NOEL L. HILLMAN, District Judge.
This putative class action, originally filed in state court and removed by Defendants to this Court, concerns Plaintiff's allegations that Defendant committed fraud and acted in bad faith by overcharging for electronic copies of patients' medical records. Pending before the Court is Plaintiff's motion to remand.
Ordinarily, one would expect a plaintiff to take an expansive view of a potential claim for money damages, the most common claim for relief in a civil action. Similarly, a defendant would seek, as early as possible, to limit such claims. An interesting dynamic arises when a plaintiff, who originally chose a state forum, has their case removed to federal court based on a claim that jurisdiction exists either under the general diversity statute or the Class Action Fairness Act ("CAFA").
For the plaintiff who wishes to stay in state court, the dynamic reverses with the plaintiff arguing the narrowness of the claim for damages and the defendant arguing for the more expansive view. This is one of those cases. Finding that the claims of the putative class do not exceed the statutory minimum for subject matter jurisdiction under CAFA, the Court will grant Plaintiff's motion for remand.
Plaintiff, Kasher Law Group, LLC, is a law firm that requested hospital medical records for its client from Our Lady of Lourdes Hospital in Camden, New Jersey. Defendant, Ciox Health, LLC, is an information management company that, among other things, contracts with hospitals, including Our Lady of Lourdes Hospital, to provide copies of patients' medical records at their request. According to Plaintiff's complaint, Defendant charged $161.90 for 261 pages of its client's medical records, which were electronically downloaded onto a CD and mailed to Plaintiff. Plaintiff represents that the breakdown of charges was: $10.00 Basic Fee; $100.00 for 100 pages of records at a per copy (paper) price of $1.00; $40.25 for 161 pages of records at per page copy (paper) price of $.25 per page; and a shipping fee of $11.65.
Plaintiff claims that Defendant's fees for electronic production are not based on its actual costs, and are higher than the limits imposed by N.J.A.C. § 8:43G-15.3(d), which permits only a $10.00 search fee, the actual cost of the portable media (e.g., CD), and the actual cost of postage, as determined by the New Jersey Department of Health.
Plaintiff has proposed the following class:
(Compl. ¶ 52, Docket No. 1-2 at 11). Plaintiff alleges that each class member has incurred less than $210 in out-of-pocket damages.
Defendant removed Plaintiff's case from New Jersey Superior Court, Camden County, to this Court, contending that this Court has jurisdiction over the matter pursuant CAFA, 28 U.S.C. § 1332(d)(2). CAFA provides, in relevant part, that "district courts shall have original jurisdiction of any civil action in which the matter in controversy exceeds the sum or value of $5,000,000, exclusive of interest and costs, and is a class action in which . . . (A) any member of a class of plaintiffs is a citizen of a State different from any defendant." 28 U.S.C. § 1332(d)(2). Another jurisdictional requirement under CAFA is that the proposed class contains at least 100 members.
In its notice of removal, Defendant contends that all three elements for CAFA jurisdiction are met. Specifically with regard to the amount in controversy, Defendant contends that Plaintiff's proposed class encompasses more than 50,000 potential class members. At $100 in damages per class member ($110 less than proposed by Plaintiff), along with treble and punitive damages and attorney's fees, all of which are available to Plaintiff for its claims and requested in the complaint, the $5 million amount in controversy threshold is easily met.
Plaintiff has moved to remand its case to state court. In Plaintiff's motion to remand, it does not dispute that this matter meets the citizenship and numerosity requirements of CAFA.
Under 28 U.S.C. § 1446(a), a defendant seeking to remove a case to a federal court must file in the federal forum a notice of removal "containing a short and plain statement of the grounds for removal." "When a defendant seeks federal-court adjudication, the defendant's amount-in-controversy allegation should be accepted when not contested by the plaintiff or questioned by the court."
Here, Plaintiff's complaint specifically states that the total amount in controversy for its claims, including attorney's fees, is less than $5 million. It is a plaintiff's right to limit the value of its claim to prevent its case from being removed from its choice of forum,
Defendant's notice of removal invoked CAFA jurisdiction by explaining, based on Plaintiff's description of the class, that over 50,000 New Jersey citizens or their designees paid for electronic medical records from a New Jersey health care provider between December 11, 2011 to the present. The notice also asserted that with $210 (or even $100) in actual damages per class member, along with the demanded treble and punitive damages and attorney's fees, the amount in controversy exceeds $5 million. This "short and plain statement" is sufficient to establish a prima facie basis for subject matter jurisdiction under CAFA at the time of removal. Plaintiff, however, has challenged Defendant's calculation of the amount in controversy, and the Court must now consider whether the preponderance of the evidence supports Defendant's assertion of jurisdiction.
