Opinion

Chudacoff v. UNIV. MED. CENTER OF SOUTHERN NEVADA

  • 649 F.3d 1143
Court
Court of Appeals for the Ninth Circuit
Filed
Jun 9, 2011
Status
Published
On the bench
Stephen Reinhardt, Michael Daly Hawkins, and N. Randy Smith, Circuit Judges
Cited by
1 cases
Authority
More cited than 47.0%

The opinion

FOR PUBLICATION

UNITED STATES COURT OF APPEALS

FOR THE NINTH CIRCUIT

FOR PUBLICATION

RICHARD CHUDACOFF, M.D., 

Plaintiff-Appellant-Cross-Appellee,

v.

UNIVERSITY MEDICAL CENTER OF

SOUTHERN NEVADA, a political

subdivision of Clark County, State

of Nevada; BRUCE L. WOODBURY,

TOM COLLINS, CHIP MAXFIELD,

LAWRENCE WEEKLY, CHRIS

GIUNCHIGLIANI, SUSAN BRAGER, and Nos. 09-17558

RORY REID, Clark County and

Commissioners, ex-officio, the 09-17652

Board of Trustees of University

Medical Center of Southern  D.C. No.

Nevada; KATHLEEN SILVER, an 2:08-cv-00863-

individual; THE MEDICAL AND ECR-RJJ

DENTAL STAFF OF THE UNIVERSITY OPINION

MEDICAL CENTER OF SOUTHERN

NEVADA; JOHN ELLERTON, M.D., an

individual; MARVIN J. BERNSTEIN,

M.D., an individual; DALE

CARRISON, M.D., an individual;

DONALD ROBERTS, M.D., an

individual,

Defendants-Appellees-

Cross-Appellants.

7663

7664 CHUDACOFF v. UNIVERSITY MEDICAL CENTER

Appeal from the United States District Court

for the District of Nevada

Edward C. Reed, Senior District Judge, Presiding

Argued and Submitted

December 9, 2010—San Francisco, California

Filed June 9, 2011

Before: Stephen Reinhardt, Michael Daly Hawkins, and

N. Randy Smith, Circuit Judges.

Opinion by Judge Hawkins

7666 CHUDACOFF v. UNIVERSITY MEDICAL CENTER

COUNSEL

Jacob Hafter, Law Office of Jacob Hafter & Associates, Las

Vegas, Nevada, for the plaintiff-appellant/cross-appellee.

Lynn M. Hansen, Jimmerson Hansen, Las Vegas, Nevada, for

the defendants-appellees/cross-appellants.

CHUDACOFF v. UNIVERSITY MEDICAL CENTER 7667

Kim Irene Mandelbaum and Robert McBride, Mandelbaum,

Schwarz, Ellerton & McBride, Las Vegas, Nevada, for the

defendants-appellees/cross-appellants.

OPINION

HAWKINS, Senior Circuit Judge:

Richard Chudacoff, M.D. (“Chudacoff”) appeals the grant

of summary judgment (the “November Order”) in his civil

rights action arising from the suspension of his medical staff

privileges at the University Medical Center of Southern

Nevada (“UMC”), a county hospital organized under the laws

of Nevada, as well as the denial of his motion for leave to file

a third amended complaint asserting claims under 42 U.S.C.

§ 1983.

This case is not about whether Chudacoff’s UMC staff

privileges were a protected property interest or whether he

was denied adequate procedural protections when his privi-

leges were suspended without notice or opportunity to be

heard. See Kildare v. Saenz, 325 F.3d 1078, 1085 (9th Cir.

2003). These issues were resolved in Chudacoff’s favor by an

earlier decision of the district court (the “April Order”) and

have not been appealed by defendants. Instead, this case asks

us to determine only whom, if anyone, Chudacoff may sue

under 42 U.S.C. § 1983 for his constitutional injury.

We answer this question by reversing as to the individually

named doctor defendants who serve as voting members of

UMC’s physician credentialing committee and who therefore

directly participated in the unlawful suspension of Chudac-

off’s staff privileges. The individual committee members may

not be county employees, but their physician credentialing

decisions on behalf of a county hospital constitute state

action. Because Chudacoff has not shown that his due process

7668 CHUDACOFF v. UNIVERSITY MEDICAL CENTER

injuries were the product of institutional policies, however,

we affirm as to all other defendants.1

BACKGROUND

I. The Defendants

UMC is a county hospital created by the Clark County

Board of Commissioners and supported through public funds.

