Nicholas Alexander, As Executor of The Estate of Nicholas A. Alexander, Deceased v. Andrew M. Cuomo, Melissa Derosa, Howard A. Zucker, M.D., Greater New York Hospital Association, Kenneth E. Raske, Northwell Health, Inc., Michael Dowling, John Does 1-10

CourtDistrict Court, E.D. New York
DecidedJanuary 16, 2026
Docket2:24-cv-02179
StatusUnknown

This text of Nicholas Alexander, As Executor of The Estate of Nicholas A. Alexander, Deceased v. Andrew M. Cuomo, Melissa Derosa, Howard A. Zucker, M.D., Greater New York Hospital Association, Kenneth E. Raske, Northwell Health, Inc., Michael Dowling, John Does 1-10 (Nicholas Alexander, As Executor of The Estate of Nicholas A. Alexander, Deceased v. Andrew M. Cuomo, Melissa Derosa, Howard A. Zucker, M.D., Greater New York Hospital Association, Kenneth E. Raske, Northwell Health, Inc., Michael Dowling, John Does 1-10) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nicholas Alexander, As Executor of The Estate of Nicholas A. Alexander, Deceased v. Andrew M. Cuomo, Melissa Derosa, Howard A. Zucker, M.D., Greater New York Hospital Association, Kenneth E. Raske, Northwell Health, Inc., Michael Dowling, John Does 1-10, (E.D.N.Y. 2026).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK

NICHOLAS ALEXANDER, As Executor of The Estate of Nicholas A. Alexander, Deceased, MEMORANDUM & ORDER Plaintiff, 24-cv-02179 (NCM) (ST)

– against –

ANDREW M. CUOMO, MELISSA DEROSA, HOWARD A. ZUCKER, M.D., GREATER NEW YORK HOSPITAL ASSOCIATION, KENNETH E. RASKE, NORTHWELL HEALTH, INC., MICHAEL DOWLING, JOHN DOES 1-10,

Defendants.

NATASHA C. MERLE, United States District Judge:

Plaintiff Nicholas Alexander brings this lawsuit as the executor of the estate of his deceased grandfather (“decedent”). Am. Compl. (“AC”) ¶ 34, ECF No. 45. He sues former New York State government officials, a hospital trade group and its leader, a healthcare network and its leader, and several John Does. AC ¶¶ 35–43. The complaint alleges that defendants engaged in a conspiracy during the COVID-19 pandemic, culminating in the issuance of an improper emergency executive order (the “Order”) that resulted in an increase of COVID-positive patients being admitted to nursing homes. AC ¶¶ 2, 9, 98. The Order, issued on March 25, 2020, directed that “[n]o resident shall be denied re-admission to a nursing home solely based on a confirmed or suspected diagnosis of COVID-19.” AC ¶ 94.1 Plaintiff further alleges that decedent had been a nursing home resident at the start of

1 Throughout this Order, the Court omits all internal quotation marks, footnotes, and citations, and adopts all alterations, unless otherwise indicated. the pandemic and contracted a fatal case of COVID-19 on March 26, 2020, the day after the issuance of the Order. AC ¶ 48. All named defendants have moved to dismiss the complaint. For the reasons stated below, defendants’ motions are GRANTED. BACKGROUND Defendants in this action are Andrew M. Cuomo (“Cuomo”), a former governor of

New York; Melissa DeRosa (“DeRosa”), defendant Cuomo’s former chief of staff; Howard A. Zucker, M.D. (“Zucker”), a former Commissioner of the New York State Department of Health; the Greater New York Hospital Association (“GNYHA”), a trade association representing over 200 hospitals across New York; Kenneth E. Raske (“Raske”), the President and Chief Operating Officer of GNYHA; Northwell Health, Inc. (“Northwell”), a healthcare and hospital network that is New York State’s largest healthcare provider; Michael Dowling (“Dowling”), the President and Chief Executive Officer of Northwell; and John Does 1–10. AC ¶¶ 35–43. Plaintiff in this action, Nicholas Alexander, is the grandson of decedent, Nicholas A. Alexander. AC ¶¶ 33–34. Decedent was born in 1944. AC ¶ 33. On May 16, 2019, decedent was admitted to Grandell Rehabilitation and Nursing Center (“GRNC”), a nursing home

located in Long Beach, New York. AC ¶ 46. At the time of his admission, decedent had not incurred COVID-19 and had no symptoms thereof. AC ¶ 47. Prior to contracting COVID-19, decedent had been “in declining health, suffering from high blood pressure and diabetes.” AC ¶ 45. On March 1, 2020, the first case of COVID-19 was confirmed in New York. AC ¶ 83. On March 24, 2020, Cuomo announced that the state had reached 25,000 cases and at least 210 deaths. AC ¶ 93. During the month of March, Cuomo met on several occasions with leaders of hospitals and medical groups, including seven meetings with Raske and six meetings with Dowling. AC ¶ 85. On March 25, 2020, Governor Cuomo issued an administrative directive—the Order—citing the “urgent need to expand hospital capacity.” AC ¶ 94. The Order directed that “[n]o resident shall be denied re-admission to a nursing home solely based on a

