CASE ALERTS
July 18, 2022
Don’t look know but we’re halfway through July! Whether you are on the beach, in an office, or at home contemplating a return to work, we hope you find some time to work through this edition of HKMP’s Case Alerts.

The U.S. Supreme Court opened the way for States to recover Medicaid liens from the portions of settlements allocated to future medical care.

The New Jersey Supreme Court addressed the dual duty to warn employers and employees in toxic tort cases and referred to a committee consideration of changes on the Model Jury Charges in toxic tort cases. It also directed that a committee be formed of attorneys as well as members of the public who are not lawyers to assess whether disbarment for knowing misappropriation should be permanent. The application of the rescue doctrine was also recently addressed by the New Jersey Supreme Court.

The New Jersey Appellate Division issued an opinion on joint tortfeasor liability and the need to reduce a settlement to a judgment. In a long expected consolidated decision, the Appellate Division addressed whether there was insurance coverage for COVID-19 business losses. The enforceability of non-disparagement provisions in settlement of claims under the New Jersey Law Against Discrimination was considered in another case.
The Appellate Division also tackled several matters of first impression: whether a sexual assault could trigger liability under the Law Against Discrimination and whether service on a county clerk satisfied notice under the New Jersey Tort Claims Act.

Last, in New York, the Grieving Families Act was passed by the Assembly and the Senate addressing the damages available in wrongful death actions and expanding the scope of persons able to seek compensation.

As always, we welcome your thoughts and hope you enjoy this issue of HKMP’s Case Alerts.
U.S. SUPREME COURT
STATE REIMBURSEMENT FROM SETTLEMENTS ALLOCATED FOR FUTURE CARE PERMITTED UNDER MEDICAID ACT
 
Gallardo v. Marstiller, 596 U.S. ___ (2022)
 
The United States Supreme Court held the Medicaid Act permits a State to seek reimbursement from settlement payments allocated for future medical care. In other words, Medicaid agencies may seek reimbursement for Medicaid’s payment of a beneficiary’s past medical expenses by taking funds from the portion of the beneficiary’s tort recovery that compensates for future medical expenses.

The case arose in Florida where a 13-year-old student was hit by a truck after getting off a school bus causing catastrophic injuries. Florida’s Medicaid agency paid $862,688.77 to cover medical expenses and continued to pay her medical bills as she remained in a vegetative state. She filed a personal injury action against the truck’s owner and driver, as well as the school board, settling for $800,000 with a portion allocated to future medical care. Pursuant to Florida’s Medicaid Third-Party Liability Act, the State asserted a lien over the compensation for past medical expenses paid by Medicaid, as well as the compensation for future medical expenses. The plaintiff sought a declaration that Florida was violating the Medicaid Act by trying to recover from portions of the settlement compensating for future medical expenses. The Eleventh Circuit explained that the relevant Medicaid Act provisions “do not in any way prohibit [a State] from seeking reimbursement from settlement mon­ies for medical care allocated to future care.” The Supreme Court of Florida came to the opposite conclusion, so the U.S. Supreme Court granted certiorari.

In the 7-2 decision, Justice Thomas explained States must comply with Medicaid terms, which includes making reasonable efforts to recoup the costs from liable third parties. While Section 1396p(a)(1) of the Medicaid Act prohibits States from recovering medical payments from a beneficiary’s “property”, Florida’s Medicaid Third Party Liability Act was expressly authorized (1396k(a)) and fell squarely within the exception to the anti-lien provision recognized by the Court. The plain text of the provision, as well as the statutory context, granted rights to payment of “any medical care” including both past and future medical payments.

Now, specific allocations of settlements, arbitration awards and trial verdicts to damages for past versus future medical expenses will not limit a state’s claim for Medicaid reimbursement.
NEW JERSEY SUPREME COURT
MANUFACTURER DUTY TO WORKERS REGARDING WARNINGS ON ASBESTOS PRODUCTS AND THE ISSUE OF MEDICAL CAUSATION

Fowler v. Akzo Nobel Chemicals, Inc., ___N.J.___ (2022)

A divided New Jersey Supreme Court recently held that asbestos manufacturers and suppliers that place inadequate warnings on asbestos products in the workplace have breached their duty to the worker, regardless of the risk information relayed to the employer. Weighing expert proofs, including expert testimony that a minimal number of asbestos fibers can cause mesothelioma is sufficient for a jury to conclude the exposure was a substantial factor in causing plaintiff’s injury, corresponding with the substantial factor test in the Model Civil Charge. This contrasts from the “frequency, regularity, and proximity” language contained in Sholtis v. American Cyanamid Co., 238 N.J. Super. 8, 28-29 (App. Div. 1989) which historically applied to prove medical causation in toxic-tort litigation.

