Ramona Matos Rodriguez v. Pan American Health Organization
CourtCourt of Appeals for the D.C. Circuit
Date FiledAugust 14, 2026
Docket24-7135
StatusPublished
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Full Opinion
United States Court of Appeals
FOR THE DISTRICT OF COLUMBIA CIRCUIT
Argued November 5, 2025 Decided August 14, 2026
No. 24-7135
RAMONA MATOS RODRIGUEZ, ET AL.,
APPELLEES
v.
PAN AMERICAN HEALTH ORGANIZATION,
APPELLANT
JOAQUIN MOLINA, ET AL.,
APPELLEES
Appeal from the United States District Court
for the District of Columbia
(No. 1:20-cv-00928)
Daniel S. Volchok argued the cause for appellant. With
him on the briefs was David W. Bowker.
Samuel J. Dubbin argued the cause for appellees. With
him on the brief were Charles J. Cooper, Michael W. Kirk,
Haley N. Proctor, and Joseph O. Masterman.
Andrew Kim was on the brief for amicus curiae Human
Trafficking Legal Center in support of appellees.
2
Dennis H. Hranitzky and Alex H. Loomis were on the brief
for amici curiae Professor William S. Dodge, et al. in support
of appellees.
Before: MILLETT, PAN, and GARCIA, Circuit Judges.
Opinion for the Court filed by Circuit Judge GARCIA.
GARCIA, Circuit Judge: In 2018, a group of Cuban
doctors sued the Pan American Health Organization (PAHO),
alleging that it cooperated in a human trafficking scheme.
PAHO moved to dismiss, arguing that even if the complaint’s
allegations were true, it was immune from suit under the
International Organizations Immunities Act (IOIA). The
district court denied that motion.
Most defendants cannot appeal the denial of a motion to
dismiss. Instead, they must litigate the case until a final
judgment is entered and then, if necessary, seek appellate
review. But because IOIA immunity serves in part to protect
defendants from the burdens of litigating the merits of a suit,
PAHO was entitled to seek immediate appellate review under
the collateral order doctrine. PAHO did so, and we affirmed,
agreeing with the district court that the doctors adequately
pleaded a theory that, if proven, would pierce PAHO’s
immunity.
On remand, PAHO filed a second motion to dismiss,
which remains pending before the district court. Unlike the
first, this motion contests the complaint’s allegations with
evidence to support PAHO’s claim to immunity. If the district
court denies that motion, PAHO will be entitled to a second
round of immediate appellate review before it is required to
litigate any merits issues. But before resolving that motion—
indeed, to help the court properly resolve it—the district court
granted the plaintiffs’ request for discovery in response to
3
PAHO’s evidentiary submissions. Rather than comply,
PAHO sought immediate review of that discovery order too.
We conclude that we lack jurisdiction over the appeal.
Holding otherwise would give defendants in PAHO’s situation
not just two opportunities for appellate review as to immunity,
but a boundless entitlement to appeal any number of district
court orders aimed at resolving that threshold issue. We
decline PAHO’s invitation to extend our appellate jurisdiction
that far.
I
In 2013, Brazil launched Mais Médicos (Portuguese for
“More Doctors”), a public health program aimed at increasing
access to medical care. The program recruited healthcare
professionals from around the world to serve Brazilian
communities that otherwise lacked reliable healthcare
resources. Cuba offered to assign employees from its own
Ministry of Health to Mais Médicos placements in Brazil. To
facilitate the arrangement, PAHO entered agreements with the
two countries. PAHO is the world’s oldest international
public health organization and is headquartered in Washington,
D.C.
The agreements gave PAHO a central role in the payment
structure for Cuba’s participation in Mais Médicos. Brazil
paid for the services of thousands of Cuban healthcare
professionals by transferring funds to PAHO. PAHO retained
five percent of those funds for itself and sent the remainder to
Cuba. According to PAHO, the 5% “offset” enabled the
organization to recoup indirect costs associated with the
technical and administrative support it provided to the
program. Appellant’s Brief 8.
