ANITA B. BRODY, District Judge.
Plaintiff Leadawn Ferguson brings suit against the United States, several Customs and Border Protection Officials ("collectively", the "CBP Defendants"),
Leadawn Ferguson is a 36 year-old African-American United States citizen. Am. Compl. ¶ 1. In December 2012, she traveled
Despite Ferguson's statements, the CBP Defendants continued to interrogate her. Id. ¶ 47. They asked Ferguson to submit to a pat down. Id. ¶ 52. When she refused, she was told that she was not under arrest but that she could not leave the Airport. Id. ¶¶ 53-55. After the CBP Defendants told her that she would be released if she consented to a pat down, Ferguson agreed to submit to a pat down. Id. ¶¶ 56-57. She was taken to a small room, where CBP Defendant Tandaric administered the pat down. Id. ¶ 58. Tandaric did not find any drugs or contraband on Ferguson, but did not permit her to leave the room. Id. ¶¶ 58-60. Instead, the CBP Defendants resumed their interrogation. Id. ¶ 61. Throughout the interrogation, Ferguson repeatedly asked to contact an attorney. Id. ¶ 62. The CBP Defendants denied her requests. Id. The interrogation at the Airport lasted approximately seven hours. Id. ¶ 64.
At some point during the interrogation, the CBP Defendants decided to seek Ferguson's consent to take her to a hospital and use medical equipment to search her body for drugs. Id. ¶¶ 63-64. Ferguson again refused to give her consent without first speaking with an attorney. Id. ¶ 66. The CBP Defendants, including Lemanski and Tandaric, continued to deny Ferguson's request to speak with an attorney and refused to let her leave the Airport. Id. ¶ 67. Instead, they placed Ferguson in handcuffs and shackles, dragged her to an Airport exit, positioned her in the back seat of a marked law enforcement vehicle, and transported her to Mercy Fitzgerald Hospital in Darby, Pennsylvania, approximately twenty minutes away from the Airport. Id. ¶¶ 69-71. They arrived at the Hospital at around 3:24 a.m. on the morning of December 5, 2012. Id. ¶ 73.
The CBP Defendants, including Lemanski and Tandaric, removed Ferguson from the vehicle and brought her into the Hospital. Id. ¶ 72. Ferguson remained handcuffed and shackled. Id. ¶ 72. CBP Defendants Lemanski, Tandaric, and Gulkis spoke with the Hospital staff and suggested that Ferguson was "body packing," or transporting drugs inside of her body. Id. ¶ 75. The CBP Defendants "provided false and misleading information to the Hospital suggesting that [ ] Ferguson was `body packing' and/or acquiesced in the conclusion of Hospital medical staff that [ ] Ferguson was `body packing.'" Id. ¶ 75. Hospital Employee Defendant Traboscia, who was working as a triage nurse at the time, then assessed Ferguson. Id. ¶ 76. Traboscia recorded that Ferguson was refusing medical treatment. Id. ¶ 78. Traboscia also noted that Ferguson did not appear to display any of the symptoms associated with "body packing," such as difficulty breathing, neurological deficits, or incoherent speech. Id. ¶ 77. Despite Traboscia's observations, the Hospital staff admitted Ferguson into the Hospital, secured her in a room, and conducted various tests on her
First, the CBP Defendants and the Hospital Employee Defendants asked Ferguson to sign a medical consent form authorizing medical treatment and services. Id. ¶ 79. Ferguson refused. Id. ¶ 80. When Ferguson refused to give her consent, Hospital staff placed her in an inpatient room guarded by CBP Defendants, including Lemanski and Tandaric. Id. ¶¶ 81-83. At some point later on, Reynolds and Brown replaced Lemanski and Tandaric. Id. ¶ 83. They directed Ferguson to provide a urine and fecal sample in their presence, and told her that she would be kept in the room until she complied. Id. ¶ 84. CBP Defendants remained in the room with Ferguson and outside of the room's entrance at all times. Id. ¶ 82.
Ferguson remained in the Hospital room for several hours. Id. ¶ 87. While she was there, the Hospital assigned Hospital Employee Defendants Isenberg and Chowdhury to assess her. Id. ¶ 86. Isenberg and Chowdhury were aware that Ferguson had refused medical treatment and that she had not presented symptoms consistent with "body packing." Id. ¶ 88. Isenberg and Chowdhury were also aware that the CBP Defendants did not have a warrant permitting them or the Hospital Employee Defendants to detain, X-ray, examine, or otherwise search Ferguson. Id. ¶¶ 88-89. At some point while she was held in the Hospital room, Ferguson overheard a Hospital employee express concern about the CBP Defendants' lack of a warrant and state that the staff could not examine or perform an X-ray on her without her consent. Id. ¶ 87. Nevertheless, Isenberg and Chowdhury did not release her from the Hospital. Id. ¶ 90.
