Landel et al v. Smyth County Community Hospital et al, No. 7:2015cv00164 - Document 50 (W.D. Va. 2015)
Court Description: MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 8/4/15. (eot)
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ûlp%m OFFI u.. Bm = Rr V s Dl AT> X RV A FICD L Ak 9i 2 1 C 25 I THE UNI N TED STATES DI STRI COURT CT FOR THE W ESTERN DI STRI OF VI CT RGW I A ROANOKE DI SI VI ON J A ukl BY; . EM OL D D ON NA CA RO L LAN D EL, Pl i tf s a n if , Ci lAci No.7: 5CV0 4 vi ton 1 016 M E M O M N D UM O PI I N N O SM YTH CO UN TY CO M M U N I H O SPI TY TAL,e .a , t l By: Hon. en E. Gl Conr d a Chi fUnied St t sDititJ e t a e src udge D e enda s f nt . Thsc s i p e e tyb f r tec u t namoin t d s s f rlc o s be t te i a e s r s nl e o e h o r o t o imis o a k f u jc matr o j rs ito tldb Dee d nsAp lc inEme g n yPh sca s(AEP' a dRo e t u idcin ie y f n a t paa ha r e c y iin ç ' n b r t ) RowlyBowma J.M . Cç . e n, r, D. Dr Bowmat l Fort r s t tf l t c twild f'. he eaons ha olow,he our l eny t tm oton. ha i Fact and ProceduralBackzround ual The f l ng f c s tke fom t c olowi a t , a n r he ompli ,a e a ce edastueatt ssagei t ant r c pt r hi t n he p o e dig . e Erc s nv Pad s 5 U. 8 , 4( 0 7 ; a v He rc Comt S h Bd, r c e n s S e ik o . r u , 51 S. 9 9 2 0 ) Luc s . n io t y c . . 822F. zd589,599( D. 2001 . supp. E. Va. ) Kol Kr t De d,at nt s ve ye ol uni ur d woman,pr s nt dt t by ysyna bor we y- e n ar d ns e e e e o he e r nc r ($ ' ofDefnda Smyt Cot yCommt t Hos tl(het pia' on me ge y oom iER') e nt h mt miy pia t t tl' Hos ) No e t 25 2 4. e Co l! 3 6 At h t i , bodt t h sr e i ci raf r v mb r , 01 S e mp . ! , . t a tme De r ç t e c e nng rt i o me e Landel et al v. 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C.j1 ,a wel a r he tt i lws r rai he td aes'28 S. 331 s l s ove al ci la tons whe e t c t ove s a i e be w e c tze ofdif r nts a e a r 1 vi c i r he on r r y r s s t en ii ns f e e t t s nd e e t s orvaueof$75, I j 1 S ci 1 rquie c eedi riy xce ds he um l 000. d. 332.l ton 332 e rs omplt ve st se a ongt pari , e ni t tt cii e hi ofe c pli ifmus be dif r n fom t m he tes m a ng ha he tz ns p a h antf t fe e t r he ctze hi ofe hdee nt'Hosharv.Appal hinPowe Co.739F. 1 1 ( h ii ns p ac fnda . c ' ac a r , 3d 63, 70 4t Ci. 1 . src c t aealoa ho iedt e rieis e ntl'urs cin o rt l r 20 4)Ditit ours r s ut rz o xecs tupplme a'j idito ve t l a 4 o h rdamst a aes rltdt damsi t ea o wihn gh c u ts oi ia j s ito t e i h t r o eae o i n h di n t i t e o r') rgn l midcin t t h yf r p r o t es mec s o e n r v ry. 2 U. C. 1 6 () A e u t a e eds ha t e o m a t f h a a e r o to es ' 8 S. j 3 7 a . o r c n x r e ' s p lme tl u idcino e s c camse e wh nt o ecamsi ov û e d n pa t s' u p e n a j rs ito v r u h li v n e h s li nv le ç n a t ri ' p e wh wo l n t t r s b s be t otec u