Concerns arose that Cuba’s “medical missions,” including
its partnership with Mais Médicos, were part of a human-
4
trafficking scheme. The U.S. Department of State noted that
the Cuban government was collecting immense sums from
such programs but would often withhold wages from the
physicians on the ground. See Compl. ¶ 31 (quoting U.S.
Dep’t of State, Trafficking in Persons Report 162–64 (2019)).
Some physicians in these programs reported substandard
working and living conditions. Id. ¶ 30 (quoting U.S. Dep’t
of State, Trafficking in Persons Report 4 (2017)). As one
amicus noted, a complaint filed with the International Criminal
Court alleged that 75% of participants in these missions had
not joined the programs voluntarily; 75% had been threatened
or witnessed coworkers being threatened; and 40% were
separated from their children as a consequence for defecting.
Human Trafficking Legal Center Amicus Brief 9 n.4 (citing
U.S. Dep’t of State, Trafficking in Persons and Cuba’s Labor
Export Program (Jan. 20, 2025), https://perma.cc/GW7H-
GTQP).
In 2018, four Cuban doctors who allege they were coerced
to participate in Mais Médicos and who are now living in the
United States sued PAHO for “enabling, managing, and
enforcing illegal human trafficking of Cuban medical
professionals in Brazil.” Compl. ¶ 1. The doctors alleged,
among other things, that the Cuban government restricted their
access to family members, see id. ¶ 102; limited their freedom
of movement, see id. ¶¶ 88–89; and compensated them with
only a fraction of the sums Brazil paid for their work, see id.
¶ 96, all under threat of “harassment, intimidation, and
retaliation,” id. ¶ 79. They asserted claims under the
Trafficking Victims Protection Act (TVPA), which forbids
various forms of human trafficking, see 18 U.S.C. § 1590, and
empowers trafficking victims to sue and recover damages from
“whoever knowingly benefits . . . from participation in a
venture” that the defendant “knew or should have known”
involved such a violation, id. § 1595(a). The doctors sued on
5
behalf of a class of about 3,500 similarly situated Cuban
medical professionals. Compl. ¶ 118.
Nearly eight years into the litigation, the parties remain
enmeshed in a threshold dispute over PAHO’s claim to
immunity under the IOIA.
Enacted in 1945, the IOIA affords “[i]nternational
organizations . . . the same immunity from suit and every form
of judicial process as is enjoyed by foreign governments.” 22
U.S.C. § 288a(b). In 1960, President Eisenhower designated
PAHO an international organization under the Act. See
Rodriguez v. PAHO, 29 F.4th 706, 712 (D.C. Cir. 2022)
(PAHO I).
Because IOIA immunity “develops in tandem” with “the
law of foreign sovereign immunity,” it is coextensive with
immunity under the Foreign Sovereign Immunities Act (FSIA).
Jam v. Int’l Fin. Corp., 586 U.S. 199, 210 (2019). The FSIA,
in turn, provides foreign sovereigns with immunity “from the
jurisdiction of the courts of the United States,” 28 U.S.C.
§ 1604, subject to several enumerated exceptions, see id.
§ 1605. One of those exceptions—the “commercial activity”
exception—covers claims “based upon a commercial activity
carried on in the United States by the foreign state.” Id.
§ 1605(a)(2).
A defendant seeking to raise an IOIA or FSIA immunity
defense before litigating the merits has two procedural options
for challenging the court’s subject matter jurisdiction and can
pursue either or both. The defendant can file what we will call
a “legal” motion to dismiss, which accepts “the plaintiff’s
factual allegations as true” and argues that those allegations do
not “bring the case within any of the exceptions to immunity
invoked by the plaintiff.” Phoenix Consulting Inc. v. Republic
of Angola, 216 F.3d 36, 40 (D.C. Cir. 2000). Or the defendant
can file a “factual” motion to dismiss, challenging the
6
plaintiff’s jurisdictional allegations with its own evidence.