In this matter it was alleged that plaintiff’s decedent died from mesothelioma resulting from 40 years of asbestos exposure at his workplace. The wrongful death and failure-to-warn products liability action against the manufacturer and supplier of asbestos, Union Carbide, further alleged the company knew asbestos exposure could cause cancer but elected to place inadequate warnings on the asbestos bags even after the NIOSH and OSHA recommended a more urgent warning. Union Carbine asserted in the litigation that it provided information and safety warnings to decedent’s employers, requesting that the information be relayed and made available by the employers to employees.

The N.J. Supreme Court held that asbestos companies have a dual duty to provide proper warnings of the risks of the product to both the employee and employer. Union Carbine’s intention for employers to disseminate the risk information to their employees through safety documents did not satisfy that duty and deprived the decedent of vital information impacting his health and life.

The Supreme Court also referred the issue to the Supreme Court Committee on Model Civil Jury Charges for consideration of whether to modify the Model Charge on proximate causation and substantial factor in the toxic tort cases.

NEW JERSEY TO RECONSIDER PERMANENT DISBARMENT FOR KNOWING MISAPPROPRIATION OF FUNDS

In the Matter of Dionne Larrel Wade, ___N.J.___ (2022) (D-132-20) (085931)

After a random audit by the Office of Attorney Ethics (OAE) uncovered a misappropriation of client and escrow funds, the Court decided to disbar Dionne Wade, an attorney from Paterson, New Jersey. Wade’s misuse of client money fell under the rule of In re Wilson requiring permanent disbarment, as further investigation showed clear and convincing proof through Wade’s self-admitted knowledge of misappropriation.

Following an order to show cause, the Court was asked to revisit the rule in Wilson. The New Jersey State Bar Association, as amicus curiae, asked the Court to find that knowing misappropriation of client or escrow funds should require proof that an attorney intended to steal or defraud. The New Jersey Supreme Court declined to revisit Wilson; however, the Court intends to reevaluate the current approach to permanent disbarment and consider joining the majority of jurisdictions that allow for reinstatement.

Wilson, decided in 1979, established that disbarment is the only appropriate discipline when an attorney knowingly uses clients’ money as if it were their own, in order to prevent inconsistent disciplines. The Court concluded that disbarment was so harsh as to require justification through the most compelling reasons of continued confidence of the public in the integrity of the bar and judicial system.

The Court in Wade clarified that lawyers will still be disbarred in all matters in which they knowingly misappropriate client or escrow funds, consistent with decades of precedent. The Court intends to create a rigorous system that can determine if a lawyer disbarred for those reasons deserves a second chance years later, through consideration of various factors.

Forty-one states allow attorneys to apply to be reinstated after they have been disbarred. Disbarment is permanent in only 8 states including New Jersey. The Court will convene a committee comprised of attorneys as well as members of the public who are not lawyers to assess whether disbarment for knowing misappropriation should be permanent. The committee’s report will be made public before the Court determines how to proceed. The Court also invites comment from attorneys and the public. 

RESCUE DOCTRINE REAFFIRMED AS TO THE PROTECTION OF HUMAN LIFE

Samolyk v. Berthe, ___N.J.___ (2022)

The New Jersey Supreme Court recently considered whether to expand the common law rescue doctrine to permit plaintiffs to recover damages for injuries sustained while attempting to rescue property. In this case, property came in the form of defendant’s dog. After entering a lagoon to prevent defendant’s dog from drowning, plaintiff sustained neurological and cognitive injuries.

Plaintiff’s theory of liability was supported by the Rescue Doctrine, which traditionally provides a source of recovery to one who is injured while undertaking the rescue of another who has negligently placed himself in peril. Plaintiffs asserted defendants negligently allowed their dog to jump or fall into the water, and defendants invited the rescue as the dog was in danger. Defense counsel asserted that no Court in this state had extended the rescue doctrine to apply to the protection of property.

