Taglieri v. Moss

842 A.2d 280, 367 N.J. Super. 184
CourtNew Jersey Superior Court Appellate Division
DecidedFebruary 26, 2004
StatusPublished
Cited by4 cases

This text of 842 A.2d 280 (Taglieri v. Moss) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Taglieri v. Moss, 842 A.2d 280, 367 N.J. Super. 184 (N.J. Ct. App. 2004).

Opinion

842 A.2d 280 (2004)
367 N.J. Super. 184

William TAGLIERI, as Executor of the Estate of Mark F. Yatrofsky, Deceased, Plaintiff-Respondent,
v.
Albert MOSS, M.D., Defendant-Appellant, and
Eckerd Drugs and Boyts Pharmacy, Defendants.
Albert Moss, M.D., Third-Party Plaintiff-Appellant,
v.
William Taglieri, Individually, and Barry Sherwin, Third-Party Defendants, and
Claus Warnebold, Third-Party Defendant/Counterclaimant-Respondent.
Claus Warnebold, Fourth-Party Plaintiff,
v.
Prudential Property and Casualty Ins. Co. of New Jersey, Fourth-Party Defendant.

Superior Court of New Jersey, Appellate Division.

Argued October 16, 2003.
Decided February 26, 2004.

*281 Franca D. Maiorano-Hobbs, Roseland, argued the cause for appellant Albert Moss, M.D. in A-5052-02T5 (Sharp & Brown, attorneys; Ms. Maiorano-Hobbs, of counsel, Leonard S. Rothbard, on the brief).

Lauren Koffler O'Neill, argued the cause for appellant Albert Moss, M.D. in A-5053-02T5 (Post, Polak, Goodsell, MacNeill & Strauchler, attorneys; Ms. O'Neill, of counsel, Ms. O'Neill, Roseland and Nancy Crosta Landale, Madison, on the brief).

Leonard C. Leicht, Livingston, argued the cause for respondent Claus Warnebold *282 in both appeals (Morgan, Melhuish, Monaghan, Arvidson, Abrutyn & Lisowski, attorneys; Mr. Leicht, of counsel and on the brief).

David Mazie, Livingston, on behalf of respondent William Taglieri, joined in the brief filed on behalf of respondent Claus Warnebold in both appeals (Nagel, Rice & Mazie, attorneys; Mr. Mazie, of counsel).

Before Judges CARCHMAN, WECKER and WEISSBARD.

The opinion of the court was delivered by WECKER, J.A.D.

These appeals, which we now consolidate and address in one opinion,[1] arise in the context of a medical malpractice action brought by fourth-party plaintiff Claus Warnebold against defendant Albert Moss, M.D. Warnebold alleges that Moss's excessive prescription of narcotic drugs proximately caused his drug addiction. The record establishes that Moss knowingly violated regulations that control the prescription of Schedule II narcotic drugs. Three significant issues are raised by these appeals.

The first issue, common to both appeals brought on behalf of Moss, is whether a physician's knowing violation of the regulations is merely evidence of professional negligence, or whether the violation establishes negligence as a matter of law. The second issue, relating only to the appeal in A 5053, is whether the physician's conduct constitutes "willful misconduct" as contemplated by the Tort Claims Act, N.J.S.A. 59:1-1 to 59:12-3, specifically N.J.S.A. 59:3-14, as a matter of law. The third issue, also relating solely to A-5053, is whether the verbal threshold established by the Act, N.J.S.A. 59:9-2d, shields the physician from liability for non-economic damages despite the non-exoneration provisions of N.J.S.A. 59:3-14.[2]

Both appeals arise out of Warnebold's medical malpractice action against his former physician, Moss.[3] Warnebold alleges that Moss wrote post-dated and undated *283 prescriptions for several Schedule II narcotic drugs, contrary to N.J.A.C. 8:65-7.5(a)[4] and N.J.A.C. 8:65-7.9,[5] regulations enacted pursuant to the New Jersey Controlled Dangerous Substances Act, N.J.S.A. 24:21-1 to-53.[6] Warnebold claims that Moss's conduct was a proximate cause of his addiction to narcotics and resulting damages.

After a confusing history of orders on several dispositive motions filed by various parties, the Law Division Judge granted partial summary judgment "on liability" in favor of Warnebold, holding that Moss's willful violations of the administrative regulations constituted negligence as a matter of law.[7] The judge also held that Moss's actions constituted willful misconduct pursuant to N.J.S.A. 59:3-14 and deprived defendant of any protection otherwise available under the Tort Claims Act, specifically, the verbal threshold set forth in N.J.S.A. 59:9-2d. We granted Moss's motions for leave to file these interlocutory appeals and now affirm in both appeals.

A brief summary of the facts will be sufficient for purposes of these appeals. Warnebold's medical history, specifically his use of addictive narcotic drugs, apparently began in 1987 with Percocet prescribed for headaches. His drug use continued through 1990, when he underwent a lumbar laminectomy, but he went through a hospital-based detoxification program in 1991. In March 1997, while Moss was employed as a physician for HIP/Pinnacle Medical Group, Warnebold first became his patient. Over the next four years, Moss repeatedly provided Warnebold with post-dated and undated prescriptions for narcotic drugs known as Percocet and Tylox, as well as for a muscle relaxant known as Soma.[8]

Pursuant to an agreement between Moss and Warnebold that neither disputes, Moss wrote prescriptions for those drugs for Warnebold for months at a time. Moss also instructed Warnebold not to present an undated or post-dated prescription to *284 any pharmacy. In April 1999, Moss became an employee of the University of Medicine and Dentistry of New Jersey ("UMDNJ"), a public entity, where he continued to treat and prescribe for Warnebold until some time in the first half of 2001.[9]

Moss testified in depositions that he knew that Schedule II narcotics required a prescription, and that the drugs he prescribed for Warnebold had the potential for being addictive. Moss admitted that Warnebold was "pain medication dependent," meaning that his "complaints may exceed the usual medication schedule." Moss also knew that the law prohibited doctors from writing prescriptions to authorize refills for narcotic drugs. He also testified that he believed that it was acceptable medical practice to write undated or post-dated prescriptions for Schedule II narcotics and that at no time did he deviate from what he presumed to be the standard of care owed to his patient.

When questioned about limits on the permissible quantity of such medications to be prescribed, and confronted with prescriptions he wrote that bore dates three or four days apart, each for quantities of 80 or 120 pills, filled at several different pharmacies, Moss answered that the amount would depend upon the patient's need and one should not prescribe "a ridiculous" amount. The record supports Warnebold's experts' descriptions of an excessive quantity and frequency of prescriptions written for him by Moss, far in excess of the quantity that would be medically supportable.

There is no dispute that Warnebold was already addicted to prescription narcotic drugs when he came to Moss, asking for prescriptions for Percocet and Tylox, a fact Warnebold's expert, Kevin E. Bell, M.D., noted in his report. Nothing in the record contradicts Dr. Bell's statement that the recommended dosage for those drugs is a maximum of two tablets, four times a day for "short term" pain relief.[10]

The record reflects, for example, that in the seven-month period from January 24, 2001 through July 7, 2001, Moss provided Warnebold with prescriptions for 840 Tylox plus 2,920 Percocet, for a total of 3,760 units. Moss alleges that he provided prescriptions for a larger supply to accommodate Warnebold, for whom it was difficult to make frequent trips to the doctor's office.

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Bluebook (online)
842 A.2d 280, 367 N.J. Super. 184, Counsel Stack Legal Research, https://law.counselstack.com/opinion/taglieri-v-moss-njsuperctappdiv-2004.