ARRINGTON v. MIDDLESEX COUNTY JAIL et al
MEMORANDUM OPINION. Signed by Judge Michael A. Shipp on 9/10/2014. (jjc)
NOT FOR PUBLICATION
UNITED STATES DISTRICT COURT
DISTRICT OF NEW JERSEY
Civil Action No. 13-1400 (MAS) (DEA)
MIDDLESEX COUNTY JAIL, et al.,
SHIPP, District Judge
This matter comes before the Court upon Defendants' 1 Motion to Dismiss this action for
failure to state a claim of medical malpractice because Plaintiff did not serve an Affidavit of
Merit as required under N.J.S.A. 2A:53A-29, and because Defendant Center for Family
Guidance ("CFG") had no involvement, pursuant to N.J.S.A. 2A:53A-40(a). (ECF No. 37.) The
Court has carefully considered the Parties' submissions and arguments. For good cause shown,
the motion is denied in part and granted in part.
Plaintiff, Jomas Arrington, is a state inmate currently confined at the Middlesex County
Correctional Facility ("MCCF") in New Brunswick, New Jersey. The incidents at issue in this
action occurred during Plaintiffs incarceration at MCCF.
On or about January 8, 2013, Arrington filed a Complaint in the Superior Court of New
Jersey, Law Division, Middlesex County, alleging that the CFG Defendants committed medical
The moving Defendants are Center for Family Guidance, Francesco Russo, Margaret Hudak
(incorrectly identified as Dr. Margaret Doe), Michael Ojelade and Sandra Evelyn, and
hereinafter shall be referenced as the "CFG Defendants."
malpractice and violated his constitutional rights by failing to provide adequate medical care and
refusing to treat Plaintiff. More specifically, Plaintiff alleges that, on April 18, 2012, he suffered
injuries to his left knee, ankle and back after a slip and fall at MCCF. He received treatment and
medication on several occasions from nurses and doctors employed by the Center for Family
Guidance ("CFG"), but the intense pain and swelling in his left knee persisted.
Plaintiff further states that, from April 2012 through to the present, he would submit
numerous inmate requests for medical services.
On occasion, he would be allowed to see
doctors and nurses whom he believed were employed by CFG, but more often his requests were
ignored. The medication that had been prescribed for him had proved ineffectual in reducing the
swelling or pain in his left knee. After more than a year of inadequate care, an x-ray and MRI
was scheduled, and in May and June 2013, these tests proved negative for any tears of ligament
damage. Plaintiffs swelling continued and the prescribed amoxicillin and ibuprofen did not
provide any relief.
In August 2013, Plaintiff was examined by the medical staff at Robert Wood Johnson
University Hospital ("RWJ"), and was prescribed physical therapy and medication for his knee.
However, Plaintiff alleges that this prescribed treatment has been and continues to be denied to
On March 6, 2013, the CFG Defendants removed Plaintiffs action to this federal court,
and filed an answer to the Complaint with affirmative defenses and cross claims on March 8,
2013. (ECF Nos. 1, 2.) A Scheduling Order was entered on March 18, 2013, by the Honorable
Douglas E. Arpert, U.S.M.J., setting a discovery deadline of December 13, 2013, and proposed
pretrial orders due on February 10, 2014 and May 3, 2014, by Plaintiff and all Defendants,
(ECF No. 4.)
On May 13 and 22, 2013, Plaintiff filed an application for
appointment of pro bono counsel. (ECF Nos. 10, 16.) On July 31, 2013, Judge Arpert granted
the motion for appointment of counsel.
(ECF No. 27.)
On August 5, 2013, Judge Arpert
appointed the law firm of Lerner David Littenberg Krumholz & Mentlik, LLP ("Lerner David")
to represent Plaintiff as pro bono counsel. (ECF No. 29.) That same date, an Affidavit of Merit
was filed by Plaintiff. (ECF No. 30.) In his Affidavit, Plaintiff first identifies CFG Health
Systems, LLC, as the agency providing medical care at the MCCF. (!d.) Thereafter, on August
23, 2013, Lerner David withdrew as counsel for Plaintiff and the law firm of Sills Cummis &
Gross P.C. was appointed as pro bono counsel. (ECF No. 32.)
