“[M]aking the protected nature of an employee’s opposition to alleged discrimination depend on the ultimate resolution of his claim would be inconsistent with the remedial purposes of Title VII.”
How later courts described this case
- “[M]aking the protected nature of an employee’s opposition to alleged discrimination depend on the ultimate resolution of his claim would be inconsistent with the remedial purposes of Title VII.”
- “The remedy of dismissal is pungent, rarely used, and conclusive.”
- “[EMTALA’s] core purpose is to get patients into the system who might otherwise go untreated and be left without a remedy because traditional medical malpractice law affords no claim for failure to treat.”
- “The narrow-construction principle relies on the flawed premise that the FLSA pursues its remedial purpose at all costs.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF NEW YORK
------------------------------------x
ALEXANDER WELLER,
Plaintiff, MEMORANDUM & ORDER
23-CV-8056 (EK)(RML)
-against-
NYU LANGONE HEALTH SYSTEM, et al.,
Defendants.
------------------------------------x
ERIC KOMITEE, United States District Judge:
Plaintiff Alexander Weller worked as a physician in
the NYU Langone Health System (“NYU Langone”). Dr. Weller
alleges that he was fired in retaliation for having reported a
violation of the Emergency Medical Treatment and Active Labor
Act (“EMTALA”). His belief that NYU Langone violated EMTALA,
however, was incorrect. The statute regulates a hospital’s
right to “transfer” an individual who presents with an
unstabilized emergency condition, as well as a receiving
hospital’s right to decline such a transfer. But a transfer,
within the meaning of EMTALA, occurs when an individual is moved
“outside a hospital’s facilities” — and not, as was contemplated
here, from one NYU Langone facility to another operated by that
same hospital.
Because Dr. Weller has not plausibly pled an actual
EMTALA violation, and because EMTALA’s whistleblower protections
do not extend to those who report what they reasonably, but
inaccurately, believe to constitute a violation, his complaint
must be dismissed.
Background
The following facts are drawn from the third amended
complaint and are presumed true for purposes of this action.
Bell Atl. Corp. v. Twombly, 550 U.S. 544, 558 (2007). Dr.
Weller began working as a part-time hospitalist physician at NYU
Langone Brooklyn Hospital (“NYU Brooklyn”) in January 2023.1
Third Amended Complaint (“TAC”) ¶ 16, ECF No. 33. Dr. Weller
worked four to eight shifts per month. Id. ¶ 19. His
responsibilities included admitting, caring for, and discharging
adult medical patients. Id.
In July of 2023, NYU Brooklyn’s Medical Care Director
circulated a new policy regarding patient admissions from the
emergency department. Id. ¶ 32. Thereafter, Dr. Weller
complained to Dr. Kevin Eaton — chairperson of the Department of
Medicine at NYU Brooklyn, and a defendant here — that the policy
was “hazardous and imprudent.” Id. ¶¶ 9, 33. One day that
summer, Dr. Weller assessed an elderly patient who was suffering
1 Though not defined in the complaint, a hospitalist is a physician “who
specializes in providing and managing the care and treatment of hospitalized
patients.” Merriam-Webster.com Dictionary, https://www.merriam-
webster.com/dictionary/hospitalist (last accessed June 23, 2025); accord
Ofoche v. Apogee Med. Grp., Virginia, P.C., 815 F. App’x 690, 691 n.1 (4th
Cir. 2020).
from complications of blood cancer. Id. ¶ 35. That patient had
presented to the emergency department at NYU Brooklyn after a
fall, and was admitted to a general medicine ward. Id. After
inheriting the patient from another hospitalist, Dr. Weller
reviewed the patient’s medical record. Id. ¶ 36. Dr. Weller
expressed concerns to another physician that the patient’s care
“deviated from” national standards for patients with blood
cancer. Id.
After “fruitless” discussions with this physician, Dr.
Weller reached out to the NYU Langone transfer center. Id.
