Pierce v. Pemiscot Memorial Health Systems et al
MEMORANDUM AND ORDER..IT IS HEREBY ORDERED that the defendants motions for certification of interlocutory appeal [Docs. #197 and #199] are denied.. Signed by District Judge Carol E. Jackson on 9/23/14. (MRS)
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF MISSOURI
BONNIE MOORE and DR. JAMES PANG,
Case No. 1:11-CV-132 (CEJ)
MEMORANDUM AND ORDER
This matter is before the Court on the motions of defendants Bonnie Moore and
Dr. James Pang for certification for interlocutory appeal pursuant to 28 U.S.C. §
1292(b) and for a stay of proceedings pending appeal. Plaintiff has filed a response
Plaintiff Ruth Pierce brings this action pursuant to 42 U.S.C. § 1983, asserting
claims that defendants Pang and Moore improperly detained her in an inpatient
psychiatric unit following the expiration of a 96-hour detention order. She alleges that
her continued detention violated her due process rights under the United States and
Missouri Constitutions and violated the provisions of Chapter 632, Mo.Rev.Stat.,
governing involuntary commitment procedures. She also asserts state law claims for
false imprisonment, assault and battery in the form of forced medication, and
intentional infliction of emotional distress.1
The Court granted summary judgment in favor of defendant Moore on plaintiff’s
claim of intentional infliction of emotional distress.
On June 13, 2014, the Court denied defendants’ motions for summary judgment
and to dismiss. On August 8, 2014, the defendants filed the instant motions to certify
for interlocutory appeal.
28 U.S.C. § 1292(b) provides a mechanism through which a party can pursue
an interlocutory appeal.2 It has “long been the policy of the courts to discourage piecemeal appeals.” White v. Nix, 43 F.3d 374, 376 (8th Cir.1994) (internal quotations
Motions to certify issues for interlocutory appeal should be “granted
sparingly and with discrimination.”
Id. Therefore, § 1292(b) motions should be
granted only in “exceptional cases where a decision on appeal may avoid protracted
and expensive litigation.” Id. The movant bears the “heavy burden of demonstrating
that the case is an exceptional one in which immediate appeal is warranted.” Id. at
Section 1292(b) establishes three criteria for certification: the district court must
be “of the opinion that” (1) the order “involves a controlling question of law”; (2)
“there is substantial ground for difference of opinion”; and (3) certification will
Section 1292(b) provides in pertinent part:
(b) When a district judge, in making in a civil action an order not
otherwise appealable . . . shall be of the opinion that such order involves
a controlling question of law as to which there is substantial ground for
difference of opinion and that an immediate appeal from the order may
materially advance the ultimate termination of the litigation, he shall so
state in writing in such order. The Court of Appeals which would have
jurisdiction of an appeal of such action may thereupon, in its discretion,
permit an appeal to be taken from such order.
“materially advance the ultimate termination of the litigation.” Id. at 377 (quoting
Paschall v. Kansas City Star Co., 605 F.2d 403, 406 (8th Cir. 1979)).
A. Failure to Obtain a Health Care Affidavit Under § 538.225
Defendants assert that the Court should certify for appeal its denial of their
motions to dismiss because plaintiff did not obtain a healthcare affidavit under §
Defendants first assert that the Court misinterpreted St. John’s Reg.Med. Ctr.,
Inc. v. Windler, 847 S.W.2d 168 (Mo. Ct. App. 1993), a case on which they relied to
support their assertion that plaintiff was required to comply with § 583.225.
Defendants disagree with the Court’s determination that this case falls within an
exception noted by the Windler court. The Windler case did not address the application
of § 538.225 to constitutional claims and therefore is immaterial to the disposition of
the issues in this case and the Court thus declines to readdress the Windler decision.