During the morning of December 5, 2012, Dr. Raj K. Ghimire and Hospital Employee Defendants Sammon and Rutland assumed responsibility for Ferguson's care. Id. ¶ 91. Rutland tried to discuss Ferguson's medical status in the presence of the CBP Defendants. Id. ¶ 92. Ferguson refused to discuss her medical status with Rutland or be assessed by her in the presence of the CBP Defendants. Id. ¶ 93. She explained to Rutland that the CBP Defendants had been holding her against her will for hours. Id. Based on her assessment, Rutland concluded that Ferguson was exhibiting signs of an elevated heart rate, called tachycardia. Id. ¶ 94. As a result, Ferguson was admitted to the Hospital due to tachycardia and "possible drug toxicity." Id. ¶ 96.
Once she was admitted, Ferguson was assessed by Sammon. Id. ¶ 97. Sammon told Ferguson that she wanted to examine her due to her elevated heart rate. Id. Ferguson explained to Sammon that her heart rate was elevated because of the stress she had experienced from being detained, and because she had not slept, eaten, or had anything to drink for many hours. Id. ¶ 98. Sammon also spoke with the CBP Defendants, who told her that they were in the process of obtaining a warrant to examine Ferguson and search her body. Id. ¶ 99. Sammon noted in Ferguson's medical chart that she was permitted to refuse medical treatment because the CBP Defendants had not yet obtained a warrant. Id. ¶ 100. The CBP Defendants never obtained a warrant. Id. ¶ 101. Instead, they asked Sammon to involuntarily commit Ferguson in order to avoid the need to obtain a warrant. Id. ¶ 104. At some point that day, Sammon involuntarily committed Ferguson, claiming that she presented a harm to herself. Id. ¶ 102.
After Sammon involuntarily committed Ferguson, she determined that she and
Sammon directed Rutland to insert an IV into Ferguson and administer two medications intravenously: lorazepam, a sedative, and olanzapine, an anti-psychotic. Id. ¶¶ 111-14. Sammon and Rutland administered these medications without obtaining Ferguson's consent, medical history, or current medication information, and did not advise or warn Ferguson about the medications' risks or effects. Id. ¶¶ 118-19. As a result of the sedative and anti-psychotic drugs, Ferguson became sedated and disoriented. Id. ¶ 115.
The Hospital staff, on Sammon's orders, then performed a battery of tests on Ferguson. Id. ¶ 120. First, the staff performed an electrocardiogram study. Id. ¶ 122. Sammon requested the study by noting that Ferguson had reported chest pain even though Ferguson denied ever experiencing any chest pain or reporting it to Sammon. Id. ¶ 122-23. Next, Rutland inserted a catheter into Ferguson and withdrew urine from her bladder. Id. ¶ 124. Rutland and the CBP Defendants then transported Ferguson to the Radiology Department and conducted an X-ray of her abdomen. Id. ¶ 126. Although the X-ray was negative for foreign objects, the staff proceeded to conduct a CT scan of Ferguson. Id. ¶¶ 127-28. In addition to the electrocardiogram, abdominal X-ray, and CT scan, the Hospital staff administered a number of tests on Ferguson's urine and blood, including a pregnancy test. Id. ¶¶ 125, 130. Every test was negative for illegal substances, and none of the medical procedures revealed the presence of any foreign objects inside of Ferguson's body. Id. ¶ 131.
When Ferguson awoke from the sedative medication, she was not informed of the procedures she had been subjected to, nor was she told about the drugs that had been administered to her intravenously or about their effects. Id. ¶¶ 132-33. At 6:00 p.m. on December 5, 2012, approximately twenty-four hours after she was first detained at the Airport, Ferguson was permitted to leave the Hospital. Id. ¶ 134. The CBP Defendants, including Reynolds and Brown, led her to a law enforcement vehicle, transported her to the Airport, returned her luggage, and released her. Id. ¶¶ 138-39. Ferguson then went to her car and proceeded to drive to her home in Maryland. Id. ¶ 140. En route to her home, however, she crashed into a highway median. Id. ¶¶ 141-42. As a result of the crash, her car was damaged and she suffered physical injuries. Id. ¶ 143.
Ferguson brought suit against the United States, the CBP Defendants, Mercy, the Hospital Employee Defendants, and Mercy Health System for her physical and emotional injuries arising from her detention, seizure, search, exposure to nonconsensual medical procedures, and car accident. Am. Compl., ECF No. 30. On June 1, 2015, the Hospital Employee Defendants filed a partial motion to dismiss Ferguson's Bivens claims against them, Counts
In deciding a motion to dismiss under Rule 12(b)(6), a court must "accept all factual allegations as true, construe the complaint in the light most favorable to the plaintiff, and determine whether, under any reasonable reading of the complaint, the plaintiff may be entitled to relief." Phillips v. Cty. of Allegheny, 515 F.3d 224, 233 (3d Cir.2008) (citation omitted) (internal quotation marks omitted).