¶¶ 37-38. An oncologist at NYU Langone Tisch (“NYU Tisch”) in
Manhattan accepted the transfer. Id. ¶ 38. In the subsequent
hours, however, Dr. Eaton and administrators at NYU Langone
canceled the transfer. Id. ¶ 39. The patient remained at NYU
Brooklyn. Id. Dr. Weller alleges that the patient’s condition
deteriorated thereafter, id. ¶ 42, though his allegations
concerning the patient’s subsequent demise have shifted
meaningfully over time.2
2 Dr. Weller initially pled that the patient was not transferred and
“died shortly thereafter.” First Am. Compl. ¶ 42, ECF No. 14. His counsel
reiterated this assertion at oral argument. Transcript of Proceedings on
Dec. 20, 2024 (“Oral Argument Transcript”) 33:19-34:11, ECF No. 22 (“What
happened, Your Honor, is that it was the order, the request for transfer was
cancelled and the patient died . . . [w]ithin days.”). Dr. Weller then
amended his complaint to allege more facts related to the patient’s treatment
and explained that after denial of the transfer, the patient died “a few days
later (less than five days).” Second Am. Compl. ¶ 42, ECF No. 23.
In response, defendants filed a letter explaining that the patient was
released from the hospital alive, twenty-one days after admission and fifteen
On July 14, Dr. Weller informed Dr. Eaton that he
believed the cancellation violated EMTALA. Id. ¶ 43. He then
sent Dr. Eaton the statute as well as a judicial opinion on
EMTALA. Id. Dr. Eaton responded, explaining that Dr. Weller
had failed to follow the hospital’s transfer process because he
had not obtained certain approvals. Id. ¶ 44. On July 21, Dr.
Weller met with Dr. Joseph Weisstuch — the Chief Medical Officer
at NYU Brooklyn — and another physician, and again complained
that NYU Langone had violated EMTALA. Id. ¶¶ 11, 46. The next
day, Dr. Weller made a complaint to the Centers for Medicare and
Medicaid services, copying New York state officials, alleging
that NYU Langone had violated EMTALA. Id. ¶ 48. On August 9,
Dr. Weller informed Dr. Weisstuch of this complaint. Id. ¶ 50.
Two days later, Dr. Eaton terminated Dr. Weller’s employment.
Id. ¶ 52.
Dr. Weller now brings suit against NYU Langone, NYU
Langone Hospital Long Island, NYU Grossman School of Medicine
(which operates NYU Langone), New York University, and Drs.
Eaton and Weisstuch. He alleges a violation of EMTALA’s
days after the transfer request. Barry Ltr. 1-2, ECF No. 27. Defendants
indicated that they had shared medical records and the patient’s obituary
with Dr. Weller, indicating that she was alive at the time this action was
commenced — several months after the cancellation of the alleged transfer
request. Id. Soon thereafter, Dr. Weller filed another amended complaint
that simply alleged upon information and belief that “the patient was
discharged to hospice.” TAC ¶ 42. These allegations formed the basis of a
pending motion for sanctions pursuant to Rule 11. Mot. for Sanctions, ECF
No. 37.
whistleblower protection provision and also brings five New York
state law claims.
Defendants have moved to dismiss all claims.
Discussion
A. Legal Standard
To overcome a motion to dismiss under Rule 12(b)(6), a
complaint must plead facts sufficient “to state a claim to
relief that is plausible on its face.” Twombly, 550 U.S. 544,
570 (2007). The Court must accept all factual allegations in
the complaint as true and draw all reasonable inferences in the
plaintiff’s favor. See Lundy v. Cath. Health Sys. of Long
Island Inc., 711 F.3d 106, 113 (2d Cir. 2013).3 The Court “must
confine its consideration to facts stated on the face of the
complaint, in documents appended to the complaint or
incorporated in the complaint by reference, and to matters of
which judicial notice may be taken.” Leonard F. v. Isr. Disc.
Bank of N.Y., 199 F.3d 99, 107 (2d Cir. 1999).
B. Plaintiff Has Not Plausibly Pled an EMTALA Violation
1. EMTALA’s Requirements
Congress enacted EMTALA in 1986. EMTALA combats
“patient dumping, the practice of refusing to provide emergency
medical treatment to patients unable to pay, or transferring
3 Unless otherwise noted, when quoting judicial decisions this order
accepts all alterations and omits all citations, footnotes, and internal
quotation marks.
them before emergency conditions are stabilized.” Hardy v.
N.Y.C. Health & Hosp. Corp., 164 F.3d 789, 792 (2d Cir. 1999).