Defendants concede that a plaintiff is not required to file a healthcare affidavit
to bring “a true § 1983 claim.” However, they assert that plaintiff’s claims amount to
no more than a difference of opinion over proper medical care and thus an affidavit is
required. In support of this contention, they cite Thomas v. Miller, --- S.W.3d ---,
2014 WL 2723904 (Mo. Ct. App. June 17, 2014). The plaintiff in Thomas asserted a
battery claim against her surgeon for failing to obtain proper informed consent. There
was evidence in the record that the surgeon had asked for and obtained consent while
Thomas was under the influence of sedative medication. Id. at *4. Based on this
evidence, the court concluded that “the true nature” of plaintiff’s claim involved the
manner of her consent and whether the surgeon deviated from the standard of care
in obtaining her consent. Under these circumstances, the court held, the plaintiff was
required to obtain a healthcare affidavit before proceeding. Id. at *5. The Court
rejects defendants’ suggestion that Thomas permits courts to recast constitutional
claims into medical malpractice claims.
In this case, the “true nature” of plaintiff’s
claims is that she was improperly confined in violation of her constitutionally protected
As the Court previously stated, § 538.225 does not apply to a plaintiff’s
constitutional claims under § 1983. See Schmidt v. Kemper, 05-4401-CVC-NKL, 2007
WL 1028927, at *2 (W.D. Mo. Mar. 29, 2007) (plaintiff not required to comply with §
538.225 in order to bring an action pursuant to 28 U.S.C. § 1983); Banks v. Jordon,
1:05CV0139 TCM, 2006 WL 2349625, at *1 (E.D. Mo. Aug. 11, 2006) (§ 538.225 does
not apply to detainee’s claim that constitutional rights were violated by nurses’
deliberate indifference to serious medical needs); White v. Gammon, 2:04 CV 23 JCH,
2005 WL 3079043, at *3 (E.D. Mo. Nov. 16, 2005) (denying motion to dismiss inmate’s
§ 1983 claims because § 538.225 “ applies only to medical malpractice tort actions,”
not § 1983 claims). None of the cases cited by defendants involved § 1983 claims.
See Devitre v. Orthopedic Ctr. of St. Louis, LLC, 349 S.W.3d 327, 335 (Mo. 2011) (en
banc) (plaintiff bringing suit against physician conducting independent medical
examination failed to plead all elements of assault or medical battery and thus his
claims sounded in medical malpractice); State ex rel. Farley v. Jamison, 346 S.W.3d
397, 400 (Mo. Ct. App. 2011) (trial court erred in failing to dismiss medical malpractice
action under § 538.225 where healthcare affidavit did not contain all statutorily
required elements); State ex rel. Red Cross Pharmacy, Inc. v. Harman, 423 S.W.3d
258, 267 (Mo. Ct. App. 2013) (healthcare affidavit required where plaintiff claimed
pharmacy negligently performed duties imposed by virtue of its status as a licensed,
professional health-care provider); Grace v. Harris, 4:06-CV-1510 (CEJ), 2007 WL
3530200 (E.D. Mo. Nov. 13, 2007) (dismissing inmate’s state law claims of professional
negligence brought against medical providers).
Defendants have failed to establish that there is substantial ground for difference
of opinion about a controlling question of law on this point.
B. Denial of Qualified Immunity
Defendants Pang and Moore are private individuals employed at a public
hospital.3 Generally, to determine whether private individuals are entitled to qualified
immunity, the courts look to the policy considerations supporting the doctrine of
qualified immunity and to the historical availability of the defense to the group to which
the individual belongs. Jensen v. Lane County, 222 F.3d 570, 576 (9th Cir. 2000); see
also Filarsky v. Delia, 132 S. Ct. 1657, 1665 (2012) (common-law principles of
immunity are not abrogated absent clear legislative intent to do so).
examines whether: (1) there was a firmly rooted history of immunity for similarly
situated parties at common law; and (2) whether granting immunity would be
consistent with the history and purpose of § 1983. McCullum v. Tepe, 693 F.3d 696,
700 (6th Cir. 2012).