On November 8, 2013, Plaintiffs counsel served discovery requests and interrogatories
on Defendant CFG. Also in November 2013, Plaintiffs counsel requested Plaintiffs medical
records from RWJ. When the records were not forthcoming, counsel submitted another request
for Plaintiffs medical records in January 2014. RWJ provided Plaintiffs medical records to
Plaintiffs counsel on February 20, 2014. On January 30, 2014, Plaintiffs counsel received the
discovery responses from Defendant CFG and learned that CFG, PC was not the entity providing
medical care at MCCF. Instead, it was discovered that CFG Health Systems, LLC was the entity
providing medical care to inmates at MCCF.
On February 19, 2014, the CFG Defendants filed this motion to dismiss. (ECF No. 37.)
An opposition brief was filed by Plaintiffs counsel on March 21, 2014. (ECF No. 40.) On
March 24, 2014, a reply brief was filed by the Moving Defendants. (ECF No. 41.) On May 15,
2014, Judge Arpert issued a Letter Order extending the deadline for Plaintiff to submit
affirmative expert disclosures and reports in this matter from July 15, 2014 to a date 30 days
beyond the date of the Court's issuance of an Order with respect to CFG Defendants' pending
motion to dismiss. (ECF No. 43.)
The CFG Defendants assert that Plaintiff failed to file an Affidavit of Merit as required
by New Jersey's Affidavit of Merit statute, N.J.S.A. 2A:53A-29.
Accordingly, the CFG
Defendants argue that Plaintiffs claims asserting medical malpractice against the CFG
Defendants must be dismissed with prejudice for failure to state a claim.
Defendants argue that all claims asserted by Plaintiff against Defendant CFG must be dismissed
for non-involvement pursuant to N.J.S.A. 2A:53A-40(a).
Plaintiff counters that the motion to dismiss should be denied because he is entitled to a
waiver of the Affidavit of Merit requirement under exceptional circumstances. He also argues
that he should be permitted to amend his Complaint to name CFG Health Systems, LLC as the
correct party defendant.
Legal Standard & Analysis
The CFG Defendants assert that this action must be dismissed because Plaintiff failed to
serve an Affidavit of Merit as required by N.J.S.A. 2A:53A-29 ("If the plaintiff fails to provide
an affidavit or a statement in lieu thereof, pursuant to section 2 or 3 of this act, it shall be deemed
a failure to state a cause of action."). Specifically, this statute provides:
In any action for damages for personal injuries, wrongful death or property damage
resulting from an alleged act of malpractice or negligence by a licensed person in his
profession or occupation, the plaintiff shall, within 60 days following the date of filing of
the answer to the complaint by the defendant, provide each defendant with an affidavit of
an appropriate licensed person that there exists a reasonable probability that the care, skill
or knowledge exercised or exhibited in the treatment, practice or work that is the subject
of the complaint, fell outside acceptable professional or occupational standards or
treatment practices. The court may grant no more than one additional period, not to
exceed 60 days, to file the affidavit pursuant to this section, upon a finding of good cause.
In the case of an action for medical malpractice, the person executing the affidavit shall
meet the requirements of a person who provides expert testimony or executes an affidavit
as set forth in section 7 of P.L.2004, c. 17 (C.2A:53A-41). In all other cases, the person
executing the affidavit shall be licensed in this or any other state; have particular
expertise in the general area or specialty involved in the action, as evidenced by board
certification or by devotion of the person's practice substantially to the general area or
specialty involved in the action for a period of at least five years. The person shall have
no financial interest in the outcome of the case under review, but this prohibition shall not
exclude the person from being an expert witness in the case.
N.J.S.A. 2A:53A-27. However, under certain circumstances, a sworn statement by the plaintiff
may be provided in lieu of an affidavit of merit. N.J.S.A. 2A:53A-28?
