MEMORANDUM AND ORDER
Through this lawsuit, Plaintiffs Kelly Alexander and Donald Porter (“Plaintiffs” unless otherwise noted) seek damages and injunctive relief under the Americans with Disabilities Act of 1990, 42 U.S.C. § 12101, et seq. (“ADA”). The jurisdiction of this court is premised on federal question jurisdiction in accordance with 28 U.S.C. § 1331. In addition to their federal claims under the ADA, Plaintiffs also assert pendant state law claims under 1) California’s Unruh Civil Rights Act, California Civil Code § 51, et seq.; 2) California’s Disabled Persons Act, California Civil Code § 54, et seq.; 3) California’s Bane Act, California Civil Code § 52.1; and 4) common law negligence claims. Finally, Plaintiffs also assert a cause of action for violation of the Rehabilitation Act, 29 U.S.C. § 794. Presently before the Court are motions to dismiss brought by all six doctors/medical entities being sued as Defendants: 1) Hus-sam Kujok M.D. and his medical practice, Hussam Kujok, M.D., Inc. (collectively “Dr. Kujok”); 2) Mark Debruin and his medical practice, Debruin Medical Center A.P.C. (“Dr. Debruin”); 3) Gilbert Martinez and his practice, Family Medicine and Ambulatory Care Centers, Inc. (“Dr. Martinez”); 4) Dheeraj Kamra and his practice, Capitol Internal Medicine Associates (“Dr. Kamra”); 5) Thomas A. Del Zotto (“Dr. Del Zotto”); and 6) Robert W. Larsen (“Dr. Larsen”).
All six doctors argue that Plaintiffs lack standing to pursue ADA claims because they have no intent to return for further treatment, and, that absent such intent subject matter.jurisdiction under Federal Rule of Civil Procedure 12(b)(1)
For the reasons set forth below, Defendants’ Motions to Dismiss are GRANTED in part and DENIED in part.
BACKGROUND
Plaintiffs, who are both profoundly deaf, use American Sign Language (“ASL”) as
Plaintiff Alexander was told by Dr. Ku-jok’s office in April of 2014 that they were no longer'accepting new patients once told she needed an ASL interpreter. Plaintiff’s insurance agent' then called and was ultimately told that Dr. Kujok was not willing to provide interpreting services.
Following Dr. Kujok’s refusal to provide medical treatment with the aid of an ASL interpreter, Plaintiff Alexander sought care from several other Hills Physician Group doctors. In July of 2014, she was accepted as a patient by Dr. Debruin and scheduled an initial appointment on July 28, 2014. Dr. Debruin’s office • informed Plaintiff that they would not schedule, an interpreter. Although his staff later told Plaintiff that they would make the necessary arrangements, when Alexander presented for her initial visit she was told that no interpreter had-been ordered. During the course of his evaluation, Dr. Debruin told Alexander that she could communicate well and didn’t need an interpreter. When Dr. Debruin suggested they use notes, Alexander explained that ASL is not English and is not directly translatable. According to Plaintiff, particularly when technical terms are involved, use of ASL is critical for purposes of accurate communication. Dr. Debruin’s insistence that Plaintiff could in that event communicate in writing caused Alexander to leave his office.
Plaintiff Alexander was subsequently referred, to a third, potential primary care doctor,, Dr. Kamra. Although Kamra’s office staff originally advised Plaintiff that an ASL interpreter would be provided, when she arrived for her appointment no interpreter was present. Plaintiff went ahead and saw Dr. Kamra anyway because the foot injury she was suffering from had already been exacerbated by delay occasioned by the above-described interpreter issues. Alexander therefore felt she needed immediate attention and could not wait to reschedule. According , to Plaintiff, her communication was impeded without an interpreter and Dr. Kamra failed to correctly note Plaintiffs allergy to iodine.
Dr. Kamra did refer Plaintiff to a podiatrist, Dr. Del Zotto, to evaluate a foreign body in her left foot. Dr. Del Zotto told Plaintiff, however, that his business partner, Dr. Larsen, refused to provide interpreting services and that she would have to go to a different podiatrist. Plaintiffs appointment with Dr. Del Zotto was accordingly cancelled.
As a result of the conduct of the above-described physicians, Plaintiff Alexander claims that , she encountered almost a year’s delay in obtaining treatment for her foot condition which both exacerbated her physical discomfort and caused emotional distress.
The history recounted by the other Plaintiff, Porter, is similar though not as extensive. Dr. Martinez did initially provide a sign language interpreter at his initial intake visit with Plaintiff Porter on April 29, 2014. When Martinez realized Plaintiff Porter was watching the interpreter, Porter claims , that Martinez “grabbed” Porter’s face and stated “don’t look at her, look at me. You can read my lips.” Porter at that point explained that he needed to look at the interpreter to understand what Dr. Martinez was saying. While Porter continued to see Dr. Martinez, after his third appointment, Porter claims that Dr. Martinez refused and/or failed to continue to provide a sign lan
Although Plaintiff Alexander never actually saw Dr. Martinez, she claims that when she learned about Dr. Martinez’ conduct from plaintiff Porter she cancelled her own appointment with Martinez since she believed “there was a substantial likelihood she would suffer the same discriminatory treatment if she was examined by Martinez.” FAC at ¶ 36.