To survive dismissal, a complaint must allege facts sufficient to "raise a right to relief above the speculative level." Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007). "Threadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice." Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009). Rather, "a complaint must contain sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face." Id. (citation omitted) (internal quotation marks omitted). "A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged." Id.
"As a general matter, a district court ruling on a motion to dismiss may not consider matters extraneous to the pleadings. However, an exception to the general rule is that a document integral to or explicitly relied upon in the complaint may be considered...." In re Burlington Coat Factory Sec. Litig., 114 F.3d 1410, 1426 (3d Cir.1997) (emphasis omitted) (citations omitted) (internal quotation marks omitted). Thus, a court may "consider matters of public record, orders, exhibits attached to the complaint and items appearing in the record of the case." Oshiver v. Levin, Fishbein, Sedran & Berman, 38 F.3d 1380, 1384 n. 2 (3d Cir.1994). Further, "a court may consider an undisputedly authentic document that a defendant attaches as an exhibit to a motion to dismiss if the plaintiff's claims are based on the document." Pension Benefit Guar. Corp. v. White Consol. Indus., Inc., 998 F.2d 1192, 1196 (3d Cir.1993).
Ferguson brings suit against the Hospital Employee Defendants under Bivens for unlawful search in violation of the Fourth Amendment (Count VI), unlawful seizure in violation of the Fourth Amendment (Count VII), and violation of the Due Process Clause of the Fifth Amendment (Count VIII).
In Bivens v. Six Unknown Federal Narcotics Agents, the Supreme Court recognized a private right of action for damages against federal officers who violate a citizen's Fourth Amendment rights. 403 U.S. 388, 91 S.Ct. 1999, 29 L.Ed.2d 619 (1971). Unlike a private citizen, "an agent acting — albeit unconstitutionally — in the name of the United States possesses a far greater capacity for harm than an individual trespasser exercising no authority other than his own." Id. at 392, 91 S.Ct. 1999. Although the Court acknowledged that the United States Constitution did not explicitly provide for enforcement through private damages actions, it reasoned that "where federally protected rights have been invaded ... courts will be alert to adjust their remedies so as to grant the necessary relief." Id. at 392, 91 S.Ct. 1999 (citation omitted) (internal quotation marks omitted). Finding no "special factors counseling hesitation," id. at 396, 91 S.Ct. 1999, the Court created "an implied private action for damages against federal officers alleged to have violated a citizen's constitutional rights." Corr. Servs. Corp. v. Malesko,
Following Bivens, the Supreme Court has explicitly recognized actions for damages under specific circumstances against federal actors who abuse their constitutional authority. See Carlson v. Green, 446 U.S. 14, 100 S.Ct. 1468, 64 L.Ed.2d 15 (1980) (recognizing an implied damages remedy under the Cruel and Unusual Punishments Clause of the Eighth Amendment); Davis v. Passman, 442 U.S. 228, 99 S.Ct. 2264, 60 L.Ed.2d 846 (1979) (recognizing an implied damages remedy against federal actors for violations of the Due Process Clause of the Fifth Amendment).
"A Bivens action ... will lie where the defendant has violated the plaintiff's rights under color of federal law."
A private party may be considered a federal actor under certain circumstances. Brown, 250 F.3d at 801. In Brown, the Third Circuit explained that "in order to determine whether the conduct of a private party should be attributed to the federal government, courts apply the `state action' analysis" established by the Supreme Court in the § 1983 context. Brown, 250 F.3d at 801. "The object of the inquiry is to determine whether ... the defendant exercised power possessed by virtue of [federal] law and made possible only because the wrongdoer is clothed in the authority of [federal] law." Id. (alteration in original) (citation omitted) (internal quotation marks omitted).
Under Third Circuit precedent, a private party's conduct must satisfy one of three theories of federal action in order to be considered a federal actor: (1) the "public function" test, requiring that the private party perform a traditionally public function that is the "exclusive prerogative" of the government; (2) the "close nexus" test, requiring the government to exercise "coercive power" or "significant encouragement" over the private party; or (3) the "symbiotic relationship" test, requiring the government to have "insinuated itself into a position of interdependence" with the private party. Brown, 250 F.3d at 801 (applying
The Hospital Employee Defendants move to dismiss Ferguson's Bivens claims against them because they are private individuals who cannot be sued under Bivens. The Hospital Employee Defendants are doctors and nurses who work for the Hospital. Although they are private individuals whose employment is unaffiliated with the federal government, Ferguson alleges that they acted in concert with the CBP Defendants to deprive her of her constitutional rights. Therefore, under Brown's federal action analysis, the relationship between the federal officials and the private parties at issue here can be addressed under the "close nexus" test.