See id. The “factual” motion requires the district court to
“resolve any disputed issues of fact” necessary to decide
whether the defendant is entitled to immunity and thus whether
the court may exercise jurisdiction over the action. Id. In
resolving such disputes, the district court “must give the
plaintiff ample opportunity to secure and present evidence
relevant to the existence of jurisdiction,” and so may allow
“jurisdictional discovery” that is “carefully controlled and
limited.” Id. (quotation marks omitted).
PAHO pursued both paths. It first filed a “legal” motion
to dismiss. The district court denied it, concluding that the
doctors had alleged facts that, if true, would trigger the
commercial activity exception to IOIA immunity. Rodriguez
v. PAHO, 502 F. Supp. 3d 200, 214 (D.D.C. 2020). We
affirmed. PAHO I, 29 F.4th at 716–17. The physicians
alleged in their complaint that PAHO engaged in unlawful
financial activity within the United States, including by acting
as a financial intermediary “moving money for a fee” between
Brazil and Cuba using a “Washington, D.C. bank account.”
Id. We held that those allegations, if proven, would suffice to
establish the “commercial activity” exception to immunity.
Id. at 717. We then remanded to the district court for further
proceedings. Id. at 720.1
PAHO then filed a second, “factual” motion to dismiss.
This time, PAHO argued that the doctors’ factual allegations
were mistaken. Contrary to the complaint, PAHO urged, none
of the Mais Médicos money ever entered the United States or
a U.S. bank account, and the collection of a 5% “fee” was more
1
In ruling on PAHO’s first motion, the district court held that
PAHO was immune as to two other TVPA claims and a claim under
the Racketeer Influenced and Corrupt Organizations Act. PAHO I,
29 F.4th at 710.
7
akin to sovereign activity than commercial activity. See
Factual Mot. to Dismiss 1–3, 34, Dkt. No. 80. In response, the
doctors sought discovery to further develop the details of
PAHO’s conduct and clarify whether that conduct was
“commercial activity carried on in the United States” such that
the court could exercise jurisdiction. See Rodriguez v. PAHO,
2024 WL 4251808, at *1 (D.D.C. Aug. 12, 2024) (PAHO II).
PAHO voluntarily produced various documents in support of
its motion, including declarations and bank statements, but
opposed the doctors’ requests for jurisdictional discovery.
For nearly two years, the parties attempted to negotiate an
agreement regarding the jurisdictional discovery dispute.
When those efforts stalled, the district court ordered PAHO to
comply with ten of the plaintiffs’ requests for production, two
interrogatories, and one deposition request. Id. at *3. PAHO
appealed again.
II
Before we can consider the merits of PAHO’s challenge to
the discovery order, “[w]e must begin with the question of our
[appellate] jurisdiction.” Process & Indus. Devs. Ltd. v. Fed.
Republic of Nigeria, 962 F.3d 576, 580 (D.C. Cir. 2020)
(P&ID). We conclude that we lack jurisdiction because the
discovery order is not effectively “final” under the collateral
order doctrine. We thus dismiss the appeal and remand to the
district court for further proceedings.
A
PAHO invokes this court’s jurisdiction to review district
court “final decisions” under 28 U.S.C. § 1291. Typically,
such decisions are those that “end[] the litigation” and “leave[]
nothing for the court to do but execute the judgment.” Geo
Grp., Inc. v. Menocal, 607 U.S. 438, 443 (2026). Section
1291, however, is construed “practical[ly].” Id. at 444. As a
8
result, the collateral order doctrine permits courts to hear
immediate appeals from a “small class” of “non-terminal”
decisions that are effectively “final.” Id.