Plaintiff argues that its proposed class is much narrower than Defendant's definition: it is only New Jersey patients or their legal representatives, not any person or entity that has made a medical records request; it is only electronic record requests made to hospitals, not any request to all other types of providers; and it is only people who have paid a Ciox invoice, not an invoice issued by Ciox's former corporate form, which limits the class to less than a two-year time period (March 1, 2016 to December 11, 2017).
In response, Defendant points out that Plaintiff cannot amend its complaint to defeat jurisdiction through its motion to remand. Defendant argues that its estimation of damages is plausible because unlike the class Plaintiff attempts to redefine in its motion to remand, Plaintiff's class definition provides for: New Jersey patients "or persons designated by such patients," and not their "legal representatives"; medical records created by a "New Jersey health care provider," and not just a hospital; and a time period of December 11, 2011 to present (Plaintiff filed its complaint on December 11, 2017), which encompasses both Ciox and its former entity. Defendant supports its estimation of class size based on these parameters with a declaration of Ciox's Senior Vice-President of Operations for the Northern Zone, Amy Creswell. (Docket No. 17-1.)
Defendant further argues that even if Plaintiff's redefined class is considered, the jurisdictional amount in controversy is still met. Defendant states that between March 1, 2016 and December 11, 2017, it electronically delivered medical records from hospitals to New Jersey patients or their authorized representatives 18,523 times, for which Defendant earned $1,267,453.00 in total revenue. (Docket No. 17-1 at 3.) Defendant calculates:
Plaintiff rejects Defendant's position that its complaint pleads a broader class as defined by Defendant. Plaintiff also finds fault with Defendant's calculation of the amount in controversy based on what Defendant calls the "reconstituted class," but what Plaintiff contends is the class as actually pleaded. Plaintiff points out that Defendant was legally entitled to charge a $10 search fee, in addition to its labor costs, postage, and the cost of the CD, which Plaintiff's complaint alleges to be $20 for each class member. Thus, Plaintiff contends that Defendant was lawfully entitled to charge $30 per person, totaling $555,690 for the 18,523 class members. (Docket No. 19 at 13.) Subtracting the lawful charges from the total revenue to determine the maximum alleged overcharges comes to $711,763.00 ($1,267,453 — $555,690). Trebling this amount of alleged overcharges ($2,135,289), and then adding an additional 50% for attorney's fee and costs ($1,067,644.50), would come to only $3,202,933.50, which is $1,797,066.50 below the $5 million jurisdictional threshold. Accordingly, Plaintiff argues that the evidence is clear that the amount in controversy for its proposed class action does not meet the requirements for CAFA jurisdiction.
In order to determine whether the preponderance of the evidence supports CAFA jurisdiction, the first step is determining what the complaint demands as its claims, proposed class, and damages.
As set forth above, Plaintiff defined its class in paragraph 52 of its complaint as:
(Compl. ¶ 52, Docket No. 1-2 at 11).
Based on this paragraph alone, the Court would find compelling Defendant's position that the class is not limited to patients and their "legally authorized representatives," as the class definition provides for "persons designated by such patients," and encompasses more than hospital medical records, as the class definition provides for medical records "created by a New Jersey health care provider." The December 11, 2011 date also plausibly suggests that the class includes medical records provided by Ciox's former corporate form. A court's assessment of a complaint for subject matter jurisdiction must consider the entirety of the complaint, however, as well as other evidence provided to support or refute jurisdiction.
Plaintiff's complaint begins with this introductory paragraph: "This is a class action, brought under New Jersey law, on behalf of New Jersey citizens and their designated representatives who were charged copy fees by Ciox Health LLC ("Ciox") for electronic copies of medical records, which fees far exceeded the maximum limit allowed by N.J.A.C. § 8:43G-15.3(d)." (Compl. ¶ 1, Docket No. 1-2 at 2.) From there, over the course of more than fifty paragraphs, the complaint then details how Ciox, without reference to its predecessors, has violated N.J.A.C. 8:43G-15.3(d), which is a regulation governing Hospital Licensing Standards in New Jersey.