ts u idcin.d. o u d o ohewie e u j c t h o r' j rs ito 1 Hee t ec u t a o ii lu idcino e Co n Io t ec mpan , ih alg s r ,h o r h s rgna j rs ito v r u t f h o litwhc le e t t Hos t la M SHA vi a e t Em e ge M e c Tr t e and Ac i La Ac hat he pia nd olt d he r ncy di al eam nt tve bor t CC EMTALA',42U. C.j1395 afdealsaut whi ma tst hos tl pr de ' ) S. dd, e r tt e ch ndae hat pias ovi a opr a e s r e ng e m i tons t a lpa i nt ,ir s c i oft i i tr nc s a us a ppr i t c e ni xa na i o 1 te s r e pe tve he r ns ta e t t , nd sa lzea eme genc m e c c to r vea e byt es r ni be or ta f ri or t bii ny r y dial ondii ns e l d hos c ee ngs f e r ns e rng dic gi apaten.Se Vi r v. s Ge Hos .l ,78F. 1 1 ( h Ci.1 . s har ng i t e ckes Nah n. p. nc. 3d 39, 42 4t r 996) Thec u t o sno, we e, a eo ii l u idcino e t saelw camsalg di t o r d e tho v r h v rgna j rs ito v r he tt-a li le e n he c pl i aga ns A EP a D r Bowm a be us t pa te a e no di r e.The c ts om a nt i t nd . n, ea e he ri s r t ve s our ' j rs ito o e t o ecamsi i ta p e s do s p lme tlu idcin b c u et e u idcin v r h s li s nse d rmie n u pe na j rs ito , e a s h y a ie fom t hes me c e o c r r y' a t EM TALA cli - na ey,hede e nt rs r i a t as r ontove s ' s he am m l t f nda s' a l ged f iur t pr l di nos a tea D e r le a l e o opery ag e nd r t bo d. AEP a Dr Bowm a as e t ha t c ts ul de i t e r ies ppl nt l nd . n s r t t he our ho d clne o xe cs u eme a j rs ito i t sc s . d r l o rsha eéi t dd s rto i d ci n t e rie u id ci n n hi a e Fe ea c u t v tmie icei n n e l g o xecs l ni s p e na j rs ito . Ro e to v. o Aqo-n- NO. 0 u plme tlu id ci n' b rs n Cr wn ts ç, 4:4CV0 0 3 2 0 W L ' p. 04,06 681 a *1( . Va.M a.1 2006) Seci 1 c pr dest tafdealdititc t 000, t W D. r 4, . ton 367() ovi ha e r src our ma de ln t e ecs s p e na j rs ito . i ( ) h cam r ie an v lo y cie o x rie u plme tlu id cin..f 1 t e li as s o e r c mplxis eo saelw; 2 tecam s b tn ilyp e o n tso rt cam o o e su f tt a ( ) h li u sa tal rd miae ve he li r camso e whc tedititc u t so iia j rs cin; 3 tedsrc c u t s li v r ih h src o r ha rgn l u idito ( ) h itit o r ha dimisdalcli o rwhihi ha orgi l urs ci o ( i e pto l s se l ams ve c t d i na j iditon; r 4) n xce ina cr u tnce ,t r aeohe co li r s nsf deci ngj idito ic msa s he e r t r mpelng em o or lni urs cin. 5 2 U. C. 1 67c . u t s o l c n ie tudca e o o c n n e c ,ar e st t e 8 S. j 3 () Co rs h u d o sd r j iil c n my, o ve in e fin s o h pa te ,a whehe a1t ca mswoul bee c e t beti t t r' n d i ng ris nd t r l he li d xpe t d o red ogehe 'whe ecdi wh te o no t e ries p lme tl midcino e pe d n camsa dpat si a eh r r t o xecs u p e n a j s ito v r n a t li n ri n e pa tc a c e. onesv. r a, F. pp.929,930( . Fl 1 . riulr as J Gaci 936 su M D. a. 996) AEP a Dr Bowm a a g t tt compl i ' sa e l w dai swilpr domi t nd . n r ue