On appeal, while recognizing the emotional attachment people share with dogs and the noble principles of saving animals, the Court declined to consider property to be equally entitled to the value bestowed on human life. The Court, however, held the Rescue Doctrine will now encompass acts that facially appear to be driven by the protection of property, but are in fact measures ultimately intended to protect human life. For this expansion, the Court provided an example of a neighbor attempting to extinguish a negligently started house fire with a good faith belief that inhabitants may be injured, or the fire may spread to other occupied properties. Still, in the Samolyk case, plaintiff’s actions were based solely on her perception of danger to the dog’s life. 
NEW JERSEY APPELLATE DIVISION
SETTLEMENT MUST BE REDUCED TO A JUDGMENT FOR CONTRIBUTION - ABSENT A JURY ALLOCATION OF FAULT

Hoelz v. Bowers et al., ___ N.J. Super. ___ (App. Div. 2022).

The Appellate Division considered the applicability of the Joint Tortfeasors Contribution Law (“JTCL”), N.J.S.A. 2A:53A-1 to -5, in a case where a settling tortfeasor pursued a contribution claim against an alleged joint tortfeasor when the settlement with the plaintiff was never reduced to a judgment.

By the JTCL’s express terms, a joint tortfeasor may recover from another joint tortfeasor “only if (1) there was a money judgment in favor of the plaintiff, and (2) the initial tortfeasor paid more than his pro rata share of that judgment.”

In the Hoelz case plaintiff suffered an amputation of the left leg as well as surgery to her right foot. In the underlying action, plaintiff alleged medical negligence against an orthopedic physician and his employer. The defendants filed a third-party complaint demanding contribution and indemnification against the rehabilitation facility where plaintiff was treated.

After Hoelz passed away, the executor of the estate reached a settlement with the defendants. Counsel for third-party defendant sought dismissal arguing that only a payment of a judgment, not payment pursuant to a settlement agreement, gives rise to a claim for contribution from a joint tortfeasor. The trial disagreed and appeal followed.

The Appellate Division clarified that the statutory requirement of a judgment should not discourage settlements, as the defendant could still receive a credit under the Comparative Negligence Act (CNA) for any proportion of responsibility for the injuries that the jury attributes to another tortfeasor, even if that party was earlier dismissed from the case. In this case, however, defendants settled with plaintiff’s estate rather than going to trial, so the Court assumed it reflected only their portion of plaintiff’s full damages, and not those regarding another joint tortfeasor’s liability. Had a jury determined the fault of the parties and plaintiff recovered all its damages from defendants, then defendants would have a right to contribution under JTCL.

Since third-party defendant did not agree to the settlement, “fairness and due process demand he be permitted to contest the amount of the judgment as well as the parties’ comparative fault.” The Appellate Division reversed and remanded for entry of an order dismissing defendants’ third-party complaint for contribution.

NO COVERAGE FOR COVID-19 BUSINESS LOSSES

Mac Property Group LLC v. Selective Fire & Cas. Ins. Co., ___ N.J. Sup. ___ (App. Div. 2022)

In a precedential, consolidated opinion resolving six separate appeals, the New Jersey Appellate Division ruled that complaints filed by businesses seeking recovery from property insurers for losses resulting from the COVID-19 pandemic failed to state claims upon which relief could be granted.

The plaintiffs in the appeals operated a gym, restaurants, a day care center, and a bakery. The plaintiffs alleged that, as a result of executive orders issued by the Governor of New Jersey, their businesses were limited or closed, resulting in loss of income. The Appellate Division found that none of the complaints alleged “direct physical loss of or damage to” covered property for purposes of coverage. The Court reasoned that this coverage “extended only to instances where the insured property has suffered a detrimental physical alteration of some kind, or there was a physical loss of the insured property.” The Court found this interpretation consistent with the scope of business income coverage, which focuses on the period during which property is repaired, rebuilt, or replaced. Because the plaintiffs did not allege that their premises had lost their physical capacity to operate, coverage did not apply.

