender employees have far fewer protections than non-transgender employees despite the fact that, as of 2009, there were nearly 700,000 transgender individuals in the U.S. Transgender: By the Numbers, Times Union, December 5, 2011 (available at http://www.timesunion.com/local/article/Transgender-bythe-numbers-2342726.php). Excluding each one of these individuals from the protections of Title VII would expose them to an untold amount of discrimination in the workplace. Essentially, an employee wishing to identify as transgender would have to decide between their career and their mental wellbeing. Employees, like Ms. Rite, diagnosed 15 Team 20 with gender dysphoria do not simply have a desire to identify as the other gender, they have a need, which, if suppressed, will cause “clinically significant distress or impairment in social, occupational, or other important areas of functioning.” American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Ass’n et al. eds., 5th ed. 2013). Furthermore, transsexualism “can be accompanied by a profound sense of loathing for an individual’s primary and secondary sexual characteristics, which is overwhelming and unalterable.” Enriquez, 777 A.2d at 376 (citing Dr. L. Gooren, An Appraisal of endocrine theories of homosexuality and gender dysphoria, Handbook of Sexology vol. 6, 410-24 (Sitsen JMA, Amsterdam, Elsevier Science Publishers 1988)). Clearly, these are not symptoms an employee should have to suffer through every day just to remain employed. No other class protected by Title VII faces as much scrutiny and debate as “sex discrimination” does. Recent rulings indicate a trend in the right direction but there is still work to be done. Even so, it is truly a shame that some “courts have allowed their focus on the label ‘transsexual’ to blind them to the statutory language itself.” Schroer v. Billington, 577 F. Supp. 2d 293, 307 (D.D.C. 2008). Especially considering that this Court has already made it clear that it was Congress’ intent “‘to strike at the entire spectrum of disparate treatment of men and women in employment,’ which includes requiring people to work in a discriminatorily hostile or abusive environment.” Harris, 510 U.S. at 21 (citing Meritor Savings Bank, FSB, 477 U.S. at 64). To exclude transgender employees from the meaning of Title VII would only “legitimize discrimination based on the plaintiff's gender non-conformity by formalizing the non-conformity into an ostensibly unprotected classification.” Smith, 378 F.3d at 574. 16 Team 20 The court below recognized that denying “summarily protection to an individual whose ‘condition has not yet become stationary’ is to deny her the right granted her nontransgendered brothers sisters: to present evidence in a Title VII claim that shows ‘treatment of a person in a manner which but for that person’s sex would be different.’” Holt, supra, at 302-03. Here, Erika Rite is entitled to Title VII protection just as any other employee who has experienced sex discrimination in the workplace. Accordingly, for the above mentioned reasons, this Court should affirm the decision of the Thirteenth Circuit. II. GENDER DYSPHORIA QUALIFIES AS A SERIOUS MEDICAL CONDITION UNDER THE FAMILY MEDICAL LEAVE ACT (FMLA) WHERE THE MEDICAL SYMPTOMS AND TREATMENT FORCE A VICTIM TO UNDERGO EXTENSIVE MEDICAL TREATMENT The Thirteenth Circuit correctly held that gender dysphoria is a serious health condition and would entitle those suffering from the disease to medical leave under the Family Medical Leave Act (FMLA). R. 30. As such, Beetz, Inc. improperly terminated Erika Rite after denying medical leave under the FMLA when she underwent gender reassignment surgery to treat gender dysphoria. As Justice Souter cautioned, personal medical decisions are “central to personal dignity and autonomy,” and are “the most intimate and personal choices a person may make in a lifetime.” Walsh v. Glucksberg, 521 U.S. 702, 726 (1997). Respondent Erika Rite respectfully requests that this court uphold the decision of the Thirteenth Circuit Court of Appeals, which is correct for three reasons. First, Ms. Rite’s diagnosis and treatment of gender dysphoria exceeds the minimal requirements set forth by Congress to be considered a serious health condition under the FMLA. Next, even assuming arguendo that gender dysphoria itself cannot meet the low bar of a serious medical condition, the individual aspects of Ms. Rite’s battle with gender dysphoria 17 Team 20 constitute a serious health condition. Last, as a matter of Public Policy, restricting transsexual access to employment benefits and FMLA protection is tantamount to banning their freedom of gender expression and autonomy. A. Ms. Rite’s Diagnosis and Surgical Treatment of Gender Dysphoria Exceeds the Minimal Requirements Set Forth By Congress to be Considered a Serious Health Condition Under the FMLA To begin with, the Family Medical Leave Act of 1993 entitles “employees up to 12 work weeks of unpaid leave per year” when a “serious health condition interferes with the employee’s ability to perform at work.” 29 U.S.C. § 2612(a)(1). Employers must “grant unpaid leave for self-care for a serious medical condition.” 