See Nev. Rev. Stat. §§ 450.020-.060, 450.230-.390. Because

the population of Clark County is greater than 400,000, the

Clark County Commissioners constitute, ex officio, the UMC

Board of Trustees (“the Board”), as required by Nevada law.

See id. § 450.090. The Board has final approval authority over

UMC’s Bylaws. Chudacoff seeks to name all Clark County

Commissioners as defendants in their ex officio capacity as

the Board.

Staff privileges at UMC are initially granted, suspended, or

otherwise modified by the Medical and Dental Staff of UMC

(“Medical Staff”), a professional peer-review body created

and delegated this authority by the UMC Bylaws. The Medi-

cal Staff acts through its governing arm, the Medical Execu-

tive Committee (“MEC”), also expressly created by the UMC

Bylaws, whose membership includes, inter alia, the UMC

Chief of Staff (at all relevant times defendant John Ellerton),

the Vice Chief of Staff (defendant Dale Carrison), the Secre-

tary (defendant Marvin Bernstein), and the chief of each

department (including defendant Donald Roberts, Chief of the

Department of Obstetrics and Gynecology). In addition,

UMC’s CEO (defendant Kathleen Silver) sits as a non-voting

member of the MEC. The MEC’s staff credentialing decisions

are guided by the hospital Bylaws, Credentials Procedures

Manual, and Fair Hearing Plan.

1

We address the remaining issues on appeal and cross-appeal in a sepa-

rate memorandum disposition filed concurrently with this opinion.

CHUDACOFF v. UNIVERSITY MEDICAL CENTER 7669

Like the hospital itself, the Medical Staff owes its existence

to Nevada law, which requires UMC, as a county hospital, to

“organize a staff of physicians composed of each regular

practicing physician, podiatric physician and dentist in the

county in which the hospital is located who requests staff

membership and meets the standards set forth in the regula-

tions prescribed by the board of hospital trustees.” Nev. Rev.

Stat. § 450.440(1). Through the UMC Bylaws, the Board has

delegated considerable administrative and oversight duties

over the hospital and its physicians to the Medical Staff,

though the Board retains final appellate review of the MEC’s

staff credentialing decisions as well as final policymaking

authority.

II. Suspension of Chudacoff’s Privileges

Chudacoff was appointed an Assistant Professor with the

University of Nevada School of Medicine in 2007 and granted

staff privileges at UMC in the ob/gyn department shortly

thereafter. A few months after being granted staff privileges

at UMC, Chudacoff received a May 28, 2008 letter from

Ellerton informing him that at its monthly meeting the day

before, the MEC had suspended Chudacoff’s obstetrical privi-

leges indefinitely, imposed a direct supervision requirement

on his performance of surgeries, and ordered mandatory drug

testing and physical and psychological evaluations. This disci-

plinary action was not a thirty-day “summary suspension,”

(which can be immediately imposed pursuant to Article XI of

the hospital Bylaws upon showing that a physician’s conduct

poses a substantial and imminent risk of danger to others), but

rather a “routine administrative action,” which may be

undertaken only upon satisfaction of specific procedural

requirements, as laid forth in the hospital Bylaws, Credential-

ing Manual, and Fair Hearing Plan. The letter did not explain,

as required by the Bylaws, the basis for the adverse actions.

Chudacoff alleges he had no knowledge until he received this

letter that the MEC was considering altering his privileges.

7670 CHUDACOFF v. UNIVERSITY MEDICAL CENTER

The letter also informed Chudacoff of his right to a fair

hearing, pursuant to the hospital’s Bylaws and Credentialing

Manual. He requested one on June 2. However, before he

finally received a response six weeks later, and well before he

actually had an opportunity to be heard before a fair hearing

committee, several significant events had already transpired:

the University of Nevada had terminated his employment with

the School of Medicine due to his suspension of clinical privi-

leges; defendants had filed a report with the National Practi-

tioners Data Bank2 (“NPDB”) stating that Chudacoff’s

privileges had been suspended indefinitely for “substandard

or inadequate care” and “substandard or inadequate skill

level;” and several other health care facilities had denied or

revoked Chudacoff’s privileges in turn.

