McDONALD, J.
In the parable of the Good Samaritan, a man on the way from Jerusalem to Jericho is robbed, beaten, and left for dead. Two passers-by of significant social and religious status see the injured man, but choose to cross to the other side of the road. A third traveler of less repute, a Samaritan, comes to the man's aid, takes him to an inn, tends to him through the night, and then pays the innkeeper the next morning to continue the man's care.
We do not know from the parable whether the fear of civil liability discouraged the first two passers-by from intervening. In modern-day Maryland, a State law known as the Good Samaritan Act seeks to remove that disincentive, particularly for individuals who have the knowledge and skills to provide useful medical assistance at an emergency, by granting those individuals immunity from liability should something go awry. In some instances that immunity extends to an entity when its personnel provide emergency aid.
Another source of immunity — sovereign immunity — derives from the ancient tenet that "the King can do no wrong."
These two statutes — the one potentially applicable to a broad class of actors but focused on emergency situations, the other applicable to a narrower class but broader in the scope of the immunity it confers — provide overlapping protection to some extent. This case concerns whether one, or both, of these statutes necessarily relieves a commercial ambulance company of liability for the allegedly negligent actions of one of its employees in providing assistance to a patient when an emergency arose while the employee was in training. We hold that they do not.
On November 15, 2007, Respondent Bryson Murray,
UMMS arranged for PHI Air Medical to carry out the transport by helicopter. Present on the helicopter was a flight paramedic team that included a UMMS pediatric intensive-care nurse, a PHI flight paramedic, and a PHI flight nurse. Also present was Chris Barbour,
After the helicopter arrived at Easton Memorial, Mr. Barbour set up equipment and the team placed Bryson on the aircraft. Shortly after take-off, however, Bryson's heart rate and oxygen blood level began to drop, because, according to the allegations in the complaint, the endotracheal tube had become dislodged and was blocking his airway. Members of the flight team searched for a pediatric air mask to restore Bryson's breathing, but were unable to locate it. The helicopter then landed at Bay Bridge Airport in Stevensville, where the flight paramedic retrieved the mask from its storage compartment and Bryson was reintubated. Bryson's cardiac activity returned to normal
Bryson, by his mother, Karen Murray, subsequently filed a complaint against TransCare alleging medical malpractice on the basis that its employee, Mr. Barbour, had failed to provide the requisite standard of care and that TransCare was vicariously responsible under the principle of respondeat superior.
TransCare moved for summary judgment, arguing that it was immune from liability under both the Good Samaritan Act and the Fire and Rescue Act. The Circuit Court for Talbot County
TransCare thereafter filed a motion for reconsideration, submitting two affidavits that established the company's independent corporate status and described its billing practices. Following a hearing on that motion, the Circuit Court concluded that there were no remaining disputes of material fact and that TransCare was immune under both the Good Samaritan Act and the Fire and Rescue Act. It therefore granted summary judgment in favor of TransCare.
The Murrays appealed and the Court of Special Appeals reversed, holding that neither statute applied to a private, for-profit ambulance company. 203 Md.App. 172, 37 A.3d 987 (2012). TransCare petitioned this Court for certiorari. We granted the petition to determine whether either the Good Samaritan Act or the Fire and Rescue Act relieves a commercial ambulance company of civil liability for the alleged
Whether summary judgment was properly granted is a question of law; we review the Circuit Court's decision to determine whether it was legally correct. Walk v. Hartford Cas. Ins. Co., 382 Md. 1, 14, 852 A.2d 98 (2004). Like the Circuit Court, we view the record in the light most favorable to the non-moving party to ascertain whether there is a dispute of material fact and, if not, whether the moving party is entitled to judgment as a matter of law. Jurgensen v. New Phx. Atl. Condo. Council of Unit Owners, 380 Md. 106, 114, 843 A.2d 865 (2004).
In order to assess TransCare's claims of immunity, we must construe two statutes — the Good Samaritan Act and the Fire and Rescue Act. This Court has frequently reiterated the principles that guide statutory interpretation, which we summarize as follows:
See, e.g., Willis v. Montgomery County, 415 Md. 523, 536-37, 3 A.3d 448 (2010).