29 U.S.C. §2612(a)(1); see also Coleman v. Court of Appeals, 132 S. Ct. 1327, 1332 (2012). Under the FMLA a serious medical condition is any “illness, injury, impairment, or physical or mental condition that involves (A) inpatient care in a hospital or (B) continuing treatment by a health care provider.” 29 C.F.R. § 2611(11). In addition to providing a 12-week period of medical leave, the act also provides “a certain amount of job security to employees who are absent or take leave for a serious health condition or a chronic serious health condition.” 29 U.S.C.S. § 2601; see also Basso v. Potter, 596 F. Supp. 2d 324 (D. Conn. 2009). Specifically, the FMLA prohibits “an employer from discriminating against an employee who has used FMLA leave or otherwise interfering with the exercise or attempted exercise of FMLA rights.” 29 U.S.C.S. § 2615(a); see also 29 C.F.R. § 825.220(c). The Department of Labor constructed a test to determine what can be considered a serious health condition. 29 U.S.C.S. §§ 2601 et seq. An employee must: (1) have been incapacitated for more than three days, (2) have been seen once by a doctor, and (3) have 18 Team 20 been prescribed a course of medication to qualify as a serious health condition. 29 U.S.C.S. §§ 2601 et seq. In the two years prior to the surgery, Ms. Rite underwent extensive hormone replacement therapy to treat her gender dysphoria. R. 5. Finding that to be insufficient, Ms. Rite then underwent an extensive surgical procedure at the hand of her doctor that resulted in a weeklong incapacitation. The incapacitation, frequent doctor appointments, and medication prescribed as part of the hormone replacement therapy thus satisfy all three elements and therefore meet the Department of Labor test. R. 9. Independent of the test, gender dysphoria qualifies as a serious medical condition because it is a physical and mental condition that involves both inpatient care in a hospital and continuing treatment by a healthcare provider as required under FMLA. 29 C.F.R. § 2611(11). The FMLA has an extremely low bar to reach when determining what is considered a serious medical condition. In fact, the only conditions that are expressly not considered serious medical conditions are “routine physical examinations, eye examination or dental examinations.” 29 CFR § 825.1139(c); See also Basso v. Potter, 596 F. Supp. 2d 324, 338 (explaining that denial of designation of an ailment as a serious medical condition is appropriate for “the common cold, the flu, ear aches, upset stomach, minor ulcers, headaches, routine dental or orthodontia problems”). Ms. Rite’s treatment far exceeded those that are expressly excluded serious medical conditions under the FMLA. R. 5-7, 9. Gender dysphoria requires a long and deeply involved treatment course that culminates in Sexual Reassignment Surgery (SRS) that physically aligns the person’s physical traits with their gender identity. Meriwether v. Faulkner, 821 F.2d 408, 411-12 (7th Cir. 1987); see also Ulane, 742 F.2d at 1083 (describing the gender dysphoria as “discomfort or discontent about nature’s choice of his or her particular sex 19 Team 20 and prefers to the other sex”). Certainly, invasive surgery wherein a surgeon must “remove the genitals and [perform] construction of a vagina-substitute out of penile tissue” exceeds the FMLA’s low bar reserved for mundane medical ailments like eye examinations. Maggert v. Hanks, 131 F.3d 670, 671 (7th Cir. 1997). In fact, courts dealing with determining whether a medical problem can be considered a serious medical condition have generally held that an ailment requiring surgery generally qualifies as a serious health condition. See Nev. Dep’t of Human Res. v. Hibbs, 538 U.S. 721 (2003) (Court reasoned that surgery necessary to treat injuries from an employee’s wife’s neck following a car accident qualified as a serious health condition under FMLA); Lewis v. Boehringer Ingelheim Pharms., Inc., 79 F. Supp 394, 399-403 (D. Conn. 2015) (court held that an employee’s back and finger surgeries qualified as a serious health condition under FMLA); Darboe v. Staples, Inc., 243 F. Supp. 2d 5, 16 (S.D.N.Y. 2003) (an employee’s nasal surgery constituted a serious health condition under FMLA). The FMLA further requires that a health care provider document the existence and degree of the “serious health condition” and that the employee provide this documentation upon request to the employer. 