AMERICARE EMERGENCY MEDICAL SERVICE, INC. VS. THE CITY OF ORANGE TOWNSHIP (L-2397-19, ESSEX COUNTY AND STATEWIDE)

New Jersey Superior Court Appellate Division·Decided May 27, 2020·No. A-0117-19T4·Published

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION

DOCKET NO. A-0117-19T4

AMERICARE EMERGENCY MEDICAL SERVICE, INC.,

Plaintiff-Respondent, v.

THE CITY OF ORANGE TOWNSHIP, BELL MEDICAL TRANSPORTATION, TOWNSHIP OF IRVINGTON, and TOWNSHIP OF SOUTH ORANGE,

Defendants, and

STATE OF NEW JERSEY DEPARTMENT OF HEALTH, OFFICE OF EMERGENCY MEDICAL SEVICES, JAMES SWEENY, SCOTT PHELPS, and ERIC HICKEN,

Defendants-Appellants,

Argued telephonically April 1, 2020 – Decided May 27, 2020

Before Judges Whipple, Gooden Brown, and Mawla. 1

1 Judge Mawla did not participate in oral argument. He joins the opinion with counsel's consent. R. 2:13-2(b).

On appeal from an interlocutory order of the Superior Court of New Jersey, Law Division, Essex County, Docket No. L-2397-19.

Stephen J. Slocum, Deputy Attorney General, argued the cause for appellants (Gurbir S. Grewal, Attorney General, attorney; Melissa H. Raksa, of counsel;

Deborah E. Shane-Held and Patrick Jhoo, Deputy Attorneys Generals, on the briefs).

Shay S. Deshpande argued the cause for respondent (Franzblau Dratch, PC, attorney; Shay S. Deshpande, of counsel and on the brief; Daniel A. Lebersfeld, on the brief).

The opinion of the court was delivered by WHIPPLE, J.A.D.

On leave granted, the New Jersey Department of Health (Department)

Office of Emergency Medical Services (OEMS), appeals from a July 16, 2019 Law Division order lifting the summary suspension of plaintiff AmeriCare Emergency Medical Service, Inc.'s (AmeriCare), license to operate as an emergency medical service provider and permitting an action to proceed under the New Jersey Civil Rights Act, N.J.S.A. 10:6-1 to -2 (CRA). Under the CRA, "the party alleging a claim must show a violation of a substantive right or that someone 'acting under color of law' interfered with or attempted to interfere with a substantive right." State v. Quaker Valley Farms, LLC, 235 N.J. 37, 64 (2018). Since AmeriCare did not make that showing, we reverse.

AmeriCare, an entity that provides emergency transportation services, is licensed to operate mobility assistance vehicles (MAV), basic life support vehicles (BLS), and specialty care transport unit vehicles (SCTU). AmeriCare operates six BLS/SCTU vehicles and one MAV vehicle. OEMS, through the Department, has the legislative authority through its rules and regulations to grant, renew, and revoke licenses to entities engaged in performing emergency medical transportation services. OEMS also has the authority to issue summary suspensions of licenses issued to entities that conduct such services.

In June 2018, OEMS conducted an audit of AmeriCare's overall compliance with applicable regulations as well as an inspection of the emergency vehicles under their operation. OEMS filed a summary suspension of AmeriCare's license to operate and initiated revocation proceedings asserting AmeriCare engaged in a variety of regulatory violations relating to specific vehicles and the company's overall operation such as the credentialing of employees, record keeping, and the maintenance and security of patient-related records. In February 2019, the summary suspension and proposed revocation was withdrawn without a formal enforcement consequence imposed.

On May 30, 2019, OEMS received a complaint that doors on an AmeriCare vehicle were falling off their hinges, oxygen cylinders were empty due to system leaks, and wheels were falling off an AmeriCare ambulance while

in use. The complainant informed OEMS that those same vehicles were responsible for providing emergency medical services for the City of Irvington and Village of South Orange. At the time of the initial complaint, one of AmeriCare's BLS/SCTU vehicles, Vehicle 5261, was deemed out of service by the Department for having an inoperable front emergency grill light, missing protective jackets, and a missing fire extinguisher inspection tag.