To qualify for immediate review under this doctrine, the
type of order at issue must “(1) conclusively determine the
disputed question, (2) resolve an important issue completely
separate from the merits of the action, and (3) be effectively
unreviewable on appeal from a final judgment.” Id. Derived
from Cohen v. Beneficial Industrial Loan Corp., 337 U.S. 541
(1949), this test identifies orders that “finally determine claims
of right separable from, and collateral to, rights asserted in the
action” and that are “too important to be denied review and too
independent of the cause itself to require that appellate
consideration be deferred.” Id. at 546. But, as the Supreme
Court has repeatedly and recently reiterated, the collateral
order doctrine is “narrow,” “stringent,” and of “modest scope.”
Geo Grp., 607 U.S. at 444 (first quoting Digital Equipment
Corp. v. Desktop Direct, Inc., 511 U.S. 863, 868 (1994); and
then quoting Will v. Hallock, 546 U.S. 345, 350 (2006)).
Ordinarily, the denial of a motion to dismiss is not
immediately appealable. See Van Cauwenberghe v. Biard,
486 U.S. 517, 527 (1988). The collateral order doctrine,
however, generally permits appeals from the denial of a motion
to dismiss based on an immunity from suit. See Geo Group,
607 U.S. at 444. That category includes motions to dismiss
based on FSIA or IOIA immunity. P&ID, 962 F.3d at 583;
Phoenix Consulting, 216 F.3d at 39; Foremost-McKesson, Inc.
v. Islamic Republic of Iran, 905 F.2d 438, 443 (D.C. Cir. 1990).
Whether a defendant is entitled to such immunity presents
an important question about the court’s subject matter
jurisdiction, which is separate from the merits. And because
IOIA immunity is an “immunity from litigation burdens as well
as from the entry of adverse judgments,” its improper rejection
9
is “effectively unreviewable” at the conclusion of the litigation.
P&ID, 962 F.3d at 582, 584. “[I]f the immunity is wrongly
denied at the outset of a case, it cannot be vindicated after final
judgment,” because the defendant would already have been
forced to litigate the merits of the suit. Id. at 581. Immediate
appeal enables immune defendants to promptly seek redress
from errors that would otherwise “frustrate the significance and
benefit of entitlement to immunity from suit.” Phoenix
Consulting, 216 F.3d at 39 (quotation marks omitted).
Notably, this analysis applies to both “legal” and “factual”
motions to dismiss. See, e.g., Princz v. Fed. Republic of
Germany, 26 F.3d 1166, 1168–69 (D.C. Cir. 1994) (legal);
Phoenix Consulting, 216 F.3d at 39 (factual). To avoid
piecemeal appeals, a defendant may assert both legal and
factual arguments in support of dismissal as part of one motion,
and obtain immediate appellate view of an adverse ruling.
Where circumstances necessitate filing separate “legal” and
“factual” motions to dismiss, the defendant may obtain
immediate appellate review of adverse rulings on both
motions.
This case requires us to decide whether, and when,
defendants are also entitled to appeal jurisdictional discovery
orders targeted at resolving their entitlement to IOIA
immunity. Like the denial of a motion to dismiss, pretrial
discovery orders generally are not immediately appealable.
See Mohawk Indus., Inc. v. Carpenter, 558 U.S. 100, 108
(2009). But in Nyambal v. International Monetary Fund, 772
F.3d 277 (D.C. Cir. 2014), we permitted collateral order review
of one type of jurisdictional discovery order. In that case, the
plaintiff sued the International Monetary Fund (IMF), which
moved to dismiss based on IOIA immunity, attaching
affidavits and evidence to support that defense. Id. at 279.
The plaintiff sought discovery to investigate whether the IMF
had waived its immunity. Id. The district court granted that
10
request without determining whether the plaintiff had made
any well-founded allegations that IOIA immunity did not
apply. Id. We exercised jurisdiction over the IMF’s appeal,
explaining that the discovery order “denie[d] an international
organization protection” from burdens “similar” to “the burden
of a lawsuit.” Id. at 280 (citing Foremost-McKesson, 905
F.2d at 443); see id. at 279, 281 (noting that the district court
“authorized jurisdictional discovery” without confirming the
“plausibility” of the plaintiff’s theory).
