Elaine Neidig v. Valley Health System (Justice Armstead, dissenting)
Court
West Virginia Supreme Court
Decided
June 10, 2025
Jurisdiction
S
Importance
55%
Case Summary
FILED No. 24-27, Elaine Neidig, individually and on behalf of all others similarly situated v. Valley Health System June 10, 2025 released at 3:00 p.m. EDYTHE NASH GAISER, CLERK ARMSTEAD, Justice, dissenting: SUPREME COURT OF APPEALS OF WEST VIRGINIA The West Virginia Medical Professional Liability Act, West Virginia Code §§ 55-7B-1 – 12 (“MPLA”), is, by design, a broad and encompassing measure designed to govern civil actions arising from the provision, or failure to provide, adequate health care services to our citizens. The majority’s opinion in this case improperly limits the scope and coverage of the MPLA. Accordingly, I dissent from the majority’s answer to the certified question from the United States Court of Appeals for the Fourth Circuit because I believe that, by following the majority’s opinion, a plaintiff may avoid application of the MPLA by utilizing artful pleading, a result that has previously been soundly rejected by this Court. Ms. Neidig creatively couches her claims as unfair and deceptive acts and practices pursuant to the West Virginia Consumer Credit Protection Act (W. Va. Code §§ 46A-6-101 – 110), breach of contract, and unjust enrichment. What the majority opinion fails to recognize is that the petitioner’s unfair and deceptive acts and practices, breach of contract, and unjust enrichment claims are all based upon a deviation from the standard of care for a mammogram. In other words, Ms. Nedig will, essentially, have to establish a medical negligence claim in order to prevail. The majority incorrectly centers its attention, not upon the nature of the petitioner’s factual allegations, but upon her characterization of the type of damages she seeks. Additionally, the petitioner’s breach of contract claim is an anchor claim that falls within the terms of the MPLA. As such, I firmly believe that the 1 United States District Court for the Northern District of West Virginia was correct in its decision that the petitioner’s claims fall squarely within the scope of the MPLA. Because the MPLA applies to this case and the allegations in the petitioner’s complaint fall outside the one-year statute of limitations governing the MPLA, the petitioner’s complaint should be dismissed. Accordingly, I would answer the Fourth Circuit’s original certified question in the affirmative. As noted by both the majority and Justice Walker’s concurrence, for the MPLA to apply, a cause of action must fall within the Act’s definitions of “medical professional liability” and “health care.” Under the Act, “medical professional liability” is defined broadly to mean: [A]ny liability for damages resulting from the death or injury of a person for any tort or breach of contract based on health care services rendered, or which should have been rendered, by a health care provider or health care facility to a patient. It also means other claims that may be contemporaneous to or related to the alleged tort or breach of contract or otherwise provided, all in the context of rendering health care services. Id. § 55-7B-2(i) (emphasis added). The Legislature has defined the term “injury” to mean “injury or death to a patient arising or resulting from the rendering of or failure to render health care.” Id. § 55-7B-2(h). Finally, “health care,” is defined, in relevant part, as: Any act, service or treatment performed or furnished, or which should have been performed or furnished, by any health care provider or person supervised by or acting under the direction of a health care provider or licensed professional for, 2 to, or on behalf of a patient during the patient’s medical care, treatment or confinement, including, but not limited to, staffing, medical transport, custodial care, or basic care, infection control, positioning, hydration, nutrition, and similar patient services. Id. § 55-7B-2(e)(2). We have stated that a health care claim is the necessary anchor from which MPLA application flows: The “health care” claim is the “anchor;” it gets you in the door of MPLA application to allow for inclusion of claims that are “contemporaneous to or related to” that claim, but still must be in the overall context of rendering health care se
Case Details
Case Details
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Status
Decided
Date Decided
June 10, 2025
Jurisdiction
S
Court Type
federal
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Case Summary
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FILED No. 24-27, Elaine Neidig, individually and on behalf of all others similarly situated v. Valley Health System June 10, 2025 released at 3:00 p.m. EDYTHE NASH GAISER, CLERK ARMSTEAD, Justice, dissenting: SUPREME COURT OF APPEALS OF WEST VIRGINIA The West Virginia Medical Professional Liability Act, West Virginia Code
§§ 55-7B-1 – 12 (“MPLA”), is, by design, a broad and encompassing measure designed to
govern civil actions arising from the provision, or failure to provide, adequate health care
services to our citizens. The majority’s opinion in this case improperly limits the scope
and coverage of the MPLA. Accordingly, I dissent from the majority’s answer to the
certified question from the United States Court of Appeals for the Fourth Circuit because
I believe that, by following the majority’s opinion, a plaintiff may avoid application of the
MPLA by utilizing artful pleading, a result that has previously been soundly rejected by
this Court. Ms. Neidig creatively couches her claims as unfair and deceptive acts and
practices pursuant to the West Virginia Consumer Credit Protection Act (W. Va. Code §§
46A-6-101 – 110), breach of contract, and unjust enrichment. What the majority opinion
fails to recognize is that the petitioner’s unfair and deceptive acts and practices, breach of
contract, and unjust enrichment claims are all based upon a deviation from the standard of
care for a mammogram. In other words, Ms. Nedig will, essentially, have to establish a
medical negligence claim in order to prevail. The majority incorrectly centers its attention,
not upon the nature of the petitioner’s factual allegations, but upon her characterization of
the type of damages she seeks. Additionally, the petitioner’s breach of contract claim is an
anchor claim that falls within the terms of the MPLA. As such, I firmly believe that the 1 United States District Court for the Northern District of West Virginia was correct in its
decision that the petitioner’s claims fall squarely within the scope of the MPLA. Because
the MPLA applies to this case and the allegations in the petitioner’s complaint fall outside
the one-year statute of limitations governing the MPLA, the petitioner’s complaint should
be dismissed. Accordingly, I would answer the Fourth Circuit’s original certified question
in the affirmative.
As noted by both the majority and Justice Walker’s concurrence, for the
MPLA to apply, a cause of action must fall within the Act’s definitions of “medical
professional liability” and “health care.” Under the Act, “medical professional liability” is
defined broadly to mean:
[A]ny liability for damages resulting from the death or injury
of a person for any tort or breach of contract based on health
care services rendered, or which should have been rendered,
by a health care provider or health care facility to a patient. It
also means other claims that may be contemporaneous to or
related to the alleged tort or breach of contract or otherwise
provided, all in the context of rendering health care services.
Id. § 55-7B-2(i) (emphasis added). The Legislature has defined the term “injury” to mean
“injury or death to a patient arising or resulting from the rendering of or failure to render
health care.” Id. § 55-7B-2(h). Finally, “health care,” is defined, in relevant part, as:
Any act, service or treatment performed or furnished, or
which should have been performed or furnished, by any health
care provider or person supervised by or acting under the
direction of a health care provider or licensed professional for,
2
to, or on behalf of a patient during the patient’s medical care, treatment or confinement, including, but not limited to, staffing, medical transport, custodial care, or basic care, infection control, positioning, hydration, nutrition, and similar patient services.
Id. § 55-7B-2(e)(2). We have stated that a health care claim is the necessary anchor from
which MPLA application flows:
The “health care” claim is the “anchor;” it gets you in the door
of MPLA application to allow for inclusion of claims that are
“contemporaneous to or related to” that claim, but still must be
in the overall context of rendering health care se
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Status
Decided
Date Decided
June 10, 2025
Jurisdiction
S
Court Type
federal
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