The affidavit of merit statute therefore requires "plaintiffs to make a threshold showing"
of merit, Vitale v. Carrier Clinic, Incorporated, 409 F. App'x 532, 533 (3d Cir. 2010) (citation
omitted), in order '"to dispose of meritless malpractice claims early in the litigation'" and "'to
allow meritorious claims to move forward unhindered."' Snyder v. Pascack Valley Hasp., 303
F.3d 271, 274 (3d Cir. 2002) (quoting Burns v. Belafsky, 166 N.J. 466, 766 A.2d 1095, 1099
(2001)). See also Fontanez v. US., ---F. Supp.2d ----, 2014 WL 2608386, *2 (D.N.J. May 30,
2014 ). The affidavit of merit statute also requires that the affidavit be filed within sixty days of
the answer, but permits an extension of time "not to exceed [sixty] days" for "good cause[.]"
Failure to file a timely affidavit of merit generally "requires dismissal of the action with
prejudice." Nuveen Mun. Trust ex rei. Nuveen High Yield Mun. Bond Fund v. Withum-Smith
Brown, P.C., 692 F.3d 283, 305 (3d Cir. 2012); see also N.J.S.A. 2A:53A-29 (setting forth the
consequence for a plaintiffs failure to provide an affidavit of merit). However, "four limited
exceptions[,]" where applicable, excuse a plaintiffs failure to comply with the affidavit of merit
N.J.S.A. 2A:53A-28 provides: "An affidavit shall not be required pursuant to section 2 of this
act if the plaintiff provides a sworn statement in lieu of the affidavit setting forth that: the
defendant has failed to provide plaintiff with medical records or other records or information
having a substantial bearing on preparation of the affidavit; a written request therefor along with,
if necessary, a signed authorization by the plaintiff for release of the medical records or other
records or information requested, has been made by certified mail or personal service; and at
least 45 days have elapsed since the defendant received the request."
Nuveen, 692 F.3d at 305.
The limited exceptions are: "(i) a statutory exception
regarding lack of information; (ii) a 'common knowledge' exception; (iii)" an exception
predicated upon "substantial compliance with the affidavit-of-merit requirement;" or (iv)
'"extraordinary circumstances' that warrant equitable relief." !d. (citations omitted).
Plaintiff argues that his medical malpractice claim should not be dismissed for failure to
file an Affidavit of Merit because this failure was due to exceptional circumstances. The Third
Circuit has long recognized that a plaintiffs medical malpractice claim need not be dismissed
with prejudice if the failure to file an affidavit of merit within the statutory time period was due
to extraordinary circumstances. Chamberlain v. Giampapa, 210 F.3d 154, 162 (3d Cir. 2000).
Such circumstances must be "exceptional and compelling"; they cannot arise out of an attorney's
"mere carelessness or lack of proper diligence." !d.; Allah v. MHSM, Inc., Civil No. 07-2916,
2008 WL 5115889, *3 (D.N.J. Dec. 2, 2008). Additionally, the extraordinary circumstances
inquiry requires the court to undertake a fact-sensitive, case-by-case analysis.
Pomerentze, Civil No. 08-6129, 2012 WL 6152126 at*3 n. 7 (D.N.J. Dec. 11, 2012) (citing
Tischler v. Watts, 177 N.J. 243, 827 A.2d 1036, 1038 (N.J. 2003)).
Here, Plaintiff is a state prisoner incarcerated at MCCF at the time he filed this action in
state court on or about January 8, 2013. He was proceeding pro se and attests that he was
severely restricted from access to outside medical professionals who could provide a conforming
Affidavit of Merit. (ECF No. 40-2, Arrington Cert.
14-16.) After the CFG Defendants
removed this action to federal court on March 6, 2013, Plaintiff requested appointment of
counsel on May 13, 2013 and May 22, 2013 (ECF Nos. 10, 16), and his request was granted by
order entered on July 2013. (ECF No. 27.) Counsel was appointed on August 5, 2013, and
Plaintiff filed an Affidavit of Merit that same date, which he claims substantially complies with
the affidavit-of-merit requirement, namely, giving notice and basis of claim to Defendants. (ECF
Nos. 29, 30.)
