PER CURIAM.
Plaintiff Alison Moon contacted Grand Rapids Fertility & IVF, P.C. (GRFI) and Michigan Reproductive & IVF Center, P.C. (MRIC) and specifically asked if the clinics would provide in vitro fertilization (IVF)
Under the circuit court's reasoning, a doctor could refuse to treat any patient based solely on a characteristic protected under the CRA, including race, and yet avoid legal liability. Because such a result certainly was not contemplated by the Legislature, we reverse and remand for further proceedings.
Moon began receiving IVF treatments from the University of Michigan Health System in Ann Arbor, but she desired to continue her treatments closer to her home in Portage. On July 3, 2008, Moon sent an e-mail to GRFI and specifically inquired if the facility provided IVF treatment to single women. Dr. Douglas Daly responded via e-mail that while GRFI provided various fertility treatments to all women, it did not provide insemination services to single women. Dr. Daly referred Moon to another clinic that is not a party to this suit. Dr. Daly's response stated in full:
Moon queried whether the recommended clinic would similarly deny her treatment. Dr. Daly responded that the recommended clinic might deny her treatment. However, he indicated:
Dr. Daly and Moon subsequently exchanged two more e-mails discussing her chances of pregnancy and multiple pregnancy using different types of fertility drugs.
In August 2008, Moon falsely informed MRIC that she was in a relationship in order to secure an initial consultation. When Moon ultimately informed Dr. James Young that she was single, the doctor informed her that MRIC does not provide IVF services for single women. Dr. Young referred Moon to a nurse practitioner who could perform the artificial inseminations. Upon meeting Moon, however, the nurse practitioner felt that Moon was "emotionally unstable" and informed Dr. Young that Moon intended to file suit against him. Accordingly, Dr. Young and MRIC refused to treat Moon. As a result of GRFI's and MRIC's denial of treatment, Moon travelled to Ypsilanti, over two hours away from her home, to receive IVF treatment.
Moon filed suit against GRFI and MRIC on May 20, 2010, alleging a single count of discrimination based on marital status under MCL 37.2302 of the CRA. GRFI filed a motion for summary disposition, citing the statute's express exception to the anti-discrimination legislation: discrimination is prohibited "[e]xcept where permitted by law. . . ." GRFI asserted that the creation of a doctor-patient relationship is consensual under the common law and "a physician is not required to render services to anyone." Accordingly, GRFI contended that the CRA was inapplicable to the doctor-patient relationship. Rather, the CRA was intended to prevent discrimination in more informal relationships, such as those between a retail store and its customer or a common carrier and its passengers.
Moon responded that, in light of the comments made by Dr. Daly in his e-mails, GRFI had refused to provide IVF treatment to her solely because she is a single woman. Moon conceded that GRFI was not required to enter into a doctor-patient relationship with her. However, Moon argued that the decision to accept or deny
The circuit court granted GRFI's motion for summary disposition under MCR 2.116(C)(8) and additionally under MCR 2.116(C)(10). The circuit court agreed with GRFI that, under the Michigan common law:
Although the circuit court dismissed Moon's complaint for failure to state a legally cognizable claim, the court further noted that it would have dismissed Moon's claim on the merits as well. Specifically, the court treated Moon's claim as presenting indirect evidence of disparate treatment, and ruled that GRFI could avoid liability by providing a legitimate, nondiscriminatory reason for refusing treatment. The circuit court believed that Dr. Daly had provided such a legitimate reason— "potential financial liability given the lack of regulation and caselaw in Michigan regarding IVF services."
We review de novo a trial court's decision on a motion for summary disposition. Coblentz v. City of Novi, 475 Mich. 558, 567, 719 N.W.2d 73 (2006). A motion under MCR 2.116(C)(8) "tests the legal sufficiency of the claim on the pleadings alone to determine whether the plaintiff has stated a claim on which relief may be granted." Spiek v. Dep't of Transp., 456 Mich. 331, 337, 572 N.W.2d 201 (1998).
