DELISHA KEMP, A MINOR, BY PARENT AND NATURAL GUARDIAN, DEBRA WRIGHT AND DEBRA WRIGHT IN HER OWN RIGHT V. STATE OF NEW JERSEY COUNTY OF BURLINGTON, RI
Case Date: 01/17/1996
Court: Superior Court of New Jersey
Docket No: none
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SUPERIOR COURT OF NEW JERSEY
DELISHA KEMP, a minor, by her
Plaintiffs-Respondents,
v.
STATE OF NEW JERSEY, COUNTY OF
Defendants-Appellants.
________________________________________________
Argued December 11, 1995 - Decided January
17, 1996
Before Judges Havey, Conley and Braithwaite.
On appeal from Superior Court of New Jersey,
Law Division, Burlington County.
Thomas E. Doig, Jr., Deputy Attorney General,
argued the cause for appellant State of New
Jersey (Deborah T. Poritz, Attorney General,
attorney; Joseph L. Yannotti, Assistant
Attorney General, of counsel; Mr. Doig, on
the brief).
Timothy E. Annin argued the cause for
appellant County of Burlington (Capehart &
Scatchard, P.A., attorneys; Mr. Annin, of
counsel; Alison M. Nissen, on the brief).
Frank G. Basile argued the cause for
appellants Riverside Board of Education and
Riverside High School (Basile & Testa,
attorneys; Mr. Basile, on the brief).
David K. Cuneo argued the cause for
respondents (David K. Cuneo, attorney; Mr.
Cuneo, on the brief).
The opinion of the court was delivered by
CONLEY, J.A.D. Plaintiff Debra Wright (hereinafter referred to as plaintiff), then a high school senior, received a rubella vaccination on April 18, 1975, through a free public vaccination clinic instituted and supervised by defendants and jointly operated by the State and Burlington County's Health Department in response to a measles outbreak. Her daughter, plaintiff Delisha Kemp, was born approximately eight months later with congenital rubella syndrome. It is undisputed that rubella vaccination is contraindicated for females who are pregnant. Defendants concede that at the time of the vaccination clinic, the vaccine was not administered to any female suspected of being sexually active. The initial screening examination of each participant included inquiry as to their sexual activity. In her personal injury lawsuit on behalf of herself and her daughter, plaintiff contends that defendants were negligent in conducting this examination by failing to ascertain her pregnancy before giving her the vaccination. She also contends that she was not warned during the examination that a child conceived within three months of vaccination could suffer severe mental and physical defects. Defendants, all public entities, moved for summary judgment on several grounds, including the immunities under N.J.S.A. 59:6-4 and N.J.S.A. 26:11-2 (now repealed).See footnote 1 As to all
defendants, the motion judge denied summary judgment on the
immunity issues. We granted leave to appeal and now reverse.See footnote 2 We first consider N.J.S.A. 59:6-4 which states: Except for an examination or diagnosis for the purpose of treatment, neither a public entity nor a public employee is liable for injury caused by the failure to make a physical or mental examination, or to make an adequate physical or mental examination, of any person for the purpose of determining whether such person has a disease or physical or mental condition that would constitute a hazard to the health or safety of himself or others. For the purposes of this section, "public employee" includes a private physician while actually performing professional services for a public entity as a volunteer without compensation. [Emphasis added].
Putting aside the exception for examinations conducted "for the
purpose of treatment," N.J.S.A. 59:6-4 applies to examinations
conducted "for the purpose of determining whether [the person
examined] has a disease or physical or mental condition that
would constitute a hazard to the health or safety of himself or
others." See for example Delbridge v. Schaeffer,
238 N.J. Super. 323, 364-66 (Law Div. 1989) (the immunity in N.J.S.A. 59:6-4
protected a DYFS physician whose examination of subsequently
abused child's father was alleged to have been negligent).
request of child's doctor and to aid in his diagnosis and
treatment of the child) with Lucas v. City Long Beach,
60 Cal.
App.3d 341, 350,
131 Cal. Rptr. 470 (Ct. App. 1976) (Cal. Gov't
Code §855.6 provided immunity to a prison official who failed to
obtain a medical examination of an intoxicated prisoner who later
committed suicide) and Kravitz v. State of California,
8 Cal.
App.3d 301, 306,
87 Cal. Rptr. 352 (Ct. App. 1970) (Cal. Gov't
Code §855.6 provided immunity to staff of state hospital for its
inadequate examination of a person committed as criminally insane
and leading to his release).
examination here which plaintiff alleges was inadequate falls
within the scope of the immunity provided by N.J.S.A. 59:6-4.
purpose of treatment such as are ordinarily made in doctors'
offices and public hospitals." And see Senate Labor, Industry
and Professions Committee Statement, supra.
