Shields v. United States

CourtDistrict Court, D. Connecticut
DecidedJanuary 31, 2020
Docket3:18-cv-01655
StatusUnknown

This text of Shields v. United States (Shields v. United States) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shields v. United States, (D. Conn. 2020).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

CONROY SHIELDS, Plaintiff,

v. No. 3:18-cv-01655 (JAM)

UNITED STATES OF AMERICA, Defendant.

ORDER DENYING MOTION TO DISMISS

This case asks whether a federal court in a medical malpractice action under the Federal Tort Claims Act (“FTCA”) should apply the Federal Rules of Civil Procedure or should apply special state law pleading rules. Connecticut has a special pleading rule for medical malpractice actions. The Connecticut rule requires a plaintiff to file not just an ordinary complaint that states a claim for malpractice but also to attach to the complaint a detailed written opinion from a third- party health care provider to corroborate the plaintiff’s claim. See Conn. Gen. Stat. § 52-190a. I don’t doubt the good intentions behind the Connecticut law to discourage baseless claims of medical malpractice. But the law imposes heightened pleading requirements that the FTCA does not require and that also conflict with the Federal Rules of Civil Procedure. Therefore, I decline to apply Connecticut’s special pleading rule and will deny the Government’s motion to dismiss the complaint. BACKGROUND The complaint alleges the following facts, which I accept as true for the purposes of the Government’s motion to dismiss. Doc. #13. Conroy Shields is a veteran of the U.S. Army. In 1995, Shields began complaining of back pain, and tests conducted that year by the West Haven Veterans Administration (“VA”) Medical Center revealed damage in the area of the L4-L5 vertebrae. Despite this evidence of injury, and aware of the risks of not operating, the VA doctors refused to operate. Although Shields complained many times of back pain, and the VA conducted many MRIs showing back damage, the VA never showed those MRIs to Shields and consistently refused to operate on his back.

In 2016, the VA finally showed Shields an MRI revealing not only extensive back injury, but also the presence of exposed nerves, indicating that Shields was at risk of permanent paralysis. The VA still refused to conduct back surgery or any treatment other than pain relief, so Shields went to another hospital and had surgery. But by that time osteoarthritis had already set in. Now Shields will be in pain for the remainder of his life because of the VA’s delay in properly treating his back. Shields filed an administrative claim for malpractice with the VA, but the claim was denied. He followed by filing this lawsuit. Doc. #1. He has twice amended his complaint, Docs. #11 and #13, and he now sues the United States for medical malpractice under the FTCA.1 The Government moves to dismiss pursuant to Fed. R. Civ. P. 12 on grounds that Shields

has not complied with Connecticut’s special pleading requirements for a medical malpractice claim. See Conn. Gen. Stat. § 52-190a. Because the terms and operation of Connecticut’s law are fundamental to this ruling, I will describe its pleading requirements in some detail. Connecticut law provides that no civil action shall be filed for medical malpractice “unless the attorney or party filing the action … has made a reasonable inquiry as permitted by the circumstances to determine that there are grounds for a good faith belief that there has been

1 Although the last amended complaint names only the VA as a defendant, the Government and Shields agree that the United States may be substituted as the proper party defendant. Doc. #17-1 at 7-8. The Clerk of Court shall dismiss the Veterans Administration as a defendant and substitute the United States of America as the defendant in this action. negligence in the care or treatment of the claimant.” Conn. Gen. Stat. § 52-190a(a). To implement this duty of inquiry, the law imposes an explicit good faith certification requirement: that “[t]he complaint … shall contain a certificate of the attorney or party filing the action … that such reasonable inquiry gave rise to a good faith belief that grounds exist for an action against

each named defendant.” Ibid. In addition to this good faith certification, the law provides that “[t]o show the existence of such good faith, the claimant or the claimant’s attorney … shall obtain a written and signed opinion of a similar health care provider … that there appears to be evidence of medical negligence and includes a detailed basis for the formation of such opinion.” Ibid. The plaintiff or his attorney “shall attach a copy of such written opinion” to the good faith certificate. Ibid.2 Thus, section 52-190a imposes three interlocking requirements on a plaintiff who wishes to file a medical malpractice action: (1) that the plaintiff make a reasonable inquiry to determine if there are grounds for a good faith belief that there has been medical negligence; (2) that the complaint “contain” a certification of the plaintiff or the plaintiff’s attorney that the reasonable

inquiry gave rise to a good faith belief that there was medical negligence; and (3) that the plaintiff “attach” to the certification a copy of the detailed third-party medical opinion. I will refer to the Connecticut law as a “medical certification of merit” requirement, by which I mean primarily the law’s requirement that a complaint include a corroborating medical opinion from a similar health care provider. The law provides that the failure of a plaintiff to

2 The law provides that the plaintiff must retain the original of the medical opinion and that the copy of the opinion that is attached to the good faith certification must have “the name and signature of the similar health care provider expunged.” Conn. Gen. Stat. § 52-190a. Moreover, “[s]uch written opinion shall not be subject to discovery by any party except for questioning the validity of the certificate.” Ibid. The law does not impose any further requirement that the plaintiff call the author of the medical opinion as a trial witness or that the initial medical opinion play any role in the post-complaint adjudication of a medical malpractice claim. obtain and file this medical opinion as part of the complaint is grounds for dismissal of the action. See Conn. Gen. Stat. § 52-190a(c). The Connecticut Supreme Court has noted “that the purpose of § 52–190a and its requirement of a good faith certificate was to prevent the filing of frivolous medical malpractice

actions.” Morgan v. Hartford Hosp., 301 Conn. 388, 398 (2011). It has ruled that both the good faith certificate as well as the medical provider opinion are “akin to a pleading that must be attached to the complaint in order to commence properly the action.” Ibid. Following the Government’s filing of its motion to dismiss, I appointed pro bono counsel for Shields because I questioned whether the pleading requirements of section 52-190a should apply in a federal court action. I noted that “[f]ederal courts are divided on the issue of whether such a state law certification requirement applies in federal court, and the Second Circuit has not decided the issue. See Cornelius v. ECHN Rockville Gen. Hosp., 2014 WL 2986688, at *1 (D. Conn.

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