confirmed or suspected diagnosis of COVID-19.” AC ¶ 94. The Order also prohibited nursing homes “from requiring a hospitalized resident who is determined medically stable to be tested for COVID-19 prior to admission or readmission.” AC ¶ 94. An identical order was issued to the State’s assisted living facilities on April 7, 2020. AC ¶ 94. Plaintiff alleges that due to the Order and its twin order for assisted living facilities, “over 9,000 COVID- 19 positive patients were admitted to New York State nursing homes and assisted living facilities who otherwise would not have been, resulting in over 20,000 unnecessary COVID-19 deaths.” AC ¶ 98. On March 26, 2020, the day after the issuance of the Order, decedent began experiencing COVID-19 symptoms and was admitted to a hospital. AC ¶ 48. Decedent died three days later, on March 29, 2020, at the age of 75. AC ¶ 48. Decedent’s death certificate

lists his cause of death as “Cardiopulmonary failure due to COVID-19.” AC ¶ 48. On March 25, 2024, plaintiff brought the instant suit against defendants. See Compl. 90, ECF No. 1.2 Plaintiff filed an amended complaint on November 1, 2024. See AC. The amended complaint raises five claims: (1) violation of the Racketeer Influenced and Corrupt Organizations Act (“RICO”), 18 U.S.C. § 1962(c); (2) RICO conspiracy, 18 U.S.C. § 1962(d); (3) violation of plaintiff’s civil rights under 42 U.S.C § 1983; (4) common

2 Throughout this Order, page numbers for docket filings refer to the page numbers assigned in ECF filing headers. law fraud; and (5) common law civil conspiracy. AC ¶¶ 307–54. Each claim is brought against all defendants. AC ¶¶ 307–54. In April 2025, all named defendants moved to dismiss. See DeRosa Motion to Dismiss (“MTD”), ECF No. 63-1; Cuomo MTD, ECF No. 62-1; GNYHA MTD, ECF No. 59- 1; Northwell Health MTD, ECF No. 61. Plaintiff filed an opposition. Mem. of Law in Opp’n

to Mots. to Dismiss (“Opp’n”), ECF No. 64. Named defendants filed replies. DeRosa Reply, ECF No. 65; Northwell Reply, ECF No. 66; GNYHA Reply, ECF No. 67; Cuomo Reply, ECF No. 68. LEGAL STANDARD When deciding a motion to dismiss, a district court must “accept[] all factual claims in the complaint as true, and draw[] all reasonable inferences in the plaintiff’s favor.” Lotes Co. v. Hon Hai Precision Indus. Co., 753 F.3d 395, 403 (2d Cir. 2014). “The issue” on a motion to dismiss “is not whether a plaintiff will ultimately prevail” but instead whether a plaintiff is “entitled to offer evidence to support the claims.” Sikhs for Just. v. Nath, 893 F. Supp. 2d 598, 615 (S.D.N.Y. 2012). Accordingly, dismissal is only appropriate if “it appears beyond doubt that the plaintiff can prove no set of facts which would entitle him or her to

relief.” Sweet v. Sheahan, 235 F.3d 80, 83 (2d Cir. 2000). Notwithstanding the presumed truth of factual allegations, conclusory allegations and legal conclusions masquerading as factual conclusions are not sufficient to prevent a motion to dismiss. Smith v. Loc. 819 I.B.T. Pension Plan, 291 F.3d 236, 240 (2d Cir. 2002); see also Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (“[T]hreadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice.”). DISCUSSION Defendants raise a number of arguments to support dismissal of the complaint, including qualified immunity, Cuomo MTD 19–24; DeRosa MTD 13–18; GNYHA MTD 26–27, failure to plausibly plead causation, Cuomo MTD 24–25; Northwell MTD 21– 22; GNYHA MTD 18–20, expiration of the statute of limitations governing Section 1983

claims, Cuomo MTD 26; Northwell MTD 23; GNYHA MTD 20–21, and failure to plead elements of civil RICO, Cuomo MTD 26–31; DeRosa MTD 18–26; Northwell MTD 15–22; GNYHA MTD 29–32.

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Nicholas Alexander, As Executor of The Estate of Nicholas A. Alexander, Deceased v. Andrew M. Cuomo, Melissa Derosa, Howard A. Zucker, M.D., Greater New York Hospital Association, Kenneth E. Raske, Northwell Health, Inc., Michael Dowling, John Does 1-10, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nicholas-alexander-as-executor-of-the-estate-of-nicholas-a-alexander-nyed-2026.