To this end, EMTALA imposes obligations on hospitals that
participate in Medicare and have emergency departments. First,
these hospitals must provide an “appropriate medical screening
examination . . . to determine whether or not an emergency
medical condition . . . exists.” 42 U.S.C. § 1395dd(a). Second,
hospitals generally must “stabilize” the emergency medical
condition before transferring the patient “outside [the]
hospital’s facilities.” See id. §§ 1395dd(b) and (c)
(discussing stabilization and restrictions on transfer); id.
§ 1395dd(e)(4) (defining transfer).
EMTALA also addresses “reverse dumping,” which is
perhaps more pertinent to Dr. Weller’s contentions. Reverse
dumping occurs when a hospital refuses to accept a transfer of a
patient requiring its “specialized capabilities.” Id.
§ 1395dd(g). The statute provides that a “participating
hospital” with such capabilities “shall not refuse to accept an
appropriate transfer of an individual who requires such
specialized capabilities or facilities if the hospital has the
capacity to treat the individual.” Id.; see St. Anthony Hosp.
v. U.S. Dep’t of Health & Hum. Servs., 309 F.3d 680, 686 (10th
Cir. 2002).4
EMTALA provides patients a private right of action for
violations. In addition, the statute includes certain
whistleblower protections:
A participating hospital may not penalize or take
adverse action [1] against a qualified medical
person . . . or a physician because the person or
physician refuses to authorize the transfer of an
individual with an emergency medical condition that
has not been stabilized or [2] against any hospital
employee because the employee reports a violation of a
requirement of this section.
42 U.S.C. § 1395dd(i). Dr. Weller seeks protection under the
second clause. See TAC ¶ 61.5 The first clause is inapposite,
as Dr. Weller does not allege that he “refuse[d] to authorize”
any transfer.
2. Dr. Weller Has Not Alleged a Contemplated
Transfer
Dr. Weller contends that the decision to cancel the
patient’s transfer from NYU Brooklyn to NYU Tisch constituted a
refusal to accept a transfer by a hospital with specialized
capabilities and thus violated EMTALA. TAC ¶ 62. But Dr.
Weller has not plausibly alleged that NYU Brooklyn and NYU Tisch
are separate hospitals, as is necessary to establish that the
4 St. Anthony is the case that Dr. Weller sent to Dr. Eaton along with
the text of EMTALA after their meeting on July 14. See TAC ¶ 43.
5 Defendants do not contest that Dr. Weller is a “hospital employee,”
notwithstanding that his employment was part time and per diem. See TAC
¶ 16.
decision concerned a “transfer” under EMTALA. And the statute
does not cover movement within a hospital. Accordingly, Dr.
Weller has not plausibly alleged that he “report[ed] a
violation” of EMTALA.
EMTALA defines a “transfer” as:
[T]he movement (including the discharge) of an
individual outside a hospital’s facilities at the
direction of any person employed by (or affiliated or
associated, directly or indirectly, with) the
hospital, but does not include such a movement of an
individual who (A) has been declared dead, or (B)
leaves the facility without the permission of any such
person.
42 U.S.C. § 1395dd(e)(4).
The key issue, then, is whether the proposed movement
of a patient from NYU Brooklyn to NYU Tisch was one “outside a
hospital’s facilities.” EMTALA does not separately define
“hospital.”6 However, “[a]s an amendment to the Social Security
Act, EMTALA incorporates the Act’s definition of a ‘hospital.’”
Rodriguez v. Am. Int’l Ins. Co. of Puerto Rico, 402 F.3d 45, 48
(1st Cir. 2005); accord Emergency Health Ctr. at Willowbrook,
L.L.C. v. UnitedHealthcare of Texas, Inc., 892 F. Supp. 2d 847,
852 (S.D. Tex. 2012). This is consistent with established rules
of statutory construction. “Courts presume that words and
provisions used in the original act were used in their same
6 EMTALA defines a “participating hospital” as a “hospital that has
entered into a [Medicare] provider agreement.” 42 U.S.C. § 1395dd(e)(2).
This does not, of course, state explicitly what a hospital is.
sense in an amendment.” 1A Sutherland Statutory Construction
§ 22:31 (8th ed.).7
The Medicare Act added the Social Security Act’s
original definition of “hospital” in 1965. Social Security
Amendments (Medicare Act) of 1965, Pub. L. No. 89-97, § 1861(e),
79 Stat. 286, 314-315 (codified as amended at 42 U.S.C.
§ 1395x(e)). Under that provision, a “hospital” is an
“institution” that engages in specified medical services. 42
U.S.C. § 1395x(e). Other provisions in the Social Security Act
make it clear that a “hospital” can “encompass institutions with
multiple campuses and facilities.” Anna Jacques Hosp. v.
