Neidig v. Valley Health Sys.
| Decision Date | 31 October 2022 |
| Docket Number | Civil Action 3:22-CV-161 (GROH) |
| Parties | ELAINE NEIDIG, Individually and on behalf of all others similarly situated, Plaintiff, v. VALLEY HEALTH SYSTEM, Defendant. |
| Court | U.S. District Court — Northern District of West Virginia |
Elaine Neidig filed this class action against a regional healthcare provider after receiving substandard mammograms at one of its hospitals. In her Complaint for unfair and deceptive acts and practices, unjust enrichment, and breach of contract, Ms Neidig alleges that the mammograms Valley Health provided were not “quality healthcare.” ECF No. 1-2 at 7. She instead claims that “the mammograms were the worst kind of health care because they gave her and others the impression that [they] were accurate when in fact they were not dependably accurate.” Id. at 8. The lack of accuracy and image quality resulted from hospital staff “not accurately positioning or compressing women's breasts during mammograms” according to a Food and Drug Administration report. Id. at 7.
Valley Health moves the Court to dismiss case pursuant to Rule 12(b)(1) for failing to comply with West Virginia's pre-suit filing requirements or alternatively 12(b)(6) for being filed outside the statute of limitations. Both arguments require the Court to construe Ms. Neidig's claims under West Virginia's Medical Professional Liability Act (“MPLA”). However, Ms Neidig asserts that none of her claims arise out of or are governed by the MPLA, and Valley Health's Motion should be denied.
“A motion to dismiss under Rule 12(b)(6) tests the sufficiency of a complaint; importantly, it does not resolve contests surrounding the facts, the merits of a claim, or the applicability of defenses.” Republican Party of N.C. v. Martin, 980 F.2d 943, 952 (4th Cir. 1992) (citing 5A Charles Alan Wright & Arthur R. Miller, Federal Practice and Procedure § 1356 (1990)). When reviewing a motion to dismiss pursuant to Rule 12(b)(6) of the Federal Rules of Civil Procedure, the Court must assume all of the allegations to be true, must resolve all doubts and inferences in favor of the plaintiff and must view the allegations in a light most favorable to the plaintiff. See Edwards v. City of Goldsboro, 178 F.3d 231, 243-44 (4th Cir. 1999). But a complaint must be dismissed if it does not allege “enough facts to state a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). To that end, Federal Rule of Civil Procedure 8 articulates a pleading standard which “does not require detailed factual allegations, but . . . demands more than an unadorned, the-defendant-unlawfully-harmed-me accusation.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citation and internal quotation marks omitted).
A complaint that offers “labels and conclusions or a formulaic recitation of the elements of a cause of action will not do.” Id. (citation and internal quotation marks omitted). Likewise, a complaint that tenders only “naked assertion[s] devoid of further factual enhancement” does not suffice. Id. (alteration in original) (citation and internal quotation marks omitted).
A party is required to articulate facts that, when accepted as true, “show” he is plausibly entitled to relief. Francis v. Giacomelli, 588 F.3d 186, 193 (4th Cir. 2009) (citing Iqbal, 556 U.S. at 678; Twombly, 550 U.S. at 557). “[W]here the well-pleaded facts do not permit the court to infer more than the mere possibility of misconduct, the complaint has alleged-but it has not ‘show[n]'-‘that the pleader is entitled to relief.'” Iqbal, 556 U.S. at 679 () (quoting Fed.R.Civ.P. 8(a)(2)). When reviewing a complaint's sufficiency under Rule 12(b)(6), a court may consider “documents incorporated into the complaint by reference, and matters of which a court may take judicial notice.” Tellabs, Inc. v. Makor Issues & Rights, Ltd., 551 U.S. 308, 322 (2007).
Valley Health argues that because Ms. Neidig never provided it “with a screening certificate of merit” prior to filing suit pursuant to the MPLA, this Court lacks subject matter jurisdiction under West Virginia Code § 55-7B-6(a). This argument is without merit.
The Fourth Circuit's holding in Pledger v. Lynch, 5 F.4th 511 (4th Cir. 2021) was clear: “certificate requirements like West Virginia's do not govern actions in federal court because they conflict with and are thus supplanted by the Federal Rules of Civil Procedure.” Id. at 518. Accordingly, “failure to comply with West Virginia's MPLA is not grounds for dismissal” in federal court. Id.
The parties disagree about whether the claims presented are governed by the MPLA. Valley Health takes the position that regardless of how the claims were pled, they describe conduct governed by the MPLA. Conversely, Ms. Neidig argues her claims are about “advertising and billing practices” and “not about health care.” ECF No. 5 at 9.
Turning to the Complaint, Ms. Neidig alleges that she “went to Winchester Medical Center for a mammogram.” ECF No. 1-2 at 6. She contends she made the choice to leave West Virginia and go to Valley Health's hospital based on marketing and advertising. Id. In July of 2019, federal inspectors discovered that hospital “staff were not accurately positioning or compressing women's breasts during mammograms.” Id. at 7. Based upon this, the FDA issued a report and Valley Health sent a notice to individuals who received substandard mammograms. The notice warned that the “FDA determined [Valley Health] failed to meet the clinical image quality standards established by our facility's accreditation body, the American College of Radiology (ACR), as required by the FDA.” Id.
Moreover, the Complaint alleges that “[t]he mammograms provided to Ms. Neidig were not ‘quality healthcare.'” Id. The Complaint continues, “[i]n fact, the mammograms were the worst kind of health care because they gave her and others the impression that [they] were accurate when in fact they were not dependably accurate.” Id. at 8.
Although Ms. Neidig's claims are for unfair and deceptive acts and practices, breach of contract and unjust enrichment, she may not “avoid the MPLA with creative pleading.” State ex rel. W. Virginia Univ. Hosps., Inc. v. Scott, 866 S.E.2d 350, 359 (W.Va. 2021). The Supreme Court of Appeals of West Virginia's recent decision in Scott is informative to this Court's analysis here.
The Scott court held that corporate negligence causes of action stemming from corporate-level decisions were subject to the MPLA regardless of how the plaintiffs framed the claims in their complaint. In Syllabus Point 5, the court explained that “failure to plead a claim as governed by the [MPLA] does not preclude application of the Act.
Where the alleged tortious acts or omissions are committed by a health care provider within the context of the rendering of ‘health care' as defined by [statute], the Act applies regardless of how the claims have been pled.” Id. at 353 (quoting Syl. pt. 4, Blankenship v. Ethicon, Inc., 656 S.E.2d 451,453 (W.Va. 2007).
West Virginia's Legislature amended the MPLA in 2017 “by broadening several statutory definitions, including ‘health care.'” Id. at 357.
W.Va. Code Ann. § 55-7B-2 (West).
Even when a cause of action does not appear to be grounded in medical negligence, “one would be remiss to ignore the legislative pathway of the MPLA.” Scott, at 359. As the court explained, Id. (quoting W.Va. Code § 55-7B-2(i) (emphasis added)).
Here Ms. Neidig alleges the substandard mammograms Valley Health performed were “the worst kind of health care” and form the basis of her claims. Just as Ms. Neidig refers to the mammograms as health care, there can be no doubt that a mammogram falls under...
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