With respect to the first element, defendants argue that Missouri common law
has long recognized immunity for health care providers.
In support, they cite §
632.440, Mo.Rev.Stat., which affords immunity to health care officials performing
While public officials do not require certification to appeal the denial of a claim
of qualified immunity, Mitchell v. Forsyth, 472 U.S. 511, 530 (1985), the interlocutory
appeal doctrine does not apply to private individuals. Chicago & N. W. Transp. Co. v.
Ulery, 787 F.2d 1239, 1240-41 (8th Cir. 1986).
certain functions under Chapter 632. However, “[t]he inquiry begins with the common
law as it existed when Congress passed § 1983 in 1871.” Filarsky v. Delia, 132 S. Ct.
1657, 1662 (2012). Thus, Missouri’s statute, enacted in 1980, is not a proper starting
point for this analysis. See McCullum, 693 F.3d at 701 (after Filarsky, cases that relied
on 20th century law are “suspect, at best”).
Defendants have not addressed whether there were common-law immunities
available for private physicians and nurses providing psychiatric services for a public
institution in 1871. The Sixth Circuit undertook the relevant inquiry, however, and
determined that there was no such common-law tradition of immunity. Id. at 702-04
(examining cases from 1794, 1832, 1891, and 1898).
Defendants provide no
persuasive argument to the contrary; indeed, they have made no effort to conduct the
relevant inquiry and the Court determines that they have not established that a
relevant immunity existed at common law.
With respect to the second element of the analysis, the Supreme Court has
stated that the purpose of the qualified immunity doctrine is to protect “government’s
ability to perform its traditional functions” by providing immunity where “necessary to
preserve” the ability of government officials “to serve the public good or to ensure that
talented candidates were not deterred by the threat of damages suits from entering
public service.” Richardson v. McKnight, 521 U.S. 399, 407-08 (1997) (quoting Wyatt
v. Cole, 504 U.S. 158, 167 (1992)). Stated another way, qualified immunity
protect[s] the public from unwarranted timidity on the part of public
officials by, for example, “encouraging the vigorous exercise of official
authority,” by contributing to “‘principled and fearless decision-making,’”
and by responding to the concern that threatened liability would . . .
“‘dampen the ardour of all but the most resolute, or the most
irresponsible,’” public officials.
Id. at 408 (citations omitted).
In Richardson, the Supreme Court addressed whether guards employed by a
private company to work in a state correctional facility were entitled to qualified
immunity. Based on a review of the history and purposes for qualified immunity, the
court determined that there was
nothing special enough about the job or about its organizational structure
that would warrant providing these private prison guards with a
governmental immunity. The job is one that private industry might, or
might not, perform; and which history shows private firms did sometimes
perform without relevant immunities. The organizational structure is one
subject to the ordinary competitive pressures that normally help private
firms adjust their behavior in response to the incentives that tort suits
provide – pressures not necessarily present in government departments.
Id. at 412.
In this case, defendants have not addressed how extending them the protection
of qualified immunity protects the government’s ability to perform its traditional
Instead, they argue that they acted in “joint participation” with the
government and are entitled to immunity under Filarsky:
Sometimes, . . . private individuals will work in close coordination with
public employees, and face threatened legal action for the same conduct.
. . . Because government employees will often be protected from suit by
some form of immunity, those working alongside them could be left
holding the bag – facing full liability for actions taken in conjunction with
government employees who enjoy immunity for the same activity. Under
such circumstances, any private individual with a choice might think twice
before accepting a government assignment.
Filarsky, 132 S. Ct. at 1666. In Filarsky, the City of Rialto initiated an internal affairs
investigation of a firefighter who claimed to be too ill to work. Filarsky, a private
attorney, was hired by the city to conduct an administrative investigation interview.