PAHO argues that Nyambal governs here. We disagree.
For the reasons below, we conclude that the Cohen analysis
differs when a district court issues a jurisdictional discovery
order in circumstances like those present here.
We focus on Cohen’s third requirement: that the order be
effectively unreviewable after final judgment. The “crucial
question” for that requirement is “whether deferring review
until final judgment so imperils” an “interest” at stake in the
decision “as to justify the cost of allowing immediate appeal of
the entire class of relevant orders.” Mohawk, 558 U.S. at 108.
We are not persuaded that the “interest” at stake in a case like
this one “justif[ies]” the cost of permitting immediate appeal
for an entire class of similar orders. Specifically, we hold that
immediate review of a jurisdictional discovery order is not
available under the collateral order doctrine at least where (1)
the order is issued after a judicial determination that the
complaint adequately pleads an immunity exception, (2) the
defendant files a factual motion to dismiss disputing those
factual allegations, and (3) the discovery addresses the theories
the court has found adequately pleaded by the complaint. To
be clear, we do not hold that interlocutory appeal is available
whenever one of these factors is absent. Today we hold only
that the confluence of all three renders immediate review
inappropriate in this case and others like it.
11
There is a stark difference between the “interest[s]” that
are “imperil[ed]” when a district court denies a motion to
dismiss based on immunity grounds and when, as here, the
district court orders discovery for the purpose of deciding the
immunity question itself. Id. In the motion-to-dismiss
context, our cases emphasize that deferring review until after
final judgment would necessarily require a potentially immune
defendant “to defend litigation on the merits despite an
unresolved assertion of immunity.” P&ID, 962 F.3d at 582
(emphasis added); see also id. (distinguishing the writ of
mandamus granted in In re Papandreou, 139 F.3d 247 (D.C.
Cir. 1998), which addressed a jurisdictional discovery order,
because “the collateral-order doctrine would not have applied
[in Papandreou] under the reasoning that we adopt here”).
“[C]onsideration of the merits [is] itself an infringement on
foreign sovereign immunity.” Id. at 584 (quoting Republic of
Philippines v. Pimentel, 553 U.S. 851, 864 (2008)).
The burden that PAHO faces here is materially different.
It is true that responding to jurisdictional discovery is itself a
burden, as Nyambal recognized. Nyambal, 772 F.3d at 280.
But that burden, in circumstances like these, is not comparable
to the burden of being forced to litigate the merits of a suit. In
a case like this one, the defendant faces the burden of
answering discovery related to factual questions the defendant
itself placed in dispute to support its immunity claim, after a
court determined that the plaintiff adequately pleaded an
exception to IOIA immunity—a determination that is itself
appealable (and was appealed here). Once the plaintiff
presents that adequately pleaded theory, the defendant “bears
the burden of proving” the claim is not “within a statutory
exception to immunity.” Phoenix Consulting, 216 F.3d at 40.
And when a defendant seeks to meet that burden by disputing
the factual allegations in a complaint regarding immunity,
resolving that dispute may naturally “require[] jurisdictional
12
discovery and factual resolution of immunity questions to take
place.” P&ID, 962 F.3d at 584. Indeed, we have explained
that district courts “must give the plaintiff ample opportunity
to secure and present evidence relevant to the existence of
jurisdiction.” Phoenix Consulting, 216 F.3d at 40 (quotation
marks omitted). And the immunity question must be resolved
“before the [defendant] is required to defend the merits.”
P&ID, 962 F.3d at 584 (citing Phoenix Consulting, 216 F.3d at
39–40). In short, when a defendant disputes a complaint’s
well-pleaded factual allegations with its own evidence aimed
at establishing its immunity, answering discovery targeted to
resolving that dispute is part of the bargain.
Our conclusion is further supported by the idea that
immediate appellate review of a category of orders is unlikely
to have much utility when the type of order is unlikely to be
reversed on appeal. As part of the Cohen analysis, the
Supreme Court has explained that if “interlocutory appeals [of
a category of order] are less likely to bring error-correcting
benefits,” this fact counts against immediate appealability.