(stating that "administration of a given drug" is a treatment in
medical malpractice action where plaintiff alleged failure to
warn of known dangers associated with anti-rabies vaccine); Boyd
v. Louisiana Medical Mut. Ins. Co.,
593 So.2d 427, 428-29 (La.
Ct. App. 1991), writ denied,
594 So.2d 877 (La. 1992)
(considering oral polio vaccine as medical treatment for purposes
of determining whether physician adequately disclosed risks of
treatment as required by state informed consent statute); In re
Christine M.,
595 N.Y.S.2d 606, 613 (N.Y. Fam. Ct. 1992) (finding
that parents' failure to inoculate children against measles was
deprivation of treatment rising to the level of "medical neglect"
under Family Court Act); People, on Complaint of Burke, v.
Steinberg,
73 N.Y.S.2d 475, 477 (N.Y. Mag. Ct. 1947) (concluding
that vaccination against smallpox is "treatment" of a human being
under statute defining practice of medicine).
exclude from immunity the type of medical examinations that we
normally associate with treatment and care provided by doctors
and hospitals - the ordinary provision of care. Simply put, in
our view, the public health measles immunization clinic was not
that type of ordinary medical care, and the examination conducted
pursuant thereto does not fall within the exception. At the time of plaintiff's vaccination, N.J.S.A. 26:11-12 immunized the actions or inactions of county health boards, their members and their agents, who were responsible for preventing the spread of contagious disease. It provided: No member, officer or agent of a county board shall be sued or held liable for any act done or omitted in good faith and with ordinary discretion on behalf of or under the county board of pursuant to its rules or ordinances.
There is no dispute but that the rubella vaccination program
would fall within the scope of this statute where the actions or
inactions in connection therewith were "in good faith and with
ordinary discretion."See footnote 3
several months after the birth of plaintiff's daughter.
Preliminarily, plaintiff contends that, in fact, the 1972 Tort
Claims Act repealed N.J.S.A. 26:11-12. The Tort Claims Act was
expressly prospective in effect, applying to causes of action
that occurred subsequent thereto. N.J.S.A. 59:12-3. "All acts
and parts of acts inconsistent ... to the extent of such
inconsistency ..." were expressly repealed, "including without
limitation: P.L. 1971, c. 199, §26 (C. 40A:12-26); N.J.S.
18A:20-35; N.J.S. 38A:4-9, N.J.S. 38A:4-10; R.S. 53:1-2."
N.J.S.A. 59:12-2.
Claims Act shall be that immunity of all governmental bodies in
New Jersey is reestablished." The Comment to Subsection (b) of
that statute added: "Subsection (b) is intended to insure that
any immunity provisions provided in the act or by common law will
prevail over the liability provisions. It is anticipated that
the courts will realistically interpret both the statutory and
common law immunities in order to effectuate their intended
scope." And see N.J.S.A. 59:1-2, 2-1(b). The law is, moreover,
well established that "immunity is the dominant theme of the Act"
and, accordingly, where immunity applies, no liability exists.
E.g., Weiss v. New Jersey Transit,
128 N.J. 376, 383-83 (1992);
Birchwood Lakes Colony Club v. Medford Lakes, Inc.,
90 N.J. 582,
596 (1982). We, therefore, reject plaintiff's argument that
N.J.S.A. 26:11-12 was impliedly repealed in 1972 by the Tort
Claims Act.
matter involves the creation of a cause of action that did not
exist at the time of the underlying action or conduct that forms
the basis for the cause of action, application of this general
proposition would, effectively, result in a retroactive
application of the new law.
The problem is not one of applying today's
legislation to cases that antedate the
effective date of the legislation [which in
fact it was]; rather the question is whether
by the every terms of its enactment, the
Legislature itself applied the legislation to
a given situation - here, plaintiff's case.
I would not muddy the waters of the already -murky waters of retroactivity analysis.
But whether the effect of the 1976 repeal of the immunity
provided in N.J.S.A. 26:11-12 is analyzed under the general
proposition concerning application of the law at the time of
decision (a proposition that here would result in plaintiff and
the infant plaintiff being accorded a cause of action where they
had none in 1975), or analyzed under the proposition that new
laws are generally applied prospectively (resulting here in
defendants' right to rely upon the substantive law in effect at
the time of their actions in 1975), we think the same result is
required under either maxim.
history to the contrary. Phillips v. Curiale, supra, 128 N.J. at
616.See footnote 4 And see Strube v. Travelers Indem. Co. of Ill.,
277 N.J.
Super. 236 (App. Div. 1994), aff'd o.b., _____ N.J. _____ (1995).
the potential health benefits and may have, consequently,
precluded the provision of the vaccination. The potential
absence of liability insurance in reliance upon the immunity may
also be critical. See Payton v. Abbott Labs,
386 Mass. 540, 566,
437 N.E.2d 171, 186 (Mass. 1981).
ameliorative or curative in nature. Id. at 523. Third,
fulfillment of the parties' reasonable expectations may require a
statute's retroactive application. Ibid.; see 2, Sutherland,
supra, §41.05 at 366 (stating that principles of fundamental
fairness dictate that "settled expectations honestly arrived at
with respect to substantial interests ought not to be
defeated.").
