Hintermaier v. Hands of Hope Physical Therapy & Wellness

CourtDistrict Court, S.D. New York
DecidedFebruary 4, 2025
Docket1:24-cv-08914
StatusUnknown

This text of Hintermaier v. Hands of Hope Physical Therapy & Wellness (Hintermaier v. Hands of Hope Physical Therapy & Wellness) 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
Hintermaier v. Hands of Hope Physical Therapy & Wellness, (S.D.N.Y. 2025).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK MIRELA HINTERMAIER, Plaintiff, -against- 1:24-CV-8914 (LTS) HANDS OF HOPE PHYSICAL THERAPY ORDER TO AMEND & WELLNESS; EQUINOX HOLDINGS, INC.; UNITED HEALTHCARE COMMUNITY PLAN, Defendants. LAURA TAYLOR SWAIN, Chief United States District Judge: Plaintiff Mirela Hintermaier, who appears pro se, filed this action asserting claims of violations of: (1) Section 1557 of the Affordable Care Act (“ACA”), 42 U.S.C. § 18116; (2) Title VI of the Civil Rights Act of 1964 (“Title VI”), 42 U.S.C. § 2000d; (3) the Medicaid Act and the Social Security Act, 42 U.S.C. § 1396a, et seq., including subsection (a)(8); (4) the Civil Rights Act of 1991, which the Court understands to be a reference to 42 U.S.C. § 1981; and (5) the New York State Human Rights Law (“NYSHRL”). She also asserts additional claims under state law, including claims of intentional infliction of emotional distress. Plaintiff sues: (1) Hands of Hope Physical Therapy & Wellness (“Hands of Hope”); (2) Equinox Holdings, Inc. (“Equinox”); and (3) United Healthcare Community Plan (“UH”). She seeks damages, injunctive relief, and declaratory relief. On December 9, 2024, the Court granted Plaintiff’s request to proceed without prepayment of fees, that is, in forma pauperis (“IFP”). For the reasons set forth below, the Court grants Plaintiff leave to file an amended complaint within 60 days of the date of this order. STANDARD OF REVIEW The Court must dismiss an IFP complaint, or any portion of the complaint, that is frivolous or malicious, fails to state a claim on which relief may be granted, or seeks monetary relief from a defendant who is immune from such relief. 28 U.S.C. § 1915(e)(2)(B); see Livingston v. Adirondack Beverage Co., 141 F.3d 434, 437 (2d Cir. 1998). The Court must also

dismiss a complaint when the Court lacks subject matter jurisdiction of the claims raised. See Fed. R. Civ. P. 12(h)(3). While the law mandates dismissal on any of these grounds, the Court is obliged to construe pro se pleadings liberally, Harris v. Mills, 572 F.3d 66, 72 (2d Cir. 2009), and interpret them to raise the “strongest [claims] that they suggest,” Triestman v. Fed. Bureau of Prisons, 470 F.3d 471, 474 (2d Cir. 2006) (internal quotation marks and citations omitted, emphasis in original). But the “special solicitude” in pro se cases, id. at 475 (citation omitted), has its limits – to state a claim, pro se pleadings still must comply with Rule 8 of the Federal Rules of Civil Procedure, which requires a complaint to make a short and plain statement showing that the

pleader is entitled to relief. Rule 8 requires a complaint to include enough facts to state a claim for relief “that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). A claim is facially plausible if the plaintiff pleads enough factual detail to allow the Court to draw the inference that the defendant is liable for the alleged misconduct. Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). In reviewing the complaint, the Court must accept all well-pleaded factual allegations as true. Id. at 678. But it does not have to accept as true “[t]hreadbare recitals of the elements of a cause of action,” which are essentially just legal conclusions. Id. (citing Twombly, 550 U.S. at 555). After separating legal conclusions from well-pleaded factual allegations, the Court must determine whether those facts make it plausible – not merely possible – that the pleader is entitled to relief. Id. at 679. BACKGROUND Plaintiff alleges the following: Plaintiff receives federally funded Medicaid health insurance coverage through UH. On August 1, 2024, at an Equinox gym located in New York,

New York, at which Hands of Hope rented space and equipment from Equinox in order to provide physical therapy services, Hands of Hope denied Plaintiff those services, which were medically necessary. Hands of Hope falsely claimed that it was “no longer in-network” as to health insurance coverage by UH. (ECF 1, at 10.) This “denial of services and substandard treatment were motivated, in part, by discrimination based on Plaintiff’s Medicaid status, falsely implying that Medicaid coverage was inferior or unreliable.” (Id.) Plaintiff then communicated with UH, “which confirmed that Hands of Hope was in-network, and [that Plaintiff’s] Medicaid coverage was active.” (Id.) Yet, “[d]espite this confirmation, the office [sic] persisted in denying treatment until Plaintiff explicitly accused them [sic] of discriminatory practices.” (Id.)

Hands of Hope then retaliated against Plaintiff by: (1) “[r]educing Plaintiff’s treatment time without justification”; (2) “[r]educing Plaintiff’s access to gym equipment necessary for therapy”; and (3) “[i]mposing administrative burdens such as requiring text-based scheduling.” (Id.) Equinox, as Hands of Hope’s landlord, “collaborated in enforcing these retaliatory restrictions, despite its own policy allowing physical therapy clients to use gym equipment under [a] therapist[’s] supervision.” (Id. at 11.) “Plaintiff witnessed other [Hands of Hope] clients being granted unrestricted access to gym facilities underscoring the discriminatory nature of the restrictions imposed on her.” (Id.) UH “failed to advocate for Plaintiff,” in that it: (1) “[r]efus[ed] to provide written confirmation of Hands of Hope’s in-network status”; (2) “[d]ismiss[ed] the denial as a ‘simple error’ despite evidence of intentional misconduct”; and (3) “[i]gnor[ed] Plaintiff’s request for managerial escalation.” (Id.) Plaintiff alleges that the defendants “discriminated against [her] on the basis of her Medicaid status, race, and national origin by denying medically necessary treatment, imposing

retaliatory measures, and providing substandard care.” (Id. at 6.) Plaintiff does not identify her race or national origin. DISCUSSION A. Claims under the Medicaid Act and the Social Security Act To the extent that Plaintiff asserts claims of discrimination, including any based on her Medicaid status, and claims of retaliation, against any of the defendants, under either the Medicaid Act or the Social Security Act, the Court construes such claims as brought under 42 U.S.C. § 1983. See Blessing v. Freestone, 520 US. 329 (1997); Wilder v. Va. Hosp. Ass’n, 496 U.S. 498, 520-24 (1990). A claim for relief under Section 1983 must allege facts showing that a defendant acted under the color of a state “statute, ordinance, regulation, custom or usage.” 42 U.S.C.

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Bluebook (online)
Hintermaier v. Hands of Hope Physical Therapy & Wellness, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hintermaier-v-hands-of-hope-physical-therapy-wellness-nysd-2025.