The fair hearing committee ultimately disagreed with the

MEC’s suspension of Chudacoff’s privileges based on the

allegations of substandard care. At its October 28 monthly

meeting, the MEC adopted the Fair Hearing Committee’s rec-

ommendation to lift the suspension based on substandard care

and instead required only peer review of Chudacoff’s prac-

tice.

III. Procedural History

Chudacoff initiated this lawsuit on July 2, 2008 and later

moved for partial summary judgment on two issues of law:

(1) “whether the defendants violated his due process rights by

suspending his hospital privileges and then reporting that sus-

pension to the NPDB without notice or an opportunity to be

heard”; and (2) whether the defendants are entitled to immu-

2

The National Practitioner Data Bank is a national clearinghouse

designed to facilitate information-sharing and thus prevent incompetent

doctors from moving freely between states who might otherwise be unable

to trace their negative records. Under the Health Care Quality Improve-

ment Act (HCQIA), hospitals are required to report to the NPDB adverse

professional review actions affecting a physician’s clinical privileges. 42

U.S.C. § 11133(a)(1)(A); 45 C.F.R. § § 60.5(c), 60.10.

CHUDACOFF v. UNIVERSITY MEDICAL CENTER 7671

nity under the Health Care Quality Improvement Act

(“HCQIA”).” See Chudacoff v. Univ. Med. Ctr. of S. Nev.

(“Chudacoff I”), 609 F. Supp. 2d 1163, 1171 (D. Nev. 2009).

The district court issued a partial summary judgment order in

which it concluded that Chudacoff’s due process rights were

violated when defendants suspended his staff privileges

before giving him any type of notice, and reported him to the

NPDB before providing him with any opportunity to be heard.

Id. at 1173-74. The court further held that defendants failed

to comply with 42 U.S.C. § 11112(a) and therefore were not

entitled to HCQIA immunity. Id. at 1176-77. The district

court denied defendants’ motion to reconsider, and defendants

appealed the issue of HCQIA immunity only.

Shortly after the district court granted partial summary

judgment on the due process issue, Chudacoff sought leave to

file a Third Amended Complaint to insert a reference to 42

U.S.C. § 1983 in his first and second counts, which previously

alleged only violations of the Fourteenth Amendment. In

seeking leave to amend, Chudacoff acknowledged his Second

Amended Complaint was not properly pled because “the Con-

stitution and its Amendments do not, in and of themselves,

create a private right of action.”

Defendants moved for summary judgment on all claims,

including state law claims that are addressed in a separate

memorandum disposition filed concurrently with this opinion.

The district court then issued its final summary judgment

order. It granted summary judgment to defendants on Chudac-

off’s federal due process claims on the basis of its finding that

the physician defendants were not state actors and that the

municipal defendants did not have a policy or practice of due

process violations such as would allow municipal liability

under Monell v. Dep’t of Soc. Servs., 436 U.S. 658 (1978).3

3

The district court apparently found these rulings to be consistent with

its conclusion in its first summary judgment order that Chudacoff’s due

process rights were violated by the defendants.

7672 CHUDACOFF v. UNIVERSITY MEDICAL CENTER

Based on its grant of summary judgment, the district court

denied Chudacoff’s motion for leave to amend as futile. Chu-

dacoff timely appealed.

STANDARD OF REVIEW

A grant of summary judgment is reviewed de novo. View-

ing the evidence in the light most favorable to the nonmoving

party, we must determine whether there are any genuine

issues of material fact and whether the district court correctly

applied the relevant substantive law. Charles Schwab & Co.,

Inc. v. Debickero, 593 F.3d 916, 918 (9th Cir. 2010); Lopez

v. Smith, 203 F.3d 1122, 1131 (9th Cir. 2000) (en banc).

Denial of a motion for leave to amend a complaint is

reviewed for abuse of discretion. Gardner v. Martino, 563

F.3d 981, 990 (9th Cir. 2009) (citing Westlands Water Dist.

v. Firebaugh Canal, 10 F.3d 667, 677 (9th Cir. 1993)).

DISCUSSION

I. Due Process Claim

[1] To establish § 1983 liability, a plaintiff must show both

(1) deprivation of a right secured by the Constitution and laws

of the United States, and (2) that the deprivation was commit-

ted by a person acting under color of state law.4 Broam v.

Bogan, 320 F.3d 1023, 1028 (9th Cir. 2003); Am. Mfrs. Mut.