An example of this concern is reflected by Willis v.
Department of Conservation & Economic Dev.,
55 N.J. 534 (1970),
in which, mindful of the repercussions to governmental entities
which would be generated by a retroactive application of its
abolition of sovereign immunity, the Court applied its decision
prospectively, except as to the plaintiff therein. Anticipating
the enhanced burdens on the government stemming from its
decision, the Court noted:
And see Perillo v. Dreher, supra, 126 N.J. Super. at 269.
Indeed, the Legislature so agreed. N.J.S.A. 59:12-3. Cf. Darrow
v. Hanover Township, supra, 58 N.J. at 415-20.
the contrary. We do not think so. In Small, we considered the
trial court's dismissal of a prisoner's personal injury complaint
under the Tort Claims Act. The dismissal was based upon
plaintiff's failure to file a notice of claim within ninety days
of the accident and to file a complaint within two years thereof,
as prescribed by N.J.S.A. 59:8-8. At the time of the plaintiff's
accident, N.J.S.A. 59:5-3 precluded prisoners from commencing
suits against public entities or public employees until their
release from confinement and, thus, the plaintiff did not comply
with the time provisions of N.J.S.A. 59:8-8. Effective in 1988,
less than five months before plaintiff filed his complaint, but
well beyond plaintiff's October 1986 accident, the Legislature
repealed 59:5-3. In dismissing plaintiff's complaint, the trial
judge rejected the argument that plaintiff's failure to comply
with the notice provisions of N.J.S.A. 59:8-8 was excused by
N.J.S.A. 59:5-3 which was later repealed. In effect, the trial
judge applied the repeal retroactively and imposed the time
requirements of 59:8-8 even though they were not effective at the
time of the accrual of plaintiff's cause of action. In
reversing, we concluded that plaintiff had, in any event,
substantially complied with the notice provisions of N.J.S.A.
59:8-8. And although he had not filed his complaint within two
years after the accident, we declined to apply the repeal
retroactively to the date of his accident. In dicta, we said
"when a statute restrains a right and the statute is then
repealed, the right is restored as of the date the repealer
statute is enacted." Id. at 448-49.
We do not think Small requires the result reached by the
trial judge here. First, we rejected the trial judge's
retroactive application of the statutory repeal, a result
consistent with our determination here. Second, we are not
dealing here with a statute that merely restrained a cause of
action. See Rosenberg v. North Bergen,
61 N.J. 190, 199 (1972).
To put it another way, plaintiff's right to sue was not merely
postponed by N.J.S.A. 26:11-12; rather, it was barred, as a
result of which plaintiff had no cause of action at the time it
might have accrued. Footnote: 1 Defendants had previously moved for summary judgment under N.J.S.A. 59:6-3 which immunizes public entities and employees from "an injury resulting from the decision to perform or not to perform any act to promote the public health of the community by preventing disease or controlling the communication of disease within the community." Defendants did not seek leave to appeal the denial of their motions for summary judgment thereunder and we express no view thereon. Footnote: 2 In ruling on defendants' motions, the trial judge addressed various other issues aside from the statutory immunities. We granted leave only as to the denial of immunity under N.J.S.A. 59:6-4 and N.J.S.A. 26:11-2. We do not address any other issues. Footnote: 3 We do not view "ordinary discretion" as distinct from "good faith". Plaintiff conceded during argument before the trial judge, as well as during oral argument before us, that there are no disputes of facts to raise an issue of bad faith. There appears to be no argument, moreover, that N.J.S.A. 26:11-12 does not apply to all three defendants in their involvement in the vaccination program. Certainly it does as to defendant County Board. It is asserted that the State and Board of Education defendants were acting as agents of the County Board. Plaintiff does not appear to contend to the contrary and we, therefore, assume that to be so. In any event, N.J.S.A. 59:6-4 provides absolute immunity to all defendants. Footnote: 4 It has also been observed that the principle will not apply where "vested rights" are involved. Parsippany Hills Ass'n v. Rent Leveling Bd. of the Township of Parsippany-Troy Hills, supra, 194 N.J. Super. at 43. Such a right has been characterized as a "present fixed interest which in right reason and natural justice should be protected against arbitrary state action - an innately just and imperative right that an enlightened free society, sensitive to inherent and irrefragable individual rights, cannot deny." Pennsylvania Greyhound Lines, Inc. v. Rosenthal, 14 N.J. 372, 384-85 (1954).
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