Burwell, 797 F.3d 1155, 1165 (D.C. Cir. 2015). Indeed, this
conclusion emerges directly from EMTALA’s definition of
“transfer,” which speaks to movement “outside a hospital’s
facilities.” 42 U.S.C. § 1395dd(e)(4). The use of the singular
possessive — “hospital’s” — to modify “facilities,” plural,
indicates that a single hospital can subsume multiple
facilities.
Additional support for this proposition appears
elsewhere in the Social Security Act. One provision refers to
7 Indeed, EMTALA broadened the Social Security Act’s definition of
“hospital” slightly, in a manner that confirms the applicability of that
definition. EMTALA established that the definition “includes a . . .
critical access hospital . . . and a rural emergency hospital.” Id.
§ 1395dd(e)(5) (emphasis added). Those two references — not relevant here
— extended EMTALA’s protection to certain hospitals excluded from the Social
Security Act’s definition of “hospital.” See id. §§ 1395x(mm)(1),
1395x(kkk)(2).
the number of beds “only in the facilities on the main campus of
the hospital.” Id. § 1395nn(h)(7)(B)(iv) (emphasis added); see
also id. § 1395nn(i)(3)(D) (“Any increase in the number of
operating rooms . . . may only occur in facilities on the main
campus of the applicable hospital.”) (emphasis added); id.
§ 1395g(e)(4) (“A hospital created by the merger or
consolidation of 2 or more hospitals or hospital campuses shall
be eligible to receive periodic interim payment . . . .”)
(emphasis added). Thus, a single hospital can subsume multiple
campuses. Such hospitals “often form as the result of a
hospital merger or joint venture.” Anna Jacques, 797 F.3d at
1159.8
Dr. Weller’s complaint and public documents make clear
that NYU Langone is an institution with multiple campuses. Dr.
Weller alleges that NYU Langone is a “private hospital system,”
and that both NYU Brooklyn and NYU Tisch are part of that
system. TAC ¶¶ 7, 39, 41. In Anna Jacques, the D.C. Circuit
8 We recognize that the word “hospital” is also used in a more limited
fashion in colloquial conversation. One noteworthy example of such a usage
comes from the inimitable Leslie Nielsen:
Nielsen (as the doctor on board a commercial airliner): You’d better
tell the Captain. We’ve got to land as soon as we can. This woman has to be
gotten to a hospital.
Julie Hagerty (as the flight attendant): A hospital? What is it?
Nielsen: It’s a big building with patients. But that’s not important
right now. Tell the Captain I must speak to him.
Airplane!, at 37:58 (Paramount Pictures 1980) (emphasis added).
held that a hospital organization in southeastern Massachusetts
formed via the merger of three separate hospitals was one
“hospital” for purposes of the Medicare Act. Anna Jacques, 797
F.3d at 1158-59, 64-65.9 There too, the court relied on the fact
the campuses “operate[d] as a unified hospital.” Id. at 1162.
And while not dispositive here, the fact that NYU Langone
operated under a single Medicare provider agreement only serves
to reinforce this conclusion. See id. at 1164-65.10
Against this reading and precedent, Dr. Weller has not
plausibly alleged that NYU Brooklyn and NYU Tisch are different
hospitals. After oral argument in December of 2024, Dr. Weller
amended his complaint to add an allegation that the two
facilities had separate Medicare provider numbers and were
separately licensed and approved by the New York State
Department of Health. See Second Am. Compl. ¶ 18 & n.2, ECF No.
23. Soon thereafter, however, Dr. Weller re-amended his
complaint to remove these allegations — perhaps because public
9 While Anna Jacques concerned the calculation of Medicare’s wage index,
42 U.S.C. § 1395ww(d)(3)(E)(i), it is relevant here, too, given the
“presumption that a given term is used to mean the same thing throughout a
statute.” Brown v. Gardner, 513 U.S. 115, 118 (1994).
10 Courts “may take judicial notice of documents from official
government websites.” Rynasko v. New York Univ., 63 F.4th 186, 191 n.4 (2d
Cir. 2023); accord Wandel v. Gao, 590 F. Supp. 3d 630, 636 n.4 (S.D.N.Y.