4

Chudacoff limited his first motion for partial summary judgment to the

first of these two prongs, and the district court’s ruling was commensu-

rately limited in scope. The district court did not, as Chudacoff argues,

hold that the violation of his due process rights occurred under color of

law. As the moving party, Chudacoff bore the burden of presenting the

absence of any genuine issue of material fact, and his belief to the contrary

is erroneous. See Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986);

Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). Accordingly,

the district court did not err in entertaining defendants’ subsequent motion

for summary judgment on the entire due process claim based on lack of

state action.

CHUDACOFF v. UNIVERSITY MEDICAL CENTER 7673

Ins. Co. v. Sullivan, 526 U.S. 40, 49-50 (1999); see 42 U.S.C.

§ 1983. The “under color of law” requirement under § 1983

is the same as the Fourteenth Amendment’s “state action”

requirement. Lugar v. Edmonson Oil Co., 457 U.S. 922, 928

(1982).

A. Individually Named Doctors

Several key matters are undisputed: (1) UMC is a county

hospital; (2) the UMC Bylaws delegate authority to the Medi-

cal Staff, through its executive committee, to take adverse

administrative actions against hospital staff, including suspen-

sion of physicians’ hospital privileges; and (3) defendants

Ellerton, Carrison, Bernstein, and Roberts were all voting

members of the MEC whose names appeared on the May 28,

2008 letter suspending Chudacoff’s staff privileges purport-

edly pursuant to the MEC’s authority.

Although determining state action can admittedly be an

imperfect science, we do not consider this case a difficult one.

This is not the case of a private hospital whose only state link

is its subjection to state regulation. See, e.g., Jackson v.

Metro. Edison Co., 419 U.S. 345, 350 (1974) (“The mere fact

that a business is subject to state regulation does not by itself

convert its action into that of the State for purposes of the

Fourteenth Amendment.”); Sutton v. Providence St. Joseph

Med. Ctr., 192 F.3d 826, 837-39 (9th Cir. 1999); Pinhas v.

Summit Health, Ltd., 894 F.2d 1024, 1034 (9th Cir. 1989)

(compliance with statutorily created system of physician peer-

review and with reporting requirements is insufficient to

establish state action). Nor is this the case of a private, non-

profit hospital whose state links consist merely of receipt of

federal funds under the Hill-Burton, Medicaid, and Medicare

programs, and exemption from state and federal taxes. See,

e.g., Taylor v. St. Vincent’s Hosp., 523 F.2d 75, 77 (9th Cir.

1975) (finding insufficient nexus to establish state action);

Watkins v. Mercy Med. Ctr., 520 F.2d 894, 896 (9th Cir.

1975); Carter v. Norfolk Cmty. Hosp. Ass’n, Inc., 761 F.2d

7674 CHUDACOFF v. UNIVERSITY MEDICAL CENTER

970, 972 (4th Cir. 1985); Briscoe v. Bock, 540 F.2d 392, 395-

96 (8th Cir. 1976); see also Blum v. Yaretsky, 457 U.S. 991,

1008 (1982).

This is not even the case of a publicly financed hospital that

has leased its management and operation to a private corpora-

tion—circumstances under which appellate courts have found

sufficient nexus to establish state action in the suspension of

a physician’s staff privileges. See, e.g., Milo v. Cushing Mun.

Hosp., 861 F.2d 1194, 1197 (10th Cir. 1988) (“The defen-

dants cannot escape liability by delegating responsibility to

another party.” (internal citations omitted)); Jatoi v. Hurst-

Euless-Bedford Hosp. Auth., 807 F.2d 1214, 1221-22 (5th Cir.

1987) (“The private defendants cannot receive public funds,

utilize public facilities, and serve a public purpose, yet insist

that their private status forestalls any correction of a violation

of the constitutional rights of their medical staff.”); Malak v.

Assoc. Physicians, Inc., 784 F.2d 277, 282 (7th Cir. 1986)

(“[T]he conduct of a public hospital and its employees is

clearly state action and the conduct of otherwise private enti-

ties that act jointly with them is also state action.”).

[2] Rather, UMC is through and through a public hospital,

and “there is no dispute that the operation of [a public] hospi-

tal is state action and that [a public hospital] is required to

meet the provisions of the Fourteenth Amendment in the

admission of physicians to its staff.” Woodbury v. McKinnon,

447 F.2d 839, 842 (5th Cir. 1971); see Briscoe, 540 F.2d at

394-95; Birnbaum v. Trussell, 371 F.2d 672, 677 (2d Cir.