We review de novo underlying issues of statutory interpretation. Eggleston v. Bio-Med. Applications of Detroit, Inc., 468 Mich. 29, 32, 658 N.W.2d 139 (2003). The goal of statutory interpretation is to discern the intent of the Legislature from the language of the statute. "If the statutory language is clear and unambiguous, judicial construction is neither required nor permitted, and courts must apply the statute as written." Rose Hill Ctr., Inc. v. Holly Twp., 224 Mich.App. 28, 32, 568 N.W.2d 332 (1997). If a statute is ambiguous, however, judicial construction is permitted. Detroit City Council v. Detroit Mayor, 283 Mich.App. 442, 449, 770 N.W.2d 117 (2009).
First and foremost, we reject the circuit court's conclusion that a professional, such as a doctor, may reject a patient
Marital status occupies a coequal place in the catalog of protected characteristics identified in the CRA. MCL 37.2102(1) provides:
The Michigan Supreme Court defined "marital status" under the CRA in Miller v. C. A. Muer Corp., 420 Mich. 355, 362-363, 362 N.W.2d 650 (1984), as referring simply to whether an individual is married or not.
MCL 37.2301(a) defines a "place of public accommodation" as "a business, or . . . health . . . facility . . . whose goods, services, facilities, privileges, advantages, or accommodations are extended, offered, sold, or otherwise made available to the public." MCL 37.2302 prohibits discrimination by a place of public accommodation as follows:
For purposes of summary disposition, GRFI stipulated that it is a place of public accommodation to which the statutory prohibition of discrimination applies. The parties disagree whether GRFI was able to "[d]eny [Moon] the full and equal enjoyment of" its services because the denial was otherwise "permitted by law." Id.
This Court has previously held that the phrase "[e]xcept where permitted by law" in MCL 37.2302 encompasses the common law and constitutional law, as well as statutory law. People v. Walker, 135 Mich.App. 267, 278, 354 N.W.2d 312 (1984); Cheeseman v. American Multi-Cinema, Inc., 108 Mich.App. 428, 433, 310 N.W.2d 408 (1981). Compare Dep't of Civil Rights ex rel. Forton v. Waterford Twp. Dep't of Parks & Recreation, 425 Mich. 173, 189, 387 N.W.2d 821 (1986) (declining to answer the query whether the phrase "except as permitted by law" includes "constitutional and common law as well as statutory law"). Assuming arguendo that the statutory exception includes discrimination permitted under the common law, we disagree with the circuit court's overly broad interpretation of the consensual and voluntary nature of the doctor-patient relationship.
GRFI correctly notes that a doctor-patient relationship is contractual and may only be established voluntarily and through the consent, either express or implied, of both the doctor and the patient. Oja v. Kin, 229 Mich.App. 184, 581 N.W.2d 739 (1998), citing Hill v. Kokosky, 186 Mich.App. 300, 463 N.W.2d 265 (1990), St. John v. Pope, 901 S.W.2d 420 (Tex.1995), and McKinney v. Schlatter, 118 Ohio App.3d 328, 692 N.E.2d 1045 (1997). However, the cases cited by GRFI describe the creation of a doctor-patient relationship in establishing the necessary elements of a medical-malpractice claim. The cited cases absolve a doctor of medical-malpractice liability if the doctor did not explicitly
As noted by our Supreme Court in Miller, 420 Mich. at 362-363, 362 N.W.2d 650:
The CRA certainly serves to prohibit doctors and medical facilities from refusing to form a doctor-patient relationship based solely on the patient's protected status. A contrary interpretation would allow a doctor to follow his or her personal prejudices or biases and deny treatment to a patient merely because the patient is African-American, Jewish, or Italian. Rather, following this state's enactment of the CRA, a doctor may only deny his or her consent to enter into a doctor-patient relationship with a potential patient based on legally permissible, nondiscriminatory reasons.
We find Lyons v. Grether, 218 Va. 630, 239 S.E.2d 103 (1977), instructive in this regard. In Lyons, 218 Va. at 631, 239 S.E.2d 103, the plaintiff was a blind patient who had entered a physician's waiting room with her guide dog. The doctor refused to treat the plaintiff unless she removed her dog from the office. Under Virginia law, the blind are "`entitled to full and equal accommodations'" and "`privileges of. . . places of public accommodation'" and also have "`the right to be accompanied by a dog guide. . . .'" Id. at 632 n. 1, 239 S.E.2d 103, quoting former Va Code Ann 63.1-171.2. The Virginia Supreme Court acknowledged that, under the common law, "a physician has no legal obligation to accept as a patient everyone who seeks his services" and that the creation of the doctor-patient relationship is consensual and contractual. Id. at 632-633, 239 S.E.2d 103. However, the court determined that there was a remaining issue of material fact whether the defendant doctor discriminatorily terminated his relationship with the plaintiff patient because she exercised her rights under the state's "White Cane Act." Id. at 634-635, 239 S.E.2d 103. The current case poses the similar question of whether a doctor may refuse to enter into a doctor-patient relationship with a patient based on discriminatory factors in violation of the CRA. The answer to that question clearly is no. Accordingly, the circuit court erred by dismissing Moon's discrimination claim pursuant to MCR 2.116(C)(8).