2022). NYU Langone operated under one Medicare provider agreement at the
time of Dr. Weller’s employment. See Ctrs. for Medicare & Medicaid Servs.,
Q2 2023 Provider of Services File - Hospital & Non-Hospital Facilities
(available by searching for “NYU Langone” at https://data.cms.gov/provider-
characteristics/hospitals-and-other-facilities/provider-of-services-file-
hospital-non-hospital-facilities/data/q2-2023) (last accessed June 30, 2025).
records reveal them to be false.11 The operative complaint now
alleges only that “[u]pon information and belief,” NYU Tisch and
NYU Brooklyn are “distinct hospitals.” TAC ¶ 18. But this
constitutes a legal conclusion masquerading as a factual
conclusion and cannot support Dr. Weller’s claim. Smith v. Loc.
819 I.B.T. Pension Plan, 291 F.3d 236, 240 (2d Cir. 2002); see
Twombly, 550 U.S. at 555. Finally, Dr. Weller’s allegation that
NYU Langone has one “centralized transfer center” further
supports that NYU Tisch and NYU Brooklyn are not distinct
hospitals. TAC ¶ 39.
Because NYU Brooklyn and NYU Tisch are one hospital,
Dr. Weller has alleged no contemplated “movement” “outside of a
hospital’s facilities” that could have violated EMTALA. 42
U.S.C. § 1395dd(e)(4). At most, the patient would have been
moved between two of NYU Langone’s facilities.
That EMTALA does not cover this movement makes sense.
Dr. Weller’s complaint reads most naturally as a disagreement
about how a patient was treated by physicians within NYU
Langone.12 Extending EMTALA’s reach to transfers among a single
11 The Court takes judicial notice that the campuses share a New York
State Operating Certificate. See Rynasko, 63 F.4th at 191; N.Y. State Dep’t
of Health, Facilities Sharing Operating Certificate 7002053H,
https://profiles.health.ny.gov/hospital/opcert/7002053H (last accessed June
30, 2025).
12 At times, Dr. Weller’s argument seems to be that NYU Brooklyn itself
violated EMTALA by not transferring the patient to another hospital. See,
e.g., Oral Argument Transcript 26:5-26:7 (”There’s a duty on both sides.
hospital’s facilities would risk turning EMTALA into a “federal
medical malpractice statute” — which it is not. Brenord v.
Cath. Med. Ctr. of Brooklyn & Queens, Inc., 133 F. Supp. 2d 179,
185 (E.D.N.Y. 2001). EMTALA instead “fill[s] a lacuna in
traditional state tort law by imposing on hospitals a legal
duty . . . to provide emergency care to all.” Hardy, 164 F.3d
at 792-93; see also Bryan v. Rectors & Visitors of Univ. of Va.,
95 F.3d 349, 351 (4th Cir. 1996) (“[EMTALA’s] core purpose is to
get patients into the system who might otherwise go untreated
and be left without a remedy because traditional medical
malpractice law affords no claim for failure to treat.”). The
prudence of NYU’s decision to treat the patient at its Brooklyn
There’s a duty to send . . . or transfer and there’s a duty to receive.”);
Pl.’s Opp. Br. 12, ECF No. 19 (“NYU Langone Brooklyn Hospital had a duty to
transfer the patient . . . .”). This argument fails for similar reasons:
EMTALA does not cover transfers between a hospital’s facilities.
Furthermore, EMTALA “does not impose any positive obligation on a covered
hospital to transfer a critical patient under particular circumstances to
obtain stabilization at another hospital.” Fraticelli-Torres v. Hosp.
Hermanos, 300 F. App’x 1, 7 (1st Cir. 2008). Rather, it “restricts the
conditions under which a hospital may transfer an unstabilized critical
patient.” Id. Finally, to the extent Dr. Weller’s theory is that NYU
Brooklyn discharged the patient before she was stabilized, that argument
fails, too. That view presupposes that EMTALA’s protections extend beyond a
hospital’s decision to admit a patient — a minority view among the courts
addressing the question. See Cooper v. City of New York, No. 14-CV-3698,
2016 WL 4491719, at *3 (E.D.N.Y. Aug. 25, 2016). Even assuming, arguendo,
that EMTALA’s protections did continue in that way, the operative complaint
does not sufficiently allege facts about the patient’s treatment and
discharge. Under EMTALA, a patient is “stabilized” when “no material
deterioration of the condition is likely, within reasonable medical
probability, to result from or occur during the transfer of the individual
from a facility.” 42 U.S.C. § 1395dd(e)(3)(B). The complaint only alleges
that “[u]pon information and belief the patient was discharged to hospice.”