Under the common law, there is no general duty to provide assistance to those in peril. See Prosser, Law of Torts (4th ed.1971) § 56 at 340-43 ("the law has persistently refused to recognize the moral obligation, of common decency and common humanity, to come to the aid of another human being who is in danger ..."). Moreover, under general principles of tort law, one who voluntarily chooses to aid another owes that person a duty of care; a failure to exercise such care may result in legal liability. See Remsburg v. Montgomery, 376 Md. 568, 589-90, 831 A.2d 18 (2003); see also 57A Am.Jur.2d Negligence § 104 (2012); Restatement 2d of Torts, §§ 323, 324. This risk of potential liability led to the unsatisfactory result that health care professionals capable and willing to provide emergency medical services had (in theory, at least) a disincentive to do so. See Silver, The Duty to Rescue: A Reexamination and Proposal, 26 Wm. & Mary L.Rev. 423, 428 (1985).
Beginning in California in 1959,
Pertinent to this case, the Maryland Good Samaritan Act provides immunity to specified individuals and entities from liability for ordinary negligence that occurs in connection with assistance or medical care rendered without fee or other compensation at the scene of an emergency or in transit to a medical facility.
Maryland Code, Courts and Judicial Proceedings Article ("CJ") § 5-603.
As TransCare is a commercial ambulance company, the application of CJ § 5-603(b)(3) to it depends, in part, on whether the adjective "volunteer" modifies only "fire department" or also modifies "ambulance and rescue squad." If "volunteer" modifies only "fire department," TransCare potentially has immunity as an "ambulance squad" (if its "members" have immunity). If "volunteer" also modifies "ambulance and rescue squad," TransCare does not have immunity under this provision (regardless of whether its "members" or employees have immunity). Either construction of the phrase is grammatically correct; in light of this ambiguity in meaning, we resort to the statute's legislative history to discern its purpose.
What is now CJ § 5-603(b)(3) was added to the Good Samaritan Act in 1979. Chapter 301, Laws of Maryland 1979.
When the General Assembly first enacted the Good Samaritan Act in 1963, the statute applied only to physicians who provided free medical assistance at the scene of an accident.
In 1970, in the course of recodifying the statute, the Legislature returned the adjective "volunteer" to the statute. Chapter 736, Laws of Maryland 1970.
In 1976, the Good Samaritan Act was revised in response to advice from the Attorney General's Office that an amendment of the Act was necessary to ensure that functions carried out under the new State Emergency Medical System were covered by the Good Samaritan Act. See Letter of Assistant Attorney General Paul Walter to R. Adams Cowley, M.D. (October 24, 1974). That advice did not suggest that the Act needed to be extended to commercial ambulance companies or other for-profit entities.
The 1976 revision encompassed the entire statute, including the provision concerning members of fire departments and ambulance and rescue squads. In particular, the description of the individuals covered by immunity in that provision was changed from "[t]he members of any fire department or volunteer ambulance and rescue squads ..." to "[a] member of any State, county, municipal, or volunteer fire department, ambulance and rescue squad..." Chapters 558, 689, Laws of Maryland 1976. The shifting of the adjective "volunteer" within the introductory phrase, however, did not signify an indirect expansion
The extension of immunity to the entities themselves in addition to their members — what is now CJ § 5-603(b)(3) — was added to this provision three years later.
A submission to the Legislature by the Anne Arundel County Executive's office explained the need for the amendment. It indicated that the County had agreed to provide legal representation for all members of volunteer fire departments "and ambulance/rescue squads" in the county. See Legislation Submitted by the Anne Arundel County Executive, 1979 General Assembly, copy in legislative file for Senate Bill 1031 (1979). It recounted a recent case in which a volunteer fire department had been named as a defendant in a lawsuit in addition to the firefighter. The County noted that, while the firefighter was clearly immune under the Good Samaritan Act, "[t]he volunteer fire department, however, is a private nonprofit corporation which does not appear to have the statutory immunity which is bestowed upon its constituent members. We believe the absence of this protection for the volunteer unit is not in keeping with the spirit and rationale of [the Good Samaritan Act] since it has the net effect of discouraging the active participation of these units in emergency situations." Id. (emphasis added). The bill's geographical limitation to Anne Arundel County was ultimately eliminated, making the amendment applicable statewide. No amendment was made to the substantive language concerning the types of organizations covered by the immunity. The bill was enacted and codified at that time in Article 43, § 132(b).
After 1979, the Good Samaritan Act was amended in minor substantive respects not pertinent to this case
We agree with the Court of Special Appeals that TransCare, as a for-profit ambulance company, does not have immunity under CJ § 5-603(b)(3) regardless of whether Mr. Barbour is personally covered by the Act.
