9th Cir.

Combs v. PeaceHealth

July 8, 2026 ·6:23-cv-01673-MTK ·Unpublished · By Aisha Johnson

The Ninth Circuit affirmed a district court's grant of summary judgment in a religious discrimination case involving a healthcare worker's refusal to be vaccinated. The court held that the employer demonstrated undue hardship by showing that exempting the employee posed an unacceptable risk to patient and staff safety.

Background

Michael Combs, a former employee of PeaceHealth, Inc., a Catholic not-for-profit healthcare system, sued alleging religious discrimination under Title VII of the Civil Rights Act of 1964 and Oregon Revised Statute Section 659A.030. Combs challenged the employer’s vaccination requirement, arguing that the district court erred in granting summary judgment in favor of PeaceHealth.

The court’s reasoning

The court reviewed the order granting summary judgment de novo. Under Title VII, an employer must reasonably accommodate an employee’s religious observance unless it causes undue hardship, defined as a burden substantial in the overall context of the employer’s business. The court found that PeaceHealth demonstrated undue hardship because exempting Combs from the vaccination requirement posed an unacceptably high risk to patient safety and the safety of coworkers. The record showed the virus is highly contagious and Combs’s duties required direct interaction with patients. PeaceHealth relied on scientific evidence available at the time that vaccination was the most important method of protection. The court noted that health and safety costs are substantial burdens for healthcare providers. Combs argued the employer failed to conduct an individualized assessment, but the court held this argument was foreclosed by Williams v. Legacy Health. The court explained that if an employer determines no accommodation is possible without undue hardship, considering a particular accommodation is an exercise in futility.

What it means going forward

The decision reinforces that healthcare employers can rely on categorical safety rules to deny religious accommodations when individualized assessments would be futile due to substantial health risks.