TAC ¶ 42. But the complaint does not allege when the patient was discharged,
or set forth any factual content sufficient to establish that the patient’s
emergency medical conditions were not stabilized at the time of discharge.
campus instead of its Manhattan campus is thus one properly left
for state law.
C. EMTALA Does Not Protect Allegations Absent an Actual
Violation
Dr. Weller argues that even if EMTALA did not cover
the canceled movement, the statute’s whistleblower protections
barred his termination because he believed, reasonably and in
good faith, that it did. The assertion that EMTALA protects
such reasonable (but inaccurate) reporting has been adopted by
one circuit and several district courts. But it is inconsistent
with the statute’s text, and Dr. Weller therefore cannot prevail
on this basis.
The Third Circuit reads EMTALA’s whistleblower
protections to cover reports made “under a good faith,
reasonable belief that a violation existed.” Gillispie v.
RegionalCare Hosp. Partners Inc, 892 F.3d 585, 593 (3d Cir.
2018). But Gillispie did not meaningfully engage with EMTALA’s
text; instead, that court cited a case interpreting Title VII.
Id. (citing Aman v. Cort Furniture Rental Corp., 85 F.3d 1074,
1085 (3d Cir. 1996)). Various district courts — though none
within this Circuit — have followed the Third Circuit’s holding.
Those cases cite Gillispie or each other, and (like Gillispie)
do not engage with EMTALA’s text. See Vanderlan v. Jackson HMA,
LLC, No. 23-CV-258, 2025 WL 1180077, at *2 (S.D. Miss. Apr. 23,
2025) (describing this view as “seem[ing] to be universally
accepted,” and citing three district court cases); but cf. Nulph
v. Houston Healthcare Sys., Inc., No. 21-CV-423, 2025 WL 410083,
at *3 (M.D. Ga. Feb. 5, 2025) (assuming such a reading of EMTALA
but expressing skepticism, and ultimately finding no
violation).13
My reading of the provision in question and the
statute as a whole lead me to conclude that, unlike Title VII
and some other antiretaliation provisions, EMTALA’s
whistleblower provision does not include a “good faith” or
“reasonableness” standard. Indeed, the comparison with other
whistleblower provisions also supports this result.
1. EMTALA’s Text and Similar Whistleblower
Provisions
As noted above, EMTALA’s whistleblower provision
protects hospital employees against adverse action for
“report[ing] a violation of a requirement of this section.” 42
U.S.C. § 1395dd(i). The text does not refer to “reasonable” or
“good faith” reports. And “[i]t is not the province of the
13 One of the district court cases that Vanderlan cites for its
“universally accepted” premise is Milner v. Team Health, No. 19-CV-2041, 2020
WL 5658903 (N.D. Ala. Sept. 23, 2020). Milner parrots the “good faith,
reasonable belief” language from another of these three district court cases,
id. at *6, but does not appear actually to apply that standard. Instead,
Milner appears to require an actual violation. See id. (“Furthermore, as
the court has already found, Milner did not properly allege an EMTALA
violation arising out of the 2017 incident. Accordingly, any claim under
EMTALA's whistleblower protection provision fails to state a claim upon which
relief can be granted.”).
courts to add words to statutes that Congress has enacted.”
Knight First Amend. Inst. at Columbia Univ. v. U.S. Citizenship
& Immigr. Servs., 30 F.4th 318, 331 (2d Cir. 2022).
“Atextual judicial supplementation is particularly
inappropriate when Congress has shown that it knows how to adopt
the omitted language or provision,” as it has done here. Lackey
v. Stinnie, 145 S. Ct. 659, 669–70 (2025). Congress has shown
that if it wanted EMTALA’s whistleblower protection to sweep
more broadly, it knew how to do so. First, in a nearby
provision to enforce civil penalties under EMTALA, Congress
directed the Secretary, “[i]n considering allegations of
violations,” to consult with certain organizations. 42 U.S.C.
§ 1395dd(d)(3) (emphasis added).