1966).

[3] Despite this, the doctor defendants insist that they can-

not be held liable for their conduct at issue here because they

are private individuals not employed by the county hospital.

But Chudacoff does not seek to sue them for actions per-

formed in their capacity as private physicians. Rather, the

basis for his § 1983 claims is their actions taken within the

course and scope of their duties as governing members of the

CHUDACOFF v. UNIVERSITY MEDICAL CENTER 7675

Medical Staff, a subdivision of UMC mandated by state law.

Even conduct of a private individual constitutes state action

when there is a “such a close nexus between the State and the

challenged action” that the individual’s conduct “may be

fairly treated as that of the State itself,” such as when the

nominally private actor is “controlled by an agency of the

State, when it has been delegated a public function by the

State, when it is entwined with governmental policies, or

when government is entwined in its management or control.”

Brentwood Acad. v. Tenn. Secondary Sch. Athletic Ass’n, 531

U.S. 288, 295-96 (2001) (internal quotation marks and cita-

tions omitted); see also Rendell-Baker v. Kohn, 457 U.S. 830,

838 (1982); Sutton, 192 F.3d at 835.

[4] We think it clear that a sufficiently close nexus exists

here and that the doctor defendants, in suspending Chudac-

off’s privileges to practice at a county hospital, were

“ ‘clothed with the authority of state law.’ ” West v. Atkins,

487 U.S. 42, 49 (1988) (quoting United States v. Classic, 313

U.S. 299, 326 (1941)). Although comprised of privately

employed physicians, the Medical Staff of UMC is controlled

and managed by the UMC Board. Further, the doctors’

authority to deprive Chudacoff of his staff privileges flows

directly from the UMC, whose authority to regulate physician

privileges at a county hospital is in turn directly authorized by

Nevada law. The actions of defendants Ellerton, Carrison,

Bernstein, and Roberts as governing members of the Medical

Staff are therefore fairly attributable to the state, and they can-

not now escape liability for their direct and personal participa-

tion in Chudacoff’s unlawful suspension of staff privileges by

claiming private conduct.

B. Kathleen Silver

[5] As CEO of UMC, Silver sits on the MEC, but she does

so in a non-voting, non-deliberating capacity. She does not

ordinarily take part in the MEC’s peer-review based creden-

tialing decisions, and there is no evidence that she acted dif-

7676 CHUDACOFF v. UNIVERSITY MEDICAL CENTER

ferently here. Chudacoff does not dispute her limited, passive

role at these MEC meetings but asserts that her presence as

the “eyes and ears of the Commissioners” subjects her to lia-

bility for the MEC’s unconstitutional actions. In the absence

of evidence of her personal participation in the constitutional

deprivation, Silver’s mere non-voting membership in the

MEC is insufficient to show that she was an “integral partici-

pant” in the deprivation of Chudacoff’s rights, as is required

to establish § 1983 liability. Boyd v. Benton County, 374 F.3d

773, 780 (9th Cir. 2004). Summary judgment in her favor was

thus proper. See Chuman v. Wright, 76 F.3d 292, 294-95 (9th

Cir. 1996); Taylor v. List, 880 F.2d 1040, 1045 (9th Cir.

1989).

C. UMC, the Board, and the Medical and Dental

Staff

[6] Chudacoff also names three entity defendants: UMC;

the Clark County Commissioners, in their official capacities

as the UMC Board of Trustees; and the Medical and Dental

Staff of UMC. Liability will lie against a municipal entity

under § 1983 only if a plaintiff shows that his constitutional

injury was caused by employees acting pursuant to an official

policy or “longstanding practice or custom,” or that the injury

was caused or ratified by an individual with “final policymak-

ing authority.” Villegas v. Gilroy Garlic Festival Ass’n, 541

F.3d 950, 964 (9th Cir. 2008) (internal quotation marks and

citation omitted); see Monell, 436 U.S. at 694.