29 U.S.C.S. § 2613(a); see Bauer v. Dayton-Walther Corp., 910 F. Supp. 306, 311 (E.D. Ky. 1996) (denying an employee’s request where the condition was not diagnosed by a physican); Brohm v. JH Props, 947 F. Supp. 299, 302 (W.D. Ky. 1996) (employee’s FMLA request denied because his medical condition was undiagnosed by a physician); Roche v. St. Lukes Shawnee Mission Health Sys., 46 Fed. Appx. 867, 872 (8th Cir. 2002) (FMLA request denied because elective eye surgery does not entitle employees to FMLA protections). 20 Team 20 The district court held that Ms. Rite’s condition does not qualify as a serious medical condition because the symptoms of the disease do not rise to the level necessary to qualify. This reasoning is faulty for several reasons. First, there are no degrees of symptoms necessary to qualify within the FMLA, just the aforementioned need for certification of a serious health condition by a healthcare provider, “inpatient care in a hospital” or “continuing treatment by a healthcare provider”. 29 C.F.R. § 2611(11). Next, the district court relied on the Eleventh Circuit’s decision in Barker v. Rooms to go Furniture Corp., 375 Fed. Appx. 966 (11th Cir. 2010), which is distinguishable from this case. In Baker, the employee suffered from anxiety but was able to perform his daily activities by taking breaks during the day. Baker 375 Fed. Appx at 968. In this case, the treatment for gender dysphoria required Ms. Rite to undergo extensive psychiatric therapy, hormone replacement therapy, and eventually physical appearance altering surgery. R. 5, 7, 9. Following the surgery, Ms. Rite’s physician ordered her to remain in bed for one week to recover. R. 9. Ms. Rite was incapacitated from the surgery and unable to perform her job until released by her physician to return to work. R. 9. It is true that Ms. Rite is not able to point to any periods of incapacitation where the symptoms of her disease prevented her from performing her work prior to the surgery. R. 18. However, this is not necessary because FMLA defines periods of incapacitation as “the inability to work...due to the serious health condition, treatment therefore or recovery therefrom.” 29 CFR § 825.113(B). During the week following her surgery, Ms. Rite was incapacitated due to recovery from a serious health condition, gender dysphoria. This case is therefore distinguishable from Barker because the employee in Barker did not suffer the periods of incapacitation as required for the serious health condition. 21 Team 20 Ms. Rite suffered through a psychiatric condition for which the only definitive treatment involved extensive surgery to realign her physical characteristics with her gender identity. The condition and subsequent surgery constituted a serious health condition not only due to the nature of the surgery, but also the week she was incapacitated by her recovery therefrom. This serious medical condition coupled with the period of incapacity satisfies the necessary elements of FMLA and should entitle Ms. Rite to the benefits of the Act. B. Even Assuming Arguendo that the Incapacitation from Sexual Reassignment Surgery Cannot Meet the Low Bar of a Serious Medical Condition, the Individual Aspects of Ms. Rite’s Battle with Gender Dysphoria Constitute a Serious Health Condition Under the FMLA When treated over a long period of time, gender dysphoria qualifies as a chronic condition under FMLA and is considered a serious medical condition. FMLA requires only that a person visit their doctor at “least twice per year” for treatment of the condition to qualify as a chronic serious medical condition. 29 C.F.R. § 825.115(c). Additionally, conditions requiring multiple treatments qualify as a serious medical condition when the treatments are likely to result in a “period of incapacity of more than three consecutive, full calendar days.” 29 C.F.R. § 825.115(e)(2). FMLA does not require “a complete inability to work,” rather it allows leave “to be taken intermittently or on a reduced schedule when medically necessary.” Santiago v. DOT, 50 F. Supp. 3d 136, 145 (2nd Cir. 2014); citing 29 U.S.C. § 2612(b)(1). In fact, employees “can take leave in any size increments” necessary to receive treatment for a chronic serious medical condition. 