Other federal whistleblower statutes explicitly lay
out the more sweeping standard Dr. Weller seeks. One notable
example is a whistleblower provision enacted by the same
Congress that enacted EMTALA. See W. Va. Univ. Hosps., Inc. v.
Casey, 499 U.S. 83, 88-90 (1991) (repeatedly emphasizing fee-
shifting statutes enacted in the same session while interpreting
42 U.S.C. § 1988, the 1976 statute under consideration). The
Asbestos Hazard Emergency Response Act bars state and local
educational agencies from discriminating against a person “in
any way” for providing information “relating to a potential
violation of this subchapter to any other person.” 15 U.S.C.
§ 2651(a) (emphasis added). Elsewhere, the Seaman’s Protection
Act — enacted a few years before EMTALA — prohibits retaliation
after a “seaman in good faith has reported [to federal
officials] . . . that the seaman believes that a violation of
[maritime law or regulation] has occurred.” 46 U.S.C.
§ 2114(a)(1)(A) (emphasis added). And the Civil Service Reform
Act of 1978 — enacted almost a decade before EMTALA — prohibits
retaliation after certain “disclosure of information . . . which
the employee or applicant reasonably believes evidences any
violation of any law, rule, or regulation.” 5 U.S.C.
§ 2302(b)(8)(A)(i) (emphasis added).
More recent statutes are similarly explicit. For
example, the Federal Railroad Safety Act (“FRSA”) protects,
among other things, an “employee’s lawful, good faith act done
. . . to provide information, directly cause information to be
provided, or otherwise directly assist in any investigation
regarding any conduct which the employee reasonably believes
constitutes a violation of federal law.” 49 U.S.C.
§ 20109(a)(1) (emphasis added). When legislators want to
protect a putative whistleblower’s erroneous, but good-faith,
reporting, they clearly know how to extend that margin of error
around the protection they enact.
2. Comparisons to Title VII Are Unavailing
Dr. Weller points to Title VII for his argument that
EMTALA protects good-faith, reasonable reporting. Pl.’s Opp.
Br. 7, ECF No. 19; Pl.’s Ltr. Br. 1-3, ECF No. 32. Title VII
bars adverse action if an employee “has [1] opposed any practice
made an unlawful employment practice by this subchapter, or [2]
because he has made a charge, testified, assisted, or
participated in any manner in an investigation, proceeding, or
hearing under this subchapter.” 42 U.S.C. § 2000e-3(a). Courts
have read in a good faith or reasonableness standard to this
first clause, even in the absence of statutory text. See, e.g.,
Manoharan v. Columbia Univ. Coll. of Physicians & Surgeons, 842
F.2d 590, 593 (2d Cir. 1988).
Notably, the Supreme Court has never adopted such a
reading. See Jackson v. Birmingham Bd. of Educ., 544 U.S. 167,
187 (2005) (Thomas, J., dissenting) (“Although this Court has
never addressed the question, no Court of Appeals requires a
complainant to show more than that he had a reasonable, good-
faith belief that discrimination occurred to prevail on a
retaliation claim.”). And the Second Circuit opinion that first
adopted this reading of Title VII offers no methodological
guidance that might be transferred to EMTALA. See Manoharan,
842 F.2d at 593.
Other appellate courts adopting this reading relied
largely on Title VII’s remedial purpose. For example, the Ninth
Circuit explained that “elimination of discrimination in
employment is the purpose behind Title VII and the statute is
entitled to a liberal interpretation.” Sias v. City
Demonstration Agency, 588 F.2d 692, 695 (9th Cir. 1978); see
also Parker v. Baltimore & Ohio R. Co., 652 F.2d 1012, 1019
(D.C. Cir. 1981) (“[M]aking the protected nature of an
employee’s opposition to alleged discrimination depend on the
ultimate resolution of his claim would be inconsistent with the
remedial purposes of Title VII.”); Payne v. McLemore’s Wholesale
& Retail Stores, 654 F.2d 1130, 1139 (5th Cir. Unit A Sept.
1981) (citing Sias).
