Buccieri v. Brewster Ambulance Service, Inc.

Court of Appeals for the First Circuit·Decided July 13, 2026·No. 25-1732·Published

Opinion

United States Court of Appeals For the First Circuit

No. 25-1732

JOHN BUCCIERI,

Plaintiff, Appellant,

v.

BREWSTER AMBULANCE SERVICE, INC.,

Defendant, Appellee.

APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MASSACHUSETTS

[Hon. Margaret R. Guzman, U.S. District Judge]

Before

Dunlap, Lynch, and Kayatta, Circuit Judges.

Andrew Rozynski and Eisenberg & Baum, LLP for appellant. Sarah B. Herlihy and Herlihy Law LLC for appellee.

July 13, 2026 LYNCH, Circuit Judge. In this Americans with

Disabilities Act ("ADA") case, appellant John Buccieri appeals

from the district court's grant of a Federal Rule of Civil

Procedure 50(b) motion filed by Brewster Ambulance Service, Inc.

("Brewster") and entry of judgment as a matter of law ("JMOL")

following the liability phase of a jury trial. Buccieri v.

Brewster Ambulance Serv., Inc., 792 F. Supp. 3d 273, 283 (D. Mass.

2025). The jury had returned a verdict for Brewster on Buccieri's

claim of failure to hire for a Chair Car Driver position, finding

that Brewster had "prove[d] by a preponderance of the evidence

that providing Mr. Buccieri with the requested accommodation(s)

would have been an undue hardship to Brewster Ambulance and/or

posed a direct threat to Mr. Buccieri or others." The district

court held on the evidence presented no reasonable jury could

conclude that Brewster had failed to engage in an interactive

process as required by the ADA. Id. at 282-83.

On de novo review, we affirm the district court's entry

of JMOL. We hold that no reasonable jury could conclude that

there was a reasonable accommodation that would have allowed

Buccieri to perform the essential communications functions of the

driver positions without undue hardship to Brewster.

- 2 - I.

We describe the facts of record that were not materially

disputed, largely documented in contemporaneous writings or

testimony from the trial.

A.

Brewster is a family-owned medical transportation

services company. Collectively, Mark Brewster, the President and

CEO, his brother and co-owner George Brewster Jr., and his father

George Brewster Sr. have close to a hundred years of experience in

the medical transport business.1 Brewster employs approximately

1,800 people and operates approximately 300 vehicles daily,

including ambulances, Day Care Vans, and Chair Cars.

Chair Cars are vehicles that transport a single

wheelchair-using patient, typically to medical appointments.

According to the undisputed testimony of Mark and of Brewster

employees with expertise in its Chair Car program, Brewster staffs

Chair Cars with only one driver, and Chair Car Drivers must

communicate frequently with patients, dispatch, and medical

1 Mark Brewster testified that his great-grandfather founded the original Brewster Ambulance company in 1906, which was run by his family and which Mark's father, George Brewster Sr., sold in 1997. Mark and his brother, George Brewster Jr., restarted the company in its current iteration in 2010. George Sr. came out of retirement in 2015 to help the company during an expansion phase and re-retired in 2023. All three were involved in the decisionmaking in this case. For clarity, the opinion refers to the three Brewsters by their first names.

- 3 - facilities during day and night shifts. "[E]very [Chair Car] ride

is required to have a medical necessity form completed by a

licensed health care provider" attesting that the patient being

transported has a medical reason why he or she cannot be

transported by other means for Brewster to receive insurance

reimbursement for the ride. The patients who qualify for Chair

Car services typically come from skilled nursing facilities where

they receive supervised care due to their medical issues. In

Brewster's experience, as Mark testified at trial, such patients

from time to time experience medical emergencies while in Chair

Cars, including heart attacks, strokes, vomiting, and problems

with oxygen tanks. Such emergencies require immediate responses

from the driver of the Chair Car. All drivers, as a result, must

have first responder training and be CPR certified, and are trained

to call 911 in a medical emergency.

In addition, Brewster's Chair Car supervisor, William J.

Sefton, testified about other patient incidents requiring

immediate responses from the driver, including a patient who got

out of the wheelchair while the van was moving and had to be told

by the driver to sit back down, and a patient falling out of the

wheelchair due to a broken seatbelt. Sefton also testified that

Chair Car Drivers monitor patients visually via the rearview

mirror. He further testified that, from his experience as a Chair

Car Driver, it is helpful when drivers talk to patients because it

- 4 - "puts them at ease" and helps "mak[e] sure that they're

comfortable."

Chair Car Drivers also frequently communicate with

dispatch in addition to talking to patients in the car. Dispatch

assigns patients to Chair Car Drivers and notifies the drivers of

the patients' names, locations, and destinations throughout the

day. Drivers must also notify dispatch every time there is a

status change, such as when they are arriving at a location,

beginning transport, and experiencing a delay. The number one

cause of distracted driving at Brewster is cell phone use.

Brewster uses a radio system for communications between

drivers and dispatch, which is highly reliable and generally has

no delays or downtime. Use of the radio system requires the driver

to contact dispatch by picking up a small microphone which is

clipped on the dashboard, depressing a button on the side of the

mic, and speaking into it. Mark testified that Brewster used a

radio-based communication system rather than a cell-phone-based

communication system because the radio system, unlike cell phones

or tablets, does not require the driver to remove their eyes from

the road to find the correct buttons or dial a number on the cell

phone. Mark's undisputed testimony stated that the number one

cause of accidents involving Brewster vehicles is distracted

driving. Drivers also must communicate with staff at the

facilities where patients are picked up and dropped off.

- 5 - B.

John Buccieri applied for a position as a Chair Car

Driver on January 10, 2019. Buccieri was born deaf, and his

primary language is American Sign Language ("ASL").2 Brewster

scheduled Buccieri for an interview with Joseph Hughes, a regional

manager who had no experience personally driving Chair Cars. 3

Before the interview, Hughes had internal conversations with

Brewster's Human Resources ("HR") Department about how Brewster

might reasonably accommodate a deaf Chair Car Driver. On

January 18, 2019, Hughes asked HR "what [Brewster] can offer as a

reasonable accommodation for [Buccieri's] disability and this

job," and Paul Mohnkern, Brewster's HR manager who also had no

personal experience driving Chair Cars, responded that evening and

identified relevant issues to discuss with Buccieri, including

"how will he handle dealing with the general public, and how will

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Buccieri v. Brewster Ambulance Service, Inc., (1st Cir. 2026).

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