29 C.F.R. § 825.203(d); see also Mora v. Chem-Tronics, Inc., 16 F. Supp. 2d 1192, 1200 (S.D. Cal 1998). Employees may apply the 12 week FMLA protection to attend doctor’s appointment if the office visit is “medically necessary for a serious health condition.” 29 22 Team 20 U.S.C.S. § 2612(b)(1); see also Kaynor v. Fannin Regional Hosp., 946 F. Supp. 988, 997 (N.D. Ga 1997). Ms. Rite required frequent office visits for the hormone replacement therapy necessary to treat the gender dysphoria from which she was suffering. R. 5, 7. She was diagnosed by her physician and entered his care in December of 2012. R. 4. As part of the regimen of care prescribed by her physician, Ms. Rite was to have regular office visits and medical treatments over the foreseeable future to help her in her struggle with her disorder. R. 4-7. The elements of this treatment regimen qualify as a serious health condition on their own merit. A serious health condition is a condition that involves “continuing treatment by a health care provider.” 29 C.F.R. §825.113(a). Being under the treatment regimen of a physician that “involves multiple treatments” for a condition “that would likely result in a period of incapacity of more than three consecutive days.” 29 C.F.R. § 825.113(e). The pedigree of Dr. Gee is not clear, but it is reasonable that with his knowledge as a physician the incapacity from eventual sexual reassignment surgery (SRS), the ultimate cure of gender dysphoria, would result in an incapacity longer than the requisite threeday-period. Alternatively, if there was no anticipated SRS that would result in a qualifying incapacity, the multiple office visits would have still qualified Ms. Rite for FMLA protection. If there were no hope for a recovery from her condition, leave taken under the “continuing supervision” of the treating health care provider constitutes a serious health condition even if the condition is permanent. 29 C.F.R. 825.115(d). Before the decision to pursue gender reassignment surgery in 2013, any of the leave taken to pursue hormone 23 Team 20 replacement therapy would qualify under the long-term or permanent care provision as the ultimate solution to the disorder had not yet been contemplated. R. 5. Beetz, Inc. fired Ms. Rite for exhausting all of her sick leave in the pendency of her medical care and then taking additional time to recover while she believed she was on unpaid leave pursuant to FMLA. R. 9. The calculation of sick time used is faulty because Ms. Rite was entitled to protected leave under FMLA for each of the visits to her physician to undergo hormone therapy replacement prior to the surgery even taking place. Rite was forced to exhaust most of her paid sick leave during hormone therapy sessions with her doctor as of November 1, 2014. R. 8. This paid sick time should not have been counted against her and should have been part of the 12 week FMLA leave. Blocks of FMLA leave may be taken in increments “as small as one hour long” to seek care from a treating physician. 29 C.F.R. 825.203(a); see Barron v. Runyon, 11 F. Supp. 2d 676, 679 (E.D. Va. 1998) (court held that leave taken incrementally during 12 month period was protected by FMLA because it was used in the course of treating the employee’s wife’s back injury). Therefore, even assuming arguendo that sexual reassignment surgery could not reach the low bar to constitute a serious medical condition, the necessary doctor appointments themselves qualify and should have factored into the calculation of sick time used. Ms. Rite was improperly terminated for exhausting her sick leave where it should have instead been counted as FMLA leave. In fact, Ms. Rite would have only used five weeks of the twelve available to recover from sexual reassignment surgery. R. 9. Taking only five weeks made a full seven weeks of time available to her to be calculated as incremental leave for treatment before the surgery. R. 9. 