Johnson v. Jones, 515 U.S. 304, 316 (1995); see also id. (citing
and quoting Richardson-Merrell, Inc. v. Koller, 472 U.S. 416,
434 (1985), for the following proposition: “[T]he fact that
‘[m]ost pretrial orders [of the kind there at issue] are ultimately
affirmed by appellate courts’ militate[s] against immediate
appealability.”). Similarly, other circuits have cited the fact
that a type of order is subject only to abuse-of-discretion
review as a mark against immediate appeal because it suggests
“the likelihood of reversal is too negligible to justify” the costs
of immediate appellate review. Donlon Indus., Inc. v. Forte,
402 F.2d 935, 937 (2d Cir. 1968); accord James v. Jacobson,
6 F.3d 233, 237–38 (4th Cir. 1993); Midway Mfg. Co. v. Omni
Video Games, Inc., 668 F.2d 70, 72 (1st Cir. 1981) (“[W]hen
we are asked to review not a question of controlling law but an
exercise of a judge’s discretion that depended upon the
13
particular facts before him, this factor mitigates against
immediate review.”). That approach makes sense. If a “class
of relevant orders” is, based on its objective characteristics,
inherently less likely to be reversed after appellate review, then
the “cost[s]” of appellate review are harder to “justify” in the
aggregate. Mohawk, 558 U.S. at 108.
Here, the first feature of this case identified above—a prior
judicial determination that the complaint adequately pleads an
exception to IOIA immunity—diminishes the relative
likelihood that an error will be “correct[ed]” via reversal on
appeal. Johnson, 515 U.S. at 316; see Donlon, 402 F.2d at
937. That determination makes jurisdictional discovery more
likely to be appropriate and immediate appellate review less
necessary. Unlike in Nyambal, the plaintiffs here sought
discovery after the district court (and this court) squarely
determined that the complaint adequately pleads an exception
to IOIA immunity. That determination establishes that the
assertion of jurisdiction over PAHO is at least “plausible”
given the complaint’s allegations. PAHO I, 29 F.4th at 711.
The second and third features have a similar effect. When
a defendant then files a factual motion to dismiss disputing the
complaint’s well-pleaded jurisdictional allegations, subsequent
inquiry is further concentrated on those factual issues placed in
contention by the defendant. And when the discovery order
investigates the theories of immunity exceptions the court has
already found adequately pleaded, we can have further
confidence that the discovery granted will be necessary to
resolve the jurisdictional dispute. This procedural posture, in
short, provides objective guardrails that reduce the likelihood
that the ordered discovery is improper. So the risks posed by
deferring review are less likely to “justify” the institutional
costs of our immediate intervention. Mohawk, 558 U.S. at
112; see Johnson, 515 U.S. at 316.
14
PAHO primarily responds by emphasizing our decision in
Nyambal. According to PAHO, that case, in its single
paragraph of analysis, held that every jurisdictional discovery
order involving a defendant invoking IOIA or FSIA immunity
is immediately appealable no matter the circumstances.
We are not persuaded. Nyambal necessarily addressed
only the circumstances presented in that case. The district
court there ordered discovery without any prior assessment of
whether the plaintiff had adequately pleaded an exception to
immunity. See Nyambal, 772 F.3d at 279. That case simply
did not involve a situation like this one, where a court had
determined that the complaint adequately pleaded an exception
to immunity; the defendant disputed the factual allegations
related to that theory, then provided the district court with
evidence of its own selection supporting its view of the facts;
and the trial court ordered discovery related to that theory. For
the reasons we have given, those distinctions matter for the
Cohen analysis.2
We are also wary of the consequences of PAHO’s broad
reading of Nyambal, which seemingly has no limit. PAHO
argues that immediate review is necessary because “subjecting
a foreign sovereign to litigation burdens”—any litigation
burdens—necessarily “triggers the . . . third prong[] of the
collateral-order doctrine.” Appellant’s Brief 23 (quoting
P&ID, 962 F.3d at 582). Taken literally, that approach would
2
Because Nyambal is distinguishable, we need not resolve
whether Jam v. International Finance Corp., 586 U.S. 199 (2019),
effectively overruled Nyambal, see Appellee’s Brief 11, 26, or
whether Nyambal conflicts with prior circuit precedent, see Dodge
et al. Amicus Brief 5, 11, 13 (discussing the availability of
mandamus in our cases Papandreou, 139 F.3d 247, and Beecham v.