When Filarsky ordered the firefighter to produce evidence to support his claim that he
was ill, the firefighter filed suit under § 1983. The Supreme Court determined that
Filarsky was entitled to qualified immunity. The court noted that qualified immunity
was available for public employees performing investigative activities. Id. at 1662.
First, Filarsky was retained to perform a function for which immunity existed at
common law. Id. at 1663-64 (noting immunity for private individuals serving as public
prosecutors, justices of the peace, special policeman, or members of a posse
Affording immunity to Filarsky also served to ensure “that talented
candidates are not deterred by the threat of damages suits from entering public
service.” Id. (quoting Richardson, 521 U.S. at 408) (internal quotations and alterations
omitted). The City of Rialto had no permanent employee with Filarsky’s expertise in
conducting internal affairs investigations and, without the protection of immunity for
providing an essential government function, it is likely that private individuals would
decline public engagements. Id. at 1666.
Defendants here are more akin to the prison guards in Richardson than the
internal investigator in Filarsky. Defendants note that the county hospital had ultimate
control and supervision over the psychiatric unit. That assertion, without more, does
not establish that defendants worked in joint participation with state actors and there
is no evidence in the record that defendants consulted with hospital administrators in
making decisions regarding plaintiff’s care. Defendants do not argue that they were
performing an essential government function or that affording them qualified immunity
is consistent with or serves the purposes served by immunities that were available at
common law in 1871. The Court finds that defendants have failed to establish that
there is substantial ground for difference of opinion about a controlling question of law
on this point.
Missouri Statutory Immunity
Section 537.120 provides:
No regular practicing or licensed physician or surgeon or the owner or
operator of any private sanatorium or hospital shall be liable in damages
for restraint of any mentally incapacitated person by reason of having in
good faith furnished care, treatment or attention to such person, and
while such person is under the care of such physician or surgeon or
confined in such sanatorium or hospital.
Mo. Rev. Stat. § 537.120.
The Court found that defendants had not established that they were entitled to
immunity under this statute because a public entity, Pemiscot Memorial Health
Systems, retained ultimate control of the psychiatric unit in which plaintiff was
Section 632.440 provides:
No . . . registered professional nurse [or] licensed physician . . . shall be
civilly liable for investigating, detaining, transporting, conditionally
releasing or discharging a person pursuant to this chapter . . . at or
before the end of the period for which the person was admitted or
detained for evaluation or treatment so long as such duties were
performed in good faith and without gross negligence.
Mo.Rev.Stat. § 632.440 (emphasis added).
The Court found that this section did not apply in this case because plaintiff
alleges that she was detained after the expiration of the 96-hour hold. Defendants
argue that the Court incorrectly interpreted these statutes and that they should be
permitted to take an immediate appeal. The request will be denied. Immunity under
§ 1983 is governed by federal law and state law cannot provide immunity from suit for
federal civil rights violations. Wallis v. Spencer, 202 F.3d 1126, 1144 (9th Cir. 2000).
“Conduct by persons acting under color of state law which is wrongful under 42 U.S.C.
§ 1983 . . . cannot be immunized by state law. A construction of the federal statute
which permitted a state immunity defense to have controlling effect would transmute
a basic guarantee into an illusory promise; and the supremacy clause of the
Constitution insures that the proper construction may be enforced.”
California, 444 U.S. 277, 284 n.8 (1980) (citations omitted). An interlocutory appeal
on defendants’ potential immunity from plaintiff’s state-law claims will not materially
advance the ultimate termination of the litigation.
In conclusion, the Court finds that defendants have failed to establish that the
order denying summary judgment involves a controlling question of law as to which
there is substantial ground for difference of opinion and that an immediate appeal from
the order may materially advance the ultimate termination of the litigation.
For the reasons set forth above,
IT IS HEREBY ORDERED that the defendants’ motions for certification of
interlocutory appeal [Docs. #197 and #199] are denied.
CAROL E. JACKSON
UNITED STATES DISTRICT JUDGE
Dated this 23rd day of September, 2014.
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