24 Team 20 C. As a Matter of Policy, Restricting Transsexual Access to Employment Benefits and FMLA Protection is Tantamount to Banning their Freedom of Gender Expression and Autonomy The transsexual population around the world faces a stigma that spans from uncomfortable in countries gaining acceptance to outright dangerous in less progressive nations. Several countries like Malaysia, Kuwait and Nigeria outlaw transgender expression by forbidding “posing” as the opposite sex. Kyle Knight, Rights in Transition: Making Legal Recognition for Transgender People a Global Priority, Human Rights Watch, https://www.hrw.org/world-report/2016/rights-in-transition. Violence is a hateful, yet common problem for the transgender community. Cops: Transgender Woman Brutally Attacked in Queens, (November 30, 2015), http://newyork.cbslocal.com/2015/11/30/jackson-heights-possible-hate-crime/. In an act representative of the hateful crimes perpetuated against transgendered people across the US, a transgender woman was attacked in Queens, NY. Id. This attack commonly referred to as a “curb stomp” occurs “all the time” according to the article. Id. This may seem an extreme example, but restriction to healthcare rights and employment protection is no less extreme of a prohibition of expression. Gender recognition is an “essential element of other fundamental rights” including autonomy, privacy, and dignity. Knight, supra. One’s right to identify as a male or female also expands into housing rights, the right to travel, and education where discrimination remains present even in our progressive society. Id. A recent survey by the Center on Transgender Equality and the National LGBTQ Taskforce found that 64% of transgender people faced some kind of housing discrimination when trying to buy or rent a home or 25 Team 20 apartment. Id. According to the survey, the problem stems from the applicant’s identification documents do not match their gender appearance. Id. Unfortunately, support for the transgender community has been slow to gain ground. In fact, some states are taking steps backward and reducing the rights of this already oppressed population. Recently, Wisconsin became the first state to prohibit students from using a bathroom assigned to their gender. Scott Bauer, Wisconsin Republicans defend transgender restrictions bill (Nov 19, 2015), http://bigstory.ap.org/article/40924abf13f540b797a5c927bdcab6da/wisconsinrepublicans-defend-transgender-restrictions-bill. Previously, students were able to use an all-gender bathroom, which did not impede their right to autonomy. Id. Now, students are forced to either endanger their health by not using the bathroom or sacrifice their personal identity to comply with this unreasonable legislation. Id. Forcing students to use a bathroom that does not match their gender represents a drastic invasion on their personal autonomy; so too does firing a person for undergoing surgery to align oneself with their outward appearance. Unfortunately, however, this type of restroom discrimination carries over into the workplace. Phyllis Randolph Frye, The International Bill of Gender Rights vs. The Cider House Rules: Transgenders Struggle with the Courts Over What Clothing They Are Allowed to Wear on the Job, Which Restroom They are Allowed to Use on the Job, Their Right to Marry, and the Very Definition of Their Sex, 7 Wm. & Mary J. Women & L. 133 (2000). Despite an OSHA compliance letter mandating transgender access to “a” restroom, rather than the previously available “no” restroom, employers are slow to change. Id. Citing the cost of building new genderneutral facilities, employers still commonly fire transgender employees over restroom 26 Team 20 usage disputes. Id. at 182 (explaining that she was fired because she was allowed to use neither men’s nor women’s restrooms and was subsequently fired). Forcing a person to comply with perceived societal norms violates the very basic elements of freedom and liberty upon which this nation began. Whether it be on a personal level like which bathroom one is to use, or on a larger scale where a people are excluded from employment protection because of a medical decision, discrimination must be stopped. Conclusion Wherefore, Respondent, Erika Rite respectfully request that this Court uphold the decision of the court below and find that a transgender employee is protected from employment discrimination under Title VII of the Civil Rights Act of 1964 and that Gender Dysphoria qualifies as a serious medical condition under the Family Medical Leave Act. Respectfully Submitted, _____________________________ Team 20 Counsel for Respondent 27 Team 20 APPENDIX A UNITED STATES CODE INVOLVED 42 USCS § 2000e-2 (a) Employer practices. It shall be an unlawful employment practice for an employer(1) 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; or (2) to limit, segregate, or classify his employees or applicants for employment in any way which would deprive or tend to deprive any individual of employment opportunities or otherwise adversely affect his status as an