Socialist People’s Libyan Arab Jamahiriya, 424 F.3d 1109 (D.C.
Cir. 2005), to address improper jurisdictional discovery).
15
suggest not just that every jurisdictional discovery order is
immediately appealable, but also that any order of any type
entered against a potentially immune defendant is immediately
appealable unless and until the immunity issue has been finally
resolved. After all, any order imposing any burden on such a
defendant could not be retroactively addressed by later review.
But this court has rejected such a sweeping and categorical
approach in cases involving sovereign immunity. See
Beecham v. Socialist People’s Libyan Arab Jamahiriya, 424
F.3d 1109, 1111 (D.C. Cir. 2005) (dismissing appeal from an
order requiring a foreign sovereign to participate in a discovery
conference before immunity was resolved).
The Cohen analysis is sensitive to the risk that “the blunt,
categorical instrument of § 1291 collateral order appeal” will
“unduly delay the resolution of district court litigation and
needlessly burden the courts of appeals.” Mohawk, 558 U.S.
at 112. That risk is certainly present here. Defendants
claiming IOIA or FSIA immunity are already guaranteed a path
to appellate review of a challenge to the court’s subject matter
jurisdiction. The holding PAHO requests—that all
jurisdictional discovery orders are appealable for putatively
immune defendants—would allow seriatim interlocutory
appeals and substantial delay over every interrogatory,
document request, or deposition. This case illustrates the
problem: Nearly eight years have passed, and the question of
immunity has yet to be resolved. PAHO seeks further
“piecemeal, prejudgment appeals,” which “undermine[]
efficient judicial administration and encroach[] upon the
prerogatives of district court judges, who play a special role in
16
managing ongoing litigation.” Id. at 106 (quotation marks
omitted). We reject that request.3
Our approach does create the possibility that potentially
immune defendants will be required to comply with some
jurisdictional discovery orders that might be pared back if this
court engaged in direct review of all such orders. But the
possibility that an error may be “imperfectly reparable” in a
later appeal does not inescapably require immediate review.
Digital Equipment, 511 U.S. at 872. Nor are potentially
immune defendants without recourse against overbroad
discovery orders. If a district court orders jurisdictional
discovery without first identifying well-pleaded allegations
that an exception to immunity applies, leading to the type of
fishing expedition at issue in Nyambal, immediate review is
available. See Nyambal, 772 F.3d at 280. Further, in
appropriate circumstances, a defendant “may ask the district
court to certify, and the court of appeals to accept, an
interlocutory appeal pursuant to 28 U.S.C. § 1292(b).”
Mohawk, 558 U.S. at 110. And mandamus can provide relief
3
The Tenth Circuit has adopted a similar approach. See
Hansen v. PT Bank Negara Indonesia (Persero), TBK, 601 F.3d
1059 (10th Cir. 2010). In Hansen, the Tenth Circuit concluded that
it had jurisdiction over an appeal from a jurisdictional discovery
order “only if the district court’s order did not adequately limit
permissible discovery to the question of . . . immunity.” Id. at 1064.
Because the defendant had not demonstrated discovery was
unrelated to factual issues bearing on jurisdictional immunity, the
order was not appealable. Id.; see also Maxey ex rel. Maxey v.
