{"id":3808,"date":"2021-03-26T09:00:31","date_gmt":"2021-03-26T14:00:31","guid":{"rendered":"http:\/\/blogs.luc.edu\/compliance\/?p=3808"},"modified":"2021-03-26T09:00:31","modified_gmt":"2021-03-26T14:00:31","slug":"can-nursing-homes-be-sued-for-covid-19-deaths","status":"publish","type":"post","link":"https:\/\/blogs.luc.edu\/compliance\/?p=3808","title":{"rendered":"Can Nursing Homes be Sued for COVID-19 Deaths?"},"content":{"rendered":"<p><span style=\"font-family: 'times new roman', times, serif\"><em>Chandler Wright<\/em><\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\"><em>Associate Editor<\/em><\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\"><em>Loyola University Chicago School of Law, JD 2022<\/em><\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\">Nursing homes have been devastatingly impacted by the COVID-19 pandemic. As of February 26, 2021, as many as <a href=\"https:\/\/www.nytimes.com\/interactive\/2020\/us\/coronavirus-nursing-homes.html\">34%<\/a> (172,000+) of all COVID-19 deaths in the United States have been nursing home residents and employees. While COVID-19\u2019s lethality in older adults and likelihood of transmission in congregate facilities are to blame, plaintiffs\u2019 attorneys specifically <a href=\"https:\/\/www.chicagoreader.com\/chicago\/pritzker-pandemic-immunity-orders-health-care\/Content?oid=80608564\">question<\/a> sweeping legislation among various states regarding nursing home restrictions on refusing COVID-19 positive residents and immunity protections. A look at the Public Readiness and Emergency Preparedness (\u201c<a href=\"https:\/\/www.phe.gov\/Preparedness\/legal\/prepact\/Pages\/default.aspx\">PREP<\/a>\u201d) Act and recent federal cases sheds light on the future of plaintiff suits related to COVID-19 deaths in nursing homes.<\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\"><!--more--><\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\"><strong>What is the PREP Act?<\/strong><\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\">The <a href=\"https:\/\/www.phe.gov\/Preparedness\/legal\/prepact\/Pages\/default.aspx\">PREP Act<\/a>, enacted on December 30, 2005, is used by the Secretary of the Department of Health and Human Services (\u201cHHS\u201d) to authorize declarations when faced with public health emergencies. The Act was <a href=\"https:\/\/www.reuters.com\/article\/us-health-coronavirus-usa-liability-insi\/at-the-urging-of-nursing-homes-a-law-is-amended-and-covid-court-claims-are-slowed-idUSKBN29X1DG\">originally intended<\/a> to expedite vaccine production in the event of a public health emergency. Today, the Act is used and interpreted to provide entities, such as hospitals and nursing homes, and individuals with immunity from liability for administering \u201ccountermeasures\u201d to public health threats. The Act <a href=\"https:\/\/www.federalregister.gov\/documents\/2020\/06\/08\/2020-12465\/second-amendment-to-declaration-under-the-public-readiness-and-emergency-preparedness-act-for\">defines<\/a> countermeasures as qualified pandemic products, drugs, authorized emergency devices, such as respiratory devices, and more. The Act has been amended for various public health threats, such as H1N1, Zika, and Ebola. The most recent <a href=\"https:\/\/www.federalregister.gov\/documents\/2020\/06\/08\/2020-12465\/second-amendment-to-declaration-under-the-public-readiness-and-emergency-preparedness-act-for\">amendments<\/a> are from March 2020 regarding COVID-19, following the HHS Secretary\u2019s declaration of a public health emergency.<\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\"><strong>The PREP Act, COVID-19, and nursing homes<\/strong><\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\">The 2020 Amendments of the PREP Act affect any entity or individual who administers COVID-19 related care, but there has been some debate over whether nursing homes should be granted immunity under the Act. On May 28, 2020, a group of national and state organizations wrote a letter to then-Senate Majority Leader Mitch McConnell opposing any federal legislation related to immunity. In August of 2020, HHS general counsel Robert Charrow <a href=\"https:\/\/www.reuters.com\/article\/us-health-coronavirus-usa-liability-insi\/at-the-urging-of-nursing-homes-a-law-is-amended-and-covid-court-claims-are-slowed-idUSKBN29X1DG\">stated<\/a> that nursing homes were in fact covered by the Act if they used approved pandemic products or countermeasures. Though federal legislation regarding immunity is important, attorneys nationwide are arguably more focused on their respective states\u2019 legislation and the various executive orders that governors have imposed.