In response, on May 31, 2019, OEMS conducted an unannounced inspection on two of AmeriCare's BLS/SCTU vehicles, Vehicles 5256 and 5258. The inspectors found serious safety concerns and the vehicles were deemed out of service. Vehicle 5256 had expired vehicle credentials, a loose rear step, an unsecure oxygen retention system, a balding front tire, an improperly attached side door, a hole in the passenger seat making it pervious to blood borne pathogens, and a map light with exposed wires. OEMS also found similar violations with Vehicle 5258 including a balding front tire, unsecured portable oxygen, a missing front license plate, a hole in the arm rest of the front passenger seat making it pervious to blood borne pathogens, a dashboard radio which falls out while driving, and an unsanitary portable suction unit.

These violations prompted OEMS to conduct an unannounced audit of AmeriCare on June 3, 2019. The investigators claimed they visited AmeriCare's principal place of business, a location in Dumont, but found no AmeriCare

official. The investigators visited Americare's location in Irvington, where they found Vehicle 5259, which they inspected and placed out of service after finding serious safety concerns. After the inspection, OEMS scheduled a meeting with an AmeriCare employee, but the meeting did not take place because the employee never arrived.

On June 4, 2019, OEMS, unable to reach representatives of AmeriCare, placed AmeriCare's remaining vehicles out of service to ensure public health, safety and welfare. OEMS also contacted the appropriate dispatch centers as well as both the City of Irvington and the Village of South Orange. On June 5, 2019, South Orange Village terminated its contract with AmeriCare.

After learning OEMS was contacting AmeriCare's clients, Fabrizio Bivona, AmeriCare's founder and CEO, contacted OEMS and arranged for the re-inspection of its vehicles. On June 10 and 12, 2019, additional inspections were performed and Vehicles 5261, 5256, and 5259 were placed back into service after inspection. The remaining vehicles were not restored at that time. AmeriCare argues that OEMS refused to inspect and pass the remaining vehicles despite failing to identify any violations. AmeriCare further asserts that an OEMS representative spoke with a city attorney for Orange Township noting that over fifty percent of AmeriCare's vehicles remained out of service.

Despite three of the vehicles being reinstated, on June 18, 2019, the Department summarily suspended AmeriCare's license to operate emergency medical transportation services. The suspension letter contained a detailed history of the inspection of AmeriCare's vehicles, as well as a description of the other violations OEMS found during the investigation.

Ultimately, the summary suspension forced AmeriCare to stop operating all vehicles and OEMS notified AmeriCare that it had the "right to apply to the Commissioner of the [Department] for emergency relief to contest this summary suspension," and that "failure to submit a request for a hearing within [thirty] days from the date of this Notice shall result in the continued summary suspension of your . . . provider licenses . . . ." AmeriCare asserts it did not receive the summary suspension letter until a week after the letter was finalized.

Rather than file for emergent relief, AmeriCare filed an order to show cause for injunctive relief and an amended complaint in lieu of prerogative writs in the Law Division seeking to add OEMS and Scott Phelps, Director of OEMS, Eric Hicken, Administrator of OEMS, and James Sweeney, Chief Investigator, as defendants in its prerogative writs complaint. AmeriCare was already involved in litigation which alleged public bidding violations against the City of Orange and Bell Medical Transportation (Bell). In its bid litigation against the City of Orange and Bell, AmeriCare alleged that in response to a request by the

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AMERICARE EMERGENCY MEDICAL SERVICE, INC. VS. THE CITY OF ORANGE TOWNSHIP (L-2397-19, ESSEX COUNTY AND STATEWIDE), (N.J. Ct. App. 2020).

AMERICARE EMERGENCY MEDICAL SERVICE, INC. VS. THE CITY OF ORANGE TOWNSHIP (L-2397-19, ESSEX COUNTY AND STATEWIDE) (AMERICARE EMERGENCY MEDICAL SERVICE, INC. VS. THE CITY OF ORANGE TOWNSHIP (L-2397-19, ESSEX COUNTY AND STATEWIDE)) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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