TransCare makes a broader argument for immunity under the Good Samaritan Act, untethered to any of the provisions that specifically confer immunity on corporations or other organizations. It asserts that, given that its liability is predicated on the actions of its employee, Mr. Barbour, it cannot be vicariously liable if Mr. Barbour is personally immune under the Good Samaritan Act.
TransCare attempts to distinguish D'Aoust on the basis that it concerned common law immunity rather than statutory immunity. But the Court in D'Aoust specifically noted that its conclusion applied "to the concept of immunity generally as it relates to causes of action based on vicarious liability." D'Aoust, 424 Md. at 607, 36 A.3d 941. Moreover, in establishing immunity for individuals by statute, the General Assembly may well contemplate that the individual's employer is liable for that individual's conduct. For example, in the Maryland Tort Claims Act, governmental entities may be liable for the negligent actions of an employee even though the Legislature has conferred immunity on the individual employee. See Maryland Code, State Government Article, § 12-101 et. seq.; CJ § 5-522. Indeed, if, as a general principle, an employee's immunity under the statute relieved the employer of liability, two provisions of the statute that explicitly confer immunity on specified organizations when the members or personnel of the organization have immunity — CJ § 5-603(b)(3) and (b)(4) — would be unnecessary. Thus, we are persuaded that an employer does not necessarily have immunity under the Act simply because its employee has immunity.
TransCare is not a volunteer ambulance and rescue squad and therefore does not qualify for immunity under CJ § 5-603(b)(3). Nor is it shielded from liability under the Act for the alleged negligence of Mr. Barbour, regardless of whether he individually has immunity under the statute.
Unlike the Good Samaritan Act, the Fire and Rescue Act confers a broad immunity on certain organizations without predicating that immunity on the immunity
CJ § 5-604. The statute thus provides a broad immunity from civil liability for ordinary negligence — with a limited exception related to negligent operation of a motor vehicle — for fire and rescue companies and their personnel. This Court has previously determined that the Fire and Rescue Act was intended to immunize all fire and rescue companies and their personnel: "The statute clearly and unequivocally refers to fire or rescue companies; there is no differentiation at all between public and private companies." Mayor and City Council v. Chase, 360 Md. 121, 132, 756 A.2d 987 (2000).
Whether the statute provides immunity to TransCare in this case depends on whether TransCare is properly characterized as a private "fire or rescue company" — or, more precisely, a private "rescue company," as TransCare makes no pretension of being a fire company. There is no definition of that phrase in the statute, nor is its plain meaning in this context self-evident. We look to the history of the statute, as well as the Legislature's creation of similar immunities in other statutes, to discern the General Assembly's purpose in establishing this broad immunity. We also consider related statutes and regulations concerning rescue companies and commercial ambulance companies.
Although the Fire and Rescue Act provides protection similar to that provided by the Good Samaritan Act, it has a separate lineage. The legislative record reveals that the Fire and Rescue Act was intended to confer a governmental-like immunity on volunteer fire departments and entities performing similar functions.
Under the common law, state and local governments, and their agencies, have sovereign or governmental immunity.
In 1983, the Court of Special Appeals considered whether a volunteer fire department was protected by governmental immunities against claims related to allegedly negligent efforts to extinguish a fire. Utica Mutual Ins. Co. v. Gaithersburg-Wash. Grove Fire Dep't, 53 Md.App. 589, 455 A.2d 987, cert. denied, 296 Md. 224 (1983). The intermediate appellate court answered the question in the negative, finding that there was insufficient evidence in the record that the particular volunteer fire department qualified as a government entity. The court further held that, in any event, the members of the volunteer fire department were not public officials, and thus were not entitled to public official or governmental immunity from negligence claims.
The day after the Utica Mutual opinion was released, a state senator asked legislative staff to draft a bill conferring immunity on volunteer firefighters.
As enacted in 1983, the statute also carved out an exception to the broad immunity that it recognized — an exception for liability arising from the negligent operation of a motor vehicle. See CJ § 5-604(b). This exception was characterized as a "waiver" of immunity
It is quite evident that the Fire and Rescue Act was meant to complement or replicate governmental immunity — an immunity that at least some believed that volunteer fire companies and similar entities had already enjoyed. Even the Court of Special Appeals in its Utica Mutual decision had not ruled out the application of official immunity to volunteer fire departments — it simply found that there was insufficient evidence in that case to establish the governmental nature of the volunteer fire department in question and also held that the volunteer firefighters did not qualify as public officials entitled to immunity.