The Appellate Division further found that civil authority coverage was inapplicable. The Court found that the executive orders had limited the scope of permissible business activities, but had not prohibited access to the premises. The Court further found that the restrictions in the executive order were not on account of damage to nearby properties.

Although consideration of virus exclusions was not required, the Appellate Division further found that virus exclusions in the policies unambiguously barred coverage. While exclusions in certain of the policies did not contain anti-concurrent-causation language, the Court nonetheless concluded that COVID-19 was the efficient proximate cause of plaintiffs’ losses. The Appellate Division did not permit the plaintiffs to amend their complaints to assert that the insurers were estopped from denying coverage as a result of statements made by insurers or their agents to state regulators in connection with virus exclusions. The Court found that coverage would be inapplicable regardless of whether or not virus exclusions applied. The Court further concluded that positions taken by the insurers were not inconsistent with prior statements made to regulators.

In two subsequent unpublished opinions, the Appellate Division dismissed additional suits by businesses seeking coverage for COVID-19 losses from property insurers. Rockleigh Country Club, LLC v. Hartford Ins. Group, A-1826-21 (App. Div. June 21, 2022) and AC Ocean Walk, LLC v. American Guar. & Liab. Ins. Co., A-1826-21 (App. Div. June 22, 2022).

NON-DISPARAGEMENT AGREEMENTS HELD TO COMPORT WITH NJLAD

Savage v. Township of Neptune, ____ N.J. Super. ___ (App. Div. 2022).

The Appellate Division recently reversed a trial court’s order granting defendants’ motion to enforce a non-disparagement provision of a settlement agreement. While the Appellate Division found the non-disparagement provision was enforceable, the Court found the plaintiff did not violate the terms of the provision during a televised interview.

In an underlying employment discrimination case, plaintiff, a former Sergeant with defendant Township of Neptune Police Department, alleged defendants engaged in continuing sexual discrimination, harassment, and unlawful retaliation, in violation of New Jersey’s Law Against Discrimination (NJLAD) N.J.S.A. 10:5-1 to -50, the New Jersey Civil Rights Act, and the New Jersey Constitution. In 2020, the parties settled the employment discrimination action and entered into a Settlement Agreement that included a non-disparagement provision.

Months later, defendants filed a motion to enforce the Agreement, claiming that plaintiff violated the non-disparagement provision in an interview with NBC New York. Plaintiff argued the non-disparagement provision was against public policy and in violation of the NJLAD. The trial court held the non-disparagement provision enforceable under the NJLAD, as the statute only barred confidentiality or non-disclosure agreements and the court also found that the statements during the news interview were disparaging.

On appeal, the Appellate Division affirmed in part and held the non-disparagement clause was enforceable. However, the Appellate Division found that plaintiff’s public statements were about present or future behavior, not statements about the past behavior of the parties as the agreement plainly prohibited. Thus, the Appellate Division held the statements, whether or not disparaging, did not violate the terms of the agreement.

In response to the decision, state senators have introduced S2930, a bill intended to prohibit non-disparagement provisions in employment contracts. S2930 would make any non-disparagement or non-disclosure provision in an employment contract unenforceable if the provision waives certain rights or remedies, specifically relating to a claim of discrimination, retaliation, or harassment. The proposed legislation also removes a provision in the current law that allows for non-disclosure agreements as a term of collective bargaining between an employer and representative of the employees.  

DISCRIMINATION CLAIMS INAPPLICABLE ABSENT EVIDENCE OF A PROTECTED GROUP

C.V., et al. v. Waterford Township Board of Education et al., ___N.J. Super. ___ (App. Div. 2022)

In an issue of first impression, the Appellate Division addressed whether the New Jersey Law Against Discrimination (LAD), N.J.S.A. 10:5-1 to -50, applies to claims arising from a sexual predator’s criminal assaults against a young schoolgirl, where those crimes were committed on a school bus. The Appellate Division held the while the LAD could apply to such a suit, it did not apply in this case. There was no evidence the predator’s behavior was the result of any proven intention to discriminate specifically against young women.

While riding on a school bus that transported students for defendant Waterford School District, plaintiff C.V. (pseudonym Claire), was sexually assaulted by A.D. (pseudonym Alan), a bus aide, when she was five years old. Claire’s parents filed an action asserting a claim for negligence and claims for relief under the LAD based on Alan’s alleged harassment and sexual abuse of their daughter. Plaintiffs’ negligence claims were resolved through a settlement agreement. Plaintiffs appealed from an order granting Waterford summary judgment as to the LAD claim.