ha he ants t t -a m l e nae ove t EM TALA c am .Alhough t EM TALA c am a t m e ca m a p a tc ca ms r he li t he l i nd he di l l r c ie li a i e f o t s e eve s t de e z s r m he am nt , he f ndan s i i tt tt e c a m s i ve dif r ntl ga and t ns s ha hos l i nvol fe e e l f c ua q si : hesa e1 w m e c lm apr c ie cai sr quiea l i ofwhe he Dr a t l ue tons t tt a di a l a tc l m e r na yss t r . Bowm a orot r br a d t sa r ofca e i di nosngand teai Debor a n he s e che he t nda d r n ag i r tng d, nd whehe t o eb e c e p o maeyc u e De o d sij r a d ah. t eoh rha d t e t r h s r a h s r xi tl a s d b r ' nu y nd e t On h te n ,h EM TALA c am i c er d onl wih whehe De r i ta l r ceved a opra em e c l i s onc ne y t t r bo d niily e i ppr it dial s r ni a s a lz i i t ER.See K e t v. igi a N o.3: 1 CV c ee ng nd t bii aton n he iz V r ni , 1 - 00061 2011 W L , 4 70 0, t* - ( . Va Oc. , 01 )( n a , . (l h c re t e so t eUVA ER' 73 8 a 3 5 W D. . t 5 2 1 Co r d J) ç Tl e o rcn s f h i s di noss(nds e ag i a ubsquentte t nt a ars toft s r ni pr es i irl ntf rame j s e ul he cee ng oc s s reeva or p mo e o t ealg dEMTALA v oain . a i as b e tf rasae1w map a tc u ss fh l e e i lto s Th t s u j c o tt a lr cie cam.) l t ec u t o sn td eiet e evs s p lme tlu id dini s c ast ain, , i '. f h o r d e o e l o x r ie u pe n a j rs i o n u h iu to l ' n t def nt a g a alegai ofme c lma pr c ie i a ER c d g vers t a he enda s r ue, ny l ton di a l a tc n n oul i ie o f de a lw s t whih wa notCongr ssi en i pas i t EM TALA .Se Powe v. e r l a ui, c s es ' nt t n sng he e r Ari onHos As ' 42F.d 851 86 ( h Ci.1 (I TALA wasnoti e dt lnct n. sn, 3 , 4 4t r 994) CEM ntnde o diple saemaprci lw.) s a e tt l a tee a ' . ' 6 I r pons t pl i ifi it t ,i t c tde lne t e r ie s eme a n es e, he antf nsss hat f he our c i s o xe c s uppl nt l j rs it nh r ,h ywil efr e t l iaetercamsi t spaaef r ms-te u idci ee te lb o c d o i g t h i li n wo e rt o u o t h EM TALA cai i f de a cot'a t me c lma pr c ie c am si sae c t The l m n e r l ut nd he di a l a tc l i n t t our. panif h sag e t a tec u t h ude ries p lme tl u idcint frh r:h litf t u r u s h t h o r s o l xecs u p e n a j rs ito o u tt i e t prnc pl ofec m y,conve e e, aine s and c iy whih unde let pe nt i i es ono ninc f r s , om t c ri he nda j rs it n d crne'Ciyo Chc g v l tr tlCo1ofS r e n , 5 U. 1 6 1 2 7 u id ci o ti . t f ia o . nena' 1. u g o s 5 2 S. 5 , 7 - 3 o ' ( 997) Ast dee n sc r tynoe,hepl ntf sco eni unwar ntd.Shoul t 1 . he fnda t orecl t t ai if nc r s ra e d he c u t e in t e ecs s p lme tlu idcinh r, h p anifc u dsmpyrfl a1 f o r d cie o x rie u pe n a j rs ito ee t e litf o l i l eie lo he cli si sa ec t ç a ec t ar r gul ry pr e e wih que to off de a l w r am n t t our. ' t ours e e a l es nt d t St si ns e r l a a f r lpolcy, lket pli ifsEM TALA cli ,a t a etf l c pa eof nd ede a i ' i he a ntf ' am nd hey r iuly a bl dt di quesi oft ss t'Al rv.Am.Stndad Co .538F. pp.572,578( Md. ci ng tons hi or. de ' a r p, su D. 1 (ii M ai v. bout ,448U. 1 1 11( 980:. 