[7] Chudacoff has established neither. Not only has he

failed to identify any custom or policy of UMC or the Medi-

cal and Dental Staff as the “moving force” behind his consti-

tutional injury, see Bd. of Cnty. Comm’rs of Bryan Cnty.,

Okla. v. Brown, 520 U.S. 397, 404 (1997); Galen v. Cnty. of

L.A., 477 F.3d 652, 667 (9th Cir. 2007), but his entire claim

against the individually named doctor defendants hinges on

their alleged noncompliance with the official policies and

practices of the hospital. Nor has he established that an actor

CHUDACOFF v. UNIVERSITY MEDICAL CENTER 7677

with final policymaking authority personally participated in

his constitutional injury. Although the Board has final policy-

and decision-making authority over the UMC Bylaws and the

MEC’s disciplinary actions, Chudacoff presents no evidence

that any Trustee took part in the deprivation of his due pro-

cess rights. The Board’s role in staff privilege matters is lim-

ited to appellate review of the MEC’s decisions, and in this

instance, far from ratifying the MEC’s actions, it in fact

ordered the MEC to reconsider its decision to report Chudac-

off to the NPDB and mandated a second clinical fair hearing

on the quality of care issue. The MEC’s actions cannot be

attributed to UMC or the Board. See Avalos v. Baca, 596 F.3d

583, 587-88 (9th Cir. 2010).

[8] Although the individual voting members of the MEC

can be held liable under § 1983 for Chudacoff’s constitutional

injuries, nowhere does Chudacoff allege that these doctors

have final policymaking authority for the county hospital, and

there is no respondeat superior liability under § 1983. Monell,

436 U.S. at 692; Jones v. Williams, 297 F.3d 930, 934 (9th

Cir. 2002). The district court correctly granted summary judg-

ment in favor of UMC, the Commissioners, and the Medical

and Dental Staff with respect to Chudacoff’s constitutional

claims.

II. Leave to Amend

Leave to amend a party’s pleading pursuant to Rule 15(a)

of the Federal Rules of Civil Procedure “should [be] freely

give[n] . . . when justice so requires,” Fed. R. Civ. P. 15(a),

and generally shall be denied only upon showing of bad faith,

undue delay, futility, or undue prejudice to the opposing

party, see Leadsinger, Inc. v. BMG Music Publ’g, 512 F.3d

522, 532 (9th Cir. 2008) (citing Foman v. Davis, 371 U.S.

178, 182 (1962)). Rule 15(a) is designed “to facilitate deci-

sion on the merits, rather than on the pleadings or technicali-

ties.” United States v. Webb, 655 F.2d 977, 979 (9th Cir.

7678 CHUDACOFF v. UNIVERSITY MEDICAL CENTER

1981); see DCD Programs, Ltd. v. Leighton, 833 F.2d 183,

186 (9th Cir. 1987).

[9] As discussed above, the district court erred in deter-

mining that only the MEC, not named a party to this suit,

could be liable for Chudacoff’s alleged § 1983 claims.

Because Chudacoff pled sufficient facts alleging that Ellerton

and the other individually named voting members of the MEC

acted under color of state law in effecting the unconstitutional

deprivation of his protected property interest, amending his

Complaint to include reference to § 1983 would not have been

futile, and, as the district court noted, granting Chudacoff

leave to amend would not prejudice defendants, who have liti-

gated this action as though Chudacoff had properly pleaded

claims under § 1983. Given the district court’s conclusion that

defendants’ actions amounted to due process violations, com-

bined with our determination that Ellerton, Carrison, Bern-

stein, and Roberts’ conduct clearly constituted state action,

refusing Chudacoff leave to amend a technical pleading error,

albeit one he should have noticed earlier, would run contrary

to Rule 15(a)’s intent. Chudacoff must be permitted to amend.

CONCLUSION

UMC is not a private hospital, but a public one. Conse-

quently, the official actions of its administrative subdivisions,

such as the MEC, are actions of the state, and the individual

members of the MEC responsible for wrongfully depriving

Chudacoff of his protected property interest in UMC staff

privileges cannot escape § 1983 liability as private actors. To

the contrary, when exercising their delegated authority to sus-

pend, revoke, or otherwise limit Chudacoff’s staff privileges

at a public hospital, defendants Ellerton, Carrison, Bernstein

and Roberts acted as agents of the state.

AFFIRMED in part, REVERSED in part, and

REMANDED for further proceedings consistent with this

Opinion.

CHUDACOFF v. UNIVERSITY MEDICAL CENTER 7679

Chudacoff’s Motion for Sanctions is referred to the district

court for disposition along with the remaining issues in this

case.

Costs on appeal to appellant.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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