DENISE COTE, District Judge.
Plaintiff Vicky Ortiz brings this action against CIOX Health LLC ("CIOX") as successor in interest to IOD Inc. ("IOD"), and against the New York and Presbyterian Hospital ("NYPH"), named in the complaint as Columbia Presbyterian Medical Center ("CPMC").
The following facts are drawn from the FAC. In October 2016, Ortiz, through her counsel Lowell J. Sidney, made a written request to NYPH for medical records. Sidney informed NYPH that under New York Public Health Law § 18(2)(e), it could not charge more than $0.75 per page for copies of medical records. At that time, NYPH contracted with IOD, a predecessor in interest to CIOX, to provide copies of NYPH medical records and to bill NYPH's patients for those copies. Ortiz and Sidney were charged $1.50 per page for Ortiz's medical records. Ortiz, through Sidney, paid the bill even though it was in excess of the $0.75-per-page statutory maximum.
From 2011 through 2017, CIOX and NYPH have processed over 1,000 authorizations for medical records pursuant to Public Health Law § 18. The defendants continue to charge individuals similarly situated to Ortiz more than $0.75 per page for copies of their medical records.
Ortiz filed her original complaint in New York state court on February 24, 2017. CIOX was served May 1 and on May 30 removed the action to federal court, asserting federal jurisdiction under the Class Action Fairness Act. On June 22, both defendants filed motions to dismiss the original complaint. In response, Ortiz filed the FAC on July 14. On August 3, CIOX filed a motion to dismiss and also moved to strike allegations in the FAC that name CIOX employees. NYPH filed a motion to dismiss on August 4. These motions became fully submitted on August 25. On November 7, 2017, the matter was reassigned to this Court.
"[A] complaint must contain sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face to survive a motion to dismiss."
NYPH argues that Ortiz lacks standing to pursue her claims because the FAC fails to allege that she, rather than Sidney, was injured. CIOX moves additionally to dismiss the claim for injunctive relief for lack of standing.
To establish Article III standing, Ortiz must demonstrate "(1)
When moving to dismiss for lack of jurisdiction, a defendant may either challenge the pleading as facially deficient, "based solely on the allegations of the complaint," or may "make a fact-based Rule 12(b)(1) motion, proffering evidence beyond the Pleading."
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NYPH facially challenges the complaint on the ground that the FAC alleges that Ortiz's attorney, Sidney, paid for the copies of medical records, rather than Ortiz herself. The FAC alleges that "Plaintiff, through her attorneys The Law Office of Lowell J. Sidney, paid the bill which charged in excess of seventy-five cents ($0.75) per page for her medical records." The FAC further alleges that "[a]s a direct and proximate result of the foregoing, Plaintiff suffered damages by, amongst other things, being caused to pay fees for the medical records in excess of the legally permissible rate." These allegations of an agency relationship and damages are sufficient to establish standing for a damages claim at the pleading stage.
The FAC also alleges a likelihood of future injury sufficient to confer standing to pursue individual injunctive relief. The plaintiff has medical records at NYPH and the FAC alleges that "Defendants have engaged and continue to engage in an ongoing practice of overcharging persons such as Plaintiff for copies of their medical records." It is plausible that Ortiz will need to obtain her NYPH medical records in the future, and she accordingly has standing to pursue individual injunctive relief.
After Ortiz filed this action,
Ortiz brings a claim for injunctive relief as well as a claim for damages, so the satisfaction of her damages claim would not moot Ortiz's claim. Moreover, since Ortiz has brought this action as a putative class action, the issue of mootness would not be straightforward even if she were only pursuing a damages claim. "[U]nder the appropriate circumstances, class certification may relate back to the filing of the complaint," even if a named plaintiff's claims for damages have been resolved.
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These reservations apply with full force here. Individual plaintiffs bringing claims under Public Health Law § 18 are unlikely to be entitled to more than a few hundred dollars in damages, making such claims easy targets to be "picked off" individually. Accordingly, NYPH's motion to dismiss on mootness grounds is denied.
Ortiz claims in Count 1 that defendants violated § 18 of the New York Public Health Law when they charged her $1.50 per page for copies of her medical records. Defendants move to dismiss this claim because, they assert, Ortiz voluntarily paid these charges. Ortiz counters that she paid the charges under protest.
New York Public Health Law § 18 provides,
The FAC alleges that Ortiz, through Sidney, informed NYPH that it could not charge more than $0.75 per page before paying the greater amount. This is plausibly construed as a "protest" such that New York courts would not apply the voluntary payment doctrine as a bar to recovery.