Thereafter, counsel withdrew and new counsel was appointed on August 23, 2013. (ECF
No. 32.) At that time, the statutory period to file an Affidavit of Merit had expired (as of May 7,
2013), and the statutorily permissible extension oftime likewise had expired (as of July 8, 2013).
(ECF 40-1, Certification of Plaintiffs Counsel Brian P. Scibetta ("Scibetta Cert.") at
Document requests and interrogatories were served on Defendants in early November 2013, with
responses received on January 30, 2014. Additionally, Plaintiffs counsel had been attempting to
obtain Plaintiffs medical records from RWJ, which were not forthcoming as requested. (!d.,
5, 8.) Several weeks later, on February 19, 2014, the CFG Defendants filed this motion to
dismiss for failure to file an Affidavit of Merit. (ECF No. 37.) Plaintiffs counsel eventually
received the RWJ medical records on February 20, 2014, after CFG Defendants filed their
motion to dismiss. This was the first time that Plaintiffs counsel had the complete medical
records for Plaintiff to make available for medical expert review. Plaintiffs counsel states that
the process of hiring a medical expert to examine Plaintiff and his complete medical records and
provide a report is now underway. (ECF No. 40-1, Scibetta Cert.
This Court finds that Plaintiff presents circumstances unique from those in which courts
uniformly reject the application of the extraordinary circumstances exception. For instance, in
Mathis v. Pomerentze, the court rejected the application of the extraordinary circumstances
exception due, in part, to plaintiffs failure to make any efforts to comply with the affidavit of
merit statute, nor to demonstrate any other circumstances that "prevented him from submitting an
Affidavit of Merit." 2012 WL 6152126 at *3 n. 7. Similarly, in Stuyvesant v. United States,
Civil No. 05-5254, 2007 WL 1931292 (D.N.J. June 29, 2007), the court denied plaintiffs
motion for an extension of the time within which to submit an affidavit of merit (and dismissed
plaintiffs claims), where plaintiff proffered only inadvertence and an assertion that his "New
York counsel" required "time to review the case files." !d. at *4.
However, in Perez v. Turner, Civil No. 11-6833, 2013 WL 3216147 (D.N.J. June 25,
2013), the court found circumstances sufficient "to excuse [p]laintiffs failure to timely file an
Affidavit of Merit[,]" in light of the four month delay (by no fault of plaintiff) in the appointment
of pro bono counsel. !d. at *5, *5 n. 4. Likewise, in Fontanez v. US, the court noted that
plaintiffs "incarceration during the period within which to file a timely affidavit of merit
undoubtedly frustrated [his] ability to timely acquire an affidavit of merit," as well as other
unique circumstances, which in combination were sufficient to excuse plaintiffs failure and
grant him an additional extension of time. 2014 WL 2608386 at *6. The court further remarked
that it was not the intent of the legislature to foster gamesmanship and elevate form over
substance, but rather to promote a resolution of potentially meritorious claims on the merits. !d.
(citations omitted). See also New Hampshire Ins. Co. v. Diller, 678 F. Supp.2d 288, 313 n. 30
(D.N.J. 2009) (finding dismissal with prejudice to "be unfair and contrary to the purpose of the
Affidavit of Merit statute" in light of defendant's delay in raising the affidavit of merit issue; and
therefore, dismissing plaintiffs complaint without prejudice, in order to afford plaintiff sixty
(60) additional days" to serve an affidavit of merit and "to foster resolution on the merits" of
plaintiffs "potentially meritorious claim").
In light of these policies and the unique set of circumstances surrounding Plaintiffs
inability to file a timely Affidavit of Merit, this Court concludes that the cumulative impact of
Plaintiffs incarceration restricting his access to obtain medical advice, the late appointment of
counsel, and the difficulty of counsel in obtaining medical records, suffice to warrant an
extension of time. See Abraham v. Rothkopf, Civil No. 07-2254, 2008 WL 3413850, at *4
(D.N.J. Aug. 8, 2008) ("granting plaintiff an extension of time where plaintiff behaved
"diligently" and demonstrated "a desire to fulfill the requirements of the affidavit [of] merit
statute[,]" rather than "merely 'sleep  on his rights"').