982) ctng ne Thi ot S. , 0- 1 No eh ls,h c u t eiv se ecsn s p e na j rs cini a p o rae n t ee s te o r b l e x r iig u plme tlu idito s p r p it e he e The e i no doubtt tt pl ntf sa el w cai sa ebom eoft s r. r s ha he ai ifs tt a l m r he ame s toff c sas e at he f de a c a m . r e r l l i The m e ca m a pr tc cl i s a l ge by t pl n if do no pr e novel di l l ac i e a m le d he ai t f t es nt orc plx que tonsofVigi a lw .Se La v.Cahoun-abe t Cou v Hos As ' 846 om e si r ni a e ne l ti rv nt p. sn, F. supp.1 43( D.Fl 1 (n c s pr e i EMTALA a sat lw medial 5 N. a. 994) i a e esntng nd t e a c map a tc cams d ei igt e ecs s p e na j rs ito o rsae1w cams lrcie li , e lnn o x rie u plme tl u idcin ve tt a li be us t ecli spr s nt no li s sofFl i 1 w notye a es e by Fl i a sa e ca e hos am e e ed ve s ue orda a t ddr s d ord t t c t) Thi c thasc i rdcli oft ss tonmanyproroc sons M oeove,t ours. s our onsdee ams hi or i ca i . r r he c t sno bei vet tt sa e lw cl mswilne es a iy pr dom i t ove t f de al our doe t le ha he tt a ai l c s rl e na e r he e r c a m a l ge he e a t y ia e t o entr l s pa a e t s ofc ai s' J ,936 F. l i le d r , s he û r w i e y e r t ype l m . ones ' supp. t a 931( clni t rma sat lw me ca mapr ciecli a trdee nt rmov c e de i ng o e nd t e a di l l a tc ams fe fnda s e ed as t fdea c tba e onEM TALA cam) s ealpNes v.Cavi No.012021 2001W L o e rl our s d li ; e s lon l n, - , 7 9 6 * ( Ka s sJ l 9 2 01 (x r iigs p lme tlu id ci no e rltdsae 8 39 , 2 D. n a uy , 0 ) e ecsn u pe na j rs ito v r eae tt lw camsi EM TALA c e ;Sorelsv. bcoc 733F. a li n as) r l Ba k, supp.11 9 ( D.1.1 )ta l 8 N. 11 990 sme . 1 T) ed tieo p n e t u id cin ( i ad crn o fe iii de in dt alw $ h ocrn f e d n j rs ito ) s o ti e f lxb ly, sg e o l ( t o c t t dea wih c s i vi pe ours o l t a es nvol ng nden cli si t ma rt tm os s nsbl t am n he nne ha te iy a omm od t sar ngeofco e nsa val s'Ca ne e- e l Uni v. cc ae a nc r nd ue . r gi M lon v. Cohil 48 U. ' l, 4 S. 3 3 3 0( 9 8 . nt i c s ,h c u t o cu e t th evau sa eb s sr e by 4 , 5 1 8 ) l h s ae te o r c n ld s ha tos le r e t e v d e e csn s p e na j rs ito o e t panifssae1w cams x r iig u plme tlu idcin v r he li tf tt a li . C oncl i us on Fort r s s a e t c tw ilde t def nt sm o i t dim i s The Cl r i he ea ons t t d, he our l ny he enda ' ton o s s . ek s die t d t s ndce tfed c esoft sme o a rce o e rii opi hi m r ndum opi on a t a ompa ng or rt al ni nd he cc nyi de o l c ouns lofr or e ec d. ENTER :Ths V' d yo Au ut2 5. i N a f g s, 01 Chi fUnie St t D i t i tJ e t d a es sr c udge 8
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