Fulton, 890 F.2d 279, 283 (10th Cir. 1989) (discovery orders
“narrowly tailored” to facts bearing on qualified immunity are not
appealable); Asante-Chioke v. Dowdle, 103 F.4th 1126, 1131 (5th
Cir. 2024) (same); 15A Wright & Miller’s Federal Practice &
Procedure § 3914.10.5 (3d ed. 2026) (“For the most part . . . the
strong policies against discovery appeals overcomes the theory of
immunity appeals.”).
17
from particularly egregious discovery orders. See
Papandreou, 139 F.3d at 256.
B
Applying this analysis, we lack jurisdiction over PAHO’s
appeal. The discovery order was issued after a judicial
determination that the complaint adequately alleges facts that
would trigger the commercial activity exception to IOIA
immunity. The district court and this court held that the
complaint adequately pleads that PAHO was “moving money
for a fee” as a “financial intermediary” for U.S.-involved
transactions in the alleged trafficking scheme, and that those
allegations would trigger the commercial activity exception.
PAHO I, 29 F.4th at 715–17. PAHO then filed a factual
motion to dismiss contesting those allegations with its own
evidence. And consistent with both the court’s ruling and
PAHO’s motion, all of the ordered discovery relates to
transactions involving Mais Médicos funds in PAHO bank
accounts, the 5% “fee” PAHO collected for its role in the
program, and the connection of both to the United States.
The district court “approve[d]” three requests for
production to investigate “correspondence touching on the use
of a U.S. bank to facilitate Mais M[é]dicos.” PAHO II, 2024
WL 4251808, at *3. It authorized another four requests for
production along with the request to depose Gerald Anderson,
Director of Administration for PAHO, because they were
“relevant to Plaintiff’s theory that the administration of the
program” through certain “transactions” was “carried on” in
Washington, D.C. Id. The court justified three additional
requests for production to clarify “terms” in documents
“relat[ed] to payments or the movement of money”; to address
“the question of how the 5% fee was ultimately used (and
specifically whether it was used to administer the program in
any way)”; and to probe “the commercial nature of PAHO’s
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activity.” Id. And it permitted two interrogatories as
“relevant” to the theory these activities were “carried-on” in
the United States, and, again, to “showing the commercial
nature of PAHO’s activity.” Id. The discovery requests, in
short, are focused on “corroborat[ing] that the 5% fee ended up
in the United States.” Id. at *1.
PAHO’s primary argument on this front is that the district
court “erroneously ordered discovery on what it expressly
recognized was a new theory of jurisdiction—one that neither
that court nor this Court ever approved.” Appellant’s Brief
28. We disagree. The district court explicitly stated that it
was not ordering discovery related to any new theories
plaintiffs raised. See PAHO II, 2024 WL 4251808, at *2.
And we are unpersuaded by PAHO’s effort to show that the
discovery is in fact unrelated to the “carried-on” theory to
which the district court directed its order. Take for example
Interrogatory 1, which requests that PAHO “identify all
people . . . who participated from the United States in the
planning, implementation, management, and oversight of
[Mais Médicos] operations and finances.” Id. at *3. PAHO
insists this interrogatory has “nothing to do with the alleged use
of U.S. bank accounts to move money.” Appellant’s Brief 36.
But answers to that interrogatory would identify exactly those
people likely to have information regarding any “use of U.S.
bank accounts to move money.” That is, the request is
certainly “relevant” to plaintiffs’ theory. PAHO II, 2024 WL
4251808, at *2.
Beyond confirming that the discovery order aims to
resolve a factual issue relevant to the theory the court found
well-pleaded, we do not engage in a more granular assessment
of the propriety of this discovery. Our determination that the
discovery targets that theory confirms that immediate appeal is
inappropriate.
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Further, there is no plausible argument that the district
court has in effect denied PAHO’s claim to immunity or is
otherwise requiring PAHO to litigate on the merits before
resolving that threshold, jurisdictional issue. All agree that
this order, at most, indicates more work must be done to decide
whether IOIA immunity applies.
III
The appeal is dismissed for lack of jurisdiction, and the
case is remanded to the district court for further proceedings.
So ordered.