This Court also finds that plaintiffs failure to file an Affidavit of Merit is excused under
the related "substantial compliance" doctrine. The doctrine of substantial compliance requires a
party to show (1) the lack of prejudice to the defending party; (2) a series of steps taken to
comply with the statute involved; (3) a general compliance with the purpose of the statute; (4) a
reasonable notice of the petitioner's claim; and (5) a reasonable explanation why there was not a
strict compliance with the statute. Abraham, 2008 WL 3413850 at *2 (citing Cornblatt v.
Barow, 153 N.J. 218, 239 (1998). The doctrine of substantial compliance similarly requires a
"fact sensitive analysis" of the individual case to determine whether the purpose of the statute
has been substantially satisfied. !d. (citations omitted). See also Kindig v. Gooberman, 149 F.
Supp.2d 159, 164 (D.N.J. 2001) (noting that the legislature "did not intend the statute to be
applied literally and strictly," rather, the court must "'assess the facts against the clearly defined
elements to determine whether technical non-conformity is excusable'" (quoting Galik v. Clara
Maass Medical Center, 167 N.J. 341, 354 (2001)).
Based on the factors discussed above, this Court finds that Plaintiff acted diligently given
the restrictive confines of his incarceration and the late appointment of counsel.
counsel actively sought Plaintiffs medical records, which were not received until after
Defendants' motion to dismiss was filed.
Without complete medical records, Plaintiff was
unable to obtain the expert medical advice necessary for an affidavit of merit as contemplated
under the statute. Thus, it cannot be said that Plaintiff was "sleeping on his rights." Abraham,
2008 WL 3413850 at *4. Moreover, Plaintiffhas provided reasonable notice of his claim to the
CFG Defendants by his complaint and his later rudimentary affidavit such that the CFG
Defendants are not prejudiced by an additional extension of time to allow Plaintiffs compliance
with the statute. Indeed, Plaintiff has demonstrated a desire to fulfill the requirements of the
affidavit of merit statute. Consequently, this Court concludes that Plaintiff has substantially
complied with the Affidavit of Merit statute and that circumstances exist that warrant relaxation
of the statutory requirements.
The CFG Defendants' motion to dismiss is denied without
prejudice accordingly, and Plaintiff shall have 30 days from the date of entry of the
accompanying Order to file an Affidavit of Merit that fully complies with the statute.
Finally, CFG asserts that this action should be dismissed, pursuant to N.J.S.A. 2A:53A40(a), because CFG had no involvement in Plaintiffs medical care at MCCF. Plaintiff argues
that the entity providing medical care to inmates at MCCF is CFG Health Systems, LLC, which
is affiliated with CFG, and that the individual CFG Defendants are employed or affiliated with
CFG Health Systems, LLC. The identity ofthe proper entity was not made known to Plaintiffs
counsel until CFG provided answers to Plaintiffs discovery requests. Accordingly, Plaintiff
seeks permission to amend his Complaint to name CFG Health Systems, LLC as the proper
This Court grants CFG's motion to dismiss this action as against CFG only, as CFG had
no involvement in Plaintiffs medical care. Plaintiff is allowed to amend his Complaint, within
30 days from entry of the accompanying Order, to name CFG Health Systems, LLC as a proper
defendant in this action.
The Court further notes that Plaintiffs effort to take the deposition of a representative of CFG,
pursuant to Fed.R.Civ.P. 30(b)(6), which was noticed on January 31, 2014, has been frustrated
because CFG refuses to produce a witness due to its motion to dismiss. (ECF No. 40-1, Scibetta
Cert., ~~10, 11.)
For the reasons set forth above, and for other good cause shown, it is hereby ordered that
CFG Defendants' motion to dismiss this action for failure to file an Affidavit of Merit is denied.
This action is dismissed in its entirety as to Defendant CFG only, and Plaintiff is permitted to
amend his Complaint to name CFG Health Systems as the proper entity defendant in this matter.
An Order consistent with this opinion will be entered.
UNITED STATES DISTRICT JUDGE
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