The term "rescue" generally connotes a crisis or emergency. A "rescue company" is presumably engaged in activities that alleviate a crisis or emergency. See Krieger v. Bethesda-Chevy Chase Rescue Squad, supra, 599 F.Supp. at 772-73 (describing local rescue squad providing "rescue, ambulance, fire-fighting support, and emergency medical services" that "shows up primarily to care for, rescue and transport the injured"). There are a number of entities in Maryland, generally in rural areas, that refer to themselves as a "rescue squad" or "rescue company," and that operate ambulances that respond to emergency situations.
Other parts of the Maryland Code suggest that the phrases "rescue company" or "rescue squad" typically refer to entities that (even if formally private) perform a public function in responding to crises or emergencies and would not normally include a commercial ambulance transport company. For example, "rescue squads" are authorized to enter into mutual aid agreements with contiguous states or similar entities in those states, as well as with the federal government. Maryland Code, Public Safety Article ("PS"), §§ 7-101(b), 7-103 (authorizing such agreements by a "fire, rescue, or emergency medical services entity" which, by definition, include "rescue squads").
TransCare is a commercial ambulance company. According to the testimony of one of its employees, its business generally involves transporting patients from nursing homes to hospitals, from home to a dialysis center, or "wherever the patient needs to go, they take them."
Commercial ambulance companies in Maryland are licensed and regulated by the Maryland Institute for Emergency Medical Services Systems ("MIEMSS"). Maryland Code, Education Article ("ED"), § 13-515. There is no mention in the statute of a licensing requirement for "rescue companies" or "rescue squads." Rather, specifically excepted from this regulation are ambulance services provided by, or operated under, the jurisdiction of State or local government or volunteer fire or rescue companies. ED § 13-515(a)(3)(ii); COMAR 30.09.03.04.
It is also notable that the statute governing commercial ambulance companies requires that each company maintain commercial general liability insurance coverage in the amount of at least $1 million — in addition to motor vehicle insurance and other insurance — to provide payment for bodily injuries, death, and property damage "resulting from any cause for which the commercial ambulance service is liable." ED § 13-515(d)(2); see also COMAR 30.09.04.06B. It is not clear why a commercial ambulance company would be required to maintain such coverage if it automatically enjoyed general immunity "from civil liability for any act or omission in the course of performing [its] duties."
TransCare asserts that, as an ambulance company that may provide emergency medical services, it necessarily qualifies as a "rescue company" and that it is therefore entitled to the broad, governmental-type immunity provided by the Fire and Rescue Act for "any act or omission in the course of performing their duties." Under this view, TransCare and its employees would apparently enjoy this broad immunity from liability for ordinary negligence in their normal commercial activities, with a limited exception related to motor vehicles. Indeed, the breadth of its immunity would
This is not to say that a commercial ambulance company may not qualify as a "rescue company" in particular circumstances. Unlike the Good Samaritan Act, the Fire and Rescue Act is not limited to "volunteer" entities. For example, one might imagine a situation in which a local government has privatized emergency services or has otherwise enlisted commercial entities as first responders.
In this case, the Circuit Court held that TransCare qualified as a "rescue company" without any evidence that the company provides such emergency services in Maryland or that it was functioning as a first responder in the particular circumstances of this case. Indeed, the evidence available to the Circuit Court indicated that TransCare's employee was present for training purposes related to its contract to provide inter-facility transports for UMMS patients. Accordingly, it was an error to grant TransCare's motion for summary judgment on the basis of the Fire and Rescue Act.
While we agree with the Court of Special Appeals that the Circuit Court's decision should be reversed, unlike the intermediate appellate court,
For the reasons stated above, a commercial ambulance company such as Trans-Care does not qualify for immunity under the Good Samaritan Act, regardless of whether the company's employee may qualify for immunity under the statute. Moreover, in the circumstances of this case, TransCare has not demonstrated it functioned as a "rescue company" that has the broad immunity from liability provided by the Fire and Rescue Act. Accordingly, TransCare was not entitled to summary judgment on the basis of statutory immunity.
S. Mgmt. Corp. v. Taha, 378 Md. 461, 480-81, 836 A.2d 627 (2003).
Chapter 65, Laws of Maryland 1963 then codified at Maryland Code, Article 43, § 149A.
Chapter 48, Laws of Maryland 1964, then codified as Maryland Code, Article 43, § 149A(b). In 1965, the statute was amended to extend immunity to nurses. Chapter 475, Laws of Maryland 1965.
Maryland Code, Article 43, § 132(b).