Candace J. Thomas v. Albany Area Primary Healthcare Inc.

972 F.3d 1195
CourtCourt of Appeals for the Eleventh Circuit
DecidedAugust 25, 2020
Docket19-11187
StatusPublished
Cited by30 cases

This text of 972 F.3d 1195 (Candace J. Thomas v. Albany Area Primary Healthcare Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Candace J. Thomas v. Albany Area Primary Healthcare Inc., 972 F.3d 1195 (11th Cir. 2020).

Opinion

Case: 19-11187 Date Filed: 08/25/2020 Page: 1 of 19

[PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT ________________________

No. 19-11187 ________________________

D.C. Docket No. 1:18-cv-00096-LAG

CANDACE J. THOMAS, Individually and as Parent of Darius M. Thomas, deceased, and as Administrator of the Estate of Darius M. Thomas, DUDLEY THOMAS, III, Individually and as Parent of Darius M. Thomas, deceased, and as Administrator of the Estate of Darius M. Thomas,

Plaintiffs-Appellees,

versus

PHOEBE PUTNEY HEALTH SYSTEM, INC, et al.,

Defendants,

ALBANY AREA PRIMARY HEALTHCARE INC., CHERYL G. TOLLIVER, MD,

Defendants-Appellants. Case: 19-11187 Date Filed: 08/25/2020 Page: 2 of 19

________________________

Appeal from the United States District Court for the Middle District of Georgia ________________________ (August 25, 2020)

Before WILSON, LAGOA and HULL, Circuit Judges.

HULL, Circuit Judge:

In Georgia state court, Candace and Dudley Thomas, III, filed this medical

malpractice lawsuit against Dr. Cheryl Tolliver, Albany Area Primary Healthcare

Inc. (“AAP Healthcare”), and several other defendants. Pursuant to the Federally

Supported Health Care Assistance Act of 1999 (“FSHCAA”), 42 U.S.C. § 233, the

United States Attorney for the Middle District of Georgia (“the government”)

removed the case to federal district court, certifying that Dr. Tolliver and AAP

Healthcare were “deemed” employees of the Public Health Service and were acting

within the scope of that employment at the time of the alleged malpractice. The

government sought to have the United States substituted as the defendant and the

suit converted to an action under the Federal Tort Claims Act (“FTCA”), 28 U.S.C.

§ 1346(b)(1).

On further review, however, the government acknowledged that its § 233

scope-of-employment certification was in error, withdrew the certification, and

stipulated to the remand of the case to state court. The district court agreed that

2 Case: 19-11187 Date Filed: 08/25/2020 Page: 3 of 19

Dr. Tolliver and AAP Healthcare were not entitled to federal liability protections

under the FTCA and remanded the case for lack of subject matter jurisdiction.

Dr. Tolliver and AAP Healthcare have appealed and ask us to review the

district court’s order remanding the case. Upon careful consideration and with the

benefit of oral argument, we conclude that 28 U.S.C. § 1447(d) precludes us from

reviewing the district court’s order remanding this action to state court for lack of

subject matter jurisdiction. Accordingly, we must dismiss this appeal for lack of

jurisdiction.

I. BACKGROUND

A. Federally Supported Health Centers Assistance Act and Westfall Act

An FTCA suit against the United States is the exclusive remedy for medical

malpractice by a Public Health Service employee acting within the scope of his or

her employment. 42 U.S.C. § 233(a); see Hui v. Castaneda, 559 U.S. 799, 801-02,

130 S. Ct. 1845, 1848 (2010). Under the FSHCAA, health centers that receive

federal grant funds and their employees may receive the same FTCA protection if

they are “deemed to be an employee of the Public Health Service” by the Secretary

of Health and Human Services (“HHS”). 42 U.S.C. § 233(g)(1)(A), (g)(4); see 42

U.S.C. § 201(c) (defining “Secretary” as Secretary of HHS). Here, effective

January 1, 2015, AAP Healthcare was deemed an employee of the Public Health

Service because it is a community health center that receives federal grant funding

3 Case: 19-11187 Date Filed: 08/25/2020 Page: 4 of 19

to provide primary healthcare services at 15 locations in and around Albany,

Georgia.1

Like other Public Health Service employees, health centers that are

“deemed” employees are protected from suit only when “acting within the scope of

[their] office or employment.” 42 U.S.C. § 233(a). “Only acts and omissions

related to the grant-supported activity of entities are covered.” 42 C.F.R. § 6.6(d).

Generally, an entity is covered only when it treats its patients; however, there are

exceptions where treatment of nonpatients is covered by the FTCA. 2 42 U.S.C.

§ 233(g)(1)(B), (C).

Section 233(b) provides that the Attorney General “shall defend any civil

action” brought in court against any officer or employee of the Public Health

Service acting in the scope of employment. Id. § 233(b); see Allen v.

Christenberry, 327 F.3d 1290, 1294 (11th Cir. 2003). “Upon a certification by the

Attorney General that the defendant was acting in the scope of his employment at

1 Entities, such as AAP Healthcare, must submit an annual application to the Secretary of HHS, meet certain requirements, and be approved annually for the upcoming calendar year. 42 U.S.C. §§ 201(c), 233(g)(1)(A), (g)(1)(D), (h). 2 Provision of services to nonpatients is covered when it: (i) benefits patients of the entity and general populations that could be served by the entity through community-wide intervention efforts within the communities served by such entity; (ii) facilitates the provision of services to patients of the entity; or (iii) [is] otherwise required under an employment contract (or similar arrangement) between the entity and an officer, governing board member, employee, or contractor of the entity. § 233(g)(1)(C). 4 Case: 19-11187 Date Filed: 08/25/2020 Page: 5 of 19

the time of the incident out of which the suit arose, any such civil action or

proceeding commenced in a State court shall be removed” to federal district court.

42 U.S.C. § 233(c). The United States is then substituted as the defendant, and the

case proceeds against the United States under the FTCA. Id. § 233(a), (c). If,

however, the “district court determine[s] on a hearing on a motion to remand” that

a remedy against the United States under § 233(a) is not available—for example,

because the defendant was not acting within the scope of employment—“the case

shall be remanded to the State Court[.]” Id. § 233(c).

The Westfall Act is a separate statutory scheme offering FTCA protection

for employees of the federal government. 28 U.S.C. § 2679. Like § 233, if the

Attorney General certifies scope of employment under the Westfall Act, the case

“shall be removed” to federal district court. Id. § 2679(d)(2). Unlike § 233,

however, § 2679(d)(2) does not include a provision allowing the district court to

remand a case back to state court.

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972 F.3d 1195, Counsel Stack Legal Research, https://law.counselstack.com/opinion/candace-j-thomas-v-albany-area-primary-healthcare-inc-ca11-2020.