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Price v. Houston County Healthcare Authority

United States District Court, Middle District of Alabama, Southern Division

May 1, 2015




This case involves a claim of medical malpractice arising under the Alabama Medical Liability Act (“AMLA”). Before the court is a motion to dismiss, or in the alternative, motion for more definite statement, filed by Defendants Steven F. Johnson, M.D. and John Vernon Manning, Jr., PA-C (hereinafter “Defendants”). (Doc. # 9.) The court directed Plaintiff Donna Jean Price to show cause, on or before May 1, 2015, why the alternative motion for more definite statement should not be granted. (Doc. # 13.) Plaintiff has filed a response opposing Defendants’ motion to dismiss, but she is non-responsive to the alternative motion for more definite statement. (See Doc. # 14.) Upon consideration of Defendants’ motions, the Complaint, and relevant law, the court finds that the motion to dismiss and alternative motion for more definite statement are due to be denied.


The court exercises subject-matter jurisdiction pursuant to 28 U.S.C. § 1332. Personal jurisdiction and venue are uncontested by the movants.[1]


A. Rule 12(b)(6) Motion to Dismiss

When evaluating a motion to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6), the court must take the facts alleged in the complaint as true and construe them in the light most favorable to the plaintiff. Resnick v. AvMed, Inc., 693 F.3d 1317, 1321–22 (11th Cir. 2012). To survive Rule 12(b)(6) scrutiny, “a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). “[F]acial plausibility” exists “when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Id. (citing Twombly, 550 U.S. at 556).

B. Rule 12(e) Motion for More Definite Statement

A party may “move for a more definite statement” under Rule 12(e) when a pleading is “so vague or ambiguous that the party cannot reasonably prepare a response.” Fed.R.Civ.P. 12(e). “The motion must be made before filing a responsive pleading and must point out the defects complained of and the details desired.” Fed.R.Civ.P. 12(e). Motions for more definite statements are generally disfavored by courts and are granted only when the plaintiff’s pleading is so unintelligible that the defendant “cannot respond, even with a simple denial, in good faith or without prejudice to himself.” Fathom Exploration, LLC v. Unidentified Shipwrecked Vessel or Vessels, 352 F.Supp.2d 1218, 1221 (S.D. Ala. 2005); see also Charles Alan Wright, et al., 5C Fed. Prac. & Proc. Civ. § 1376 (3d ed.).


Defendants assert that the Complaint fails to comport with the AMLA’s more stringent pleading standard that a plaintiff’s medical malpractice complaint “include . . . a detailed specification and factual description of each act and omission alleged by plaintiff to render the health care provider liable . . . .” Ala. Code § 6-5-551 (emphasis added); see also Mikkelsen v. Salama, 619 So.2d 1382, 1384 (Ala. 1993) (“[The AMLA] qualifies the generalized pleadings permitted by [Alabama’s version of] Rule 8(a) by requiring in medical malpractice actions that the complaint include a detailed specification and factual description of the [defendant’s alleged] act[s] and omission[s].”). The AMLA states that “[a]ny complaint which fails to include such detailed specification and factual description of each act and omission shall be subject to dismissal for failure to state a claim upon which relief may be granted.” Ala. Code § 6-5-551. Plaintiff’s Complaint purports to set out “[a] non-exhaustive specification of [Defendants’] negligent, willful, and/or wanton administration and provision of medical care.” (Compl. at ¶ 17.) Defendants contend that, by pleading that her allegations are “non-exhaustive, ” Plaintiff has failed to comply with the AMLA’s standard for pleading a medical malpractice claim.[2]

Plaintiff responds by defending the adequacy of her pleading, noting the specificity of her allegations that Defendants negligently or wantonly left surgical pledgets[3] in her esophageal wall during cardiac surgery in April 2013. (See Compl. at ¶ 17(a)–(g).) She asserts that the allegations are adequate to state a claim for relief under the requirements of AMLA, Iqbal, and Twombly. Plaintiff does not, however, address Defendants’ argument that she simply may not prosecute her medical malpractice claim with “non-exhaustive” allegations of wrongdoing.

The court agrees with Plaintiff that her Complaint easily satisfies the “facial plausibility” pleading standard enunciated in Iqbal and Twombly. Moreover, the Complaint complies with the AMLA’s pleading standard. Plaintiff has alleged specifics acts and omissions that could “render [Defendants] liable.” Ala. Code § 6-5-551. Defendants suggest that the statute’s requirement that Plaintiff include specifics of “each act and omission” precludes her from proceeding on an incomplete or “non-exhaustive” set of facts, but the AMLA contemplates the prompt submission of an amended pleading on the basis of “new or different acts or omissions.” Id. (emphasis added). The one word in the Complaint that Defendants find objectionable – “non-exhaustive” – has been used by Plaintiff, presumably on purpose, to suggest that Defendants’ alleged liability may be premised on other specific acts and omissions of which she is unaware and, therefore, unable to plead.[4] Defendants have not shown that the use of the word “non-exhaustive” in an AMLA complaint is a basis for dismissal, and the motion to dismiss is due to be denied.

Likewise, Defendants’ motion for more definite statement is unwarranted because the Complaint is neither so vague nor so ambiguous that it prevents Defendants from filing a responsive pleading. In fact, the Complaint is neither vague nor ambiguous, and Defendants have made no argument to ...

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