Given these circumstances, Plaintiffs have sued the six doctors enumerated above. All six 'doctors have now filed similar, and in some instances virtually identical, motions to dismiss under Rules 12(b)(1) and 12(b)(6).
STANDARD
A. Motion to Dismiss for Lack of Standing
Where a plaintiff lacks standing to bring a claim, courts lack jurisdiction to hear that claim, and a motion to dismiss under Rule 12(b)(1) is appropriate. Ballentine v. United States,
B. Motion to Dismiss for Failure to State a Viable Claim
On a motion to dismiss for failure to state a claim under Rule 12(b)(6), all allegations of material fact must be accepted as true and construed in the light most favorable to the nonmoving party. Cahill v. Liberty Mut. Ins. Co.,
Furthermore, “Rule 8(a)(2).. .requires a showing, rather than a blanket assertion, of entitlement to relief.” Twombly,
A court granting a motion to dismiss a complaint must then decide whether to grant leave to amend. Leave to amend should be “freely given” where there is no “undue delay, bad faith or dilatory motive on the part of the mov-ant,... undue prejudice to the opposing party by virtue of allowance of the amendment, [or] futility of the amendment....” Foman v. Davis,
B. Motion to Strike
Rule 12(f) provides that a district court “may strike from a pleading an insufficient defense or any redundant, immaterial, impertinent, or scandalous matter.” “The function of a Rule 12(f) motion to strike is to avoid the expenditure of time arid money that must arise from litigating spurious issues by dispensing with those issues prior to trial-” Whittlestone, Inc. v. Handi-Craft,
ANALYSIS
A. Rule 12(b)(1) Motions to Dismiss
As indicated above, standing is a jurisdictional issue, deriving from the requirement that an actionable case or controversy be present. Doe No. 1 v. Reed,
In the context of a plaintiff seeking injunctive relief under the ADA, this means that Plaintiff here must demonstrate a “significant possibility of future harm.” Vogel v. Rite Aid Corp.,
Nothing in this section shall require a person with a disability to engage in a futile gesture if such person has actual notice that a person or organization covered by this title does not intend to comply with its provisions.
42 U.S.C. § 12188(a)(1).
This is consistent with the view that standing under remedial statutes, like the ADA, should be interpreted as broadly as permissible under the Constitution. See, e.g., Trafficante v. Metropolitan Life Ins. Co.,
The “futile gesture” exception applies squarely to the circumstances of this matter. Given the barriers to effective accommodation both Plaintiffs already experienced, they were not required to resort to what would be the futile act of attempting to return to the same physicians who had already refused to facilitate effective communication on their part. Moreover, and in any event, Court further notes that while Plaintiffs allege they switched to a higher priced Medi-Cal provider that allowed them to choose physicians not affiliated with Hills Medical Group, they also claim they may not be able to afford that added cost in the long run and consequently may have to return to the Hills network and encounter the same denial of services. See FAC, ¶¶ 68-70. Plaintiffs accordingly reason that this eventuality may ultimately force them to return to Defendants for care despite their attempt to avoiding having to do so at the present time.
Under either alternative, and given the ADA’s broad scope as a remedial statute, the Court finds that Plaintiffs have standing to assert their ADA claims against Defendants herein. The only exception is with respect to Plaintiff Alexander’s claims against Dr. Martinez. Alexander never saw Dr. Martinez in the first place and consequently did not personally encounter a denial of “full and equal treatment because of her disability,” as needed to assert any ADA claim in the first instance. Wilson v. Pier 1 Imps. (US), Inc.,
B. Rule 12(b)(6) Motions to Dismiss
On a substantive basis, Defendants’ 12(b)(6) arguments present factual issues beyond the pleadings not amenable
Accepting Plaintiffs’ allegations as true, as we must in evaluating a motion to dismiss, Plaintiffs claim they were excluded from meaningful participation in their medical-treatment because, to the extent Defendants were willing to offer any accommodation measures, they were insufficient to facilitate effective communication.
The regulations impleihenting Title III of the ADA unequivocally require places of public accommodation to “furnish appropriate auxiliary aids and services.. .to ensure effective communication with individuals with disabilities.” 28 C.F.R. § 36.303(c)(1). The test is not whether any auxiliary aid was offered but whether that aid would be sufficient to permit effective communication. Case law provides no definition of what constitutes effective communication. To the contrary, any such determination is a question of fact which cannot be resolved at this juncture. On the basis of the pleadings, Plaintiff has asserted that any accommodation offered was inadequate.