employee, because of such individual's race, color, religion, sex, or national origin. (b) Employment agency practices. It shall be an unlawful employment practice for an employment agency to fail or refuse to refer for employment, or otherwise to discriminate against, any individual because of his race, color, religion, sex, or national origin, or to classify or refer for employment any individual on the basis of his race, color, religion, sex, or national origin. (c) Labor organization practices. It shall be an unlawful employment practice for a labor organization-(1) to exclude or to expel from its membership, or otherwise to discriminate against, any individual because of his race, color, religion, sex, or national origin; (2) to limit, segregate, or classify its membership or applicants for membership, or to classify or fail or refuse to refer for employment any individual, in any way which would deprive or tend to deprive any individual of employment opportunities, or would limit such employment opportunities or otherwise adversely affect his status as an employee or as an applicant for employment, because of such individual's race, color, religion, sex, or national origin; or (3) to cause or attempt to cause an employer to discriminate against an individual in violation of this section. A-1 Team 20 Appendix B The Family Medical Leave Act 29 CFR § 825.100 (a) The Family and Medical Leave Act of 1993, as amended, (FMLA or Act) allows eligible employees of a covered employer to take job-protected, unpaid leave, or to substitute appropriate paid leave if the employee has earned or accrued it, for up to a total of 12 workweeks in any 12 months (See § 825.200(b)) because of the birth of a child and to care for the newborn child, because of the placement of a child with the employee for adoption or foster care, because the employee is needed to care for a family member (child, spouse, or parent) with a serious health condition, because the employee's own serious health condition makes the employee unable to perform the functions of his or her job, or because of any qualifying exigency arising out of the fact that the employee's spouse, son, daughter, or parent is a military member on active duty or call to covered active duty status (or has been notified of an impending call or order to covered active duty). In addition, eligible employees of a covered employer may take job-protected, unpaid leave, or substitute appropriate paid leave if the employee has earned or accrued it, for up to a total of 26 workweeks in a single 12-month period to care for a covered servicemember with a serious injury or illness. In certain cases, FMLA leave may be taken on an intermittent basis rather than all at once, or the employee may work a part-time schedule. (b) An employee on FMLA leave is also entitled to have health benefits maintained while on leave as if the employee had continued to work instead of taking the leave. If an employee was paying all or part of the premium payments prior to leave, the employee would continue to pay his or her share during the leave period. The employer may recover its share only if the employee does not return to work for a reason other than the serious health condition of the employee or the employee's covered family member, the serious injury or illness of a covered servicemember, or another reason beyond the employee's control. (c) An employee generally has a right to return to the same position or an equivalent position with equivalent pay, benefits, and working conditions at the conclusion of the leave. The taking of FMLA leave cannot result in the loss of any benefit that accrued prior to the start of the leave. (c) The employer generally has a right to advance notice from the employee. In addition, the employer may require an employee to submit certification to substantiate that the leave is due to the serious health condition of the employee or the employee's covered family member, due to the serious injury or illness of a covered servicemember, or because of a qualifying exigency. B-1 Team 20 (d) Failure to comply with these requirements may result in a delay in the start of FMLA leave. Pursuant to a uniformly applied policy, the employer may also require that an employee present a certification of fitness to return to work when the absence was caused by the employee's serious health condition (See §§ 825.312 and 825.313). The employer may delay restoring the employee to employment without such certificate relating to the health condition which caused the employee's absence. B-2 Team 20