The "close nexus" test will be satisfied when the government "has exercised coercive power or has provided such significant encouragement, either overt or covert, that the choice must in law be deemed to be that of the [government]." Am. Mfrs. Mut. Ins. Co. v. Sullivan, 526 U.S. 40, 52, 119 S.Ct. 977, 143 L.Ed.2d 130 (1999) (citation omitted) (quotation marks omitted). The "close nexus" test requires the government actor to "compel, influence or encourage" the unconstitutional conduct by the private party. Brown, 250 F.3d at 802; see also Max v. Republican Comm. of Lancaster Cty., 587 F.3d 198, 203 (3d Cir. 2009) (noting that "a private party can be liable under § 1983 if he or she willfully participates in a joint conspiracy with state officials to deprive a person of a constitutional right"). However, "[a]ction taken by private entities with the mere approval or acquiescence of the [government] is not [federal] action." Sullivan, 526 U.S. at 52, 119 S.Ct. 977 (citing Blum v. Yaretsky, 457 U.S. 991, 1004-05, 102 S.Ct. 2777, 73 L.Ed.2d 534 (1982)).
Taking Ferguson's factual allegations as true, the Bivens claims against the Hospital Employee Defendants for alleged violations of the Fourth and Fifth Amendments are plausible under the "close nexus" test. Ferguson's allegations, if true, chronicle a harrowing saga, in which Hospital doctors, nurses, and federal officers worked together to deprive a citizen of her rights by detaining her for hours, violating her bodily integrity, and subjecting her to medical procedures absent any apparent medical need. The Officers not only transported, guarded, and observed Ferguson while she was in the care of the Hospital Employee Defendants, but also conferred with the doctors and nurses to admit her to the Hospital, search her body, and involuntarily commit her in order to administer medication and perform invasive medical procedures against her will and without a warrant. Specifically, Ferguson alleges that a male CBP Defendant conducted a close visual inspection of Ferguson's body, after Hospital staff forcibly restrained her and removed her clothing, and immediately before Hospital staff conducted their own invasive physical examination; and that CBP Defendants consulted with Hospital Employee Defendants about involuntarily committing Ferguson to avoid obtaining a warrant. These allegations, if proven, point to the sort of compulsion, influence, and encouragement needed to satisfy the "close nexus" test for federal action.
The Hospital Employee Defendants move to dismiss Ferguson's Bivens claims against them. Notwithstanding this Circuit's decision in Brown, they argue that they cannot be sued under Bivens because they are private individuals. In support of this position, they rely exclusively on the Supreme Court's holding in Minneci v. Pollard, ___ U.S. ___, 132 S.Ct. 617, 181 L.Ed.2d 606 (2012). In Minneci, the Supreme Court declined to recognize a Bivens
The holding of Minneci, however, is consistent with Brown's federal action analysis for Bivens claims against private parties. The Minneci decision neither addresses the federal action analysis, nor the three methods for establishing federal action — the public function test, close nexus test, or symbiotic relationship test — recognized in Brown.
Moreover, the Minneci Court emphasized that the holding was narrow and limited in scope:
132 S.Ct. at 626. Minneci explicitly leaves "different cases and different state laws to another day." Id.
Given the absence of any discussion of the "close nexus" test and the explicitly narrow scope of the holding, Minneci simply fails to undermine the Third Circuit's "close nexus" test. See Poulis v. State Farm Fire and Cas. Co., 747 F.2d 863, 867 (3d Cir. 1984) ("If the judges of [the Third Circuit] are bound by earlier panels, a fortiori district court judges are similarly bound. Recognition of the hierarchical nature of the federal judiciary requires no less.").
As discussed above, Ferguson's allegations, if true, demonstrate that the CBP Defendants worked with and encouraged the Hospital Employee Defendants to detain, admit, examine, and involuntarily commit Ferguson to the Hospital, and perform invasive medical tests on her body, all without medical justification and without a warrant. The conduct Ferguson alleges was conducted by private parties who acted in concert with the federal actors. Ferguson has pled facts more than sufficient to withstand the Hospital Employee Defendants' partial motion to dismiss. The Hospital Employee Defendants' motion will be denied without prejudice to raise the issue at the conclusion of discovery, when the parties will have the benefit of a fuller record.
For the reasons discussed above, the Hospital Employee Defendants' partial motion to dismiss (ECF No. 34) will be denied without prejudice to raise the issue at summary judgment.