John Doe, et al. v. P Commissioner, New Hampshire Department of Health and Human Services

2023 DNH 058
CourtDistrict Court, D. New Hampshire
DecidedMay 12, 2023
Docket18-cv-1039-JD
StatusPublished
Cited by1 cases

This text of 2023 DNH 058 (John Doe, et al. v. P Commissioner, New Hampshire Department of Health and Human Services) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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John Doe, et al. v. P Commissioner, New Hampshire Department of Health and Human Services, 2023 DNH 058 (D.N.H. 2023).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

John Doe, et al.

v. Civil No. 18-cv-1039-LM Opinion No. 2023 DNH 058 P Commissioner, New Hampshire Department of Health and Human Services

ORDER

Four individual plaintiffs bring this class action against the Commissioner of

the New Hampshire Department of Health and Human Services. In the First

Amended Complaint, which is the operative complaint, Plaintiffs’ only remaining

claim challenges the Commissioner’s practice of boarding individuals experiencing

mental health crises in hospital emergency departments without procedural due

process, Count I. The Commissioner moves to dismiss Count I on the ground that it

is moot in light of the New Hampshire Supreme Court’s decision in Doe v.

Commissioner, 174 N.H. 239 (2021) (referred to as “Jane Doe”). In response,

Plaintiffs move to file a Second Amended Complaint to remedy any possibility of

mootness. Plaintiffs also ask the court to hold the Commissioner’s motion to

dismiss in abeyance until the court decides their motion to amend.

For the reasons explained below, Plaintiffs’ motion to amend is construed as

a motion to supplement and is granted as to Count I and denied as to Counts II and

III. The decision on the motion to supplement resolves the issues raised in

Plaintiffs’ motion to hold in abeyance and the Commissioner’s motion to dismiss.

Therefore, the court denies those motions. BACKGROUND

Count I alleges that the Commissioner’s boarding practice violates Plaintiffs’

procedural due process rights under the Fourteenth Amendment because they are

not provided due process while being detained in hospital emergency departments

under an involuntary emergency admission (“IEA”) certificate. Doc no. 78 ¶¶ 97-

109. Plaintiffs bring this claim in the context of the IEA procedures under RSA

135-C:27-33. Under that statutory framework, an IEA-certified patient is entitled

to a probable cause hearing within three days after admission to the mental health

services system, RSA 135-C:31, I. In conjunction with the hearing, the patient is

entitled to notice of certain rights, including the right to counsel and the right “[t]o

apply for admission on a voluntary basis,” RSA 135-C:30.

Prior Proceedings

A brief history of the prior proceedings is helpful to frame the current

motions.1 In May 2019, the court granted a group of New Hampshire hospitals

leave to intervene in the action as plaintiffs.2 The Hospitals assert claims against

the Commissioner arising from the Commissioner’s boarding practice.

1 The court assumes familiarity with the lengthy background of this case, which the court has provided in more detail in prior orders. See, e.g., Doe v. Commissioner, --- F. Supp. 3d ---, 2023 WL 2186458 (D.N.H. Feb. 23, 2023); Doe v. Commissioner, 2021 WL 27009 (D.N.H. Jan. 4, 2021); Doe v. Commissioner, 2020 WL 7481735 (D.N.H. Dec. 18, 2020); Doe v. Commissioner, 2020 WL 2129717 (D.N.H. May 4, 2020); Doe v. Commissioner, 2020 WL 2104826 (D.N.H. May 1, 2020); Doe v. Commissioner, 2020 WL 2079310 (D.N.H. Apr. 30, 2020); see also Doe v. Shibinette, 16 F.4th 894 (1st Cir. 2021).

2 In this order, the court will refer to the hospital plaintiffs as “Hospitals.”

2 Plaintiffs initially named Honorable David D. King, the Administrative

Judge of the Circuit Court, as a necessary party. Judge King moved to dismiss the

claims against him. In August 2019, the court granted the motion to dismiss Judge

King from the case due to a lack of jurisdiction. Doc. no. 100.

The Commissioner then moved to dismiss Plaintiffs’ claims based on a lack of

jurisdiction due to sovereign immunity. In April 2020, for the purposes of deciding

the Commissioner’s motion to dismiss, this court analyzed the statutory framework

of the IEA-certification process to determine the meaning of the word “admission”

under the statute. The court held that “admission” of IEA-certified patients into the

state’s mental health services system occurs when the IEA certificate is completed,

as opposed to when the patient is delivered to a designated receiving facility.3 Doe

v. Commissioner, 2020 WL 2079310, at *9 (D.N.H. Apr. 30, 2020). Despite the

court’s ruling, the Commissioner continued to maintain that she had no obligation

to provide probable cause hearings unless and until an IEA-certified patient was

delivered to a designated receiving facility. Based on that view, the Commissioner

continued the psychiatric boarding practice without probable cause hearings.

In May 2020, the court granted Plaintiffs’ motion for class certification. The

following class was certified:

As to Counts I, II, and III, a class is certified of all persons who are currently being, have been, or will be involuntarily detained in a non- DRF hospital under RSA 135-C:27–33 without having been given a probable cause hearing by the Commissioner of the Department of Health and Human Services of the State of New Hampshire within

3 The court also denied the Commissioner’s motion to dismiss the Hospitals’ claims based on the same statutory construction. Doe v. Commissioner, 2020 WL 2104826 (D.N.H. May 1, 2020).

3 three days (not including Sundays and holidays) of the completion of an involuntary emergency admission certificate.

Doc. no. 149, at 18-19. After the class was certified, Plaintiffs voluntarily dismissed

their state law claims in Counts II and III. End. Or. Nov. 2, 2020. Therefore, as

stated above, the only remaining claim is Count I, which alleges that Plaintiffs are

not provided due process after IEA certification in violation of the Fourteenth

Amendment.

In November 2020, the Commissioner again moved to dismiss Plaintiffs’

claim (and the Hospitals’ claims) based on sovereign immunity. The court denied

the motions (doc. nos. 201 & 203), and the Commissioner filed an interlocutory

appeal. While the appeal to the First Circuit was pending, the New Hampshire

Supreme Court issued a decision in a habeas corpus case involving another IEA-

certified patient who had been detained without a hearing in a hospital emergency

department. Jane Doe, 174 N.H. at 239-61.

The New Hampshire Supreme Court held, as this court had previously

determined, that upon completion of the IEA certificate, the IEA-certified patient is

admitted into “the state mental health services system under the supervision of the

Commissioner.” Jane Doe, 174 N.H. at 252. In light of the New Hampshire

Supreme Court’s decision, the Commissioner moved during the appeal at the First

Circuit to dismiss this case as moot. The First Circuit affirmed this court’s decision

denying the motion to dismiss based on sovereign immunity and remanded the case

for further proceedings on the mootness issue. Doe v. Shibinette, 16 F.4th 894, 905

(1st Cir. 2021).

4 Change in the Hearing Process

In response to the New Hampshire Supreme Court’s decision in Jane Doe, the

New Hampshire Circuit Court anticipated an increase in IEA petitions and began to

implement administrative procedures to process the petitions. Doc. no. 233-1, at 2-

3. As expected, an increase occurred. The filings included petitions for IEA-

certified patients who were being held in hospital emergency departments. Id. In

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