Plaintiffs have also alleged that they were excluded from treatment altogether because of their disability. Dr. Kujok allegedly refused to see Alexander at all once he was informed she was deaf and needed as ASL interpreter. Id. at ¶¶ 29-31. Dr. Martinez purportedly refused to allow Plaintiff Porter to even use a relay operator, or to communicate by way of text message in scheduling an appointment. Id. at ¶¶ 42-43. Dr. Del Zotto informed Plaintiff Alexander that because his office refused to provide the requested ASL interpreter she would need to get treatment from a different podiatrist. Id. at ¶64. Plaintiffs therefore also claim that they were prevented from seeking care altogether, even aside from whether accommodations offered in the course or providing care were adequate.
Plaintiffs’ allegations are sufficient to state ADA claims as alleged in their First Cause of Action. In addition, because Second and Third Causes of Actions, for violation of the Unruh and Disabled Persons Acts, are predicated on the ADA violations, and since Defendants’ arguments in contending that Plaintiffs cannot state a viable claim mirror then- arguments with regard to the ADA claim, Defendants’ challenges to the Second and Third Causes of Action also fail.
. Plaintiffs’ Sixth Cause of Action
Contrary to Defendants’ argument, however, this is not a case only about whether appropriate auxiliary aids have been provided. t Instead, it is more fundamentally about allegations that Plaintiffs were denied access to Defendants’ facilities altogether because of Defendants’ refusal to provide reasonable accommodations. In general terms, the Rehabilitation Act prohibits “denying a qualified handicapped person [health,-, welfare and social services] on the basis of their handicap.” 45 C.F.R. § 84.52(a)(1). A violation of that overarching provision, as Plaintiffs correctly point out, has no minimum employee requirement. Given the broad scope to which remedial, provisions’like those contained in the Rehabilitation Act are entitled, the Court cannot focus solely on the narrower question of auxiliary aids when Plaintiffs have in effect claimed that they were denied access altogether to Defendants’ facilities due to their failure to make any reasonable accommodation.
Additionally, with regard to Plaintiff Alexander’s attempt to obtain podiatric treatment from Defendant Del Zotto, Dr. Del Zotto and his alleged business partner, Defendant Larsen make some particular arguments that must be separately addressed. Defendant Del Zotto claims that he is an employee of a podiatric group owned by Defendant Larsen, and that as an employee he does not own or operate a place of public accommodation so as to incur liability under the ADA, or under Alexander’s other claims that rest upon her having established an ADA claim. Del Zotto includes a declaration to that effect and contends he had no authority to enact or amend policy. Del Zotto consequently alleges that Alexander cannot state a viable claim against him.
The problem with Del Zotto’s argument is that it stems from matters outside the pleading; namely, the declaration he submits. Matters extraneous to the pleading should not be considered in the context of a motion to dismiss under Rule 12(b)(6), which with exceptions not relevant here must depend on the allegations made within the four corners of the complaint. See Standard Investment Chartered Inc. v. NASD,
Both Del Zotto and Larsen also argue that they should be dismissed from Plaintiff Alexander’s Rehabilitation Act cause of action on grounds that podiatry services are not a covered benefit under California’s Med-Cal program pursuant to California Welfare and Institutions Code § 14131.10. That argument is also misplaced. Section 14131.10 states only the Medi-Cal will not pay for optional podiatric services, and Plaintiff alleges that her foot injury did not entail such an “optional” treatment. In any event, whether or not the treatment Alexander required was optional or not requires a factual evaluation that cannot be resolved here.
C. Motion to Strike
As a final matter, Dr. Larsen asks the Court to strike Plaintiffs prayer for punitive damages on grounds that no such damages are authorized under any of the
While Dr. Larsen correctly points out that Plaintiffs failed to oppose his argument in that regard, the problem with the course he recommends is that it is directly contrary to applicable precedent in this circuit. In Whittlestone, Inc. v. Handicraft Co.,
CONCLUSION
For all the reasons set forth below, Dr. Martinez’ Motion to Dismiss (ECF No. 28) is GRANTED as to Plaintiff Alexander’s claims against Martinez in their entirety. Because Plaintiff Alexander essentially concedes that her claims against Martinez are not well taken, no leave to amend will be permitted. Dr. Martinez’ Motion to Dismiss is otherwise DENIED. The Motions to Dismiss brought on behalf of Drs. Del Zotto (ECF No. 22), Kamra (ECF No. 23); Kujok (ECF No. 26), Debruin (ECF No. 27), and Larsen (ECF No. 65) are DENIED. Plaintiff Larsen’s request that punitive damages be stricken from Plaintiffs’ FAC is also DENIED.
IT IS SO ORDERED.
. Having determined that oral argument was not of material assistance, the Court ordered this Motion submitted on the briefing in accordance with Local Rule 230(g).
.The facts in this section are drawn, in some cases verbatim, from the ‘allegations as set forth in Plaintiffs’ First Amended Complaint.
. The Court notes that some of the Defendants have alleged that the Disabled Persons Act is limited to instances where physically disabled individuals are denied access to some public site or service because of their service. In the Court’s view, however, hearing loss is no less of .a physical impairment than mobility barriers which would preclude physi