The Appellate Division held the LAD has no application to a sexual predator's assault of a student on a school bus where there is no evidence his actions were based solely on the victim's status as a member of a protected group. The Appellate Division expressly clarified that their holding did not mean sexual assault on a school bus can never be an act that is subject to an LAD claim.

TORTS CLAIM ACT NOTICE PROVISION SATISFIED WHEN SENT TO COUNTY CLERK

Bryant v. County of Cumberland, ___N.J. Super. ___ (App. Div. 2022).

In a matter of first impression, the Appellate Division held that service of a Tort Claims Act Notice of Claim on a county is sufficient when sent to the County Clerk rather than the Board Of County Commissioners. The Tort Claims Act fails to identify who it is a claimant must serve with Notice of A Claim when suing a county, so the matter is best clarified by the Legislature.

In February 2020, plaintiffs filed a personal injury action after a slip-and-fall in the county courthouse parking lot alleging Cumberland County’s negligence. The County moved for summary judgment, asserting that plaintiffs failed to comply with the Tort Claims Act’s (N.J.S.A. 59:8-7 and -10) notice requirements, claiming that the notice was not properly served as plaintiffs sent it to the County Clerk instead of the Clerk of the Board of County Commissioners.

The Trial Court ultimately concluded that Cumberland’s Board of County Commissioners, and not its County Clerk, had to be served because of its role as the governing body that “oversee[r] [of] litigation against the County.” The Appellate Division agreed with part of the trial judge’s approach and logic but gave more weight to the fact that the Tort Claims Act fails to provide any guidance as to which clerk must be served. There was nothing in the Act’s provisions to “foreclose the possibility that the Legislature may have intended that more than one county office or officer could represent the county for purposes of receiving a notice of claim.” The Court also referenced Rule 4:4-4(a)(8), which allows for more than one person who may accept a service of a summons and complaint for a county and that one of those persons would be “the clerk . . . thereof”. Until the Legislature is able to provide clarity with respect to service, the Appellate Division held the question should be answered in a way that promotes fairness to all parties. Plaintiffs’ service of the notice of claim on the Cumberland’s County Clerk was sufficient. 
LEGISLATIVE ALERT
NEW YORK STATE SENATE BILL S74A PASSED BY SENATE AND ASSEMBLY

In the New York Assembly’s early June legislative session, both the Assembly and Senate passed Senate Bill S74A, otherwise known as the Grieving Families Act. The Bill addresses the damages available in wrongful death actions and expands the scope of persons able to seek compensation.

The proposed legislation extends the statute of limitations for commencing an action from two years to three years and six months after the decedent’s death. The current law allows for the recovery of economic damages, while the recent amendments would allow for recovery ofemotional damages if passed.

Compensation for damages may be recovered, including: (i) reasonable funeral expenses of the decedent paid by the persons for whose benefit the action is brought, or for the payment of which any persons for whose benefit the action is brought is responsible; (ii) reasonable expenses for medical care incident to the injury causing death, including but not limited to doctors, nursing, attendant care, treatment, hospitalization of the decedent, and medicines; (iii) grief or anguish caused by the decedent's death, and for any disorder caused by such grief or anguish; (iv) loss of love, society, protection, comfort, companionship, and consortium resulting from the decedent's death; (v) pecuniary injuries, including loss of services, support, assistance, and loss or diminishment of inheritance, resulting from the decedent's death; and (vi) loss of nurture, guidance, counsel, advice, training, and education resulting from the decedent's death. S. 74A, 2022 Reg. Sess. (N.Y. 2022).

The proposed Bill would also extend recovery to surviving close family members, a determination for the finder of fact based on specific circumstances surrounding the person’s relationship with the decedent. This is an expansion from the formerly stated distributes of the state, including parents and spouses.

The bill is now awaiting Governor Kathy Hochul’s signature. 
As always, if you have any questions regarding any of the cases in this issue of Case Alerts, or if HKMP can be of service to you, then please contact us at [email protected] or 973-912-5222.
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