The Supreme Court has since cautioned against using
the sort of broad, remedial-purpose reasoning to expand a
statute’s coverage or narrow its exceptions. It is now “error”
to treat “the proposition that remedial statutes should be
interpreted in a liberal manner . . . as a substitute for a
conclusion grounded in the statute’s text and structure.” CTS
Corp. v. Waldburger, 573 U.S. 1, 12 (2014). After all, no
statute pursues its ends “at all costs.” Rodriguez v. United
States, 480 U.S. 522, 525-26 (1987). And “almost every statute
might be described as remedial in the sense that all statutes
are designed to remedy some problem.” Waldburger, 573 U.S. at
12; see also Antonin Scalia & Bryan A. Garner, Reading Law: The
Interpretation of Legal Texts 364 (1st ed. 2012) (“Is any
statute not remedial?”).
When interpreting statutes, district courts are bound
by the rules of construction as they are today. And the Supreme
Court’s recent guidance on construction of so-called “remedial”
statutes disfavors anything but a plain reading. For example,
“[u]ntil recently, it was a rule of statutory interpretation
that a court should narrowly construe an exemption to the [Fair
Labor Standards Act (‘FLSA’)] in order to effectuate the
statute’s remedial purpose.” Flood v. Just Energy Mktg. Corp.,
904 F.3d 219, 228 (2d Cir. 2018). The Supreme Court rejected
this rule in Encino Motorcars v. Navarro, instructing that these
exceptions should be given their “fair reading” — regardless of
purpose. 584 U.S. 79, 88-89 (2018); see also id. at 89 (“The
narrow-construction principle relies on the flawed premise that
the FLSA pursues its remedial purpose at all costs.”).
Thus, Title VII provides no reason to depart from a
plain reading of EMTALA’s text and structure.
3. Other Retaliation or Whistleblower Laws
Dr. Weller points to several other retaliation or
whistleblower protection laws that protect employees even when
the underlying conduct is not a violation. Pl.’s Ltr. Br. 1, 3.
None make for persuasive comparisons. Some are anti-
discrimination statutes — like the Americans with Disabilities
Act and Age Discrimination in Employment Act – which have long
been interpreted in tandem with Title VII given the similarity
of their retaliation provisions. Both the ADA and ADEA include
the same “practice made unlawful” language as Title VII. See
42 U.S.C. § 12203(a) (ADA); 29 U.S.C. § 623(d) (ADEA). The same
issue plagues Dr. Weller’s comparison to the Family and Medical
Leave Act. Pl.’s Ltr. Br. 1 n.1; see 29 U.S.C. § 2615(a)(2).
Other statutes Dr. Weller cites explicitly include
words like “good faith” or “reasonably believe” and are
therefore not analogous to EMTALA. See Pl.’s Ltr. Br. 3 (citing
FRSA); supra Section II(C)(1) (discussing FRSA); Pl.’s Ltr. Br.
3 (discussing the Sarbanes-Oxley Act, 15 U.S.C. § 7201 et seq.);
18 U.S.C. § 1514A(a)(1) (barring certain companies from taking
adverse action against an employee who “provide[s] information,
cause[s] information to be provided, or otherwise assist[s] in
an investigation regarding any conduct which the employee
reasonably believes constitutes a violation of [securities
laws.]” (emphasis added)).
Conclusion
For the reasons set forth above, the defendants’
motion to dismiss Dr. Weller’s EMTALA cause of action is
granted. Having dismissed the federal claim, I decline to
exercise supplemental jurisdiction over the state-law claims.
28 U.S.C. § 1367(c); Motorola Credit Corp. v. Uzan, 388 F.3d 39,
56 (2d Cir. 2004).14 The Clerk of Court is respectfully directed
to close this case.
SO ORDERED.
/s/ Eric Komitee
ERIC KOMITEE
United State
s District Judge
D ated: June 30, 2025
Brooklyn, New York
14 Defendants’ motion for sanctions, which is predicated primarily on
the pleading of misleading or incorrect facts regarding the patient’s
treatment and death, is denied. Though plaintiff’s counsel’s diligence has
at times been wanting, it does not meet Rule 11’s objective unreasonableness
standard. See McCabe v. Lifetime Ent. Servs., LLC, 761 F. App’x 38, 41 (2d
Cir. 2019). And even if the Court were to grant this motion, dismissal with
prejudice of Dr. Weller’s EMTALA claim, which is occurring here for merits-
related reasons anyway, would be one available remedy. See Dodson v. Runyon,
86 F.3d 37, 39 (2d Cir. 1996) (“The remedy of dismissal is pungent, rarely
used, and conclusive.”).