Gentile v. Nulty

146 F. Supp. 2d 340, 2001 U.S. Dist. LEXIS 7797, 2001 WL 664397
CourtDistrict Court, S.D. New York
DecidedMay 22, 2001
Docket99 CV 11521(CM)
StatusPublished

This text of 146 F. Supp. 2d 340 (Gentile v. Nulty) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gentile v. Nulty, 146 F. Supp. 2d 340, 2001 U.S. Dist. LEXIS 7797, 2001 WL 664397 (S.D.N.Y. 2001).

Opinion

MEMORANDUM DECISION AND ORDER DENYING DEFENDANTS’ MOTION TO DISMISS AND MOTION FOR SUMMARY JUDGMENT AND ORDERING DEFENDANTS TO ADDRESS ISSUES RELATING TO LIABILITY

McMAHON, District Judge.

Plaintiff, Police Officer Steven Gentile (“Gentile”), filed the instant complaint against his employers, Defendants Kevin A. Nulty (“Nulty”), individually and as Chief of Police, and the Town of Orange-town (“Orangetown”) under 42 U.S.C. § 1983, alleging that Defendants deprived him of his rights under the Fifth and Fourteenth Amendments of the U.S. Constitution and under § 207-c.l of the New York General Municipal Law. Gentile claims Defendants have continually denied him workers’ compensation benefits to which he is entitled in retaliation for legal *342 action taken by Gentile to secure those benefits. Defendants move for “dismissal and/or summary judgment” on the grounds that they have lawfully denied only those benefits to which Gentile waived his rights. (Aff. of Joseph A. Maria in Supp. of Mot. to Dismiss and/or Summ. J. (“Maria Aff.”).) 1

This case revolves around Gentile’s claims for reimbursement for medical treatment necessitated by two work-related injuries. 2 Defendants challenge neither the work-related nature of Gentile’s injuries nor the appropriateness of the treatment he sought for them. Indeed, Defendants admit that Gentile is eligible for workers’ compensation benefits. However, Defendants assert that Gentile’s practice of paying doctors himself and submitting receipts to Defendants for reimbursement constitutes a waiver of Gentile’s rights with respect to those specific claims — e.g., all the claims that have been denied.

Two issues are presented by Defendants’ motions: (1) whether Gentile’s departure from the payment procedure outlined in the statute constitutes a waiver, and (2) whether Defendants have preserved their right to challenge liability. I find that Gentile has not waived his right to reimbursement and further that Defendants have not preserved their right to challenge liability on the grounds they assert in this lawsuit. Thus, not only must Defendants’ motions be denied, but I may well have to grant summary judgment to Plaintiff on the issue of liability. I cannot decide that without giving defendants an opportunity to address the matter.

FACTUAL BACKGROUND

Except where noted, the following facts are undisputed. On June 18, 1993, Officer Gentile was involved in a shootout with suspects to a bank robbery in Pearl River, New York. (Compl.f 9.) As a result of the incident, Gentile suffered post-traumatic stress disorder (the “first injury”) which caused him to be absent from work. (Id. at ¶¶ 9, 12.) Defendants acknowledged that the first injury was work-related and that Gentile was entitled to compensation under New York General Municipal Law § 207-c.l, governing salary and workers’ compensation benefits for police officers injured in the line of duty. 3 (Id. at ¶ 10).

Defendants also acknowledged that the psychological treatment sought by Gentile for his post-traumatic stress was *343 necessitated by his work-related injury. 4 Accordingly, Gentile’s visits to psychiatrist Peter Kroetsch, M.D. (“Kroetsch”) for psychotherapy were covered by workers’ compensation. Gentile returned to active duty with the police department “towards the end of 1993”. (Comply 12.)'

On December 31, 1995, approximately two years after he returned to work, Gentile was assaulted by a suspect during a motor vehicle stop, sustaining human bites and injuries to his knee, left shoulder, lower back and right elbow (the “second injury”). (Id. at ¶ 12). Orangetown again acknowledged the work-related nature of these injuries and Gentile’s right to receive benefits under § 207-c .1. (Id. at ¶ 13.) The record is clear that the second injury not only caused new physical injuries, but also exacerbated Gentile’s post-traumatic stress from the first injury. It is uncontested that both of these conditions persist to the present day, although Defendants do not expressly admit that the post-traumatic stress has been continuous. 5 (Id. at ¶ 14.) The parties agree that Gentile’s current treatment for the second injury consists of psychotherapy with Kroetsch, medication prescribed by Kroetsch, visits to orthopaedist Louis M. Starace, M.D. (“Starace”) for physical therapy, and medication prescribed by Starace. Defendants do not dispute that Gentile’s treatment under Kroetsch and Starace is (and has been) causally related to and necessitated by the second injury. Defendants also have not raised the issue of the cost of treatment.

Gentile admits that he has consistently paid Kroetsch and Starace directly, submitting his receipts to Defendants for reimbursement. In fact, he argues that he “always” submitted his bills this way. (Letter from McNamara to Nulty of June 23, 1999.) His practice of paying doctors directly constitutes a departure from the procedure of § 207-c.l, which states that a provider “shall not collect” payment from the patient-beneficiary (the “collection clause”). 6 N.Y. Gen. Mun. Law § 207-c.l. Notwithstanding this procedural departure, Defendants reimbursed Gentile for his payments to Kroetsch and Starace until some unspecified date prior to 1997. 7 (Id. at ¶ 16.)

In 1997, Gentile filed suit in the Southern District of New York alleging that Defendants had effectively terminated his § 207-c.l benefits without a proper hearing (the “first suit”). (Comply 16.) Gentile alleged that Defendants were retaliat *344 ing against him for obtaining a court order earlier that same year declaring his entitlement to workers’ compensation benefits and compelling Defendants to pay. (Id.) Details about that court order are not in the record. However, the parties agree that Gentile prevailed in the first suit and that a jury awarded him compensatory and punitive damages against Nulty for the latter’s failure to pay Gentile’s medical expenses. 8 Defendants “admit” the complaint’s averments, averring that Nulty was held liable to Gentile for compensatory and punitive damages, and that a retaliatory motive had been pleaded. (Id.lif 16, 17.) The punitive award suggests that the jury did find Nulty’s actions to be retaliatory. However, my decision on the instant motions is based solely on the record before me, which does not include a copy of the jury’s verdict in the first suit. There is no mention of payment procedure in the record before me as a defense proffered by Defendants in the first suit.

The first judgment was rendered on February 23, 1999. (Id.

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Bluebook (online)
146 F. Supp. 2d 340, 2001 U.S. Dist. LEXIS 7797, 2001 WL 664397, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gentile-v-nulty-nysd-2001.