Opinion
21-cv-08612-RS
07-07-2022
ORDER GRANTING STAY
RICHARD SEEBORG CHIEF UNITED STATES DISTRICT JUDGE
Wit v. United Behavioral Health, 2022 WL 850647 (9th Cir. Mar. 22, 2022), Tomlinson v. United Behavioral Health, No. 3:19-cv-6999-RS, and this action all involve challenges to the clinical guidelines that United Behavioral Health used to determine medical necessity under its benefit plans. In Wit, the Ninth Circuit has issued a decision that, if it stands, may foreclose all of plaintiffs' claims in Tomlinson and at least a substantial portion of plaintiffs' claims here. Briefing on the Wit plaintiffs' petition for rehearing en banc is underway at the Ninth Circuit. By a stipulated order, a previously imposed stay of proceedings in Tomlinson has been extended through the time a mandate issues in Wit.
Plaintiffs in all three actions are represented by the same counsel. Plaintiffs are unwilling to stipulate to a stay here, however, because they contend this action includes an additional claim-the so-called “bundling claim”-that they insist will not be affected by the ultimate result in Wit, whatever that may turn out to be. Although plaintiffs have framed the bundling claim as a subclass to a main class that is substantially identical to the Wit and Tomlinson classes, they argue it can survive independently even if the main class fails.
Whether or not that is correct, however, plaintiffs acknowledge factual issues and discovery will overlap. From that, they conclude no stay of this action is warranted, even though they concede a stay would be appropriate absent the bundling subclass. The better approach, though, is to stay the case notwithstanding the possibility that the Wit decision may have less direct effect on the bundling subclass. The potential import of the Wit decision on the viability of at least a large part of this case is too great to ignore, and there is no undue prejudice to plaintiffs from a limited stay.
Accordingly, the motion is granted, and this action is stayed pending the issuance of the mandate in Witt. In the event further proceedings in the Ninth Circuit become unduly protracted, plaintiffs may move to lift the stay.
IT IS SO ORDERED.