We further reject the circuit court's conclusion that Moon failed to create a genuine issue of material fact that GRFI discriminatorily rejected her as a patient.
Moon clearly established that she was denied the enjoyment of the goods, services, facilities, privileges, advantages, or accommodations offered by GRFI, which stipulated to being a place of public accommodation for purposes of summary disposition. The only question remaining is whether she created a genuine issue of material fact that GRFI discriminated against her based on marital status. In this regard, Moon argues that she was given disparate treatment from married women.
In a discrimination action based on disparate treatment, the plaintiff has the initial burden to establish the existence of illegal discrimination, either through direct or indirect evidence. Hazle v. Ford Motor Co., 464 Mich. 456, 462-463, 628 N.W.2d 515 (2001). "[P]roof of discriminatory motive is required in order to establish a prima facie case" of disparate treatment. Dep't of Civil Rights ex rel. Peterson v. Brighton Area Schools, 171 Mich.App. 428, 439, 431 N.W.2d 65 (1988); see also Farmington Ed. Ass'n v. Farmington School Dist, 133 Mich.App. 566, 572, 351 N.W.2d 242 (1984). Direct evidence is "`evidence which, if believed, requires the conclusion that unlawful discrimination was at least a motivating factor in the'" decision-maker's actions. Hazle, 464 Mich. at 462, 628 N.W.2d 515, quoting Jacklyn v. Schering-Plough Healthcare Prod. Sales Corp., 176 F.3d 921, 926 (C.A.6, 1999).
Moon proffered direct evidence of discrimination, specifically, the e-mail messages that she received from Dr. Daly, indicating that GRFI did not provide IVF treatment to single women. Dr. Daly's statement, "Until I feel there is adequate law I will not be providing insemination services to single individuals," tends to establish "`that unlawful discrimination was at least a motivating factor'" in Dr. Daly's decision to deny Moon IVF services. Hazle, 464 Mich. at 462, 628 N.W.2d 515 (citation omitted). When a plaintiff presents direct evidence of discrimination, "`the case should proceed as an ordinary civil matter.'" DeBrow v. Century 21 Great Lakes, Inc. (After Remand), 463 Mich. 534, 540, 620 N.W.2d 836 (2001), quoting DeBrow v. Century 21 Great Lakes, Inc., unpublished opinion of the Court of Appeals, issued August 13, 1996 (Docket No. 161048), 1996 WL 33360653 (YOUNG, J., dissenting) (DeBrow I). As an ordinary civil matter, the circuit court should have denied GRFI's motion for summary disposition on the merits and proceeded through discovery and to trial if necessary.
We note that the circuit court's error stemmed from its application of the shifting burdens standard of McDonnell Douglas Corp. v. Green, 411 U.S. 792, 93 S.Ct. 1817, 36 L.Ed.2d 668 (1973), to Moon's discrimination claim. "The shifting burdens of proof described in McDonnell Douglas are not applicable if a plaintiff can cite direct evidence of unlawful discrimination." DeBrow (After Remand), 463 Mich. at 539, 620 N.W.2d 836. As Moon presented direct evidence of discrimination, she was not required to "present a rebuttable prima facie case . . . from which a factfinder could infer" discriminatory animus. Hazle, 464 Mich. at 462, 628 N.W.2d 515 (quotation marks, citation, and emphasis omitted). Further, it was irrelevant at the summary disposition phase whether GRFI had rebutted Moon's discrimination claim by articulating "a legitimate, nondiscriminatory reason for its" actions. Id. at 464, 628 N.W.2d 515.
Reversed and remanded for further proceedings consistent with this opinion. We do not retain jurisdiction.
GLEICHER, P.J., and HOEKSTRA and STEPHENS, JJ., concurred.