<strong><em>Wally G. v. New York City Health & Hosps. Corp.</em>, 24 N.Y.3d 674 (2015)</em></strong>

In medical malpractice cases against municipal entities, actual knowledge of the essential facts constituting the claim, as evidenced by medical records, is required within 90 days or a reasonable time thereafter to justify late service of a notice of claim.

<p><strong>Summary</strong></p>

The New York Court of Appeals affirmed the denial of a motion to serve a late notice of claim against New York City Health and Hospitals Corporation (HHC). The plaintiff, born prematurely, sought damages for alleged malpractice. The court held that HHC did not have actual knowledge of the essential facts of the claim within the statutory period, despite the existence of medical records. The court clarified that the records must "evince" injury due to the medical staff’s actions or omissions, not merely "suggest" malpractice. This decision underscores the importance of timely notice and sufficient evidence to establish a municipal entity’s actual knowledge in medical malpractice cases.

<p><strong>Facts</strong></p>

The plaintiff was born prematurely by emergency cesarean section on June 15, 2005, and was discharged from the hospital on August 10, 2005. On January 16, 2007, more than 90 days after the claim arose, the plaintiff served a notice of claim on HHC alleging negligence and malpractice. The plaintiff brought suit against HHC in August 2008, but did not move for permission to serve a late notice of claim until December 2010, over five years after the claim arose. In support of the motion, the plaintiff submitted extensive medical records and expert affidavits. HHC cross-moved to dismiss the complaint for failure to comply with General Municipal Law § 50-e (5).

<p><strong>Procedural History</strong></p>

The Supreme Court denied the plaintiff’s motion for leave to serve a late notice of claim and granted HHC’s motion to dismiss. The Appellate Division, First Department, affirmed the Supreme Court’s decision. The Court of Appeals granted the plaintiff’s appeal as of right.

<p><strong>Issue(s)</strong></p>

1. Whether the Appellate Division abused its discretion in affirming the denial of the plaintiff’s motion for leave to serve a late notice of claim.

<p><strong>Holding</strong></p>

1. No, because the Court of Appeals found no abuse of discretion in the denial of the plaintiff’s motion.

<p><strong>Court's Reasoning</strong></p>

The court applied General Municipal Law § 50-e, which requires a notice of claim be served within 90 days. A court may extend the time to serve a late notice of claim, considering whether the public corporation acquired actual knowledge of the essential facts of the claim within 90 days or a reasonable time thereafter. The court found that HHC did not have actual knowledge of the essential facts constituting the claim within the required time period. The court referenced its prior ruling in <em>Williams v. Nassau County Medical Center</em> to clarify that the medical records must "evince" that the medical staff, by their acts or omissions, inflicted an injury. It also held that mere suggestions of injury are insufficient. The court emphasized that determining “actual knowledge” and whether records “evince” injury rests in the court’s discretion.

<p><strong>Practical Implications</strong></p>

This case reinforces the strict requirements for serving a timely notice of claim against a municipal entity in New York. Attorneys must ensure that a notice of claim is filed within the statutory timeframe unless a strong argument can be made that the municipality had actual knowledge of the claim. The medical records need to demonstrate more than a mere suggestion of negligence; they must provide evidence of an injury caused by the actions or omissions of the medical staff. This case will likely inform the analysis of similar cases involving late notice of claim, reinforcing the need to demonstrate that the municipality possessed knowledge sufficient to permit it to defend the case.