Ortiz claims that defendants violated their duty of good faith and fair dealing to her when they charged her $1.50 per page for copies of her medical records. Defendants move to dismiss this claim on the ground that Ortiz has not alleged that they prevented or interfered with Ortiz's performance of a contract, as required to state a claim of breach of the duty of good faith and fair dealing under New York law.
"New York law implies [the] covenant [of good faith and fair dealing] in all contracts."
The FAC fails to state a claim for breach of the implied covenant of good faith and fair dealing. Through this claim, the FAC does not assert that the defendants deprived Ortiz of the benefit of her contract with NYPH, that is her agreement to pay NYPH in order to obtain copies of her medical records. Instead, the FAC asserts that the contract itself violated public policy as embodied in § 18 of the Public Health Law. That theory is duplicative of Count 1 and does not state a claim of breach of the duty of good faith and fair dealing. As such, Count 2 is dismissed.
Ortiz claims that defendants defrauded her when NYPH sent her records to IOD, and when IOD sent her a bill that listed charges in excess of the statutory maximum of $0.75 per page. Defendants move to dismiss Ortiz's fraud claim because she has not alleged fraud with particularity, plausibly alleged fraudulent intent on the part of defendants, or stated a claim of reasonable reliance.
Under New York law, a fraud claim must allege five elements:
The FAC fails to state a claim of fraud. The FAC alleges that the defendants issued Ortiz "fraudulent bills which materially misrepresented what was owed by Plaintiff and members of her class" in order "to induce Plaintiff into payment of more money than she was required to pay by law," and that "Plaintiff did rely on the fraudulently induced [sic] charges and paid the inflated bill." Among other things, this conclusory statement fails to plead reasonable reliance on a false statement of the defendants. As the FAC explains, the request made by Ortiz's attorney instructed the hospital that it was not legally permitted to charge more than $0.75 per page. Count 3 is accordingly dismissed.
Ortiz claims that defendants were unjustly enriched when they charged her more than $0.75 per page for copies of her medical records. Defendants move to dismiss Ortiz's claim on the grounds that she has not sufficiently alleged inequitable conduct on their part and that she alleges the existence of a contract, which precludes a claim of unjust enrichment.
"Under New York law, an unjust enrichment claim requires a plaintiff to prove that (1) defendant was enriched, (2) at plaintiff's expense, and (3) equity and good conscience militate against permitting defendant to retain what plaintiff is seeking to recover."
The FAC is premised on the existence of an agreement between Ortiz and defendants to pay $1.50 per page for copies of medical records. The existence of a contract precludes a claim of unjust enrichment under New York law. For these reasons, Count 4 is dismissed.
CIOX moves to strike several allegations in the FAC that name CIOX employees and allege that those employees were involved in a conspiracy to defraud Ortiz and other similarly situated individuals.
The inclusion of the names of CIOX's managers is gratuitous. The FAC does not allege any specific conduct to connect the named individuals to Ortiz's fraud claim. Since, however, Ortiz's fraud claim is now dismissed, the motion to strike is denied as moot.
New York law applies a three-year statute of limitations to actions "to recover upon a liability, penalty or forfeiture created or imposed by statute." N.Y. C.P.L.R. § 214(2). New York courts have interpreted this provision to apply "where liability would not exist but for a statute," but not to "liabilities existing at common law which have been recognized or implemented by statute."
C.P.L.R. § 214(2) applies to Ortiz's Public Health Law § 18 claim. There is no common law antecedent for a maximum reproduction charge for copies of medical records.
Ortiz's claim accrued when she was charged more than $0.75 per page for copies of her medical records, sometime after October 26, 2016. Ortiz's original complaint was filed in state court on February 24, 2017. Therefore, her § 18 claim is timely. The FAC, however, seeks class relief going back to 2011, in part based on Ortiz's claim for equitable relief on her unjust enrichment claim. But, as discussed above, the FAC fails to state a claim of unjust enrichment. As a result, Ortiz may only obtain relief for overcharges after February 24, 2014, three years before her original complaint was filed.
The August 3 and 4, 2017 motions to dismiss are granted as to Counts 2, 3, 4, and 5 of the FAC. The motions to dismiss are denied as to Count 1 of the FAC. CIOX's motion to strike is denied as moot in light of the dismissal of Count 3 of the FAC. The Clerk of Court is directed to replace Columbia Presbyterian Medical Center as a defendant in this matter with the New York and Presbyterian Hospital.