The complaint explains that "[a]mong the duties that Ciox contractually assumes for its health care provider clients is the duty to respond to requests for copies of patient medical records made by patients and patients' authorized representatives in accordance with, inter alia, N.J.A.C. § 8:43G-15.3(d)." (Compl. ¶ 9, Docket No. 1-2 at 4.) The complaint continues:
(Compl. ¶¶ 14-17, Docket No. 1-2 at 5 (emphasis in original).) Thereafter, the complaint describes how Defendant allegedly violated N.J.A.C. § 8:43G-15.3(d), generally and specifically with regard to Plaintiff.
Thus, it is very clear that the sole basis of Plaintiff's putative class action against Defendant is for Defendant's alleged violation of N.J.A.C. § 8:43G-15.3(d), an administrative regulation governing hospitals. It is also very clear from the complaint, and the text of the regulation itself, that N.J.A.C. § 8:43G-15.3(d) applies to a patient's request, or that patient's "legally authorized representative," for medical records from hospitals, and not, for example, private physician offices. Even though the class definition at paragraph 52 of the complaint uses the terms "persons designated by such patients" and "New Jersey health care provider," it is obvious that those terms are simply synonyms for the language in the regulation. And while Plaintiff could have crafted its class definition using the precise terms of N.J.A.C. § 8:43G-15.3(d), the Court does not find that Plaintiff intended to define its class to include members who were not within the scope of Defendant's alleged violation of N.J.A.C. § 8:43G-15.3(d), or to include class members who have claims for violations beyond Defendant's alleged violation of N.J.A.C. § 8:43G-15.3(d).
Moreover, whether Plaintiff's class definition is sufficient for certification is a different legal analysis than the determination of whether subject matter jurisdiction has been established by the face of Plaintiff's complaint at the time of removal.
Similarly, even though Ciox did not exist until March 2016, the December 11, 2011 date in the class definition does not override the rest of Plaintiff's complaint, which only asserts claims against Ciox, with no mention of its prior corporate form. The class definition, in addition to the other allegations in the complaint, specifically references Ciox only. Plaintiff's class term is apparently overly expensive, but, again, that issue more appropriately goes to the class certification process, and not as to whether Plaintiff intended to include claims against a different entity, which would expand its class and expand the amount in controversy. In other words, even though Plaintiff defined a class term of December 11, 2011 to the present (when it filed its complaint in state court on December 11, 2017), because its claims are only against Ciox, and Ciox only came into existence in March 2016, the fact is that Plaintiff's class term can only be, by definition, from March 2016 until December 11, 2017.
Consequently, the Court finds that Plaintiff's complaint alleges a class of members, comprising of New Jersey patients or their legally authorized representatives, to whom Ciox electronically delivered medical records from hospitals between March 1, 2016 and December 11, 2017. According to Defendant's records, that occurred 18,523 times, resulting in $1,267,453 in total revenue. Defendant contends that Plaintiff has demanded that Defendant refund its entire revenue and pay treble damages on that amount, but the complaint instead recognizes that Defendant is entitled to compensation for its services, as limited by N.J.A.C. § 8:43G-15.3(d). Thus, in order to determine the class's damages, Defendant's permitted costs must be deducted from its total revenue before calculating the overcharges: $1,267,453 — permitted charges × 18,523.
As to the permitted charges, Plaintiff claims that Defendant was entitled to bill $30 in each of the 18,523 instances it provided electronic medical records: a $10 search fee, and $20 for labor costs, postage, and the cost of the CD. Defendant does not specifically contest that estimation, other than to note that it incurs significant labor costs even when it provides medical records electronically,
The evidence before the Court shows that Defendant's allowable charges for the electronic production of hospital medical records are $10 for the search fee and $11.65 for postage, which is what Defendant charged Plaintiff in this case. As for the cost of the CD, even if it is only $.01 when factored into calculation, that cost results in an amount in controversy significantly less than the $5 million threshold for CAFA jurisdiction. Permitted charges ($21.66) x class members (18,523) = $401,208.18. Total revenue ($1,267,453) — permitted charges ($401,208.18) = $866,244.82 in overcharges. Overcharges ($866,244.82) × 3 for treble damages = $2,598,734.46 in class damages. Fifty-percent attorney's fees and costs ($1,299,367.23) + class damages ($2,598,734.46) = $3,898,101.69 for the total amount in controversy.
Defendant has not proven by the preponderance of the evidence that the amount in controversy exceeds $5 million. Therefore, this Court lacks subject matter jurisdiction pursuant to 28 U.S.C. § 1332(d)(2).
2. In addition to per page costs, the following charges are permitted:
N.J.A.C. 8:43G-15.3(d).