<\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\">New York Governor Andrew Cuomo, for example, received <a href=\"https:\/\/abcnews.go.com\/Politics\/york-gov-andrew-cuomo-investigation-nursing-home-deaths\/story?id=75960261\">backlash<\/a> after his push for state legislation that protects nursing homes from liability while also insisting that they accept COVID-19 positive patients. The New York Times podcast \u201cThe Daily\u201d released a two-part episode on the subject titled <a href=\"https:\/\/www.nytimes.com\/2021\/02\/23\/podcasts\/the-daily\/coronavirus-nursing-homes.html\"><em>When Covid Hit Nursing Homes<\/em><\/a>. In the podcast a woman details her emotional experience of trying to remove her mother from a nursing home and being told she would be safer there, only to lose her mother shortly after. Illinois Governor JB Pritzker implemented a similar policy through <a href=\"https:\/\/www2.illinois.gov\/Pages\/Executive-Orders\/ExecutiveOrder2020-19.aspx\">Executive Order 2020-19<\/a>. As expected, Governor Pritzker\u2019s order also received its fair share of <a href=\"https:\/\/www.chicagoreader.com\/chicago\/pritzker-pandemic-immunity-orders-health-care\/Content?oid=80608564\">criticism<\/a> by attorneys and state officials. Most notably, there is a <a href=\"https:\/\/www.chicagoreader.com\/chicago\/pritzker-pandemic-immunity-orders-health-care\/Content?oid=80608564\">concern<\/a> that an underlying goal of the <a href=\"https:\/\/www2.illinois.gov\/Pages\/Executive-Orders\/ExecutiveOrder2020-19.aspx\">order<\/a> was to also give hospitals immunity for non-COVID-19 related injuries or deaths that were caused by a lack of resources and staff due to the high volume of COVID-19 cases in the state.<\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\"><strong>The future of plaintiff suits related to COVID-19 <\/strong><\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\">Should COVID-19 cases be filed in state or federal court? The answer is an attorney\u2019s favorite response, \u201cit depends\u201d. <a href=\"https:\/\/www.reuters.com\/article\/us-health-coronavirus-usa-liability-insi\/at-the-urging-of-nursing-homes-a-law-is-amended-and-covid-court-claims-are-slowed-idUSKBN29X1DG\">Thompson Reuters<\/a> found that as of January 2021, approximately seven federal judges issued preliminary rulings, all of which sided with the plaintiffs and ordered the cases to be returned to state court. If COVID-19 liability cases are filed in various state courts, then the law at issue will depend on the present status of that state\u2019s laws and executive orders, such as the ones made by Governors Cuomo and Pritzker. Most executive orders &#8211; and the PREP Act &#8211; have carved out an exception to immunity when facilities or individuals engage in willful misconduct.<\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif\">While nursing homes may be sued for COVID-19 related deaths, even if only in limited circumstances, this also then begs the question if they <em>should<\/em> in fact be sued for COVID-19 related death. Some attorneys <a href=\"https:\/\/www.reuters.com\/article\/us-health-coronavirus-usa-liability-insi\/at-the-urging-of-nursing-homes-a-law-is-amended-and-covid-court-claims-are-slowed-idUSKBN29X1DG\">fear<\/a> that having no form of immunity may lead to an immense amount of litigation that could clog the court system and the personal-injury industry. This however is a heated debate among plaintiff and defense attorneys nationwide, which will likely result in years of litigation and various court opinions to offer more clarity.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nursing homes have been devastatingly impacted by the COVID-19 pandemic. As of February 26, 2021, as many as 34% (172,000+) of all COVID-19 deaths in the United States have been nursing home residents and employees. While COVID-19\u2019s lethality in older adults and likelihood of transmission in congregate facilities are to blame, plaintiffs\u2019 attorneys specifically question sweeping legislation among various states regarding nursing home restrictions on refusing COVID-19 positive residents and immunity protections. A look at the Public Readiness and Emergency Preparedness (\u201cPREP\u201d) Act and recent federal cases sheds light on the future of plaintiff suits related to COVID-19 deaths in nursing homes.<\/p>\n","protected":false},"author":78,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[534,776,971,973,1002,1205,1241,1447,1609],"class_list":["post-3808","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-covid-19","tag-executive-orders","tag-governor-andrew-cuomo","tag-governor-jb-pritzker","tag-health-and-human-services","tag-journal-of-regulatory-compliance","tag-liability","tag-nursing-homes","tag-prep-act"],"_links":{"self":[{"href":"https:\/\/blogs.luc.edu\/compliance\/index.php?rest_route=\/wp\/v2\/posts\/3808","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.luc.edu\/compliance\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.luc.edu\/compliance\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.luc.edu\/compliance\/index.php?rest_route=\/wp\/v2\/users\/78"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.luc.edu\/compliance\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3808"}],"version-history":[{"count":0,"href":"https:\/\/blogs.luc.edu\/compliance\/index.php?rest_route=\/wp\/v2\/posts\/3808\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.luc.edu\/compliance\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3808"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.luc.edu\/compliance\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3808"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.luc.edu\/compliance\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3808"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}